Weekend essay
Comment
Royalty
8 min read

Fanfare for the familial: what the coronation really showcases

The culmination of family saga or a snapshot of the universal family? John Milbank analyses the wider meaning of the coronation.

John Milbank is a theologian, philosopher and poet. A co-founder of the Radical Orthodoxy movement, he is an Emeritus Professor of the University of Nottingham.

King Charles and Prince William hold a tree sapling upright.
The family tree. King Charles and Prince William with a Queen’s Green Canopy sapling.
The Royal Family.

Nothing rivets our attention more than a family drama played out in public. Currently we are fascinated, either avidly or guiltily, by the tensions surrounding Harry’s attendance and Meghan’s absence at the coronation of King Charles III.  

Monarchy is popular and comprehensible in a way that law, finance, mercantile logistics and military strategy are not, just because it involves real persons and their relationships. This translates great matters of state into terms which resonate with the ordinary person - however terrible, besides consoling, those matters may turn out to be.  

Yet for many of the more formally educated this is not right at all. We should not be confusing the private with the public, the intimate with the objectively open.  

Familiarity, and still more the familial, is thought to contaminate the ethical.

Fairness is, today, supposed to require a lack of association with the parties involved, such that increasingly the interviewers of a candidate for a job are not allowed to have any previous knowledge about her. Familiarity, and still more the familial, is thought to contaminate the ethical, which suggests that ideally appointments should be made by artificial intelligence and all judgements be systematically computed.  

Already our individual assessments are no longer trusted, along with the quirkiness of intuition and all tacit knowledge acquired by direct acquaintance. Instead, we are expected to act as much like robots as possible and to reach verdicts only by box-ticking according to pre-assigned criteria.  

For such an outlook, monarchy is a supreme anomaly: the subversion of public process by private whim rendered hereditary. It surely enthrones not just a man but corruption and forms the capstone for the continuing operation of a decadent inherited establishment.  

Yet there is another way of looking at all this. Is it any accident that King Charles, who has not arrived at his position by following due process or pandering to the needs of faction and fashion, has consistently been able to argue for and to promote more serious long-term concerns of the common good than have most politicians? Our built environment, the stability of nature, the sustaining of craft-skills and the training in disciplined virtue of the young, whatever their class origins, all matter supremely, and yet it is the Crown and not Parliament that has been most freely able to point to these things and to do something about them.  

Where do any of us first learn to obey, to share and to sacrifice, besides how to exercise our positive creative talents? Always within the bosom of the family, in whatever conventional or unconventional way this may be constituted.

More fundamentally, there are reasons to doubt the simple association of the private with interested corruption, and the publicly abstract and objective with ethical disinterest. Where do any of us first learn to obey, to share and to sacrifice, besides how to exercise our positive creative talents? Always within the bosom of the family, in whatever conventional or unconventional way this may be constituted. Moreover, within this bosom, rivalry and even competition are actually discouraged, even though they inevitably arise. Our parents want us to succeed, but not at the expense of our siblings. Self-expression and self-realisation are fostered rather than suppressed and yet they are not permitted to overrule cooperation.  

Within the family we learn that nothing is possible for us alone and that we have a part to play in a greater whole. School expands this vision and yet to some degree it already undermines it. We are now openly and almost shockingly encouraged to compete and to outperform; the less successful children are effectively abandoned by their new surrogate parents. The Victorians deliberately tried to counteract this by encouraging also house and school loyalty and a genial competition in sports and debating with other schools and colleges.  

Yet when we leave school and university and join a workplace of whatever kind this geniality starts to vanish, and the competition becomes more cut-throat. We now need to help undercut rival operations and even systematically to exploit our clients or customers. In consequence, evil gets ever more reduced to crime: we are allowed to do some pretty bad things so long as they stay within the rules and we, and above all our employers, stay out of jail.  

Some of us will go on to become politicians or will have pursued that career from the outset. Now things get worse: in the international context even the rule of law becomes patchy and shaky. Even where the international rules are followed, it is understood that national self-interest prevails and is wholly legitimate. It would be beyond shocking for a parent to tell their children that they must pursue selfish family interests at school, and work to sustain that at the expense of all other people, by whatever means possible. It’s just such an attitude that defines the mafiosi or the camorra. And it would still be shocking for a businessperson to tell their employees that they must pursue profit at the expense of their own town or country, even if this is often what covertly pertains.  

