2024 · GS Paper 4 · Q10 · 20 marks

Sneha is a Senior Manager working for a big reputed hospital chain in a mid-sized city. She has been made in-charge of the new super speciality center that the hospital is building with state-of-the art equipment and world class medical facilities. The building has been reconstructed and she is starting the process of procurement for various equipment and machines. As the head of the committee responsible for procurement, she has invited bids from all the interested reputed vendors dealing in medical equipment. She notices that her brother, who is a well-known supplier in this domain, has also sent his expression of interest. Since the hospital is privately owned, it is not mandatory for her to select only the lower bidder. Also, she is aware that her brother's company has been facing some financial difficulties and a big supply order will help him recover. At the same time, allocating the contract to her brother might bring charges of favouritism against her and tarnish her image. The hospital management trusts her fully and would support any decision of hers. (a) What should be Sneha's course of action? (b) How would she justify what she chooses to do? (c) In this case, how is medical ethics compromised with vested personal interest?

In short

Sneha should disclose her brother's interest in writing, recuse herself and let a panel judge every bid on pre-announced merit criteria, helping her brother only personally. Steering equipment contracts to kin compromises non-maleficence and justice, putting patients' safety and affordability at risk.

Model answer

Ghissu Editorial · Verified 4 Oct 2026

Introduction
Sneha faces a Conflict of Interest; the hospital's private status and full trust in her raise, rather than lower, the standard of integrity expected.
(a) Sneha's Course of Action
The core dilemma is between Family Loyalty and Professional Integrity.
•

Disclose and recuse

Inform management in writing, in the spirit of Section 184 of the Companies Act, 2013, and step away from any decision on her brother's bid.

•

Merit-based evaluation

Pre-announced technical and financial criteria, an external expert and recorded minutes decide the winner; her brother is neither favoured nor excluded.

•

Personal help only

Any help for her brother's finances comes from her, never the contract.

(b) How Sneha Would Justify Her Choice
•

Fiduciary duty

She holds patients' safety and the hospital's money in trust, and the management's full confidence is a reason to protect that trust, not to use it.

•

Credibility

The Srikrishna inquiry (2019) found Chanda Kochhar [case] breached ICICI Bank's code by not disclosing a family-linked interest.

Justification:
Kant's Categorical Imperative: if every manager steered contracts to relatives, procurement would lose meaning.
(c) How Medical Ethics Is Compromised
•

Non-maleficence

Equipment chosen for kinship rather than quality can harm patients, as faulty DePuy ASR hip implants recalled in 2010 [case] harmed theirs.

•

Justice and trust

Inflated contracts raise treatment costs for poorer patients and betray the silent trust that every machine was chosen for their good.

Conclusion
Disclosure, recusal and merit protect patients, the hospital and Sneha herself, because every hospital purchase is a clinical decision at one remove.

This model answer is indicative and the model can make mistakes; please verify key facts independently.

Hand-drawn diagram: Family Loyalty vs Professional Integrity. Family Loyalty vs Professional Integrity. Venn diagram: Family Loyalty, Professional Integrity; overlap: Disclose, recuse, judge on merit
Diagram: Family Loyalty vs Professional Integrity

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This chapter in the exam

Corporate Conduct8 questions

Asked in 7 of 14 sittings since 2013

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2015
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2016
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2017
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2018
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2019
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2020
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2021
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Question from the official UPSC Civil Services (Main) Examination 2024 paper. Answer written by Ghissu's engine and checked against our editorial standards. Found an error? Tell us and we correct it within 48 hours.

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