A qualitative thematic analysis of data from a 13-organization research study focusing on public relations ethics identified five main themes: first, that ethical dilemmas were frequent, widespread, and often handled in ways that practitioners themselves were uncomfortable with; second, labels and stereotypes about public relations practitioners as unscrupulous exacerbated the problem; third, hierarchies and silos of power in relationships within organizations, between organizations, and with clients contributed to the problem; fourth, there were barriers to, and inadequate channels or opportunities for, candid and forthright discussion about these hierarchies and silos, this lack typically manifesting as senior staff self-censoring or parroting optimistic organizational orthodoxy about ethics and junior staff feeling unsafe to criticize organizational processes; and fifth, practitioners used multiple coping strategies to deal with their sense of powerlessness including blaming others (particularly journalists), fatalism, reductive framing, and intentional blocking of awareness and evaluation of ethical issues. While it is possible these themes could be interpreted as evidence of public relations practitioners’ individual moral inadequacy, a broader analytical lens, taking into account the organizational and global power structures the practitioners described, suggests otherwise. Taking its cue from the power-attuned approach of feminist poststructuralists, this article argues that the data should be read as symptomatic, not causal, and that it is to the overarching operating power structures of global capitalism that public relations ethicists could most productively turn their attention if they want to identify loci for change.