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The procedure may have been invasive but the risk for the commander was minimal and lives would be saved. Act Utilitarianism maintains "that actions and policies are right when they produce the greatest net benefit/lowest net cost". The rightness or wrongness of individual actions is defined in terms of the good or bad consequences realized by those actions themselves. The commander definitely suffered undesirable consequences; the unknown benefit cannot really be considered because we will never know if any soldier's life was saved. Perhaps someone more aggressive could have been sent to take his place while he was recovering from the surgery...
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