Review
Assisted dying
Death & life
Film & TV
5 min read

The dying decision: choice, coercion and community

A Japanese drama about medical assistance in dying, Plan 75, reveals a lot about our relationlessness.

Sian Brookes is studying for a Doctorate at Aberdeen University. Her research focuses on developing a theological understanding of old age. She studied English and Theology at Cambridge University.

In a retirement home, a older person sings karaoke while the person behind waves a hand.
Chieko Baishô plays Michi.
Happinet.

“Being able to choose when my life will end provided me with peace of mind. With no feelings of doubt. She led a good life on her terms, people will say”.  

In Chie Hayakawa’s 2023 dystopian drama Plan 75, these are the words of a silver-haired, wrinkled woman in a promotional video for the eponymous plan – a government scheme which offers all over 75-year-olds the option of a pain-free death at the time of their choosing.  

And yet for Michi, an older lady toying with the decisions around Plan 75 it doesn’t really feel like it is her choice which matters at all. Whether it is the $1,000 grant offered as an incentive to die, the luxury amenities on offer at the Plan 75 facility promoted in leaflets and magazines, or the young person employed to gently guide the candidates towards their death (but whose real job it is to make sure they follow through with it), this is a world which has a clear agenda – to rid society of older people. Indeed, it is clear that this is a vision of a world which believes it is better for old people to die than to put financial burdens on the economy or their families, and this is a culture willing to subtly coerce individuals to accept and act on that belief.  

Plan 75 reveals an interesting point at the heart of the MAID (Medical Assistance in Dying) debate. One of the primary reasons that MAID is so attractive is the ability to take back control of one’s life and death, yet what happens when that seeming control isn’t really within the individual’s own control at all? For Plan 75, what is marketed as giving control back to older people, is really just a twist on a more sinister political policy to pressure individuals to sacrifice their “burdensome” lives for the greater good. Of course, this is a common argument for rejection of assisted suicide. This is the dangerous ‘slippery slope’, where MAID begins as an option only for those who desperately need it to relieve intense physical suffering. Yet it quickly becomes a tool to remove people whose lives no longer seem worth living due to societal expectations and opinions, rather than any objective reality.  

Do we ever truly choose to die totally independent of the expectations of those around us? 

For many, this problem can be appeased through strict legal controls over MAID – as long as the powers that be are regulated, MAID is still OK. As long as it is the individual who maintains control over their own death (and not the state), the goal of personal autonomy is maintained and all is well. And yet this perspective fails to ask the question - is such control over our own death ever actually possible? Do we ever truly choose to die totally independent of the expectations of those around us? In a world which places so little value on old age, can older people really make choices unaffected by that (deeply flawed and inhumane) logic? And, indeed - the elephant in the room – no matter how much we try to control death, in the end is it not death that ultimately controls us? As fundamentally finite beings we can never escape it completely – it will always find us one way or another. Ultimately, we will all have to face the reality of death when it comes to us. Complete control and autonomy are never truly possible. 

In light of this unveiling, the possibility that complete choice and autonomy around death isn’t really an attainable goal, what better options might we pursue? 

Where previously we would find comfort and hope in being loved, known and held by others in our death, now all too often this isn’t the case. 

One thing is clear in Plan 75, the isolation and loneliness of older people in a society that has rejected them is deeply problematic. The movie primarily follows the stories of Michi, who lives alone with no family and Yukio Okabe, an older man totally estranged from his remaining family. Both face life, and are facing death, alone. We live in a world where increasingly we are forced to face death alone. When our final days and hours rarely happen in the family home, surrounded by our loved ones, but in faceless institutions devoid of lifelong meaningful relationship the sense that we are no longer doing death together as a society is acute. Where previously we would find comfort and hope in being loved, known and held by others in our death, now all too often this isn’t the case.  

At the same time, there is no doubt that our modern world is unceasingly committed to the ideal of individual personal agency and autonomy – “She led a good life on her terms”. As a myriad of philosophers and theologians have commented, belief in human autonomy has come to replace belief in God. And MAID is one area which reveals this to be the case most acutely. Where previously we would turn to God to find comfort in the face of our finitude, instead now we turn to ourselves – the last hope we find in the face of death is our individual ability to control it.   

Death and health should be a corporate phenomenon – when one person is ill, all of society is ill. 

The German theologian Eberhard Jüngel described death in this broken world as “the occurrence of complete relationlessness”. In fact, Jüngel suggests that as human beings we are first and foremost made up of our relationships – we are truly human not by how we self-define in isolation but how we relate – how we relate to the God who made us, and how we relate to other people. This need for relationship is found most acutely in the face of death. As Ashley Moyse points out in his book, Resourcing Hope for Ageing & Dying in a Broken World, death and health should be a corporate phenomenon – when one person is ill, all of society is ill. And so, as death increasingly becomes the journey of the individual – when we face death in isolation from others and in isolation from God no wonder we feel such a strong desire towards control, towards ending our lives prematurely, towards science to help us avoid any more pain than we can bear alone. 

In Plan 75 we see glimmers of hope in the possibility of relationship. As Michi and Yukio find rare moments of human connection with a long-lost nephew, with a young person working for Plan 75, with another older person going through the same questions around mortality you can’t help but feel deeply uncomfortable with their choice to apply for the scheme. It is in the hints of love, physical touch, smiles exchanged, even a simple conversation shared between two people that suddenly MAID seems so disconnected with the hope that life still has to offer through relationship. Perhaps if we could imagine a world where death became no longer an occurrence of complete relationlessness, but a locus for relational dependence, for familial connection, for leaning on God and not ourselves, the need for MAID would feel a little less necessary. It would be a world with a little more hope. 

