Article

Belief

Care

Creed

4 December 2024

4 min read

Understand what we thirst for

Whether for water or meaning, it’s a primal force.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A child wearing a wool hat holds a glass and drink water from it.

Johnny McClung on Unsplash

Quenching thirst is a global problem. It can also be profoundly personal, impaired by illness. For nurses, it can be ethically and emotionally difficult, when treating dying patients. But is there ultimate relief?

Thirst is the subjective sensation of a desire to drink something that cannot be ignored. The world is thirsty; globally, 703 million people lack access to clean water. That’s 1 in 10 people on the planet.

Thirst is a life-saving warning system that tells your body to seek satisfaction through swallowing fluid. It works in partnership with other body processes - such as changes in blood pressure, heart rate and kidney function - to restore fluid, and salt, levels back to where they belong. Failure of any part of this beautifully balanced system leads to dehydration (or water intoxication), and perhaps to seizures, swelling of the brain, kidney failure, shock, coma and even death.

Sometimes it’s difficult to quench thirst, because of problems with supply. According to the World Health Organization, at least 1.7 billion people used a drinking water source contaminated with faeces in 2022. Sometimes in war, water is weaponised, with systematic destruction of water sources and pipes. Water laced with rat fur, arsenic and copper has meanwhile been reported in prisons across the USA.

At other times, there may be “water everywhere, but not a drop to drink” because of individual problems with swallowing. As a nurse, some of my most heartbreaking moments have been when I have been unable to fulfil a need as basic as a patient’s thirst; when even thickened fluids have led to intense coughing and distress, and a realisation that I can only moisten mouths and give so-called “taste for pleasure”: very small amounts of a favourite liquid or taste using a soft toothbrush, or a circular brush gently sweeping around the mouth and lips to release some of the liquid - even, and especially, at the end of life when the patient is unconscious.

Difficulties in drinking are common in dementia when fluid can seem foreign and swallowing a surprise to the system. It’s thought that over 50 per cent of people in care homes have an impaired ability to eat or drink safely; 30 to 60 per cent of people who have had a stroke and 50 per cent of those living with Parkinson’s may struggle to swallow.

Other conditions that may affect swallowing include multiple sclerosis, cerebral palsy, and head and neck cancers. Diabetes is characterised by a raging thirst owing to problems with insulin (diabetes mellitus) or an imbalance in antidiuretic hormone levels (diabetes insipidus). In intensive care, patients are predisposed to thirst through mechanical ventilation, receiving nothing by mouth, and as a side effect of some medications. But thirst is a “neglected area” in healthcare, writes palliative care researcher Dr Maria Friedrichsen.

“Knowledge of thirst and thirst relief are not expressed, seldom discussed, there are no policy documents nor is thirst documented in the patient’s record. There is a need for nurses to take the lead in changing nursing practice regarding thirst.”

Is there another thirst that is also being missed in nursing, and in life in general – a spiritual thirst, beyond the physical desire to drink? In his book, Living in Wonder, writer Rod Dreher argues that humans are made to be spiritual, and that a critical sixth sense has been lost in a “society so hooked on science and reason”. We humans crave love in our deepest selves; we have an insatiable thirst for everything which lies within – and beyond – ourselves. Auschwitz survivor Viktor Frankl, who was later appointed professor of psychiatry at the University of Vienna, became convinced that human beings have a basic “will for meaning.” “The striving to find a meaning in one’s life,” he wrote, “is the primary motivational force in man.”

In the harsh sun of a Middle East day, an ancient story of a man and a woman encountering each other at a water well illustrates this dual thirst for water and meaning. The man, Jesus, thankful for a drink of water given to him at the well by an outcast Samaritan woman, said that “Everyone who drinks this water will be thirsty again, but whoever drinks the water I give them will never thirst. Indeed, the water I give them will become in them a spring of water welling up to eternal life.” In that midday sun, such imagery made a powerful statement.

Being mindful of spiritual thirst when drinking water is something also captured in a Ghanaian proverb and pictured perfectly in the many birds that drink by gravity, so tipping their heads back when they swallow.

“Even the chicken, when it drinks,

Lifts its head to heaven to thank God for the water”.

