Article

America

Comment

Politics

Race

8 November 2023

6 min read

Remembering well: journeying through America’s memorials

Ian Hamlin recalls the Civil Rights landmarks and memorials, as he continues his journey in the footsteps of his hero Martin Luther King.

Ian Hamlin

Ian Hamlin has been the minister of a Baptist church since 1994. He previously worked in financial services.

An imposing stone statue of Martin Luther King standing with his arms crossed.

Martin Luther King Memorial at night, Washington DC.

Bernd Dittrich on Unsplash.

Pilgrimage, according to Pete Grieg’s definition at least, is simply ‘a journey with God, in search of God’. In other words, it’s not going from somewhere God isn’t, to where he is, but does recognise the real power of place, that the presence of God, experienced in a specific location, is significant, and worthy of seeking out.

I’ve been reluctant to call this sabbatical trip of mine, to the sites of a variety of events significant in the American journey towards civil rights in the 1950s and 60s, a pilgrimage. It sounds overly grand and to give too strong an emphasis to the geography, rather than either the history, or the biography, of Martin Luther King himself, the inspiration of the whole journey.

Yet, as I’ve been travelling; by plane, train, car and foot, I’ve been powerfully moved, as I’ve stood in places that have carried the weight of real pain, and extreme significance. There is genuine emotion attached to being somewhere where something happened, barely a generation ago, it leaves a legacy hanging in the air which is somehow palpable. That’s true regardless, but it’s often helped, although sometimes hindered, by some sort of maker. Something to let you know that this is where it was. Beyond the purely informational, memorialising has, or can, play a potent part in demanding that attention be continually paid to the past’s relevance to the here and now.

Selma, Alabama

A historic marker at the Edmund Pettus Bridge.

Tony Webster, CC BY-SA 2.0, via Wikimedia Commons

A history interpration sign stands by the highway approach to a arched bridge.

Those responsible for keeping this particular story alive, across the United States have, it seems to me, done an exceptional job in providing markers and memorials that both focus and amplify the meaning of the events they commemorate. Allow me to take you with me, briefly, to some of the places where I have stood, that you might sense something of what I have felt.

The USA, of course, has some experience of memorialising significant, yet relatively recent events. Coming from the UK, where I’m used to public monuments largely celebrating victory, glorifying generals and affirming a pretty static sense of solid certainty, it’s refreshing to witness commemorations that provoke as many questions as they provide answers, that promote reflection and challenge, as well as inform.

Washington DC is, of course, a city of memorials. Some of the most well known are, strictly speaking, outside of the remit of my trip, but it seems wasteful not to visit nonetheless.

The monuments to Lincoln, Jefferson and Washington himself are famously huge, grand and imposing, yet, to my mind at least, the most moving Presidential memorials are those to Roosevelt and Mason, the forgotten founder. Relatively small, humble even, thoughtful, the small wheelchair bound figure of Roosevelt, almost lost within his own expansive legacy, generously populated with the images of others, especially the poor, they put aside prestige for the sake of the personal.

When it comes to war, there’s a welcome note of ambiguity, whether you are scarred by the gash in the landscape that is the Vietnam memorial or haunted by the staring eyes of the Unnamed soldiers of the Korean war, catching you accusingly with their glance, there’s no place for mere glorification here.

Of course, the one non president remembered on the National Mall, takes me to the heart of my journey. Martin Luther King stands, tall and majestic, emerging, literally, out of the rock face behind him. ‘Out of the mountain of despair, a stone of hope.’ Powerful, in every respect, but I would have to go elsewhere to find his humanity.

Like to his birth home, in Atanta, beside the very dining table where he was told by his father that the reason the inseparable friend of his pre-school years dropped him as soon as school began, was because of the colour of his skin, and that it would happen over and over again. Or, later, at the kitchen table of the parsonage of his first church in Montgomery, where, having cleared up the wreckage from his bombed porch, he wondered, in the middle of the night, if the burden he was carrying was too great to carry, and yet, right there, experienced an encounter with God that fuelled his every succeeding day.

Maybe to Boston, the most recent, abstract yet tender monument to the ‘Embrace’ between him and his wife, a marriage far from perfect, yet powerfully enabling.

Or perhaps standing in his very footsteps, marked for posterity, at the Lincoln memorial for the March on Washington, the Edmund Pettus Bridge in Selma, perhaps the most searingly evocative place of all that I visited, or behind his own beloved pulpit from Dexter Avenue Baptist Church, Montgomery. In each and every place, recalling all the different stories, you get a feel for the man, his pain, and yet his faith.

Then there were the larger museums, interpretive centres and institutes, designed to show the bigger picture still.

Like the enormously impressive National African American Museum of Art and History (NAAMAH), part of the Smithsonian Institute in Washington, where, I joined, in quick succession, a weeping line of black American visitors, filling past Emmett Till’s open casket, then, the same crowd, cheering the recorded promise of a Dream.

