Skip to main content
Top
Published in: Journal of Bioethical Inquiry 3/2019

01-09-2019 | Critical Response

Enhanced Interrogation, Consequential Evaluation, and Human Rights to Health

Author: Benedict S. B. Chan

Published in: Journal of Bioethical Inquiry | Issue 3/2019

Login to get access

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.
Footnotes
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.”
 
Literature
go back to reference Allhoff, F. 2012. Terrorism, ticking time-bombs, and torture. Chicago: University of Chicago Press. Allhoff, F. 2012. Terrorism, ticking time-bombs, and torture. Chicago: University of Chicago Press.
go back to reference Annas, G., and M. Grodin., eds. 1995. The Nazi doctors and the Nuremberg code. Oxford: Oxford University Press. Annas, G., and M. Grodin., eds. 1995. The Nazi doctors and the Nuremberg code. Oxford: Oxford University Press.
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference Daniels, N. 1985. Just health care. Cambridge: Cambridge University Press. Daniels, N. 1985. Just health care. Cambridge: Cambridge University Press.
go back to reference Daniels, N. 2007. Just health. Cambridge: Cambridge University Press. Daniels, N. 2007. Just health. Cambridge: Cambridge University Press.
go back to reference Finnis, J. 2011. Natural law and natural rights, 2nd ed. Oxford: Oxford University Press. Finnis, J. 2011. Natural law and natural rights, 2nd ed. Oxford: Oxford University Press.
go back to reference Griffin, J. 2008. On human rights. Oxford: Oxford University Press. Griffin, J. 2008. On human rights. Oxford: Oxford University Press.
go back to reference Gordon, N. and R. Marton. 1995. Torture: Human rights, medical ethics and the case of Israel. London: Zed Books Gordon, N. and R. Marton. 1995. Torture: Human rights, medical ethics and the case of Israel. London: Zed Books
go back to reference Harris, S. 2002. Factories of death: Japanese biological warfare, 1932–1945 and the American cover-up, 2nd ed. New York: Routledge. Harris, S. 2002. Factories of death: Japanese biological warfare, 1932–1945 and the American cover-up, 2nd ed. New York: Routledge.
go back to reference 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. 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.
go back to reference Hausman, D. 2015b. Valuing health: Well-being, freedom, and suffering. New York, NY: Oxford University Press. Hausman, D. 2015b. Valuing health: Well-being, freedom, and suffering. New York, NY: Oxford University Press.
go back to reference Lazari-Radek, K., and P. Singer. 2014. The point of view of the universe: Sidgwick and contemporary ethics. Oxford: Oxford University Press. Lazari-Radek, K., and P. Singer. 2014. The point of view of the universe: Sidgwick and contemporary ethics. Oxford: Oxford University Press.
go back to reference Lazari-Radek, K., and P. Singer. 2017. Utilitarianism: A very short introduction. Oxford: Oxford University Press. Lazari-Radek, K., and P. Singer. 2017. Utilitarianism: A very short introduction. Oxford: Oxford University Press.
go back to reference Li, X. 2006. Ethics, human rights and culture. New York: Palgrave Macmillan. Li, X. 2006. Ethics, human rights and culture. New York: Palgrave Macmillan.
go back to reference Lifton, R. 1988. The Nazi doctors: Medical killing and the psychology of genocide. New York: Basic Books. Lifton, R. 1988. The Nazi doctors: Medical killing and the psychology of genocide. New York: Basic Books.
go back to reference Lifton, R. 2004. Doctors and torture. New England Journal of Medicine 351(5): 415–416.PubMed Lifton, R. 2004. Doctors and torture. New England Journal of Medicine 351(5): 415–416.PubMed
go back to reference Luban, D. 2009. Unthinking the ticking bomb. In Global basic rights, edited by C. Beitz and R. Goodin, 181–206. Oxford: Oxford University Press. Luban, D. 2009. Unthinking the ticking bomb. In Global basic rights, edited by C. Beitz and R. Goodin, 181–206. Oxford: Oxford University Press.
go back to reference Macklin, R. 2007. Global health. In The Oxford handbook of bioethics, edited by B. Steinbock, 696–720. New York, NY: Oxford University Press. Macklin, R. 2007. Global health. In The Oxford handbook of bioethics, edited by B. Steinbock, 696–720. New York, NY: Oxford University Press.
go back to reference Murphy, T., and P. Johnson. 2004. Torture and human rights. Virtual Mentor 6(9): 420–423. Murphy, T., and P. Johnson. 2004. Torture and human rights. Virtual Mentor 6(9): 420–423.
