Article
Belief
Comment
Death & life
Politics
Providence
5 min read

Did God save Donald Trump?

In the aftermath of the assassination attempt, Graham Tomlin asks whether or not we can see the hand of God in it

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

Red hat with the words Make America Great Again

Given the polarised nature of American politics and the venomous nature of the debates, the assassination attempt on Donald Trump was not entirely a surprise, even if a massive shock to the system. It was both tragic for those who were killed and yet a relief for everyone that Trump survived, not least for the unimaginable consequences across the country if he had not.

It doesn’t take a very deep dive into the maelstrom that is Twitter/X these days, to discover a common theme among Trump supporters - that God shielded him from a certain death. “God protected President Trump,” Senator Marco Rubio posted. “God saved the life of Donald Trump” say a million others, confident that the seemingly miraculous slight head tilt at the moment of the shot that ensured the bullet hit his ear, not going through the back of his temple, was a moment of divine intervention.

Yet look elsewhere on X and you can find vast numbers of people equally certain that this is complete nonsense. God did not save Donald Trump, either because there is no God to save anyone, or because if there is a God, either he doesn’t intervene at all, or even if he did, he certainly wouldn’t want to save the likes of Donald Trump.

If God saved Trump, they say, why did he not save the life of Corey Comperatore, the volunteer fireman who was killed by bullets fired from the gun that was used in the attack?  Trump supporters respond with the claim that Trump has a special calling, justifying divine intervention, to ‘restore the Judaeo-Christian heritage to America’ as one tweet put it.

So, which is it?

Christian thinkers have normally held to the possibility that God can and does, at decisive moments, interrupt the normal flow of history.

Christian thinkers have normally held to the possibility that God can and does, at decisive moments, interrupt the normal flow of history. After all, the central Christian claim is that he did this in remarkable acts of deliverance such as the Exodus, at key moments in the history of Israel and most importantly in the life, death and resurrection of Jesus Christ. And, they claim, he does it in less prominent ways, as testimonies to prayers answered and apparently miraculous occurrences suggest.

Yet divine interventions like this are by definition rare. In one of Douglas Coupland’s novels, one of the characters ponders a Christian group that expects constant miracles: “They’re always asking for miracles and finding them everywhere. In as much as I am a spiritual man, I do believe in God - I think that he created an order for the world; I believe that, in constantly bombarding him with requests for miracles, we are also asking that he unravel the fabric of the world. A world of continuous miracles would be a cartoon, not a world.” He has a point.

Yet a world without any interventions at all would be a world which God had seemed to abandon to its fate. The idea that God set up his world to run like clockwork with no further intervention is Deism, not Christianity, a theology popular in the C17th and C18th, still found today, but leaves God watching us from a safe and uninvolved distance. It would lead to the conclusion that God did not really care that much about the world, leaving it to its own devices, especially when evil runs riot and nothing seems to prevent it. Such interventions are best seen as signs, special indications that do not ‘unravel the fabric of the world’, yet are tangible reminders that even though it is broken, God has not given up on this world, and will one day redeem it.

Yet if God can and does step in at certain moments to divert the course of history in a fallen and broken world, that doesn’t mean that every claim to divine intervention is genuine. So how can you tell? Who do we believe?

If God can and does step in at certain moments to divert the course of history in a fallen and broken world, that doesn’t mean that every claim to divine intervention is genuine. So how can you tell? Who do we believe?

At several points in the Old Testament, writers wonder how you can tell the true prophet from the false. One of them answers like this: “If what a prophet proclaims in the name of the Lord does not take place or come true, that is a message the Lord has not spoken.”

To be honest, this doesn’t appear to help much. You can tell if a person has got it right if their prediction comes true, but at the time, you have no idea whether it will come true or not, so it still leaves you in the dark as to who to believe.

Yet it does suggest an important insight. You can only tell God’s intervention retrospectively. You can only say with a degree of confidence that God has ‘intervened’ when looking back on events and seeing how they turn out.

If Donald Trump is elected, and somehow brings about harmony and flourishing for as many people in the USA as possible, stabilises the economy, enabling all people to live a decent life, not just the rich and powerful, restores a sense of civility and generosity to public life, resists the forces of harm and evil in the nation and in the world, and brings freedom for Christians and others to practice and promote their faith, then maybe we might look back in future years and say that God did step in on July 14th 2024 to frustrate the purposes of evil in the world.

Yet if none of that happens, and what results from his survival is instead a deeper fracturing of social cohesion, a coarsening of public debate, a siege mentality that divides the world between ‘us’ and ‘them’, an increasing divide between the rich and the poor, the elites and ordinary people, then we might in future say it was mere chance, one of those random things that happen in this created yet fallen world with its mysterious blend of order and chaos.

