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.

Explainer
Comment
Development
Politics
War & peace
5 min read

Viruses don’t respect borders and nine other reasons why aid is vital for security

Cuts are a dangerous false economy.

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

Cargo sits in nets inside a plane, a sign reads 'UK Aid'
Neil Bryden RAF/MOD, Wikimedia Commons.

 The Minister for International Development Anneliese Dodds took the difficult step to resign following the Prime Minister’s announcement this week that he is slashing the aid budget to pay for more weapons. Minister Dodds wrote in her resignation letter that:  

“Ultimately, these cuts will remove food and healthcare from vulnerable people." 

The hefty reduction in our international aid budget does indeed put lives at risk around the world. However, the move also serves to undermine our own national security. A strong UK presence on the world stage comes not primarily through military strength but through diplomacy and targeted development funding.  

General Lord Dannatt, former Chief of the General Staff, commented: 

“In the wider world, it’s disappointing that we’re probably going to plunder the international development budget, because the UK’s influence in the world often comes through a combination of our hard power and our soft power, our diplomacy and our development funds.” 

International aid is proven to be one of the most effective ways to build prosperity and peace. It is a strategic investment in national and international security, arguably more useful and cost-effective than military defence spending.  

Cutting aid budgets may release funds in the short term, but in reality, it weakens Britain’s influence, undermines global stability, and increases security risks. It is not only false economy, but a potentially dangerous and counterproductive shift in policy.   

Here are ten reasons why international aid is such a crucial investment in security: 

1. Addressing root causes reduces terrorism.

Foreign aid helps foster peace, reduce poverty, and support development in the most vulnerable regions. When countries are stable, they are less likely to fall into chaos or become breeding grounds for terrorism and extremism. UK-funded education initiatives in Pakistan and Somalia, such as the Girls’ Education Challenge, have provided over 1.5 million marginalized girls with schooling, reducing the vulnerability of young people to extremist recruitment. By decreasing the appeal of radicalization, this investment has contributed to lowering the long-term threat of terrorism against British citizens at home and abroad. 

2. Investing in global health reduces pandemic risks.  

Viruses don’t respect borders. Our funding for Ebola response in West Africa has helped prevent global outbreaks, reducing the risk of deadly diseases spreading to the UK. Similarly, by investing in vaccinations against new strains of Covid around the world, Britain has strengthened its own pandemic preparedness and safeguarded public health at home. 

3. Stronger relationships between nations reduce conflict 

Post civil war UK support for Sierra Leone helped train police and government officials, strengthening long-term diplomatic ties and preventing a return to instability that might have spilled across the continent. This has also helped position the UK as a trusted diplomatic partner in West Africa, leading to trade agreements and political alliances that benefit Britain’s global interests. 

4. Supporting stability reduces forced migration.

It is now acknowledged that it is building anchors, not walls, that is the best strategy to curb migration. The UK Aid Direct programme has provided economic and social support in countries like Syria, Lebanon, and Afghanistan, reducing forced displacement and lowering pressure on UK border security. By stabilizing regions affected by conflict, Britain has been able to reduce illegal migration and the associated costs of border enforcement, asylum processing, and emergency housing. 

5. Promoting sustainability reduces resource scarcity due to climate change.  

The UK International Climate Finance (ICF) initiative supports sustainable agriculture and clean energy projects in Africa and Asia, mitigating competition over dwindling resources and preventing climate-driven conflicts that have contributed to making the world a more turbulent place. This has not only improved global stability but has also created opportunities for UK businesses in the green energy and sustainable development sectors. 

6. Building resilience reduces international crime and instability.  

UK funding has been instrumental in stabilizing Somalia, for example, improving their governance, training law enforcement, and reducing crime and piracy that threaten not only international shipping but tourism too. As a result, British shipping companies and tourists traveling in the region have faced fewer security risks, boosting confidence in UK-led trade and travel. 

7. Preventing famine and malnutrition reduces political instability.

The UK-funded Famine Early Warning Systems Network (FEWS NET) has helped prevent food crises in East Africa, reducing the likelihood of mass migration and conflict over resources. Without that investment, Britain would have likely spent far more on emergency humanitarian relief and crisis management, demonstrating the cost-effectiveness of preventative aid. 

8. Building stronger economies abroad creates opportunities.  

UK trade-focused aid, such as through the Prosperity Fund, has helped African nations develop stable economies, creating trade opportunities for Britain while reducing dependence on fragile states. Stronger economies in partner countries mean increased demand for British exports, benefiting UK businesses and job creation. 

9. Humanitarian aid strengthens a nation’s global influence.

The UK has been a major donor in response to the Rohingya refugee crisis, contributing £350 million to support displaced people in Bangladesh and Myanmar—enhancing Britain’s standing as a global humanitarian leader and leading to soft power advantage on the global stage. This goodwill has translated into stronger diplomatic relations with key allies in South Asia, supporting UK interests in trade, security, and regional stability. 

10. Disaster response builds goodwill and strategic partnerships. 

Following the 2010 Haiti earthquake, the UK provided £20 million in emergency aid, strengthening ties with Caribbean nations and showcasing Britain’s global leadership in crisis response. These efforts have reinforced Britain’s role as a reliable partner in times of crisis, leading to closer economic and diplomatic relationships with countries across the Caribbean. 

If the West vacates aid funding it creates a very significant vacuum into which other countries will step. For example, Russia has already sent Wagner mercenaries to patrol the Central African Republic and Mali. This is not only bad for the citizens of those areas, but also from a UK national security perspective. It would be extremely concerning if the Russian state were able to build a sweeping base of influence and soft power in the global South. 

With an increasingly fragile world, the tool that is most useful for national security at this time is international aid. The rise in conflict, migration, terrorism and other pre-war conditions is directly due to the impact of poverty – which now affects 44 per cent of the global population, wealth concentration – which increases the chance of financial crises, weakened trade routes – due to Brexit, war in Ukraine and the Middle East, and new tariff policies in the US, and climate change – which exacerbates all those tensions.  If the UK want an effective defence strategy in these turbulent times, we must reconsider doubling down on our international aid commitments, not abandoning them.  

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