The dying decision: choice, coercion and community

A Japanese drama about medical assistance in dying, Plan 75, reveals a lot about our relationlessness.

Sian Brookes

Sian Brookes is studying for a Doctorate at Aberdeen University. Her research focuses on developing a theological understanding of old age. She studied English and Theology at Cambridge University.

In a retirement home, a older person sings karaoke while the person behind waves a hand.

Chieko Baishô plays Michi.

Happinet.

“Being able to choose when my life will end provided me with peace of mind. With no feelings of doubt. She led a good life on her terms, people will say”.

In Chie Hayakawa’s 2023 dystopian drama Plan 75, these are the words of a silver-haired, wrinkled woman in a promotional video for the eponymous plan – a government scheme which offers all over 75-year-olds the option of a pain-free death at the time of their choosing.

And yet for Michi, an older lady toying with the decisions around Plan 75 it doesn’t really feel like it is her choice which matters at all. Whether it is the $1,000 grant offered as an incentive to die, the luxury amenities on offer at the Plan 75 facility promoted in leaflets and magazines, or the young person employed to gently guide the candidates towards their death (but whose real job it is to make sure they follow through with it), this is a world which has a clear agenda – to rid society of older people. Indeed, it is clear that this is a vision of a world which believes it is better for old people to die than to put financial burdens on the economy or their families, and this is a culture willing to subtly coerce individuals to accept and act on that belief.

Plan 75 reveals an interesting point at the heart of the MAID (Medical Assistance in Dying) debate. One of the primary reasons that MAID is so attractive is the ability to take back control of one’s life and death, yet what happens when that seeming control isn’t really within the individual’s own control at all? For Plan 75, what is marketed as giving control back to older people, is really just a twist on a more sinister political policy to pressure individuals to sacrifice their “burdensome” lives for the greater good. Of course, this is a common argument for rejection of assisted suicide. This is the dangerous ‘slippery slope’, where MAID begins as an option only for those who desperately need it to relieve intense physical suffering. Yet it quickly becomes a tool to remove people whose lives no longer seem worth living due to societal expectations and opinions, rather than any objective reality.

Do we ever truly choose to die totally independent of the expectations of those around us?

For many, this problem can be appeased through strict legal controls over MAID – as long as the powers that be are regulated, MAID is still OK. As long as it is the individual who maintains control over their own death (and not the state), the goal of personal autonomy is maintained and all is well. And yet this perspective fails to ask the question - is such control over our own death ever actually possible? Do we ever truly choose to die totally independent of the expectations of those around us? In a world which places so little value on old age, can older people really make choices unaffected by that (deeply flawed and inhumane) logic? And, indeed - the elephant in the room – no matter how much we try to control death, in the end is it not death that ultimately controls us? As fundamentally finite beings we can never escape it completely – it will always find us one way or another. Ultimately, we will all have to face the reality of death when it comes to us. Complete control and autonomy are never truly possible.

In light of this unveiling, the possibility that complete choice and autonomy around death isn’t really an attainable goal, what better options might we pursue?

Where previously we would find comfort and hope in being loved, known and held by others in our death, now all too often this isn’t the case.

One thing is clear in Plan 75, the isolation and loneliness of older people in a society that has rejected them is deeply problematic. The movie primarily follows the stories of Michi, who lives alone with no family and Yukio Okabe, an older man totally estranged from his remaining family. Both face life, and are facing death, alone. We live in a world where increasingly we are forced to face death alone. When our final days and hours rarely happen in the family home, surrounded by our loved ones, but in faceless institutions devoid of lifelong meaningful relationship the sense that we are no longer doing death together as a society is acute. Where previously we would find comfort and hope in being loved, known and held by others in our death, now all too often this isn’t the case.

At the same time, there is no doubt that our modern world is unceasingly committed to the ideal of individual personal agency and autonomy – “She led a good life on her terms”. As a myriad of philosophers and theologians have commented, belief in human autonomy has come to replace belief in God. And MAID is one area which reveals this to be the case most acutely. Where previously we would turn to God to find comfort in the face of our finitude, instead now we turn to ourselves – the last hope we find in the face of death is our individual ability to control it.

Death and health should be a corporate phenomenon – when one person is ill, all of society is ill.

