
Ethical dilemmas are situations where individuals or groups face difficult choices between competing values, responsibilities, or outcomes. These scenarios often do not have a clear right or wrong answer, which makes decision-making challenging. In everyday life, people encounter ethical dilemmas in areas such as the workplace, education, healthcare, business, and personal relationships. For instance, deciding whether to prioritize honesty over loyalty, or choosing between personal gain and fairness, are common examples. Understanding these dilemmas is important because they highlight the moral questions that shape human behavior and social interactions. By studying real-life cases, people can better prepare to evaluate consequences, recognize conflicting principles, and make informed choices.

The Trolley Problem in Medicine: A doctor has five patients dying from organ failure and one healthy patient. Should they harvest the healthy patient’s organs to save the five?
Truth-Telling vs. Compassion: Should a doctor tell a terminally ill patient the full truth about their prognosis if it might cause severe psychological harm?
Resource Allocation: During a pandemic with limited ventilators, how should hospitals decide who receives life-saving equipment?
Informed Consent: Should parents have the right to refuse life-saving medical treatment for their children based on religious beliefs?
End-of-Life Care: When family members disagree about continuing life support for an unconscious patient, whose wishes should prevail?
Medical Research: Is it ethical to test experimental treatments on terminally ill patients who cannot give truly informed consent?
Genetic Testing: Should employers or insurance companies have access to genetic information that predicts future health conditions?
Whistleblowing: Should an employee report their company’s illegal activities, knowing it might cost them their job and harm colleagues?
Conflict of Interest: A manager must choose between promoting their qualified friend or a slightly more qualified stranger.
Price Gouging: Is it ethical for companies to raise prices dramatically during emergencies when demand is high?
Environmental vs. Profit: Should a company continue profitable operations that cause environmental damage to local communities?
Data Privacy: How much personal user data should companies be allowed to collect and sell to third parties?
Layoffs: Is it more ethical to lay off newer employees or older, more expensive workers during budget cuts?
Competitive Intelligence: How far should companies go in gathering information about competitors’ strategies?
Promise-Keeping: You promised to attend your friend’s wedding, but you receive a once-in-a-lifetime job interview for the same day.
Truth vs. Kindness: Should you tell your friend their partner is cheating, knowing it will devastate them?
Found Money: You find a wallet with $500 cash and an ID. The owner lives far away and would never know if you kept the money.
Family Loyalty: Your sibling asks you to lie to your parents about their drug problem to avoid getting kicked out of the house.
Social Media: Should you share information about a friend’s personal crisis if it might help them get support?
Charitable Giving: Is it better to give money to local homeless shelters or international aid organizations where money goes further?
Cultural Practices: How should you respond when visiting a culture whose practices (like arranged marriages) conflict with your values?
Autonomous Vehicles: Should self-driving cars be programmed to save passengers or pedestrians in unavoidable accident scenarios?
Artificial Intelligence: Should AI systems be designed to replace human workers if it increases efficiency but causes unemployment?
Social Media Algorithms: Should platforms prioritize user engagement or mental health when designing recommendation systems?
Surveillance: Is mass surveillance justified if it prevents terrorism but violates privacy rights?
Deep Fakes: Should the technology to create realistic fake videos be banned or regulated?
Digital Divide: Do technology companies have an obligation to provide internet access to underserved communities?
Algorithmic Bias: How should we address AI systems that show racial or gender bias in hiring, lending, or criminal justice?
Climate Change: Should developing countries be held to the same environmental standards as wealthy nations that industrialized first?
Animal Rights: Is it ethical to use animals for medical research that could save human lives?
Overpopulation: Should governments limit family size to address resource scarcity and environmental concerns?
Nuclear Energy: Should societies accept the risks of nuclear power to reduce carbon emissions?
Conservation vs. Development: Should protected wilderness areas be opened for mining if it would provide jobs in struggling communities?
Food Production: Is it ethical to continue industrial farming practices that harm the environment but feed billions?
Global Wealth Distribution: Do wealthy nations have an obligation to share resources with poorer countries?
Civil Disobedience: When, if ever, is it ethical to break laws you believe are unjust?
Hate Speech: Should free speech protections extend to speech that promotes hatred or violence against specific groups?
Privacy vs. Security: Should governments be allowed to monitor citizens’ communications to prevent terrorism?
Jury Duty: Is it ethical to try to avoid jury duty, or do citizens have an obligation to participate?
Voting: Should voting be mandatory, and is it ethical to vote without being well-informed about the issues?
Capital Punishment: Is the death penalty ever justified, considering the possibility of executing innocent people?
Gerrymandering: Is it ethical for political parties to redraw district boundaries to gain electoral advantages?
Grade Inflation: Should teachers give higher grades than deserved to help students get into college?
