- Watch: Taking a Stand for World Health: Dr. Pindaros Roy Vagelos Distributes Pharmaceuticals for Free YouTube Video 2. Read: Merck and River Blindness: In Class Case Study (Velasquez, 2012); Michaelson, 2008). Discussion Questions: 1. Are these normative, descriptive, or combined studies? 2. What are the ethical considerations of the case? 3. Who are the stakeholders? 4. What ethical decision was Merck faced with? 5. If you were the leader of Merck, would you make the same decision that the leaders of Merck made? Why or why not? 6. Did the stakeholders benefit from Merck’s decision? Why or why not? a. If the stakeholders benefited, what were the benefits and how were they attained: directly or indirectly?