Review
Assisted dying
Death & life
Film & TV
5 min read

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 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. 

Article
Awe and wonder
Culture
Film & TV
5 min read

Why you need more cathedrals in your life

A TV tour of the ancient landmarks showcases their relevance to today.

Pat is vicar of St Peter’s Notting Hill and author of A Pocketful of Hope

A vicar stands arms in front of himself, behind him is a cathedral
Channel 5.

There’s a moment I love every time I drive down to visit my mum. It comes on the A30 heading south towards Salisbury. You come over a brow and round a bend and then there she is, the 123m tall spire of Salisbury Cathedral. Regal, majestic, aloof, dominant. So many words to describe this glorious building. And I remember remarking to my brother one time, who doesn’t share my Christian faith, as he sat in the passenger seat, how amazing it is that without saying a word, the architecture itself bears witness to the reality of another world, another Kingdom. Proclaiming a message to that city. A lighthouse of sorts, continually pointing people to God as they sail on rough and secular seas. 

For me personally, it was a real joy to get to visit six of our most stunning Cathedrals for a two-part series I presented for Channel 5 called, Britain’s Great Cathedrals – To the Glory of God. It comes at a critical moment as cathedrals now face potential financial ruin due to the Government’s recent decisions concerning National Insurance and the Listed Places of Worship scheme. Thrilling I hear you say, but before you scroll on by, suffice it to say that these developments could see the closure of many of our nation’s most magnificent landmarks! This would be a disaster, not just for the soul of the church, but also for the soul of the country. I want to suggest three reasons for that being the case, which are their unrivalled ability to inspire (pardon the pun), inform and include. 

The truth is, whether you’re a person of faith or none whatsoever, you can’t help but be inspired when you see or enter one of these buildings. Whether it’s the glorious facade of Lincoln, the expansive nave of Canterbury, or the sheer strength and grandeur of Durham, these edifices were built to amaze and generate awe. Why else would I say ‘wow’ almost 900 times in just two episodes?! Take it from me, you run out of adjectives pretty quickly. But that’s precisely the point. They were built to lift the mind and soul from the drudgery of what was all too often a pretty grim existence and place their thoughts firmly on higher things. Whether they make it all the way to Heaven itself, or go no further than a vaulted ceiling, the primary mission to inspire is achieved. Would I rather someone is impacted more by the Spirit behind the stone, or the grace behind the glass, of course I would. But would I take the needle of someone’s thoughts and worldview being moved even a fraction, as they perhaps ponder, ‘what moved these people to build this? What did a society and culture believe to prioritise and shape such real estate?’, then yes, I’d take that in a heartbeat. There’s nothing in all of Britain to rival our cathedrals to inspire. 

But it’s not just that. It’s the simple truth that so much of our heritage and history is tied up in these monuments of stone and glass. Artistry developed, architectural techniques advanced, and our cathedrals were undeniably and unavoidably central to the life of the nation. As such, their ability and value to inform a people about who they are and where they come from is unmatched. People might not like it. They may even push against it. But for good or ill, it’s what made us who we are. And look a little closer, and you quickly discover that most of the values that we so embrace and espouse today herald directly from the faith proclaimed in and by these architectural marvels. Secularism has done its best to sever such values from their source, but as the historian Tom Holland has demonstrated, seeking to do so is about as logical as trying to claim that the apples on the branch of a tree have nothing to do with its roots. The facts simply don’t bear it out. And what greater facts can a city proclaim than its skyline, so often dominated by ecclesial geometry. Our cathedrals are filled with the history not just of people, but the ideas that moved them and shaped Western Civilisation. Long may they continue to inform. 

One of the biggest building projects we read of in the Old Testament is Noah’s building of the ark. A behemoth of a boat, big enough to house and include all. And it’s that final idea of inclusion that perhaps speaks most powerfully today. We hear it used a lot, but all too often it’s become a synonym for an approach that has no shape, no constitution or actual covenant of belonging. What draws me to the faith behind these edifices is precisely that even as the invitation goes out into all the earth, just as Noah’s did to all creation, we only enter on God’s terms. He’s the One who calls us in and gets to name and define us all. Whilst this may at first sound narrow, it is in fact the way to liberation. Joined by common bonds and values, held together by the One to whom these buildings point. The sheer vastness of cathedrals conveys there’s room indeed for all, just as the ark had space for its guests as it made its way to a new world. The invitation of our cathedrals, both in form and opening hours, goes out into all the world declaring, ‘Come! Whoever is thirsty, let them come; and whoever wishes, let them take the free gift of the water of life.’ For the message in stone for even hearts of stone is that in Christ, all can be included.  

 

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