Plagiarism: A student copies work due to family crisis and deadline pressure – how should this be handled?
Resource Allocation: Should schools spend more on gifted programs or special education services?
Testing: Is it ethical to use standardized test scores for high-stakes decisions when tests may be culturally biased?
Academic Freedom: Should professors be allowed to express controversial political views in the classroom?
Affirmative Action: Should race or ethnicity be considered in college admissions to promote diversity?
Student Privacy: Should parents have access to their adult children’s academic records if they’re paying tuition?
Human Experimentation: How can researchers balance scientific advancement with protecting vulnerable populations?
Animal Testing: When is animal research justified for human benefit?
Dual-Use Research: Should scientists publish research that could be used for both beneficial and harmful purposes?
Data Manipulation: Is it ever acceptable to exclude outliers or adjust data to support a hypothesis?
Peer Review: Should reviewers remain anonymous, and how should conflicts of interest be handled?
Research Funding: Should scientists accept money from organizations that might benefit from specific research outcomes?
Publication Bias: Is it ethical for journals to preferentially publish positive results over negative findings?
Romantic Relationships: Should you date your best friend’s ex-partner after they’ve moved on?
Parenting: Is it ethical to have children if you carry genes for serious hereditary diseases?
Friendship: Should you remain friends with someone whose political views you find morally reprehensible?
Elderly Care: Who is responsible for caring for aging parents – children, society, or the individuals themselves?
Intervention: Should you intervene if you suspect a friend is in an abusive relationship but they deny it?
Secret-Keeping: When should you break a promise to keep someone’s secret?
Forgiveness: Are there actions so harmful that forgiveness becomes impossible or inappropriate?
Core Principle: Actions are right if they produce the best overall consequences
Key Features:
Application Process:
Strengths:
Limitations:
Example: In allocating limited vaccines during a pandemic, prioritize healthcare workers and high-risk populations because this saves the most lives overall.
Core Principle: Some actions are right or wrong regardless of consequences
Key Features:
Application Process:
Strengths:
Limitations:
Example: Never lie to patients about their medical condition, even if the truth might cause psychological harm, because honesty is a fundamental duty.
Core Principle: Focus on moral character rather than specific actions or consequences
Key Features:
Application Process:
Strengths:
Limitations:
Example: A doctor facing a difficult diagnosis considers not just rules or outcomes, but how to embody virtues of honesty, compassion, and courage in delivering the news.
Core Principle: Emphasizes relationships, interdependence, and contextual moral reasoning
Key Features:
Application Process:
Strengths:
Limitations:
Example: When deciding whether to report a colleague’s mistake, consider how to address the issue while preserving professional relationships and supporting the colleague’s growth.
Four Core Principles:
Application Process:
Core Principle: Protect fundamental human rights
Key Features:
Application Process:
Distributive Justice: Fair allocation of resources and opportunities
Procedural Justice: Fair processes and procedures
Core Principle: Moral obligations arise from implicit agreements within society
Key Features:
Application Process:
Recognize the moral issue Establish the facts Seek multiple perspectives Test ethical principles and frameworks
Evaluate the problem Think through consequences Honor stakeholder rights and interests Imagine alternative solutions Consider ethical principles Select the best course of action
Cultural Relativism:
Universal Ethics:
Balanced Approach:
Key Features:
Application:
Anthropocentric: Humans have primary moral value Biocentric: All living beings have moral value Ecocentric: Ecosystems and nature have intrinsic value
Application:
Method: Use multiple ethical frameworks simultaneously
Situational Variables:
Confirmation Bias: Seeking only information that supports preferred conclusion
False Dichotomies: Seeing only two options when more exist
Moral Relativism: Avoiding difficult decisions by claiming “it’s all subjective”
Analysis Paralysis: Endless deliberation without action
Rationalization: Using ethical reasoning to justify predetermined preferences
Individual Level:
Organizational Level:
Societal Level:
Strategies for Resolution:
Key Practices:
The “four ethical dilemmas” often refer to common categories of conflicts people face:
Truth vs. Loyalty – being honest versus staying loyal to a person, group, or organization.
Individual vs. Community – prioritizing personal rights versus the good of the larger group.
Short-Term vs. Long-Term – focusing on immediate needs versus future consequences.
Justice vs. Mercy – applying strict fairness versus showing compassion and forgiveness.
An ethical dilemma in nursing happens when a nurse must choose between two conflicting moral principles in patient care. Examples include:
Respecting a patient’s wish to refuse treatment vs. wanting to preserve their life.
Maintaining patient confidentiality vs. the duty to warn others of potential harm.
Deciding how to allocate limited resources (e.g., ICU beds or medication).
The closest single word for ethical dilemma is “conflict”—specifically a moral conflict where choices involve competing ethical values.