{"id":161294,"date":"2022-01-12T21:02:30","date_gmt":"2022-01-12T15:32:30","guid":{"rendered":"https:\/\/blog.forumias.com\/?p=161294"},"modified":"2022-01-12T21:02:30","modified_gmt":"2022-01-12T15:32:30","slug":"answered-upsc-mains-2021-gs-paper-4-case-study-1q-no-10","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/answered-upsc-mains-2021-gs-paper-4-case-study-1q-no-10\/","title":{"rendered":"[Answered] UPSC Mains 2021 GS Paper 4 \u2013 Case Study 1(Q. No. 10)"},"content":{"rendered":"<p><span data-contrast=\"auto\">The Coronavirus disease (COVID 19) pandemic has quickly spread to various countries. As on May 8th\u00a02020,\u00a0in\u00a0India 56342 cases of corona had been reported. India with population of more than 1.35 billion had difficulty in controlling the transmission of Coronavirus among its population. Multiple strategies became necessary to handle this outbreak. The ministry of health an<\/span><span data-contrast=\"auto\">d family welfare of India raised awareness about this outbreak and to take all necessary actions to control the spread of Covid 19. Indian Govt. implemented a\u00a055-day\u00a0lockdown throughout the country to reduce the transmission of virus. Schools and colleges had shifted to alternative mode of teaching-learning-evaluation and certification. Online mode became popular during these days<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">India was not prepared for the sudden onslaught of such a crisis due to limited in terms of human resource, money and other facilities needed for taking care of this situation. This disease did not spare anybody irrespective of caste,\u00a0creed ,religion\u00a0on the one hand have and have not on the other. Deficiencies in hospital beds, Oxygen cylinders, ambulances, hospital staff and crematorium were the most crucial aspects<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">You are a hospital administrator in a public hospital at the time when Coronavirus had attacked large number of people and patients were pouring into hospital day in and day out<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">What are your criteria and justification for putting your clinical and non-clinical staff to attend the patients knowing fully well that it is highly infectious disease and resources and infrastructure are limited?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">If yours is a private hospital, whether your justification and decision would remain the same as that of a public hospital?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p style=\"text-align: center;\"><strong>Solution<\/strong><\/p>\n<p><span data-contrast=\"none\">As the administrator\u00a0in a public hospital\u00a0in the\u00a0given situation, I have\u00a0<\/span><b><span data-contrast=\"none\">conflicts within my professional roles<\/span><\/b><span data-contrast=\"none\">\u00a0such as\u00a0among\u00a0my<\/span><b><span data-contrast=\"none\">\u00a0responsibility\u00a0<\/span><\/b><span data-contrast=\"none\">towards\u00a0patients,\u00a0my staff,\u00a0the government\u00a0and the general public.\u00a0There\u00a0are\u00a0<\/span><b><span data-contrast=\"none\">moral demands on my conscience<\/span><\/b><span data-contrast=\"none\">\u00a0as well.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">a)Criteria for putting clinical and non-clinicianstaff to attend the patients:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"none\">The\u00a0staff\u00a0should not have\u00a0<\/span><b><span data-contrast=\"none\">age or disease-vulnerability.<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Segregate\u00a0<\/span><b><span data-contrast=\"none\">duties based on complexity<\/span><\/b><span data-contrast=\"none\">\u00a0of task and\u00a0<\/span><b><span data-contrast=\"none\">competence\u00a0<\/span><\/b><span data-contrast=\"none\">of the staff. For example, to prevent fire incidents in ventilators.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">Simple but meaningful tasks like\u00a0<\/span><b><span data-contrast=\"none\">helping elderly make video calls<\/span><\/b><span data-contrast=\"none\">\u00a0to family can be assigned to non-clinical staff.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><b><span data-contrast=\"none\">Justification\u00a0for having\u00a0all of\u00a0my staff attend to infectious disease:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ol>\n<li><b><span data-contrast=\"none\">Consequentialism:\u00a0<\/span><\/b><span data-contrast=\"none\">Not attending to demands of public health\u00a0would exacerbate the\u00a0health\u00a0crisis and will lead to large number of deaths,\u00a0<\/span><b><span data-contrast=\"none\">dysfunctional medical infrastructure and economy<\/span><\/b><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"none\">Kant\u2019s duty principle:\u00a0<\/span><\/b><span data-contrast=\"none\">As public servant,\u00a0I have duty towards\u00a0the government, and by extension the public.\u00a0<\/span><b><span data-contrast=\"none\">Dutifulness\u00a0<\/span><\/b><span data-contrast=\"none\">requires me to\u00a0<\/span><b><span data-contrast=\"none\">allocate resources for handling patients\u2019<\/span><\/b><span data-contrast=\"none\">\u00a0needs.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"none\">Utilitarianism:\u00a0<\/span><\/b><span data-contrast=\"none\">Larger\u00a0<\/span><b><span data-contrast=\"none\">public interest<\/span><\/b><span data-contrast=\"none\">\u00a0is served if patients are taken care of, such as in\u00a0<\/span><b><span data-contrast=\"none\">control of pandemic<\/span><\/b><span data-contrast=\"none\">, and\u00a0assistance in<\/span><b><span data-contrast=\"none\">\u00a0economic recovery.