Which will it be? Time will tell. Until then, we’d better be cautious about claims of divine intervention. Not because God never does it, but because we’re not very good at telling when it happens.

Article
Assisted dying
Care
Culture
Death & life
8 min read

The deceptive appeal of assisted dying changes medical practice

In Canada the moral ethos of medicine has shifted dramatically.

Ewan is a physician practising in Toronto, Canada. 

a doctor consults a tablet against the backdrop of a Canadian flag.

Once again, the UK parliament is set to debate the question of legalizing euthanasia (a traditional term for physician-assisted death). Political conditions appear to be conducive to the legalization of this technological approach to managing death. The case for assisted death appears deceptively simple—it’s about compassion, respect, empowerment, freedom from suffering. Who can oppose such positive goals? Yet, writing from Canada, I can only warn of the ways in which the embrace of physician-assisted death will fundamentally change the practice of medicine. Reflecting on the last 10 years of our experience, two themes stick out to me—pressure, and self-deception. 

I still remember quite distinctly the day that it dawned on me that the moral ethos of medicine in Canada was shifting dramatically. Traditionally, respect for the sacredness of the patient’s life and a corresponding absolute prohibition on deliberately causing the death of a patient were widely seen as essential hallmarks of a virtuous physician. Suddenly, in a 180 degree ethical turn, a willingness to intentionally cause the death of a patient was now seen as the hallmark of patient-centered doctor. A willingness to cause the patient’s death was a sign of compassion and even purported self-sacrifice in that one would put the patient’s desires and values ahead of their own. Those of us who continued to insist on the wrongness of deliberately causing death would now be seen as moral outliers, barriers to the well-being and dignity of our patients. We were tolerated to some extent, and mainly out of a sense of collegiality. But we were also a source of slight embarrassment. Nobody really wanted to debate the question with us; the question was settled without debate. 

Yet there was no denying the way that pressure was brought to bear, in ways subtle and overt, to participate in the new assisted death regime. We humans are unavoidably moral creatures, and when we come to believe that something is good, we see ourselves and others as having an obligation to support it. We have a hard time accepting those who refuse to join us. Such was the case with assisted death. With the loudest and most strident voices in the Canadian medical profession embracing assisted death as a high and unquestioned moral good, refusal to participate in assisted death could not be fully tolerated.  

We deceive ourselves if we think that doctors have fully accepted that euthanasia is ethical when only very few are actually willing to administer it. 

Regulators in Ontario and Nova Scotia (two Canadian provinces) stipulated that physicians who were unwilling to perform the death procedure must make an effective referral to a willing “provider”. Although the Supreme Court decision made it clear in their decision to strike down the criminal prohibition against physician-assisted death that no particular physician was under any obligation to provide the procedure, the regulators chose to enforce participation by way of this effective referral requirement. After all, this was the only way to normalize this new practice. Doctors don't ordinarily refuse to refer their patients for medically necessary procedures; if assisted death was understood to be a medically necessary good, then an unwillingness to make such referral could not be tolerated.  

And this form of pressure brings us to the pattern of deception. First, it is deceptive to suggest that an effective referral to a willing provider confers no moral culpability on the referring physician for the death of the patient. Those of us who objected to referring the patient were told that like Pilate, we could wash our hands of the patient’s death by passing them along to someone else who had the courage to do the deed. Yet the same regulators clearly prohibited referral for female genital mutilation. They therefore seemed to understand the moral responsibility attached to an effective referral. Such glaring inconsistencies about the moral significance of a referral suggests that when they claimed that a referral avoided culpability for death by euthanasia, they were deceiving themselves and us. 

The very need for a referral system signifies another self-deception. Doctors normally make referrals only when an assessment or procedure lies outside their technical expertise. In the case of assisted death, every physician has the requisite technical expertise to cause death. There is nothing at all complicated or difficult or specialized about assessing euthanasia eligibility criteria or the sequential administration of toxic doses of midazolam, propofol, rocuronium, and lidocaine. The fact that the vast majority of physicians are unwilling to perform this procedure entails that moral objection to participation in assisted death remains widespread in the medical profession. The referral mechanism is for physicians who are “uncomfortable” in performing the procedure; they can send the patient to someone else more comfortable. But to be comfortable in this case is to be “morally comfortable”, not “technically comfortable”. We deceive ourselves if we think that doctors have fully accepted that euthanasia is ethical when only very few are actually willing to administer it. 

We deceived ourselves into thinking that assisted death is a medical therapy for a medical problem, when in fact it is an existential therapy for a spiritual problem.

