National clothes are a European-based clothing manufacturing corporation with plants in several sub-Saharan African countries. The company pays above average wages and provides better than average working conditions for the region. It also pays its expatriate foreman on a European scale. The local media has been critical of the company because it has a two-tiered approach to injuries on the job. If an expatriate worker is injured, he/she is taken to the region's private hospital. If a locally hired worker receives the same type of injury, he/she is taken to the local, poorly-staffed hospital or simply sees the company nurse. National says its treatment of local staff is comparable, if not better, than other manufacturers in the country. Most don't even have a plant nurse on staff. Also, the company's medical policy has not deterred locals from applying for work. In fact, it has a huge backlog of potential hires. Besides, in order to recruit expatriates to work at the plant it has to provide exceptional medical care.

Identify and explore the ethical issues in this scenario. What issues exist? What is your evaluation of them? Would you recommend change? If so, what change? If not, why not?