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Assisted dying
Creed
Suffering
4 min read

Assisted dying: in praise of being a burden

It's not a reason to end a life, it's the very possibility of our being human.
A younger hand holds a wrinkled older hand of someone in a bed.

A lot has been said already about assisted dying. In the raging bonfire of public discourse, there has been a lot of heat, but not a lot of light. But amid all the noise surrounding Parliament’s upcoming discussion around assisted dying, a recent conversation hosted by Prospect between Brenda Hale (former President of the Supreme Court) and Rowan Williams (former Archbishop of Canterbury) served as a reminder that we are, despite everything, still capable of having meaningful and fruitful discussion about even the most divisive of issues.  

The conversation is earnest and hard-won throughout; both Hale and Williams each push and probe the other for more detail, more nuance, more outworking of implications. And yet their tenor remains respectful. There is no cheap point scoring, no trite comments or easy aphorisms. These are two people working to understand the other, in full recognition of the gravity of the topic.  

One particular moment, however, was frankly spine-chilling. As the conversation progresses, Hale is asked the following: “How do you deal with the pressure questions – pressure from family or financial pressures? What safeguards can you build in?” Her response – in full, for context – is as follows: 

“Well, you can build in the safeguards that the decision must be made without undue influence, coercion, duress or fraud. But in the end, it’s a matter of evidence, isn’t it? One of the things I find most difficult is that I don’t think it’s necessarily irrational for somebody to take into account the suffering their suffering is causing to the people dear to them, or the burden that looking after them is placing upon the whole community.  

I wouldn’t call that “undue influence”, but it’s one of the questions I find most difficult about all of this. You know, obviously there’s duress, there’s financial abuse, there are all of those sorts of things that have got to be checked against, and there ought to be objective evidence of absence of that. But when it comes down to somebody thinking, “I don’t want to be a cause of others suffering,” that seems to me to be a reasonable thing for somebody to take into account.”  

The idea that my dependency or burdensomeness might factor into decisions about whether I continue to live, seems to me to be contrary to the very notion of the Christian message. Let me explain why. 

We are made to be a burden, then. To depend on others, to be burdensome to them, is to be human.

We are, whether we like it or not, now rapidly approaching Christmas. At this time of year, Christians celebrate the birth of Jesus; the divine Son of God made flesh and born of a virgin. As the divine Son of God, Jesus lived the perfect human life of joy, grace, and faithfulness; the kind of life I can only aspire to. 

Because of this, as a Christian, I look to Jesus’ perfect life of faithfulness as a model for what a truly healthy human life looks like. And I am often surprised by what I find there. For example, it turns out true human flourishing does not involve getting married, having sex, or having children; Jesus’ perfect life of flourishing featured none of these things. 

But crucially, Jesus’ perfect life often involved depending upon others; upon being a burden to those around him. As an itinerant travelling teacher, Jesus relied on the financial support of his followers to make his ministry possible. He relied on being made and given food to eat, and a roof to sleep under. He was far from self-sufficient. Rather, he gladly made himself a burden to others in service of his ministry.  

But more than this, we often overlook the radical significance of the Christian claim that, at Christmas, we celebrate God’s becoming a baby. For the first years of his perfect life, Jesus was entirely – entirely – dependent upon his parents for all his needs. Here we see God, in the person of Jesus, depending upon Mary and Joseph to feed him, to clothe him, to cuddle him, to clean up his sick and his excrement. This is what human flourishing looks like. 

This is mirrored at his glorious death, too. Prior to his arrest, Jesus asked his friends for support; to stay awake while he prays for comfort. The Gospels go on to tell us that, having been mercilessly tortured, beaten, stripped, and interrogated, Jesus had his cross carried by a man named Simon of Cyrene. After his death, having no tomb of his own, Jesus was buried in the family tomb of his follower Joseph of Arimathea. And this, too, is what human flourishing looks like. 

Throughout his entire life Jesus lived the perfect life of human joy and faithfulness. And this often involved depending upon others and being a burden to them in every way conceivable. We are made to be a burden, then. To depend on others, to be burdensome to them, is to be human.  

To think, then, with Baroness Hale, that my dependency and burdensomeness upon others might somehow serve to underwrite a decision to end my life, is fraught with difficulty for me as a Christian. I simply cannot reconcile her words with the life I see Jesus living in the Bible: a life of joyful, difficult burdensomeness.  

There may be many other reasons why people decide they want their lives to end. But a sense of burdening others ought not to be one of them. Being a burden is not a reason to bring one’s life to an end, because it is the very possibility of our being human in the first place. To need others, to place ourselves into their care, does not make us less human, it makes us more human. And therein lies its glory.  

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Assisted dying
Care
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Death & life
2 min read

Assisted dying: truly a black Friday

The UK takes a step into the bleak unknown.

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

Four MPs stand at a table with heads bowed.
Assisted dying vote tellers acknowledge the result.
Parliament TV.

So, the House of Commons has voted in favour of assisted suicide. When the result was announced there was an audible gasp in the House. There were no cries of victory or whoops of delight. Maybe it was a sense of the gravity of what the MPs had just done. Presumably there was some relief for those who had advocated a change to the law but for those who were against it, a deep, deep sadness. 

The arguments have been rehearsed many times over the past few weeks, although to be honest it feels like this debate has been extraordinarily rushed, given the gravity of the step we have just taken. Of course, the bill now needs to be scrutinised and voted on further, and it may yet fail. 

Of course, not every Christian is against a change to the law. And I do feel the strength of the argument for individuals in extreme pain as death approaches. Yet the more I have thought about it, the more convinced I have become that this is a grave error. I worry that as we all grow towards old age, this decision will open the gates to an intolerable choice. Numerous people, especially the elderly and confused, those who go through depressive episodes or whose lives are in a mess and need encouragement and support not the suggestion of an easy way out, will be tempted to take a drastic step that before, would not have been possible. 

Surely one of the best defences against suicide is simply to make it unthinkable, so it's not really an option, however bad things get. Once it becomes not only an option but even in some cases recommended, we have opened a door that should have remained closed. As someone said about the progress of MAID in Canada, what started as occasional permission gradually became a viable option, and now risks turning into an obligation.  

Whatever happens, there is need for further vigilance - to protect the vulnerable, to hold those who advocated for change to the safeguards they put in place, to keep pushing for investment in palliative care. And as far as possible, to keep this as an option for the very few.  

Yet those things seem much harder to do now. If life is the gift of God; if the attempt to control everything, even our last moments in the mystery of death is a pathological mistake of modernity; if exalting personal autonomy over all other considerations is a denial of our interdependence; if being cared for by others in our last moments is more important than the assertion of personal choice, then this seems to be a moment when as a society we have embraced death, not life. It does feel truly a black Friday.