Article
Care
Comment
Economics
Ethics
4 min read

NHS: How far do we go to feed the sacred system?

Balancing safeguards and economic expediencies after the assisted dying vote.

Callum is a pastor, based on a barge, in London's Docklands.

A patient eye view of six surgeons looking down.
National Cancer Institute via Unsplash.

“Die cheaply, protect the NHS” It sounds extreme, but it could become an unspoken policy. With MPs voting on 29th November to advance the assisted dying bill, Britain stands at a crossroads. Framed as a compassionate choice for the terminally ill, the bill raises profound ethical, societal, and economic concerns. In a nation where the NHS holds near-sacred status, this legislation risks leading us to a grim reality: lives sacrificed to sustain an overstretched healthcare system. 

The passage of this legislation demands vigilance. To avoid human lives being sacrificed at the altar of an insatiable healthcare system, we must confront the potential dangers of assisted dying becoming an economic expedient cloaked in compassion. 

The NHS has been part of British identity since its founding, offering universal care, free at the point of use. To be clear, this is a good thing—extraordinary levels of medical care are accessible to all, regardless of income. When my wife needed medical intervention while in labour, the NHS ensured we were not left with an unpayable bill. 

Yet the NHS is more than a healthcare system; it has become a cultural icon. During the COVID-19 pandemic, it was elevated to near-religious status with weekly clapping, rainbow posters, and public declarations of loyalty. To criticise or call for reform often invites accusations of cruelty or inhumanity. A 2020 Ipsos MORI poll found that 74 per cent of Britons cited the NHS as a source of pride, more than any other institution. 

However, the NHS’s demands continue to grow: waiting lists stretch ever longer, staff are overworked and underpaid, and funding is perpetually under strain. Like any idol, it demands sacrifices to sustain its appetite. In this context, the introduction of assisted dying legislation raises troubling questions about how far society might go to feed this sacred system. 

Supporters of the Assisted Dying Bill argue that it will remain limited to exceptional cases, governed by strict safeguards. However, international evidence suggests otherwise. 

In Belgium, the number of euthanasia cases rose by 267 per cent in less than a decade, with 2,656 cases in 2019 compared to 954 in 2010. Increasingly, these cases involve patients with psychiatric disorders or non-terminal illnesses. Canada has seen similar trends since legalising medical assistance in dying (MAiD) in 2016. By 2021, over 10,000 people had opted for MAiD, with eligibility expanding to include individuals with disabilities, mental health conditions, and even financial hardships. 

The argument for safeguards is hardly reassuring, history shows they are often eroded over time. In Belgium and Canada, assisted dying has evolved from a last resort for the terminally ill to an option offered to the vulnerable and struggling. This raises an urgent question: how do we ensure Britain doesn’t follow this trajectory? 

The NHS is under immense strain. With limited resources and growing demand, the temptation to frame assisted dying as an economic solution is real. While supporters present the legislation as compassionate, the potential for financial incentives to influence its application cannot be ignored. 

Healthcare systems exist to uphold human dignity, not reduce life to an economic equation.

Consider a scenario: you are diagnosed with a complex, long-term, ultimately terminal illness. Option one involves intricate surgery, a lengthy hospital stay, and gruelling physiotherapy. The risks are high, the recovery tough, life not significantly lengthened, and the costs significant. Opting for this could be perceived as selfish—haven’t you heard how overstretched the NHS is? Don’t you care about real emergencies? Option two offers a "dignified" exit: assisted dying. It spares NHS resources and relieves your family of the burden of prolonged care. What starts as a choice may soon feel like an obligation for the vulnerable, elderly, or disabled—those who might already feel they are a financial or emotional burden. 

This economic argument is unspoken but undeniable. When a system is stretched to breaking point, compassion risks becoming a convenient cloak for expedience. 

The Assisted Dying Bill marks a critical moment for Britain. If passed into law, as now seems inevitable, it could redefine not only how we view healthcare but how we value life itself. To prevent this legislation from becoming a slippery slope, we must remain vigilant against the erosion of safeguards and the pressure of economic incentives. 

At the same time, we must reassess our relationship with the NHS. It must no longer occupy a place of unquestioning reverence. Instead, we should view it with a balance of admiration and accountability. Reforming the NHS isn’t about dismantling it but ensuring it serves its true purpose: to protect life, not demand it. 

Healthcare systems exist to uphold human dignity, not reduce life to an economic equation. If we continue to treat the NHS as sacred, the costs—moral, spiritual, and human—will become unbearable. 

This moment requires courage: the courage to confront economic realities without compromising our moral foundations. As a society, we must advocate for policies that prioritise care, defend the vulnerable, and resist the reduction of life to an equation. Sacrifices will always be necessary in a healthcare system, but they must be sacrifices of commitment to care, not lives surrendered to convenience. 

The path forward demands thoughtful reform and a collective reimagining of our values. If we value dignity and compassion, we must ensure that they remain more than rhetoric—they must be the principles that guide our every decision. 

Article
Comment
Politics
Truth and Trust
5 min read

The ancients had the right words for Trump’s tussle with the BBC

Can the truth be concealed?

