Case Study: You are a senior surgeon in a prestigious hospital in Bengaluru, known for its state-of-the-art facilities and high-profile patient base. During a routine audit of the hospital’s procurement and billing practices, you uncover a troubling scenario-the hospital’s administration is involved in a practice where certain high-cost medical supplies and treatments are being marked up exorbitantly, even though alternative, more affordable options are available. The hospital has entered into a partnership with several suppliers, ensuring that these high-cost supplies are purchased exclusively, despite their high price and limited effectiveness compared to other alternatives.As the chairperson of the Ethical Medical Practitioners Association, you are deeply concerned about the implications of these practices on patient care and financial sustainability. However, some senior doctors in your hospital, who are benefiting from kickbacks provided by the suppliers, urge you to remain silent about the issue to avoid disrupting hospital operations and to preserve their personal benefits. They argue that the inflated prices are helping to maintain the hospital’s high profit margins, which are crucial for its survival and continued growth. Questions: (a) Identify the main stakeholders and ethical issues involved. (b) Analyze the potential consequences of exposing the unethical practices for both the hospital and the healthcare system. (c) What actions would you take in this situation, and what ethical principles would guide your decision-making process?

Case Study You are a District Magistrate (DM) of a rural district known for its rich cultural heritage and traditional practices. The district has a diverse population, including various ethnic communities and tribes, each with its distinct customs and beliefs. The administration has been striving to balance the preservation of these traditions with the need for modernization and development. Recently, a conflict arose between a government-led development project and the traditional practices of a tribal community. The project aims to construct a road through a forest area inhabited by the tribe, which they consider sacred and essential for their cultural practices. The community vehemently opposes the project, citing that it would not only disrupt their way of life but also harm the environment. As the DM, you are caught between the mandate of the development project, which promises improved connectivity and economic growth for the region, and the ethical responsibility to protect the cultural heritage and rights of the tribal community. The local administration has received pressure from higher authorities to expedite the project, highlighting its significance for the overall development of the district. In this scenario, discuss the ethical dilemmas you face as the DM and outline the steps you would take to resolve the conflict while upholding public service values and ethics in public administration.

Case Study You are the District Collector of a rapidly urbanizing district. A large government housing project is under construction to provide affordable homes to economically weaker sections. The project is being executed by a private contractor under a public-private partnership (PPP) model. One evening, a section of an under-construction residential block collapses, leading to the death of five workers and injuring many others. A preliminary investigation suggests that poor-quality construction materials were used. Further, it is revealed that the project approval process had several irregularities, including the violation of environmental clearance norms and unauthorized expansion beyond the sanctioned plan. The project was approved under the tenure of your predecessor, who is now a senior bureaucrat in the state government. As you begin an in-depth inquiry, you receive immense pressure from multiple stakeholders. Senior officials advise you to avoid implicating your predecessor, arguing that it could tarnish the administration's reputation. The contractor, a politically well-connected businessman, offers you a lucrative post-retirement consultancy role in exchange for diluting the report. Additionally, local political leaders, citing the urgency of providing housing to the poor, urge you to let the project continue despite the lapses. Meanwhile, workers' unions and civil society groups demand strict action against those responsible. 1. Identify the ethical dilemmas in this case and analyze them using relevant ethical theories. 2. What course of action should you take to ensure accountability while balancing the interests of all stakeholders? 3. What policy recommendations can help prevent the recurrence of such infrastructure failures?

Case Study Arvind Mehta, a senior public servant, currently heads the Budget Division in the Ministry of Finance. His division is presently involved in allocating budgetary support to various states, four of which are scheduled to hold assembly elections within the current financial year. As per the latest Union Budget, more than Rs 8,300 crore was allocated to the National Housing Scheme (NHS), a key centrally sponsored welfare programme aimed at providing affordable housing to weaker sections. By June, Rs 775 crore had already been disbursed under the scheme. Parallelly, the Ministry of Commerce had been pursuing the establishment of a Special Economic Zone (SEZ) in a southern state to promote exports. After nearly two years of consultation between the Centre and the state, the Union Cabinet gave its approval in August, and the process for acquiring land has since begun. In another development, a Public Sector Undertaking (PSU) had proposed a natural gas processing plant in a northern state to support the regional gas grid, an essential element of the country's energy security strategy. The land for the project is already available, and after three rounds of global bidding, the contract was awarded to M/s XYZ Hydrocarbons, a multinational company. The first tranche of payment is scheduled for December. To meet the funding requirements of these two major development projects, an additional Rs 6,000 crore is required. It has been proposed that this amount be re-appropriated from the NHS budget. The file seeking approval for this re-allocation was sent to the Budget Division for examination and processing. On reviewing the file, Arvind Mehta became concerned. He realised that diverting funds from the NHS could delay its implementation, a scheme widely promoted by senior political figures and closely linked to electoral commitments. On the other hand, delaying fund allocation to the SEZ and the gas plant could lead to significant financial losses and reputational damage at both national and international levels. Upon raising the issue with his superiors, Arvind was advised that the matter is politically sensitive and must be expedited without delay. Question: a) Identify the ethical issues involved in reallocating funds from a welfare programme to development projects. b) In light of the responsibility to ensure prudent use of public resources, what options are available to Arvind Mehta? Would resigning from his post be a reasonable or ethical course of action?

