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.

Article
Culture
General Election 24
Politics
4 min read

Ultra-processed politics fails to satisfy

No-hope manifestos, full of ugly policies, leave us craving something better.
Three piles of ready-meals sit on a shelf. One stack is blue, the next yellow and the third red.
Party food.
Nick Jones/Midjourney.ai

There are now less than two weeks to go before polling day, and the nation appears to have simultaneously reached the highest fever pitch of emotion and the absolute nadir of political scruple. The Tory campaign has been comically, awfully inept - announcements in the rain, D-Day, gambling fraud. The Labour campaign has been an odd blend of quasi-Confucian aphorisms (‘Stability is Change’…what is that!?) and a blank refusal to give much detail on any future plans and actions - almost offensive from a party that seems guaranteed to win a majority that would give it little resistance. The Lib Dem campaign has resembled a Centre Parks holiday, and I’m here for it!  

The recent Question Time of political leaders perfectly encapsulated the grim reality of this election campaign. The anger towards Rishi Sunak was palpable, and his pathological inability to not be defensive and snippy shone through. A total lack of any emotion was shown towards Kier Starmer (a void that again was filled with more anger towards Rishi Sunak), and his militantly practiced refusal to actually say anything of substance. Ed Davey was quite charming actually; but not enough to make the whole viewing process anything but depressing. 

Yet… 

This is our situation, and we must deal with it. This is OUR election, and WE MUST engage with it. Alastair Campbell - one half of the most listened to political podcast in the UK - regularly calls for compulsory voting. The ad campaign reminding people (especially young people) to register to vote has been incessant. Even the Archbishop of York has written an open letter in the Sunday Express encouraging everyone to register and to exercise their democratic duty. Why? What for? I find the entire cadre unappealing to the point of being odious. Reading the manifestos I was struck by two realisations: the space between so many of the policies was miniscule, and they were so bloody ‘ugly’.  

I don’t mean ugly like the loveless, jingoistic, cruel ramblings of Reform. The two main parties have produced manifestos that inspire no hope. They equate the fullness and completeness of the human social condition to the subtle movements of financial resources from one area to another. They are each proposing a almost identical economic foundation, with a few nods to the fact that ‘society’ and ‘human relations’ exist, like a Potemkin village designed to impress the visiting dignitary, ‘the voter’. Not only do they read like they were written by someone who cannot think five, maybe ten, years ahead; they read like they were written by someone who has a cold indifference to the transcendental concepts of ‘TRUTH’, ‘BEAUTY’, ‘GOOD’. The whole tenor of our political culture and conversation is the same three riffs on post-modern liberalism, played with dexterity and enthusiasm of a corpse. 

If you feel passionately about your community, and you know the issues, and you have a candidate you believe in, vote. If none of this applies, don’t worry, and don’t let anyone shame you. 

And yet I MUST vote? What for? Why must I be shamed into preforming the perfunctory routine of soul-destroying civic duty? Why must I be bullied into giving the correct sacrifice to the great and terrible God of ‘DEMOCRACY’ in the vain hope that this vicious, nihilistic titan of bureaucratic ineptitude might yet again bless the polis with five more years of alienation and sublimated resentment. 

The Christian message, the Gospel, is not antithetical to politics. The Gospel of Christ is about one’s whole life - body, spirit, soul, relationships, friends, family, enemies, strangers, work, play, sickness, death - and so it cannot be divorced from politics, because as people who live in a society we must encounter the ‘political’ every day. However, the Kingdom of God is a Kingdom and not a Republic. Jesus does not answer the devious questions of the Pharisees with a markedly uninformative screed on updating tax legislation, he says to ‘Render therefore unto Cæsar the things which are Cæsar’s; and unto God the things that are God’s.’ He speaks to the people about radical charity, freedom from worry and stress about today, about a community of absolute loving relationship where everyone is a mother, and sister, and brother to everyone else.  

I am called - just like I believe all people, as beloved creatures who’s end is being united with God in all eternity - to keep my eyes on the horizon of the absolute, the beautiful and peaceful Kingdom of Christ which is not for this world. This does not mean apathy towards politics or even to the current election. It does, however, mean that I cannot and will not be persuaded that finding this pathetic display of ineptitude, silence, exaggeration, and unpleasant divisiveness which we call a campaign, anything other than a waste of my time and energy. If you feel passionately about your community, and you know the issues, and you have a candidate you believe in, vote. If none of this applies, don’t worry, and don’t let anyone shame you. The Kingdom of God will not be built by the winner of the General Election. It will be built by Christ working through the love and relationships that form a community of charity and service…and you can’t legislate for that.