Humanitarian Concerns About Methods of Execution

Two hands are using a syringe and needle to pull medication from a small glass vial.
The lethal injection may not be as ethical as it is made out to be. In this image, two hands are using a syringe and needle to pull medication from a small glass vial. Source: Yahoo! Images

 

Content Warning: semi-graphic descriptions of death.

In my most recent article, I approached the issue of capital punishment by taking a broader, more philosophical stance on the ethics of taking the life of a person who has committed a crime. In this article, I will dive into the human rights issues we face when we take a closer look at the methods used to execute convicted criminals. 

While researching for my last article, I fell into a rabbit hole of the methods that States use to execute people. Many states still have firing squads, gas chambers, and hangings as alternatives to lethal injection. Many states have single-drug injections where the person being killed feels their lungs fill with liquid and experiences the paralysis of their respiratory muscles, effectively choking and drowning them in their own bodies. Even during multi-drug lethal injection, it is probable that inmates are still able to feel their death even after anesthesia is given. Many inmates have twitched or moved after the injection, a clear sign that they are not fully anesthetized, including one case where a person fully sat up after being given the lethal injection, proving that his body was not anesthetized and he was experiencing the effects of the lethal drug. Click here to read a description of each of the five most common methods of execution.  

Despite many different execution methods being an option for some prisoners, lethal injection is the standard practice today, as it is seemingly the most ethical. Unfortunately, there is a growing mound of research suggesting that that may not be true. One article in particular, titled Gasping For Air: Autopsies Reveal Troubling Effects Of Lethal Injection has been haunting me since I read it a few months ago and led me to choose this topic to write about this month. It is very informative and I recommend reading it if you would like to continue your research into this topic. 

 

A barbed wire fence in front of a dusky sky
Click here to read an article by my coworker Kala Bhattar recounting the prison crisis in Alabama. It brings to light just how unforgiving and punitive Alabama tends to be in dealing with people who break the law. In this image, a barbed wire fence in front of a dusky sky. Source: Yahoo! Images

 

Alabama’s recent track record with lethal injections does not help the argument for the ethicality of the method. While researching, I came across too many horror stories of Alabama completely mishandling executions to recount them all. There will be a list of links at the end of this article to the stories that I could find. In November 2022, Governor Kay Ivey called to halt executions across the state because of a series of three botched executions in a row. All three, including Alan Miller, Kenneth Smith, and Joe Nathan James involved the inability of Alabama Department of Corrections (ADOC) workers to set an IV line for the drugs to be administered intravenously.

Unfortunately, this is a common theme in executions by lethal injection. As outlined in the Hippocratic Oath, doctors are not allowed to assist in setting the IV line for execution and most nurses refuse because of similar pledges to “do no harm.” This leaves the entire medical procedure of lethal injection in the hands of Department of Corrections (DOC) workers who are not trained in administering intravenous drugs. They often have a hard time obtaining medical training for this procedure because of the ethical restraints of the medical field and the lack of resources put towards obtaining training. DOC workers often puncture or “blow out” the veins of the arms and hands, rendering them unusable for intravenous injections. They then move on to veins in other areas, including the feet, inner thighs, stomach, collarbones, and forehead, blowing those out as well until they get lucky enough to place one without destroying it.

 

A hand with an IV line and a heart rate monitor on the thumb. The person’s arm is covered in a blue medical gown.
Setting an IV line is a standard procedure, but it requires extensive training and medical practice to perfect. The lack of training of DOC workers subjects inmates to excessively being poked by needles all over their bodies for hours on end. In this image, a hand with an IV line and a heart rate monitor on the thumb. The person’s arm is covered in a blue medical gown.Source: Yahoo! Images

 

Alan Miller had his execution called off after the workers attempting to set an IV line took so long that his execution warrant expired. Kenneth Smith’s execution warrant expired while waiting for his case to be heard by the Supreme Court, leaving him strapped to the execution gurney for almost four hours, at least two of which were devoted to placing an IV.

