Why Should America Care? A Response

Larry S. Temkin, Rice University



Part I. Introduction

In the opening sentence of his powerful book, Living High and Letting Die, Peter Unger notes that "Each year millions of children die from easy to beat disease, from malnutrition, and from bad drinking water;" indeed, as he notes, "in each of the past 30 years, well over 10 million children died from readily preventable causes." (1) Our question is as simple as it is poignant. What, if anything, should our reactions be to the fact that each one of us could easily prevent the deaths of many innocent children.

This is a topic that is all too easy to comfortably ignore&emdash;even as our actions, or inactions, literally and indisputably make the difference for whether innocent children live or die.

It is a topic that cries out for careful, detailed, and rigorous arguments that can't possibly be presented in the space allotted. So this article is doomed to be superficial and unsatisfying. Still, I can present some relevant considerations that may help provide a framework for thinking about this crucially important topic, even if they do not settle it.


Part II. Possible Responses

Putting the question as I did above, it may seem there is an obvious response as to what we should do. But in fact the question provokes a wide-range of responses. At one end of the spectrum are those, like Garrett Hardin, who argue that we should do nothing to prevent the deaths of distant children, indeed, that it is actually bad to aid such children, claiming that for every child we save today five will die tomorrow. (2)

Others claim that we may help unfortunate children if we like, but we may also permissibly ignore their plight. There are at least three different bases for this position. The first is a deep skepticism about morality itself. On this view there is no right or wrong, hence nothing we do is wrong, and so failing to help the world's needy cannot be wrong. The second is a kind of contractualist, or social convention, view of morality. On this view, right and wrong simply reflect the agreements of rational self-interested agents. Thus, I act wrongly only if I violate my freely chosen moral agreements, and if I don't want to join an agreement requiring me to help the world's children that's up to me. A third view is a libertarian position. On this view, people are free to act however they want, so long as they do not violate anyone else's rights against non-aggression. On this view, people have a right not to be attacked, and I act wrongly, or unjustly, if I violate that right, but they have no right against me to be aided, and hence I do not act wrongly, or unjustly, if I fail to aid the needy.

At the other end of the spectrum, some think that we must do everything we possibly can to help the needy. In principle, this may include giving away all of our wealth and belongings until we are no better off than those we are hoping to aid. On this view, we must be prepared to sacrifice all of our personal interests, including those of our family, for the sake of aiding as many as possible. Moreover, not only must we sacrifice our own interests, we should do whatever is necessary to prevent avoidable deaths, even if this requires sacrificing the interests of others. Indeed, even if it requires stealing from, harming, or possibly even killing some for the sake of saving more numerous others. Utilitarians have long been associated with such positions, but other powerful arguments supporting some of these views have been famously advanced by Peter Singer, and more recently, Peter Unger.(3)

As is often the case in moral philosophy, the truth about this issue is complicated, and difficult to discern, but it almost certainly lies between the extremes noted above. Surely we do not have to do everything possible to save as many as possible. But neither can we simply ignore the world's children. We must, I am confident, do much more than most of us do to alleviate hunger and illness.


Part III. A Framework

So far I have only offered assertions. Let me next offer a framework for thinking about our topic.

I spent fifteen years working on a book about equality. Because of this, people expect me to defend my views about the needy in egalitarian terms. But that is a mistake. There is a strong tendency for people to think about what ideal they value most, and then to address every moral issue in terms of that ideal. So, for example, utilitarians, libertarians, and egalitarians address issues in terms of what would be best with respect to utility, freedom, or equality, respectively.

Such narrow, single-minded, focus is deeply mistaken. The truth about morality is complex, and there isn't just one thing that matters morally. There are many relevant factors regarding most moral issues, and what we need, as people concerned about fundamental moral issues, are not simple pat answers, but careful, thoughtful, subtle, consideration of all the relevant factors. We need to be pluralists about moral values; that is, to think about issues pluralistically.

So let me suggest one pluralistic model for thinking about today's topic.

Historically, many philosophers have focused on three different approaches as morally fundamental.

