Article
Assisted dying
Care
Comment
Easter
5 min read

I know who will be most affected by legalising assisted dying

Contemplating lent revives hard memories and raises fresh fears.

Ryan is an ordained Priest in the Church of England, currently serving in south London. 

A close up of a forehead bearing an ash cross marked on it.
Ahna Ziegler on Unsplash.

“What’s that - a face tattoo?” 

These were the words of one person as I walked past them on the streets on a recent Wednesday, with the ashes of last year’s burnt palm-branches placed across my forehead in the shape of the cross.  

The cross has been a symbol of hope for over two millennia; that even in the most painful of circumstances, darkness does not have the final say, including in death.  

As a society, we don’t really talk about death that much. Margot Robbie’s Barbie was the quintessential party-pooper when she pondered: 

 “do you guys ever think about dying?”. 

It’s no fun to dwell on death and dying, and for many of us, we put it off as long as we can. That all changed last year with the introduction of the assisted dying bill into the Houses of Parliament. Our national attention was, for a rare moment, captured by death.  

As a parish priest, I’ve seen the finality of burying someone into the ground. I’ve seen the sadness in the eyes of those trying to grieve. 

The words of Ash Wednesday, which remind us that we are ‘but dust, and to dust we shall return’ are echoed in the famous words that the priest recites in those last moments of burial, ‘ashes to ashes, dust to dust’. In that moment, amongst the bereaved, there is no escaping the inevitability of death. It is the ultimate statistic, 1 in 1 die. 

Whilst death is of course universal and will affect us all, the impact of this assisted dying bill could have consequences for some of the most vulnerable in society.  

As I reflect on my time as a Priest in East London, this is not abstract theory, but something I lived with each day. I served amongst a hugely diverse, vibrant, community in one of the poorest parts of the city. As I try to picture some the people I’ve walked alongside, I know it is these lives that will be most affected.  

One of the reasons I have concerns about the bill is the prospect of these people being coerced into ending their own lives prematurely, by a world that has already told them their lives are of little value. There are already huge disparities in access to the current provision of palliative care at the end of life, particularly amongst people of colour, the disabled and the poor.  

Of the 500,000 people who die each year, 100,000 do not access the care they need. This number is skewed towards ethnic minorities and those who come from poorer backgrounds.  

There is much confusion and misinformation about what end-of-life care even is. Research conducted by Marie Curie shows that 1 in 5 people from an ethnic minority background believe Palliative Care is actually Euthanasia.  

We only need to look at what has happened around the world when the ‘right to die’ becomes a duty to die. Even with the best of intentions, other jurisdictions show us that safeguards rapidly deteriorate and those who are already vulnerable become even more so.  

I worry that the way in which this bill is being handled - rushed through, little time being given to properly chew over the profound consequences it may have - reflects the wider way we view death. 

By trying to provide a ‘choice’ for a certain group of people, the consequence will be taking away real choice from those who already have little. 

Yet we know that for those who do access it, palliative care can be hugely effective in improving their quality of life, and for some, they can even outlive their prognosis. During Ash Wednesday’s service, I met an elderly gentleman who was diagnosed with stage four pancreatic cancer in 2019. He was told he had five months to live. He described every day of his six-year survival since as a ‘miracle’, his eyes filled with evident joy.  

Such a blessing stands in stark contrast to the lonely final days of my 96-year-old great grandmother. She was suddenly taken ill during the Covid-19 pandemic and was frantically rushed to a hospital. Amidst the chaos, exasperated by the restrictions against seeing family that were in place at the time, I distinctly remember confused conversations about placing her in a care home for her final days. It was clear she needed a lot of specialist attention, more than our family could provide ourselves.  As she was discharged to stay with our aunt, she never did reach that care home, as she died at home. She was buried in our local cemetery, with our family watching on Zoom.  

My final memory of my great-grandmother will be the FaceTime call we shared when she was taken to hospital, with the poor data connection and shaky picture. I am so grateful for the few family members who were able to be by her side when she died, but I’ve often wondered whether she fully received the care she actually needed during those final days, in the way she needed it.  

What my great-grandmother didn’t have a lot of at the end of her life was time.  

That’s also true for this bill. Concerns have been raised that only five hours of debate were given to this Bill in the chamber, comparatively short for a change in the law of this magnitude.  

I worry that the way in which this bill is being handled- rushed through, little time being given to properly chew over the profound consequences it may have- reflects the wider way we view death.  

Do we view death - and indeed the dying- as something to be shoved to one side, not spoken about in the hopes we can avoid its impact? Or do we view death as an important moment to review who and what matters most in life?  

Perhaps for some, the fact that Christians devote a period of 40 days to dwell on death may be one of the mysteries of faith. However, perhaps it’s not such a bad idea after all.  Death may bring with it fear, grief and pain and so we tend to avoid it. But do we risk missing out on much more? As we head into Easter, the cross still serves as a powerful reminder that, especially in death, Hope can be found, that Good has triumphed over evil, and Light shines even in the darkest of places.  

