Case Study Arun Mehta, an IAS officer serving as the Municipal Commissioner of a rapidly urbanising metropolitan city, is deeply concerned about the alarming rise in deaths and respiratory illnesses linked to deteriorating air quality. Recent reports from the State Pollution Control Board and a reputed medical institute reveal that particulate matter (PM2.5) levels are consistently 4–5 times higher than permissible limits, with a sharp increase in lung diseases among children and the elderly. Despite these warnings, several influential construction firms and transport unions continue to flout dust control, emission, and waste disposal norms. When Arun proposes stricter enforcement and temporary shutdowns of polluting construction sites, he faces severe resistance from local politicians and business lobbies, who argue that such actions would “hurt development and employment.” Some media outlets label his measures as “anti-growth.” Environmental NGOs and citizen groups urge immediate action, citing the constitutional right to a healthy environment under Article 21. At the same time, municipal employees complain of inadequate protective gear and poor coordination among departments. The state government, fearing public outrage, forms a committee to “study the issue,” delaying concrete action. Arun must now decide whether to take strong punitive measures against violators and enforce pollution control norms strictly, or adopt a gradual approach to avoid confrontation with vested interests and political backlash. His decision will test his administrative courage, ethical conviction, and sense of duty toward public welfare. Questions: 1. What are the key ethical dilemmas faced by Arun Mehta in this situation? 2. Identify and analyse the conflicting values and principles involved in this case. 3. Evaluate the possible courses of action available to Arun and their likely consequences. 4. Suggest the most ethical and administratively sound course of action that balances environmental protection with developmental needs.

Case Study Dr. Neha Kapoor, a medical professional turned District Magistrate, is posted in a semi-urban district that has recently witnessed a sudden outbreak of a highly infectious respiratory disease. Within days, government hospitals are overwhelmed with patients, ICU beds are scarce, and there is an acute shortage of oxygen cylinders and life-saving medicines. The district administration receives an emergency consignment of oxygen and critical drugs from the State government. However, the supply is far below the actual demand. Doctors on the ground inform Dr. Kapoor that they are being forced to make difficult choices about which patients should receive treatment, often prioritising those with higher chances of survival. Meanwhile, influential individuals, including local politicians and wealthy citizens, begin pressuring the administration to reserve beds and oxygen supplies for their families and associates. Some private hospitals are also accused of hoarding essential medicines and overcharging patients. On the other hand, frontline healthcare workers are exhausted and demoralised. They demand clear guidelines for triage and protection from legal or political backlash arising from life-and-death decisions. Media coverage intensifies, highlighting both the suffering of patients and alleged administrative lapses. Public anger is rising, and there is a growing perception that access to healthcare is becoming inequitable. Dr. Kapoor must take urgent decisions regarding allocation of scarce medical resources, regulation of private healthcare providers, and protection of frontline workers—while ensuring fairness, transparency, and public trust. Questions 1. What are the ethical issues involved in this case? 2. What options are available to Dr. Kapoor? Evaluate the merits and demerits of each. 3. What should be the most ethical course of action for Dr. Kapoor? Justify your answer in the context of public health ethics and administrative responsibility.

Case Study You are the founder of a social enterprise that provides solar lamps to rural villages that lack access to electricity. You have been working hard to scale up your impact and reach more communities in need. One day, you receive an email from the CEO of a major oil company who is interested in partnering with you. He says that he wants to support your cause and help you expand your operations. He also mentions that he has to meet Environmental, Social and Governance (ESG) standards for his company. However, over the years working with renewable energy, you have developed a strong aversion to fossil fuel companies. Now, the CEO’s offer has put you in a moral dilemma. On one hand, you resent the idea of accepting help from a company that is contributing to climate change and environmental degradation, and on the other hand, you feel that the company’s assistance is a golden opportunity for your social enterprise to provide more light to the dark. A. What are the various ethical issues involved here? B. Will it be morally right for you to accept money from the oil company?

Case Study A recent tragic incident involving the alleged rape and murder of a trainee woman doctor at the State-run College and Hospital has sparked nationwide protests. The Indian Medical Association (IMA) has announced a 24-hour nationwide withdrawal of non-emergency medical services to protest against this incident and the subsequent vandalism at the hospital. The incident has raised serious concerns about the safety and security of healthcare workers, particularly women, within medical institutions. As the newly appointed District Magistrate of the area where the incident occurred, you are faced with a complex situation involving public outrage, law and order, and the provision of essential healthcare services. 1. Identify the ethical dilemmas posed by the IMA’s decision to withdraw non-emergency medical services in response to the incident. 2. Propose a balanced approach that addresses the concerns of healthcare workers while ensuring that patient care is not compromised during such protests. 3. Evaluate the role of leadership in managing the crisis, ensuring accountability, and restoring public trust in the healthcare system.

Case Study You are the head of a Non-Governmental Organization (NGO) that offers palliative care to cancer patients from the poor sections of the society. Since the last few months funding for your noble cause is dwindling due to which you are not able to fulfill the needs of the dependent people. One day, you are contacted by the owner of a big tobacco company who is willing to fund your NGO because he has to meet Corporate Social Responsibility (CSR) targets. However, over the years working with cancer patients you have developed a deep hatred for tobacco companies. Now, the owner’s offer has put you in a moral dilemma. On the one side, you detest the thought of accepting support from a company that is doling out cancer through its products, and on the other hand, you feel that the company's aid is a godsend opportunity for your NGO to provide better care to patients. (a) What are the various ethical issues involved here? (b) Will it be morally right for you to accept money from the tobacco company?

You are the Managing Director of Metro Rail Corporation (MRC) of a metropolitan city and you have received orders and funding for construction of the metro track and a parking space in a densely forested area of the city with houses of few underprivileged families as well in it. For the construction, the forest has to be cleared and the families have to be moved to some other place. The locals have started a protest after knowing about the order. They are highly raged about cutting down thousands of trees and the affected families have also joined them because the forest holds emotional value for them. On the other hand, the minister who directly controls the MRC is pressuring you to start the felling process as soon as possible. You know that going against his orders will have serious repercussions. (a) What are the ethical issues involved and the options available to you in such a situation? (b) Also, suggest a course of action you would like to follow.

Case Study You are the Mayor of a town/city that has recently seen a rise in cases of dog bites. The local community is concerned about the safety of their children and pets, and they have started to demand action from the authorities. As the Mayor, you are responsible for addressing this issue and ensuring the safety of the community. Upon investigating the issue, you have discovered that many of the dogs in the area are strays, and some are owned by people who do not take proper care of them. You also found that the local dog population has grown significantly in recent years, and there is no effective system in place to monitor or control it. What would you do in this situation?