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.

Freedom of belief
Comment
Politics
5 min read

Understanding authority from Rome to Beijing

As geo-political tensions between China and the West rise, K.K. Yeo explores authority and religion in China, finding complex questions and nuanced answers.

K.-K. Yeo, a diaspora Chinese, lectures widely in majority world including China on cross-cultural understanding of civilization and religion.

Haidian Christian Church
Haidian Christian Church

Is the West Christian and China Confucianist? Or is the West secular and China communist? Binary understanding of our world in conventional terms, such as East versus West, or the sacred-secular divide, is superficial and confusing. Given the biases, divisiveness and, at times, toxic geopolitical reality today, the topic of government and Christianity in China today is more complex than meets the eye. A much better option is a meaningful cross-cultural perspective that enables constructive conversation, while honoring different contexts and nuanced understandings. 

Does it surprise you that, an atheist, and at times anti-religion, ‘party-state’ China is the world’s largest Bible printer? Christianity in China has existed since the seventh century when the Syrian Church of the East had rigorous cultural, religious, and commercial exchanges with many nations as far as those in East Asia. Recently the regime in China has become concerned about the growth of the Christian population that might be outnumbering the Party’s members. There has been the suppression of believers, burning of crosses, and demolition of churches across the country. The Communist Party eliminated the State Administration for Religious Affairs in 2018, and the United Front Work Department of the Communist Party now has direct control on all religions.  

Does it surprise you that, an atheist, and at times anti-religion, ‘party-state’ China is the world’s largest Bible printer?

Churches in China exist in a harsh reality similar to that of first century Roman Empire, so they inevitably find the teaching of St. Paul in the Bible to be of great interest. Chinese Christians have long had nuanced responses to their government. The house church remains committed to love Christ only - rendering to God the things that are God’s, and only then would they render to Caesar the things that are Caesar’s. This ‘separation of religion and government’ position (preservation of religious freedom from government intrusion) is considered to be politically subversive to the authoritarian rule of the Party. Therefore, the house churches have long distanced themselves from politics, while acknowledging that their Christian behaviour, such as loving their neighbor as a religious duty, is ‘the best politics’ for nation building.  

By contrast, the Three-Self Patriotic churches—and also the current Vatican-China agreement on the appointment of Chinese bishops—do not find a serious discrepancy in loving Christ and the communist state. They seek to work with the government primarily in the matter of social welfare but have range of mixed views on the scope of combining patriotism with Christian belief. To maintain no or minimum separation of government and religion is becoming more and more challenging as the government centralises its control of all aspects of national and personal lives. 

Christians in China are asking harder questions than those in churches outside China. 

Can a Christian church adopt a state ideology or become a member of the Communist Party to support Christian identity and social harmony in China?  

Are church attendance and participating in church activities politically subversive?  

And what does it mean to say that ‘Jesus is Lord’ in that land?  

I remember teaching at Peking University and seeing the students debate a scenario in the Bible in which the Thessalonian crowd was charging the apostle Paul and his colleague Silas for contradicting the decree of Caesar, for ‘saying that there is another king named Jesus’. Paul was surely preaching neither about insurrection nor subversion of the Roman Empire. However, Roman audiences then, and Chinese crowd or government today, are more likely to have perceived the belief in ‘Jesus as Lord’ as a political threat.  

A case in point concerns Wang Yi, the pastor of the Early Rain Church in the city of Chendu, who preached Jesus as the Lord of lords - thus implying that the current political ruler is subsumed under Jesus Christ. Yi was sentenced to nine years in prison in 2018 ‘for inciting subversion of state power’. Cardinal Joseph Zen, a 90-year-old Catholic bishop in Hong Kong, was arrested in 2022 for criticizing the Vatican’s unwise deal with China, and for being an advocate of democracy in Hong Kong. 

Christians in Hong Kong are treading similar water regarding their religious faith clashing with the politicized perception of such faith as treason, such as in the Umbrella Movement or the Occupy Central with Love and Peace that protest the will of the Chinese Communist rule in Hong Kong. 

Can a Christian church adopt a state ideology or become a member of the Communist Party to support Christian identity and social harmony in China? 

Using the teaching of St Paul in his letter to early Christians in Rome as a resource, the Chinese argue that he encourages these Roman Christians to critically reflect on government power so as to bring all nations to obedience of God’s justice. The popular reading of Paul as asking Roman Christians to ‘be subjected to the governing authorities’ for the reason that ‘for there is no authority except from God’ is a weak English translation. To the Chinese church, Paul admonishes Roman Christians to ‘subject themselves to the governing authorities’, and that is not a passive submission but a voluntary involvement as good citizens in the process of bringing about change to their government. The Chinese church sees that Paul challenges government politics, first by stating the principle that, ‘it is not an authority if not from God’, i.e., ‘unless from God’. In other words, there may be some governing authorities that are not appointed by God, thus begging the question: how does one know if governing authorities are from God and those not from God?  

It seems that Paul is not concerned about whether a government or the head of state is Christian or not. What matters to Paul is not what the government says but the way the government or the head of state acts in accordance to the following principles:  

  • Rulers are not to terrorize good conducts and good citizens; the rule of law is meant to approve the good-doers and punish the evil-doers; 
  • Rulers are ‘ministers’ of God for the common good of the people, even though Roman Empire has its mythic origin from Jupiter, a Roman god; 
  • Rulers are ‘worship leaders’ of God as they administer collected taxes not for their own concentration of power, but for the dignity and flourishing of the citizens, thus realizing God’s compassionate justice on earth, promoting the welfare of the city.  

Churches outside China read Paul on government politics based on their assumed cultural context of Christian values. Yet, the Chinese church’s courage and humility to ask hard questions for themselves is an enlightening conversation. For those outside China, a cross-cultural and global understanding of government and religion can shed light on the promotion of a robust public life.  

 

Further Reading 

K. K. Yeo, The Created Universe and Naturalistic Cosmos: A Cross-cultural Conversation with a Chinese Theologian