The first addresses the question: "How ought the world to be?" The focus here is on the value of outcomes, of what happens.

The second addresses the question: "What kind of person ought I to be?" The focus here is on the character of moral agents.

The third addresses the question: "What ought I to do?" The focus here is on the moral assessment of particular actions, and in particular on the notion of agent-relative duties or obligations.

These three approaches correspond, respectively, to what philosophers call consequentialist, virtue, and deontological moralities. Many argue issues in terms of just one of these approaches. But this is another mistake. The human enterprise of trying to figure out how to live properly, and in harmony, with ourselves, others, and the larger world requires that we take a broad perspective. The fully moral life&emdash;the fully human life&emdash;requires that we pay attention to each of these concerns: to what happens&emdash;whether as a result of what we do or fail to do; to the kind of person we are&emdash;whether virtuous or vicious; and to our duties and obligations&emdash;to ourselves and others.

So I submit we need to address today's topic from all three perspectives. And when one does that, it becomes clear that there is substantial moral reason to be concerned about the world's needy.

For example, if you ask which outcome is better, one in which many innocent children painfully die of easily avoidable hunger and disease, or one in which affluent Americans have fewer toys and sweaters, eat out less, or have fewer kitchen appliances, it seems clear that on any plausible theory of the good the latter outcome would be better than the former.

Likewise, there is little doubt that among the most central and important virtues are the virtues of beneficence, sympathy, compassion, and generosity. But then, if one takes seriously the notion that the kind of person I ought to be, or the kind of life I ought to lead, is a virtuous one, surely at some point one must give priority to the easily preventable hunger and illness of innocent children over further acquisition of goods that one doesn't need, will hardly use, and wouldn't miss if one didn't have. For the truly virtuous person, ignoring the world's children is not an option.

Finally, we turn to the trickiest category, the question of duty. Some people, like Jan Narveson,(4) believe that it would be nice of us to benefit the needy, but that this lies within the domain of charity and is merely a matter of the heart. On his view, as I understand it, our duties consist in respecting rights, and while people have a strong negative right not to be interfered with, they do not have a positive right to be aided. As such, we do not violate anyone's rights, or act unjustly, if we fail to aid the needy.

Now many would dispute Narveson's claims, and insist that people do have a positive right to aid, but I am inclined to grant Narveson's terminological position, and accept that the needy don't have a right against me for aid, and that I don't act unjustly if I ignore their plight. But I also believe that our duties and obligations extend significantly beyond merely respecting people's rights, and that people can and often do act deeply wrongly even if they don't act unjustly.

So-called "positive" duties to aid others are often regarded as weak, broad, imperfect, and meritorious, while "negative" duties are regarded as strict, narrow, perfect, and unexceptionable. But these divisions are deeply misleading. Positive duties are still duties, and one acts wrongly if one fails to fulfill them. Moreover, a positive duty can be as strict or compelling as a negative duty. Likewise, failing to fulfill a positive duty can be worse&emdash;that is significantly more open to moral criticism&emdash;than failing to fulfill a negative duty, even if the latter involves a violation of rights, and hence an injustice, while the former doesn't.

To see this, consider variations of two classic examples. Suppose John is one of twenty people walking by a pond in which a young child is drowning. If John can save the child he has a duty to do so, even though the child has no special right against John, or any of the others, that he be saved. To be sure, if one of the others jumps in and saves the child, John is relieved of the responsibility of doing so, but if no one else jumps in, John must. So when John lets the child drown to preserve his suit, he acts wrongly, even though he has lots of company in that regard, and even though I am assuming he would not be violating the child's rights and hence would not be acting unjustly if he failed to help.

On the other hand, suppose Tom and Tim have been given a box of candy to share. Tom takes one extra piece. Since this piece belongs to Tim, Tom is, in essence, stealing. He is taking what doesn't belong to him and in so doing he violates Tim's right and acts unjustly. Still, while Tom has violated a negative duty and John has "merely" violated a positive duty, John's inaction&emdash;his failure to save the drowning child&emdash;is morally much worse than Tom's action of stealing a piece of Tim's candy. John's inaction is deeply and importantly wrong, and is open to much more serious moral criticism than Tom's action is.

