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

Digital

Film & TV

28 June 2023

5 min read

Local Hero’s 40-year-old lesson about relationships

As social media divides us and generates simulated experiences and friendships, it's a gorgeous and glorious antidote.

Yaroslav Walker

Yaroslav is Vicar of Christ Church, Hampstead.

Two business men in suits hold coats and briefcases, stand in the sea with their trousers rolled-up above their ankles

Local Hero's iconic cinema poster.

Warner Bros.

This year marks four decades since the release of Bill Forsyth’s masterpiece, and it is a real joy to have the excuse to revisit it. Local Hero is a glorious warm-mug-of-tea of a film: charming, gentle, sweet, gorgeous, and funny in the kindest and most uplifting way. What’s more, its theme and message are as pertinent as they were forty years ago… more so, actually.

Local Hero follows Peter Riegert’s Mac, a faux-Scotsman who is displaced from his busy life as an oil executive in Houston to the small Highland village of Ferness. There he is expected to oversee the sale of the village and beach so it can be developed into an oil refinery. The eccentric and astronomy obsessed owner of the oil-company Felix Happer, played by Burt Lancaster, thinks that Mac is just the right man for the job on account of his name sounding Scottish.

Watch the Local Hero trailer

Upon arriving in Scotland Mac meets Danny Oldsen (Peter Capaldi) who will be his assistant from the Scottish branch of the company, and the two set off on the journey to Ferness – meeting Jenny Seagrove’s love interest and an ultimately unfortunate rabbit. When in Ferness Mac must contend with Denis Lawson’s hotelier-barman-accountant Gordon Urquhart, an affable but shrewd negotiator who is determined to get as much money as possible for the people of Ferness. During his stay Mac is baffled, bemused, and slowly bewitched by the colourful locals, from Urquhart’s wife Stella to Soviet fisherman Victor to shabby beachcomber Ben.

I dare not say much more about the plot so as not to rob you, dear potential viewer, of the delightful experience of allowing Forsyth’s perfect writing and delicate directing envelop and clam you, take you by the hand and lead you through the story with grace and wit. The performances are lovely, Mark Knopfler’s haunting soundtrack (a balancing of folk, soft-rock, jazz, and electronica) complements the scenery, and the BAFTA nominated cinematography by Chris Menges captures that wild and rugged coastal landscape in all its glory. The Scottish landscape is really the unspoken lead of the film, and more often than not transports the viewer into the transcendent realms of the sublime!

I chose my words carefully: the theme of the film is very much about the power of natural beauty to change the values and perspective of the individual. Mac begins the story as a high-powered and cynical corporate man – willing to lie about his name and preferring to do deals over Telex than have real human interaction with clients. Oldsen is young and ambitious, fascinated by the glamorous lifestyle of the US, and keen to do well in his chosen profession. Yet over the days and weeks that they spend in Ferness, their outlook begins to change.

What is wonderful about Bill Forsyth’s subtle storytelling is that we know all this not because of any grand speeches, but with little visual cues.

The sheer beauty and simplicity of the coast takes hold of the businessmen and overwhelms their ambition and materialism with the power of the sublime. What is wonderful about Bill Forsyth’s subtle storytelling is that we know all this not because of any grand speeches, but with little visual cues. Slowly the dress of the two men devolves to mirror their thoughts and feelings: from the full corporate dress, to the removing of a tie, to by the end of the film dressing like a local in a proper cable-knit sweater. Mac comes to see that emptiness and vacuity of his life in Texas and yearns for the simple life by the sea surrounded by the majestic Scottish cliffs. Even as the locals become more and more excited by the prospect of their newly promised wealth, Mac and Oldsen come to regret their involvement in a scheme that will destroy the glory of the landscape.

There is a message beneath the message: the sublimity of the natural world can only be truly experienced in the context of human relationships.

This in itself would be enough for the film to have maintained its relevance for forty years – it's impossible to study current affairs today without encountering worries about climate change, pollution, over-industrialisation, and the loss of the natural world. The film’s clear conservationist message is as fresh as ever, but it isn’t the most powerful, for there is a message beneath the message: the sublimity of the natural world can only be truly experienced in the context of human relationships.

As I watched the film again, I noticed that the power of the scenery in the background is complimented and elevated by the human connections in the foreground. Mac forges a real friendship with Urquhart and develops a real fondness for the local people, so although he loves the landscape it is the relationships it inspires that really move his heart. Oldsen may be wowed by the sea, but this is elevated by the love he feels for the mysterious, web-towed marine biologist Marina swimming in it.

The great irony of the story is that Mac and Oldsen – isolated corporate men – come to want to protect the integrity of the landscape, while Urquhart and villagers are motivated to sell and abandon it as the local economy stalls. They have grown up with the scenery, they have been formed by it, it is in their bones, and they have been blessed by the cast-iron community bonds that such sublime surroundings inspire; it is on account of their total lack of individualism or atomisation that they have the confidence to leave the community behind.

In the end, it is a fledgling relationship that saves the village. Happer, isolated and lonely at the top of the corporate ladder (so much so that he pays for his quack-psychiatrist to insult and berate him in the hopes of some emotional breakthrough – laugh-out-loud interludes in the storytelling), travels to Ferness himself to close the deal. Negotiations have stalled when Ben the beachcomber refuses to sell his stake in the village, quite an important stake…the beach itself.

Star obsessed Happer arrives convinced that he can talk Ben round, but rather than a negotiation the interaction becomes a meeting of minds in which Ben convinces Happer that the beauty of the stars is a far better investment than oil. Ferness WILL BE SOLD, but so as to be an unspoiled spot where an astronomy observatory can be built. The unlikely relationship that blossoms between and billionare oil-baron and a bumbling beachcomber saves the landscape and the relationships which Mac has come to love so dearly.

In a world where technology and social media continue to atomise and divide us, while at the same time giving us simulated experiences and the simulacra of friendship, Local Hero is a gorgeous and glorious antidote. It reminds us of the vital importance and power of human relationships, the pinnacle of our experiences which even mediate the sublime power of Scottish coastal scenery. An important message, and if I may, a comfortably Christian message: for relationship is at the core of who God is as Trinity, relationship is at the core of what God wants as he creates the world to be in communion with him, and relationship is at the core of how God brings about our salvation as he comes to us in the person of Jesus Christ who calls us his brothers and sisters and friends.

Whoever you are and wherever you are, you should watch Local Hero immediately and be reminded of the beautiful and the sublime power of the natural world, and most importantly of all, the beautiful and the sublime power of human relationships.