Article
Assisted dying
Care
Comment
Easter
5 min read

I know who will be most affected by legalising assisted dying

Contemplating lent revives hard memories and raises fresh fears.

Ryan is an ordained Priest in the Church of England, currently serving in south London. 

A close up of a forehead bearing an ash cross marked on it.
Ahna Ziegler on Unsplash.

“What’s that - a face tattoo?” 

These were the words of one person as I walked past them on the streets on a recent Wednesday, with the ashes of last year’s burnt palm-branches placed across my forehead in the shape of the cross.  

The cross has been a symbol of hope for over two millennia; that even in the most painful of circumstances, darkness does not have the final say, including in death.  

As a society, we don’t really talk about death that much. Margot Robbie’s Barbie was the quintessential party-pooper when she pondered: 

 “do you guys ever think about dying?”. 

It’s no fun to dwell on death and dying, and for many of us, we put it off as long as we can. That all changed last year with the introduction of the assisted dying bill into the Houses of Parliament. Our national attention was, for a rare moment, captured by death.  

As a parish priest, I’ve seen the finality of burying someone into the ground. I’ve seen the sadness in the eyes of those trying to grieve. 

The words of Ash Wednesday, which remind us that we are ‘but dust, and to dust we shall return’ are echoed in the famous words that the priest recites in those last moments of burial, ‘ashes to ashes, dust to dust’. In that moment, amongst the bereaved, there is no escaping the inevitability of death. It is the ultimate statistic, 1 in 1 die. 

Whilst death is of course universal and will affect us all, the impact of this assisted dying bill could have consequences for some of the most vulnerable in society.  

As I reflect on my time as a Priest in East London, this is not abstract theory, but something I lived with each day. I served amongst a hugely diverse, vibrant, community in one of the poorest parts of the city. As I try to picture some the people I’ve walked alongside, I know it is these lives that will be most affected.  

One of the reasons I have concerns about the bill is the prospect of these people being coerced into ending their own lives prematurely, by a world that has already told them their lives are of little value. There are already huge disparities in access to the current provision of palliative care at the end of life, particularly amongst people of colour, the disabled and the poor.  

Of the 500,000 people who die each year, 100,000 do not access the care they need. This number is skewed towards ethnic minorities and those who come from poorer backgrounds.  

There is much confusion and misinformation about what end-of-life care even is. Research conducted by Marie Curie shows that 1 in 5 people from an ethnic minority background believe Palliative Care is actually Euthanasia.  

We only need to look at what has happened around the world when the ‘right to die’ becomes a duty to die. Even with the best of intentions, other jurisdictions show us that safeguards rapidly deteriorate and those who are already vulnerable become even more so.  

I worry that the way in which this bill is being handled - rushed through, little time being given to properly chew over the profound consequences it may have - reflects the wider way we view death. 

By trying to provide a ‘choice’ for a certain group of people, the consequence will be taking away real choice from those who already have little. 

Yet we know that for those who do access it, palliative care can be hugely effective in improving their quality of life, and for some, they can even outlive their prognosis. During Ash Wednesday’s service, I met an elderly gentleman who was diagnosed with stage four pancreatic cancer in 2019. He was told he had five months to live. He described every day of his six-year survival since as a ‘miracle’, his eyes filled with evident joy.  

Such a blessing stands in stark contrast to the lonely final days of my 96-year-old great grandmother. She was suddenly taken ill during the Covid-19 pandemic and was frantically rushed to a hospital. Amidst the chaos, exasperated by the restrictions against seeing family that were in place at the time, I distinctly remember confused conversations about placing her in a care home for her final days. It was clear she needed a lot of specialist attention, more than our family could provide ourselves.  As she was discharged to stay with our aunt, she never did reach that care home, as she died at home. She was buried in our local cemetery, with our family watching on Zoom.  

My final memory of my great-grandmother will be the FaceTime call we shared when she was taken to hospital, with the poor data connection and shaky picture. I am so grateful for the few family members who were able to be by her side when she died, but I’ve often wondered whether she fully received the care she actually needed during those final days, in the way she needed it.  

What my great-grandmother didn’t have a lot of at the end of her life was time.  

That’s also true for this bill. Concerns have been raised that only five hours of debate were given to this Bill in the chamber, comparatively short for a change in the law of this magnitude.  

I worry that the way in which this bill is being handled- rushed through, little time being given to properly chew over the profound consequences it may have- reflects the wider way we view death.  

Do we view death - and indeed the dying- as something to be shoved to one side, not spoken about in the hopes we can avoid its impact? Or do we view death as an important moment to review who and what matters most in life?  

Perhaps for some, the fact that Christians devote a period of 40 days to dwell on death may be one of the mysteries of faith. However, perhaps it’s not such a bad idea after all.  Death may bring with it fear, grief and pain and so we tend to avoid it. But do we risk missing out on much more? As we head into Easter, the cross still serves as a powerful reminder that, especially in death, Hope can be found, that Good has triumphed over evil, and Light shines even in the darkest of places.  

