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Enhanced Interrogation, Consequential Evaluation, and Human Rights to Health

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Abstract

Balfe argues against enhanced interrogation. He particularly focuses on the involvement of U.S. healthcare professionals in enhanced interrogation. He identifies several empirical and normative factors and argues that they are not good reasons to morally justify enhanced interrogation. I argue that his argument can be improved by making two points. First, Balfe considers the reasoning of those healthcare professionals as utilitarian. However, careful consideration of their ideas reveals that their reasoning is consequential rather than utilitarian evaluation. Second, torture is a serious human rights abuse. When healthcare professionals become involved in enhanced interrogation, they violate not only human rights against torture but also human rights to health. Considering the consequential reasoning against human rights abuses, healthcare professionals’ involvement in enhanced interrogation is not morally justified. Supplementing Balfe’s position with these two points makes his argument more complete and convincing, and hence it can contribute to the way which shows that enhanced interrogation is not justified by consequential evaluation.

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Notes

  1. As Sen (2000) mentions, his view is about consequential evaluation, which is “seen as the discipline of responsible choice based on the chooser's evaluation of states of affairs, including consideration of all the relevant consequences viewed in the light of the exact circumstances of that choice” (477). And he also thinks whether “consequential evaluation should be called by the name ‘consequentialism’ or not is a subsidiary and rather uninteresting issue” (477–478). For simplicity, I use these two terms “consequential evaluation” and “consequentialism” interchangeably in this paper.

  2. For simplicity, the version I discuss here is the classical utilitarianism (i.e., hedonist utilitarianism). A particular important point is that the classical utilitarianism assumes that happiness means pleasure, which means it identifies the good with pleasure. For other versions of utilitarianism (especially a comparison between hedonist utilitarianism and preference utilitarianism), see Lazari-Radek and Singer (2014, 200–284; 2017, 42–52).

  3. Both Article 5 of the Universal Declaration of Human Rights and Article 7 of the International Covenant on Civil and Political Rights state: “No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment.”

References

  • Allhoff, F. 2012. Terrorism, ticking time-bombs, and torture. Chicago: University of Chicago Press.

    Google Scholar 

  • Annas, G., and M. Grodin., eds. 1995. The Nazi doctors and the Nuremberg code. Oxford: Oxford University Press.

    Google Scholar 

  • Balfe, M. 2016. Why did U.S. healthcare professionals become involved in torture during the war on terror? Journal of Bioethical Inquiry 13(3): 449–460.

    PubMed  Google Scholar 

  • Chan, B.S.B. 2014. A human rights debate on physical security, political liberty, and the Confucian tradition. Dao: A Journal of Comparative Philosophy 13(4): 567–588.

    Google Scholar 

  • Chan, B.S.B. 2015. Do economic rights conflict with political rights? An east and west cultural debate. In Conflict and harmony in comparative philosophy, edited by A.B. Creller, 139-–147. Newcastle upon Tyne: Cambridge Scholars Publishing.

    Google Scholar 

  • Chan, B.S.B. 2019a. East Asia: Challenges to political rights. In Routledge handbook of development ethics, edited by J. Drydyk and L. Keleher, 382-–386. New York: Routledge.

    Google Scholar 

  • Chan, B.S.B. 2019b. Are international human rights universal? East-west philosophical debates on human rights to liberty and health. In Metaphysics of human rights 1948-2018: On the occasion of the 70th anniversary of the UDHR, edited by L. Di Donato and E. Grimi, 135-152. Malaga, Spain: Vernon Press.

    Google Scholar 

  • Daniels, N. 1985. Just health care. Cambridge: Cambridge University Press.

    Google Scholar 

  • Daniels, N. 2007. Just health. Cambridge: Cambridge University Press.

    Google Scholar 

  • Finnis, J. 2011. Natural law and natural rights, 2nd ed. Oxford: Oxford University Press.

    Google Scholar 

  • Griffin, J. 2008. On human rights. Oxford: Oxford University Press.

    Google Scholar 

  • Gordon, N. and R. Marton. 1995. Torture: Human rights, medical ethics and the case of Israel. London: Zed Books

    Google Scholar 

  • Harris, S. 2002. Factories of death: Japanese biological warfare, 1932–1945 and the American cover-up, 2nd ed. New York: Routledge.

    Google Scholar 

  • Hausman, D. 2015a. The value of health. In The Oxford handbook of value theory, eds. I. Hirose and J. Olson, 338–355. New York, NY: Oxford University Press.

    Google Scholar 

  • Hausman, D. 2015b. Valuing health: Well-being, freedom, and suffering. New York, NY: Oxford University Press.

    Google Scholar 

  • Lazari-Radek, K., and P. Singer. 2014. The point of view of the universe: Sidgwick and contemporary ethics. Oxford: Oxford University Press.

    Google Scholar 

  • Lazari-Radek, K., and P. Singer. 2017. Utilitarianism: A very short introduction. Oxford: Oxford University Press.

    Google Scholar 

  • Li, X. 2006. Ethics, human rights and culture. New York: Palgrave Macmillan.

    Google Scholar 

  • Lifton, R. 1988. The Nazi doctors: Medical killing and the psychology of genocide. New York: Basic Books.

    Google Scholar 

  • Lifton, R. 2004. Doctors and torture. New England Journal of Medicine 351(5): 415–416.

    CAS  PubMed  Google Scholar 

  • Luban, D. 2009. Unthinking the ticking bomb. In Global basic rights, edited by C. Beitz and R. Goodin, 181–206. Oxford: Oxford University Press.

    Google Scholar 

  • Macklin, R. 2007. Global health. In The Oxford handbook of bioethics, edited by B. Steinbock, 696–720. New York, NY: Oxford University Press.