go back to reference Nickel, J. 2007. Making sense of human rights, 2nd ed. Malden, MA: Blackwell Publishing. Nickel, J. 2007. Making sense of human rights, 2nd ed. Malden, MA: Blackwell Publishing.
go back to reference Nozick, R. 1974. Anarchy, state, and utopia. New York, NY: Basic Books. Nozick, R. 1974. Anarchy, state, and utopia. New York, NY: Basic Books.
go back to reference Parfit, D. 1984. Reasons and persons. Oxford: Clarendon Press. Parfit, D. 1984. Reasons and persons. Oxford: Clarendon Press.
go back to reference 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.PubMed 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.PubMed
go back to reference Ruger, J. 2010. Health and social justice. New York, NY: Oxford University Press. Ruger, J. 2010. Health and social justice. New York, NY: Oxford University Press.
go back to reference Scanlon, T. 1998. What we owe to each other. Cambridge, MA: Belknap Press of Harvard University Press. Scanlon, T. 1998. What we owe to each other. Cambridge, MA: Belknap Press of Harvard University Press.
go back to reference Scheffler, S. 1994. The rejection of consequentialism, revised edition. Oxford: Clarendon Press. Scheffler, S. 1994. The rejection of consequentialism, revised edition. Oxford: Clarendon Press.
go back to reference Sen, A. 1979. Utilitarianism and welfarism. Journal of Philosophy 76(9): 463–489. Sen, A. 1979. Utilitarianism and welfarism. Journal of Philosophy 76(9): 463–489.
go back to reference Sen, A. 1982. Rights and agency. Philosophy and Public Affairs 11(1): 3–39. Sen, A. 1982. Rights and agency. Philosophy and Public Affairs 11(1): 3–39.
go back to reference Sen, A. 1992. Inequality reexamined. Oxford: Clarendon Press. Sen, A. 1992. Inequality reexamined. Oxford: Clarendon Press.
go back to reference Sen, A. 2000. Consequential evaluation and practical reason. The Journal of Philosophy 97(9): 477–502. Sen, A. 2000. Consequential evaluation and practical reason. The Journal of Philosophy 97(9): 477–502.
go back to reference Shue, H. 1978. Torture. Philosophy & Public Affairs 7(2): 124–143. Shue, H. 1978. Torture. Philosophy & Public Affairs 7(2): 124–143.
go back to reference Shue, H. 1996. Basic rights: Subsistence, affluence, and U.S. foreign policy, 2nd ed. Princeton: Princeton University Press. Shue, H. 1996. Basic rights: Subsistence, affluence, and U.S. foreign policy, 2nd ed. Princeton: Princeton University Press.
go back to reference Shue, H. 2006. Torture in dreamland: Disposing of the ticking bomb. Case Western Reserve Journal of International Law 37(2/3): 231–239. Shue, H. 2006. Torture in dreamland: Disposing of the ticking bomb. Case Western Reserve Journal of International Law 37(2/3): 231–239.
go back to reference Talbott, W. 2010. Human rights and human well-being. Oxford: Oxford University Press. Talbott, W. 2010. Human rights and human well-being. Oxford: Oxford University Press.
go back to reference Walzer, M. 1987. Interpretation and social criticism: The Tanner lectures on human values 1985. Cambridge, MA: Harvard University Press. Walzer, M. 1987. Interpretation and social criticism: The Tanner lectures on human values 1985. Cambridge, MA: Harvard University Press.
go back to reference Walzer, M. 1994. Thick and thin: Moral argument at home and abroad. Notre Dame: University of Notre Dame Press. Walzer, M. 1994. Thick and thin: Moral argument at home and abroad. Notre Dame: University of Notre Dame Press.
go back to reference 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. 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.
go back to reference Venkatapuram, S. 2011. Health justice. Malden, MA: Polity. Venkatapuram, S. 2011. Health justice. Malden, MA: Polity.
go back to reference 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. 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.
go back to reference Wolff, J. 2012. The human rights to health. New York, NY: W.W. Norton & Company. Wolff, J. 2012. The human rights to health. New York, NY: W.W. Norton & Company.
Metadata
Title
Enhanced Interrogation, Consequential Evaluation, and Human Rights to Health
Author
Benedict S. B. Chan
Publication date
01-09-2019
Publisher
Springer Singapore
Published in
Journal of Bioethical Inquiry / Issue 3/2019
Print ISSN: 1176-7529
Electronic ISSN: 1872-4353
DOI
https://doi.org/10.1007/s11673-019-09927-z

Other articles of this Issue 3/2019

Journal of Bioethical Inquiry 3/2019 Go to the issue

Symposium: Cross-Cultural Bioethics – Editorial

A Journey Through Global Bioethics