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Article
Comment
Development
Politics
4 min read

Downsizing in DC undercuts the lives of millions in Nigeria

Nigeria’s Christian communities will bear the brunt of USAID’s demise.

Chris Wadibia is an academic advising on faith-based challenges. His research includes political Pentecostalism, global Christianity, and development. 

Patient wait in a street clinic beside a sign.
A health project clinic in Lagos, Nigeria.

Christendom, the global community of over 2.5 billion Christians living worldwide, has many geographical capitals. Nigeria, like the United States, is one of them. Upwards of 100 million people living in Nigeria identify as followers of the Christian religion. These Nigerians belong to Christian denominations like Roman Catholicism, Anglicanism, Baptist Christianity, and Pentecostalism. On 6 February the Trump Administration announced plans to downsize USAID, the US government agency that administers foreign aid. In 2023 it managed over $40 billion, and has played a significant role in delivering aid and development support in Nigeria for decades.  

Nigeria has one of the world’s lowest levels when it comes to spending on social issues. Its government’s underspending has trapped tens of millions of Nigerians in horrific, inescapable mazes of poverty. The significant challenges Nigeria faces are well-documented -socioeconomic, geopolitical, and religious ones. The protracted and infamously bloodthirsty Boko Haram insurgency (headquartered in the northeastern corner of the country) has led to the deaths of tens of thousands of Nigerians and displaced over two million people, disproportionately affecting vulnerable women and children.   

Abandoned by the government, many Nigerians look to their ethnic communities, religious groups, and even other state’s agencies and charities for the support and solutions they require to survive.  

In 2021 USAID commemorated 60 years of providing development assistance to Nigeria. Its historical activity has prioritised agriculture and food security, democracy, human rights, and governance, public health, and energy production. In just 2021, USAID provided Nigeria with more than $787 million in development and humanitarian assistance.  

Whilst USAID support for Nigeria has historically been blind to religion, the Trump-led downsizing of development and humanitarian assistance for millions of people living in Nigeria will especially impact tens of millions of Christians, They struggle to lead lives in a country rife with Christian suffering  that is ignored by powerful global actors with the financial, political, and military resources to intervene in substantive and peace-generating ways.  

Southern Nigeria is disproportionately developed compared to the North. Lagos, the economic capital responsible for a third of Nigeria's GDP, sits in the southwestern corner. The south contains a majority of the leading private universities, many of which are owned and funded by Christian churches, and is home to Nigeria's largest international airport. Literacy levels among Christians in Nigeria dwarf literacy levels among Muslims, especially when compared to Muslims living in the religiously archconservative northern states.   

The southern region of Nigeria has an appetite for development and the political will needed to implement an inclusive development vision that simply does not exist up north. Downsizing USAID activity in Nigeria will disproportionately affect Christians in Nigeria who for historical and contemporary reasons have been able to benefit from USAID assistance in ways developing themselves to help Nigeria compete in the global economy.    

In the current 21st century geopolitical climate US-Nigeria relations are far more likely to become more rather than less relevant. 

Muslims in Nigeria, if unbridled by extreme religious dogma, could just as easily undergo the processes of self-development needed to excel in 21st century economic marketplaces. However, as Nigeria's religious landscape stands today, tens of millions of Muslims simply lack access to opportunities to gain the education, training, and work experience that could unleash the full potential of the legendary Nigerian human capital famous globally.  

Millions of educationally and professionally ambitious Nigerian Christians view their work in vocational terms. Inspired by scripture and theological resources like Catholic Social Teaching and the Pentecostal Doctrine of Prosperity, these Christians intentionally seek out educational and professional opportunities because they believe their faith in Christ commands them to provide for their households and invest into their communities. They believe contributions to their homes and communities double as offerings to God himself. For over six decades, USAID has administered development and humanitarian assistance in Nigeria in ways hugely benefitting millions of Christians ignored by their government.  

Administering USAID aid in Nigeria has never been perfect. Bad actors, many of them government officials exploiting the authority of their offices, have stolen development funds intended for marginalized Nigerians and used it to fund their kleptocratic networks and lavish lifestyles. However, in the current 21st century geopolitical climate US-Nigeria relations are far more likely to become more rather than less relevant. USAID support provides a valuable source of American soft power able to win over the hearts of vulnerable Nigerians whose children might one day seize the reins of state power. It also continues the postcolonial project of assisting in the sociopolitical and economic development of the Giant of Africa.  

Downsizing USAID assistance to Nigeria undercuts investment in the lives of millions of Nigerian Christians disproportionately positioned to drive the country in the direction of evolving into just the kind of capable ally in Africa the US wants to work with long term.  

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