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

Culture

Film & TV

16 January 2024

6 min read

Wealth is worth? Questioning the immigrant experience

Garnering yet more awards, TV series Beef expertly explores identities. Krish Kandiah revisits the K-wave drama.

Krish Kandiah

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

in a dim room a couple stand off against each other.

Steven Yeun and Ali Wong play Daniel and Amy.

Not since the ground-breaking series Breaking Bad can I remember such a captivating opening sequence. A road rage incident escalates. And escalates. And escalates. Just when you think things can’t get any worse in this dark Netflix comedy, the vicious consequences of the feud unravels further. I couldn’t stop watching, and soon Beef had me firmly dragged into the world of two protagonists, who may have had very different experiences of the Korean American dream but were more alike than they would ever dare to admit.

I am a huge fan of the global Korean cultural renaissance known as the K-wave. For me it started with Psy, the breakout Korean singing superstar hitting number one in the UK charts with Gangnam Style in 2012. Then there was BTS, the Korean Take That equivalent, who duetted with Coldplay and became the best-selling band in the world. Parasite was a remarkable movie, that grabbed multiple awards at the Academy Awards of 2020. Squid Game took the concepts of battle royale and Hunger Games to a whole new level and became a Netflix number one global download hit in 2021. Throughout the K-wave decade I have also been an ardent devotee of Samsung, the biggest brand in mobile phone innovation.

Something important is happening with the global recognition of Korean culture. Beef represents another step forward showcasing the Korean diaspora cultural ascendence. At this year’s Emmy Awards it is the third most nominations. It follows on from the Canadian comedy series Mr Kim, which offered an affectionate and amusing exploration of the experience of a second-generation Korean family coming to terms with life in Toronto. Beef similarly presents the US-Korean cultural experience without explanation or apology. It is powerfully assumed that this is legitimate and normal. There is no embarrassment, no exposition: just a cultural and narrative world that the viewer has to catch up with as soon as possible before they miss something.

Beef is Korean and American. It is a comedy and a tragedy. It is also, ultimately, a morality and immorality play. It explores three main issues: anger, identity and aspiration and how they interact with one another – for good and for evil.

But the rage runs deep. It is toxic to everyone it touches. What can break its power?

The instigating event in the show is a road rage incident between Daniel, a second-generation Korean immigrant to the US whose family faced financial ruin when a relative used their motel for illegal activity, and Amy, also a second-generation Korean immigrant, who is on the cusp of banking a multi-million dollar deal. Everything Daniel attempts he fails at. He can’t even manage to successfully end his own life, or even return the faulty suicide equipment to the hardware store he bought it from. Amy, despite outward appearances is also struggling. She is estranged from her parents, stuck in a superficial relationship with her husband, and dealing with a demanding and dismissive mother-in-law and a daughter she hardly sees. The near miss in the car park comes at a pivotal moment for both of these strangers and flips a switch in them that they cannot let go.

The feud escalates between Amy and Daniel with increasingly high stakes and terrible consequences. The more we get to know about our two protagonists the more we understand why they have reacted in the extreme ways they have and how much they both have to lose. I found myself watching through my fingers as I was invested in the characters and was longing for some kind of forgiveness, repentance or reconciliation. At some points faith seemed tantalisingly close to providing an antidote to the beef, holding out hope even in the very last episode. At other points it seemed that love would find a way to stop the tide of anger and revenge. But the rage runs deep. It is toxic to everyone it touches. What can break its power?

If the church were to face up to its own identity issues, perhaps it could be of more help to individuals who brush shoulders with it.

The more we are drawn into the lives of Amy and Daniel, the more we realise that they are both wrestling with major issues of identity. Daniel is seemingly willing to go to any lengths to win the approval of his parents while also clinging so tightly to his brother that he stifles him. Amy too wrestles with a series of strained relationships. Both are lonely, feel unseen and misunderstood. They both carry dark secrets. They both are crippled by feelings of worthlessness and guilt. Amy’s sexual intimacy is inhibited by the sense of betrayal that was caused by her father’s infidelity. Daniel’s work quality is compromised because of the weight of despair and shame. While they both present to the world as successful and strong, inside they experience anxiety, purposelessness and anger.

Beef therefore provides a powerful exploration of identity issues. Male and female, rich and poor, married and single - no-one is exempt from the struggles of knowing who we are and where we fit in. There are moments in the series where the church looks like it has the answer. Going to church is normalised in the show as part of the Korean experience, which appears to be a culturally confident move. But the church is shown to be struggling with its own identity crisis. It accurately portrays the experience of ethnic-specific churches in the West. Yet despite being made up of diaspora communities, more often than not their liturgies, governance structures and forms and language of worship, are based on white western norms. The Korean cultural renaissance has not worked its way into our expression of faith yet. If the church were to face up to its own identity issues, perhaps it could be of more help to individuals who brush shoulders with it.

Beef offers a challenge to the prevailing aspirational culture often normalised by immigrant communities – if you work hard enough you can succeed.

What Dan and Amy have in common is their belief that value or worth in the world comes through the amount of money they have access to. They both graft and strive and lie and steal in order to gain the economic success their parents failed to achieve. Their competitiveness at work spills over into a drive to win at all costs. Riches is righteousness. Financial security is salvation. Wealth is worth. Annihilating the competition is victory. Yet the wealthy people in the show all come to realise the truth of what Jesus taught: “what good is it for someone to gain the whole world, yet forfeit their soul?”

Daniel is clearly faced with this choice right at the beginning of the series. He is at church when the words of a song seem to move him:

“Have you come to the end of yourself?

Jesus is calling.

Come to the Altar…”

This opportunity for a new start is juxtaposed with another. Daniel notices a possibility of ripping the church off financially, luring an ex-girlfriend back and replacing the worship leader. The church becomes the place where he can renounce or receive money, sex and power. He chooses the latter – to his own ultimate downfall.

As a second-generation immigrant, I was told that if I did well at school and set my sights on becoming a doctor or lawyer, then I could earn my place in the world. Qualifications could silence the xenophobes, money could buy me relationships and success could secure my future. Beef offers a challenge to this prevailing aspirational culture so often normalised by immigrant communities – if you work hard enough you can succeed. My Christian faith has changed that perspective for me. It showed me that financial gain was mono-dimensional, that chasing fool’s gold was a fool’s errand. Beef comes to the same conclusion, albeit with stronger language and adult themes. It takes a swipe at the hard- and cold-hearted calculus of personal aspiration, challenges consumptive materialism on its hollowed-out version of life and leaves it in the middle of nowhere to die.