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                        Bulletin of the Atomic Scientists
                                                     http://bos.sagepub.com/ 
                                                                      
                                                                      
                                                   The enhanced warfighter
                                                 Kenneth Ford and Clark Glymour
                                          Bulletin of the Atomic Scientists 2014 70: 43
                                                DOI: 10.1177/0096340213516746
                                                                      
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                      Bulletin                                                     IT IS 5 MINUTES TO MIDNIGHT
                      of the
                      Atomic
                      Scientists                                                                                           ®
                      Feature                                                                       Bulletin of the Atomic Scientists
                                                                                                          2014,Vol. 70(1) 43–53
                                                                                                           !TheAuthor(s)2014
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                                                                                                DOI:10.1177/0096340213516746
                                                                                                     http://thebulletin.sagepub.com
                      KennethFordandClarkGlymour
                      Abstract
                      Moderntechnologicalwarfarerequiresalevelofcognitiveabilityanddisciplineuniqueinthehistoryofarmed
                      conflict. Recent advances in physiology, nutrition, neuroscience, and engineering offer a significant potential
                      topreventorreducethedegradationofawarfighterÕsmentalorphysicalcapabilitiesinthisdemandingenvir-
                      onment. The authors explore four categories for potential enhancement of military personnel: genetic or
                      computational-mechanical alteration of the human body; physiological monitoring and tighter coupling
                      between man and machine; pharmaceuticals; and nutrition and supplementation. None of these types of
                      enhancements is without controversy; in particular, genetic intervention would require morally intolerable
                      experimentation.Intheforeseeablefuture,themilitaryenhancementtechnologiesmostlikelytoseeusewillbe
                      akin to those seen in elite athletics. Physiological monitoring and feedback, changes in nutrition, and careful
                      pharmaceutical interventions all could improve warfighter performance, and, the authors assert, such
                      enhancements are not morally problematic if their effects are candidly assessed and revealed. In choosing
                      whetherandhowtoenhancemilitarypersonnel,thegovernmentmustbalancelong-termhealthhazardswitha
                      reducedrisk of near-term injury or death. If physiological monitoring and feedback (and regulation, through
                      drugs or other means) can decrease large, immediate, or long-term risks to the life or well-being of service
                      personnel, the authors write, there appears to be a moral obligation to provide those enhancements to
                      warfighters.
                      Keywords
                      human augmentation, human performance enhancement, ketones, military ethics, military performance
                      enhancement,nutrition, omega-3 fatty acids, supplementation, resilience
                              ecause of its long-standing sup-             shownlimitedinterestinexploitingbio-
                              port and leverage of advances in             medical advances that might enhance
                      Bthephysical sciences, computer intrinsichumanperformance and resili-
                      science,andengineering,theUSmilitary                 ence.Thisreluctanceisstartingtowane,
                      is without peer on the technological                 butonlyslowly.
                      front. Many of the militaryÕs technical                 Alladvancedmilitariesnowoperatein
                      systems have been developed with the                 aworldofincreasingtechnologicalparity
                      aim of improving and extending human                 and fragility. It is well appreciated that
                      performance. Night-vision devices are                humanperformanceisanimportantcom-
                      but one well-known example. Until ponent of the overall advantage of one
                      recently, however, the military has                  military force with respect to another.
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                      44                                                                 Bulletin of the Atomic Scientists 70(1)
                      Inmilitaryaffairs,thehumanelementcan                      Man of 1970s TV to the Jason Bourne
                      havenon-lineareffects,bothpositiveand                     movie seriesÑhave sometimes featured
                      negative, on mission outcomes (Defense                    fighters whohavebeenprostheticallyor
                      Science Board, 2013). New advances in                     biochemically enhanced by some gov-
                      physiology, nutrition, neuroscience, and                  ernment agency, licit or illicit. But how
                      engineeringnowofferasignificantpoten-                     and whether actually to enhance the
                      tial to prevent (or reduce) the degrad-                   physical, cognitive, and emotional capa-
                      ation of a warfighterÕs cognitive and                     cities of US military personnel is a
                      physical capabilities during conflict and                 serious policy question.
                      substantially increase the performance                        Social attitudes about technological
                      of both combat personnel and the larger                   adaptations of the human condition are
                      systemsofwhichtheyarepart.                                complex and not obviously consistent.
                          Researchers and policy makers are                     Almost all people use optional enhance-
                      exploring, or at least considering, a new                 mentsoftheirabilities,oroptionalreduc-
                      generation of technology that may fur-                    tionsintheirdisabilities.Readingglasses,
                      ther extend and amplify the intrinsic                     hearing aids, and aspirin tablets remedy
                      physical and cognitive abilities of com-                  common disabilities, from myopia to
                      batants. The Air Force Chief ScientistÕs                  headaches.Computersare,atbase,cogni-
                      relativelyrecentdocumentÒTechnology                       tiveprostheses.Dietandexerciseregimes
                      Horizons:AVisionforAirForceScience can enhance our abilities or remediate
                      andTechnology2010”30Óidentifiescrit-                      disabilities. Prosthetic devices enable
                      ical technologies for the Air Force                       those who have lost limbs to grasp,
                      (Office of the US Air Force Chief Scien-                  walk, and run. Society finds no moral
                      tist,   2010). This remarkably forward-                   problemwithanyoftheseenhancements.
