Column
Assisted dying
Care
Comment
4 min read

Proposed euthanasia safeguards insult our NHS

We must defend a collective sense of care and generosity.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A gable end mural depicts a nurse in scrubs and a mask turning and looking towards the viewer.
A mural of an NHS nurse during COVID, Manchester.
Mural Republic

It was, I believe, the late political satirist Simon Hoggart who coined the Law of the Ridiculous Reverse, which held that, if the opposite of a statement is plainly absurd, then it was not worth making in the first place.  

This law comes to mind when Labour MP Kim Leadbeater promises that her Assisted Dying Bill will have the “strictest safeguards in the world”, one of which is that those patients who have ordered their fatal dose “would be allowed to change their mind at any time.”   

Where, exactly, has it ever been suggested that an individual, having asked for an assisted death, would not be allowed to change their mind? I’m just wondering which legislator or medical professional has proposed that once a lethal draught has been prescribed then there is no turning back.  

I’m struggling to picture the circumstance in which a terminally ill patient is pinned down and killed, the last words that they hear being: “I’m sorry Mrs Simpkins, but everyone’s gone to a lot of trouble. You asked for it and you’re jolly well going to get it.” 

This is important because, apparently, being able to change your mind about asking for help to kill yourself is one of the strictest safeguards in the world. I hope Ms Leadbeater will forgive me for pointing out that this doesn’t really stack up. 

 And what’s serious about it is that it’s also a massive straw man argument. The clear and rather devious implication is that one of the arguments being made against the introduction of an assisted suicide law is that patients won’t be able to change their minds about it, which I think we can all accept simply isn’t a fact at all. It’s absurd – a Ridiculous Reverse. 

So I’ll defend the NHS with a religious fervour. To my mind, healthcare is a holy mission. We meddle in law with the Hippocratic Oath at our very deep peril. 

It’s also hugely contemptuous of the medical profession in general and rude to the NHS in particular. That’s because there’s a snide impression behind Leadbeater’s comment there may be hundreds of budding Harold Shipman out there, but her powerful safeguards are going to protect us from them. 

We’re in danger of becoming inured to this kind of insult from politicians directed at the NHS. And it’s worth exploring why they might think we need to be protected from unscrupulous doctors and nurses. In this case, one possible reason is that the NHS isn’t being particularly helpful in giving the euthanasia enthusiasts what they want. 

Doctors and their staff have plenty of ethical objections to assisted suicide. But leave those aside for a moment. At the practical level, the NHS has made it clear that it doesn’t have the infrastructure to operate a policy of assisted deaths safely. And it can’t afford to set one up. So a government that introduces assisted suicide is going to have to organise and regulate its own assisted death agency. 

“Oh,” the assisted dying lobbyists seem to exclaim, “we’d presumed you’d do as you’re told.” Just hand out the hemlock. Take your instructions from the legislature. 

But the NHS is better than that. And it’s that kind of high principle that so infuriates feckless politicians. It was the late Nigel Lawson who said, somewhat ruefully, that the NHS “is the closest thing the English have to a religion”. The right wing of politics regularly tells us it’s time to renounce that religion. 

To worship the NHS as a religion would, literally, be idolatrous. But it’s not so to acknowledge its religious qualities. Just look at the word – the Latin religio means something like “good faith”, the essence of who we are, what makes us good. 

The NHS, in its post-war incarnation, has been central to who we are as a people and what defines us. It’s something to do with our collective sense of care and generosity to one another. Its members, like our national Church, make up a single body. 

This is not to co-opt the NHS as the medical wing of the Church. It’s no part of the NHS’s brief to proselytize – rather the reverse; Christian medical staff have been in deep disciplinary trouble for evangelising. It is a profoundly secular organisation. 

So the NHS emphatically isn’t in the business of propagating the gospel. But that’s not to say that we can’t be in the same business. Many priests have stories of their most affirming work being in the company of people of other faiths or of none. 

The NHS’s proud heritage is to offer treatment free to anyone at the point of access. Put another way, it will seek to heal anyone who comes to it. I make no apology for saying that sounds familiar. 

So I’ll defend the NHS with a religious fervour. To my mind, healthcare is a holy mission. We meddle in law with the Hippocratic Oath at our very deep peril. 

And when NHS professionals tell us where we can stick our assisted suicides, I respectfully suggest we give it our solemn attention, rather than patronisingly offering a Law of the Ridiculous Reverse.

Snippet
America
Comment
Trauma
3 min read

Why Charlie Kirk’s murder shook me so much

When violence hits close to home, we search for answers

Will Fagan serves as a minister in the Episcopal Church in Birmingham, Alabama.

Mourning students at a vigil hold a sign about Charlie Kirk.
Students at Texas Tech hold a vigil for Charlie Kirk.
X.com/OldRowOfficial.

Unless you've managed to avoid all news this week, you’ll have heard of a series of unconnected violent attacks in the United States, the most recent being the assassination of 31-year-old conservative political activist Charlie Kirk during a speaking engagement at a university in Utah. 

Every time there is a shooting in my country – whatever the motives – I become physically sick and had a similar reaction this week. I cannot watch the news; I delete social media and avoid the topic in conversation as much as possible. Our present and public culture of violence coupled with the resultant news cycle is simply too much, too fear-inducing, and leaves one with the helpless thought of, “what would happen if I was in a situation like this?” I’m sure I’m not alone in this response. 

I do not agree with Kirk’s politics (though as an ordained minister, I wouldn’t tell you if I did), yet what I can tell you is that his death has gripped me in a way I couldn’t have foreseen, nor expected, becoming strikingly close to home. Kirk was 31 with a three- and one-year-old child. I am 32 with a three- and one-year-old. The idea that this could happen, period, followed by the thought of a prospect of never seeing my own children grow up completely undoes me.  

This is undoubtedly a common response to when tragedy strikes individuals with whom we can readily identify. I doubt I have to list examples (were you 37 years old when Princess Diana died?; etc). because you’re probably thinking of certain instances right now in times where tragedy has hit, even metaphorically, quite close to home. 

As I write this not from a gun control perspective, nor a political one at all, what is the theological answer to why events like this continue to happen? It is a question that I have been asked, unprovoked, by three young fathers (of diverse political persuasion) this week who have been gripped similarly to me.  

What continues to come to mind is a blanket statement written by the Apostle Paul in his first century letter to the Galatian churches in which he calls the backdrop of our lives, “This present evil age.” It is a harsh statement, and it is unpleasant, but I also think it is true. How, you ask, can I apply this first century statement to 21st century life?  

For one, Paul is writing about the time before Jesus Christ returns, a time that Christian teaching states that we presently occupy, so the statement does apply. But perhaps more importantly, when I look around, I confess that, especially in weeks like this one, “this present evil age” is an existence that I recognize. It is an existence that tragically we can largely expect, an existence that cannot be fixed politically, personally, or corporately as much as we would like to. 

Rather than depressingly stripping us of agency, how is this helpful? I find it helpful in two key ways: First, this present evil age as a descriptor is helpful because it helps answer, “Why?” to my despondency, confusion, and nausea at senseless tragedy. It helps me put those feelings somewhere and begins to, if only slightly, give the nonsensical a name.  

More than that, though, it forces me to look beyond this world, and to a power greater than the seen forces here – a power that I cannot see, a power that is good, merciful, and just, a power that will one day, and hopefully soon, make all things new.  

Of course, we cannot make sense of senseless and violent and sickening tragedy. We weren’t meant to, and that is grievous. So might we only call on the name of the one who has come to this present evil age before, and that he might come again – soon.   

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