Essay

Comment

Gaza

Israel

Middle East

War & peace

18 December 2023

8 min read

A peacemaker’s guide to keeping hope alive

Amid continuing despair around the Israel-Hamas war, former diplomat Todd Deatherage shares the practices of the peacemaker.

Todd Deatherage

Todd is the Executive Director and Co-Founder of Telos Group. It forms communities of American peacemakers across lines of difference and conflict, including Israel/Palestine.

Two people down a table turn and listen to someone closer talk, against a wall mural.

Reconciliation event, Northern Ireland.

Telos Group.

The world seems enveloped in darkness right now. The list of things that hide and extinguish the light is long, but for many of us it is the ongoing war in the Middle East that casts shadows of gloom and foreboding over our days and sometimes our sleepless nights.

As I write, Palestinian men, women and children in Gaza continue to die daily from unrelenting bombardment. Treatable injuries and illnesses are now fatal. Many lack access to food and clean water. About 134 Israelis remain in captivity. The West Bank teeters on the brink as ideological settlers pursue an agenda of harassment and displacement of Palestinian villagers.

Israelis and Palestinians remain deeply traumatized people and are transferring their untransformed traumas onto each other in endless cycles of conflict that are brutal to both, though glaringly asymmetrical. The rest of the world cheers and rationalizes and mourns and protests and marches and divides itself as the body count in Gaza soars.

‘Hope is not the same thing as optimism, hope is not a feeling. Hope is what you do.’

Mitri Raheb

Even for those of us watching from a distance, despair is unavoidable, and in many ways, the only rational response. Who dares speak of hope amidst such horror? And yet, without hope we are all lost. Hope is essential for life and flourishing--a life devoid of it is only existence. But how do we face such a brutal reality and look to the future with any sense of a better one? Is it even possible?

Hope is possible, even in such a time as this, but only if we define it correctly. The Palestinian theologian Mitri Raheb says that hope is not the same thing as optimism, hope is not a feeling. Hope is what you do. We push back against violence, hatred and fear by living and acting in hopeful ways. Daily acts of resistance against injustice and brutality protect and nurture our humanity and open up space for our own transformation. As we allow ourselves to be transformed we can be better agents of healing in the world around us. Hope is what you do. It is an active, intentional, clear-eyed yet generous way of living in the world.

The physicist Niels Bohr said the opposite of a fact is a falsehood but the opposite of a truth may be another profound truth.

And it’s important to connect hope and action in a moment like this in particular because the horror we’re witnessing has a context. This is not a natural disaster. We're not where we are simply because bad things happen, but because we brought ourselves here. Because too many have believed the lie that freedom and security come through violence, and that equality and peace can come via ideologies of exclusion and religious or ethnic superiority. We have accepted the fiction that our lives are not interrelated with those of our neighbors. And we have imagined that inequitable systems of subjugation and control can be sustained forever.

And so we keep hope alive by embracing the truth and grounding ourselves in the conviction that the death and destruction of this war will only lead to more of the same. Our words and our actions in this moment can be demonstrations of hope when they are rooted in a steely conviction that the horror of October 7th did not make Palestinians freer, and nothing that’s happened since is making Israel, or any of us, safer. This is how we got into this, not how we get out of it. Violence begets violence begets violence. We act in hope by calling for a ceasefire and the release of hostages. And ultimately we set our sights on a new reality in which Palestinians and Israelis can enjoy freedom, dignity and security in equal measure.

Here are some practices of the peacemaker that not only represent acts of hope but that open the possibility to bring about change in us and change in the world.

Listen to understand. Many of us live within the sound of only one narrative of the shared reality of Israelis and Palestinians. Listening to understand those whose stories are new to us is a first step in nurturing the empathy that will allow us to see the humanity of all.

Listening to those with whom we disagree, not to combat or argue, but to truly understand has the potential to sharpen what we know and believe even as it holds open the possibility of lowering the temperature between us and the person being seen and heard. And this may expose that behind our disagreement may be something deeper. (Hint: It’s often fear.)

