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
Comment
Sport
3 min read

Winning the emotional whole in elite sport

As the pressure builds at Wimbledon, Jonny Reid and Graham Daniels reflect on the psychology vulnerabilities sports stars face.

Johnny and Graham work for Christians in Sport. Graham, is the General Director, while Jonny is the Resources and Communications Team Leader.

A tennis player stands ready to return a shot, while a phalanx of photographers crowd round a court-side opening to take a picture of him.
Photo by Howard Bouchevereau on Unsplash.

“It’s tough to be happy in tennis because every single week, everyone loses apart from one person.”  
Taylor Fritz – American World Number 9 tennis player 

Wimbledon is one of the pinnacles of the tennis season as players long to win the prestigious tournament. Yet only a handful will experience success. The vast majority will fail in their goal and return to the treadmill of elite touring sport.  

These players were once the best in their town, state or country, yet now they face the relentless pressure of competing against hundreds of others who were ‘best-in-class.’ 

Former US Open champion Bianca Andreescu struggled to come to terms with this reality when she turned professional. Speaking in the Netflix documentary series Break Point, she said: 

 “When I started losing, I didn’t know what was happening in a way. I didn’t know how to deal with it. I was shocked, which was really weird because people are losing every single week in tennis.” 

The shame of losing 

Andre Agassi has written one of the most illuminating autobiographies of any sportsperson, where he recounts how by the age of seven, he associated winning tournaments with safety from the potential rage and disappointment of his highly driven father.  

However, having won Wimbledon at the age of 22, he discovered that even winning one of the biggest tournaments in his sport could not heal his wounds and the need to find satisfaction and worth in his performance. He said after his victory: 

“winning changes nothing. Now that I’ve won a slam, I know something that very few people on earth are permitted to know. A win doesn’t feel as good as a loss feels bad, and the good feeling doesn’t last as long as the bad. Not even close.” 

Like all humans, elite athletes need to know they have value and significance not based on what they have done or will do in the future but on who they are. 

More recently Emma Raducanu, the British 2021 US Open Champion reflected on how she had become trapped in a similar view of her tennis. 

"I very much attach my self-worth to my achievements,"  

she said. 

"If I lost a match I would be really down, I would have a day of mourning, literally staring at the wall. I feel things so passionately and intensely." 

Ashley Null is an experienced sports chaplain who has worked with Olympians and high-level sportspeople for many years. In reflecting on the story of Agassi, he notes: 

“The first task of any chaplain to elite athletes is to help them learn to separate their personal identity from their athletic performance. Only love has the power to make human beings feel truly significant, not achievement. Only knowing that they are loved regardless of their current performance can make Olympians feel emotionally whole.” 

How to feel emotionally whole in elite sport 

 Current professional player Shelby Rogers has noted that in elite tennis:  

“Week to week, you’re walking around with your ranking plastered on your face.” 

They cannot seem to escape their performances. 

Like all humans, elite athletes need to know they have value and significance not based on what they have done or will do in the future but on who they are. Most of us do not have our work watched by millions and instantly ranked and analysed. But for elite athletes, these pressures mean they are especially vulnerable to insecurity and are much more likely to conflate identity with performance. Thus, a stable and secure identity is critical for the sportsperson. 

Sports psychology has begun to understand this need and now encourages athletes to think more broadly about how they find their worth and value. Rebecca Levett has worked in a number of high-performance environments and acknowledges that:  

“It is absolutely vital that we, as support staff and coaches encourage our athletes to consider who they are as a person as well as an athlete.” 

For most of us our ‘private identity,’ as Levett calls it, could be derived from our family and friends and how they see us. Several athletes reference their role as husband or wife or mother and father as key in their success. Meanwhile, others, recognising that not even family relationships are permanent or always fulfilling, have turned to Christian faith for this stability.   

Shelby Rogers recently spoke on a podcast about the difference understanding this has had on her tennis career.  

“As much as you try not to read the media, you still have that constant comparison, and so it is understanding within yourself that you do not have to prove yourself to God…that you do not have to perform for him…you just have to go out and enjoy yourself and use these gifts he’s given you.” 

The Christian message is that a secure identity can be found in God's assured, steadfast love, as a Father has for his children.   

Sport is a beautiful gift, but it is not stable enough to define us.