Sneha is a Senior Manager working for a big reputed hospital chain in a mid-sized city. She has been made in-charge of the new super speciality center that the hospitals building with state-of-the art equipment and world class medical facilities. The building has been reconstructed and she is starting the process of procurement for various equipment and machines. As the head of the committee responsible for procurement, she has invited bids from all the interested reputed vendors dealing in medical equipment. She notices that her brother, who is a well-known supplier in this domain, has also sent his expression of interest. Since the hospital is privately owned, it is not mandatory for her to select only the lower bidder. Also, she is aware that her brother’s company has been facing some financial difficulties and a big supply order will help him recover. At the same time, allocating the contract to her brother might bring charges of favouritism against her and tarnish her image The hospital management trusts her fully and would support any decision of hers
(a) What should be Sneha’s course of action ?
(b) How would she justify what she chooses to do ?
(c) In this case, how is medical ethics compromised with vested personal interest?
Sneha is a Senior Manager working for a big reputed hospital chain in a mid-sized city. She has been made in-charge of the new super speciality center that the hospitals building with state-of-the art equipment and world class medical facilities. The building has been reconstructed and she is starting the process of procurement for various equipment and machines. As the head of the committee responsible for procurement, she has invited bids from all the interested reputed vendors dealing in medical equipment. She notices that her brother, who is a well-known supplier in this domain, has also sent his expression of interest. Since the hospital is privately owned, it is not mandatory for her to select only the lower bidder. Also, she is aware that her brother’s company has been facing some financial difficulties and a big supply order will help him recover. At the same time, allocating the contract to her brother might bring charges of favouritism against her and tarnish her image The hospital management trusts her fully and would support any decision of hers
(a) What should be Sneha’s course of action ?
(b) How would she justify what she chooses to do ?
(c) In this case, how is medical ethics compromised with vested personal interest?
Sneha, as a Senior Manager and head of procurement, is entrusted with ensuring fairness, transparency, and accountability in vendor selection. However, the participation of her brother, who is financially unstable, introduces a conflict of interest that may compromise the hospital’s standards and her own integrity.
Stakeholder Identification
(a) Sneha’s Course of Action:
-
Recusal from the Procurement Committee: Sneha should recuse herself from the procurement process involving her brother’s firm, citing conflict of interest, and recommend an independent sub-committee or third-party evaluation for objective decision-making.
-
Transparency and Disclosure: Sneha must disclose her relationship with the bidding vendor to the hospital management and the procurement committee. This reinforces her fiduciary duty and promotes ethical conduct within the organization.
-
Ensuring Impartial Evaluation: Sneha should advocate for an independent and impartial evaluation process, possibly involving external experts, to guarantee that the selection is based solely on merit and the best interests of the hospital and its patients.
-
Establish Clear Procurement Guidelines: Sneha should advise that hospital should establish clear, written procurement guidelines that address potential conflicts of interest and ensure fairness in all future procurement processes.
-
Documentation and Audit Trail: A comprehensive documentation and audit trail of the entire procurement process should be maintained, ensuring accountability and demonstrating adherence to ethical practices.
(b) Justification for Sneha’s Actions:
-
Integrity and Probity: By recusing herself, she demonstrates her personal integrity and adherence to high moral standards.
-
Avoidance of Conflict of Interest: Transparency in disclosing familial ties upholds institutional ethics and prevents perceived bias.
-
Organizational Trust and Credibility: Her action safeguards the hospital’s image and prevents allegations of favoritism or nepotism.
-
Long-term Ethical Leadership: By upholding fairness, she sets an example for ethical governance and builds moral authority.
-
Stakeholder Confidence: It assures patients, vendors, and staff that procurement is being handled fairly.
(c) Medical Ethics Compromised by Vested Interest:
-
Erosion of Trust: Favoring a relative in procurement undermines public trust in the healthcare system, raising concerns about the prioritization of personal gain over patient welfare. This violates the fiduciary duty owed to patients.
-
Compromised Patient Care: A biased selection process may result in the acquisition of suboptimal equipment, potentially compromising the quality of patient care. This directly contradicts the core principles of medical ethics.
-
Unfair Competition: Favouritism creates an uneven playing field for other vendors, undermining the principles of fair competition and transparency in the marketplace. This violates the rights of other businesses.
-
Loss of Integrity in Healthcare: Such practices erode the integrity of the healthcare profession, creating a perception of corruption and self-serving behavior. This damages the reputation of the medical community.