Unsatisfied thirst is part of the human condition, we long for something more; it’s living proof of our immortality, says French poet Charles Baudelaire. Despite his Olympic success, athlete Adam Peaty said that society didn’t have the answers he was seeking, and that a gold medal was the coldest thing to wear. He “discovered something that was missing” when attending church for the first time, and now has a cross with the words “Into the Light” tattooed across his abdomen, symbolizing his spiritual awakening. We are more than mechanical machines with physical needs. We are rather gardens to tend in a dry and thirsty land, with souls in need of intensive care.

Essay

America

Conspiracy theory

Creed

Politics

10 May 2024

7 min read

MAGA’s sorting of America

What would Bonhoeffer make of the rogue creed?

Jared Stacy

Jared holds a Theological Ethics PhD from the University of Aberdeen. His research focuses conspiracy theory, politics, and evangelicalism.

A red baseball cap, with Make America Great Again written across it, sits on an open bible.

Natilyn Photography on Unsplash.

“Ten years is a long time in the life of every human being.” So begins Dietrich Bonhoeffer’s essay, After Ten Years. For him, the decade in question was 1933 to 1943. The place, Germany.

The original essay, penned to mark the new year of 1943, reflects on the tenth anniversary of Hitler’s ascendancy to power through democratic machinery. The piece was sent to an inner circle of Bonhoeffer’s friends. “Are we still of any use?” asks Bonhoeffer. There’s a question I can relate to.

And so, I’ve returned to these modest words again and again these last few years. They’re prophetic, a jolt of honesty born of resilient hope. Not unlike Martin Luther King Jr.’s Letter from a Birmingham Jail, both could be modern epistles.

Their prophetic edge is clearer with eyes on our own situation. 2024 is not 1968 or 1933. As an American citizen, we have our own “decade” to reflect on in the United States. And that is the decade of MAGA, or “Make America Great Again.”

What began as a slogan became a cause which gave rise to a community.

Just 10 years ago, Trump wasn’t sitting in courtrooms. Back then, he stood on a stage to address the Conservative Political Action Conference. He wasn’t a candidate, but a businessman, reality TV star, and disrupter of status quo.

It was at that 2014 meeting Trump uttered that now ubiquitous slogan. Near the end of the speech, less rambling and sharper than his stream-of-consciousness rallies today, the line appears, “we need to make America great again.”

Trump wasn’t the first to use it, that was Reagan in 1980. Then, like now, it evoked a sense of nostalgia, of “good old days” that never were. But nostalgia is powerful, primal. It allows us to persist in the illusion that, for example, the social order of Jim Crow America was somehow more moral and upstanding than our present situation. As if lynchings, mob violence, and political inequality vanish in the mists of our longings. This is and can only be the imagination of white supremacy.

Trump didn’t invent the slogan, but perhaps he was the first to tap into its deepest lode in the bedrock. What began as a slogan became a cause which gave rise to a community. Now, “MAGA” is its own qualifier. We have “MAGA Republicans” and “MAGA Rallies” of the “MAGA faithful.”

Today, we ought to learn that we are simply not tweeting or posting our way out of this.

And where have churches been in these days? Hans Ulrich calls the church a “place of reversal” a place where rogue creeds and words ought to be emptied of their power, where a different public is constituted around the wine, bread, and water. But the lines of MAGA are drawn straight through our churches in America.

Caleb Campbell pastors in Phoenix, Arizona. I asked him recently his thoughts on the impending election, and how it would affect his church. Most churches have already been sorted, he told me. In 2020, churches fractured from within, torn from the pandemic, protests, and the Presidency. But now, there has been a sorting, and settling. The partisan lines, those borders the church is empowered to transgress, are sadly reinforced.

The lasting power of “Make America Great Again” over the last decade is significant. Among practicing Christians, the story we tell about America in our churches has theological consequences. And every church tells this story, implicitly or explicitly, in speech or in silence. And rather than emptying the rogue creed “Make America Great Again” it would seem that in and among many churches across America, it has been given an ample charge of theological authority.

MAGA trades in all the elements of a seemingly eradicated virus called fascism. A mythic past, demographic anxiety, authoritarian rule, all elements converging and colliding in American life. And curiously, the one thing that gives fascism its strength is a failure to remember.

