Column

Comment

War & peace

7 September 2023

4 min read

Looking evil in the face

After viewing a new documentary on the Holocaust in Ukraine, a harrowed George Pitcher ponders his duty not to look away.

George Pitcher

George is a visiting fellow at the London School of Economics and an Anglican priest.

A mother cradles a child while another stands close by. They wear winter clothes of the 1940s and are amidst others waiting.

A Jewish family at Lubny, Urkaine, prior to the massacre there.

Hamburger Institut für Sozialforschung.

It’s a commonplace to remark that Ukraine has a troubled history. It’s almost a means of assimilating its current Russian conflict; Ukrainians are used to suffering and fighting, so here we go again.

But, lest we forget, it’s as well to be reminded on a regular basis of the nature of Ukraine’s suffering. This week, Channel 4 broadcast a documentary called Ukraine: Holocaust Ground Zero, which traced through contemporaneous photography, academic commentary and survivors’ witness how Ukrainian Jews suffered and died in their hundreds of thousands, perhaps as many as 1.6 million, at the hands of Nazis, Soviets and Ukrainian nationalists.

Vocabulary fails. Harrowing doesn’t begin to touch the experience of watching a programme like this. But, I think, watch it we must, especially those with a religious faith who use words like hope and faith.

The “problem of evil”, known in scholastic circles as theodicy, has been a stumbling block for the Christian faith for centuries. If God is all-powerful, the problem states, he cannot love us if he allows this to happen; if he loves us, he cannot be all-powerful for it to happen. Ergo, he cannot both be all-powerful and all-loving.

Counter-arguments, which needn’t detain us here, are many and varied: That the gift of free will includes the freedom to abandon God for evil; that the light of love shines brightest in darkness; that the world is fallen – lapsarian – and has to find its way back to the Garden; that God is joined to the suffering of humanity on the cross.

After Channel 4’s film, I have to say that I’m less interested in all that than in what it actually means for us in a practical sense. I’m left wondering less why than how. I don’t want to know why God allows it. I want to know how we respond.

Allow me to say, as honestly as I can, how I literally responded to this documentary. I had to watch it alone, on Channel 4’s website. I wonder why that is. Perhaps watching it with someone else is too much like entertainment. Perhaps there’s a fear that the act of sharing is dissipating in some way. Perhaps it’s a dirty little secret that I wanted to watch it, through clenched fingers.

The second literal reaction I’d record is that when a photograph appeared of one of the most grotesque (though relativity here is invidious) perpetrators of the mass-murders, SS-Obergruppenführer Friedrich Jeckeln, I found myself saying at his image on the screen “rot in hell”.

I find it hard to believe in a place of unending torment to which a benign God despatches human souls. I do believe in the hells, like this one in Ukraine, that men like him can create on earth. But I knew I’d found the limit of a human forgiveness and this was infinitely beyond it. And somehow I wished there was an eternal damnation to which Jeckeln could be consigned.

A third reaction to identify is more passive. I had to watch it – or, rather, I couldn’t look away. Please God, may that not be said to be curiosity. Surely not, when you know how scarring it will be.

It contained (and here perhaps I should issue a trigger warning for the rest of this paragraph) details of how the death squads moved on from men of military age to women and children, because they were too expensive to feed; how 90 orphaned children were murdered in one massacre for the same reason; how Jeckeln developed a system of execution to maximise space in mass graves called “sardines”.

I’m conscious of the title of the site for which I’m writing when I say that what is seen can’t be unseen and the horror must stay with anyone who watched this programme. To look away is to conspire with a pretence that it isn’t there or couldn’t have happened.

I wonder whether that means the Christian bears a duty not to look away, any more than we can look away from an innocent, naked young man left hanging in the midday sun, nailed to a cross. In witnessing these horrors, we’re not being brave, we’re acknowledging human reality.

And that human reality means that it really is no good saying “never again”. From the ethnic cleansing of Muslims in the Bosnian war, to the Rwandan genocide of the Tutsi minority in the Nineties, to the Iranian mass graves of dissidents being revealed even today, that is a failed resolution.

So is a faith in vain? It’s hard to argue a case for the divine in the face of 91-year-old Janine Webber, who says quietly on Channel 4:

“They killed my brother. They buried him alive. He was seven.”

Meanwhile, 86-year-old Bella Chernovets says of that countless million-plus:

“God keep them in paradise.”

Perhaps, we pray like that. I don’t know.

It’s impossible to conclude a column like this without being glib, or fumbling for closure. Because there are no conclusions. So I’ll just stop here.

Article

Care

Comment

Economics

Ethics

2 December 2024

4 min read

NHS: How far do we go to feed the sacred system?

Balancing safeguards and economic expediencies after the assisted dying vote.

