Article
Comment
Freedom of Belief
Islam
5 min read

Iran: defender of minorities?

Making such claims is part of a carefully managed facade.

Steve is news director of Article 18, a human rights organisation documenting Christian persecution in Iran.

A toddler is held by her father while he stands next to her mother.
Lydia and her adoptive family.

It might surprise you to learn that the Islamic Republic of Iran likes to present itself as a defender of minorities. 

It’s certainly not the sort of title you might associate with a country with such a grim human-rights record, amounting to “crimes against humanity” according to the findings of an independent fact-finding mission. 

But akin to the template of the Russians and other rogue regimes, Iran knows well that when it comes to the international arena, appearances can often take the spotlight away from ghastly realities. 

And so, when the fact-finding mission releases a report, as it did last week, outlining violations against minorities with the title They have dehumanised us, while it may achieve little in terms of change on the ground, it has the potential to at least damage the Islamic Republic’s carefully managed facade on the international stage. 

In the five years I’ve been working for Iranian Christian charity Article18, I've grown extremely familiar with the way in which the Islamic Republic brings representatives of its recognised religious minorities - Jews, Christians, and Zoroastrians - to the United Nations in an attempt to prove its inter-religious tolerance.  

The latest example of this was in October, when the Armenian MP - one of five minority representatives in the Iranian parliament (as the Islamic Republic likes to remind us) - was rolled out before the UN Human Rights Committee to list the number of churches, synagogues and temples in Iran. 

The point? That if there are so many places where minorities can worship - for the record, he referenced 380 churches, 16 synagogues and 78 temples - then how can anyone claim minorities are persecuted? 

What the MP failed to mention was that those 380 churches, for example, are only open to those considered to have been born as Christians, which in Iran means Armenians or Assyrians.  

Meanwhile, the door remains firmly closed to anyone who may wish to convert to Christianity or even simply visit a church to find out more. 

Article 18 enshrines the freedoms to change one's faith and to share it with others. Both are denied to Iranians of all faiths and none. 

This hasn’t always been the case. There were once a large and growing number of churches that welcomed converts, but over the past 15 years they were either forced to close or to change the language in which they operate. These days, churches can only preach in Assyrian or Armenian.  

Last year marked the 10th anniversary of the forced closure of the largest Persian-speaking church in Iran, the Central Assemblies of God Church in Tehran, whose popularity ended up being its death knell. 

Just four Persian-speaking churches remain in the whole of Iran, all Anglican, and these can only welcome those who can prove they were Christian before the establishment of the Islamic Republic in 1979. They are not allowed to admit new members, and even these have not been permitted to reopen since their forced closure during the Covid-19 pandemic. 

So, while churches in the West are often derided for their ageing populations, for Iran’s last remaining Persian-language churches, that future is entirely inevitable. 

And while the Armenian MP talks about Iran’s hundreds of churches, he fails to mention that converts have nowhere to worship, as was highlighted in our #Place2Worship campaign, which was inspired by an open letter written by three converts serving long prison sentences for their membership of house-churches.  

The three wanted to know where they might worship, free from the fear of being re-arrested. 

Because that is why Christians are imprisoned in Iran - simply for meeting together in what we in the West call “house groups”, and what in Iran are known as “house-churches”, or, in the words of the Iranian authorities, “enemy groups”

But it isn't only the converts who suffer. Armenians and Assyrians have themselves received long prison sentences for their decision to share their faith, a right that is enshrined in international covenants that Iran has signed, including Article 18 of the International Covenant on Civil and Political Rights, from which my organisation derives its name.  

Article 18 enshrines the freedoms to change one's faith and to share it with others. Both are denied to Iranians of all faiths and none. 

But they aren't quite so fond of scrutiny, such as a 17,000-word report by a credible international team of experts. 

In this context, I find it both baffling and even slightly amusing whenever I see the Islamic Republic of Iran presenting itself as the defender of minorities.  

Iran’s new president, Masoud Pezeshkian, littered his "election" campaign with references to the “dignity” of Iran’s minorities; it’s common to see propaganda highlighting Iran's alleged defence of Christians in the region against ISIS, for example; and they love to talk about the number of churches and minority MPs that they have. 

But they aren't quite so fond of scrutiny, such as a 17,000-word report by a credible international team of experts.  

According to the experts, minorities in Iran face “ongoing institutionalised discrimination and marginalisation”, the “root causes” or “enablers” of which are the “gross human-rights violations against them”. 

The fact-finding mission highlight the example of a couple whose adopted daughter was ruled should be taken away from them because they had become Christians and she was considered to have been born a Muslim. 

I remember the story of little Lydia very well - certainly one of the most heart-wrenching of my time working with Article18.  

It also produced one of the strongest reactions, with 120 lawyers and activists signing a joint letter to the head of the judiciary at the time - one Ebrahim Raisi - calling for the decision to be overturned. 

It wasn’t. 

And while the Islamic Republic will no doubt seek to laugh or shrug off the “politically motivated” report, as they have countless others, it is to be hoped that at least some who may have been taken in by the regime's propaganda in the past will see reason to think twice the next time around. 

 

Article
Assisted dying
Comment
Politics
7 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.