In July 2022, Mr. Joe Nathan James became the victim of the longest-recorded execution in United States history. Faith Hall was murdered in 1994 by her ex-boyfriend Mr. James, who was sentenced to death row in 1996, where he sat until 2022. During this time, the family of Faith Hall petitioned the governor’s office and the Department of Corrections multiple times to express their disapproval of Mr. James’ death sentence and to ask Governor Ivey to pardon him. ADOC took over three hours, allegedly attempting to set the IV line, although it is unsure what was actually going on in that room during this time. His execution was scheduled for 6:00 PM, but observers were not let into the room until 8:57. After repeatedly puncturing, blowing out, and destroying Mr. James’ veins, they finally set the IV correctly and preemptively delivered the anesthetic before the curtain was even opened, violating his right to hear his death warrant read aloud and taking away his chance to speak his last words. To add insult to injury, the family of Faith Hall wished to attend Mr. James’ execution long enough to show him that they forgave him and to hear his last words, then leave before the execution began. They did not get to fulfill these wishes after ADOC told them that leaving before the execution wasn’t an option, saying, “Once you’re in, you’re in.” 

On the day of the execution, in an embarrassing set of events, award-winning reporter for AL.com, Ivana Hrynkiw, was told by ADOC workers that she could not attend the execution because her skirt was too short and her open-toed shoes were “too revealing.” She had worn that same skirt to at least three executions before this one. A cameraman from a different media outlet offered her a pair of fishing waders with suspenders that he had in his car, and she attended the execution wearing those. Kim Chandler, another female reporter from the Associated Press, was subject to a clothing inspection before being allowed to enter the facility. It is thought that this was ADOC’s excuse to stall the entrance of media and guests into the observation room and to justify the three and a half hours that are unaccounted for. This entire execution was a nightmare for everyone involved. Following this was the failed executions of Alan Miller and Kenneth Smith, which led to Governor Ivey halting all executions. 

 

A row of open prison cells alongside a wall. They are made of gray bars and have sliding doors.
From the moment these people are put on death row, all of their human rights are violated. They are stripped of all of their liberty, all of their property, all of their dignity, and all of their humanity while patiently awaiting being stripped of their life. In this image, a row of open prison cells alongside a wall. They are made of gray bars and have sliding doors. Source: Yahoo! Image

 

Many people, including many church leaders, have petitioned Governor Ivey to do away with capital punishment altogether. Many people in all areas of the political spectrum have called out Governor Ivey’s hypocrisy in her intense opposition to abortion rights, citing the sacredness of life while also denying clemency to every death penalty case that has ever crossed her desk. In 2019, she denied clemency to Micheal Samra, a man with borderline intellectual functioning who was only 19 at the time of his crime, the day after passing a state-wide abortion ban. 

“Every life is precious and every life is a sacred gift from God…”

– Governor Kay Ivey, the day before the execution of a teenage offender.

Instead of listening to the cries of its citizens, Alabama has authorized an execution protocol for the use of an untested execution process, nitrogen hypoxia. This entails replacing all of the oxygen in a person’s lungs with nitrogen until they suffocate and essentially drown in gas. Veterinarians consider nitrogen hypoxia an ethically unacceptable practice for the euthanasia of animals. To make matters worse, Alabama wants to test this new method on Kenneth Smith just a few months after subjecting him to his first failed execution horror story. This new method, on top of being a terrible and excruciating death for the person subjected to it, may entail dangers for the executioners and spiritual advisors in the room. In Ramirez v. Collier (2022), the Supreme Court ruled that inmates being executed have a right to be touched by a spiritual advisor during and throughout their executions, but nitrogen hypoxia may infringe on this right, making it unsafe for a person to be within close proximity to them. 

A man asleep on a hospital bed with an oxygen mask covering his nose and mouth.
Caryl Chessman was executed in 1960 by hypoxia and told reporters that he would nod if it hurt. Witnesses watched him nod for multiple minutes straight before falling unconscious. Source: Yahoo! Images

I can understand arguments for capital punishment in theory. I can understand the societal benefit of executing extremely violent repeat offenders who pose an ongoing threat to others. Death may even be more humane than life-long solitary confinement in cases where those are the only two options to prevent someone from causing more harm to others. If we lived in a world where we could guarantee that an execution would be painless, quick, and respectful and that the dignity of the person being executed could be maintained, we might have grounds for capital punishment in extreme cases. But right now, the research is unsure about the experience of people receiving a lethal injection, DOC workers are not qualified to perform the medical procedure of euthanasia, and the vast majority of people receiving the death penalty are one-time offenders who are remorseful for their crimes. I cannot fathom justifying capital punishment under these conditions, especially as it is practiced in the state I call home, Alabama. 

