The Fictional Evil Utilitarian N.I.C.E. And The Actual Utilitarian U. K. N.I.C.E. WTF?

I was talking with my partner one morning about the vexing modern problem of putting numbers on amorphous things so you can measure the unmeasurable. And because I've been immersed in a research project on philosophical issues in Cost-Effectiveness Analysis, I brought up the example of quantification in health care resource allocation.

I said something like "They quantify health through QALYs, which evaluate the burdensomeness of health states on a scale from 0 to 1, to prioritize potential treatments according to how many QALYs they produce per dollar. Or sometimes they use a threshold: a specific cost-per-QALY value -- say, $30,000 per QALY. Treatments producing too few QALYs per dollar won't be funded." 

My partner, being an interesting person and not a philosopher, said "Hold on, who is 'they?'"

And I said, "Oh, well in the UK it's N.I.C.E." The National Institute for something something. Care and Excellence. Or something."

"Did you say "N.I.C.E"? Because N.I.C.E. is also the name of the dystopian evil utilitarian organization in C. S. Lewis's That Hideous Strength."

Wait. What? Are you telling me that an actual utilitarian U. K. organization founded in the late 20th century has the same acronymic name as a fiction evil utilitarian organization in a 1945 book by a famous U.K. author? How is that possible?

At the time we had this conversation, I had never read That Hideous Strength, but it had long figured in our family imaginary. For my partner and his daughter, it occupied a  space in the overlap zone between "brilliant" and "problematic" -- problematic because sexist, homophobic, and shot through with imperialism. Despite their warnings, of course I had to read the book immediately.


The author, C. S. Lewis, is the British Christian fantasy writer who also produced the Narnia chronicles. So when I say that N.I.C.E. in Lewis's book is "evil," that's not an exaggerating synonym for "committing bad acts." They're literally evil.

In the novel, N.I.C.E. -- "The National Institute of Coordinated Experiments" -- is publicly a scientific and social planning agency weaning us from sentimental attachments to usher in an era of objective social improvements. Behind the scenes, N.I.C.E. is furtively pursuing its evil program for the exploitation of nature and the annihilation of humanity.  

If you've ever encountered the arguments utilitarians use to defend their idea that the right action is the one that rationally brings about the best consequences, passages from (fictional) N.I.C.E.'s representatives will sound eerily familiar. Their aim is "the scientific reconstruction of the human race in the direction of increased efficiency." Other value judgments based on justice, beauty, or love are "essentially subjective and instinctive." Ethical beliefs turn out on inspection "to be simply an expression of emotion."

Readers of Peter Singer's 1995 "Ethics and Intuitions" may be reminded of his idea that common moral judgements conflicting with utilitarian outcomes are a "biological residue of our evolutionary history." We evolved to have "intuitions" about justice only because punishing wrongdoers was an evolutionary success.

As Singer explains, the status of moral judgments -- especially those reflecting justice -- is significant because these judgments have long been used to discredit utilitarianism. "H. J. McCloskey, writing at a time when lynchings in the U.S. South were still a possibility, thought it a decisive objection to utilitarianism that the theory might direct a sheriff to frame an innocent man in order to prevent a white mob lynching half a dozen innocents in revenge for a rape" (Singer 343-345). That is, our judgment is that framing an innocent person is wrong, regardless of the consequences, because it is unjust. But "bringing about the best consequences" seems to entail that preventing the riot could be the right thing to do. Thus judgments based on justice seem to undermine utilitarianism.

But Singer says not so. Unlike utilitarian judgments like "five deaths is worse than one," which is "rational," our justice-based "intuitions" should have no standing in our figuring out what is right. As with the fictional N.I.C.E., Singer urges that they reflect an "instinctive" sense of reciprocity -- and should be discarded.  

In retrospect, it's not surprising that Lewis would put into the mouths of N.I.C.E.'s representatives talking points familiar from utilitarianism. The rough idea Singer is presenting goes back at least to the British philosopher Sidgwick in the late 19th century. And it's obvious why a Christian ethics would be deeply at odds with utilitarian thinking and why Lewis would be tempted to depict utilitarianism as a manifestation of evil.