Yet a politician can readily get up and say that the interests of Britain or whatever other country come, for her, first and last. Even the claim to be fighting for freedom and democracy (or some such) cannot survive if it is seen to clash with the interests of the nation: despite everything Biden has had to concede to Trump on this one.  

The very selfishness and ruthlessness that is excoriated at the domestic hearth is ultimately encouraged in the public citadel.

There thus results something that has perplexed me ever since I was a child. The very selfishness and ruthlessness that is excoriated at the domestic hearth is ultimately encouraged in the public citadel. Does this mean, as the French philosopher Henri Bergson suggested, that most ethics really exists just to ensure the solidarity and efficiency of a war-machine; that what we take to be ‘moral’ is little more than an ethnic survival mechanism? 

Bergson accordingly suggested that real ethics must be global and universal. But as we are discovering today, that seems too abstract and unrooted for most people. We cannot really love everyone effectively and equally. That is why Augustine suggested instead an ‘order of love’ whereby we extend our love in ever-widening circles from the closest to the most far-off, while allowing that our sympathy with remote people has to take the form of some support for those who are truly close to them.  

The only way, therefore, to counteract the tendency of morality to mutate into disguised crime the nearer one reaches the boundaries and the margin of society is to extend the familial principle, such that all are variously sisters and brothers, mothers and fathers, daughters and sons (as indeed we truly are as constituting a single race). At the same time, one big human family can only be an effective family if it is also a family of cooperating families – a vast extended family if you like, on a principle of covenanting cousinship.  

The world religions, and especially the Christian religion, have exactly operated this principle of an extension of the familial across all borders which can alone ensure that ethical action is both immediate and real, and yet not the mask of a collective egoism. Beyond the merely political community, the Church like the family is all-inclusive in its purpose: it offers at once citizenship, educational formation, reconciling process and collective cult, linking us to the divine.  

At the most ultimate boundary of the human race it can also ensure that humans respect other natural creatures. And at the most ultimate boundary of all, that of finite reality as such, it can ensure that the principle that reigns is not mere utility or survival but our love of God who is in himself inner loving relation.  

The aim of the ethical as love is itself relational connection and it is only the latter that puts a break on our worst instincts which we cannot always for ourselves override. 

Such covenanting cousinship, or dividing only in order to link, always puts relationality at the centre, instead of mere self or collectivity. The aim of the ethical as love is itself relational connection and it is only the latter that puts a break on our worst instincts which we cannot always for ourselves override. Family members check each other, as do citizens, and as also should corporate bodies, if they seek finally organic cooperation rather than unlimited competition.  

It not only should be but also actually is the same with nations. As the German philosopher Friedrich Schelling declared, it is in the end nations interacting with other nations that put a brake on tyranny arising within nations -- something that no mere constitution or inner balance of power can curb forever. For a nation thinking of itself alone always risks descending into a shared ruthlessness that will typically be exercised both within and without.  

The Church as an extended family is not a democracy but a ‘mixed constitution’ involving single headship, the wise advice of a few and the popular consent and modification of proffered norms by the many.  From a Christian perspective a good social order, as familial, should echo this, and that is why constitutional monarchy would appear to be a suitable, though by no means the only possible form, for a Christian country to take.  

An aristocracy ought in theory to be the opposite of a mafia: not the subordination of public interest to family but a particularly strong and sacrificial association of person and family with public interest

Its mixed constitution involves some role for ‘aristocracy’ or wise leadership in the widest sense. An aristocracy ought in theory to be the opposite of a mafia: not the subordination of public interest to family but a particularly strong and sacrificial association of person and family with public interest. This is one crucial and political way in which the familial principle of the order of love can be constituted and rendered real. Of course, today, what we have instead is rather the covert extension of the rule of the mafiosi as big moneyed crime undercuts law and even operates outside its sway altogether. 

As a seeming anachronism, monarchy stands at the apex of the aristocracy and yet also transcends its concerns by a more direct linkage to the whole population, to whose attitudes and needs it needs to be especially alert. I have already mentioned just why and how King Charles performs this role effectively and in such a way as to counteract existing trends which more and more make a mockery of ordinary morality and decency, reducing it indeed to discipline for the mass troops, corralled into the service of armed power.  