    Google Scholar 

  • Murphy, T., and P. Johnson. 2004. Torture and human rights. Virtual Mentor 6(9): 420–423.

    Google Scholar 

  • Nickel, J. 2007. Making sense of human rights, 2nd ed. Malden, MA: Blackwell Publishing.

    Google Scholar 

  • Nozick, R. 1974. Anarchy, state, and utopia. New York, NY: Basic Books.

    Google Scholar 

  • Parfit, D. 1984. Reasons and persons. Oxford: Clarendon Press.

    Google Scholar 

  • Reis, A., L. Amowitz, L. Kushner, A. Kushner, M. Elahi, and V. Lacopino. 2004. Physician participation in human rights abuse in southern Iraq. JAMA 291(12): 1480–1486.

    CAS  PubMed  Google Scholar 

  • Ruger, J. 2010. Health and social justice. New York, NY: Oxford University Press.

    Google Scholar 

  • Scanlon, T. 1998. What we owe to each other. Cambridge, MA: Belknap Press of Harvard University Press.

    Google Scholar 

  • Scheffler, S. 1994. The rejection of consequentialism, revised edition. Oxford: Clarendon Press.

    Google Scholar 

  • Sen, A. 1979. Utilitarianism and welfarism. Journal of Philosophy 76(9): 463–489.

    Google Scholar 

  • Sen, A. 1982. Rights and agency. Philosophy and Public Affairs 11(1): 3–39.

    Google Scholar 

  • Sen, A. 1992. Inequality reexamined. Oxford: Clarendon Press.

    Google Scholar 

  • Sen, A. 2000. Consequential evaluation and practical reason. The Journal of Philosophy 97(9): 477–502.

    Google Scholar 

  • Shue, H. 1978. Torture. Philosophy & Public Affairs 7(2): 124–143.

  • Shue, H. 1996. Basic rights: Subsistence, affluence, and U.S. foreign policy, 2nd ed. Princeton: Princeton University Press.

    Google Scholar 

  • Shue, H. 2006. Torture in dreamland: Disposing of the ticking bomb. Case Western Reserve Journal of International Law 37(2/3): 231–239.

    Google Scholar 

  • Sinnott-Armstrong, W. 2015. Consequentialism. In The Stanford encyclopedia of philosophy, https://plato.stanford.edu/archives/win2015/entries/consequentialism/. Accessed August 30, 2017.

    Google Scholar 

  • Talbott, W. 2010. Human rights and human well-being. Oxford: Oxford University Press.

    Google Scholar 

  • Walzer, M. 1987. Interpretation and social criticism: The Tanner lectures on human values 1985. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Walzer, M. 1994. Thick and thin: Moral argument at home and abroad. Notre Dame: University of Notre Dame Press.

    Google Scholar 

  • Williams, B. 1973. A critique of utilitarianism. In Utilitarianism: For and against, edited by J.J.C. Smart and B. Williams, 77–150. Cambridge: Cambridge University Press.

    Google Scholar 

  • United Nations. 1948. Universal declaration of human rights, General Assembly Resolution 217A (III). www.un.org/en/documents/udhr. Accessed August 30, 2017.

  • United Nations. 1966a. International covenant on civil and political rights, General Assembly Resolution 2200A (XXI) of 16 December. http://www.ohchr.org/EN/ProfessionalInterest/Pages/CCPR.aspx. Accessed August 30, 2017.

  • United Nations. 1966b. International covenant on economic, social and cultural rights, General Assembly Resolution 2200A (XXI) of 16 December. http://www.ohchr.org/EN/ProfessionalInterest/Pages/CESCR.aspx. Accessed August 30, 2017.

  • United Nations. 1984. Convention against torture or other cruel, inhuman or degrading treatment, General Assembly Resolution 39/46 of 10 December. http://www.ohchr.org/EN/ProfessionalInterest/Pages/CAT.aspx. Accessed August 30, 2017.

  • Venkatapuram, S. 2011. Health justice. Malden, MA: Polity.

    Google Scholar 

  • Wolff, J. 2011. The human rights to health. In Global health and global health ethics, edited by S. Benatar and G. Brock, 108–118. Cambridge: Cambridge University Press.

    Google Scholar 

  • Wolff, J. 2012. The human rights to health. New York, NY: W.W. Norton & Company.

    Google Scholar 

  • World Health Organization. 1946 /2006. Constitution. www.who.int/governance/eb/who_constitution_en.pdf. Accessed August 30, 2017.

  • World Medical Association. 1975/2016. WMA Declaration of Tokyo—Guidelines for physicians concerning torture and other cruel, inhuman or degrading treatment or punishment in relation to detention and imprisonment. https://www.wma.net/policies-post/wma-declaration-of-tokyo-guidelines-for-physicians-concerning-torture-and-other-cruel-inhuman-or-degrading-treatment-or-punishment-in-relation-to-detention-and-imprisonment. Accessed August 16, 2018.

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Acknowledgements

The author would like to thank Dr. Isaac Chun-Hai Fung, Ms. Calista Lam and anonymous reviewers for their valuable comments and suggestions to improve the quality of the paper.

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Correspondence to Benedict S. B. Chan.

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Research related to this article has been funded by the Early Career Scheme from the University Grants Committee, Hong Kong S.A.R., China (No. 22611516) from January 1, 2017 to December 31, 2019. The project title is “A Philosophical Investigation of the Ethics of Human Rights to Health.” This article does not represent the official positions of the University Grants Committee or Hong Kong S.A.R. Government.

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Chan, B.S.B. Enhanced Interrogation, Consequential Evaluation, and Human Rights to Health. Bioethical Inquiry 16, 455–461 (2019). https://doi.org/10.1007/s11673-019-09927-z

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