MGT 444: Ethics, Governance & Covid-19 Issues

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Questions and Answers

In the context of resource allocation during a pandemic, a utilitarian analysis primarily aims to:

  • Maximize the overall well-being and happiness by considering the benefits and costs of different allocation strategies. (correct)
  • Ensure resources are distributed equally among all affected individuals.
  • Adhere strictly to pre-established protocols without considering specific case details.
  • Prioritize resource allocation based on an individual's social status or importance.

What is the central ethical consideration in a utilitarian analysis when deciding between allocating a scarce resource, like a ventilator, to two different patients?

  • The age of the patients requiring the ventilator.
  • The patient's personal wealth and ability to contribute to society.
  • The potential to maximize overall well-being, considering factors such as probability of survival, length of life, quality of life, and social benefits, minus the costs. (correct)
  • The professional background of the patients.

What is a significant challenge when applying utilitarianism to healthcare decisions during a pandemic?

  • The difficulty in accurately quantifying and comparing different aspects of well-being and the potential for bias in these quantifications. (correct)
  • Utilitarianism is always consistent with the law.
  • The lack of consideration for individual rights and justice.
  • The ease of predicting the long-term consequences of medical decisions.

In the context of lockdowns, what would a utilitarian analysis primarily consider?

<p>The balance between the benefits of preventing disease spread and the costs to the economy, mental health, and personal freedoms. (C)</p> Signup and view all the answers

According to utilitarianism, under what circumstances might a prolonged lockdown be reconsidered or deemed unethical?

<p>When the costs, such as unemployment, business failures, and mental health issues, become numerous and significant enough to outweigh the benefits of preventing the spread of disease. (B)</p> Signup and view all the answers

What critical assumption underlies the application of utilitarianism in decision-making during a crisis?

<p>That happiness and benefits, as well as pain and costs, can be accurately measured and aggregated to determine the best course of action. (B)</p> Signup and view all the answers

Which of the following is a potential drawback of applying utilitarianism when making public health decisions?

<p>It may lead to decisions that disproportionately harm certain groups or individuals if maximizing overall utility results in overlooking their rights or well-being. (A)</p> Signup and view all the answers

How does utilitarianism differ from simply following majority rule in decision-making?

<p>Utilitarianism seeks to maximize overall well-being by considering the intensity of everyone's preferences and the consequences of different actions, not just adhering to what the majority wants. (C)</p> Signup and view all the answers

How might modifications to utilitarianism address concerns about minor gains outweighing serious harm?

<p>By stipulating that no number of minor gains can reasonably outweigh a single serious harm. (B)</p> Signup and view all the answers

How might the concept of justice pose a challenge to utilitarianism?

<p>Utilitarianism may lead to unjust outcomes by disproportionately benefiting some while harming others. (A)</p> Signup and view all the answers

What would be the primary consideration in applying utilitarianism to the question of whether to support the creation of bike lanes by removing street parking?

<p>The overall impact on well-being, weighing the benefits to cyclists and the community against the inconvenience to drivers and businesses. (C)</p> Signup and view all the answers

If resources for treatment are limited, what is a criticism of utilitarianism?

<p>Utilitarianism does not treat every life equal. (A)</p> Signup and view all the answers

Under utilitarianism, what could justify heavy penalties for noncompliance?

<p>If early lockdown and strict enforcement are cost-effective. (B)</p> Signup and view all the answers

What might lead to bias and discrimination under utilitarianism?

<p>Utilitarianism can allow and (even justify) bias and discrimination. (D)</p> Signup and view all the answers

How might your participation in the business critical thinking skills test (BCTST) affect your course grade?

<p>Your participation and the results will not affect your course grades. (D)</p> Signup and view all the answers

What happens when a proctor does not answer any questions?

<p>Proctors will not answer any questions. (D)</p> Signup and view all the answers

What happens if you violate the policies regarding academic honesty?

<p>Any violation will be reported to the university and will result in failing the course. (A)</p> Signup and view all the answers

True or false: According to utilitarianism, an action or decision is ethical if and only if it brings about the greatest amount of net happiness than any alternative action or decision.

<p>True (A)</p> Signup and view all the answers

True or false: According to utilitarianism, injustice and rights are only important if they maximize utility.

<p>True (A)</p> Signup and view all the answers

Complete the sentence: Maximizing utility means maximizing ...