Charles instead continues to serve the religious (and not just Christian) principles of the extended familial, of the order of love and covenanted cousinship, upon which alone the survival of ethics depends. Not only is there no salvation outside the Church (thus understood) -- there can be no genuine moral life either.  

For these reasons the coronation, which we eagerly await, will be indeed a truly Christian event and sacrament: an influx of grace in these unprecedentedly darkening times.  

Article
Assisted dying
Comment
Politics
1 min read

Assisted dying hasn’t resolved Swiss end of life debates

Despite attempts to normalise it, new challenges still arise.

Markus is Professor of Moral Theology and Ethics at the University of Fribourg, Switzerland.

A single bed, wiith an unmade colourful duvet stands in the corner of a room. A hoist reaches over it from the corner.
The dying room, Dignitas Clinic, Zurich.
Dignitas.

While countries such as Germany, France or the UK are currently struggling to find a suitable regulation for assisted suicide, their peers in the Netherlands, Canada and Switzerland have years of experience with the controversial medical practice. Even if each state must explore its own ways of dealing with these ethically controversial issues, it is obvious that international experience should not be ignored as they try to find a way forward.  

In Switzerland the discussions and challenges surrounding assisted suicide are increasing rather than decreasing. Contrary to the idea that a liberalisation of assisted suicide would lead to fewer debate, tensions and difficulties are increasing.  My observation, and thesis, indicates that practices such as assisted suicide cannot be “normalised”, even in the medium and long term. 

Developments 

In recent years, one to two per cent of all deaths in Switzerland were due to assisted suicide.  From an overall perspective, this practice is therefore still a marginal phenomenon. However, a look at the total number of assisted suicides per year gives a different impression, as this has increased more than fivefold in the years between 2008 and 2020, from an initial 253 to 1,251 deaths per year, a rising trend. The cause of death statistics for Switzerland only include those cases of assisted suicide in which persons resident in Switzerland were involved and the death was reported to the authorities. According to the Swiss Federal Statistical Office, in 2020, it was mainly people over the age of 64 who made use of assisted suicide. Detailed information on the underlying illnesses of the people affected in 2018 shows that about 40 per cent were affected by cancer, just under 12 per cent by diseases of the nervous system, a further 12 per cent by cardiovascular diseases and just over a third by other illnesses, including dementia and depression. There are currently seven right-to-die organisations in Switzerland which play a leading role in a typical assisted suicide procedure. They work closely with doctors who are prepared to prescribe a lethal drug, generally Pentobarbital. The data reflects an ambivalent picture: on the one hand, the proportion of assisted suicide cases is relatively low in relation to all deaths and, for example, in comparison to the large number of people who die in Switzerland in a state of deep sedation until death; on the other hand, the number of assisted suicides in Switzerland has risen sharply in recent years.  

Perceptions and assessments 

Since the 1990s, the public perception and assessment of assisted suicide in Swiss society has changed from an initially cautious and sceptical attitude towards broad acceptance. While the debates in other countries are characterised by relatively sharp controversies between those in favour and those against, public discourse in Switzerland has been less polarised. There are indications of a certain normalisation of the situation, the strongest sign is that Switzerland has so far refrained from regulating assisted suicide in a separate law. The results of a recently-published study on the opinions of Swiss people over the age of 55 regarding assisted suicide confirm these impressions.: The survey showed that over four-fifths of respondents support legal assisted suicide, almost two-thirds can imagine asking for assisted suicide themselves at some point, and that almost one-third are considering becoming members of an right-to-die organisation in the near future, with one-twentieth of respondents already being members at the time of the survey in 2015. Among people with a higher level of education and older people aged between 65 and 74, approval of assisted suicide and corresponding practices was higher than among less educated, younger and very old people; approval was also significantly lower among religious practitioners. 

Sensitive topics  

The fact that assisted suicide enjoys broad support in Swiss society as a whole does not mean that there are not difficult and controversial aspects relating to its practice. Relevant topics include, in particular, places of death, authorisation criteria and procedures. 

