Explainer
Creed
Language
Politics
6 min read

The language of politics can’t domesticate religion

Political life’s Left-Right structure fails when it tries to co-opt religious perspectives. Graham Tomlin outlines why it misses so much of what makes them interesting.

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

an aerial view down in to the parliamentary chamber shows MPs sitting on benches on the left and right hand side
The UK Parliament's House of Commons chamber manifests the left-right divide.
House of Commons Twitter.

The New Statesman recently released their ‘left power list’ – “the 50 most influential people shaping Britain’s progressive politics.” As I read it through, one name caught my eye – Justin Welby. He comes in a comfortable mid-table position at no. 27, behind Gary Lineker and JK Rowling, and ahead of Gordon Brown and Marcus Rashford.  

The Archbishop of Canterbury may perhaps be a strange addition to a list of left-leaning figures. Not all his predecessors have been so - his predecessor but two, George Carey, is often seen espousing views from the right. It is not accidental that the present Archbishop has served in times of a Conservative government, while George Carey held the role during the latter years of New Labour. It is perhaps the job of Archbishops to hold the government of the day to account, so perhaps not surprising that Welby is seen as a critic of the Conservatives. If the government of his time had been Labour, perhaps he would be seen very differently.  

However, what got me thinking was not so much the identification of the Archbishop as left-leaning but the co-option of the Church’s voice into the wider narrative of the left-right political spectrum. The language of ‘left’ and ‘right’ dates back to the French Revolution, where, in the National Assembly, the supporters of the king sat to the right of the President, and the revolutionaries sat to his left. Subsequent governmental institutions in France continued the seating arrangements and the language became embedded in political discourse far beyond France. Since then the ‘left’ has always been associated with ideas such as freedom, progress, equality and reform. The ‘right’ has valued older institutions of social life such as family, locality, individual responsibility, duty, tradition and so on.  

Left and Right... shoe-horns religion into the procrustean bed of a political ideology that cannot do justice to its true nature.

Left and Right is a structure of political life with which we are very familiar. But when it comes to co-opting religious perspectives, it misses so much of what makes them interesting. It has no place for God, for revelation, for prayer, the mystical and the miraculous, the hosts of angels, the language of virtue or the surprising delight of grace. It shoe-horns religion into the procrustean bed of a political ideology that cannot do justice to its true nature. It emasculates it of all that makes it interesting and distinct. 

This attempt to domesticate religion has a long pedigree. The Christian Church was born into a world dominated politically by the Roman empire, and religiously by paganism. This new claim that the God behind all things had revealed himself in the person of Jesus Christ was definitely awkward, but by and large, pagans were happy to fit it into their view of the world, if only the Christians were happy to regard Jesus as yet one more god alongside the other gods – a private option for those who preferred that kind of god, as opposed to Jupiter, Mercury or Aphrodite. The early Christians however refused to comply. They insisted Jesus was God, not just a god. They resisted their founder being co-opted into the pagan pantheon, or even the Roman imperial regime, refusing by and large to serve in the army if that meant killing their enemies in defiance of Jesus’ command to love them, or offering worship to the gods in civic festivals, even when their contemporaries could not understand the refusal to join in what to them was some harmless ritual to keep the gods happy. 

Even more, early Christian thinkers such as Athanasius argued that the coming of Christ into the world was too seismic an intervention to be simply co-opted into existing paradigms. In particular, the Resurrection of Christ was either a gigantic hoax, or an invitation to re-think reality all over again from a new starting point - that humanity’s greatest enemy - death itself – had been defeated once and for all. As the theologian Lesslie Newbigin put it:  

“At the heart of the Christian message was a new fact. God had acted in a way that, if believed, must henceforth determine all our ways of thinking. It could not merely fit into existing ways of understanding the world without fundamentally changing them. According to Athanasius, it provided a new arche, a new starting point for all human understanding of the world. It could not form part of any worldview expect one of which it was the basis.”  

Thus, Christianity was bound to transcend the political structures of its time - or any time for that matter. A bold Christianity, true to itself, could not just be co-opted within an alien political or social structure – it was always going to be an awkward bedfellow with the empire.  

In more recent years, a number of theologians have made the same point. Philosopher and theologian John Milbank wrote a ground-breaking book in the 1990s, Christianity and Social Theory, where he criticised the whole venture of the Sociology of Religion as domesticating Christian faith into an alien structure of thought, where society was taken as a given, and religious faith explained away by secular theoretical categories. Sociology for him was its own non-neutral theology, a rival discourse to Christianity, ‘a secular policing of the sublime’, domesticating it and reducing it to fit with the narrow categories of sociological theory.  

