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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Article
America
Church and state
Comment
Idolatry
Politics
4 min read

Trump's triumph is not the end of the world, nor the dawn of a new age

Donald Trump may not be as bad as many fear and not as good as many hope

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

Silhoutted by a sun rise, a helicopter flies over The White House
Marine One Flying over The White House, Inauguration Day, 2017.
Anthony Quintano, CC BY 2.0, via Wikimedia Commons.

Reading reactions to Donald Trump's election win across different news outlets over the last couple of days has been an education in the contemporary political landscape.  

For left-leaning media the future is dark. An Atlantic opinion piece laments that “we must learn to live in an America where an overwhelming number of our fellow citizens have chosen a president who holds the most fundamental values and traditions of our democracy, our Constitution, even our military in contempt.” The Guardian called it “an extraordinary, devastating moment in the history of the United States.” It is a secular version of the sermon: “The End Is Nigh”. 

Yet turn to the Daily Telegraph, The Spectator, or anything on the right, and you find a mixture of gloating (“Trump’s triumph is a disaster for Starmer and the self-regarding, virtue-signalling elites!”) and optimism that a new day is dawning. Trump himself hailed the advent of a ‘golden age’ for the American people. Having been mired in misery since the Conservatives’ routing in the UK general election here is a welcome bit of good news for those on the right. 

On either side the apocalyptic note is hard to miss. A Telegraph writer says: “2024 is the real deal, a revolutionary moment, a reconstitution and realignment of American and Western politics around fresh principles.” A Guardian writer says that “there is nothing but bad news for Europe in Donald Trump’s US election victory. The only question is just how bad it will get.” 

Immediately after elections there’s always a bit of this apocalyptic tone. When Boris Johnson’s Conservative Party dismantled the ‘red wall’, winning traditionally secure Labour seats in 2019, the rhetoric was that this was a generational change, a fundamental re-alignment in UK politics to the right. Labour, surely, was finished. Five years later, after Keir Starmer’s landslide and the routing of the Tories, it all looks very different – at least here in the UK.  

Politicians always, in the long run, fail... The question is how badly they fail and whether they are able to do some good along the way until they do so. 

Tony Blair fell from grace due to misleading us all over the Iraq war. David Cameron fell because he lost a referendum over Brexit. Boris Johnson was ousted because he allowed parties in Downing Street while the rest of the country was locked down. George W. Bush pursued a disastrous campaign for regime change in the middle east. Barack Obama started with great hope, won a second term, but didn’t change gun laws and was widely thought to have weakened the US through a failed foreign policy. Joe Biden is thought to have failed because he let inflation grow rampant and allowed American borders become too porous.

Donald Trump will fail too. He may, as he promised, deliver an improved economy. He may stem illegal immigration. That, after all, is why many voted for him. But eventually he will disappoint. So would Kamala Harris if she had won. So will Keir Starmer. And that is not to criticise these particular leaders. Like football managers, they all get sacked in the end, and there are very few who like Sir Alex Ferguson, or Jed Bartlett, get to wave farewell to the crowds at the time of their own choosing. Even then, Fergie’s legacy was tainted by his inability to create a legacy, and Bartlett was, despite our misty-eyed nostalgia, a fictional President.  

It’s always tempting to reach for apocalyptic language at times like this. Yet the real meaning of ‘apocalypse’ is ‘revelation’, or ‘unveiling’. Taking the longer view, perhaps the real apocalyptic moment at times like these is the unveiling of the true place of politics – as important, but not ultimately important. These moments reveal the inadequacy of all human kingdoms, and our longing for a different kingdom, a kingdom of ‘righteousness, peace and joy in the Holy Spirit’ as the Bible has it, things that no government or election result can ever deliver.  

Politics matters because the way we live together matters. Yet what politics at its best can provide – a well-functioning economy, law and order, managing good international relations - only go so far in enabling a flourishing life. Like returning to a familiar drug that we think we can once and for all make us happy, despite the numerous times it has failed before, we still somehow believe that politics can solve all our problems. “Trump will fix it” said the banners – though in fact that is what every politician promises. Jesus warned: “Many will come in my name and say ‘I am he’, and lead many astray.”  

Most probably, Donald Trump will not be as bad as many fear, and not as good as many hope. Because politics is never the final word. As American theologian, Matthew Burdette put it recently: “The solution to our politics is not a political solution. Voting for the right or the wrong candidate will not change the situation: the devil is happily bipartisan, so long as politics is our idol. No, what is needed is fundamentally and thoroughly spiritual. Only when we can say with the prophet Isaiah that “the nations are like a drop from a bucket, and are accounted as dust on the scales,” that is, only when we can see against the horizon of the ultimate how small are our worries, will these relative, penultimate things like politics be set right and take on their true meaning in our lives.”