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
Development
War & peace
3 min read

South Sudan is on the brink, but it can pull back

The UK can join local peacemakers in preventing a new civil war.

James Wani is Christian Aid’s South Sudan’s Country Director.

A Sudanese woman walks across the ashes of a burnt out street market.
A burnt-out market place in South Sudan.
Christian Aid.

It’s been two years since Sudan slid into a brutal power struggle between the army and its former ally, the paramilitary Rapid Support Forces (RSF). Despite its size and savagery, blink and you might miss it as the world media remains mesmerised by the White House tariffs.  

Sudan’s people have suffered on a scale that’s almost impossible to take in. It is the world's biggest humanitarian crisis. More than 12.5 million people have been forced from their homes. Some estimates suggest up to 150,000 people had been killed so far in the conflict.  

The ensuing chaos has spilled into neighbouring countries like South Sudan where I live. Over the last year almost a million refugees and returnees have crossed the border to escape horrific war crimes, violence and rape. 

Neither are they escaping into a land of peace and stability. Resources are stretched as South Sudan grapples with long-standing challenges like floods and droughts from climate change and our own fragile peace process.  

Those crossing from the north have added a crisis on top of the existing crises. Nine million people here need humanitarian assistance - three quarters of South Sudan’s population.  

Christian Aid and its local partners are doing what they can to support this huge influx from Sudan by providing cash, emergency supplies and access to water and sanitation to more than 100,000 people.   

But even these attempts at relief might be short-lived. Fears are growing that South Sudan may follow Sudan and topple into civil war. 400,000 people died over five years in the last one. Ominous signs are there for a renewed conflict.  

Late last year in Juba there was an outbreak of violence between the President’s military forces and armed groups connected to the former head of the National Security Agency. The country’s first ever elections keep on being postponed. Tensions escalated in February. An unelected Reconstituted Transitional National Assembly was not called back from recess to discuss this.  

Now the country's First Vice-President Riek Machar is under house arrest. South Sudan's President Salva Kiir accused Machar of stirring up a new revolt. Last month, the US ordered all its non-emergency staff in South Sudan to leave as fighting broke out in one part of the country.  

Just this month, the UN mission’s plane was shot down, killing staff and a wounded armed forces general, allegedly by groups allied to the Vice-President. Uganda has sent its army to support the President and airstrikes on civilian areas and opposition compounds in four states are now nearing the capital.   

South Sudan might be on the brink, but this isn’t a doctrine of despair. The country can pull back.  

Christian Aid doesn’t just provide humanitarian support - we are in the business of hope. by working hand in hand with local activists, like the South Sudan Council of Churches (SSCC), to help the country’s government establish and implement the 2018 peace agreement.   

Respected church leaders have, and are, playing a key role in building trust and confidence:  brokering peace deals at local level, undertaking shuttle diplomacy in South Sudan’s states, talking to armed groups to urge them to get behind the peace agreement and to the President and Vice-President to return to honouring their agreement. The new elected head of SSCC, Rev. Tut Kony Nyang Kon, said their role was to bring the country around a unity of purpose.   

He said South Sudan’s leaders need to present a reinvigorated plan for free and fair elections in two years to reassure people, rally the peacemakers and deter those who may see an opportunity to undermine the peace gains made so far.  

But they need diplomatic support too.   

The UK, along with the USA and Norway, is part of the influential “Troika” that must make a serious diplomatic investment in the national and international peace processes to ensure that the existing peace agreement holds and deter other states from providing financial or military support that can fuel conflict and violence.  

The UK government needs to show it means what it says when it promised the UN Security Council last November that it would champion the protection of civilians and double aid for those fleeing the conflict in Sudan.  

2025 should be a leadership moment for the UK and the international community to increase support for the region and get behind South Sudan’s peacemakers to avoid another catastrophic conflict in Africa.