“I can think of examples where I have two patients. They have the same diagnosis, but they have two different insurance companies, treatment plan’s the same. ‘Patient A’ isn't going to get the optimal treatment plan because their insurance company won't approve it. ‘Patient B’ is going to get the Cadillac version of this treatment plan, and what am I supposed to do about it,” Lucia D. Wocial, PhD, RN, FAAN, HEC-C, senior clinical ethicist in the John J. Lynch Center for Ethics at the MedStar Washington Hospital Center in Washington, DC, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a discussion about how access-to-care issues can produce moral dilemmas for nurses and how to manage this.   You can earn free NCPD contact hours after listening to this episode and completing the evaluation linked below.   Music Credit: “Fireflies and Stardust” by Kevin MacLeod  Licensed under Creative Commons by Attribution 3.0  Earn 1.0 contact hours of nursing continuing professional development (NCPD), which may be applied to the nursing practice and oncology nursing practice ILNA categories, by listening to the full recording and completing an evaluation at myoutcomes.ons.org by January 5, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center’s Commission on Accreditation.  Learning outcome: The learner will report an increase in knowledge in moral dilemmas in nursing practice.  Episode Notes  Complete this evaluation for free NCPD. How to advocate for your patients.  ONS position statement: Access to Quality Cancer Care  Oncology Nursing Podcast: Episode 222: Ethical and Moral Dilemmas of Futility in Cancer Care and Treatment Episode 253: The Ethics of Caring for People You Know Personally Episode 277: Futility in Care: How to Advocate for Your Patients and Prevent Ethical Distress  ONS Voice articles: Four R’s and Resilience Approach Help Oncology Nurses Respond to Morally Distressing Challenges It Takes a Team to Confront Moral Distress Cope With Moral Distress by Focusing on the Possibilities The Case of the Blurred Boundaries  Clinical Journal of Oncology Nursing articles: Moral Distress: A Qualitative Study of Experiences Among Oncology Team Members Moral Distress: Identification Among Inpatient Oncology Nurses in an Academic Health System Moral Distress: One Unit’s Recognition and Mitigation of This Problem The Role of Oncology Nurses as Ethicists: Training, Opportunities, and Implications for Practice  Oncology Nursing Forum article:  Ethical Challenges Encountered by Clinical Trials Nurses: A Grounded Theory Study Reducing Compassion Fatigue in Inpatient Pediatric Oncology Nurses Moral Resilience   Moral Resilience ONS Huddle Card  American Cancer Society: Road to Recovery  American Nurses Association position statement: The Nurse’s Role When a Patient Requests Medical Aid in Dying (ONS endorsed)  Dr. Lorna Breen Heroes’ Foundation: Improving Licensure and Credentialing Applications Toolkit  Guttmacher Institute: Roe v. Wade Overturned: Our Latest Resources  General ethics resources: Center for Practical Bioethics Harvard Implicit Association Test  Johns Hopkins Berman Institute of Ethics Markkula Center for Applied Ethics at Santa Clara University The John J. Lynch, MD Center for Ethics: MedStar Washington Hospital Center   To discuss the information in this episode with other oncology nurses, visit the ONS Communities.   To find resources for creating an ONS Podcast Club in your chapter or nursing community, visit the ONS Podcast Library.  To provide feedback or otherwise reach ONS about the p