We cannot sit back and watch our Department of Corrections ask an unconscious man for his last words before executing him in silence as if his final thoughts were not worth hearing. We cannot stay silent in a state whose government will soon begin putting people in gas chambers to suffocate and drown in their own lungs, calling it justice. We cannot call ourselves humane if we support forcing other humans to experience the sensation of fire in their lungs from pulmonary edema after not being anesthetized properly, the pressure in their skulls growing until their eyes bulge from their sockets, or the terror of being strapped to your death bed for four hours straight while untrained executioners continuously prick your entire body. We must stand up for the human rights of the humans on death row.

Alabama mishandled executions: 

April 22, 1983 – John Evans

July 14, 1989 – Horace Dunkins, Jr.

December 8, 2016 – Ronald “Bert” Smith

October 17, 2017 – Torrey McNabb

February 22, 2018 – Doyle Hamm

July 28, 2022 – Joe James

September 22, 2022 – Alan Miller

November 17, 2022 – Kenneth Smith

July 21, 2023 – James Barber 

Most of my research for this case was from the Death Penalty Information Center. This is an incredibly holistic and in-depth database regarding the death penalty in the United States.

Capital Punishment and the Right to Life

A black and white picture of a prison cot with five belts used to strap down inmates in order to give them a lethal injection.
While it may seem like a common practice throughout the world, only about 28% of countries still maintain the death penalty in both law and practice. Source: Yahoo! Images

 

Stay tuned for my next article, where I will explore how the process of the death penalty, as well as the methods used to end the lives of inmates, may bring up additional human rights concerns. That article will be posted in the upcoming weeks. 

October 10th is the World Day Against the Death Penalty. 

It was my eighth birthday. I had gotten home from school and after eating my snack, I sat down on the couch. My birthday is in January and my mom hadn’t gotten around to packing up the expensive nativity scene from my grandmother that was set out on the sofa table behind my head. I got bored with my show, as eight-year-olds do, so I turned around and started playing with the porcelain figurines. To me, they were no more than stiff, less fun Barbies. Little did I know all it took was one little high-five between Joseph and the wise man with the frankincense before *CRACK* Joseph lost a hand. 

I still remember my mother’s face when I told her what happened. This nativity scene from her mother-in-law meant so much to her and she was feeling so many emotions. I knew that I deserved to be punished in some way for my mistake. I sat in time out for a while, I got a “stern talking-to” when my dad got home, and I didn’t see my favorite (real) Barbie for weeks.

My eight-year-old, future-philosophy-student self couldn’t help but question why all of this was happening to me. It was my birthday; my parents were supposed to be nice to me that day, but I still got in trouble. I knew that I should’ve been more careful with the figurine, but I also knew that what I did was an accident. I knew as soon as it broke that I had caused a problem, but I almost immediately learned from it: this material is weaker than Barbie material so I would need to use gentler hands when holding it. But I still couldn’t figure out why my parents were doing this. As I grow up, this concern still follows me. What motivates society to punish people who break the law? How could our system of punishment improve to allow people to learn from their mistakes and to still participate in society?

A drawing of a man in an orange jumpsuit with his head down standing behind metal bars. One of the bars makes the shape of a noose around his head.
Minorities, especially racial minorities, make up a disproportionate percentage of prisoners on death row. Source: Yahoo! Images

Theories of Punishment

Retribution 

The Retribution Theory of punishment holds that people who harm others deserve to be harmed and that the justice system should give them what they deserve. I like to call this the revenge theory or the “eye for an eye” theory. The arguments for this theory are, in my opinion, not very strong. Sure, it seems intuitive that when somebody wrongs us we want to wrong them back, but what good does that do? And should we really set up an entire justice system based on retribution when that only causes more harm to people, despite if they “deserve it?”

Deterrence

The Deterrence Theory of punishment holds that societies should punish moral failings in a way that when people hear about the punishment for a certain crime, it deters them from committing it. For example, people may not use drugs because they are afraid of what would happen if they got caught. If we want people to stop doing drugs, according to deterrence theory, we should inflict harsher punishments for those caught with drugs. The main critique of this theory is that it does not deter people from doing the thing, it only deters people from getting caught doing the thing, thus driving the whole crime farther and farther underground. 