<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"none\">Common good:\u00a0<\/span><\/b><span data-contrast=\"none\">I have\u00a0<\/span><b><span data-contrast=\"none\">responsibilities towards my staff<\/span><\/b><span data-contrast=\"none\">\u00a0for their welfare, but\u00a0<\/span><b><span data-contrast=\"none\">common good lies in controlling pandemic\u00a0<\/span><\/b><span data-contrast=\"none\">through effective and efficient public health system.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"none\">Compassion:\u00a0<\/span><\/b><span data-contrast=\"none\">Compassion for the people affected by pandemic,<\/span><b><span data-contrast=\"none\">\u00a0preventing\u00a0loss\u00a0of lives<\/span><\/b><span data-contrast=\"none\">\u00a0like<\/span><b><span data-contrast=\"none\">\u00a0orphaned children, parents losing\u00a0all their children<\/span><\/b><span data-contrast=\"none\">, sufferings due to\u00a0the\u00a0<\/span><b><span data-contrast=\"none\">crippled\u00a0infrastructure<\/span><\/b><span data-contrast=\"none\">,\u00a0motivate me.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><b><span data-contrast=\"none\">b)As administrator of a private hospital,<\/span><\/b><span data-contrast=\"none\">my commitment to public health would remain the same.\u00a0I would take<\/span><b><span data-contrast=\"none\">\u00a0<\/span><\/b><span data-contrast=\"none\">following\u00a0<\/span><b><span data-contrast=\"none\">additional\u00a0measures:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"none\">I would make sure my staff has\u00a0<\/span><b><span data-contrast=\"none\">sufficient protection from infection<\/span><\/b><span data-contrast=\"none\">\u00a0such as\u00a0through their\u00a0<\/span><b><span data-contrast=\"none\">vaccination\u00a0<\/span><\/b><span data-contrast=\"none\">and\u00a0providing\u00a0<\/span><b><span data-contrast=\"none\">protective gears\u00a0<\/span><\/b><span data-contrast=\"none\">of\u00a0good\u00a0quality.\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">I would\u00a0<\/span><b><span data-contrast=\"none\">attend to\u00a0my staff\u2019s work load\u00a0<\/span><\/b><span data-contrast=\"none\">as best as possible under given circumstances\u00a0through\u00a0additional hiring,\u00a0rotational shifts, intermittent rest and breaks.\u00a0The\u00a0staff\u00a0can provide\u00a0care to patients only if they are themselves\u00a0<\/span><b><span data-contrast=\"none\">mentally, emotionally and physically healthy.<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"none\">The\u00a0<\/span><b><span data-contrast=\"none\">medical expenses would be graded<\/span><\/b><span data-contrast=\"none\">\u00a0as per patients\u2019 economic abilities through\u00a0<\/span><b><span data-contrast=\"none\">formal and informal methods of verification<\/span><\/b><span data-contrast=\"none\">\u00a0like tax filings or assets. Changes in health\u00a0care\u00a0costs would attend to\u00a0<\/span><b><span data-contrast=\"none\">needs of poor patients<\/span><\/b><span data-contrast=\"none\">\u00a0and provide\u00a0<\/span><b><span data-contrast=\"none\">motivational\u00a0bonus\u00a0to my staff\u00a0<\/span><\/b><span data-contrast=\"none\">for their extra efforts.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><span data-contrast=\"none\">Ethics\u00a0as\u00a0an<\/span><b><span data-contrast=\"none\">\u00a0administrator in\u00a0public or private\u00a0hospital<\/span><\/b><span data-contrast=\"none\">\u00a0during pandemic\u00a0induce me to\u00a0<\/span><b><span data-contrast=\"none\">render public service\u00a0<\/span><\/b><span data-contrast=\"none\">in challenging times. As private administrator I have opportunity to\u00a0<\/span><b><span data-contrast=\"none\">attend to\u00a0the\u00a0conflict in\u00a0my\u00a0conscience<\/span><\/b><span data-contrast=\"none\">\u00a0through\u00a0<\/span><b><span data-contrast=\"none\">extra care for my staff<\/span><\/b><span data-contrast=\"none\">\u00a0and\u00a0needs of<\/span><b><span data-contrast=\"none\"> equity in healthcare.\u00a0<\/span><\/b><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Coronavirus disease (COVID 19) pandemic has quickly spread to various countries. As on May 8th\u00a02020,\u00a0in\u00a0India 56342 cases of corona had been reported. India with population of more than 1.35 billion had difficulty in controlling the transmission of Coronavirus among its population. Multiple strategies became necessary to handle this outbreak. The ministry of health and&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/answered-upsc-mains-2021-gs-paper-4-case-study-1q-no-10\/\">Continue reading <span class=\"screen-reader-text\">[Answered] UPSC Mains 2021 GS Paper 4 \u2013 Case Study 1(Q. No. 10)<\/span><\/a><\/p>\n","protected":false},"author":10320,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[9],"tags":[],"class_list":["post-161294","post","type-post","status-publish","format-standard","hentry","category-public","entry"],"jetpack_featured_media_url":"","views":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/161294","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10320"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=161294"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/161294\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=161294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=161294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=161294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}