This raises another important point. It is often assumed that the difference between positive and negative duties is that while the latter are strict&emdash;and must be fulfilled in precise ways&emdash;the former allow for great leeway in how one fulfills them. So, the latter are thought to be like giving to charity, where it is optional as to where, when, how, and perhaps even whether, one chooses to fulfill this duty. But this is a grave mistake. It conflates the category of positive duties&emdash;acts that we have a duty to perform, perhaps on behalf of others&emdash;with the category of supererogation&emdash;acts that are above and beyond the call of duty. It is true that positive duties are not typically construed as particular duties to particular people, so there are often various ways one might adequately discharge them. But one cannot simply ignore them, without acting wrongly, nor can one fulfill them any way one wants.

Suppose, to modify another famous example, I see three runaway trolleys hurtling down the tracks. If I do nothing, the first trolley will plough into five people killing them all, the second will hit one person severing his foot, and the third will destroy an expensive car. Assuming that with little effort I can stop one, and only one of the trolleys, and that I have no personal connections with anyone involved, it seems clear that I ought, morally, to stop the first trolley. Indeed, even assuming that no one has a right against me that I act at all, and hence that I can't be accused of acting unjustly if I do nothing, it still seems clear that I act wrongly if I sit idly by and do nothing. Likewise, it seems clear that I would also act wrongly if I chose to save the car, or even if I chose to save the person's foot. Like negative duties, some positive duties are more pressing, or urgent, and it is not up to me to simply choose to do anything at all, much less nothing at all. At least, it is not up to me if I don't want to be open to serious moral criticism.

The preceding considerations suggest that we do have duties and obligations to help others, and that we cannot simply choose whether and how to fulfill them. Almost certainly, if we want to act rightly, we must address the most urgent needs before addressing other needs. Almost certainly, this means that to fulfill our positive duties to aid others we must address the easily preventable deaths of innocent children, before we make our contributions to fostering literacy, promoting the environment, or&emdash;dare I say it&emdash;higher education!

Does this mean that we can't give to other valuable causes that matter to us? No, but it suggests that we must do so as voluntary acts that are, in fact, above and beyond the call of duty. This requires that we may permissibly give to such causes only after first fulfilling our positive duty to respond to the most urgent needs of others. How much must we actually do regarding the latter, before we can legitimately turn to the former? I'm not sure, but I think the old adage of "giving till it hurts" might be a useful place to start. Consistent with meeting our other duties and obligations, perhaps we must give to prevent starvation and illness at least up to the point where further giving would genuinely worsen our lives significantly. At that point, if we choose to give further, perhaps we then have the option of giving to the cause of our choice.

In sum, taking a pluralistic approach to morality, it seems clear that most of us should do much more to benefit the world's children. We should do this for consequentialist reasons&emdash;to make the world a better place; for virtuous reasons&emdash;because that is the kind of person one should want to be, and the kind of life one should want to lead; and for deontological reasons&emdash;because aiding the needy is not simply an option, it is a duty that can be every bit as urgent and strict as our duties to respect rights and act justly.


Part IV. We Could Do Better

So far, I have mainly considered whether American's should do more than they do. Let me end by reminding the reader how unbelievably fortunate we, in America, truly are. And, correspondingly, how easy it would be for us to do so much more than we do.

