 Unlike most episodes, this one has no deliberate killing. Instead doctors Marc Sloan and Jesse Travis refuse to accept the grave medical consequences -such as medically irresponsible delays and refusal of necessary therapy- for non-affluent patients of the virtually exclusive medical circuits (ambulance, treatment facilities etc.) imposed by so-called HMOs, a type of medical insurance, which puts medical staff in an impossible position between budget-orientated rules, malpractice claims and Hippocratic conscience. A few fatal cases lead to law-suits and an arbitration procedure with serious financial stakes.