Article
Community
Culture
Film & TV
Identity
5 min read

What makes us human?

We've more in common with our ancient ancestors than we might like to think

Claire Williams is a theologian investigating women’s spirituality and practice. She lecturers at Regents Theological College.

A re-enactment of an ancient 'caveman' family sitting around a camp fire.
A dramatic reconstruction of a Neanderthal family.
BBC Studios.

I recently caught up on iPlayer with the excellent BBC series Human. In it, the paleoanthropologist Ella Al-Shamahi explores 300,000 years of human evolution over five beautifully shot, evocatively presented episodes. I was transfixed by the story of these ancient human societies - of Homo habilis; Homo erectus; the hobbit-like Homo floresiensis - and of the ways that paleoanthropologists and archaeologists study the multiple human species. They walk barefoot in deep pits with what look like tiny paint brushes to dust off their finds. They are endlessly patient, and delighted at tiny scraps that I would overlook as rubbish. They see in these fragments stories of ancient lives that lived, ate, loved and died so long ago. 

Take a set of footsteps fossilised into the ground in White Sands, New Mexico, discernible through their impact and weight distribution. They are thought to be those of a woman walking at speed, probably, scholars think, carrying a child. Now and again these footsteps appear to stop and stand, and in-between the right and the left foot are a small set of footprints. The mother appears to have put down the child for a moment before picking him or her back up and starting again.  

This was so familiar to me, a mother of four. It reminded me of all the times I’d carried toddlers around on my hip before giving up, plonking them on the floor and then switching sides. This very human urge to care for our children, and to get tired by them, echoed through time. Although luckily for me I did not have a giant sloth chasing me, as this ancient mother seems to have done.  

But the flip side of the ability to love is the ability to also reject. And the series highlighted that this less pleasant human habit – the exclusion of others – appears to be an equally core part of our existence.  

Al-Shamahi asks,  

‘what must it have been like to have been a hybrid child... Did these children feel like they belonged or were they teased and ostracised?’   

Behind her question is a sense of deep concern about the hybrid children’s welfare all those millenia ago.  

Fast forward thousands of years. Most of us went to school and know what it feels like to either be different or see someone else who is different. Imagine if a modern-day Homo sapien/neanderthalensis hybrid turned up the local primary school, would it be okay? Unlikely. We don’t look after difference particularly well. The question Al-Shamahi posed seems pertinent today as well as in palaeoanthropology terms, what would it be like to grow up a hybrid? For us today the question is similar, how do we judge what is human? Is our human status founded in the horror and aversion to difference? 

The drive to surround ourselves with similarity and force others to fit is sometimes called ‘the cult of normalcy’. This behaviour only tolerates people who look, act, and represent what is familiar to you. I experience this as a neurodivergent person struggling at times to feel ‘normal’. That is why the story of hybrid children is affectively impactful. Their struggle is easy to imagine, how do they fit in?. What makes them and us human? 

The little story of a mother and a child being carried (minus the sloth part) is enchanting. Is it this love for children that makes the ancient people count as human? Is it the presence of a relationship and the assumed communication between individuals that makes them human?  

The risk here is to say that all people who are in families, who are parents, are the prime example of humanity and that does not fit with many lives that we would want to count as human. Love may be essential, but it cannot be a prescriptive type or circumstance. Nevertheless, the allure of love and community is strong in Human and my response to it. That familiarity with the feeling of exclusion of the hybrid child and the story of the mother and child are common. They are experiences that we can relate to concerning community and care. The series shows these human species in relationship groups, with evidence of successful community and unsuccessful community (again a familiar trait). So far, that ability to love is also the same ability to reject, to cast out the hybrid or the different human. That is unsatisfactory as the trait of what is core to humans despite the likelihood of it being at the heart of the human story.  

What, then of religion? These ancient peoples who lived before language and writing yet still worshipped – their practices evident from paintings found on the walls of caves. Is this what it means to be finally human? Was it, I thought, when they demonstrated language? Was it the early signs of religion and worship? Was it to do with thinking and rationalising, deciding upon a set of gods and the rules about them? However, this cannot be. For there are people today who do not speak through choice or disability. There are those who cannot demonstrate their ability to worship, for the same reasons. Rationalising cannot be the way in which we determine humanity, for then are children, or the intellectually disabled not human? If awareness of the sacred is what makes us human, then that limits those whose cognitive abilities are different. 

Christians believe that what makes us human is the image of God in us. But what is that image? It is given to humans when God made them right at the beginning of things. It is the divine something that sets us apart from trees and plants, even animals. It is a quality that God gives to humans in the creative act of making them. It is not something that humans do for themselves but something they receive from God. Could it be applied to Neanderthals or early human species? I think so. Although these early species were very different in some respects to us, they had the features of humanity that count. They had relationships, the capacity to experience awe and wonder and they loved one another (like the mother and child). The image of God could be many things but one thing is certain, it a gift from God because of his love for humans. The need for love, community and worship that is in all of us points back to this. We love one another because we are first loved by God and that is what makes us human. 

 

 

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