Article
Comment
Politics
6 min read

Northern Ireland’s imminent danger is distraction

Distraction damages much more than your concentration. Its consequences could cost Northern Ireland its future.
Smartly dressed politicians sit or mill around a round table.
Rishi Sunak with the leaders of the Northern Ireland Government.
Prime Minister's Office.

Should you be reading this article right now? Are you meant to be working? Perhaps you’re working from home with the glorious ‘freedom’ that brings? Forgive me for judging, but it’s just that I know myself all too well. Dear reader, I must confess to you that in the course of writing this article I have already ‘cut away’ to cricket scores or my fascinating chess match with covidchessfun34 more than a few times. We are an increasingly distractable people. But you’re here now, so whether you landed here through word of mouth or social media, welcome. Much as you would (I am sure) love me to deconstruct yours and my individual psychology and boundaries, my hopefully more important point here is that distraction also operates at a political level.    

It’s been a frustrating few years for the people of Northern Ireland. Which when placed on top of the devastating history of the last 50 years seems a tad cruel. Just when the Good Friday Agreement seemed to have pulled off a miraculous balancing act on the high wire of a divided island with contested history, Brexit came along to throw off NI’s centre of gravity. It was in fact thrown off to such an extent that NI was left just trying to cling on, balance and survive, rendering no forward progress possible. Sadly, the circus metaphor seems appropriate in more ways than one.  

Given that context, you can appreciate how the people of Northern Ireland felt this week when Prime Minister Rishi Sunak flew into Belfast and attempted to educate them. He urged the newly formed Northern Ireland executive to focus on ‘things that matter’ rather than constitutional change. With hospital waiting lists that rival Sierra Leone and some roads that rival, well, Sierra Leone, I think that folks in Northern Ireland get that ‘things that matter’ are the things that matter. Of course, what the Prime Minister is talking about is Northern Ireland’s obsession with the elephant in the room - the border, or the desired removal of it. We don’t just talk about the elephant in the room. We study her in minute detail. We build brand new scientific devices just to study her. So, to be fair to the Prime Minister, ‘Don’t get distracted by the border’ is at a surface level an important thing to hear. Especially as Northern Ireland’s new First Minister Michelle O’Neill has not been shy about putting a United Ireland firmly on the agenda in her first days in office. 

Condescension from someone that knows more than you is challenging, but condescension from someone who knows less than you do really grates. 

But what has grated the good people of Northern Ireland is that this sermon to not be distracted by constitutional change was delivered by one of the chief exponents of Brexit – the biggest constitutional upheaval for Northern Ireland in a generation. The time spent and the regulatory gymnastics involved in trying to do a job of Brexit damage limitation for Northern Ireland has sucked the political energy and life out of these last seven years in Belfast and beyond.  

None of us enjoy condescension. It is that annoying thing that happens when people know more about a subject than we do and lord it over us. But what the people of Northern Ireland have had to endure in this last decade is being lectured by the Jacob Rees-Moggs of this world about the wonders of Brexit, when it became patently clear to most Northern Irish folks that not only had the particular challenges of NI not been fully considered but that even senior Brexit-supporting politicians didn’t actually understand the logistics how NI currently operated within the EU. Condescension from someone that knows more than you is challenging, but condescension from someone who knows less than you do really grates. And that’s only the nuts and bolts we’re talking about. Probably more detrimental was the ignorant blind spot around identity and psychology that was exposed. A palpable lack of knowledge was exposed regarding how the Good Friday Agreement combined with EU membership had created a remarkable ‘safe space’ in Northern Ireland where people who wanted to feel Irish could feel Irish and people who wanted to feel British could feel British. Condescension feels even worse when it seems that people don’t understand your circumstances or care about you.  

The force(s) of darkness are not idiots. They don’t waste time for most of us tempting us with the big stuff. In short, they try to distract us.

So, I put it to you that the consequences of distraction can be large. Those of us with Irish DNA need to hear the challenge that our obsession with the border has led to us not loving our neighbour as ourselves and stolen decades of healthy existence from our island. But might it be wise to at least consider that the distraction of Brexit has stolen and may continue to steal decades of focus on climate change, strengthening family life, healthcare, immigration, economic justice, international peacebuilding, and maintaining local service provision from local councils. In short, ‘things that matter’. 

The temptation is to see distractions as whimsical, temporary things. We think, “ah that quick scroll through Facebook or Instagram may make me less efficient, but it won’t kill me”. But that is exactly how temptation works. If you believe in an invisible battle between good and evil (and I do), then there are some dynamics that are worth considering. If there is a person or an impersonal force tempting me, then it is unlikely to tempt me to do things that are socially and culturally inappropriate in my world. I am not likely to be tempted to murder someone this morning. That would be an inefficient tempting strategy. But it would appear from the state of the world that whoever is in charge of tempting is actually quite good at it. 

That’s why I believe we are more usually tempted not to swing dramatically one way or the other but by a small shift of the needle. Just a little bit more than the day before. Not tempted to kill someone but tempted to score that point in a social media discussion. Not tempted to rob a bank, but tempted to ‘creatively’ adjust small increments in our tax reporting. Not tempted to commit adultery, but tempted to linger too long in a conversation or on a website.  

The force(s) of darkness are not idiots. They don’t waste time for most of us tempting us with the big stuff. In short, they try to distract us. Just a little wander off the main path. Won’t hurt anyone. Won’t take up much time. Except that habits form and unhealthy practices and opinions start to solidify, and ever-so-subtly the wheels may start to come off. Multiply that by a few million people and a whole country can end up hacking through gorse and bushes rather than driving on the track.   

Sure, a marriage can be patched up after innocent distraction becomes a porn addiction, but there will be wounds and scars. We need to acknowledge and repent to allow healing. The people of Northern Ireland know all too well that real reconciliation needs the hard yards of repentance and forgiveness. 

My prayer for the new Northern Ireland executive is that they can avoid further distractions and keep the main thing the main thing. At present only seven per cent of young people in Northern Ireland attend an integrated school. That means that the vast majority of people are growing up not getting to know kids from the other side of the religious divide. In that vacuum the fear, ignorance and prejudice can fester. Our own secret apartheid. That would be one place to start. 

Speaking of which. Get back to work. 

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.