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 Howard Shipmans 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.

Column
America
Comment
Politics
4 min read

Is Trump a fascist?

Fascism is fashionable again, what sort of vigilance is needed to guard against it?

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

A protester holds placards up in both hands. One reads: Trump is a fascist. The other: Repair the broken world
A protester outside a Trump rally.
dnyuz.com.

I was once called a fascist for saying that the only authority I recognised was God’s. Actually, it had the usual alliterative, adjectival expletive attached to “fascist” that was customary for those of us who received a leftist political education in the 1970s. Very Dave Spart

Fascism is popular – or possibly populist – as an insult again. The epithet has been applied to Donald Trump in the final stages of the US presidential race. His former White House chief of staff, John Kelly, revealed that Trump had some emollient things to say about Adolf Hitler and retired US general Mark Milley has branded Trump “fascist to the core”.  

Democrat presidential rival Kamala Harris endorsed their use of the F-word for Trump, in what must count as one of her more daring statements of the campaign.  

And it’s not just evidence of Trump’s admiration for Hitler, historically the go-to evil icon for every anti-fascist. Trump likes tough-guy dictators and rulers. Vladimir Putin, North Korea’s Kim Jong Un, President Erdogan of Turkey, China’s Xi Jinping have all received the Trump seal of approval. 

That’s quite a list. What’s most worrying is that Trump has so many role models to choose from. Fascism seems fashionable again. Apart from trying to be nice and kind and not cruel to everybody in a Pollyanna kind of way, those of us of a non-combative religious faith are obliged to state quite why we do find this so worrying.  

We’re in the territory here of the cruelty and savagery of the incompetent empty vessel.

Part of the answer to that is pragmatic. Fascist leaders are generally not supportive of their domestic religions, as they endeavour to build their own religious cults around themselves, though it has to be said that Hitler’s relationship with the Catholic Church was at best ambiguous, while Trump is quite reliant on the Christian Right in the US. 

Another part of the answer attaches to my response to earthly authority as described at the top of this. It sounds like a cop-out and, in part, I accept that. It’s actually an opt-out, in that the Christian story doesn’t recognise worldly authority unless it serves its standards, rather than the other way around. 

That’s why we’re feared by authoritarian political leaders – call them fascist if you will. By extension, the Christian faith isn’t politically populist, though it might be described as a popular movement. Our leadership model is among the people it serves, rather than from the front of them. That’s not a model that Trump or anyone he admires is likely to emulate any time soon. 

It is what so confounded and ultimately threatened the political establishment in which it was founded. An itinerant preacher and miracle-worker emerges from the backwoods of a far-flung province of the Roman Empire – a fascist enterprise if ever there was one – to tell both it and its puppet state Judea that his and his insurgent followers’ authority comes not from this world. And the triumph of that claim is recorded in the subsequent two millennia of human history. 

That’s not power to the people, nor really a power of the people, but a power of every person in a corporate unity. It is, if you like, the exact obverse of the Roman coin, the antithesis of the emperor and the antidote to every fascist leader that has ever followed and been followed. 

I’m not at all sure that Trump is a fascist, as claimed. There’s a school of thought that he’s not bright enough, is too plain dumb, to join that rogues’ gallery. The most dangerous fascists of history, like Hitler, have a pitch-dark ideology that they pursue at all human cost to others and themselves. Trump has no apparent ideology other than the serving of his own vanities and insecurities. 

That doesn’t make him undangerous, but it makes him a different kind of authoritarian from a true fascist. We’re in the territory here of the cruelty and savagery of the incompetent empty vessel. And we need to apply a different kind of vigilance from that of the authentic fascist. Because Trump is essentially a buffoon.

Idiotic or truly evil, ultimately the answer may not be to find electoral alternatives, but to measure them against what is transcendent and immutable in human nature. 

The buffoonish authoritarian is a handmaid to fascism, but not the real thing. Perhaps every bit as destructive and oppressive of their people, but as an enabler of fascism rather than a principal. Like Benito Mussolini in Italy in the 1930s and Second World War, these are preening clowns, though of course not in the least bit funny. 

It’s hardly on a par with the Reichstag fire in 1933, which Hitler manipulated for absolute power in Germany, but let’s not forget that Boris Johnson as prime minister attempted illicitly to prorogue parliament to get his way with Brexit in 2019. Like Trump, contempt for democracy and the “great man of history” personality cult tick a couple of boxes for fascism, but it doesn’t make them any less stupid. 

Idiotic or truly evil, ultimately the answer may not be to find electoral alternatives, but to measure them against what is transcendent and immutable in human nature. And that brings me back to the first line of this piece.