Restoration

The Restoration, Humanitarian, or Utilitarian theory of punishment is based on the idea that after a harm occurs, we should avoid any further harm coming to anybody involved. This may entail rehabilitating people with addictions to live addiction free or mandating driving school and road safety courses for negligent drivers. This doesn’t just apply to low-level crimes though. This may mean a prison system similar to Norway’s, where even the most violent criminals are kept in a remote community where their rights and privileges are upheld. The average sentence is around 8 months, and after they’ve had time to reflect on their actions, they are allowed to return to society as usual. Click here to learn about what went into the design of one of Norway’s most famously humane prisons.  This theory is often criticized as being “soft on crime,” saying that if we don’t make going to prison incredibly unpleasant, criminals will not have any reason not to re-offend. 

A wooden electric chair against a dirty wall in the background.
The youngest person to be executed by electric chair in the 20th century was 14-year-old George Stinney Jr. His conviction was later vacated as an unfair trial. Source: Yahoo! Images

Pragmatically, when we are deciding which theory of punishment to ascribe to, we are balancing the weight of the government’s function that motivates law enforcement with the human rights of everybody involved in the crime. 

So what is the government function of capital punishment and does it outweigh the most fundamental human right, one’s right to one’s own life?

Government Function

It is widely agreed upon that the government’s most fundamental function is to protect the rights of people in its jurisdiction. This includes mediating conflicts in which a person impedes on another’s rights. In these terms, the crime of theft is when a perpetrator impedes on the victim’s right to own property. In this case, the government then has an obligation to interfere in some way to bring justice to the victim. Most of the time, this interference will constitute the government temporarily impeding on the rights of the perpetrator themselves. This may mean keeping them in jail until their trial, imposing a fine on them, or even sentencing them to prison time. 

Human Rights

The right to life is inarguably the most fundamental natural human right that exists. All humans have a fundamental right to live their bodies’ natural lifespan through to its end. It can even be argued that humans have the right to the best healthcare available to extend their lifespan as long as possible. Without the right to life, no other human rights of any kind can be realized. This is why the most widely recognized phrase about human rights lists life as the first. 

As the Declaration of Independence states, “We hold these truths to be self-evident: that all men are created equal and from that, they derive inalienable rights, among which are life, liberty, and the pursuit of happiness.” 

To take someone’s life is to take away that person’s most fundamental, widely-recognized human right.

Balancing Both

Does the governmental function of societal safety ever justify taking away the perpetrator’s number one human right? Especially when, given that life in prison is an alternative option, societal safety is not even at risk by keeping these people alive. Many people will argue that keeping them in prison requires too many resources whereas the death penalty is a quick and easy way to save resources for the rest of society. Not only does this completely dehumanize people who have committed crimes, but it also switches the governmental interest from public safety to the much less compelling governmental interest of distributing resources. The interest in these resources is not compelling enough to justify the deprivation of someone’s life. Even if you think it is okay to impede on a perpetrator’s rights to prevent them from causing more harm to society, it is unclear that the deprivation of life would achieve this goal when life in prison is an alternative. 

The sun shines behind a wooden gallows with two nooses hanging down.
Three states still allow hanging as a possible execution method. Source: Yahoo! Images

According to the Retribution theory, people who took another life deserve to be killed solely on the “eye-for-an-eye” principle. But something doesn’t sit right when we try to defend this principle without dehumanizing people convicted of crimes. As a society, is it a good thing that we think a certain group of people deserves to die, even if their qualification into that group was voluntary?

According to the Deterrence theory, the death penalty may actually be an effective deterrence for prospective criminals. If they knew that committing this crime may literally mean the end of their lives, they may not commit the crime. However, it is unclear that the deterrence factor of life in prison, essentially ending people’s lives as they know it, is so much less effective than the deterrence factor of the death penalty that it justifies taking lives. 

According to the Restoration theory, capital punishment stands no chance. This theory is based on the hope of rehabilitation for criminals, even if that means they are only ever restored insofar as to live a meaningful life in prison. This theory is considered to be the most humane approach to punishment, and as far as research can tell, the one compatible with the lowest recidivism (re-offending) rates. 