Case Study You are an IAS officer posted in a district known for its high rate of farmer suicides due to crop failures. The district has received special attention from the government, and several schemes and policies have been implemented to help the farmers. However, despite these efforts, the number of suicides has not decreased, and the situation seems to be worsening. During a routine visit to one of the affected villages, you come across a farmer who tells you that the local officials have been demanding bribes for the release of funds under the government schemes. He also tells you that the local officials have been inflating the cost of the projects and pocketing the extra money. The farmer tells you that he has already spent all his savings on his failed crops and cannot afford to pay any more bribes. You are aware that acting against the officials may result in political pressure and backlash, and it may also jeopardize your own career. However, you also know that if you do nothing, the situation will continue to deteriorate, and more lives will be lost. What would you do in this situation? How would you balance your duty to serve the people with the potential risks to your career and personal safety?

Case Study Mr. Aditya Sharma is serving as the District Magistrate of a rapidly growing district where the state government has recently introduced an AI-based system to identify beneficiaries for welfare schemes such as housing subsidies, scholarships, and pension benefits. The system uses multiple datasets—income records, property ownership, electricity consumption, and bank transactions—to automatically generate a list of eligible beneficiaries. The government promotes the system as a major reform to improve efficiency, reduce corruption, and ensure objective targeting of welfare benefits. Initially, the new system significantly reduces manual processing and speeds up the delivery of benefits. However, during public grievance hearings, Mr. Sharma begins receiving numerous complaints from genuinely poor families who have been excluded from the beneficiary list. Upon investigation, he discovers that the algorithm relies heavily on digital and financial data. As a result, many informal-sector workers, migrant families, and people without regular digital footprints are being wrongly classified as “ineligible.” At the same time, some relatively well-off households with incomplete or outdated records have been included in the beneficiary list. Civil society organisations accuse the administration of creating “digital exclusion”, arguing that excessive reliance on automated decision-making ignores ground realities. When Mr. Sharma raises these concerns with higher authorities, he is advised to continue using the system because it is a flagship governance reform that demonstrates the government's commitment to transparency and technology-driven administration. Officials argue that questioning the system may undermine public confidence in digital governance. Meanwhile, media reports and social activists are increasingly highlighting cases of exclusion, portraying the administration as insensitive to the needs of vulnerable populations. Mr. Sharma must decide how to address these concerns while balancing technological efficiency, fairness, and accountability in welfare delivery. Questions 1. Identify the ethical issues involved in the above case. 2. What options are available to Mr. Sharma? Evaluate the merits and demerits of each option. 3. What course of action should Mr. Sharma adopt to ensure both administrative efficiency and ethical governance? Justify your answer.

Case Study Mr. Chandrakant is a principal in a college. There is a professor who happens to be the brother-in-law of an MLA of the ruling Party. The professor’s behavior towards fellow female teachers and students is derogatory. Several females have accused him of harassing them. The victims have lodged several complaints about his behavior. They are also afraid of filing a police complaint against him as he has threatened them to spoil their career if they do so. Mr. Chandrakant is in a dilemma. He wants to act against the professor, but he also fears the political backlash from the MLA and his party. He knows that the professor is misusing his power and influence to harass the females and violate their dignity and rights. He also knows that the victims are suffering from mental trauma and insecurity due to the professor's actions. 1. What are the ethical issues involved in this case? 2. What are the options available for Mr. Chandrakant? 3. What should Mr. Chandrakant do and why?