The German theologian Eberhard Jüngel described death in this broken world as “the occurrence of complete relationlessness”. In fact, Jüngel suggests that as human beings we are first and foremost made up of our relationships – we are truly human not by how we self-define in isolation but how we relate – how we relate to the God who made us, and how we relate to other people. This need for relationship is found most acutely in the face of death. As Ashley Moyse points out in his book, Resourcing Hope for Ageing & Dying in a Broken World, death and health should be a corporate phenomenon – when one person is ill, all of society is ill. And so, as death increasingly becomes the journey of the individual – when we face death in isolation from others and in isolation from God no wonder we feel such a strong desire towards control, towards ending our lives prematurely, towards science to help us avoid any more pain than we can bear alone.

In Plan 75 we see glimmers of hope in the possibility of relationship. As Michi and Yukio find rare moments of human connection with a long-lost nephew, with a young person working for Plan 75, with another older person going through the same questions around mortality you can’t help but feel deeply uncomfortable with their choice to apply for the scheme. It is in the hints of love, physical touch, smiles exchanged, even a simple conversation shared between two people that suddenly MAID seems so disconnected with the hope that life still has to offer through relationship. Perhaps if we could imagine a world where death became no longer an occurrence of complete relationlessness, but a locus for relational dependence, for familial connection, for leaning on God and not ourselves, the need for MAID would feel a little less necessary. It would be a world with a little more hope.

Review

Aliens

Culture

Film & TV

4 June 2024

7 min read

The problem with The Three Body Problem

The possibility of love in a universe of terror.

Roger Bretherton

Roger is a Clinical and Coaching Psychologist.

a man leans against one end of a table one another sits against its other end.

Two bodies contemplate a problem.

Netflix.

If you are prone to nightmares or paranoia you might want to steer clear of the first season of Netflix’s sci-fi epic, 3 Body Problem. Adapted from Cixin Liu’s multi award-winning Remembrance of Earth’s Past trilogy, the story starts in the Chinese Cultural revolution of the 1960s and ends twelve million years in the future. Mercifully the narrative is non-linear, so we’re spared a minute-by-minute account. It begins as a global mystery - scientists all over the planet are taking their own lives in mysterious circumstances – and ends with advanced alien weaponry collapsing the universe to a single dimension. All based on a true story, apparently.

Why the paranoia? At the heart of both Liu’s novels and the Netflix adaption, is a particularly terrifying solution to the Fermi Paradox. Enrico Fermi was one of the physicists working on the Manhattan Project (played by Danny Defari in the Christopher Nolan depiction of it in Oppenheimer), who presented his now famous paradox to his colleagues at Los Almos. The paradox goes like this: in a galaxy of billions of stars similar to our sun it is almost certain that advanced alien life is out there, and yet we have not received any convincing evidence of their existence. This, it seems, requires some explanation.

Interestingly, this question was also the starting point of C.S. Lewis’ sci-fi cycle The Cosmic Trilogy, and lies behind the title of its first book, Out of the Silent Planet. According to Lewis, the Earth has been placed under a kind of galactic quarantine, as a result of the fall of humanity, nothing and no-one is allowed in or out. The solar system is teeming with life, but we are partitioned from it. We’ve been blocked from the cosmic WhatsApp group for breaching behaviour standards. The aliens are out there but they’re keeping clear. We are the silent planet.

Cixin Liu however opts for a darker and more disturbing solution to Fermi’s question, which provides the title of the second book in his trilogy, The Dark Forest. The aliens are out there, but it is not we who have been silenced, it is they who are silent. The universe, according to this theory, is like a forest filled with predators and the most sensible thing any intelligent life can do is hide in the undergrowth to avoid attracting attention. Telegraphing our existence into the void by sending signals into space is to naively invite destruction. Alerting the universe to our presence is an act of existential self-harm. The universe is silent because everyone is hiding. For Lewis the universe shone with a love from which we had been excluded, for Liu it is saturated with malice from which we should exclude ourselves.

If Nietzsche was right, that we can survive any how as long as we have a why, then Liu’s characters are saddled with the opposite burden: endless hows and no why.