                      looking       blueprint      highlights       human Computerized implants in animal brains
                      augmentation and indicates that it may                    havebeenstudiedforseveraldecadesand
                      come in the form of increased use of                      havebeenusedinhumansÑwithoutser-
                      autonomous systems, interfaces for ious ethical qualmsÑfor cases of blind-
                      more intuitive decision making, close                     ness and loss of motor control. There is
                      coupling of humans and automated sys-                     adegreeofcyborgismthatismorallytol-
                      tems,exploitinggeneticcorrelatestoper-                    eratedbecauseithelpstocompensatefor
                      formance, and direct augmentation of                      adisability.
                      humansviadrugsorimplantstoimprove                             Ordinarily, such adaptations do not
                      memory, alertness, cognition, and visual                  prompt ethical worries, but there are
                      andauralacuity.Thedocumentalsonotes                       exceptions. Groups in the deaf commu-
                      that while some of these approaches may                   nity,forexample,haveopposedcochlear
                      seem inherently distasteful, potential                    implants for the congenitally deaf.
                      adversaries are not likely to be con-                     Sportsorganizationshaveresistedavar-
                      strained by similar cultural values.                      iety of assistance devices: carts for han-
                          Technologicalapproachestoimproved                     dicappedprofessionalgolfers;improved
                      human performance such as night-vision                    swimsuits for competitive swimmers;
                      gogglesaretypicallynotcontroversial,but                   prosthetic legs for competitive runners.
                      biological technologies can stir the                      The reasons for opposition include a
                      public imagination. Action films and                      desire for community solidarity, a sense
                      televisionÑfrom The Six Million Dollar                    that the rules of a game intrinsically
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                  Ford and Glymour                                                                    45
                  forbid certain aids, and an antipathy to     pharmaceuticals; and finally, nutrition
                  givingsomeperformersanunfairadvan- and supplementation. None of these is
                  tage. Society seems to be especially         withoutcontroversy.
                  sensitive   to   certain  advantages     in
                  sports Ñ witness the universal concern       Theethicalminefieldof
                  over drugs and blood oxygen pack- genetic andmechanical
                  ingÑbut     is   indifferent   to  others.   enhancement
                  Although they greatly affect perform-
                  ance, differences in genetics, training      In the short or mid-term, mechanical
                  locales,andfinancialresourcesfortrain-       alterations to senses or computational
                  ing seem to mean little or nothing to        implantsareunlikelytobepracticalmili-
                  sporting audiences. No modern society        tary technologies. An infrared-sensitive
                  objects to external, cognitive prostheses,   eye implant, for example, would require
                  whetherthecomputer,thesmartphone,or          expensivesurgery,anditisnotclearthat
                  Google Glass (OK, maybe Google Glass,        thevisualcortexwouldknowwhattodo
                  but chiefly because the appliance is         with the input. A cortically implanted
                  creepy), even though these devices have      communication      or   memory device
                  probably created differential advantages     wouldchiefly have the advantage that it
                  for those who have the resources and tal-    could not be lost, which does not seem
                  ents to make the fullest use of them.        close to worth the bother.
                     None of the aforementioned reserva-          One can imagine a future in which
                  tions aboutorobjectionstoperformance         genetically produced anatomical and
                  enhancement neatly applies to the mili-      functional changes are possible and
                  tary.  Other things equal, Americans seenasadvantageoustotheperformance
                  (and, of course, citizens of other coun-     of military duties. Gene manipulation is
                  tries) want their military personnel to      nowhere close to producing specific,
                  haveanadvantageovertheiradversaries.         functional, useful, mammalian anatom-
                  Notallisfairinwar,butalotofunfairness        ical variations, but they are conceivable.
                  is wanted. So the real issue is whether      Theethical issues vary as far as the sci-
                  other things really are, and will be,        ence fiction imagination can range, and
                  equal.Docurrentmilitaryenhancements,         the moral concerns and constraints will
                  andthoseinnearprospect,risklong-term         vary accordingly. One way to think of
                  harm to those treated? Do they threaten      what might be morally tolerable is to
                  perspectives on what is human or on the      imagine the sorts of genetic anomalies
                  proprietyofpermanentalterationsofthe         that would give an advantage in sports
                  human condition? Or are the enhance-         but that would be difficult legitimately
                  mentswithinprospectmedicallyandeth-          to excludeÑfor example, a competitive
                  ically sensible? Do the potential benefits   swimmer with fully functional webbed
                  repaytherisks?We,theauthors,seefour          feet. The moral issues seem to lie less in
                  overlapping but conceptually separable       the existence of such genetic modifica-
                  categoriesofmilitarypersonnelenhance-        tions in the human population, and
                  ment:geneticorcomputational/mechan-          moreintheideaofdeliberatelycreating
                  ical  alteration  of the human body; a subpopulation that has them. Major
                  physiological monitoring and tighter         genetic alteration of adults does not
                  coupling between man and machine; seemfeasible,andasystemofembryonic
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