Civil Services Prep

Lata, a mother of two children, was admitted to a hospital for acute abdominal pain. Her sister-in-law, Sujatha, accompanied her. Dr. Mansi examined Lata and recommended a diagnostic laparoscopy. Lata's consent was taken to conduct the medical procedure under general anesthesia. During the laparoscopy, Dr. Mansi's team discovered a tumor in Lata's uterus. A closer examination suggested that the tumor could be malignant. One option before Dr. Mansi was to extract a sample for biopsy. In that case, if the tumor was malignant, Lata would have to undergo another surgery for removal of the uterus. An alternative was to remove the uterus immediately. Dr. Mansi had to take a quick decision. As Lata was under general anesthesia, Dr. Mansi explained the situation to Sujatha. Sujatha agreed with Dr. Mansi's recommendation for a hysterectomy, wherein Lata's uterus would be removed to avoid the risk and pain of undergoing another surgery. Dr. Mansi removed Lata's uterus after receiving Sujatha's consent in writing. Lata was informed of this the next day. She was very upset and felt betrayed as she had not consented to the removal of her uterus. Lata complained to the police, who tried to convince her that Dr. Mansi had acted with good intention to help a patient. Sujatha was of the same opinion; however, Lata was not convinced and decided to approach the court. (a) Discuss the ethical issues involved in this case. (b) Discuss the moral conduct of the doctor in this situation.

Model answer

  1. Ajit has recently been promoted as the Head of the Department of Weapon Sales (DWS) under the Ministry of Defence Production (MDP). His charter of duties includes international sales of weapons produced domestically by MDP. In two recent wars, MDP weapons have performed admirably, resulting in many countries showing interest in buying them, particularly long-range artillery and missiles. Country A and country B have asked for these weapons. However, production constraints restrict DWS to accept only one purchase order. Country A is a developing nation with a sound technology base. MDP is planning R&D collaboration with it for the next generation of weapons. It is not part of any security alliance and needs weapons for protection from a troublesome neighbour. It seeks a large acquisition on a long-term loan. Country B is also a developing nation. Military strength is its priority, with the military budget often ingressing into allocations for human resources and infrastructure development. It is in security alliance with a superpower who has a large military base there and periodically allots it financial grants. It is a member of an economic bloc with which the government is currently negotiating a free trade agreement. It is not a signatory of NPT but possesses smaller nuclear weapons and delivery systems. It supports some guerrilla forces abroad. It has sought a smaller acquisition and is prepared to make some advance payment. It is currently negotiating arms purchases from another nation too. Ajit discussed this case with his counterparts in the related departments. Therein, the significant economic benefits, employment generation and stronger diplomatic relations arising from this sale were highlighted. It was also emphasized that refusing the deal could result in country B purchasing weapons from some other supplier. Ajit was aware that in arms sales, due diligence at each stage was pivotal to ensure conformity to national policy and international treaties. (a) Discuss the options available to Ajit. Which option should he select and why? (b) How can Ajit balance nation's economic and strategic interests with ethical considerations? 20 marks
  2. Rajapuram is a border district. Jhara and Biru, its two major communities, are in continual conflict with each other. The social fabric is fractured and demands mending. Ethnic tensions between the two communities have erupted into violence, resulting in a large number of deaths. The stated causes are conflicting land claims, uneven resource allocation and inadequate political representation in government bodies. Separate relief camps had to be created for the two communities. The situation is volatile and appears to be getting out of control. Rajan has been appointed the District Magistrate (DM) of Rajapuram and tasked to quickly get the situation under control. His immediate tasks include restoring administrative authority, reopening the highway and initiating peace talks. On taking over his appointment, Rajan realized that the inter-community rivalry had even seeped into the local administration and police. With functional neutrality being the immediate casualty, it had made both communities distrustful of the government. A neighbouring country could use this opportunity to fuel internal unrest and worsen the situation further. Adopting a balanced approach, Rajan reopened the highway so that foodgrains and medical supplies could reach the people. He also considered seeking help from the CRPF (Central Reserve Police Force) to restore administrative control. (a) Discuss the ethical issues in this case that need to be addressed. (b) What are the options open to Rajan? Which option would ensure protection of his non-partisan image without compromising ethics? 20 marks
  3. Ravi is a senior police officer with vast experience in riot control and cyber-policing. Since one year, he has been the Superintendent of Police (SP) of a district with a history of frequent rioting. Last year, Ravi had sought installation of an AI-enabled software for predictive policing. This system has been operational for approximately six months. This new system employs advanced algorithms for capturing the biometric data of persons in a crowd and swiftly relating it to a data library. This has enabled the police to identify the persons involved in various crimes. The system has identified an immigrant and low-income neighbourhood as a centre for gang violence and drug trafficking. Aided by this AI analysis, the local police has focused its patrolling, preventive detentions and establishing checkposts. Consequently, public order and law enforcement has visibly improved. Last week, some community leaders, civil rights lawyers and human rights activists visited Ravi's office. They submitted a memorandum that the new system is faulty as it is based on incorrect historical data caused by social biases and discriminatory policing. The memorandum also alleges that the increased surveillance has created a climate of tension amongst residents. This feeling is aggravated by the fact that the residents are not aware of the data noted against their names. (a) What are the ethical issues, including biases, involved in the use of AI in data-driven policing? (b) Place yourself in Ravi's role and discuss the alternatives available. Justify the action that optimises compliance with ethics. 20 marks
  4. Vikas is a government officer with over a decade of service in public administration. He has recently moved as the District Collector (DC) of Nainipura, a remote hilly district bordering a forest. Due to Nainipura's low levels of economic development, one of his major duties is to ensure proper functioning of the Public Distribution System (PDS) amongst the Economically Weaker Sections (EWS). During his on-site visits, Vikas was apprised of a typical administrative challenge in operating the PDS. To prevent leakages, all distributors were required to carry out real-time biometric identification of the beneficiaries, whose fingerprints were tallied with identity card records. This was creating problems as the operating system sometimes rejected fingerprint matching in the cases of growing children, manual labourers and senior citizens. The problem was further compounded in periods of low WiFi connectivity. The distributors, in such cases, resorted to personal discretion when they could identify the recipient. Vikas had to address this problem on priority. Strictly adhering to government regulations would ensure fiscal probity but would greatly trouble the proposed beneficiary, i.e., EWS. It may even impinge on their fundamental right to life as per Article 21 of the Constitution. Conversely, leaving the resolution solely to the discretion of the distributors could lead to misuse and leakages. (a) What are the options open to Vikas? How should he balance fiscal probity with empathy towards the designated beneficiaries? (b) Discuss the ethics of using technology as a gatekeeper for welfare schemes. 20 marks
  5. Usually schools, working in remote areas, do not fully comply with government regulations. However, if the rules are enforced strictly, it would lead to most schools closing down. How should an administrator strike a balance between enforcement of rules and educational rights of children? 10 marks
  6. Dr. B. R. Ambedkar had cautioned that employing civil disobedience within a constitutional democracy equates to endorsing 'anarchy'. How should modern democracies navigate the ethical dilemmas posed by civil disobedience movements that aim to promote social justice against policies that may raise genuine concerns? 10 marks