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.

Article
Comment
Leading
Politics
War & peace
3 min read

This security lapse signals much more about character

Sharing inflammatory emojis with the bros doesn’t inspire trust.

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

Screen grab of messages with text and emojis.
The Atlantic

I have - on more than one occasion - sent a sensitive message to the wrong person. It makes me cringe even to recall those mistakes, and so I have a certain amount of sympathy with senior US government leaders who, this week, have been caught out by private messages that got into the wrong hands.  

The messages at the heart of this scandal were sent on a Signal chat between National Security Adviser Michael Waltz, Secretary of Defence Pete Hegseth, Marco Rubio, Secretary of State, J.D. Vance the Vice President, and Tulsi Gabbard, Director of National Intelligence. What none of them had realised was that inadvertently included in the group was Jeffrey Goldberg, editor of The Atlantic.  

Needless to say, screenshots of the chat went viral. The problem, however, wasn’t just what was overheard, - which by itself amounts to a major security breach, - but about what that revealed about the participants – which, I believe, signals a much deeper problem: a breach of character. And there, my sympathy ends.  

The White House team was discussing the recent bombing campaign targeting Iran-backed Houthi rebels who have been disrupting navigation in the Red Sea and the Bab-al-Mandab strait. According to reports, the strikes left at least 53 people dead and injured almost 100 more. Some reports say that civilians and children were among the dead. But in the confines of the walls of power of Washington, these lives were written off in a crude series of emojis: a raised fist, the US flag and fire.  

Dehumanisation is a dangerous path. Once we stop seeing one another human beings with intrinsic value, dignity and worth our world becomes a far less safe place. It seems a dark day where people on one side of the planet can launch a drone attack on people on the other side and then brag about it on a messaging platform in emojis, like a bunch of mates celebrating a board game win.  

The messages on Signal were not just dismissive of those deemed to be enemies – but also of those they call friends. The comments highlight the disparaging way that members of the highest-ranking leaders in the US government view Europe, their faithful and long-term ally. “I fully share your loathing of European freeloading. It’s PATHETIC” writes Pete Hesgeth, US secretary of defence.   

As a European and British person, these are difficult words to read.  It seems our transatlantic relationship has descended into a transactional relationship. Viewing our historical partnership as some kind of profit / loss accountancy does not bode well for world peace. Anyone whose commitment to you is based solely on financial return is an unreliable ally, and that is why Hesgeth’s words are toxic for global security. 

Having recently divorced ourselves from Europe with Brexit, now it feels as though we are on the other end of annulment proceedings. The longstanding bonds between Europe and the US that once seemed unbreakable are now fragile, and the global landscape is shifting in ways that may leave us isolated at a time when cooperation and solidarity are more crucial than ever.  

It is difficult to hold those in power to account, as Jeffrey Goldberg of The Atlantic, knows only too well. It would perhaps have been easier for him to refrain from going public with the compromising information he found in his possession. However, when public servants are not who they seem, it is time for private individuals to speak up and demand better.    

We need to speak up in outrage not only about the security lapse, but about the character failings, not just about the breakdown in international relations, but in the breakdown in the ethical fabric of leadership. We must expose those who view human life as disposable, those who view friends as pawns in a financial game. We must hold those in power accountable for the values they uphold, or risk further erosion of the principles that underpin peace. Only by demanding higher standards from our leaders can we hope to restore the trust and integrity necessary for a more secure global community.  

Celebrate our 2nd birthday!

Since March 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’re enjoying 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.
Graham Tomlin
Editor-in-Chief