How Can We Define Torture? The Curious Case of Otto Warmbier

Human beings often use words without understanding their full semantics or definition. Torture is one of those words. The reality of torture, in its actual definition and context, will remain an unknown experience for majority of humanity. Torture, for some, is part of their new normal. The purpose of this blog is to look briefly at the human rights violation of torture through the lens of cultural relativism and moral universalism.

a photo of a prison
Prison. Source: daily sunny, Creative Commons

A similar story

In 1994, 19-year-old American Michael Fay lived in Singapore. He made international headlines when a conviction of vandalism and sentencing to six lashes by caning became his punishment. Caning is a part of the corporal punishment system in Singapore. Most recently, a Saudi diplomat received caning lashes for molestation. At the time of Fay’s arrest, President Clinton described the punishment as too harsh, and the Singaporean government reduced the lashes to four. Fay received his lashes and returned home. I mention Fay as an entry point for Otto Warmbier.

I followed Warmbier’s case when it began in January 2016. He was a student from the University of Virginia, sentenced by the North Korean government to 15 years of hard labor over offensive behavior while on a backpacking tour in the country. The accusation brought against him of trying to steal a sign from the hotel where he was staying, resulted in an immediate conviction, considering the action as a “hostile act” and attempt to hurt the working class of Koreans by undermining solidarity. Theft in the People’s Republic of Korea (PRK), regardless of object or size, often results in a public execution or beatings in prison camps and schoolyards as a means for deterring future behaviors. He is an enemy of the state.

Amnesty International notes North Korea’s propensity for arbitrary arrests and detentions. The US State department, at the time of his arrest, called for his immediate release, stating the punishment is “unduly harsh” and if he had been in any other country, the incident would not have resulted in this treatment or conviction. Warmbier, after 18 months as a prisoner in North Korea, died on June 19 in Ohio, following a “humanitarian gesture” of release by the North Koreans.

My initial interest in Otto was his reasoning/logic for travelling to the totalitarian “hermit kingdom” without knowledge of the culture. Yes, due to the fact, he is an American citizen, an appeal for his release and return was a correct gesture by the State Department at the time. However, if he was released in January 2016, what would he or anyone else have learned from that exchange? As Americans, we have cultivated and bought into an American exceptionalism ideology that often highlights our ignorance of international cultural norms and behaviors, thereby positioning us with the short end of the stick. Our American exceptionalism repetitively accuses other countries of torturous treatment of prisoners and other Americans, yet we somehow fail to see the plank in our own eye.

Cultural relativism

The men in both cases were accused, convicted, sentenced, and received punishment in accordance of the laws in the nations where they were guests. The US government described both punishments as torturous or unfair treatment. Many comments and explanations made and given spoke of the men’s character; however, no one mentioned about their knowledge of the culture of the country’s they visited (lived in, in Fay’s case) or the choice each man made that resulted in a behavior that was punishable by law. Perhaps these men are innocent of the crimes; only they know.

Sally Engle Merry suggests the misunderstanding over culture and human rights narrows to whether the application of rights is culturally relative or universal. She asserts that “Rights are understood as a uniquely Western idea… Culture, on the other hand, is understood as homogenous, integrated system of belief and values attached to a relatively small and isolated group of people. It was this conception of culture which spawned relativism as a moral perspective. Cultural relativism is the social discipline that comes of respect for differences – of mutual respect.” She concedes our understanding of culture informs our knowledge of rights. The notion of human rights found their basis in the identification and protection of civil and political rights, as determined by cultures willing to uphold the Universal Declaration of Human Rights (UDHR). Since 1948, human rights have expanded, and continue to expand, to include the global collective of humanity, framed and spoken in “the preeminent global language of social justice. The changes correlate with some fluid elements of national cultures like McDonaldization, the use of smartphones and social media; changing and adapting to global influences like globalization. In other words, globalization and the application of human rights are determined by and dependent upon the pliable features of a national culture. PRK remains a significant outlier because of national sovereignty.

In “Human Rights along the Grapevine”, Mark Goodale agrees with Merry using a clarifying caveat. He points out that the writers of the UDHR did so with an “anti-internationalism” delegation in mind. To Roosevelt, the understanding and implementation of the UDHR for citizens in countries closed to creating laws that protected human rights, “a curious grapevine” would bring to pass the information about the new normative system. As individuals learned about their human rights, they could initiate a change in culture, from the bottom-up, which cultivates a new national culture that honors the universality of human rights, through the respect and honoring of human rights on a national level first. He suggests the UDHR provides a standard by which global humanity can identity and measure the protection or violation of human rights under specific governments, particularly regarding repression and subjugation. It is important to know that the UDHR does not and cannot override national sovereignty. National sovereignty reigns supreme when it comes to what takes place within the borders of a country. Do human rights require acceptance on an individual country basis—culturally relative–or should they find recognition and protection through global application? Returning to the Warmbier case, let us look at the accusation of the torture by the US.

a picture of the inside of Port Arthur Prison
Prison at Port Arthur. Source: Dushan Hanuska, Creative Commons.

