Friday, May 25, 2012

Ethics--A Not So Black and White Topic


I never took an ethics or philosophy course in school so these concepts are all new to me which is exciting. When I think of the word ethics, typically I associate that with examples of unethical behavior as opposed to positive examples of ethical behavior. This is most likely because the negative examples get all the media attention (Enron, Wall Street, etc.).

I worked for a major pharmaceutical company for a little over two years and I would have to say that in my role as a sales rep I have never experienced more ethical challenges. Every day I was faced with decisions about whether or not to skew the truth a bit, over exaggerate or sometimes even outright lie. It was a very interesting situation. I was working for an organization that prided themselves on being “transparent”’ and honest in the midst of many other (pharmaceutical) companies that were being flamed by the press for hiding life or death clinical information from the FDA.

It was a cynical environment to work in and pretty much the entire 2 years that I was there the morale of the company was very low. I remember when rumors started leaking that my company had (illegally) tested vaccines on indigenous tribes in Africa. I remember one drug scandal after another that broke out and the reports of reps selling drugs “off label.” I remember the scowls on patients’ faces as I brought in big bags of catered lunch to offices along with lots of pens, notepads and other drug company paraphernalia.  Looking back, I don’t blame them.

As I read over the Basic Ethical Terms and Normative Theories I couldn’t help but think about my days as a drug rep. I find that some of history’s greatest transgressions have been justified by the “greater good of the people.” There are so many ways to argue what may be right or wrong or what makes something “good.” To me, the greater question is whose perspective is deemed to be most important which the writer of the website points out. This is a key point in differentiating the three Theories of the Good (utilitarianism, care ethics and ethical egoism).

For example, a drug company could justify illegally testing vaccines in humans because even though some may die or suffer terrible consequences, the greater good is that much more people will benefit from the “advancement” vaccines bring to medicine. This is utilitarianism.

If I were a person that was being subjected to that testing, I could talk about my rights as an individual and the unfairness of being forced into a potentially dangerous situation. I would be arguing for my own self-interest and this is ethical egoism.

In these two situations few people would argue against the fact that the pharmaceutical company is wrong and the individual is right. But what happens in situations that are not life or death?

For example, Iet’s say a colleague conveys in confidence that they are cheating the company in a way that is putting the organization in serious financial risk in order to pay for his five year-olds leukemia treatment. And let’s say that this should be covered by the company insurance, but due to budget cuts the company has had to scale back on insurance plans.

Should you tell your supervisor what’s happening? You know that your colleague will be fired and then how will their child’s treatment be paid? Are you being unethical by not sharing this? Should you tell? You know they’ll be after you if they find out that you knew and didn’t tell someone. So many things to consider!

It seems that ethics is this big conundrum of trying to balance all of the different perspectives involved in any given scenario. It is inevitable that the outcomes are not always fair. There is no clear right or wrong in many situations and it takes a lot of good judgment to be able to decipher what is appropriate for each circumstance. As a leader, I hope that this course gives me insight into how to discern ethical dilemmas in an appropriate way.