Article
Comment
General Election 24
Leading
Politics
3 min read

Let’s not make saviours out of Sunak or Starmer

Politicians do not live up to messianic billing.
Looked down upon by crowds in galleries, a politician stands amid a throng of supporters
Kier Starmer at Scottish Labour's election launch.
Pam Duncan-Glancy via Twitter.

It was 2015 and I thought Ed Miliband was the saviour of the free world. Remember, this was before Covid and Brexit and Trump, and politics seemed so binary and easy. Left-Right. Government-Opposition. Thatcher, Major, Blair, Brown. Monoliths in my teenage eyes.  

The excitement of the novel 2010 hung parliament and the injustice (as I saw it) of Nick Clegg (remember him?) ‘getting into bed’ with David Cameron instead of Gordon Brown had carried me all the way to the A-level Politics classroom. I was watching Ed attempt to tell Jeremy Paxman that, hell yeah, he was tough enough. A hung Parliament threatened again, until it didn’t. The Conservatives won enough to govern and the hope swelling in my breast was trodden down by spending upper sixth watching Donald Trump sweep to power.  

I have learned enough since then not to cast Sir Kier Starmer in the same mould. Sunak’s snap election is not a choice between two saviours, but two politicians compromised by the grit of reality and the inheritance of a set of global circumstances. 

Boris Johnson and Liz Truss, figures held up for their political savvy and economic foresightedness respectfully. To put it mildly, they did not live up to their messianic billing.

Often, we can make these political figureheads into messiahs, those who will come on a wave of hope to fix the nation’s problems, govern wisely, and bring unity. Perhaps, approaching July 4th, these feelings are intensified.  

There is much in these pages excellently denoting the deliberate co-opting of Christ for nationalistic political purpose, and I am suggesting that we are often willing collaborators, bringing a religious devotion to our ideology and those which propound it: “If only it were insert politician who were running the country, then everything would be much better!”  

This almost cultic reverence was present in some circles surrounding both Boris Johnson and Liz Truss, figures held up for their political savvy and economic foresightedness respectfully. To put it mildly, they did not live up to their messianic billing. For others, this devotion was saved for Thatcher, Blair, Cameron, Corbyn.  

A word of wisdom to my teenage self? Passion for politics is no bad thing, but devotion to human ideology is misplaced. 

Rishi Sunak and Sir Kier Starmer do not quite have the same star power, with Starmer especially coming across as the more doughty-and-dependable type. But it was ever thus. Human nature is inherently cyclical, and we swing from one archetype to the next, always in the hope that the next one in will do a better job than the last. 

The messiah is of course a Jewish concept, the awaited one who will deliver them from their enemies and lead them to a state of peace. Many have claimed to be the awaited one, but only one has convinced a multitude. We read of Jesus of Nazareth in our carol services every year that the government will be on his shoulders and the greatness of his government and peace will have no end. At the end of this year in which a new government is formed, perhaps these age-old claims have increased significance. They invite us to look beyond the immediate and the physical, to look beyond those names who dominate headlines, claiming to be the one who will deliver change and reverse decline.  

Saint Paul has some wise words for those of us wondering how we can engage with a political world feeling more divisive and divided than ever. He tells us to pray for our government, whether you want Labour or Conservative and end up with the reverse. It is a tough job, and he tells us to give due honour to those who lead us, engaging with politics, giving it the respect it is due. But looking to politicians for deliverance? St Paul would call that folly. He only had one saviour. 

For deliverance, we must look beyond the territorial and the electoral, to one who does not promise vote share or positive polling, but sacrifice and justice; to one who comes to us not with populism or popularity, but with lowliness, humility, and integrity. A word of wisdom to my teenage self? Passion for politics is no bad thing, but devotion to human ideology is misplaced. Do not put your trust in the cycle of human proclivities, but in the one whose government will have no end. 

Article
Assisted dying
Comment
Justice
5 min read

Will clinicians and carers objecting to assisted death be treated as nuisances?

The risk and mental cost of forcing someone to act against their conscience.
A tired-looking doctor sits at a desk dealing with paperwork.
Francisco Venâncio on Unsplash.

After a formal introduction to the House of Commons next Wednesday, MP’s will debate a draft Bill to change UK legislation on Assisted Dying. Previously, a draft Bill was introduced in the Scottish Parliament in March 2024, and is currently at committee stage. Meanwhile, in the House of Lords, a Private Member’s Bill was introduced by Lord Falconer in July and currently awaits its second reading. These draft Bills, though likely to be dropped and superseded by the Commons Bill in the fullness of time, give an early indication of what provision might be made on behalf of clinicians and other healthcare workers who wish to recuse themselves from carrying out a patient’s end of life wishes on grounds of Conscientious Objection.  

