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

Romance

15 July 2023

4 min read

Growing up with no hard feelings

Jennifer Lawrence’s latest eyebrow-raising romcom brings the sexual-awakening story back from the 90s movie graveyard. Lauren Windle explores what it really means to grow up.

Lauren Windle

Lauren Windle is an author, journalist, presenter and public speaker.

A young couple sit next to each other on a beach sharing a towel.

Andrew Barth Feldman and Jennifer Lawrence.

Sony Pictures.

I hate to sound like your moany Uncle Raymond, but they just don’t make romcoms like they used to. The likes of 10 Things I Hate About You, Clueless and She’s All That have never been replicated in recent times and attempts to recreate the 90s nostalgia have always fallen flat on their face.

It’s for this reason, I was excited when I saw No Hard Feelings hit the cinemas. The latest Jennifer Lawrence movie was pitched as a hilarious coming-of-age tale for the modern era. The story sees strapped-for-cash millennial Maddie (Jennifer Lawrence) hired by the parents of an introverted gen-z lad Percy (Andrew Barth Feldman), to help him into blossom into maturity – via the medium of sex. The meddling helicopter mum and dad were concerned their talented 19-year-old was more interested in computer games than socialising and fornication.

The film is silly. If you’re reading this to establish whether you should go and see it, I would say sure – if you want a low-emotional-investment flick that you’ll watch once but not twice. But the question it raised for me was: How do we know when we’ve grown up?

I felt I was most grown-up when tackling things alone. I wanted to be open to all experiences on the spectrum of sensible to reckless.

If the initial premise of the film is anything to go by, growing up means embracing partying, reckless behaviour, drinking and losing your virginity. This is, probably word for word, how 14-year-old me would have described maturity. In my adolescence, I believed that increased maturity meant more independence. I felt I was most grown-up when tackling things alone. I wanted to be open to all experiences on the spectrum of sensible to reckless. I formed opinions hastily and defended them resolutely. I was desperate to be trusted and to be “my own person”. My parents were a humiliating presence in my life who crowded my decisions with their own, old-fashioned logic. From my perspective; the less they were allowed influence, the better. To me, being an adult involved doing “adult things”, those that came with a legal minimum age requirement.

This is the kind of “maturing” that Percy is encouraged to do in the film. Maddie orders him a strong alcoholic drink, attempts to lure him into casual sex and persuades him to skinny dip. She instructs him to consider himself an adult and to distance himself from his parents (in fairness they did have a tracker on the 19-year-old’s phone and had hired a woman to take his virginity, so she probably wasn’t wrong in this instance). By all accounts, it seemed Maddie considered maturity to involve the same things as I did at age 14.

But I’ve come to realise that these milestones are often just touchpoints in a maturing process that is entirely circular. Stay with me on this one; ideally, we start life reliant on those who care for us, ensuring we eat well and get enough sleep, we spend time developing and learning, backing away from things that are likely to cause us pain. Then many of us ‘grow-up' and break free from those who raised us. We are no longer so careful about what we eat or how long we sleep, we begrudgingly continue learning or some shun education altogether. We are enticed by things which may or may not provide a short-term amusement but will definitely harm us in the long term. But the loop closes up.

We come to the realisation that true maturity is acknowledging that life is designed to be lived in community, reliant on those around us.

As we move away from the excitement and poorly judged choices we associated with maturity, we realise that we do, in fact, want to spend time with those who care and cared for us. We seek their wise counsel rather than avoiding it. We come to the realisation that true maturity is acknowledging that life is designed to be lived in community, reliant on those around us. And most crucially – asking for help isn’t childish but the most mature thing of all.

We start to want to care for our bodies. The idea of a hangover is repulsive and to be avoided at all costs, rather than a necessary penance for a fun night with friends. We want to invest in our growth and development in all the ways; emotional, mental, academic and spiritual. We start to self-impose the restrictions that we railed against in our youth. The idea of a 10pm bedtime is absolute bliss and events that start at 9pm are abhorrent.

By Maddie’s metrics, I grew up at 15, but by mine, I was 25. It wasn’t until then that I started asking myself questions about the person I wanted to be – not the one I thought others wanted of me. This is when I walked into a church and when I decided that really understanding what I believed was important. It’s also when I started letting thoughtful people speak into my life rather than being convinced that I knew better.

Despite being a decade on from that period of inviting in development and support, I still can’t be certain I’m done growing up, but I wonder if acknowledging that truth is its own form of maturity. From time to time, I get behind the wheel of a car from time to time and think: “Does anyone know I’m doing this unsupervised?” And when I babysit young children, I half expect a real grown up to come over and relieve me of the responsibility, telling me I’ve done a good job but they’ll take it from here. I asked a woman in her 70s when she finally knew she was an adult, she replied:

“I don’t know if anyone truly considers themselves grown up.”

The film perfectly illustrates our rush to mature, our societies’ obsession with collecting milestones and experiences and our warped idea of what adulthood should look like. But when I reflect on the maturing process, all I can conclude is that the more we grow in childlike awe, wonder and accepting of our limitations – the more mature we become.