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
Film & TV
Truth and Trust
5 min read

Impartial journalism isn’t possible for the BBC – or anyone else

It’s time to give up the ghost and opt for transparency over impartiality

Lauren Windle is an author, journalist, presenter and public speaker.

A wide angle view of the BBC newsrooms show a starm layout of desks
The BBC newsroom.
BBC.

I wrote 3,000 words explaining the differences between a complementarian and egalitarian relationships – loosely these are the two categories that determine a couple’s position on male headship and female submission in a Christian marriage. I have my opinions, sure. But in this piece, I was neutral. I clearly laid out the arguments for and against each, explained the history, context and nuances, all to equip the reader to make their own mind up.  

I proudly handed the piece to my editor highlighting the careful tightrope of neutrality I had walked. She hesitated: ‘Well, I guess. But it’s clear what position you take.’ I was crushed, all the delicate phrasing and open-handed descriptions and I was still as transparent as the Shard on window clean day. 

No matter how hard we try to present balanced arguments, there is no such thing as unbiased reporting. Even when trying to be ‘fair’ in the way we present a story, we always bring our own perception of ‘fairness’ to the table. And without the wisdom of Solomon (in the cut-the-baby-in-half era), we’re not going to consistently get it right.  

I’ve been a journalist for some years but I’ve never worked in an organisation that claims to be impartial, bar a week’s internship at Science in Action on BBC World Service. I have, however, worked for publications that don’t share my political views. And even with the mandate to write in ‘house style’ there are many subtle decisions a journalist can make to skew reporting towards their personal opinion. 

Phrasing is everything. Am I saying they ‘protested’ or ‘rioted’? Is it ‘reform’ or a ‘crackdown’? Are they an ‘immigrant’, ‘asylum seeker’, ‘refugee’ or ‘expat’? Did she ‘splash around in her swimsuit’ or ‘flaunt her curves on the beach’? There is no neutral choice of words or phrasing. Every micro-decision a journalist makes is based, consciously or unconsciously, on the perspective that they have and are trying to impart on you.  

Then there’s choosing which topics to write about in the first place, selecting sources to quote from and statistics to reference and deciding how to frame the headlines. With the vast body of data available online, you can always find a person or stat to back up your belief. None of this can be done without a hint of your own background, culture, and worldview. 

It is through this lens – my belief in the fallacy of impartiality – that I’ve followed the latest fallout at the BBC. After an internal dossier was leaked, it came to light that a Panorama documentary called ‘Trump: A Second Chance?’ that was broadcast not long before 2024’s presidential election, had misleadingly edited a speech he made on January 6 2021. The speech was spliced in such a way as to suggest he had egged on the assault on the Capitol. Shamir Shah, the BBC chairman, acknowledged the fault and said that the editing ‘did give the impression of a direct call for violent action.’  

The BBC has always been plagued by allegations that it is not living up to its Royal Charter legally requiring it to be impartial. Interestingly, there are many examples of these complaints coming in from both the left and right sides of the political spectrum. The term ‘impartiality’ in this context doesn’t mean stripping all viewpoint from its reporting, as the organisation acknowledges the impossibility of that task, but it does say that it strives for balance, fairness and due weight. This is a standard they fell short of in their reporting of Trump’s address. 

In this, it is undeniably at fault. Even the most questionable of news outlets, that do publish quotes out of context, would acknowledge that knowingly editing or adapting quotes and footage to support their own agenda is totally unacceptable. Regardless of a reporter’s own opinion, readers and viewers want to hear a person speak in their own words.  

The wider question this raises for me is: why we are still claiming any news outlet is impartial in the first place? There’s a sense of safety with both right- and left-wing media, that openly acknowledges its own agenda. If you pick up the Guardian, you understand that you are reading about the world from a socially liberal political stance while tuning into GB News where they champion British values and challenge ‘woke culture’ will bring you something very different. 

I think the BBC as an institution is brilliant, important and necessary but not impartial. When people decry the reporting choices or phrasing of BBC reporting as biased, my response is always ‘what do you expect?’. There are important checks and balances, like rights of reply and offering opposing positions, that help round out a story, but they don’t strip it of opinion. I think it’s time to give up the ghost and opt for transparency over impartiality. 

The honest response is to acknowledge that, like every other person who relays a story, the BBC cannot resist the siren call of opinion. To claim it can, when audiences can plainly see the inconsistencies across its platforms, is both disingenuous and outdated. Instead, perhaps they could work to a mission statement along these lines: ‘We are committed to fairness, accuracy, and transparency. We value robust reporting and careful fact checking. We recognise that complete neutrality is impossible, but we strive to reflect the world as truthfully and inclusively as we can.’ This transparency would at least free up 90 per cent of people who write in to BBC’s Point of View to complain about its reporting.  

Years ago, I was in conversation with the deputy editor of one of the big tabloids when he said that, while he thought his paper was great, no one should use it as their sole source of news. I appreciate his transparency. I think if any of us only consume news from one outlet, even if that is the BBC, we are selling ourselves short. Our pursuit of and clamouring for ultimate truth is a God-given and spiritual desire, so the wise would vary their sources. 

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