Callum Elwood

Callum is a pastor, based on a barge, in London's Docklands.

A patient eye view of six surgeons looking down.

National Cancer Institute via Unsplash.

“Die cheaply, protect the NHS” It sounds extreme, but it could become an unspoken policy. With MPs voting on 29th November to advance the assisted dying bill, Britain stands at a crossroads. Framed as a compassionate choice for the terminally ill, the bill raises profound ethical, societal, and economic concerns. In a nation where the NHS holds near-sacred status, this legislation risks leading us to a grim reality: lives sacrificed to sustain an overstretched healthcare system.

The passage of this legislation demands vigilance. To avoid human lives being sacrificed at the altar of an insatiable healthcare system, we must confront the potential dangers of assisted dying becoming an economic expedient cloaked in compassion.

The NHS has been part of British identity since its founding, offering universal care, free at the point of use. To be clear, this is a good thing—extraordinary levels of medical care are accessible to all, regardless of income. When my wife needed medical intervention while in labour, the NHS ensured we were not left with an unpayable bill.

Yet the NHS is more than a healthcare system; it has become a cultural icon. During the COVID-19 pandemic, it was elevated to near-religious status with weekly clapping, rainbow posters, and public declarations of loyalty. To criticise or call for reform often invites accusations of cruelty or inhumanity. A 2020 Ipsos MORI poll found that 74 per cent of Britons cited the NHS as a source of pride, more than any other institution.

However, the NHS’s demands continue to grow: waiting lists stretch ever longer, staff are overworked and underpaid, and funding is perpetually under strain. Like any idol, it demands sacrifices to sustain its appetite. In this context, the introduction of assisted dying legislation raises troubling questions about how far society might go to feed this sacred system.

Supporters of the Assisted Dying Bill argue that it will remain limited to exceptional cases, governed by strict safeguards. However, international evidence suggests otherwise.

In Belgium, the number of euthanasia cases rose by 267 per cent in less than a decade, with 2,656 cases in 2019 compared to 954 in 2010. Increasingly, these cases involve patients with psychiatric disorders or non-terminal illnesses. Canada has seen similar trends since legalising medical assistance in dying (MAiD) in 2016. By 2021, over 10,000 people had opted for MAiD, with eligibility expanding to include individuals with disabilities, mental health conditions, and even financial hardships.

The argument for safeguards is hardly reassuring, history shows they are often eroded over time. In Belgium and Canada, assisted dying has evolved from a last resort for the terminally ill to an option offered to the vulnerable and struggling. This raises an urgent question: how do we ensure Britain doesn’t follow this trajectory?

The NHS is under immense strain. With limited resources and growing demand, the temptation to frame assisted dying as an economic solution is real. While supporters present the legislation as compassionate, the potential for financial incentives to influence its application cannot be ignored.

Healthcare systems exist to uphold human dignity, not reduce life to an economic equation.

Consider a scenario: you are diagnosed with a complex, long-term, ultimately terminal illness. Option one involves intricate surgery, a lengthy hospital stay, and gruelling physiotherapy. The risks are high, the recovery tough, life not significantly lengthened, and the costs significant. Opting for this could be perceived as selfish—haven’t you heard how overstretched the NHS is? Don’t you care about real emergencies? Option two offers a "dignified" exit: assisted dying. It spares NHS resources and relieves your family of the burden of prolonged care. What starts as a choice may soon feel like an obligation for the vulnerable, elderly, or disabled—those who might already feel they are a financial or emotional burden.

This economic argument is unspoken but undeniable. When a system is stretched to breaking point, compassion risks becoming a convenient cloak for expedience.

The Assisted Dying Bill marks a critical moment for Britain. If passed into law, as now seems inevitable, it could redefine not only how we view healthcare but how we value life itself. To prevent this legislation from becoming a slippery slope, we must remain vigilant against the erosion of safeguards and the pressure of economic incentives.

At the same time, we must reassess our relationship with the NHS. It must no longer occupy a place of unquestioning reverence. Instead, we should view it with a balance of admiration and accountability. Reforming the NHS isn’t about dismantling it but ensuring it serves its true purpose: to protect life, not demand it.

Healthcare systems exist to uphold human dignity, not reduce life to an economic equation. If we continue to treat the NHS as sacred, the costs—moral, spiritual, and human—will become unbearable.

This moment requires courage: the courage to confront economic realities without compromising our moral foundations. As a society, we must advocate for policies that prioritise care, defend the vulnerable, and resist the reduction of life to an equation. Sacrifices will always be necessary in a healthcare system, but they must be sacrifices of commitment to care, not lives surrendered to convenience.

The path forward demands thoughtful reform and a collective reimagining of our values. If we value dignity and compassion, we must ensure that they remain more than rhetoric—they must be the principles that guide our every decision.