Torture: Pot meet kettle

Torture, for Callaway and Harrell-Stephenson, is the most significant human rights violation because it not only violates the individual but also instills a system of fear within a society, removing a sense of security. Several international law, covenants, conventions and declarations conclude that torture is a direct violation of a person’s rights and dignity. Article Five of the UDHR states, “no one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment”. Article Two of the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (CAT) reads, “Each state party shall take effective legislative, administrative, judicial or other measures to prevent acts of torture in any territory under its jurisdiction.” The United States is a state party to the CAT, yet even in the declaration of agreement, there is a stipulation that invokes national sovereignty:

That the United States considers itself bound by the obligation under article 16 to prevent `cruel, inhuman or degrading treatment or punishment’, only insofar as the term `cruel, inhuman or degrading treatment or punishment’ means the cruel, unusual and inhumane treatment or punishment prohibited by the Fifth, Eighth, and/or Fourteenth Amendments to the Constitution of the United States

It is tempting to think totalitarian and authoritarian regimes are uniquely guilty of torturous actions. Bobby Sands of Ireland as well as former prisoners of Guantanamo Bay (Gitmo), and the photographic evidence from Abu Ghraib are reminders that democratic governments, including the US, can also perpetrate human rights violations. Let us briefly discuss Gitmo and Abu Ghraib as examples of how America treats enemies of the state and prisoners of war based upon the conditions the government stated within the CAT.

“It is very, very scary when you are tortured by someone who doesn’t believe in torture…” Ahmed Errachidi

Callaway and Harrell-Stephenson observe that for the Nazis, the removal of Jews to concentration camps brought about an ‘out of sight, out of minds’ perspective to the population. Apuzzo, Fink, and Risen assert the denial of torture as “enhanced interrogation techniques” positions the US as an entity that contradicts its values by employing tactics that stand in direct opposition to those values. In their article, they present the case that the US frequently conducts arbitrary arrests based upon nonexistent or flimsy evidence. Arrests regularly fails to provide due process to those in custody, flagrantly participates in behaviors where the lines remain blurred as “amounted to torture or succeeded in extracting intelligence”, and discard prisoners without explanation or charges to return to their home countries and families as shells of who they once were.

Gitmo is synonymous with the torture of prisoners by the US. Testimonies of former prisoners, interrogators, physicians, and medical and government documentation speak to the humiliating and abusive tactics utilized by American soldiers and CIA personnel to obtain “information” which could be used to capture and prosecute additional enemies of the state. However, as mentioned in the 60 Minutes interview, torture may not result in the victim providing useful information. The prisoner simply says what is necessary to end the suffering.

Former President George W. Bush determined waterboarding, a technique that stimulates the feeling of drowning and induces stress, does not constituting torture. President Obama in 2009 disagreed, banned its use by the US, and sought to close Gitmo during his presidency. During the 2016 election, Donald Trump promised to reinstate waterboarding and torturous acts, stating, “I’d bring back a hell of a lot worse than waterboarding.” The collection of stories in the NY Times piece is consistent with the photographs from Abu Ghraib. The photos taken by American soldiers reveal the dishonoring, degrading, and torturous action inflicted upon prisoners of war in American custody. Given our treatment of prisoners, whether actual enemies of the state or someone arrested due to mistaken identity, America has little credibility when attempting to call out PRK on torture.

The line between cultural relativism and universality is thin. The United States, as active perpetrators of torture and degrading punishment including waterboarding, stands cheek-to-cheek with the country it seeks to name and shame into submission. The Curious Case of Otto Warmbier challenges the authority of national sovereignty and cultural relativism in the light of human rights and their universal application. The call to protect human rights is an all or nothing call; there is no in-between. To stand on the values of truth, justice, and law for one person, one area or country, you must stand for it for all persons, areas or countries.