First, a general reminder about how wealthy America is. In 1995, the world's total Gross Domestic Product (GDP)&emdash;that is the value of all goods and services produced within the geographical borders of the world's countries, was estimated to be 26.5 trillion in U.S. dollars. The United States, with its population of 263 million people, representing 4% of the world's population, had an estimated Gross Domestic Product of 7.1 trillion, or 29% of the entire world's GDP. To put this in perspective, let me note that the United States's GDP exceeded the total GDP of 180 of the world's 196 countries. Those countries, listed in the appendix, had a combined GDP of only 6.8 trillion dollars, and between them contained 82% of the world's population.(5)

So, obviously, the United States is extraordinarily wealthy. But doesn't the United States government already give billions and billions to help the world's starving masses? Well, sort of. In 1997, the combined value of all U.S. governmental international development and humanitarian assistance amounted to 6.5 billion dollars. Now setting aside the fact that much of that goes to prop up foreign governments and businesses with whom America has strong political and economic ties, what our government gives is a pittance compared to our other expenditures: for example, the 45 billion we spend on the Office of Personnel Management, the 267 billion we pay for national defense, or the 380 billion we pay for the treasury department. Indeed, our 1997 governmental expenditures exceeded 1.6 trillion dollars, meaning the total of 6.5 billion we spent on international development and humanitarian assistance represented less than one half of one per cent of our governmental spending.(6)

Still, many will think that is how it should be. Our government shouldn't be spending on foreigners, that is up to individual citizens to do if they want to act rightly, or virtuously. So let us next consider the charitable contributions of Americans as individuals&emdash;the self-described "most generous people on Earth."
It is true that in 1997 Americans gave a total of 154 billion to philanthropic causes, either as individuals, or through foundations, corporations, or charitable bequests. But the vast majority of that went to religious institutions, alma maters, and so on, and only a small fraction of it, two billion, went to international aid. Still, two billion sure seems like a big number, so let me note a few other figures for comparison. In 1997, individual Americans spent 43 billion dollars on toys and sports equipment, 80 billion on tobacco products, 85 billion on alcohol, 402 billion on recreation, and 513 billion on eating out. This means that individual Americans would have to contribute as much as they spent on international relief for approximately five hundred and sixty years, before they would have spent as much as they spent last year alone on toys, recreation, booze, tobacco, and eating out!

These numbers may all seem too big and abstract to mean much. So let me end with a few trivial, but revealing, observations. Consider the following list of different products that Americans might have in their home, each of which serves the function of warming food or drink: conventional oven, convection oven, crock pot, stove, wok, microwave, toaster over, toaster, pizza maker, fry baby, coffee maker, roaster, expresso machine, popcorn maker, grill, bun warmer, rotisserie, bagel toaster, hot water dispenser, fondue pot, waffle iron, electric frying pan, rice cooker, omelette maker, corner bakery, electric griddle, crepe maker, cappacino maker, teapot, coffee cup warmer, bread machine, egg poacher, steam table, etc.

How many of these do you, dear reader, have? How many of these do you actually use? How many do you really need? And isn't it just a bit amazing that so many people you know own a large number of these items?

Next, I note the following. I live in Houston, Texas It is hot in Houston. Very hot. I don't have much occasion to wear sweaters or coats. Indeed, most of the year I wear shorts and t-shirts. Yet recently I did a quick inventory of my closets and found fifteen sweaters, twelve sweat shirts, four sweat suits, and eleven jackets or coats. That is forty-two things to keep me warm&emdash;in a climate where I could easily make do with three! Moreover, I am constantly giving clothes away, and am, in fact, one of the least materialistic people I know. For example, I don't have a maid, don't use a lawn service, don't own a cell phone, and I "only" have two television sets!

Finally, I confess, I was going to count my children's barbie dolls, stuffed animals, beanie babies, and other toys, but I realized I didn't have the time, or heart, to do so. It is embarrassing&emdash;and indeed shameful and obscene&emdash;how much junk flows into my home each year for three children who don't need anything, when so many children face death from easily preventable causes.


Part V. Conclusion

The degree to which we are morally blameworthy for not aiding someone in need is partly a function of how dire the need is, and how much it would cost us to do so&emdash;not only monetarily, but in terms of humanly valuable projects, relationships, responsibilities, and commitments. But surely, by such criteria, we are open to serious moral criticism when we basically ignore&emdash;as most of us do&emdash;the tragic plight of innocent children suffering from preventable hunger or disease. Clearly, each of us could do vastly more than we do to help the world's children, and we could do so without making a dent in our affluent lifestyle. That we don't is a serious moral failing.


