As a group, the articles posted in this Managed Care issue present a comprehensive picture of the current managed care environment. Readers will take away a deepened and broadened understanding of the inherent complexities. And because everyone reading the articles is affected to some degree by these complexities, the stands taken by the authors surely will provoke a response. We invite you to express your response in the form of either an article or a Letter to the Editor. By engaging in either form of response you will be taking advantage of another unique aspect of an online journal; the ability to participate in a timely way in the debate of a current nursing issue.