UPSC Mains 2023 · GS IV · Q8 · 20 marks · 250 words · Case study

A landslide occurred in the middle of the night on 20th July, 2023 in a remote mountain hamlet, approximately 60 kilometres from Uttarkashi. The landslide was caused by torrential rains and has resulted in large-scale destruction of property and life. You, as District Magistrate of that area, have rushed to the spot with a team of doctors, NGOs, media and police along with numerous support staff to oversee the rescue operations. A man came running to you with a request for urgent medical help for his pregnant wife who is in labour and is losing blood. You directed your medical team to examine his wife. They return and convey to you that this woman needs blood transfusion immediately. Upon enquiry, you come to know that a few blood collection bags and blood group test kits are available in the ambulance accompanying your team. Few people of your team have already volunteered to donate blood. Being a physician who has graduated from AIIMS, you know that blood for transfusion needs to be procured only through a recognized blood bank. Your team members are divided on this issue; some favour transfusion, while some others oppose it. The doctors in the team are ready to facilitate the delivery provided they are not penalized for transfusion. Now you are in a dilemma. Your professional training emphasizes on prioritising service to humanity and saving lives of individuals.

  1. (a) What are the ethical issues involved in this case ?
  2. (b) Evaluate the options available to you, being District Magistrate of the area.

हिन्दी में

उत्तरकाशी से लगभग 60 किलोमीटर की दूरी पर सुदूर पहाड़ी बस्ती में 20 जुलाई, 2023 की मध्यरात्रि में एक भूस्खलन हुआ । भूस्खलन मूसलाधार बारिश के कारण हुआ और नतीजन जान-माल की हानि बड़े पैमाने पर हुई । आप, उस क्षेत्र के जिला मजिस्ट्रेट होने के नाते, डॉक्टरों के दल, एन.जी.ओ., मीडिया और पुलिस के साथ बहुत से सहायक स्टाफ को लेकर घटनास्थल पर बचाव अभियान के लिए तुरन्त पहुँचे । एक आदमी अपनी गर्भवती पत्नी की अत्यावश्यक चिकित्सा सहायता के लिए आपके पास भागता हुआ आया, जो प्रसव में है और उन्हें रक्त रिसाव हो रहा है । आपने अपने चिकित्सक दल को उसकी पत्नी की जाँच करने का निर्देश दिया । उन्होंने वापस आकर आपको बताया कि उस औरत को तुरन्त खून चढ़ाने की आवश्यकता है । पूछताछ करने पर, आपको पता चला कि कुछ रक्त संग्रह बैग और रक्त समूह परीक्षण किट एम्बुलेंस में आपकी टीम के पास मौजूद हैं । आपकी टीम के कुछ सदस्य स्वेच्छा से अपना रक्तदान करने के लिए पहले से ही तैयार हैं । एम्स से स्नातक चिकित्सक होने के नाते, आप जानते हैं कि खून चढ़ाने के लिए मान्यता-प्राप्त ब्लड बैंक से ही रक्त के इन्तज़ाम की आवश्यकता है । आपकी टीम के सदस्य इस मुद्दे पर बँटे हुए हैं; कुछ खून चढ़ाने के हक में हैं, जबकि कुछ इसके विरोध में हैं । यदि उन्हें खून चढ़ाने के लिए दण्डित नहीं किया जाएगा तो टीम में डॉक्टर प्रसव कराने के लिए तैयार हैं । अब आप दुविधा में हैं । आपका पेशेवर प्रशिक्षण मानवता और लोगों का जीवन बचाने को प्राथमिकता देने पर ज़ोर देता है ।

  1. (a) इस मामले में कौन-से नैतिक मुद्दे शामिल हैं ?
  2. (b) क्षेत्र के जिला मजिस्ट्रेट होने के नाते आपके पास उपलब्ध विकल्पों का मूल्यांकन कीजिए ।

How a topper answered the closest question

Toppers wrote this one in a test series: “A forest fire has broken out in a hilly district and is rapidly spreading toward an eco-sensitive area that includes four villages (ESA villages). These villages lie along the forest fringe and are surrounded by difficult terrain. The region is known for its biodiversity and traditional forest-based livelihoods. The inhabitants of these villages are mostly poor tribal communities, dependent on forest resources for their sustenance. You, as the District Magistrate of the area, have rushed to the spot with a medical team, police personnel, NGOs, media, and support staff to oversee the rescue and containment operations. Your disaster response team on the ground is small and poorly equipped. Reinforcements from the district headquarter have been requested, but they may take several hours to arrive due to the remoteness and challenging terrain. In the meantime, a group of trained ex-forest guards and local youth from the villages offer to help. They are experienced and familiar with the area. However, existing government rules do not permit the engagement of unofficial personnel in fire control operations without formal clearance and insurance coverage. Your team members are divided on this issue. Some members argue that volunteers should be engaged immediately to prevent the fire from spreading. Others caution that involving them without proper approval and safety cover could be risky and against protocol. As the District Magistrate, you are also the Chairperson of the District Disaster Management Authority (DDMA). The fire is spreading at a very rapid rate, and immediate action is required to protect lives, property, and the environment. You are now in a dilemma. a) What are the options available to you? b) Critically evaluate each of the options identified by you. c) What option would you adopt and why? d) What are the ethical dilemmas being faced by you?”

Gaurav KumarAIR 34 · CSE 2017 · 287 wordsTheir whole copy

Opening · a figure

Reports say that 1/3rd of Indian forests are prone to forest fire. This case is of forest fire near ESA.

Body · points and prose

Stakeholders:

→ Me (DM) → Tribal volunteers → NGO, media, police, medical staff. → ESA villages

Options available

(1) Wait for reinforcement, do not hire the volunteers

Merit: → Rule of law (Weberian bureaucracy) → Objectivity & procedural integrity → Threat to volunteer life (saved)

Demerit: → ESA village burn threat → Ecosystem loss → Volunteers expertise: unutilised

I will take this option.

(2) Hire the volunteers & Douse the fire

Justification

  1. Discretion must be for public welfare → Ethical & moral governance allows use of discretion. (eg) Silkyara Tunnel - Rat hole miners used.

  2. Discretion is allowed to save public lives (Art 21) & environment (Art 51 A(g))

  3. Reinforcement is delayed, hills, disasters demand full use of own judgement & go beyond call of duty.

  4. DM is trustee of district environment & ecosystems.

  5. Own moral compass says use of so.

→ Compassion, humanity, tribal rights & justice are cardinal virtues.

  1. Ethical relativism, here Teleological ethics can be way forward. Ultimately 'loksangraha' matters.

Ethical dilemmas

(i) Objectivity (want of reinforcement) V/S discretion use of volunteers

(ii) Rule of law (as medic will punish) V/S public safety

(iii) Environment & animal life under Environment Act, Wildlife Act

(iv) Sthitaprajna? - equanimity under emergency like fire in forest

(v) Effective use of personnel & Community participation in governan[ce]

  • beyond Weberian bureaucracy

(vi) Tribals to volunteer life in danger (no insurance) V/S whole village lives & property.

Close

Therefore, I shall be ready to use DDMA fund to give ex-gratia / solatium if they die in doing fire. (Utilitarianism of Bentham)

1 more topper’s answer to this question, part by part, and how they all approached it: open the question.

Toppers’ answers to other close questions

Source: UPSC, Civil Services (Main) Examination 2023, General Studies Paper IV, Q8. The paper on upsc.gov.in. Themes and links to toppers’ answers are by UPSC Grade, not by UPSC.