Appendix

Listing of 180 Countries by Gross Domestic Prroduct 1995 (US$ MILLIONS)

Combined GDP of these countries is less than the United States's GDP.
Source: World Economic Fact Book, London: Euromonitor, 1996

1. Tuvalu (5.8) 2. Sao Tomé e Príncipe (22.3) 3. Kiribati (32.9) 4. Anguilla (55.9) 5. Equatorial Guinea (129.0) 6. Western Samoa (133.6) 7. Maldives (135.3) 8. British Virgin Island (167.6) 9. Tonga (169.4) 10. Solomon Islands (184.4) 11. Nauru (186.5) 12. Vanuatu (195.2) 13. Dominica (209.7) 14. St. Kitts (291.7) 15. Guinea-Bissau (227.9) 16. St. Vincent & The Grenadines (233.6) 17. Gibraltar (240.6) 18. Bhutan (253.7) 19. Grenada (275.7) 20. American Samoa (311.1) 21. Comoros (318.5) 22. Djibouti (330.3) 23. Gambia (338.9) 24. Antigua (418.3) 25. Cape Verde (436.9) 26. Seychelles (495.3) 27. Monaco (526.3) 28. Guyana (535.9) 29. St. Lucia (550.5) 30. Belize (579.7) 31. Guadeloupe (634.5) 32. French Guiana (697.5) 33. Aruba (698.2) 34. French Polynesia (771.7) 35. Lesotho (836.1) 36. Sierra Leone (837.2) 37. Swaziland (847.6) 38. Kyrgyzstan (855.5) 39. Malawi (895.6) 40. Somalia (928.5) 41. Rwanda (961.0) 42. Guam (1027.0) 43. Cayman Islands (1049.0) 44. Mauritania (1127.9) 45. Mongolia (1155.0) 46. Burundi (1165.0) 47. Chad (1221.3) 48. Liechtenstein (1269.4) 49. Mozambique (1370.1) 50. Macedonia (1538.0) 51. Andorra (1548.4) 52. Central African Republic (1597.4) 53. Laos (1754.3) 54. Suriname (1817.3) 55. Barbados (1822.1) 56. Netherlands Antilles (1856.3) 57. Nicaragua (1921.0) 58. Bermuda (1966.9) 59. Fiji (2021.3) 60. Mali (2030.9) 61. Togo (2060.8) 62. Niger (2115.9) 63. Benin (2118.7) 64. Guinea (2271.8) 65. Liberia (2312.3) 66. Tajikistan (2516.4) 67. Bahamas (2583.5) 68. Martinique (2657.5) 69. Congo (2698.0) 70. Malta (3205.2) 71. Namibia (3232.0) 72. Burkina Faso (3344.4) 73. Zambia (3450.0) 74. Madagascar (3520.8) 75. Estonia (3523.6) 76. Haiti (3554.8) 77. Tanzania (3596.8) 78. Mauritius (3916.0) 79. Honduras (3994.7) 80. New Caledonia (4053.4) 81. Nepal (4139.1) 82. Latvia (4471.9) 83. Botswana (4479.8) 84. Armenia (4522.7) 85. Jamaica (4793.2) 86. Bahrain (5021.9) 87. Ethiopia (5394.4) 88. Senegal (5428.7) 89. Papau New Guinea (5475.3) 90. Trinidad and Tobago (5532.2) 91. Réunion (5537.7) 92. Turkmenistan (5631.0) 93. Macau (5696.9) 94. Gabon (5814.0) 95. Uganda (5833.0) 96. Albania (5849.4) 97. Lebanon (6039.4) 98. Zimbabwe (6106.4) 99. Lithuania (6114.5) 100. Jordan (6587.0) 101. Bolivia (6958.4) 102. Iceland (7030.4) 103. Ghana (7052.2) 104. Cameroon (7236.9) 105. Cöte d'lvoire (7626.3) 106. Panama (7756.7) 107. Kenya (8012.7) 108. Qatar (8399.2) 109. Zaire (8500.0) 110. Cyprus (8577.8) 111. Paraguay (8920.6) 112. Belarus (9108.0) 113. El Salvador (9590.3) 114. Costa Rica (9700.0) 115. North Korea (11028.5) 116. Bulgaria (11113.9) 117. Brunei (11494.0) 118. Dominican Republic (11669.5) 119. Oman (12011.7) 120. Luxemburg (12437.2) 121. Sri Lanka (12587.6) 122. Guatemala (15789.6) 123. Uruguay (15796.1) 124. Kazakhstan (16350.0) 125. Slovakia (17400.0) 126. Tunisia (18164.2) 127. Ecuador (18395.4) 128. Croatia (19951.8) 129. Slovenia (21229.1) 130. Uzbekistan (23060.0) 131. Azerbaijan (23075.2) 132. Kuwait (25828.2) 133. Vietnam (26150.7) 134. Bangladesh (28055.9) 135. Sudan (28302.6) 136. Libya (30441.6) 137. Romania (33699.6) 138. Morocco (35012.9) 139. United Arab Emirates (37149.4) 140. Syria (39000.0) 141. Cuba (40502.0) 142. Puerto Rico (40638.1) 143. Algeria (42514.6) 144. raq (45456.0) 145. Czech Republic (45632.5) 146. Hungary (45757.1) 147. Peru (57986.9) 148. Ireland (58281.2) 149. New Zealand (58393.6) 150. Pakistan (58592.8) 151. Egypt (60294.1) 152. Nigeria (65570.5) 153. Chile (67332.6) 154. Philippines (74136.2) 155. Myanmar (75100.0) 156. Venezuela (75831.1) 157. Colombia (76384.1) 158. Singapore (81308.0) 159. Israel (83743.9) 160. Malaysia (84054.1) 161. Ukraine (90370.0) 162. Portugal (97863.6) 163. Poland (104388.4) 164. Greece (110332.5) 165. Finland (125871.9) 166. Saudi Arabia (126517.8) 167. South Africa (133504.4) 168. Hong Kong (143591.7) 169. Thailand (166479.9) 170. Indonesia (170684.9) 171. Turkey (175893.3) 172. Taiwan (237659.5) 173. Mexico (238489.1) 174. Belgium (261092.3) 175. Switzerland (305593.2) 176. Argentina (306055.3) 177. India (338673.8) 178. Netherlands (383850.9) 179. Brazil (550000.0) 180. China (690586.1)

