One of the central themes in Revenge of the Tipping Point is the ethics of social engineering, which refers to the deliberate manipulation of social systems and individual behaviors to achieve specific ends. Gladwell scrutinizes how various entities—including individuals, corporations, and institutions—harness tipping points to influence societal behavior, often neglecting to weigh the long-term ethical consequences of such actions. He examines Purdue Pharma’s aggressive marketing of OxyContin, for instance, to illustrate how corporate players can stimulate demand for a product with significant health risks. By identifying key prescribers, or “superspreaders,” Purdue capitalized on a network of influential individuals to amplify its reach. Here, Purdue’s approach exemplifies the exploitation of behavioral tipping points for profit, resulting in an unprecedented public health crisis.

This theme of manipulation is not confined to corporate tactics. Gladwell extends his exploration to governmental and healthcare interventions, where decisions made in pursuit of public welfare can also have ethically complex outcomes. The Biogen COVID-19 outbreak example illustrates how individual actions combined with institutional decisions can set off unanticipated crises. In this scenario, the response to managing a superspreader event raised ethical questions about how far governments and healthcare systems should go to control individual behaviors for the perceived greater good.