The U.K.'s actual real life N.I.C.E. isn't exactly utilitarian, but it does use the utilitarian principles of Cost-Effectiveness Analysis to decide which treatments should be publicly funded. Proposed treatments are evaluated according to how many QALYs they are likely to produce per unit cost: decisions are thus based on bringing about aggregated good consequences. 

Like utilitarianism, CEA leads to outcomes conflicting with our moral judgments. The process can lead to discrimination against people with disabilities, as people with disabilities are often judged to have a lower quality of life than non-disabled people; thus interventions extending their lives may be seen as less effective. Since "a QALY is a QALY," the process is insensitive to distribution and equity, with no priority for younger people or the worse off, and no amelioration of existing health inequities. Because of aggregation, low-cost interventions that benefit many people may be more cost-effective than those bringing enormous benefits to small numbers of people: in one famous example, the state of Oregon carried out a large-scale CEA that resulted in part in the conclusion that paying for capping teeth would be more cost-effective than paying for appendectomies.

How to respond to these problems with CEA is part of my current research project on Cost-Benefit Analysis and its offshoots, but this post isn't about that, it's about ACRONYMS. Who thought it was a good idea for an actual utilitarian U. K. organization promoting social progress and rationality to have the same name as a fictional evil utilitarian organization promoting social progress and rationality?

Did no one on the original board of directions pipe up and say "Hey, I know we're not the evil kind of utilitarians. But don't you think it's going to look weird if we say we're N.I.C.E, for progress, science, and rationality, and that other N.I.C.E. also says it's for science, progress, and rationality -- and the other one is EVIL?"

The only discussion of the acronym issue I could find on the internet was from "LifeSite," describing the case of Leslie Burke, a man with degenerative motor neurone disease who sued the UK government for the right not to be denied nutrition and hydration when his illness rendered him unable to swallow or communicate. The U.K. government appealed an initial ruling in his favor, with a representative for the government explaining that N.I.C.E. guidelines combine considerations of efficacy, quality of life judgments, and economics. "If the principle that "clinicians should be able to follow NICE guidelines without being obliged to accede to patient demands" were undermined, the government argued, then "there would be considerable risk of inefficient use of NHS resources."

Describing the principles of the fictional, evil N.I.C.E. as "a mechanistic and ultra-utilitarian, anti-life philosophy that regards human beings as merely a disposable means to an end," LifeSite says "it seems beyond a coincidental irony that a real-life, government-funded organization that bases its decisions on the same utilitarian principles, could be known by the same acronym: N.I.C.E." With this last part, I agree. It does seem beyond a coincidental irony.

As to the broader question of the status of moral judgments or "intuitions," in his article Singer doesn't say what he thinks about framing an innocent person to prevent a riot -- whether he thinks there is some way that contrary to first appearances framing the innocent person actually doesn't produce the best consequences, or whether he thinks framing an innocent person could be the ethical right action.

As a non-utilitarian, I can say more simply that framing an innocent person is wrong, because it's unjust, and I think that is true partly because moral judgments reflect what we care about, which can include values like justice.

In the spirit of this post you may be wondering: could you modify CEA so that instead of measuring QALYs it quantifies and takes into account these other values and thus becomes a new and improved decision-making method? I am so glad you asked! That is what I am working on. It's complicated, but the short answer seems to be "no."

Lockdown, The Singularity, And The Idea of Post-Humanism

Back in 2010, when we were younger and more naive, a bunch of people were excited about something they called The Singularity, a time in the not-so-distant future when humanity would be replaced with ... something else. Post-humanity. A "superior intelligence that will dominate," so that life will take on a radically altered form that we cannot see and predict now.

Here at TKIN, I expressed my skepticism. Sure -- if you want to make an artificial liver or bionic limbs or whatever, awesome, I love it! But that's not post-humanity. It's the human experience, just somewhat improved. Longer, more fun, less painful, whatever. Beyond the human-upgrades interpretation, the suggestions get more radical but also more vague. We're going to meld minds and machines. We're going to upload your consciousness into a computer. You'll live forever, in some unforeseen Venn diagram overlap zone between virtual and real.