Christianity just refuses to fit into foreign categories that try to tame it

More recently, James Mumford, in his short book Vexed, written with half an eye to the American experience, shows how again Christianity just refuses to fit into foreign categories that try to tame it, and how it consistently blows apart the moral and political packages that both left and right offer us in modern life. So, for example, the deeply Christian notion of the sanctity of life – that human life is sacred, to be respected in all its forms, and cannot be taken away by another human being - leads both to an abhorrence of unwarranted abortion (the American right cheers at this point), yet also to a restriction of the right to carry guns that take life (not so popular among the Republican base.) Conservatives prize family values, yet are happy to allow economic competition to permit zero-hours contracts that make desperate parents vulnerable to shifts in the market that mean they cannot feed their children. Christians might agree with the first, but disagree with the second. Similarly, the left prizes inclusivity, yet at the same time, promotes assisted dying, baulking at extending this inclusivity to the elderly person who would have to make an active choice to go on living, when pressure may mount to leave their money to their offspring and vacate the scene early. Again, the left champions the sexual revolution yet, despite its suspicion of economic liberalism, holds back from a critique of the consumerism of much sexual culture, that values being able to move onto new sexual partners as desire dictates.  

So, Mumford argues, Christians may find themselves adopting a strange mix of beliefs and opinions – or perhaps only strange when seen from the perspective of a secular mindset – opposed to unwarranted abortion, yet in favour of gun control; in favour of family life, yet wanting economic intervention to the labour market to ensure proper pay for workers. 

The point here is not so much to argue that Christians have a unique political viewpoint that is distinct from left or right, but that Christianity is more than politics. Beneath the surface of Christian political convictions, such as those that come from the Archbishop, lie (or should lie) a whole host of deeper commitments – to God, to the insights that come in prayer, to the most vulnerable in society, to a sense of a deep order and structure to the world that cannot be toyed with by progressive political fantasies, to the reality of Resurrection. None of these quite fit the simple left-right equation. The bishops may or may not be right in their political pronouncements – and there is room for debate on that, but trying to make them fit into the narrow categories of mere politics just doesn’t work. God is too big for that. 

Article
Assisted dying
Comment
Politics
7 min read

Assisted dying hasn’t resolved Swiss end of life debates

Despite attempts to normalise it, new challenges still arise.

Markus is Professor of Moral Theology and Ethics at the University of Fribourg, Switzerland.

A single bed, wiith an unmade colourful duvet stands in the corner of a room. A hoist reaches over it from the corner.
The dying room, Dignitas Clinic, Zurich.
Dignitas.

While countries such as Germany, France or the UK are currently struggling to find a suitable regulation for assisted suicide, their peers in the Netherlands, Canada and Switzerland have years of experience with the controversial medical practice. Even if each state must explore its own ways of dealing with these ethically controversial issues, it is obvious that international experience should not be ignored as they try to find a way forward.  

In Switzerland the discussions and challenges surrounding assisted suicide are increasing rather than decreasing. Contrary to the idea that a liberalisation of assisted suicide would lead to fewer debate, tensions and difficulties are increasing.  My observation, and thesis, indicates that practices such as assisted suicide cannot be “normalised”, even in the medium and long term. 

Developments 

In recent years, one to two per cent of all deaths in Switzerland were due to assisted suicide.  From an overall perspective, this practice is therefore still a marginal phenomenon. However, a look at the total number of assisted suicides per year gives a different impression, as this has increased more than fivefold in the years between 2008 and 2020, from an initial 253 to 1,251 deaths per year, a rising trend. The cause of death statistics for Switzerland only include those cases of assisted suicide in which persons resident in Switzerland were involved and the death was reported to the authorities. According to the Swiss Federal Statistical Office, in 2020, it was mainly people over the age of 64 who made use of assisted suicide. Detailed information on the underlying illnesses of the people affected in 2018 shows that about 40 per cent were affected by cancer, just under 12 per cent by diseases of the nervous system, a further 12 per cent by cardiovascular diseases and just over a third by other illnesses, including dementia and depression. There are currently seven right-to-die organisations in Switzerland which play a leading role in a typical assisted suicide procedure. They work closely with doctors who are prepared to prescribe a lethal drug, generally Pentobarbital. The data reflects an ambivalent picture: on the one hand, the proportion of assisted suicide cases is relatively low in relation to all deaths and, for example, in comparison to the large number of people who die in Switzerland in a state of deep sedation until death; on the other hand, the number of assisted suicides in Switzerland has risen sharply in recent years.  

Perceptions and assessments 

Since the 1990s, the public perception and assessment of assisted suicide in Swiss society has changed from an initially cautious and sceptical attitude towards broad acceptance. While the debates in other countries are characterised by relatively sharp controversies between those in favour and those against, public discourse in Switzerland has been less polarised. There are indications of a certain normalisation of the situation, the strongest sign is that Switzerland has so far refrained from regulating assisted suicide in a separate law. The results of a recently-published study on the opinions of Swiss people over the age of 55 regarding assisted suicide confirm these impressions.: The survey showed that over four-fifths of respondents support legal assisted suicide, almost two-thirds can imagine asking for assisted suicide themselves at some point, and that almost one-third are considering becoming members of an right-to-die organisation in the near future, with one-twentieth of respondents already being members at the time of the survey in 2015. Among people with a higher level of education and older people aged between 65 and 74, approval of assisted suicide and corresponding practices was higher than among less educated, younger and very old people; approval was also significantly lower among religious practitioners. 

