Column
Assisted dying
Care
Comment
4 min read

Proposed euthanasia safeguards insult our NHS

We must defend a collective sense of care and generosity.

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

A gable end mural depicts a nurse in scrubs and a mask turning and looking towards the viewer.
A mural of an NHS nurse during COVID, Manchester.
Mural Republic

It was, I believe, the late political satirist Simon Hoggart who coined the Law of the Ridiculous Reverse, which held that, if the opposite of a statement is plainly absurd, then it was not worth making in the first place.  

This law comes to mind when Labour MP Kim Leadbeater promises that her Assisted Dying Bill will have the “strictest safeguards in the world”, one of which is that those patients who have ordered their fatal dose “would be allowed to change their mind at any time.”   

Where, exactly, has it ever been suggested that an individual, having asked for an assisted death, would not be allowed to change their mind? I’m just wondering which legislator or medical professional has proposed that once a lethal draught has been prescribed then there is no turning back.  

I’m struggling to picture the circumstance in which a terminally ill patient is pinned down and killed, the last words that they hear being: “I’m sorry Mrs Simpkins, but everyone’s gone to a lot of trouble. You asked for it and you’re jolly well going to get it.” 

This is important because, apparently, being able to change your mind about asking for help to kill yourself is one of the strictest safeguards in the world. I hope Ms Leadbeater will forgive me for pointing out that this doesn’t really stack up. 

 And what’s serious about it is that it’s also a massive straw man argument. The clear and rather devious implication is that one of the arguments being made against the introduction of an assisted suicide law is that patients won’t be able to change their minds about it, which I think we can all accept simply isn’t a fact at all. It’s absurd – a Ridiculous Reverse. 

So I’ll defend the NHS with a religious fervour. To my mind, healthcare is a holy mission. We meddle in law with the Hippocratic Oath at our very deep peril. 

It’s also hugely contemptuous of the medical profession in general and rude to the NHS in particular. That’s because there’s a snide impression behind Leadbeater’s comment there may be hundreds of budding Harold Shipman out there, but her powerful safeguards are going to protect us from them. 

We’re in danger of becoming inured to this kind of insult from politicians directed at the NHS. And it’s worth exploring why they might think we need to be protected from unscrupulous doctors and nurses. In this case, one possible reason is that the NHS isn’t being particularly helpful in giving the euthanasia enthusiasts what they want. 

Doctors and their staff have plenty of ethical objections to assisted suicide. But leave those aside for a moment. At the practical level, the NHS has made it clear that it doesn’t have the infrastructure to operate a policy of assisted deaths safely. And it can’t afford to set one up. So a government that introduces assisted suicide is going to have to organise and regulate its own assisted death agency. 

“Oh,” the assisted dying lobbyists seem to exclaim, “we’d presumed you’d do as you’re told.” Just hand out the hemlock. Take your instructions from the legislature. 

But the NHS is better than that. And it’s that kind of high principle that so infuriates feckless politicians. It was the late Nigel Lawson who said, somewhat ruefully, that the NHS “is the closest thing the English have to a religion”. The right wing of politics regularly tells us it’s time to renounce that religion. 

To worship the NHS as a religion would, literally, be idolatrous. But it’s not so to acknowledge its religious qualities. Just look at the word – the Latin religio means something like “good faith”, the essence of who we are, what makes us good. 

The NHS, in its post-war incarnation, has been central to who we are as a people and what defines us. It’s something to do with our collective sense of care and generosity to one another. Its members, like our national Church, make up a single body. 

This is not to co-opt the NHS as the medical wing of the Church. It’s no part of the NHS’s brief to proselytize – rather the reverse; Christian medical staff have been in deep disciplinary trouble for evangelising. It is a profoundly secular organisation. 

So the NHS emphatically isn’t in the business of propagating the gospel. But that’s not to say that we can’t be in the same business. Many priests have stories of their most affirming work being in the company of people of other faiths or of none. 

The NHS’s proud heritage is to offer treatment free to anyone at the point of access. Put another way, it will seek to heal anyone who comes to it. I make no apology for saying that sounds familiar. 

So I’ll defend the NHS with a religious fervour. To my mind, healthcare is a holy mission. We meddle in law with the Hippocratic Oath at our very deep peril. 

And when NHS professionals tell us where we can stick our assisted suicides, I respectfully suggest we give it our solemn attention, rather than patronisingly offering a Law of the Ridiculous Reverse.

Snippet
Advent
Care
Christmas survival
Creed
Weirdness
3 min read

The mess, grit, and dirt of the post-partum stable

No cheerleaders, nor midwives, no older women who had walked Mary's path before.

Imogen is a writer, mum, and priest on a new housing development in the South-West of England. 

A Korean style historic illustration of the nativity.
Kim Hueng Jong (Korean, 1928-), Christmas Scene.

Clean, calm and collected, 

That’s how it would have been. 

The stable of filtered imaginings, 

A picture perfect scene. 

  

Perhaps more messy - 

Undignified, unexpected, unseemly - 

A not-so dream-like site, 

As a king’s birthing barn that night. 

  

Our unimagined stable. 

No perfectly planned polaroid, 

But in mess, mud, blood, 

Is God with us 

The stable of our Christmas cards, illuminated shop window scenes, and our children’s nativity plays is neat and tidy. A newborn babe lies quietly sleeping in a straw-filled trough, wrapped perfectly in a Persil white blanket. The mother, clothed and clean, looks on adoringly, standing over her child. Any animals present are gentle, still, and lying on the ground, unaffected by this unusual occurrence in their home. This is the stable of our imaginations.  

However, the Bethlehem stable was the delivery suite for the Saviour of the world. And even a Saviour’s birth includes mess. I have experienced a variety of delivery rooms over my three pregnancies and each one has been messy. From birthing pool to theatre there is noise, blood, water, and tears. Birth is messy. And that’s not even beginning to acknowledge the mess that would have been in the stable to begin with! Despite this, the stables we see and celebrate never include the mess that Jesus would have been born into.  

Birth is also extreme. It pushes the woman’s body to the limit of her physical and emotional capacity. She has laboured - aptly named for it is indeed hard work. Her body has been torn to enable this little life to be pushed or pulled into the world. She is exhausted. And now the work begins to sustain this little one outside of the womb. While inside he has been given all that he needs, now outside they must learn together how to feed. As the newborn babe is held close to his mother, he recognises her rhythmic heartbeat, his temperature regulates, his smell and touch encourages her milk to develop, and as he feeds, he contracts her womb for the placenta to be born and her body to begin to heal. They are still dependent on each other in these early hours. 

Usually, this extreme and messy moment is done in community. It is not something we embark on alone. We have a support network of skilled people to help and guide us through birth. We have birth partners who encourage us, champion us, and remind us of our body’s innate ability to birth this baby. But Mary did not have this normal group of cheerleaders. There were no midwives at her birth, no older women who had walked this path before. Only her new husband, afraid and unsure of what his young wife was about to do. And then soon after, the Shepherds arrived. A bunch of slightly smelly, nocturnal chaps walking into a delivery room. Although they would have been familiar with mess, noisy animals, and birth, I’m not sure I would have rejoiced at their unexpected arrival. Somehow though, Mary graciously welcomes them into the space of what was probably a very messy stable.  

Perhaps instead of the sanitised stable of our imaginations, we might consider an alternative imagining - the messy stable of the Saviour. A stable where the humanness of birth, of mother and child, and of life’s mess is fully felt. Because it was into the mess, grit, and dirt that the Saviour came. And it was from this mess that he was going to save.  

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