The credibility and perceived moral standards of managed care medicine hover somewhere around those of tobacco companies. But doctors are also professionals who publicly profess the good in their intentions and activities, and who use medical ethics as a tool every day. Medical ethics revolves around clinical matters. It operates between clinicians and patients in all medical contexts. It is present in medical institutions in the form of ethics committees, which are generally voluntary, unfunded and underutilized.
Business ethics revolves around financial matters.
It concerns organizations and the individuals within them, and their relationships with customers, especially those outside an organization. It relies on contractual standards for relationships between individuals, and fiduciary standards between an organization and its shareholders. Its core principles are integrity and honesty, and it operates in the marketplace. It is present in many large organizations in the form of an ethics officer, who is usually paid and busy. Also, his is usually not the last word on ethical matters.