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.

Essay

Culture

Film & TV

9 April 2024

5 min read

Scorsese’s fusion

The director's whole canon is infused with religion.

Sonny Tindall

Sonny works creatively with videography, graphic design, fashion, and photography.

A bloody and shocked boxed leans on the ropes

Robert De Niro in Raging Bull.

United Artists.

Since the release of Silence in 2016, film critics have referred to Martin Scorsese’s ‘Trilogy of Faith’; this term refers to the legendary director’s three faith-based movies, a 'trilogy' of films which was brought to a neat completion by Silence.

Or was it?

Scorsese recently announced his next project: The Life of Jesus. This will be his fourth film that sits comfortably within in the ‘faith’ category, shattering the neat theory of a trilogy of films. Not only that, this film, which will be an adaptation of a novel of the same name by author Shūsaku Endō (who also authored Silence), has officially put an end to a notion that has irked me for some time: that themes of religion and faith are exclusive to just three of Scorsese’s twenty-six films.

Into the seventh decade of his long career, it feels as though no cinematic ground has been left uncovered by Scorsese. From a children’s film about the awe-inspiring wonder and amazement that cinema offers (Hugo), to an absurdist black comedy with an unassuming philosophical sting (After Hours), to a psychodrama depicting the corrosive effects of isolation and disillusionment eerily predictive of today’s Incel culture (Taxi Driver). And then there are the films that, at least at first glance, stand in opposition to his signature mobster-epics - his aforementioned ’Trilogy of Faith’.

Even when Scorsese is telling stories completely removed from faith, he still weaves spiritual content into the fabric of his work.

Scorsese’s first foray into depicting overtly spiritual subject matter was 1988’s The Last Temptation of Christ. It sees Scorsese, and frequent collaborator and screenwriter Paul Schrader, seek to find and dissect the humanity of Jesus (played by Willem Defoe). This film dives headfirst into the complex waters of the incarnation, asking what it means for Jesus to be both fully man and fully God. Scorsese subsequently creates a portrait of Jesus as a human wrestling with the complexity and ambiguity of his own divinity.

His second ‘Faith Movie’ sees him delve into the world of Buddhism and non-violence with 1997’s Kundun. It is part history lesson, part spiritual exploration, showcasing the life of the 14th Dalai Lama. The film begins with the Dalai Lama being discovered by monks at the age of two and tracks his life as both the spiritual and political leader of Tibet, until its annexation by China and his exile to Northern India in 1959. Similarly to Last Temptation, it is within the ambiguity of a dual identity that Scorsese finds the narrative thread of the film; while Scorsese’s Jesus is caught in the tension of being both God and man, the Dalai Lama must wrestle with his identity as both the political and spiritual leader of a nation amidst a world in constant conflict.

Which brings us to the supposed culmination of Scorsese’s ‘Trilogy of Faith’: 2016’s Silence. The film, based on the novel by Shūsaku Endō, tells the story of two Catholic Portuguese missionaries in 17th Century Japan. When it comes to the setting and plot of this film, the crucial contextual detail is that, in an attempt to stamp-out peasant uprisings, Christianity has been outlawed in Japan. And yet, the film sees these two Catholic priests (played by Adam Driver and Andrew Garfield) venture into a land where Christians are being routinely tortured and executed for their faith. Their motivation for doing so is to find their mentor, Father Ferreira (Liam Neeson), who has reportedly renounced his faith. Upon their arrival, the two priests are confronted with the reality of the Japanese regime, coming face-to-face with relentless brutality and violence. And, as the narrative unfolds, they become active participants in the fate of other Christian prisoners, for whom the choice to defend or renounce their faith is a choice between life or death. As a result, we witness the priests’ personal beliefs, as well as their opinions of Father Ferreira’s decision, begin to change.

And there we have it: what the critics would have you believe is Scorsese’s ‘Trilogy of Faith’. While it is true that these are the only films that directly depict religious subject matter, this theory overlooks the constant presence of religious imagery and themes throughout his entire career. Indeed, there is more to Scorsese’s highly stylised, Rolling Stones soundtracked, bombastic gangster films than this theory would have you believe.

To fully expound the religious themes in Scorsese’s work would require an entire career retrospective: from his very first film (Who’s That Knocking at my Door – 1967), where the young Catholic boy struggles to reconcile his idealisation of the virginal purity of women with the reality of the women in his life, all the way up to his latest feature, (Killers of the Flower Moon - 2023), the third act of which is built upon notions of guilt, confession and forgiveness. Even when Scorsese is telling stories completely removed from faith, he still weaves spiritual content into the fabric of his work.

Silence, 2016.

A 17th century monk holds up a wafer before an altar while Japanese Christians kneel.

Andrew Garfield in Silence.

Yet, there is one film, and one scene in particular, that I would suggest epitomises the profound influence that Christianity has had on Scorsese’s life and work; it is the closing scene of 1980’s Raging Bull, a biopic of Italian-American boxer, Jake La Motta (Robert De Niro). And you’d be forgiven for thinking that this stark film about a man who is defined by violence has no spiritual content, nor religious imagery to it. Yet, as the film draws to a close, La Motta looks at himself in a mirror and recites Marlon Brando’s famous ‘I coulda been a contender...’ monologue from On The Waterfront. And then, as the film fades to black and the only thing left for the audience to expect is the rolling of the credits, an excerpt of John’s Gospel fills the screen:

‘So, for the second time, the Pharisees summoned the man who had been born blind and said “speak the truth before God, we know this fellow is a sinner”. “Whether or not he is a sinner, I do not know”, the man replied. “All I know is this: Once I was blind and now I can see”’.

This movie, which neither centres religion nor cinema in its plot, climaxes with one of the greatest cinematic monologues, and ultimately, a Bible verse.

Why?

Because, for Scorsese, a man who flirted with entering the priesthood in his younger years and was first exposed to cinema through one of his local priests, the marriage of Catholicism and cinema have defined his life. Therefore, when it comes to work of Martin Scorsese, it would be impossible to have one without the other.

Now that Scorsese himself has explicitly moved beyond the idea of a ‘Trilogy of Faith’; perhaps the critics, and we the audience, should do the same.