Healthcare administrators have an ethical responsibility to promote decisions that deliver the best outcome for all parties. Medical ethics are intertwined with morality (religion); although the latter depends on religious authority, the former relies on facts and logic.  Dr. Smith is not violating any major laws, but he has placed his interests above those of the department, the hospitals, and the patients. Physicians have a responsibility to promote beneficence showing patient kindness, mercy, and charity.  According to the American Medical Association (2019), the relationship between the patient and the physicians is based on trust. Each physician must place the welfare of the patients above their self-interest. This analysis explains various ethical considerations necessary in addressing Dr. Smith’s actions. Dr. Smith promotes unethical practices through conflicts of interest in the treatment decisions prioritizing personal benefits over the patients or the hospital, posing a threat of bias despite the likelihood of efficacy in the therapy option.