-
Violation of Justice and Fairness: Favoring a relative violates the principles of justice and fairness, as it denies other qualified vendors an equal opportunity to compete for the contract. This creates an unjust and inequitable system.
Sneha must act as a role model in ethical leadership, recognizing that perception of integrity is as important as actual integrity. Her decision to step aside ensures that the hospital’s commitment to quality care, fair procurement, and ethical responsibility is upheld.
Answer Length
Model answers may exceed the word limit for better clarity and depth. Use them as a guide, but always frame your final answer within the exam’s prescribed limit.
Ethics: Case Study PYQs from 2024
- 20 MarksView Answer
Dr. Srinivasan is a senior scientist working for a reputed biotechnology company known for its cutting-edge research in pharmaceuticals. Dr. Srinivasan is heading a research team working on a new drug aimed at treating a rapidly spreading variant of a new viral infectious disease. The disease has been rapidly spreading across the world and the cases reported in the country are increasing. There is huge pressure on Dr. Srinivasan’s team to expedite the trials for the drug as there is significant market for it, and the company wants to get the first-mover advantage in the market. During a team meeting, some senior team members suggest some shortcut for expediting the clinical trials for the drug and for getting the requisite approvals. These include manipulating data to exclude some negative outcomes and selectively reporting positive results, foregoing the process of informed consent and using compounds already patented by a rival company, rather than developing one’s own component. Dr. Srinivasan is not comfortable taking such shortcuts, at the same time he realises meeting the targets is impossible without using these means.
(a) What would you do in such a situation?
(b) Examine your options and consequences in the light of the ethical questions involved.
(c) How can data ethics and drug ethics save humanity at large in such a scenario? - 20 MarksView Answer
With the summer heat being exceptionally severe this year, the district has been facing severe water shortage. The District Collector has been mobilizing his subordinate officials to conserve the remaining water reserves for preventing the district from plunging into acute drinking water crisis.
Along with an awareness campaign for conserving water, strict measures have been taken for stopping the over-exploitation of ground-water. Vigilance teams have been deployed to tour the villages and find the farmers who are drawing water from deep borewells or from the river reservoir for irrigation. The farmers are agitated by such action. A delegation of farmers meets the District Collector with their issues and complains that while they are not being allowed to irrigate their crops, big industries located near the river are drawing huge amounts of water through deep borewells for their industrial processes. The farmers allege that their administration is anti-farmer and corrupt, being bribed by the industry. The district needs to placate the farmers as they are threatening to go on a prolonged protest. At the same time, the District Collector has to deal with the water crisis. The industry cannot be closed as this would result in a large number of workers being unemployed.
(a) Discuss all options available to the District Collector as a District Magistrate.
(b) What suitable actions can be taken in view of mutually compatible interests of the stakeholders?
(c) What are the potential administrative and ethical dilemmas for the District Collector ? - 20 MarksView Answer
With multipronged strategy of the Central and State Governments specially in the last few years, the naxalite problem has been resolved to a large extent in the affected states of the country. However, there are a few pockets in certain states where naxalite problem still persists, mainly due to involvement of foreign countries. Rohit is posted as SP (Special Operations) for the last one year, in one of the districts which is still affected by the naxalite problem. The district administration has taken a lot of developmental works in the recent past in the naxalite affected areas to win the hearts and minds of the people. Over a period of time, Rohit has established an excellent intelligence network to get the real time information regarding the movement of naxalite cadre. To instill confidence in the public and have moral ascendancy over the naxalites, a number of cordons and search operations are being conducted by the police. Rohit, who himself was leading one of the contingents got a message though his intelligence source that about ten hard core naxalites were hiding in a particular village with sophisticated weapons. Without wasting any time, Rohit reached the target village with his team and laid out a foolproof cordon and started carrying out a systematic search. During the search, his team managed to overpower all the naxalites along with their automatic weapons. However, in the meantime, more than five hundred tribal women surrounded the village and started marching towards the target house.
They were shouting and demanding the immediate release of insurgents since they are their protectors and saviours. The situation on the ground was becoming very critical as the tribal women were extremely agitated and aggressive. Rohit tried to contact his superior officer, IG (Special Operations) of the state on the radio set and on mobile phone, but failed to do so due to poor connectivity Rohit was in great dilemma since out of the naxalites apprehended, two were not only hard core top insurgents with prize money of Rs ten lakhs on their heads, but were also involved in a recent ambush on the security forces. However, if he did not release the naxalites, the situation could get out of control since the tribal women were aggressively charging towards them. In that case, to control the situation Rohit might have to resort to firing which may lead to valuable loss of lives of civilians and would further complicate the situation.
