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
Creed
Easter
5 min read

The compassion of Easter's tears

There’s complexity and beauty behind crying.
A stone statue's face depicts a falling tear.
Ohlsdorf Cemetery, Hamburg.
Marek Studzinski on Unsplash.

The great English metaphysical playboy poet, John Donne, became Dean of St. Paul’s Cathedral in 1621. During Lent a year later he preached a majestic sermon entitled ‘To speake of Tears’. I first read it 30 years ago and it has prodded and challenged me ever since. This hyper-bright poet and reformed Lothario brought to the pulpit all his astonishing rhetorical skill, and a deep learning, combined with an overriding sense of God’s mercy and the wonder of new beginnings. His sermons were as thick as treacle and as rich as chocolate mousse, but built on a profound religious sympathy and a pastor’s ear for the yearnings of his listeners. 

In his 1622 sermon, Donne highlights the different kinds of tears shed by Jesus in the last weeks of his life.  

He speaks of Jesus’ ‘humane tears’ - tears he shed alongside Mary and Martha at the grave of his dear friend Lazarus - so surprising, Donne suggests, that the scholars charged with the chapter and verse divisions of the New Testament stopped in wonder at the two words ‘Jesus wept’ and made it a complete (and the shortest) verse in the Bible. 

He speaks of Jesus’ ‘prophetic tears’ on Palm Sunday, as Jesus looks down over the city of Jerusalem, foreseeing the people’s rejection of God and the judgement that would come upon this city he loved. These tears are again surprising - Jesus had been borne into the city on the excited adulation of the crowds - so why does he weep? 

Donne speaks of Jesus’ ‘pontifical’ or ‘sacrificial tears’ on the Cross - forsaken, despairing tears, encapsulated in Jesus’ agonisingly seizing a line of dereliction from the Psalms and hurling it at the dark sky - ‘My God, my God, why have you forsaken me?’  

Donne was hardly the first theologian to wonder at these tears. But he is compelling in separating them out, wondering how different they are, and plotting the complexity of Jesus becoming a Man of Sorrows, for people who know so much sorrow. And he has the pastor’s touch as well as the preacher’s flourish to help us understand that we see ourselves most clearly through the tears of Jesus, or as C.S. Lewis would put it in the Problem of Pain, ‘the tears of God are the meaning of history.’ 

Tears, like snowflakes, are unique. Donne started to tease them apart 400 years ago, and we can see this even more clearly today, though it is always a challenge to do so because of the emotional intensity and maelstrom they spring from. 

We now know there are physically three kinds of tears; basal tears, which lubricate the eye, irritant tears, which flush out bugs or specks of dirt and emotional tears, agreed by most to be unique to humans (though newborn babies don’t normally cry tears for the first month or more). Rose-Lynn Fisher poignantly deepened this understanding of different kinds of tears in her ground-breaking work on The Topography of Tears. As an artist, she captured some of her own tears and placed them on a microscope slide. She then took close-up pictures of the tears with a digital microscopy camera mounted on a 1960’s Zeiss standard light microscope; 

‘The microscope provided the means to examine my tears and visually evoke the unseen realm of my emotions.’ 

She discovered that no two tears look the same, much as another hero of mine, Snowflake Bentley, had discovered, using a similar method in a frostier setting, the same is true for snowflakes. Tears of grief, even if shed at the same time, are all uniquely different; each one subtly changed by air temperature, and the proteins, minerals, hormones, antibodies and enzymes in an individual tear. 

This knowledge brings a new weight to Jesus’ searching question to Mary on Easter morning - ‘Woman, why are you crying?’ These tears that I’m shedding, today, what kind of tears are these? Angry, grieving, frustrated, fearful? Fisher gives astonishing names to her close-ups of tears - ‘Compassion’, ‘Tears of Change’, ‘Overwhelm’, ‘Redemption.’ And it opens up the question of what tears am I not shedding? If there are so many different kinds of tears, are there some I am avoiding, or closing my heart to? 

Richard Rohr has just published a long-awaited book on the Minor Prophets called The Tears of Things. I cannot possibly summarise it here, but Rohr includes an argument for the necessity of tears to soften our anger and outrage, the defining emotions of our age. He charts the prophet’s journey from outrage at the lawlessness of the world, through tears for the greed and cruelty of the world, to a settled but fiercer love and mercy. The prophetic tears of Jesus - tears of love, not for ourselves, but an expression of compassion for others - are the ultimate expression of this. This is a compelling vision - I would prefer the people who mould our world to be less shouty and angry, and more tearful and compassionate, people who live near enough to the pain of others to have cried with them and for them before making a plan. 

The Psalms offer us a second discipline for our tears. As well as knowing them, that is understanding them, naming them, placing them, we can sow them: 

‘Those who sow in tears 

Will reap with songs of joy.’ 

This is an ancient invitation to give weight to our tears. To take them to God, to share them with others, and not just to see them as a way to get things of our chest.  

Our human tears can deepen our sense of frailty and dependence on others and God. 

Our prophetic tears can invigorate our fight for justice and peace, without destroying our spirit or making us worse than the people we criticise. 

Our forsaken tears, the ones shed quietly, without hope, without even the hope that God sees them, can prepare the way for God’s new beginnings. 

Celebrate our 2nd birthday!

Since Spring 2023, our readers have enjoyed over 1,000 articles. All for free. 
This is made possible through the generosity of our amazing community of supporters.


If you enjoy Seen & Unseen, would you consider making a gift towards our work?


Do so by joining Behind The Seen. Alongside other benefits, you’ll receive an extra fortnightly email from me sharing my reading and reflections on the ideas that are shaping our times.


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