<p>the happiness, well-being, and cost-effectiveness. (A)</p> Signup and view all the answers

What is the primary benefit of shutdown using the utilitarianism lens?

<p>Shut downs help flatten the curve and save lives. (D)</p> Signup and view all the answers

Which of the following is the cost of shutdown?

<p>Revenue loss for businesses, mental health, and job loss. (A)</p> Signup and view all the answers

What is the length requirement of Essay 1?

<p>400-600 words. (B)</p> Signup and view all the answers

In what format should I submit Essay 1?

<p>Microsoft Word. (D)</p> Signup and view all the answers

True or false: Essay 1 will be scanned by TurnItIn for plagiarism.

<p>True (A)</p> Signup and view all the answers

Flashcards

Core Utilitarian Argument

An action is ethical only if it brings the greatest net happiness (utility) compared to alternatives.

Strengths of Utilitarianism

Clear basis for decisions/policies, objective conflict resolution, and a result-oriented approach.

Weaknesses of Utilitarianism

May be unworkable, morally justifies bad results, questionable justice.

The Triage Problem

Determining who gets a scarce resource based on maximizing overall well-being.

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Utilitarian analysis of shutdown

Analyzing if a shutdown maximizes overall well-being, balancing saved lives versus economic/social costs.

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Utilitarianism's assumption

Happiness/benefits and pain/costs can be added in quantitative way

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Utilitarianism's focus

Maximizing utility (happiness) is all that matters, justice / rights are important if they maximize utility

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Justice perspective criticism

Utilitarianism may worsen inequality or justify discrimination.

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Rights Perspective Criticism

Utilitarianism might restrict individual liberty.

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Utilitarianism

Net happiness (i.e., utility) it brings about than any alternative action or decision.

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Study Notes

  • MGT 444: Business Ethics and Corporate Governance, covering Covid-19 related ethical and corporate governance issues.

Today's Class

  • There are reminders about Exam 1 on February 13 and Essay 1 due February 28.
  • Topics include the Business Critical Thinking Skills Test (BCTST), the triage problem, the lockdown problem, and a utilitarian analysis of Covid-19.

Exam 1 Details

  • The exam is on Thursday, February 13, and will last 50 minutes.
  • The exam is in-person and in-class.
  • There is no scheduled bathroom break.
  • you must bring a pencil and an eraser.
  • There will be two essay questions.
  • The exam is closed-book and closed-notes.
  • Electronic devices like phones, laptops, tablets, smart watches, earphones, earbuds, or headphones are prohibited.
  • Hats and headwear are not allowed, you should speak to the proctor for accommodations.
  • Proctors will not answer questions except in physical/medical emergencies.
  • Academic honesty policies are on page 3 of the syllabus, violations will be reported, and ignorance of the policy is not an excuse.

Essay 1 Details

  • Due date is Friday, February 28, at 11:59pm.
  • Complete instructions are on Canvas.
  • The essay should be 400-600 words.
  • Submit as a Microsoft Word document on Canvas.
  • Essays will be scanned by TurnItIn for plagiarism.
  • You must use your own personal case, integrate it with ethical theory/concepts, and demonstrate coherent logic and critical thinking.
  • You also need to see the rubrics on Canvas and add a Design Statement.

Business Critical Thinking Skills Test (BCTST)

  • The Fowler College of Business selected this section to participate.
  • It is an online test of critical thinking skills.
  • Participation is voluntary, participants will receive a detailed report.
  • You should note that your participation and the test results will not affect course grades.
  • You will receive an official invitation by email soon, with more information available online.

Utilitarianism

  • Utilitarianism is defined as when an action or decision is ethical if and only if it brings about the greatest amount of net happiness (i.e., utility) than any alternative action or decision.
  • The text questions how is utilitarianism different from majority rule as utilitarianism isn't always about finding "the greatest good to the greatest number of people"
  • Considers strengths like a clear and straightforward basis for decisions and an objective way of resolving conflicts of self-interest.
  • And weaknesses, like potential impracticality, moral justification of results, and disregard for justice.
  • How is utilitarianism different from majority rule?
  • Is utilitarianism always about "the greatest good to the greatest number of people"?
  • Would Rawls agree with utilitarianism?
  • If the City of San Diego were to remove 300 street parking spaces to create bike lanes in Convoy District, would you support the plan based on utilitarianism?
  • Would utilitarianism support self-driving cars?