Sensitive topics  

The fact that assisted suicide enjoys broad support in Swiss society as a whole does not mean that there are not difficult and controversial aspects relating to its practice. Relevant topics include, in particular, places of death, authorisation criteria and procedures. 

Places of death: Assisted suicide is permitted also for mentally ill persons in psychiatric clinics, but the federal court recommends great caution here and requires two psychiatric expert opinions to ensure that the person willing to die is capable of judgement with regard to the desire to commit suicide. Although assisted suicide for children and adolescents has hardly been an issue in Switzerland to date, the corresponding debates are currently being held in Canada and elsewhere. The question of whether people in prison also have a right to make use of assisted suicide, has been the subject of intense debate in Switzerland for years, with a generally positive response. The question of whether right-to-die organisations should be given access to acute hospitals and nursing homes is still the subject of controversial debate, with regulations varying from hospital to hospital, nursing home to nursing home 

Authorisation criteria: With regard to the admission criteria for persons willing to die, the capacity for judgement is at the centre of attention: while the importance of the criterion is undisputed in itself, there is a struggle for reliable standards and procedures to reliably test this criterion. Since the publication of the SAMS ethical guidelines Management of Dying and Death in 2018, the criterion for end of life and, depending on this, that of unbearable suffering have received new attention due to an objection by the Swiss Medical AssociationFMH. While the guidelines are based on the criterion of unbearable suffering, the FMH wants to stick to the near end of life. It is certainly difficult to diagnose the existence of unbearable suffering, as the international debate on the significance and assessment of existential (neither physical nor psychological) suffering shows. This difficulty is illustrated by the debate that has been going on for several years in Switzerland about so-called old-age suicide and the inherent criterion of tiredness of life. At the centre of the dispute is the legally difficult question of whether a doctor is also allowed to prescribe a lethal drug to a healthy person. 

Procedures: Here the role of the medical profession and right to die organisations is by far the most important issue. In contrast to the physician-centred models in Belgium, Canada and the Netherlands, the Swiss model of assisted suicide is based on the idea that every person has the right to end their life and may call on the help of any other person to do so. Although the medical profession is usually involved in the process, the management of the procedure is normally the responsibility of a right-to-die organisation. This division of responsibilities is always up for debate when legal regulations are being considered, in which doctors should tend to take the lead in the process due to their professional background. There is also a debate about how and by whom compliance with the authorisation criteria should or could be monitored, whereby it remains to be decided whether this should be carried out before or after the death. At present, a certain amount of monitoring takes place following a suicide, insofar as the authorities investigate the cases afterwards. There is also debate as to whether Pentobarbital is a suitable means of suicide, especially if this barbiturate is not administered intravenously but taken orally; there is no knowledge of how many cases are currently administered intravenously and by whom an infusion is then set up. Last but not least, consideration has already been given to the use of lethal drugs, such as helium gas, which can be obtained over the counter. 

Attempts at regulation 

Political efforts to regulate assisted suicide in Switzerland in a more nuanced way than today have been made since the 1990s but have remain largely without consequences to date. In relevant judgements by the Federal Supreme Court or in statements by the Federal Department of Justice and Police, reference is regularly made to the ethical guidelines of the SAMS. These are classified as soft law and are therefore not legally binding, even though their content has become the subject of dispute. The National Advisory Commission on Biomedical Ethics (NCE) had already recommended more far-reaching legal regulation in 2005 as part of a detailed opinion on the subject; in the opinion of the NCE at the time, the review of authorisation criteria, a justifiable regulation of assisted suicide for the mentally ill, children and adolescents and state supervision of right-to-die organisations, should be ensured by law. The question is what form a legal regulation can take that grants the medical profession far-reaching powers but at the same time prevents medical paternalism (in favour of or against assisted suicide). From the perspective of Swiss experience, this is “a square circle”: either the doctors retain the final decision on who receives the barbiturate, or official access rules are established, the review of which does not generally require medical expertise. 

The outlook

In the short and medium term, it can be assumed that the number of assisted suicides in Switzerland will continue to rise. The coronavirus pandemic and the particular difficulties faced by nursing homes during this time are likely to exacerbate this increase. In view of these expectations and the legislative processes in other European countries, pressure is likely to increase in Switzerland to create a legal regulation. Overall, I think politically it will be important to create a legal regulation, in order to ensure legal equality and legal certainty on the one hand and prevention of abuse and expansion on the other. At the centre of social-ethical reflection is the challenge of learning to deal with the pluralism of different ideas of a good death and to develop and establish alternative models to medically assisted dying. The thesis I mentioned at the beginning is confirmed today: assisted suicide in Switzerland can hardly be normalised; new problems, challenges and demands are constantly arising. Suicide, whether with or without the help of another person, always means an existential transgression that defies normalisation.