There are various reasons why someone might want to conscientiously object. The most commonly cited are faith or religious commitments. This is not to say that all people of faith are against a change in the law – there are some high-profile religious advocates for the legalisation of Assisted Dying, including both Rabbi Dr Jonathan Romain and Lord Carey, the former Archbishop of Canterbury. Even so, there will be many adherents to various faith traditions who find themselves unable to take part in hastening the end of someone’s life because they feel it conflicts with their views on God and what it means to be human. 

However, there are also Conscientious Objectors who are not religious, or not formally so. Some people, perhaps many, simply feel unsure of the rights and wrongs of the matter. The coming debates will no doubt feature discussion of how changing the law for those who are terminally ill in the Netherlands and Canada has to lead to subsequent changes in the law to include those who are not terminally, but instead chronically ill. The widening of the eligibility criteria has reached a point where, in the Netherlands, one in every 20 people now ends their life by euthanasia. This troubling statistic includes many who are neurodivergent, who suffer from depression or are disabled. It is reasonable that, even if a Conscientious Objector does not adhere to a particular religion, they can be allowed to object if they feel uneasy about the social message that Assisted Dying seems to send to vulnerable people.  

“You will often find that legislation that provides a right to conscientious objection is interpreted by judges these days in a way that seems to treat conscientious objectors as nuisances” 

Mehmet Ciftci

  Conscientious Objection clauses can themselves send a social message. A response to the Scottish Bill produced by the Law Society of Scotland notes concern over the wording of the Conscientious Objection clause, as it appears to be more prescriptive in the draft Bill than in previous Acts such as the Abortion Act of 1967. In the case of any legal proceedings that arise from a clinician’s refusal to cooperate, the current wording places the burden of proof onto the Conscientious Objector, stating (at 18.2):  

In any legal proceedings the burden of proof of conscientious objection is to rest on the person claiming to rely on it.  

The Bill provides no indication of what is admissible as ‘proof’. Evidence of membership of a Church, Synagogue, Mosque or similar might be the obvious starting point. But where does that leave those described above, who object on grounds of personal conscience alone? How does one meaningfully evidence an inner sense of unease?  

The wording of the Private Member’s Bill, currently awaiting its second reading in the House of Lords, provides even less clarity, stating only (at 5.0): 

A person is not under any duty (whether by contract or arising from any statutory or other legal requirement) to participate in anything authorised by  this Act to which that person has a conscientious objection. 

Whilst this indicates that there is no duty to participate in assisting someone to end their life, there remains a wider duty of care that healthcare professionals cannot ignore. Thus, a general feature in the interpretation of such conscience clauses in medicine is that that the conscientious objector is under an obligation to refer the case to a professional who does not share the same objection. This can be seen in practice looking at abortion law, where ideas around conscientious objection are more developed and have been tried in the courts. In the case of an abortion, a clinician can refuse to take part in the procedure, but they must still find an alternative clinician who is willing to perform their role, and they must still carry out ancillary care and related administrative tasks.  

Placing such obligations onto clinicians could be seen as diminishing rather than respecting their objection. Dr Mehmet Ciftci, a Researcher at the McDonald Centre for Theology, Ethics and Public Life at the University of Oxford comments:  

You will often find that legislation that provides a right to conscientious objection is interpreted by judges these days in a way that seems to treat conscientious objectors as nuisances who are just preventing the efficient delivery of services. They are forced to refer patients on to those who will perform whatever procedure they are objecting to, which involves a certain cooperation or facilitation with the act. 

This touches everyone, even those who (if the Bill becomes law) will still choose to conscientiously object. Therefore, it is important to consider that the human conscience is a very real phenomenon, which means that facilitating an act that feels morally wrong can give rise to feelings of guilt or shame, even if one has not been a direct participant.  

Psychologists observe that when feelings of guilt are not addressed, if they are treated dismissively or internalised, this can significantly erode self-confidence and increase the likelihood of depressive symptoms. But even before modern psychology could speak to the effects of guilt, biblical writers already had much to say on the painful consequences of living with a troubled conscience. In the Psalms, more than one ancient poet pours out their heart to God, saying that living with guilt has caused their bones to feel weak, or their heart to feel heavy, or their world to feel desolate and lonely.   

If the Conscientious Objection clauses of the new Bill being proposed on Wednesday are not significantly more robust than those in the draft Bills proposed thus far, then perhaps that is something to which we should all conscientiously object? There is much to discuss about the potential rights and wrongs of legalising Assisted Dying, but there is much to discuss about the rights and wrongs of forcing people to act against their consciences too.