The Civil Rights Museum of Birmingham, charged with overseeing the 16th Street Baptist Church, and the place, just outside the ladies’ rest room, where a bomb exploded. killing 4 young girls, just as a service was about to begin, as well as the pretty little park opposite, with its startling sculptures of snarling police dogs and water cannons.

There was the Legacy Museum, from Enslavement to Mass Incarceration, in Montgomery, where you’re immediately overwhelmed by storm force waves crashing all around the walls and ceiling, enveloping you in the immersive experience of the transatlantic slave trade. Before peering into a tiny cell and seeing a holographic figure come to life before you, a slave waiting their auction, telling you their story. Then, much more up to date, being ushered into a prison visiting room, picking up the telephone to hear the convict’s take on contemporary racial injustice.

Birmingham, Alabama

Freedom Walk, Kelly Ingram Park.

Carol M. Highsmith, Public domain, via Wikimedia Commons.

a path passes between two monoliths from which sculpted aggressive dogs emerge.

Or, just down the road, in the Rosa Parks Museum, standing at a bus stop, watching a small, tired lady being hauled off to be arrested for falling to give up her seat, before you move on, another half mile or so, to the National Memorial for Peace and Justice, and feel the weight of the multitude of great steel blocks, 800 of them, each representing a county in America, bearing the names of the victims of summary lynching.

Finally, there’s the gentle water flowing over Maya Lin’s follow up piece to her Vietnam memorial, the civil rights memorial, also in Montgomery. All of these places, and others; bitter with anger, drenched in tears, seared with hope. Remembered, celebrated, with all their ongoing awkwardness as benchmarks in history and faith.

In an age when the role of statues and memorials is much debated, when history, it’s said, should know its place, and yet be allowed to stand and speak its truth … these places, images, powerful exhibits and presentations, demand that the whole, painful truth shout out its reality, often in the name of the victims and the vanquished. In doing so, they bear good witness to the events that they’re designed to speak of. They inform, but, much more than that, they move and they challenge, they create new and ongoing stories so that history is not only recalled but re-enabled in a needy present, and offered up in hope.

Article

Assisted dying

Comment

Politics

25 November 2024

7 min read

Assisted dying hasn’t resolved Swiss end of life debates

Despite attempts to normalise it, new challenges still arise.

Markus Zimmerman

Markus is Professor of Moral Theology and Ethics at the University of Fribourg, Switzerland.

A single bed, wiith an unmade colourful duvet stands in the corner of a room. A hoist reaches over it from the corner.

The dying room, Dignitas Clinic, Zurich.

Dignitas.

While countries such as Germany, France or the UK are currently struggling to find a suitable regulation for assisted suicide, their peers in the Netherlands, Canada and Switzerland have years of experience with the controversial medical practice. Even if each state must explore its own ways of dealing with these ethically controversial issues, it is obvious that international experience should not be ignored as they try to find a way forward.

In Switzerland the discussions and challenges surrounding assisted suicide are increasing rather than decreasing. Contrary to the idea that a liberalisation of assisted suicide would lead to fewer debate, tensions and difficulties are increasing. My observation, and thesis, indicates that practices such as assisted suicide cannot be “normalised”, even in the medium and long term.

Developments

In recent years, one to two per cent of all deaths in Switzerland were due to assisted suicide. From an overall perspective, this practice is therefore still a marginal phenomenon. However, a look at the total number of assisted suicides per year gives a different impression, as this has increased more than fivefold in the years between 2008 and 2020, from an initial 253 to 1,251 deaths per year, a rising trend. The cause of death statistics for Switzerland only include those cases of assisted suicide in which persons resident in Switzerland were involved and the death was reported to the authorities. According to the Swiss Federal Statistical Office, in 2020, it was mainly people over the age of 64 who made use of assisted suicide. Detailed information on the underlying illnesses of the people affected in 2018 shows that about 40 per cent were affected by cancer, just under 12 per cent by diseases of the nervous system, a further 12 per cent by cardiovascular diseases and just over a third by other illnesses, including dementia and depression. There are currently seven right-to-die organisations in Switzerland which play a leading role in a typical assisted suicide procedure. They work closely with doctors who are prepared to prescribe a lethal drug, generally Pentobarbital. The data reflects an ambivalent picture: on the one hand, the proportion of assisted suicide cases is relatively low in relation to all deaths and, for example, in comparison to the large number of people who die in Switzerland in a state of deep sedation until death; on the other hand, the number of assisted suicides in Switzerland has risen sharply in recent years.

Perceptions and assessments

Since the 1990s, the public perception and assessment of assisted suicide in Swiss society has changed from an initially cautious and sceptical attitude towards broad acceptance. While the debates in other countries are characterised by relatively sharp controversies between those in favour and those against, public discourse in Switzerland has been less polarised. There are indications of a certain normalisation of the situation, the strongest sign is that Switzerland has so far refrained from regulating assisted suicide in a separate law. The results of a recently-published study on the opinions of Swiss people over the age of 55 regarding assisted suicide confirm these impressions.: The survey showed that over four-fifths of respondents support legal assisted suicide, almost two-thirds can imagine asking for assisted suicide themselves at some point, and that almost one-third are considering becoming members of an right-to-die organisation in the near future, with one-twentieth of respondents already being members at the time of the survey in 2015. Among people with a higher level of education and older people aged between 65 and 74, approval of assisted suicide and corresponding practices was higher than among less educated, younger and very old people; approval was also significantly lower among religious practitioners.

