Minimalist IAS
2024 GS Paper IV

UPSC CSE (Main) 2024 · GS Paper IV · Question 12

(a) What would you do in such a situation? (b) Examine your options and consequences in the light of the…

Syllabus line: Case studies — “Case Studies on above issues.”

GS Paper IV 2024 · Q12 (Section B)

20 marks · 250 words Case studies

Dr. Srinivasan is a senior scientist working for a reputed biotechnology company known for its cutting-edge research in pharmaceuticals. Dr. Srinivasan is heading a research team working on a new drug aimed at treating a rapidly spreading variant of a new viral infectious disease. The disease has been rapidly spreading across the world and the cases reported in the country are increasing. There is huge pressure on Dr. Srinivasan’s team to expedite the trials for the drug as there is significant market for it, and the company wants to get the first-mover advantage in the market. During a team meeting, some senior team members suggest some shortcut for expediting the clinical trials for the drug and for getting the requisite approvals. These include manipulating data to exclude some negative outcomes and selectively reporting positive results, foregoing the process of informed consent and using compounds already patented by a rival company, rather than developing one’s own component. Dr. Srinivasan is not comfortable taking such shortcuts, at the same time he realises meeting the targets is impossible without using these means.

(a) What would you do in such a situation? (b) Examine your options and consequences in the light of the ethical questions involved. (c) How can data ethics and drug ethics save humanity at large in such a scenario?

Approach · directive: “what / examine / how”

What it asks · Decide what to do when colleagues propose data manipulation, skipping informed consent and using a rival's patented compounds; weigh options; show how data and drug ethics protect humanity.

The question has 3 parts — answer each

  1. (a) State what you would do in Dr Srinivasan's situation
  2. (b) Examine each option and its consequences against the ethical questions at stake
  3. (c) Explain how data ethics and drug ethics can save humanity at large in such a scenario

Open with · In an epidemic speed saves lives — but only a safe, effective drug does; shortcuts in trials can harm the very people it is meant to save.

Cover

  • Stakeholders: patients and trial participants, the public, regulators, the company and shareholders, the research team, the rival company.
  • Dilemma: urgency and commercial pressure vs scientific integrity, patient safety, the law and professional conscience.
  • (a) Refuse the shortcuts, record objections, brief management on legal and reputational risk, and pursue lawful fast-track and adaptive trial routes.
  • (b) Options: comply (speed, but fraud, harm, liability); resign (clean hands, project lost); reform from within — lawful acceleration, the best course.
  • (b) Rival's patents: seek a licence or collaboration; using them without consent is both illegal and unethical.
  • (c) Honest data, informed consent and transparent reporting build public trust in medicines and vaccines — vital in any health emergency.
  • (a) Lawful fast track: the NDCT Rules, 2019 allow accelerated approval for a serious disease lacking alternatives; licence the rival's compounds instead of copying them.

Close with · Integrity is the fastest route to a lasting cure — ethics protects patients and the credibility of science alike.

Add value (verified)