Places of death: Assisted suicide is permitted also for mentally ill persons in psychiatric clinics, but the federal court recommends great caution here and requires two psychiatric expert opinions to ensure that the person willing to die is capable of judgement with regard to the desire to commit suicide. Although assisted suicide for children and adolescents has hardly been an issue in Switzerland to date, the corresponding debates are currently being held in Canada and elsewhere. The question of whether people in prison also have a right to make use of assisted suicide, has been the subject of intense debate in Switzerland for years, with a generally positive response. The question of whether right-to-die organisations should be given access to acute hospitals and nursing homes is still the subject of controversial debate, with regulations varying from hospital to hospital, nursing home to nursing home 

Authorisation criteria: With regard to the admission criteria for persons willing to die, the capacity for judgement is at the centre of attention: while the importance of the criterion is undisputed in itself, there is a struggle for reliable standards and procedures to reliably test this criterion. Since the publication of the SAMS ethical guidelines Management of Dying and Death in 2018, the criterion for end of life and, depending on this, that of unbearable suffering have received new attention due to an objection by the Swiss Medical AssociationFMH. While the guidelines are based on the criterion of unbearable suffering, the FMH wants to stick to the near end of life. It is certainly difficult to diagnose the existence of unbearable suffering, as the international debate on the significance and assessment of existential (neither physical nor psychological) suffering shows. This difficulty is illustrated by the debate that has been going on for several years in Switzerland about so-called old-age suicide and the inherent criterion of tiredness of life. At the centre of the dispute is the legally difficult question of whether a doctor is also allowed to prescribe a lethal drug to a healthy person. 

Procedures: Here the role of the medical profession and right to die organisations is by far the most important issue. In contrast to the physician-centred models in Belgium, Canada and the Netherlands, the Swiss model of assisted suicide is based on the idea that every person has the right to end their life and may call on the help of any other person to do so. Although the medical profession is usually involved in the process, the management of the procedure is normally the responsibility of a right-to-die organisation. This division of responsibilities is always up for debate when legal regulations are being considered, in which doctors should tend to take the lead in the process due to their professional background. There is also a debate about how and by whom compliance with the authorisation criteria should or could be monitored, whereby it remains to be decided whether this should be carried out before or after the death. At present, a certain amount of monitoring takes place following a suicide, insofar as the authorities investigate the cases afterwards. There is also debate as to whether Pentobarbital is a suitable means of suicide, especially if this barbiturate is not administered intravenously but taken orally; there is no knowledge of how many cases are currently administered intravenously and by whom an infusion is then set up. Last but not least, consideration has already been given to the use of lethal drugs, such as helium gas, which can be obtained over the counter. 

Attempts at regulation 

Political efforts to regulate assisted suicide in Switzerland in a more nuanced way than today have been made since the 1990s but have remain largely without consequences to date. In relevant judgements by the Federal Supreme Court or in statements by the Federal Department of Justice and Police, reference is regularly made to the ethical guidelines of the SAMS. These are classified as soft law and are therefore not legally binding, even though their content has become the subject of dispute. The National Advisory Commission on Biomedical Ethics (NCE) had already recommended more far-reaching legal regulation in 2005 as part of a detailed opinion on the subject; in the opinion of the NCE at the time, the review of authorisation criteria, a justifiable regulation of assisted suicide for the mentally ill, children and adolescents and state supervision of right-to-die organisations, should be ensured by law. The question is what form a legal regulation can take that grants the medical profession far-reaching powers but at the same time prevents medical paternalism (in favour of or against assisted suicide). From the perspective of Swiss experience, this is “a square circle”: either the doctors retain the final decision on who receives the barbiturate, or official access rules are established, the review of which does not generally require medical expertise. 

The outlook

In the short and medium term, it can be assumed that the number of assisted suicides in Switzerland will continue to rise. The coronavirus pandemic and the particular difficulties faced by nursing homes during this time are likely to exacerbate this increase. In view of these expectations and the legislative processes in other European countries, pressure is likely to increase in Switzerland to create a legal regulation. Overall, I think politically it will be important to create a legal regulation, in order to ensure legal equality and legal certainty on the one hand and prevention of abuse and expansion on the other. At the centre of social-ethical reflection is the challenge of learning to deal with the pluralism of different ideas of a good death and to develop and establish alternative models to medically assisted dying. The thesis I mentioned at the beginning is confirmed today: assisted suicide in Switzerland can hardly be normalised; new problems, challenges and demands are constantly arising. Suicide, whether with or without the help of another person, always means an existential transgression that defies normalisation.