Sensitive topics

The fact that assisted suicide enjoys broad support in Swiss society as a whole does not mean that there are not difficult and controversial aspects relating to its practice. Relevant topics include, in particular, places of death, authorisation criteria and procedures.

Places of death: Assisted suicide is permitted also for mentally ill persons in psychiatric clinics, but the federal court recommends great caution here and requires two psychiatric expert opinions to ensure that the person willing to die is capable of judgement with regard to the desire to commit suicide. Although assisted suicide for children and adolescents has hardly been an issue in Switzerland to date, the corresponding debates are currently being held in Canada and elsewhere. The question of whether people in prison also have a right to make use of assisted suicide, has been the subject of intense debate in Switzerland for years, with a generally positive response. The question of whether right-to-die organisations should be given access to acute hospitals and nursing homes is still the subject of controversial debate, with regulations varying from hospital to hospital, nursing home to nursing home

Authorisation criteria: With regard to the admission criteria for persons willing to die, the capacity for judgement is at the centre of attention: while the importance of the criterion is undisputed in itself, there is a struggle for reliable standards and procedures to reliably test this criterion. Since the publication of the SAMS ethical guidelines Management of Dying and Death in 2018, the criterion for end of life and, depending on this, that of unbearable suffering have received new attention due to an objection by the Swiss Medical AssociationFMH. While the guidelines are based on the criterion of unbearable suffering, the FMH wants to stick to the near end of life. It is certainly difficult to diagnose the existence of unbearable suffering, as the international debate on the significance and assessment of existential (neither physical nor psychological) suffering shows. This difficulty is illustrated by the debate that has been going on for several years in Switzerland about so-called old-age suicide and the inherent criterion of tiredness of life. At the centre of the dispute is the legally difficult question of whether a doctor is also allowed to prescribe a lethal drug to a healthy person.

Procedures: Here the role of the medical profession and right to die organisations is by far the most important issue. In contrast to the physician-centred models in Belgium, Canada and the Netherlands, the Swiss model of assisted suicide is based on the idea that every person has the right to end their life and may call on the help of any other person to do so. Although the medical profession is usually involved in the process, the management of the procedure is normally the responsibility of a right-to-die organisation. This division of responsibilities is always up for debate when legal regulations are being considered, in which doctors should tend to take the lead in the process due to their professional background. There is also a debate about how and by whom compliance with the authorisation criteria should or could be monitored, whereby it remains to be decided whether this should be carried out before or after the death. At present, a certain amount of monitoring takes place following a suicide, insofar as the authorities investigate the cases afterwards. There is also debate as to whether Pentobarbital is a suitable means of suicide, especially if this barbiturate is not administered intravenously but taken orally; there is no knowledge of how many cases are currently administered intravenously and by whom an infusion is then set up. Last but not least, consideration has already been given to the use of lethal drugs, such as helium gas, which can be obtained over the counter.

Attempts at regulation

Political efforts to regulate assisted suicide in Switzerland in a more nuanced way than today have been made since the 1990s but have remain largely without consequences to date. In relevant judgements by the Federal Supreme Court or in statements by the Federal Department of Justice and Police, reference is regularly made to the ethical guidelines of the SAMS. These are classified as soft law and are therefore not legally binding, even though their content has become the subject of dispute. The National Advisory Commission on Biomedical Ethics (NCE) had already recommended more far-reaching legal regulation in 2005 as part of a detailed opinion on the subject; in the opinion of the NCE at the time, the review of authorisation criteria, a justifiable regulation of assisted suicide for the mentally ill, children and adolescents and state supervision of right-to-die organisations, should be ensured by law. The question is what form a legal regulation can take that grants the medical profession far-reaching powers but at the same time prevents medical paternalism (in favour of or against assisted suicide). From the perspective of Swiss experience, this is “a square circle”: either the doctors retain the final decision on who receives the barbiturate, or official access rules are established, the review of which does not generally require medical expertise.

The outlook

In the short and medium term, it can be assumed that the number of assisted suicides in Switzerland will continue to rise. The coronavirus pandemic and the particular difficulties faced by nursing homes during this time are likely to exacerbate this increase. In view of these expectations and the legislative processes in other European countries, pressure is likely to increase in Switzerland to create a legal regulation. Overall, I think politically it will be important to create a legal regulation, in order to ensure legal equality and legal certainty on the one hand and prevention of abuse and expansion on the other. At the centre of social-ethical reflection is the challenge of learning to deal with the pluralism of different ideas of a good death and to develop and establish alternative models to medically assisted dying. The thesis I mentioned at the beginning is confirmed today: assisted suicide in Switzerland can hardly be normalised; new problems, challenges and demands are constantly arising. Suicide, whether with or without the help of another person, always means an existential transgression that defies normalisation.