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Column
Comment
Humility
Politics
4 min read

Why radical humility challenges personality politics

Amid the political party conferences, George Pitcher searches for the flickers of radical humility.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A cropped image of the face of RIshi Sunak with colours of a flag behind him
Rishi Sunak at a previous party conference.
BNN.

As a glutton craves a fast, so might regular consumers of party political conferences, stuffed with a surfeit of arrogance, yearn for a display of a little humility. 

It would, admittedly, be a tough trick for a conference speaker to pull off, when the whole point is to achieve a standing ovation. Unlike his immediate predecessors, prime minister Rishi Sunak did try. Humility is an extra challenge for him, being a multi-millionaire former investment banker married to a billionaire heiress. 

But he raised his humble origins again, as he did in his party’s leadership contest, paying tribute to his immigrant parents, a GP and pharmacist in Southampton. Herein lies another problem: As the old saw has it, as soon as you claim humility, you lose it.      

So, one is left to wonder whether humility is a desirable quality in our politics at all, or even possible. Kenneth (now Lord) Clarke came close, in a number of Conservative ministerial positions, saying calmly and honestly what he thought. Labour’s Frank Field was another, possibly informed by his quietly devout Christian faith. 

Further back, Labour’s post-war prime minister Clement Attlee had a gentle and unassuming demeanour, which only led Winston Churchill to observe that he “had much to be modest about.” There’s the problem. Humility is seen as a sign of weakness.  

This is radical humility, a Cinderella quality to its ugly sister “radical honesty”.

But it can be found in politics. Baroness Cathy Ashton, whose many achievements include brokering an agreement between Serbia and Kosovo and negotiating the Joint Comprehensive Plan of Action with Iran, has written a memoir. 

She was a guest on The Rest is Politics, the podcast hosted by Alastair Campbell and Rory Stewart, of both of whom a neuro-surgeon might observe that humility bypasses have been a complete success. But she is a perfect exemplar of what Stewart called, towards the end of the interview, “radical humility”. 

This, Stewart observed, counters the “Great Man” theory of history, the super-hero who saves his people – the character currently channelled by so many populist leaders, with Donald Trump as its apotheosis. 

Ashton herself said things like “we do our best”, that there’s a web of small, interconnected acts that reach a successful resolution and that the deals aren’t hers to make, but belong to the people making them. A lesson that could be taken from Kosovo to complex circumstances such as British transport infrastructure, the nature of our union, or local governance from Birmingham to Newcastle. 

This is radical humility, a Cinderella quality to its ugly sister “radical honesty”, the latter developed since the Nineties by the American psychotherapist Brad Blanton, which is really a licence for being rude. Radical humility, by contrast, puts its practitioner firmly at the service of those affected by a political situation and enables them to resolve it.  

Impressed as he was by the concept, Campbell neatly summarised the problem of deploying it as a political slogan: “What do we want? Radical humility! When do we want it? Now!” 

But radical humility should be a given for the way we manage the administrative organs of our faith, the Churches. Cardinal Basil Hume, the Archbishop of Westminster who never forgot he was foremost a Benedictine monk, springs to mind. 

As does Rowan Williams, whom I observed from the Daily Telegraph and then as his principal spin-doctor between 2008 and 2011, holding the complexity of the Anglican Communion together by empowering its components. 

The point about radical humility is that it subsumes personality into the lives of those it serves.

Their aim, in perhaps unconscious application of radical humility, was like Baroness Ashton to give those they convened room to tell their stories, to take ownership of them and become co-narrators. And that has a central gospel provenance. Jesus of Nazareth led by story-telling, the parables inviting listeners to reach their own conclusions – even and especially today. 

Radical humility doesn’t invite servant ministry. It is service ministry, precisely because it puts the governed in charge of their own story, which in a grander context could be called their destiny. 

Whether that kind of liberation could be applied to our secular politics is a tall order. As I’ve said, there are flickers of radical humility in Sunak, but when he claims to be proud to be the UK’s first Asian PM and “even prouder that it’s no big deal”, he paradoxically feels obliged to proceed to slam Labour for its lack of diversity. 

It was telling that home secretary Suella Braverman, in her somewhat incoherent speech this week, widely cast as a leadership bid, claimed that Labour leader Sir Keir Starmer didn’t have the “personality” to be prime minister. 

The point about radical humility is that it subsumes personality into the lives of those it serves. It’s one reason, perhaps, why we know so little of the personality of the Nazarene. But the likes of Braverman and other populist politicians can’t see beyond personality. 

Maybe she, like other politicians, wouldn’t recognise radical humility. And it can’t be transformative unless it’s listened to.