Hal is a theologian and writer based in London.

A composite images shows the entrance to the BBC on one side and Donald Trump on the other
BBC.

The recent controversies surrounding the BBC's leadership and the lawsuit brought by Donald Trump may appear, at first glance, to be merely another chapter in the ongoing drama of contemporary politics and media. Yet for those with eyes to see, something far older and more profound lies beneath the surface turbulence—a perennial struggle concerning the very nature of truth itself, one that reaches back to the dawn of Western thought and touches the deepest springs of our common life. 

The sequence of events is itself instructive. The disturbances at the Capitol occurred on January 6, 2021. More than three years thereafter, the BBC's Panorama programme broadcast an investigation examining the relationship between Mr Trump's rhetoric—his exhortation to "fight like hell"—and the violence that ensued. The programme did not fabricate a narrative but rather sought to interpret one, attempting to hold words and their consequences together within a coherent moral framework. This work was, in its essence, what the pre-Socratic philosopher Parmenides termed Aletheia: truth understood as 'unconcealment', the patient labour of bringing into public view that which has been hidden or obscured. 

A vocation 

When the crisis deepened, the BBC's then Director of News, Deborah Turness, reaffirmed the Corporation's mission as the pursuit of truth "with no agenda". It was a well-intentioned defence, though perhaps insufficiently bold. For the BBC's founding vision was never a pursuit of neutrality as an end in itself, but rather the pursuit of truth in service of the common good—a vision given permanent expression in the inscription carved into the very walls of Broadcasting House: 

"This Temple of the Arts and Muses is dedicated to Almighty God... It is their prayer that good seed sown may bring forth a good harvest... that the people, inclining their ear to whatsoever things are beautiful and honest and of good report, may tread the path of wisdom and uprightness." 

This inscription is no mere ornament. It constitutes a theological statement concerning the vocation of public speech. The call to sow "good seed"—echoing Jesus’ parable of the sower in St Matthew's Gospel—the summons to attend to whatsoever things are "honest and of good report" as St Paul exhorts in his letter to the Philippians, and the call to walk "in wisdom and uprightness" from the book of Proverbs—all these speak to a moral order in which words are meant to bear fruit. Panorama's investigation may be understood as a contemporary attempt to fulfil this sacred charge: an inevitably human and imperfect effort to unconceal the connection between language and its consequences in the world. 

The ancient force of oblivion 

Mr Trump's response, however, embodies a different and equally ancient force: Lethe—the personification of oblivion and forgetfulness in Greek thought. His lawsuit is not simply a defence against an allegation he finds unwelcome. It represents, rather, a strategic campaign to enforce forgetfulness. What Trump has chosen to bring into the light is not his own intent or action, but rather the BBC's editorial process. By directing all attention toward the matter of editing, he seeks to bury and render forgotten the original and far more consequential question: the demonstrable connection between his words on the sixth of January and the violent response of his supporters. The strategy is to employ a minor unconcealment—the technical matter of the edit—in order to accomplish a major concealment: the causal chain linking rhetoric to riot. 

This, then, is the quiet heart of the matter. The lawsuit functions as a modern political instrument deployed within an ancient philosophical conflict. It represents a deliberate choice for Lethe over Aletheia, aiming to dissolve the connection between word and reality, and to immerse the most uncomfortable truths in the waters of oblivion. 

For Christians, this struggle occupies familiar ground. To stand for truth is not to claim infallibility—a pretension that belongs to God alone—but rather to participate in the slow, difficult work of revelation: to bring things into the light for the sake of healing and restoration. Whether in journalism, the Church, or the wider public square, truth remains first a vocation before it becomes a verdict. 

The crisis at the BBC, therefore, is not merely about institutional governance or corporate reputation. It serves as a reminder that the pursuit of truth is always a contested act of unconcealment, perpetually threatened by the seductive pull of forgetfulness. In an age tempted by distraction and denial, even imperfect truth-telling becomes an act of faith—a wager that reality is trustworthy, that words have weight, that consequences follow causes. 

A reason to persevere 

This ancient struggle between unconcealment and oblivion offers perspective on our present moment. For those who hold religious faith, it recalls St John's testimony that "the light shineth in darkness, and the darkness comprehended it not"—a conviction that truth ultimately prevails. For those who do not share such faith, the argument stands on its own philosophical ground: that truth-telling, however costly and imperfect, serves something greater than partisan advantage or institutional survival. 

The inscription at Broadcasting House speaks to both believer and non-believer alike. Its prayer for "good seed" and "good harvest", its call to attend to things beautiful, honest, and of good report, articulates a civic ideal that transcends particular creeds. It suggests that public institutions bear a responsibility—not to be infallible, but to resist the gravitational pull of forgetfulness, to maintain the connection between words and their consequences, to choose unconcealment over oblivion. 

Whether one grounds this commitment in theological conviction or in secular principle, the work remains the same: the slow, difficult labour of bringing uncomfortable truths into the light, trusting that a society capable of facing reality is stronger than one that retreats into comfortable fictions. In an age tempted by distraction and denial, this may be reason enough to persevere. 

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