"Sewall can say what the generals who devised the manual cannot. She addresses the concern that the manual is nothing more than a “marketing campaign for an inherently inhumane concept of war,” arguing that if politicians continue to put young American men and women in harm’s way, military leaders have an obligation to enhance effectiveness, which in a globalized era cannot be disentangled from taking better care of civilians. Military actions that cause civilian deaths, she argues, are not simply morally questionable; they are self-defeating."