The SCOTUS ruled effectively to cede control back to the individual states regarding the issue of abortion, by overturning an approximately 50 year old case, Roe v. Wade, which had made abortion a “right” at the federal level. States may outlaw abortion at the state level, or may not. Putting aside completely this contentious issue itself, it is worthwhile for administrators to consider what they personally believe to be a right when it comes to their hospitals’ critically ill patients. Do they have a right to be less likely to die? If that is a right, and they are less likely to die by conforming with the Leapfrog standard, having board certified critical care doctors involved in the patient care equation, to the extent that hospitals do not have boarded intensivists on staff, are they obligated to integrate TeleICU?