Article
Assisted dying
Care
Creed
Death & life
5 min read

“Shortening death” sidesteps the real battle

We need to do more than protest bad deaths, we need to protest death itself, it's more than biological.

Tom has a PhD in Theology and works as a hospital physician.

A hand drapes over the side of an object out of shot.
Michael Schaffler on Unsplash.

What is “death”? It’s surprising the term has received little attention in the assisted dying discussion so far, because more hangs on the answer than one might expect. At a press briefing, Kim Leadbeater MP stated that the assisted dying bill she is proposing is about “shortening death, not ending life.” 

But what meaning does “death” have here? 

The current bill defines neither “death” nor “dying.” Granted, it implies a biological definition. The bill speaks of administering approved substances to “cause that person’s death” and of capacity and decision-making around “ending life.” These fit the understanding of death with which the medical profession operates—death is the point in time when the combined functions required for human life cease. It is a one-time event, the end of physiology, and so is recognised by a combination of physical signs.  

Death, then, is a diagnosis. 

So, too, “dying”—though here the waters are murkier. Setting aside sudden deaths, medical talk of dying takes us out of binary territory. Dying speaks of a process, of the “terminal phase.” Within medicine a diagnosis of dying heralds the expectation that a person’s death will occur within hours or days. And so, the focus shifts. The task of care is no longer the coordinated work of investigation, preserving life, and treating symptoms. Now attention is on bringing relief to the process of dying. 

The bill seems wise to much of this. Though definitions of death and dying are absent, the bill does define terminal illness—“an inevitably progressive condition which cannot be reversed by treatment” and from which the event of death “can reasonably be expected within 6 months.” And so, it clearly distinguishes terminal illness from biological death and, implicitly, from dying. 

Of course, terminal illness and biological death are related. Terminal illness is irreversible, and where terminal illness leads is death. Or, you might say, it leads to the end of life. Apart from the timescale of six months, the same may be said of ageing: ageing is irreversible, and where ageing leads is death. This is why Kim Leadbeater’s comment was puzzling to me. I suspect what she really meant was “shortening terminal illness.” If so, this is confusing because, within the framework of the bill, “shortening terminal illness” and “ending life” are identical. It seems she was getting at something else.

“It seems odd that in the name of eliminating suffering, we eliminate the sufferer.” 

Stanley Hauerwas

I suspect Kim Leadbeater was echoing a conviction at home in the Christian faith. That is, try as we might to keep death at a distance and restrict it to a faraway frontier, the life of human beings involves death. I don’t simply mean the biological death we witness—the deaths of friends, relatives, or even strangers. I mean death intrudes upon the way we experience life. Death is more than simply biological. 

The fear of death belongs in this category. For some, the impending loss of relationships and joys casts a shadow over life, giving birth to apprehension. Death is not simply a factual matter but something that exerts power and influence. Or take disease and illness. Built into the notion of terminal illness is the idea that the sickness borne by a human body will ultimately bring about that body’s death. That body already speaks of its death. Death is making itself felt in advance. 

And so, death is more than a biological event. Even living things can bear the marks of death. 

This is no novel claim. The creation account recorded in the Bible says that in the beginning, there was good. But an intruder appears. In the wake of humanity’s choice to go its own way rather than the way of its Maker, death arrives on the scene. And death is an imposter—not simply a physiological fact at the end of the road, but a destructive and alien presence in God’s good world. 

Understood in this way, death is not something that God intends humans simply submit to. Death is something to protest. This is why Kim Leadbeater’s comment gets at something important: this kind of death should be protested. The marks of death should not be accommodated, because they do not belong to the goodness of what God has made. 

At the heart of the Christian faith is God’s own ultimate protest against the force of death. Christians celebrate that God himself came in the man Jesus to “destroy death.” This is plainly more than biological. Jesus came to free humanity from the entirety of death’s grip. Hence why, when Jesus speaks of “eternal life” he means more than endless biological existence. He means liberation from all the havoc that death brings to bear within God’s world. To the Christian imagination, the power of death must be protested because God protested it first. 

The question is how to protest death. Within the framework of the bill, shortening death or terminal illness is identical with ending life. This is the only form protesting death can take. 

But the Christian faith makes a far more radical claim: God alone overcame death by dying. This is the point: Jesus was the one—the only one—who emerged resurrected victor in the contest with the power of death. In seeing his death and resurrection, an unshakeable hope emerges. Death is not the victor. And this hope stands above our present experience of death—in whatever form—and, at the same time, calls us to join the protest. 

