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.

Snippet
Character
Comment
Leading
Politics
2 min read

What would you give up to be Prime Minister?

There’s a cost to public service.
A smartly dressed politician talks while being interviewed
Prime Minister Keir Starmer responds to the gifts story.

Keir Starmer’s Labour Government recently celebrated 100 days in office.  

I say celebrated – I expect there hasn’t been much celebrating.  

For one, it’s not much of a milestone - though admittedly it is one that hasn’t been cleared by all of the Prime Minister’s recent predecessors.  

But in truth, in those 100 days, there hasn’t been much cause to celebrate. 

Sure, there was the biggest Labour majority since 1997, with the keys to Downing Street falling into Starmer’s lap wrapped up in a bow. 

But the shine wore off fast, and the honeymoon period is well and truly over.  

  

If the keys to Number 10 arrived for Labour like a gift, it’s perhaps some poetry that it is the recent scandal about gifts which has contributed to the rapid tarnishing of Labour’s 2024 election winner’s crown. 

Clothes worth thousands of pounds. Concert tickets. VIP boxes for football games.  

The gifts of wealthy donors to a party whose election narrative was to make a reset in the standards of integrity in public life. 

  

What has been remarkable in the middle of this scandal has been the absence of any apology.  

Some gifts may have been handed back – but not all. At the time of writing, out of the £100,000 worth of gifts and free tickets he has received, the Prime Minister has generously agreed to hand back £6,000.  

  

Instead of a fulsome apology, some gifts, like those VIP tickets to football games, have been defended.  

Why?  

Well, the line has been that it makes good sense for the Prime Minister to accept them. 

The Prime Minister has said that ‘As a result of security, I can’t go in the stand anymore’ going on to say that the tickets mean that ‘I can continue to do something which is really special to me’. 

  

With the risk of upsetting all the Arsenal season ticket holders in the room – I’m going to say something unpopular. 

Maybe going to see the football is just something you have to give up when you become Prime Minister. 

At the heart of leadership is sacrifice.  

Perhaps we, and the Labour party, have lost sight of that. 

To serve others, leaders are called to give up their comforts, their self-interests and their control over their own lives.  

As public servants, our leaders should remember the example of the Public Servant who laid down all he had to give his life as a ransom for all. 

It is in the example of the Public Servant that our ‘reset’ in the standards of public life must begin. 

It is a high standard, but it’s the only standard worth following.