And perhaps this is why Bonhoeffer’s letter, read on the rising tide of anti-democratic platforms, speaks so directly to us. It holds space for a necessary exercise of remembering.

“Who stands firm?” Bonhoeffer asks in the wake of Hitler’s ascendancy. Even the Confessing Church, organized to resist the Nazification of the German evangelical church, soon folded. Pastors either took the oath of loyalty, or enlisted. Time had proved how most attempts to stand firm in the Third Reich had collapsed in on themselves. Such failures mark our day, too.

Bonhoeffer answers his own question in a way that is instructive for us. He surveys all the failed responses to Hitler’s rise. For example, there’s the “reasonable ones” who simply think better answers and clearer communication win the day. Today, we ought to learn that we are simply not tweeting or posting our way out of this. Even more stalwart, institutional efforts fail here. In the torrent of raw information sewage flowing with conspiracies, algorithms, and slogans, reason isn’t enough.

Private virtue “closes its eyes to injustice” and scrolls its own virtue signaling posts with smug self-satisfaction.

There’s the ethical fanatic, who tries to “meet the power of evil with purity of principle.” Many in days like ours are earnest in their convictions, but white-knuckling principles is satisfied not with responsibility but with keeping to some arbitrary vision of integrity that prizes its artificiality, confusing the arbitrary refusal to cede principles with responsible action. There’s those of conscience who, Bonhoeffer notes, can never know the difference between a bad conscience (which can be strong) or a deceived conscience.

The path of duty seems attractive, until we recognize that “just following orders” is the justification of every functionary in Trump’s MAGA machine. And of course, freedom, which can side with the wrong to prevent the worst and so lose its own solid footing. When all else fails, Bonhoeffer holds out private virtue as that last course of action. Not to be confused with monastic retreat, private virtue “closes its eyes to injustice” and scrolls its own virtue signaling posts with smug self-satisfaction.

If all these routes are taken off the table, we find ourselves in position to recognize a bitter truth: we’ve made resisting Trump a good business. Good for convincing stakeholders to fund new ventures, good for justifying ourselves as a moral opposition. After 10 years of MAGA, it’s true that we have assumed much about democracy that can only be realized by vigilance.

Our democracy is a spectacle, not a process. It is an oligarchy of represented interests, not a democracy of representatives. And Trump? The ethos of greatness has always been tied to the former, not the latter. And it is in this situation, not uncommon throughout history, but novel for us who face it, that we can receive the question, “who stands firm?” Bonhoeffer’s question resounds.

If the resistance of reason, principles, duty, or virtue fail, then what? Bonhoeffer’s insistence is that responsible action is “nothing but an answer to God’s question and call.”

Does this mean only Christians can save the world? That Christians are inherently “better” or “righteous” in politics? No. But ten years of MAGA would seem to suggest that this belief continues to animate the evangelical political machine. This is not Christendom; living “in answer to God’s question” means that Christians, simply by virtue of the story we confess and participate in, point to the One who saves.

The singular answer Christians give, of a witness to God’s call, is a window into the story in which the world may find its salvation and hope. Logics of inclusion and exclusion are shattered in the event of reconciliation. There’s a politics in these wider horizons that can heal the bitter contempt that marks our present situation. And sure, Bonhoeffer’s conclusion may strike some as trite sentimentality, of veiled Christian piety that belongs anywhere but politics or the public square. But that’s precisely it.

The Christian story creates a public with its own politics. And this doesn’t mean the church is a counter-society, set up against the world, rather, it is precisely in our participating with fellow citizens in the mess of political process where such a witness can be given and made. There is a free responsibility to this presence. This is not Christian dominance, Christendom 2.0, or MAGA visions of authoritarian power dressed up in Christian rhetoric. This is something more modest, and yet deeply radical.

A decade of MAGA ought to have taught many of us much more than we currently know. And such learning can only happen once we stop incentivizing and normalizing assaults on democratic machinery that come to us as a spectacle for our consumptive entertainment. There remains a way to stand firm, a way that resists necessities and immediacies, primarily because it has the audacity to confess the truth that the world is already reconciled, it just doesn’t know it yet. And nowhere is this ignorance more concentrated than in the retributive, ascendant vision contained in the phrase, “Make America Great Again.”