(a) What are the options available with Rohit to cope with the situation?
(b) What are the ethical dilemmas being faced by Rohit ?
(c) Which of the options, do you think, would be more appropriate for Rohit to adopt and why?
(d) In the present situation, what are the extra precautionary measures to be taken by the police in dealing with women protesters? - 20 MarksView Answer
Raman is a senior IPS officer and has recently been posted as D.G. of a state. Among the various issues and problems/challenges which needed his immediate attention, the issue relating to recruitment of unemployed youth by an unknown terrorist group, was a matter of grave concern.
It was noted that unemployment was relatively high in the state. The problem of unemployment amongst graduates and those with higher education was much more grave. Thus they were vulnerable and soft targets.
In the review meeting taken by him with senior officers of DIG Range and above, it came to light that a new terrorist group has emerged at the global level. It has launched a massive drive to recruit young unemployed people. Special focus was to pick young people from a particular community. The said organisation seemed to have the clear objective of utilising/using them for carrying out militant activities. It was also gathered that the said (new) group is desperately trying to spread its tentacles in his state.
A definite/reliable intelligence tip was received by the State CID and Cyber Cell that a large number of such unemployed youth have already been contacted by the terrorist outfit/group through social media and local communal organisations and other contacts. The need of the hour was to act swiftly and to check these elements/designs before they assume serious proportions.
Discrete inquiries made by the police, through the Cyber Cell, revealed that good numbers of unemployed youth are very active on Facebook, Instagram and Twitter. On an average, many of them were spending 6 – 8 hours each day, using electronic devices/internet, etc. It also came to light that such unemployed youth were showing sympathy and endorsing the messages received from certain persons, allegedly the contact persons of that global terrorist group. Their social media accounts revealed their strong affinity to such groups inasmuch as many of them started forwarding anti-national tweets on their WhatsApp and Facebook, etc. It seemed that they succumbed to their ploy and started propagating secessionist ideology. Their posts were hyper-critical of the government’s initiatives, policies and subscribing to extreme beliefs and promoting extremism.
(a) What are the options available to Raman to tackle the above situation ?
(b) What measures would you suggest for strengthening the existing set-up to ensure that such groups do not succeed in penetrating and vitiating the atmosphere in the state ?
(c) In the above scenario, what action plan would you advise for enhancing the intelligence gathering mechanism of the police force ? - 20 MarksView Answer
There is a technological company named ABC Incorporated which is the second largest worldwide, situated in the Third World. You are the Chief Executive Officer and the majority shareholder of this company. The fast technological improvements have raised worries among environmental activists, regulatory authorities, and the general public over the sustainability of this scenario. You confront substantial issues about the business’s environmental footprint. In 2023, your organization had a significant increase of 48% in greenhouse gas emissions compared to the levels recorded in 2019. The significant rise in energy consumption is mainly due to the surging energy requirements of your data centers, fuelled by the exponential expansion of Artificial Intelligence (AI). Al-powered services need much more computational resources and electrical energy compared to conventional online activities, notwithstanding their notable gains. The technology’s proliferation has led to a growing concern over the environmental repercussions, resulting in an increase in warnings. Al models, especially those used in extensive machine learning and data processing, exhibit much greater energy consumption than conventional computer tasks, with an exponential increase.
Although there is already a commitment and goal to achieve net zero emissions by 2030, the challenge of lowering emissions seems overwhelming as the integration of Al continues to increase. To achieve this goal, substantial investments in renewable energy use would be necessary. The difficulty is exacerbated by the competitive environment of the technology sector, where rapid innovation is essential for preserving market standing and shareholders’ worth. To achieve a balance between innovation, profitability and sustainability, a strategic move is necessary that is in line with both, business objectives and ethical obligations.
(a) What is your immediate response to the challenges posed in the above case?
(b) Discuss the ethical issues involved in the above case.
(c) Your company has been identified to be penalized by technological gaints. What logical and ethical arguments will you put forth convince about its necessity?
(d) Being a conscience being, what measures would you adopt to maintain balance between AI innovation and environment footprint?
In just 60 sec
Evaluate your handwritten answer
- Get detailed feedback
- Model Answer after evaluation
Model Answers by Subject
Crack UPSC with your
Personal AI Mentor
An AI-powered ecosystem to learn, practice, and evaluate with discipline