Listing of World's 16 Countries with Highest Gross Domestic Product 1995 (US$ MILLIONS)

1. Norway (145984.2) 2. Denmark (171071.4) 3. Austria (197468.4) 4. Sweden (219947.1) 5. Australia (344380.2) 6. South Korea (455570.5) 7. Spain (559431.9) 8. Canada (562356.9) 9. Russia (684392.0) 10. Iran (730000.0) 11. Italy (1038867.7) 12. United Kingdom (1103945.1) 13. France (1538701.9) 14. Germany (2126223.8) 15. Japan (5089310.8) 16. USA (7080000.0)


Footnotes

1. New York: Oxford University Press, 1996, pp. 4-5.

2. Hardin's classic, and frequently reprinted, article on this topic is "Lifeboat Ethics: The Case Against Helping the Poor," which originally appeared in Psychology Today Magazine, 1974 by Ziff-Davis Publishing Company.

3. See Singer's "Famine, Affluence, and Morality," Philosophy and Public Affairs 1, no. 3, 1972, and Unger's Living High and Letting Die.

4. Narveson's views on this matter are expressed in the accompanying article in this issue.

5. The information in this paragraph was gleaned from the World Economic Fact Book, London: Euromonitor, 1996

6. Information in this and the following two paragraphs was gleaned from U.S. Statistics at a Glance: Annual Summary of Demographic and Economic Indicators, Washington, D.C.: U.S. Department of Commerce, Economics, and Statistics Administration, Bureau of the Census, Data User Services Division, 1998.