Physical therapists sometimes have hard decisions to make in today's health care systems. In this discussion podcast, Ernest Nalette, author of "Constrained Physical Therapist Practice: An Ethical Case Analysis of Recommending Discharge Placement From the Acute Care Setting" (June 2010), Gail Jensen, Beth Smith, and moderator Diane Jette discuss the moral dilemma of Mary, a physical therapist in an acute care hospital where resource constraints on the provision of physical therapy care cause her to provide less care than one of her patients needs. Jensen sees Mary's dilemma as a case of allocating or rationing a scarce resource-- physical therapy--in an equitable manner. Mary, says Jensen, "is actually being forced into a rationing decision." Nalette observes that rationing "has become common practice," resulting in the reduced provision of service to patients, particularly to racial and ethnic minorities and those who are poor. Does the model of physical therapist practice in acute care actually inflict this lack of fairness? If the acute care setting routinely forces physical therapists into these types of moral dilemmas, what is the role of the physical therapist in the acute care setting?