Review

Assisted dying

Death & life

Film & TV

28 May 2023

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

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

Art

Culture

Film & TV

21 January 2025

5 min read

The constant pull of David Lynch’s direction

What made the director’s films so universally resonant?

Sonny Tindall

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

Lynch painting.

At the age of 16, initially wanting to experience the infamous performances of actors, John Hurt and Anthony Hopkins, I decided to watch The Elephant Man (1980). This was the film that opened up the weird and wonderful world of director, David Lynch, a world I immediately wanted to dive headfirst into.

I did so by watching the film that became the catalyst for world-renowned director and producer, Mel Brooks, offering Lynch the chance to direct The Elephant Man. The film in question? His very first, Eraserhead (1977).

It was, and remains to this day, the most singular cinematic experience of my life.

I’m of the opinion that almost all filmmakers fall in to one of two categories; those who become artists through the medium of filmmaking, and those who are already artists who choose the vehicle of filmmaking to create their art. David Lynch is, for me at least, the ultimate embodiment of the latter. Proof of such can be found in his status as a renaissance man.

Originally a painter, a practice he continued throughout his life, his desire to transition to making films was borne out of wanting to see his paintings move. He was also an actor, a musician, and sound designer. Not to mention, a furniture designer who regularly built props for his films, author of several books and designer of his very own comic book.

The television show, Twin Peaks, is perhaps the best example of just how impossible it was to bind Lynch to a single artistic form. The seminal TV show revolutionised what television could be, as it was the first show to stray from the episodic storytelling format, instead choosing to follow one continual storyline through an entire series.

David Lynch exists within an exclusive category of artists, those whose names have become an adjective. Lynchian, similar to Kafkaesque, Brechtian or Daliesque, is recognised as an official word in the Oxford dictionary. An eponymous adjective is an honour reserved for only the most unique and distinct of artists.

Although it could be argued that the term – Lynchian - is now too loosely applied to anything deemed to be somewhat counter-cultural within mainstream cinema, its true meaning relates to the often indefinable style and voice of the man himself.

He invoked the spiritual depths of us, the existential longings and cravings, the questions that seem intrinsic to the human condition, the wonderings that feel as though they originate from somewhere deep within us, our souls, perhaps.

I’ve come to think that it’s the ultimately the spiritual essence of Lynch’s films that make them truly unique, and him a worthy recipient of an eponymous adjective. Lynch’s films exist within their own world, frequently reminiscent of a dream.

Sometimes euphoric, often a nightmare.

He was an avid practitioner and advocate of transcendental meditation, so it’s perhaps not too surprising that when speaking on his creative process, Lynch attributed many of his creative ideas as emerging from his own subconscious through the practices of meditation and daydreaming. He’s often compared ideas to the act of fishing, they aren’t created, they already exist, you’ve just got to have the right bait to catch them.

I wonder if this process is what makes the worlds housed within Lynch’s films unlike any others. He invites us into his own subconscious, by allowing it to bleed out onto the screen.

Despite his allusivity in style and format, what I’ve always found most confounding about David Lynch’s work is its universality.

I feel as though the term ‘fringe artist’ has scarcely been better applied to anyone other than Lynch.

How has a man who’s created some of the boldest, most avant-garde and, at times, downright disturbing art of the last century picked up four Oscar nominations (and an honorary win), a Masterclass and a Disney movie (The Straight Story)?

Surely translating your own subconscious, something we view as idiomatic to each individual person, onto the screen is a guaranteed recipe for alienating your audience?

So why does Lynch’s work, instead of pushing us away, so consistently pull us in?

I could pontificate on the different potential techniques Lynch employed to keep his work just grounded enough to allow us to relate to it. His films being rooted in instantly recognisable symbols of Americana, for example. Or perhaps his deployment of easily digestible genres and conventions, Twin Peaks is a melodramatic murder mystery TV show, Blue Velvet (1986) and Mulholland Drive (2001) are, at their core, noir films and even Wild at Heart (1990) is a textbook road movie.

But Lynch’s work has taught me to dig far deeper than that.

He invoked spiritual depths of us, the existential longings and cravings, the questions that seem intrinsic to the human condition, the wonderings that feel as though they originate from somewhere deep within us, our souls, perhaps.

That, for me at least, is the answer to his universality.

But how did he do it?

As has already been mentioned, it’s by mining his own subconscious and the spiritual within himself, and allowing it to flow into the worlds he created. But, most importantly, he never definitively characterised these things, he simply let them exist, depicted them. His work doesn’t come to us with the answers, it comes to us with questions. David Lynch’s questions: questions about the world. Questions about himself.

The very same questions we all ask ourselves on a daily basis: is evil within us or is it the product of what is around us? How can we allow light to prevail over darkness?

His work allows us to sit, ruminate, and respond to those questions.

I didn’t anticipate how profound of an effect David Lynch’s passing would have on me. It’s undoubtedly the strongest feeling of loss and grief I’ve felt from the passing of someone in the public sphere.

So deep were my feelings that I felt I needed to process it through the writing of this piece.

And despite the myriad of feelings and thoughts that have been swirling around my head since originally reading the news headline, I find myself continually returning to the very first thought I had. It was a quote from American comedian, Theo Von. When mourning the death of fellow comedian, Norm Macdonald, Theo said,

‘It feels like you’re losing a book that nobody has copies of.’

I feel despair that I’ll never be able to see the world through David Lynch’s eyes again. But I find great comfort that he, through his art, has passed his vision onto us, ensuring that we’ll always be able to see the Lynchian in our world.