The covert referral system employed by certain organizations has raised serious concerns regarding its impact on the rights of people being served and the potential ethical implications for their care managers. Such a system may prioritize the interests of the organization over those of the individuals receiving care, as decisions regarding their treatment and services may be made without their knowledge or input. Furthermore, care managers operating within this system may find themselves in compromising situations where they are unable to advocate for the best interests of their clients due to organizational pressures or conflicts of interest. This can lead to a breakdown in trust between care managers and their clients, and ultimately compromise the quality of care being provided. It is crucial that organizations prioritize transparency and collaboration in their referral systems to ensure that the rights of individuals receiving care are respected, and that care managers are able to effectively advocate for their clients without fear of retribution or ethical concerns.