Ethicist Stanley Hauerwas once wrote: “it seems odd that in the name of eliminating suffering, we eliminate the sufferer.” I have deliberately avoided discussing suffering, not least because it would take me too far afield. Yet Hauerwas has put his finger on what I’m getting at. Protesting death—in the big sense—belongs to the Christian faith. Protesting suffering and pain, economic and racial injustice, fractured relationships and broken societies, are all part of this protest. But can eliminating those who live within the shadow of death be part of this protest? I think not. The Christian faith believes there is only one who can overcome death in this way, and that is God himself—who has already done it.

Column
Creed
Feminism
Monastic life
4 min read

Cancelled but not forgotten, the medieval heretic who still intrigues today

Despite erasure and desecration, Guglielma was a trailblazer.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A silhouette of a woman's face.
Seth Johnston on Unsplash.

Is it possible to be martyred years after dying a natural death? The question occurs to me under the Alps between Lyon and Milan and arises from a late thirteenth century story of Guglielma, a spirited 50-year-old to say the least. 

She arrived in Milan in 1260 like Ruby Tuesday. No one knew where she came from and yesterday didn’t matter, because it was gone. She lived in poverty, but gathered quite a following. Some said she was the daughter of the King of Bohemia (she was certainly bohemian in the cultic sense), others that she was the cousin of Elizabeth of Hungary or had been married to an English prince. 

Guglielma (we have no surname) claimed equality with God, a new dawn for womanhood, and according to a contemporary account stated she was “the Holy Spirit made flesh for the redemption of women” whom she baptised “in the name of the Father and of the Son and of herself.” 

Some 20 years after she died, Dominican agents of the Inquisition arrived in Milan and burned a top nun, Maifreda da Pirovano of the local ruling family, at the stake, for claiming that she would be made Pope. Then they pitched up at the Abbey of Chiaravalle, desecrated Guglielma’s tomb, dragged her mouldering remains to a field and burned her bones to dust, scattering her ashes to the winds. 

I resolved to embark on a little pilgrimage to Chiaravalle when I arrived in Milan, to pay my respects to Guglielma, my kind of heretic. I’d never heard of her before a short account from the podcasting historian Tom Holland, whose book Dominion, on “the making of the western mind”, I was finishing as I crossed the Italian border. 

Pilgrims used to visit her tomb twice a year in the Middle Ages before she was violently exhumed. But you’ll find no record of her at Chiaravalle now. Bizarrely, there were Italian supercars being photographed outside of the abbey when I arrived, but it’s peaceful and original, nonetheless. And Guglielma is, of course, missing. 

Speak to one of the Cistercian monks there and they will affect not to have heard of her, then murmur “heretic” and “Bohemian.” But a gentle monk called Davide sweetly told me he would show me her former tomb, in the private grounds out of bounds to visitors, if I returned in 20 minutes. 

We walked through the brothers’ vegetable garden and cemetery, where hares were nibbling around a statue of St Francis and the trees grew unruly. There, under a twelfth century arch, was her former grave, now marked with the names of local Milanese benefactors of the abbey. I wondered if they had known they would be laid to rest in heretical soil. The birds sang on. 

As such, heresy serves as a reminder not only to overthrow prevailing orthodoxies, but is also divinely owned. 

There are lessons to learn from the Gugliema cult. The first is that, as the author of Ecclesiastes has it, there really is nothing new under the sun. Women have been fighting the patriarchy perhaps since Mary Magdalene encountered “the gardener” outside an empty tomb. 

There was no word for “deaconess” in the early church, only deacons. The Gugliemites were heralding the dawn of a new age for the Christian Church run by women. That may not be wholly the ambition of today’s women priests, but let’s note in passing that it’s taken more than another 700 years for women to be consecrated as bishops.  

The second point is that she really might have had a point about the Holy Spirit. Claiming the third person of the Trinity as herself may have gone a bit far, even by today’s standards, but for a God who holds within “himself” all gender, there is a venerable tradition of considering the Spirit as female. 

The Hebrew bible often casts this spirit as female, as in the book Proverbs, where Wisdom is a woman who “shouts in the streets” and “cries out in the public square.” It was St Paul, much later, who said she must keep quiet in church. 

Guglielma is a saint only in Folk Catholicism, but women like her and Maifreda were authentic witnesses and trailblazers for women’s apostleship. We can still be too sniffy, even afraid, of heresy and we do well to remember the main charge against the Nazarene at his arrest and execution was precisely that. As such, heresy serves as a reminder not only to overthrow prevailing orthodoxies, but is also divinely owned. 

As I left Guglielma’s last grave, I knew it was empty of her, not unlike that other empty tomb. Her violators had liberated her into the world. She’d gone before me. 

It was fitting that her ashes had been thrown to the wind, like the wind that had moved across the waters in the act of creation; like the wind that had blown over other disciples at Pentecost. And like the wind that was now gently rustling the trees in this quiet monastic back garden.  

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