Snippet
Assisted dying
Care
Comment
Ethics
2 min read

Who holds the keys of death? The logic of assisted dying

The ethical principle of double effect.

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

white pills form an angle on a blue background
Hal Gatewood on Unsplash.

Healthcare hinges on the principle of double effect. This ethical principle makes the vital distinction between intent and effect. That is, one’s intent does not always result in a single intended effect, whether foreseen or not. In taking a patient’s blood, for example, my intent is to acquire information to aid treatment. An additional effect of this process is that—almost inevitably—this patient will experience pain, albeit minor. This principle of single intent and multiple effects applies throughout the practice of caring for human bodies, in all those instances where caring for those bodies involves physical interference, from prescribing medications to surgical procedures. And, in some instances, identifying and treating symptoms (such as terminal breathlessness) involves the use of medications that, as an unintended effect, result in death. 

In the case of assisted dying, the distinction is important. The intent of assisted dying is to end pain and suffering by ending life. The ending of life is the treatment used to relieve pain and suffering. The intent is not to isolate and treat particular symptoms associated with a condition. The intent is to bring the condition itself to an end—which requires bringing the patient’s life to an end. This is not to make any judgment whatsoever about whether such a course is “right” or “wrong”, but rather to draw out the simple observation that this course involves an unprecedented change in medical practice. Assisted dying involves the categorical adoption of ending life as a possible treatment for a condition. 

This is not quite the same as the slippery slope argument; it is about the logic of assisted dying. The point I am making is this: once ending life is introduced as a treatment, the key ethical step has already been taken. Applying that treatment in other instances of “suffering” (be they mental illness or ageing, for example) does not involve any new ethical steps. It simply involves the further application of a principle that has already been adopted. Despite the considered safeguards of the bill, therefore, the moral-ethical arguments against applying this treatment more widely will, at best, stand on shaky ground. For who could be so bold as to insist on what constitutes “suffering” for an individual?  

Should the bill hold out the keys of death in this way? I can only think of One who is strong enough to wield those… 

Article
Comment
Film & TV
Truth and Trust
5 min read

Impartial journalism isn’t possible for the BBC – or anyone else

It’s time to give up the ghost and opt for transparency over impartiality

Lauren Windle is an author, journalist, presenter and public speaker.

A wide angle view of the BBC newsrooms show a starm layout of desks
The BBC newsroom.
BBC.

I wrote 3,000 words explaining the differences between a complementarian and egalitarian relationships – loosely these are the two categories that determine a couple’s position on male headship and female submission in a Christian marriage. I have my opinions, sure. But in this piece, I was neutral. I clearly laid out the arguments for and against each, explained the history, context and nuances, all to equip the reader to make their own mind up.  

I proudly handed the piece to my editor highlighting the careful tightrope of neutrality I had walked. She hesitated: ‘Well, I guess. But it’s clear what position you take.’ I was crushed, all the delicate phrasing and open-handed descriptions and I was still as transparent as the Shard on window clean day. 

No matter how hard we try to present balanced arguments, there is no such thing as unbiased reporting. Even when trying to be ‘fair’ in the way we present a story, we always bring our own perception of ‘fairness’ to the table. And without the wisdom of Solomon (in the cut-the-baby-in-half era), we’re not going to consistently get it right.  

I’ve been a journalist for some years but I’ve never worked in an organisation that claims to be impartial, bar a week’s internship at Science in Action on BBC World Service. I have, however, worked for publications that don’t share my political views. And even with the mandate to write in ‘house style’ there are many subtle decisions a journalist can make to skew reporting towards their personal opinion. 

Phrasing is everything. Am I saying they ‘protested’ or ‘rioted’? Is it ‘reform’ or a ‘crackdown’? Are they an ‘immigrant’, ‘asylum seeker’, ‘refugee’ or ‘expat’? Did she ‘splash around in her swimsuit’ or ‘flaunt her curves on the beach’? There is no neutral choice of words or phrasing. Every micro-decision a journalist makes is based, consciously or unconsciously, on the perspective that they have and are trying to impart on you.  

Then there’s choosing which topics to write about in the first place, selecting sources to quote from and statistics to reference and deciding how to frame the headlines. With the vast body of data available online, you can always find a person or stat to back up your belief. None of this can be done without a hint of your own background, culture, and worldview. 

It is through this lens – my belief in the fallacy of impartiality – that I’ve followed the latest fallout at the BBC. After an internal dossier was leaked, it came to light that a Panorama documentary called ‘Trump: A Second Chance?’ that was broadcast not long before 2024’s presidential election, had misleadingly edited a speech he made on January 6 2021. The speech was spliced in such a way as to suggest he had egged on the assault on the Capitol. Shamir Shah, the BBC chairman, acknowledged the fault and said that the editing ‘did give the impression of a direct call for violent action.’  

The BBC has always been plagued by allegations that it is not living up to its Royal Charter legally requiring it to be impartial. Interestingly, there are many examples of these complaints coming in from both the left and right sides of the political spectrum. The term ‘impartiality’ in this context doesn’t mean stripping all viewpoint from its reporting, as the organisation acknowledges the impossibility of that task, but it does say that it strives for balance, fairness and due weight. This is a standard they fell short of in their reporting of Trump’s address. 

In this, it is undeniably at fault. Even the most questionable of news outlets, that do publish quotes out of context, would acknowledge that knowingly editing or adapting quotes and footage to support their own agenda is totally unacceptable. Regardless of a reporter’s own opinion, readers and viewers want to hear a person speak in their own words.  

The wider question this raises for me is: why we are still claiming any news outlet is impartial in the first place? There’s a sense of safety with both right- and left-wing media, that openly acknowledges its own agenda. If you pick up the Guardian, you understand that you are reading about the world from a socially liberal political stance while tuning into GB News where they champion British values and challenge ‘woke culture’ will bring you something very different. 

I think the BBC as an institution is brilliant, important and necessary but not impartial. When people decry the reporting choices or phrasing of BBC reporting as biased, my response is always ‘what do you expect?’. There are important checks and balances, like rights of reply and offering opposing positions, that help round out a story, but they don’t strip it of opinion. I think it’s time to give up the ghost and opt for transparency over impartiality. 

The honest response is to acknowledge that, like every other person who relays a story, the BBC cannot resist the siren call of opinion. To claim it can, when audiences can plainly see the inconsistencies across its platforms, is both disingenuous and outdated. Instead, perhaps they could work to a mission statement along these lines: ‘We are committed to fairness, accuracy, and transparency. We value robust reporting and careful fact checking. We recognise that complete neutrality is impossible, but we strive to reflect the world as truthfully and inclusively as we can.’ This transparency would at least free up 90 per cent of people who write in to BBC’s Point of View to complain about its reporting.  

Years ago, I was in conversation with the deputy editor of one of the big tabloids when he said that, while he thought his paper was great, no one should use it as their sole source of news. I appreciate his transparency. I think if any of us only consume news from one outlet, even if that is the BBC, we are selling ourselves short. Our pursuit of and clamouring for ultimate truth is a God-given and spiritual desire, so the wise would vary their sources. 

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