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
Community
Migration
Politics
5 min read

Our problem with immigration is not open or closed borders but the decline of Christianity

Christianity doesn’t provide immigration policy, but it could still unite our communities

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

Keir Starmer and Emmanuel Macron in front of flags.
Starmer and Macron announce their deal.
10 Downing Street.

So Keir Starmer and Emmanuel Macron have done a deal on migrants. One in, one out. The EU might yet block the plan, and it may fail as many have before it. The Conservatives’ Rwanda idea never got off the ground. Will this one? Labour hail it as a breakthrough with the French agreeing to take back some migrants for the first time. The right-wing media complain this is a drop in the ocean and will make precious little difference. 

What interests me is the role Christianity plays in this debate, invoked as it is on both sides of the argument.  

On the right, the argument runs like this: Britain is (or used to be) a Christian country. It is now in danger of being overrun by people who do not share that faith, or the values that are rooted in Christianity. Therefore, we must put a rapid halt to excessive immigration, especially migrants from conservative Islamic countries such as Afghanistan, Somalia or Pakistan. If we don’t, we will see the UK change dramatically and lose its distinct Christian identity.  

So, in a speech last year, Reform leader Nigel Farage claimed that “Judeo-Christian values” are at the root of “everything” in Britain. These values, he said, were that “the family matters, the community matters, working with each other matters, the country matters.” 

I’m sure they do. Christianity has shaped the character of the UK over centuries. And there is undoubtedly a sense in many places, especially more deprived ones, that communities have changed and are becoming unrecognisable from what they were. The chattering classes in Hampstead and Chipping Norton are hardly likely to feel the pinch, yet Bradford or Burnley can feel very different now than they did 50 years ago.  

Yet it’s hard to identify Farage’s values as distinctly Christian. Many Muslims would claim much the same, and it would be difficult to describe his list as an adequate summary of the message of Jesus. ‘Judeo-Christian values’ are often identified on the right as being the same as ‘British values’, which are defined by the UK government as “democracy, the rule of law, individual liberty, and mutual respect and tolerance of those with different faiths and beliefs.” It’s hard to imagine anyone getting crucified for preaching that.  

Yet Christianity is also used on the left. While he was Labour Leader in 2019, Jeremy Corbyn invoked Jesus in a call to welcome migrants: “The refugee crisis is a moral test. Jesus taught us to respect refugees. He himself said 'welcome the stranger…’ And the Bible says, 'the foreigner residing among you must be treated as your native-born'. 

He had done his homework. It’s a better account of the teaching of Jesus. Yet on the left, the welcome of the refugee is often part of a wider and deeper value of ‘diversity’ as a good in itself. Multiculturalism, the kaleidoscope of cultures found on many high streets with Indian, Thai, Italian, Moroccan restaurants, or the image of kids from different countries and religions happily running around a school playground is a beloved trope of secular progressive liberals.  

The trouble is that it is not how it feels to many in parts of Luton or Leicester. The residents of Hampstead and Chipping Norton can embrace multiculturalism because it does not fundamentally threaten their way of life.  

“The ebbing away of the faith is greeted with barely a fraction of the passion which accompanied Brexit.” 

Bijan Omrani

Embracing strangers is easier if you have a settled place to welcome them into. A home where the family gets on well, where the parents are united, the kids are content, is much more likely to be able to welcome in unknown guests with a proper curiosity to learn from them. A family full of tension and bickering is unlikely to welcome the stranger at all, as the newcomer will strain existing tensions even further. 

As theologian Oleg Dik writes: “A society which loses a sense of shared broad and strong identity is unable to welcome a stranger…. What makes us different is enriching only as long as we are all aware that we have something uniting us. In the absence of a uniting bond, difference turns out to be threatening.” 

The vision of the left – of diversity as an end in itself, held together only by a loose idea of tolerance or secularity which no-one thinks is worth dying for, threatens to erode the ties that bind us, as it gives no clear centrifugal core that can hold us together. 

Christianity doesn’t give you an immigration policy. Both left and right can claim some legitimacy in the Christian narrative. However, what Christianity does provide is a community that offers a moral schooling centred on the worship of Jesus, as the one who shows us the true shape of human life, the necessity of self-sacrifice, not self-indulgence as the key to a functioning communal life, and the sacred value of each person - beliefs which, in turn, can welcome the stranger into a secure and confident home.

These things have, over centuries, seeped out from their intense core in the Christian Church into wider society. Arguably today, they are being eroded ironically more by secularism than by Islam.  

The real problem of our time is not mass immigration (as the right would have it) or the failure to fully open borders (for the left). It is the widespread erosion of Christian faith.  

As historian Bijan Omrani puts it: “Christianity’s disappearance is being accepted with little consideration or debate. The ebbing away of the faith is greeted with barely a fraction of the passion which accompanied Brexit.” Now this may largely be the fault of the church itself, a failure of courage about its own message, and appearing like another social lobbying group for various causes rather than a community centred on the worship of Jesus. But it's also down to the swathes of middle class, educated Britons – like Nigel Farage and Jeremy Corbyn - who like to claim the name of Jesus when it suits, and who live off the cultural heritage of Christianity without investing into its future by going anywhere near a church.  

A good immigration policy needs the compassion that welcomes the vulnerable stranger. Yet it also needs a strong united community with a shared set of values, to welcome them into. Left and right may use Christianity in their rhetoric. But both miss something vital - that Christianity has to be practiced not just argued over. 

A renewed Christianity might be the saving of both right and left - or at least offer a deeper and richer narrative than either can offer on their own, one that provides a strong core that can holds a society together, yet also welcome the stranger as a gift and not a threat. 

Support Seen & Unseen

Since Spring 2023, our readers have enjoyed over 1,500 articles. All for free. 
This is made possible through the generosity of our amazing community of supporters.

If you enjoy Seen & Unseen, would you consider making a gift towards our work?
 
Do so by joining Behind The Seen. Alongside other benefits, you’ll receive an extra fortnightly email from me sharing my reading and reflections on the ideas that are shaping our times.

Graham Tomlin
Editor-in-Chief