  • India's New Drugs and Clinical Trials Rules, 2019 require written informed consent from every trial subject. CDSCO — New Drugs and Clinical Trials Rules, 2019 ↗“In all trials, a freely given, informed, written consent is required to be obtained from each study subject.”
  • The New Drugs and Clinical Trials Rules, 2019 allow an accelerated approval process for a new drug for a serious, rare or prevalent disease lacking alternative treatments, on a prima facie case of meaningful benefit — a lawful fast track. CDSCO — New Drugs and Clinical Trials Rules, 2019 ↗“Accelerated approval process may be allowed to a new drug for a disease or condition, taking into account its severity, rarity, or prevalence and the availability or lack of alternative treatments, provided that there is a prima facie case of the product being of meaningful therapeutic benefit over the existing treatment”
  • Ranbaxy USA pleaded guilty (13 May 2013) to felony charges over adulterated drugs made at two plants in India and agreed to pay $500 million, the largest drug safety settlement to date with a generic drug maker. Generic drug manufacturer Ranbaxy pleads guilty and agrees to pay $500 million — HHS Office of Inspector General (US DOJ announcement, 13 May 2013) ↗“In the largest drug safety settlement to date with a generic drug manufacturer, Ranbaxy USA Inc., a subsidiary of Indian generic pharmaceutical manufacturer Ranbaxy Laboratories Limited, pleaded guilty today to felony charges relating to the manufacture and distribution of certain adulterated drugs made at two of Ranbaxy's manufacturing facilities in India”
  • The Nuremberg Code's first principle: the voluntary consent of the human subject is absolutely essential. Nuremberg Code: Directives for Human Experimentation — Office of Research Integrity, US HHS ↗“The voluntary consent of the human subject is absolutely essential. The experiment should be such as to yield fruitful results for the good of society.”
  • Natco obtained a compulsory licence from India's Controller of Patents for Bayer's patented cancer drug Nexavar (sorafenib), with a 6% royalty on net sales to Bayer; the appellate board upheld it. Bayer Corporation v. Union of India and others (IPAB) — WIPO Lex ↗“The third Respondent applied for compulsory license in July 2011, stating that the high price of the cancer treatment was denying access to most patients in India and that they would be able to lower its price for the Indian public. The compulsory license was granted by the Controller of Patents, with 6% of royalties on net sales to be paid to Bayer.”
  • Kant's Humanity Formula: never treat humanity, in oneself or others, as a means only but always as an end in itself. Kant's Moral Philosophy — Stanford Encyclopedia of Philosophy ↗“This formulation states that we should never act in such a way that we treat humanity, whether in ourselves or in others, as a means only but always as an end in itself.”

Question: UPSC's CS (Main) 2024, GS Paper IV — paper ↗. Approach: Minimalist IAS, checked 1 Oct 2026 (how we verify) — UPSC publishes no model answers. ·

Model answer · 385 words (UPSC limit 250) · Minimalist IAS

Speed matters in an epidemic, but only a safe and effective drug saves lives. A cure built on falsified data, unconsenting subjects and appropriated science harms the very people it should protect.

Stakeholders and ethical questions

  • Stakeholders: trial participants and future patients; the public health system; regulators; the company, its shareholders and staff; the research team; the rival patent-holder.
  • Questions: scientific integrity versus commercial urgency; participant autonomy versus expedience; honest reporting versus selective disclosure; intellectual property versus appropriation; conscience versus team pressure.

(a) What I would do

  • Refuse all three shortcuts in the meeting itself, and record my objections in writing with their legal, scientific and reputational risks.
  • Offer a lawful fast track: the New Drugs and Clinical Trials Rules, 2019 allow accelerated approval for a serious disease lacking alternatives, on a prima facie case of meaningful benefit.
  • Consent and licensing: keep written informed consent non-negotiable, as the Rules require, and seek a licence or collaboration for the rival's compounds.
  • Escalate if overruled: to the ethics committee and the regulator, and resign rather than sign.

(b) Options and their consequences

OptionConsequenceEthical verdict
ComplyFirst to market; fraud, harm, liabilityGain bought by wrong means
Resign silentlyClean hands; fraud proceedsAbdication of duty
Reform from withinLater, but a trusted drugIntegrity with results
  • The cost of fraud: in 2013 Ranbaxy's US subsidiary pleaded guilty to felony charges over adulterated drugs from two Indian plants and agreed to pay $500 million, then the largest drug safety settlement with a generic maker.

(c) How data ethics and drug ethics save humanity

  • Honest data: complete results let regulators judge true risk and benefit; suppressed negatives return as deaths, recalls and lost faith in medicine.
  • Consent: the Nuremberg Code opens, 'The voluntary consent of the human subject is absolutely essential'; Kant's rule never to treat humanity merely as a means applies in the laboratory.
  • Access with fairness: patents sustain innovation, yet the law offers lawful routes to access; Natco obtained a compulsory licence for Bayer's cancer drug Nexavar, paying a 6% royalty.
  • Public trust: transparent trials make people accept a new drug or vaccine in a crisis; trust once lost costs more lives than any delay.

Integrity is the fastest route to a cure that lasts; ethics protects patients today and the credibility of science tomorrow.

Written by Minimalist IAS from facts checked at source (how we verify) — a little fuller than exam length, so every part of the question is covered; in the hall, keep the structure and trim the detail. UPSC publishes no model answers: compare your structure and coverage with this, then write your own.

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