Rakesh is a responsible district level officer, who enjoys the trust of his higher officials. Knowing his honesty, the government entrusted him with the responsibility of identifying the beneficiaries under a healthcare scheme meant for senior citizens. The criteria to be a beneficiary are the following : (a) 60 years of age or above. (b) Belonging to a reserved community. (c) Family income of less than ₹ 1 lakh per annum. (d) Post-treatment prognosis is likely to be high to make a positive difference to the quality of life of the beneficiary. One day, an old couple visited Rakesh’s office with their application. They have been the residents of a village in his district since their birth. The old man is diagnosed with a rare condition that causes obstruction in the large intestine. As a consequence, he has severe abdominal pain frequently that prevents him from doing any physical labour. The couple have no children to support them. The expert surgeon whom they contacted is willing to do the surgery without charging any fee. However, the couple will have to bear the cost of incidental charges, such as medicines, hospitalization, etc., to the tune of ₹ 1 lakh. The couple fulfills all the criteria except criterion ‘b’. However, any financial aid would certainly make a significant difference in their quality of life.

How a topper answered the closest question

Toppers wrote this one in a test series: “The onslaught of the Covid-19 Pandemic resulted in loss of many lives. Many families were left without anyone to take care of children and many parents lost their beloved children. This situation left an environment of misery. Taking this situation into consideration, the Chief minister of a state declared a scheme under which Rs 5 Lac will be provided to a family who had suffered a loss of life during the Covid-19 onslaught. Vikram Singh is a responsible district level officer, who enjoys the trust of his higher officials. Knowing his honesty, the government entrusted him with the responsibility of identifying the beneficiaries under the declared scheme. The criteria to be a beneficiary are the following: (a) Aadhar card of the deceased. (b) Belonging to a reserved community. (c) Family income of less than 1 lakh per annum. (d) Valid death certificate which mentions Covid as Primary cause of Death. One day, an old couple visited Vikram's office with their application. They have been the residents of a village in his district since their birth. The old man informed Vikram that his Son has died due to the Covid. His son was the sole breadwinner and after his demise they have been left helpless as there is no income and now he has to provide for the future of his three grandchildren. Whatever money has been left with them, they are using it to fund children's education and other expenses and are hopeful that the recently declared scheme would benefit them greatly. The Old couple fulfills all the criteria except criterion 'a' and 'd'. However, any financial aid would certainly make a significant difference in their quality of life. How should Vikram Singh respond to the situation?”

Toppers’ answers to other close questions

• Gopal is an 80-year-old man living in a remote and an underdeveloped village in a Central Indian state. He had been residing in a small mud house for years. When he came to know about the Pradhan Mantri Awas Yojana-Gramin (PMAY-G), he saw a glimmer of hope for a pucca house in the last phase of his life. However, the village sarpanch and panchayat secretary told him that to be eligible under the scheme, he must first demolish his existing house so that during a site inspection, no structure would be visible at the location. Subsequently, Gopal demolished his shelter and began living under a babool tree. For nearly six months, he has been staying in the open, braving harsh weather conditions. During this time, he has repeatedly visited the panchayat office but has been told that his application cannot be processed as he lacks the necessary documents. You are the officer-in-charge of implementing PMAY-G in the district. The case of Gopal reaches you through a prominent newspaper report. You personally visit him to understand the situation on the ground. After meeting him and listening to his account, you feel that he certainly needs support. Your enquiries confirm that he is truly destitute and living in a pitiable condition under the open sky. It is also established that he demolished his house based on a faulty interpretation of the scheme by panchayat officials. However, he has no documents to show that he fulfils the eligibility criteria under the scheme. Now you are in a dilemma. Including him under the scheme without the necessary documents would clearly be a violation of rules. But denying him support would be cruel and inhuman. a. Can you think of a rational way to resolve this dilemma? b. Give your reasons for it. c. What are the ethical issues involved in the above case?5 answers
• Mr. Pradeep is a senior civil servant in the central government and is involved in the budgeting department. In the course of performing his duties, he comes to know about diversion of funds earmarked for SC/ST sub-plan for other purposes. While he is not directly responsible for this aspect of the budget, he raised his concerns to the department concerned. He also learns that the minister responsible as well as senior most civil servants are aware of the practice and have given tacit approval for it. Soon thereafter, Pradeep was summoned to talk on the issue and was told that since the matter is not within his jurisdiction, he should 'keep his nose out of it'. After much soul searching, Pradeep decided to obey his supervisors by leaving the matter alone. Based on the information given, answer the following questions: (a) Elaborate on the internal dissonance that Pradeep faces in the given situation. (b) On what basis can the decision of Pradeep be justified? (c) Had you been in Pradeep's place, what would have been the course of action chosen by you? Recognise the merits and demerits, if any3 answers
• You are head of a big and reputed hospital in the national capital. The hospital is visited by thousands of patients every day and most of them belong to economically weaker sections. The hospital is also facing staff crunch. A man whose mother is admitted in your hospital comes to you. His mother is critically ill with highly contagious disease which makes hospitalization necessary. He tells you that he is an auto-rickshaw driver who cannot afford medical expenses of his mother. Also, he has three young daughters to marry and he is the only bread earner in family. He further adds that he loves his mother very much and he cannot not see her continuous sufferings. He request you to let her die with dignity. Given this situation, answer the following questions: (a) Explain the ethical dilemmas faced by you? (b) What are the options available to you? Discuss the merits and demerits of each. Also, mention what you would suggest to him.1 answer