There is also self-deception with respect to the cause of death. In Canada, when a patient dies by doctor-assisted death, the person completing the death certificate is required to record the cause of death as the reason that the patient requested euthanasia, not the act of euthanasia per se. This must lead to all sorts of moments of absurdity for physicians completing death certificates—do patients really die from advanced osteoarthritis? (one of the many reasons patients have sought and obtained euthanasia). I suspect that this practice is intended to shield those who perform euthanasia from any long-term legal liability should the law be reversed. But if medicine, medical progress, and medical safety are predicated on an honest acknowledgment about causes of death, then this form of self-deception should not be countenanced. We need to be honest with ourselves about why our patients die. 

There has also been self-deception about whether physician-assisted death is a form of suicide. Some proponents of assisted death contend that assisted death is not an act of deliberate self-killing, but rather merely a choice over the manner and timing of one's death. It's not clear why one would try to distort language this way and deny that “physician-assisted suicide” is suicide, except perhaps to assuage conscience and minimize stigma. Perhaps we all know that suicide is never really a form of self-respect. To sustain our moral and social affirmation of physician-assisted death, we have to deny what this practice actually represents. 

There has been self-deception about the possibility of putting limits around the practice of assisted death. Early on, advocates insisted that euthanasia would be available only to those for whom death was reasonably foreseeable (to use the Canadian legal parlance). But once death comes to be viewed as a therapeutic option, the therapeutic possibilities become nearly limitless. Death was soon viewed as a therapy for severe disability or for health-related consequences of poverty and loneliness (though often poverty and loneliness are the consequence of the health issues). Soon we were talking about death as a therapy for mental illness. If beauty is in the eye of the beholder, then so is grievous and irremediable suffering. Death inevitably becomes therapeutic option for any form of suffering. Efforts to limit the practice to certain populations (e.g. those with disabilities) are inevitably seen as paternalistic and discriminatory. 

There has been self-deception about the reasons justifying legalization of assisted death. Before legalization, advocates decry the uncontrolled physical suffering associated with the dying process and claim that prohibiting assisted death dehumanizes patients and leaves them in agony. Once legalized, it rapidly becomes clear that this therapy is not for physical suffering but rather for existential suffering: the loss of autonomy, the sense of being a burden, the despair of seeing any point in going on with life. The desire for death reflects a crisis of meaning. We deceived ourselves into thinking that assisted death is a medical therapy for a medical problem, when in fact it is an existential therapy for a spiritual problem. 

We have also deceived ourselves by claiming to know whether some patients are better off dead, when in fact we have no idea what it's like to be dead. The utilitarian calculus underpinning the logic of assisted death relies on the presumption that we know what it is like before we die in comparison to what it is like after we die. In general, the unstated assumption is that there is nothing after death. This is perhaps why the practice is generally promoted by atheists and opposed by theists. But in my experience, it is very rare for people to address this question explicitly. They prefer to let the question of existence beyond death lie dormant, untouched. To think that physicians qua physicians have any expertise on or authority on the question of what it’s like to be dead, or that such medicine can at all comport with a scientific evidence-based approach to medical decision-making, is a profound self-deception. 

Finally, we deceive ourselves when we pretend that ending people’s lives at their voluntary request is all about respecting personal autonomy. People seek death when they can see no other way forward with life—they are subject to the constraints of their circumstances, finances, support networks, and even internal spiritual resources. We are not nearly so autonomous as we wish to think. And in the end, the patient does not choose whether to die; the doctor chooses whether the patient should die. The patient requests, the doctor decides. Recent new stories have made clear the challenges for practitioners of euthanasia to pick and choose who should die among their patients. In Canada, you can have death, but only if your doctor agrees that your life is not worth living. However much these doctors might purport to act from compassion, one cannot help see a connection to Nazi physicians labelling the unwanted as “Lebensunwortes leben”—life unworthy of life. In adopting assisted death, we cannot avoid dehumanizing ourselves. Death with dignity is a deception. 

These many acts of self-deception in relation to physician-assisted death should not surprise us, for the practice is intrinsically self-deceptive. It claims to be motivated by the value of the patient; it claims to promote the dignity of the patient; it claims to respect the autonomy of the patient. In fact, it directly contravenes all three of those goods. 

It degrades the value of the patient by accepting that it doesn't matter whether or not the patient exists.  

It denies the dignity of the patient by treating the patient as a mere means to an end—the sufferer is ended in order to end the suffering. 

 It destroys the autonomy of the patient because it takes away autonomy. The patient might autonomously express a desire for death, but the act of rendering someone dead does not enhance their autonomy; it obliterates it. 

Yet the need for self-deception represents the fatal weakness of this practice. In time, truth will win over falsehood, light over darkness, wisdom over folly. So let us ever cling to the truth, and faithfully continue to speak the truth in love to the dying and the living. Truth overcomes pressure. The truth will set us free.