Learn to hold experiences in tension. The physicist Niels Bohr said the opposite of a fact is a falsehood but the opposite of a truth may be another profound truth. Palestinians and Israelis each have their own connections to the same piece of land, their unique histories and experiences, and any honest peacemaking effort great or small has to hold these experiences in tension, not as equally true, but as the things that must be understood and dealt with in any effort at conflict resolution.

Peacemakers know the importance of centering the voices of those most vulnerable. In this case, that has to begin today with the millions of displaced Palestinian civilians in Gaza, the families of the hostages, the Israelis who’ve fled their homes in the south and north of their country, and the Palestinians trapped and apprehensive in the West Bank fearing all this is coming their way.

Peacemakers also acknowledge that each of us has agency. We may think our influence is small, but we have communities and circles of friends, we have elected leaders who are meant to be responsive to our concerns. There are always things we can do, and the cumulative effect of many small actions can bring change.

At a time of such horror and atrocity, casting blame is an easy and natural response. But what can’t be overlooked for those who want to create hope is the necessity of doing the honest work of self-interrogation. The persistence of antisemitism for centuries and its alarming rise in the present, coupled with the growth of anti-Arab and Islamophobic sentiments, force us each not only to examine our internal biases and those that exist within our own communities, but also to confront them. Credible voices from within our communities are needed, to borrow from Jesus of Nazareth, to point out the proverbial logs in our own eyes so that we might see more clearly to help our neighbor remove the splinters from theirs.

Part of the work of self-interrogation is also to own our complicity in creating the conditions we see today. For too long our governments in the West have acted as if the blockade of Gaza was somehow sustainable, and that Israel can perpetually occupy the West Bank with no political horizon for a better reality. And in recent years, the Americans have pursued a fiction that Arab-Israeli normalization could proceed with abandon while the Palestinians fall ever deeper into Israeli control and their own internal political dysfunction.

The fact that we are a party to this conflict---our implication in it--- also creates the opportunity and the imperative to transform our involvement into morally grounded policies and interventions that create greater space for the work of peacemaking and conflict resolution. Which leads us to advocacy as an essential practice of peacemaking

He told us the peacemakers are blessed. His universal invitation to live as his ambassadors of reconciliation and healing still echoes down through the centuries as a calling the world so desperately needs.

In the West, as an atrocity of historic proportions is being perpetrated right now, in real time, in our lifetime, we have to call on our leaders to end the ruination of Gaza. To work to return the hostages. To truly commit our governments to cease being peacetalkers and to become peacemakers. To use our influence to create the conditions for true security, honored dignity and freedom for Palestinians and Israelis alike, in equal measure. To support diplomatic initiatives, political arrangements and grass roots efforts that are all oriented toward their mutual flourishing,

For people of Christian faith, these dark days have now taken us into our season of Advent. The American Episcopal theologian Fleming Rutledge says “Advent always begins in the dark.” But it ends with the arrival of God in our midst, God with those in the ravaged kibbutzim of southern Israel. God with those in the bombed out wreckage of the cities and refugee camps of Gaza. And God with those cowering in fear in their homes in Bethlehem, the very place where the Christian story begins. In a normal year we sing, some years deeply from our hearts and our sadness, 'O Come O Come, Emmanuel, and rescue us'. This year that cry is nearly guttural for many of us. But it is a cry rooted in a belief that God has not forsaken us in our hatreds and our violence and our inhumanity. He is a God of transformation and invites us to join him in the work of healing and repair. Jesus came to make the world more merciful and just, to teach us to love our enemies, and to show us how to care for the weak and the vulnerable. He told us the peacemakers are blessed. His universal invitation to live as his ambassadors of reconciliation and healing still echoes down through the centuries as a calling the world so desperately needs. This Advent, let us live as agents of hope as we work for a future in Israel/Palestine---and in our own communities-- in which all can flourish in justice, security, freedom and dignity.

Article

Assisted dying

Comment

Politics

25 November 2024

7 min read

Assisted dying hasn’t resolved Swiss end of life debates

Despite attempts to normalise it, new challenges still arise.

Markus Zimmerman

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.