Ethical IssuesThe Moral Distress of Nurses When Patients Forgo Treatment Because of CostOlsen, Douglas P. PhD, RN; Keilman, Linda J. DNP, MSN, GNP-BC, FAANPAuthor Information Douglas P. Olsen and Linda J. Keilman, a gerontological NP, are associate professors at the Michigan State University College of Nursing in East Lansing. Olsen is a contributing editor of AJN. Contact author: Douglas P. Olsen, email@example.com. The authors have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com. AJN, American Journal of Nursing: September 2020 - Volume 120 - Issue 9 - p 61-66 doi: 10.1097/01.NAJ.0000697668.09031.71 Buy Metrics AbstractIn Brief Nursing must recognize an ethical obligation to respond on behalf of these patients. The authors discuss the moral compromise of nurses whose patients refuse care they can't afford—and make an appeal to the nursing profession to advocate for systemic change on behalf of these patients. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.