It probably isn’t too much of a spoiler to acknowledge that the inevitable happens. Aliens are contacted. They do make plans to invade. It is arguably a bit more of spoiler to give away exactly how this happens. The distance between them and us is so vast that, even travelling at one percent lightspeed it will take their invasion fleet four hundred years to get here. And in the meantime, just to ensure we can’t mount any meaningful defence against them, they fold a planet-sized computer into a photon-sized particle and send it to earth to sabotage all technological development. They can watch our every movement, overhear every conversation. We know they are coming and can do almost nothing about it. The bodies of suicides hanging in the fog from every lamppost lining the Thames underline the overriding despair. It is deliciously bleak. I did not sleep well after watching it.

Liu’s brilliance is not in doubt. The Netflix adaptation can barely capture the fireworks of creative inventiveness that crowd every page of his books (indeed the producers even dropped the definitive article from the book's title). In China, his fellow science fiction writers simply call him ‘Da Liu’ (Big Liu) in honour of his works of towering imagination. But I can’t help feeling that the overall atmosphere of The Three Body Problem is an example of what the theologian Carver Yu, another Chinese author, claimed characterised our culture: technological optimism and literary despair. Liu’s characters respond to the relentless encroachment of a malevolent universe with endless technological innovation. They possess an inexplicable will to survive in a cosmos where no one would wish to live. If Nietzsche was right, that we can survive any how as long as we have a why, then Liu’s characters are saddled with the opposite burden: endless hows and no why. They are thirsting for purpose while drowning in applications.

What struck me most watching the Netflix adaptation was that it seemed to extend the experience of living in a post-industrial society to the whole universe. Our sense that many of the organisations to which we owe our allegiance are clever but inhuman, technologically advanced yet amoral, is expanded to fill the farthest reaches of our imagination. Of course, human beings have always done this. Our ancestors saw faces in the clouds and gods in the constellations. We peer into the emptiness of the skies and populate them with our fears and hopes. Faced with the Copernican revolution and the rise of science, Pascal anticipated the cosmic horror of Liu by nearly four hundred years in confessing, ‘the eternal silence of these infinite spaces fills me with dread.’ The Three Body Problem, unlike Lewis who saw planet Earth as an aberration in an otherwise benevolent cosmos, takes our global technological arms-race and makes it the ultimate reality of the entire universe.

The crucial point is that we are not obliged to populate the blank canvas of the cosmos with the malice of Liu or the terror of Pascal.

The Three Body Problem then, like much science fiction, is a valuable and ingenious thought-experiment, but not one I wish to dwell on for too long. I prefer to contrast it with something closer to the cosmology that informed C.S. Lewis. One in which the core operating principle of everything is not the necessity of violence, but the indispensability of love. Something akin to Teilhard de Chardin’s assertion that in the dreams, wonder, exploration and imagination of love, a thread is woven that reaches the very heart of the universe. Despite all appearances to the contrary, love is the deepest reality of all.

This assertion is problematic in many ways. Not least in the face of the evident brutality and violence that traumatises human life. But even more fundamentally than that, how can we intelligibly assert the primacy of love while gazing out at a vast indifferent universe? What are we to do with those infinite silent spaces that so terrorised Pascal?

Perhaps we can try another thought-experiment. This one is drawn from the work of philosopher Chris Barrigar. He calls it the Agape/Probability account. The full argument is long and detailed, so there is no time to explain it all, but the broad brushstrokes are enough. Here’s the thought. What if we live in exactly the kind of universe required to produce creatures who can freely choose to live with self-giving love? They couldn’t be forced or coerced into it, but the conditions could be set in place that would lead to the emergence of such beings. The principles of ‘asymptotic’ statistics suggest that some things may not be determined but they can be so highly probable as to be inevitable. Barrigar asserts that the appearance of a species with the capacity to love was a cosmic inevitability. What is required to turn this possibility into something pretty much certain? Two things – lots of opportunities and lots of time. In other words, with apologies to Carl Sagan, if we want creatures capable of love, we need to build a universe.

Of course, a universe like that – a universe like ours – will throw up many other things in addition to love: violence, rock music and apples pies. But the crucial point is that we are not obliged to populate the blank canvas of the cosmos with the malice of Liu or the terror of Pascal. The cold silence of space does not in itself contradict our intuitive sense that the capacity to love is somehow ultimately significant. On the contrary, when we look at the vast distances between the stars, we could be looking at the minimal amount of spaciousness required to bring about beings with the capacity for self-giving love. At the very least, it’s a thought-experiment worth trying.