ABSTRACT

Theoretical discourses to leadership ethics fall into three types: outcomes based, rule or guideline based, and the "good person" or collective. The United States spends more on health care than any other industrialized country but despite the extraordinary level of spending, very little attention has been given to corruption, fraud, waste and abuse in the US health care delivery system. Sparrow suggests that fraud and corruption in the health care system exhibits all the standard challenges of white-collar professions, and he goes on to argue for enhanced ethical decision making on the part of professionals. The chapter suggests what form of research and outcomes might help leaders cultivate practical wisdom in order to make ethical decisions that are not just based on rules and guidelines offered to their professions. These include resources that engage the learner-leader at a psychological, emotional and personal level beyond a formulaic set of principles or guidelines for a given profession.