Triage Problem: Covid-19 Case

  • In a scenario about choices, Santiago is a 68-year-old doctor with moderate chronic obstructive airways disease, has contracted Covid-19 while caring for patients, and develops respiratory failure.
  • Jason is a 52-year-old CEO who contracted Covid-19 during business travel, is otherwise healthy, but develops respiratory failure.
  • Only one ventilator is available.
  • It asks if only one ventilator is available, who should receive it: Santiago or Jason?
  • What factors that you consider for this decision?
  • How would utilitarianism decide?

Utilitarian Analysis Steps

  • Choices are to save Santiago or Jason.
  • To analyze, first list potential benefits of saving Santiago such as probability of survival, length of life, quality of life, and social benefits.
  • List the costs of saving Santiago such as duration of treatment and required resources.
  • Repeat the same analysis for Jason.
  • Compare the net utility (benefits minus cost) for each.

Utilitarian Analysis: Shutdown Decision

  • The choices are Shut down or not?
  • The benefits of shutdown are to "flatten the curve" and save lives.
  • Costs of shutdown include revenue loss for businesses, impact on mental health, and job loss.
  • The text asks What is the next step?

Utilitarian Theory Details

  • Definition: An action/decision is ethical if it brings about the greatest net happiness (utility) compared to alternatives.
  • Assumption: Happiness/benefits and pain/costs can be aggregated in a quantitative way.

Utilitarianism Tradeoff Example

  • Two options are presented:
  • Option A: A mild pain (headache) lasting 10 minutes affects 100 people; its called 1 unit of pain.
  • Option B: An 80-unit pain (lethal, 80 times stronger than a mild headache) affects 1 person.
  • Which option would utilitarianism choose?
  • The concept of interpersonal aggregation morally justified is questioned.

Modifications to Utilitarianism

  • Minor gains, no matter how numerous, cannot reasonably outweigh a single serious harm.
  • Example: Wearing masks for eight hours to save one life isn't necessarily more ethical than not wearing a mask.
  • Preventing moderate harms, if numerous, can outweigh a single serious harm.
  • Example: Prolonged lockdown causing unemployment, business failures, and mental illness may not be more ethical than reopening the economy.

Criticisms of Utilitarianism

  • Maximizing utility (happiness, well-being, cost-effectiveness) is all that matters.
  • Justice and rights are only important insofar as they maximize utility.
  • From the justice perspective, it is asked: Does utilitarianism exacerbate existing inequality? and Does utilitarianism allow (and even justify) bias and discrimination?
  • From the rights perspective, it is asked: Does utilitarianism infringe upon individual liberty (negative rights)?

Lockdown Effectiveness

  • Researchers describe use of a 'stringency index' that measures a country's response to Covid-19, considering control measures like closures and restrictions.
  • Data is presented for China, Germany, United Kingdom, Hong Kong, Italy, South Korea, Sweden, and the United States.
  • Countries which took longer to reach widespread mask usage experienced greater COVID-19 cases and fatalities.
  • Denmark had a strict lockdown
  • Sweden had no lockdown, restaurants and bars open

Lockdown in the US Case

  • Initial CEA estimates (2 weeks) had 7.8 QALYs gained per death avoided, 200k-1.7M deaths avoided, 1.56M-13.26M loss of QALYs adjusting for unemployment, a cost of shutdown from $1T - $4T.
  • Initial CEA had Cost per QALY gained from $75,000-$650,000.
  • CEA estimates (2 months) had 6.4 QALYs gained per death avoided and 200k-1.7M deaths avoided, 780k-10.33M loss of QALYs adjusting for unemployment and cost of shutdown costing $5.2T.
  • Increased CEA estimates had Cost per QALY gained from $503k - $6.7M.
  • As the shutdown continues, the cost per QALY gained increases exponentially.

Discussion Questions

  • Focus on whether utilitarianism seeks to save the greatest number of lives and if/how it treats every life equally when resources are limited.
  • Questions of whether early lockdowns/strict enforcement is cost-effective and if this justifies enforcement of severe policies like surveillance and penalties for noncompliance.
  • And whether global eradication of malaria, estimated to cost $120 billion and potentially save 11 million lives, should take priority.

Reminders

  • Exam 1 on Feb 13
  • Essay 2 due Feb 28

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