Punitive Coma

In Philip Kerr’s book A Philosophical Investigation, criminals are punished with ‘punitive coma’: they are rendered unconscious for a period of years, proportional to their crime, up to and including ‘indefinite coma’, where they are left in that state until death. Essentially, it amounts to the state taking years off a person’s life.

There’s a lot to recommend it: the costs to the state of incarceration are ridiculously low, comparatively; there’s no danger for guards or inmates, or the public since the convict can’t escape; the problem of prison as a finishing school for inmates disappears. As a punishment, it’s admirably direct.

As a replacement for the death penalty, it really shines. While a sentence of indefinite coma is, effectively, a death sentence, if the convicted is later found to be innocent the coma can be reversed; this removes a lot of the stigma from the death penalty, namely the uncertainty of our justice system in using it accurately. It can’t be judged inhumane (or at least, isn’t in the book) in terms of suffering, since deep space travel will probably involve exactly the same procedure.

On the other hand, the convicted is unable to assist in his own defense after a guilty verdict, though arrangements could be made for a yearly ‘waking up’ to consult with an attorney. It also rather gives up on rehabilitation, since the convict has no opportunity to reflect on his actions and perhaps change something in his life, such as learning a legitimate trade. However, given the rehabilitation rates of our current prison system, I’m not certain the last is much of an objection.

Ultimately, though, there is something cruel, and possibly inhumane, about taking years from a person’s life. I can’t think specifically why, but it gives me the willies.

So what do you think? First, is it doable with current medical technology? Second, is it a moral form of punishment? Third, is it as pragmatic as it appears?

I think it would be most effective only in cases that the death peanalty would be given, not for normal prison sentances.

One of the alleged purposes of putting a convicted felon behind bars is to give him time to reflect on his crimes and reform.

If he’s unconscious the whole time, he’s going to wake up as basically the same man he was when he was put under.

Of course, if I’d read the whole OP and not just jumped in with my two-cents’ worth, I would have seen this:

:smack:

I’d sure rather get 20 years in a coma than 20 years behind bars!

One point from the book should be made: the government of the time was elected on a platform of “retributive justice”, not rehabilitative. Basically, criminals were to be simply punished for deterrent effect, with no attempts made to alter their character. Punitive coma obviously fits right in with this.

So how effective would it be at deterring crime?

I am sure Qadgop will be along shortly with the definitive medical opinion, but I would be surprised if a medically induced coma could be maintained for a period of years, or that it can be switched on and off at will. Constitutional issues aside, I don’t think it is even possible.

A friend of mine was on life support for several weeks. He eventually recovered fully, although he then had to go through a couple of months regimin of physical rehabilitation.

I don’t know whether he could have been kept on life support for years. Also, I think it’s very expensive.

All in all, this doesn’t sound like a practical plan, at the moment. Nor do I favor it, even, if it were practical.

Being kept “sedated” would not require life support per se but something akin to TPN feeding would be required. Things like muscle atrophy after long term application would make it kinda rough. Maybe having them sedated and getting them up once a week for an “exercise day” or something might help. I don’t know enough about “long term” care issues to give a good opinion on that. Personally, if it could be done without ill health effects, I would be all for this. I would much rather sleep off a sentence than stare at a wall 24/7.

How are these comas induced in the book? How are they reversed?

Well, it is certainly an unusual “punishment”.

I would also say it was somewhat cruel on the family of the prisoner, who can no longer even talk to or receive letters from their incarcerated loved one, who is effectively dead to them.

Which makes it a cruel and unusual punishment in my book. (Of course, being a European I am aware that my understanding of this phrase is likely completely different to that of most Americans)

And if you were innocent and needed to fight your case?

They don’t give details about the chemicals–you’re rendered unconscious (and kept there) by IV, and put into a morgue-like cabinet where a special bed prevents bedsores. The implication is that it’s a state of heavy sedation that can be reversed by simply turning off the drip. The muscular atrophy and general physical debilitation are considered part of the punishment. Thus, waking up twenty years after the fact means not just missing the last twenty years, but being almost crippled as well, though in a non-permanent way.

Well, that’s rather part of the punishment isn’t it? Having many years taken off your life includes missing everything that would be important to you in that time, like your children growing up. It makes it a more effective deterrent. You can’t pretend that a convict’s family doesn’t already suffer, with his being removed from them, unable to support them, and possibly prohibitive circumstances making visits and such difficult.

Howso different?

It’s a thoroughly disgraceful and reprehensible idea … and the worrying thing is, compared to the existing system, it’s actually got points to recommend it. At least your comatose criminal doesn’t wake up any worse than before … and the cost might even compare favourably with the expense of keeping someone in the squalid crime academies which prisons seem to be today.

In a society which has completely given up on the idea of criminal rehabilitation, this would seem to be a viable proposition. I sincerely hope that we are not that society.

Indeed hansel, but this would appear to take it to a whole new level.

In one case, the family knows that they’re there and are still part of their everyday life via letters, phone calls and visits (however infrequent). If children are involved, they still have a chance to know their parent, who can help them to understand the situation and hopefully impress upon them how “daddy/mommy did a bad thing”.

A comatose patient, however, simply may as well be dead. Indeed, even more problems might arise from the family almost “forgetting” about them due to the absence of reminders and suddenly having to deal with a real, living human being who is only a distant memory. As for children, taking them to see a shrivelled human vegetable who is like that because the state decreed it will perhaps instill conflicting views about who the “baddies” are.

That was merely an expression of my bemusement regarding what is considered acceptable in the American penal system. The very idea of eg. reintroducing capital punishment is simply never even raised in informed political argument over here.

Keeping a person unconscious is very high-tech, and would be far more expensive than keeping them conscious but locked-up. they’d need very close monitoring, lots of expensive medications and treatments, and the mortality rate would be very high, not to mention the morbidity. Rehab after being “awakened” would be extensive and expensive too.

So, technologically, we’re just not there yet.

You might be interested to know, then, that the book is set in a somewhat dystopian near-future Britain.

Interesting idea, but I don’t think it would ever be possible to get the public to accept sleeping as a form of punishment. Even if on awaking they find the world has left them behind their victims will feel they can’t have changed, all it would take to ruin public confidence would be a few notable re-affenders. It you could influence their behavior while they sleep, a la demolition man, it might be more acceptable.

This wouldn’t work.
Because high dependency and ICU beds are SO CHEAP.
What with the round the clock nursing, cost of parenteral nutrition, physiotherapy, antibiotics, ventilators etc.
And yes, it would all be necessary.

Also, PEOPLE DIE IN COMAS.
From oedema, pneumonia, infected bedsores, kidney infections, bowel obstructions, septicaemia and meningitis.

Whatever happens, the person would probably wake up to find they have serious mental dysfunction and physical problems, possibly including being unable to walk, swallow, talk or care of themselves.

It’s not cheap, it’s not humane, it’s probably cruel and unusual, and it’s not workable.

On preview, what QTM said.