When I pondered this in 2010, I was like WTF, and now that we're in lockdown I feel even more like WTF. Aren't most the best pleasures of life embodied? In 2010 I listed sex, food, wine, sports, music, and dancing as things we like to do that are embodied, seemingly inaccessible to the computer-based post-human. And what's on the other side, on the post-human, singularity playlist? Math? Most people don't even like thinking about math.

I don't think I'm alone when I say that lockdown has made the importance of the embodied life even more vivid to me. We're sick of interacting through screens. We long for the touch of our family and friends. People are flocking to bake bread, grow plants, and acquire pets; the concept of "going for a walk to get some fresh air," at one time a symbol of a life lived quietly and meditatively, is now essential to the happiness of millions of people. I myself have taken care to notice the minute daily progress of leaves coming out on trees in my neighborhood.

I was mentally reviewing all the internet think-pieces I've read about what people are experiencing in lockdown, and the one disembodied activity now flourishing that I could spot was online chess. Touchingly, the New York Times places this news in the Sports section, where they are clearly dying for content.

Anyway, after writing that post in 2010, I expressed my doubts to some guys who were roughly in the robot-biz, and they smiled that guy-smile that comes up when a woman says something they think is stupid. It's not computer-based in that sense, they explained slowly to me. You'll still be able to do all the fun things. It's just that the whole system will be artificial, and therefore more permanent, less flawed, and better.

Fine, but as I've already said, I don't think that's post-humanity -- that's more like keeping your human self while being less susceptible to the world's problems: less vulnerable to injury, less in need of food and medical care, less dependent on others for your well-being. Our desires for life to be less difficult, less painful, less scary and less mortal are very human, and like the embodied pleasures, they have been intensified by the lockdown and the pandemic itself -- as we have all been reminded how vulnerable we are to illness and death, how challenging it is to care for others, and how fragile our little systems are.

Of course, in our radically unequal world, these things bear more heavily on some people than others, and awareness of our shared situation and our interdependence has been a bit of a wake-up call to some people who maybe used to imagine themselves as self-sufficient tech-oriented rich people.

I don't know what those people are dreaming of now, and whether it's still something like The Singularity or whether it's more like a walled city in New Zealand with a stockpile of ventilators. But whatever it is, I hope they'll remember it's not really post-humanism that they're hankering after. It's more like human life made less difficult and scary. And that dream is not only shared by everyone, it's also about the most human thing you could possibly have.

I Was In Hannover Germany

I didn't have time to write a proper blog post this week, and one reason is that I was giving a paper at the joint conference of the ENPOSS (European Network for Philosophy of Social Science) and the Philosophy of Social Science Roundtable. The conference was good: I was reminded how in areas like philosophy of social science (or philosophy of science more generally), there's something to talk about beyond philosophy. I mean, in ethics, it's often just you and your arguments and I sometimes feel like convincing people is partly force of personality. But with philosophy of science, there's ... science!

One of the things that struck me about Hannover was that there was a fair amount of graffiti. I had trouble interpreting or classifying or understanding the graffiti in Hannover, which seemed to cross a lot of genres in ways that were opaque to an outsider. I tried to talk to a Parisian about it, and he said "Oh, there's a lot of graffiti all over Europe, isn't it like that in North America?" and I said "No, not exactly, there are areas with a lot of graffiti and then areas with none." Then I asked him if he thought the graffiti in a place like Hannover was more created by disenfranchised or poor people expressing their discontent or whether the form was somehow broadened so that more people participated. He said he didn't know.

I don't know either. Some graffiti seemed to me like what I'd think of as conventional tagging. Some seemed more explicitly political, like anarchist signs. Then a lot was just -- impossible for me to classify, with words or style that I couldn't understand.

Here are two pictures of graffiti in Hannover -- both of these pictures were taken right near the University building where the conference was held. In the first, you see a range of styles. In the second, you see words -- "iron," "reset," "Mandy." WTF?



 I really don't know, so if you have interpretations, I'd be interested to hear them.

One other interesting visual thing I encountered in Germany was at the airport, where I saw this sign that said "Keep off this plain!" Sure, the word "plain" could just be a bad translation. But a bad translation for what? What is this?



I guess it's good there are still some mysteries in the universe. See you all next week!