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
Development
Politics
4 min read

Downsizing in DC undercuts the lives of millions in Nigeria

Nigeria’s Christian communities will bear the brunt of USAID’s demise.

Chris Wadibia is an academic advising on faith-based challenges. His research includes political Pentecostalism, global Christianity, and development. 

Patient wait in a street clinic beside a sign.
A health project clinic in Lagos, Nigeria.

Christendom, the global community of over 2.5 billion Christians living worldwide, has many geographical capitals. Nigeria, like the United States, is one of them. Upwards of 100 million people living in Nigeria identify as followers of the Christian religion. These Nigerians belong to Christian denominations like Roman Catholicism, Anglicanism, Baptist Christianity, and Pentecostalism. On 6 February the Trump Administration announced plans to downsize USAID, the US government agency that administers foreign aid. In 2023 it managed over $40 billion, and has played a significant role in delivering aid and development support in Nigeria for decades.  

Nigeria has one of the world’s lowest levels when it comes to spending on social issues. Its government’s underspending has trapped tens of millions of Nigerians in horrific, inescapable mazes of poverty. The significant challenges Nigeria faces are well-documented -socioeconomic, geopolitical, and religious ones. The protracted and infamously bloodthirsty Boko Haram insurgency (headquartered in the northeastern corner of the country) has led to the deaths of tens of thousands of Nigerians and displaced over two million people, disproportionately affecting vulnerable women and children.   

Abandoned by the government, many Nigerians look to their ethnic communities, religious groups, and even other state’s agencies and charities for the support and solutions they require to survive.  

In 2021 USAID commemorated 60 years of providing development assistance to Nigeria. Its historical activity has prioritised agriculture and food security, democracy, human rights, and governance, public health, and energy production. In just 2021, USAID provided Nigeria with more than $787 million in development and humanitarian assistance.  

Whilst USAID support for Nigeria has historically been blind to religion, the Trump-led downsizing of development and humanitarian assistance for millions of people living in Nigeria will especially impact tens of millions of Christians, They struggle to lead lives in a country rife with Christian suffering  that is ignored by powerful global actors with the financial, political, and military resources to intervene in substantive and peace-generating ways.  

Southern Nigeria is disproportionately developed compared to the North. Lagos, the economic capital responsible for a third of Nigeria's GDP, sits in the southwestern corner. The south contains a majority of the leading private universities, many of which are owned and funded by Christian churches, and is home to Nigeria's largest international airport. Literacy levels among Christians in Nigeria dwarf literacy levels among Muslims, especially when compared to Muslims living in the religiously archconservative northern states.   

The southern region of Nigeria has an appetite for development and the political will needed to implement an inclusive development vision that simply does not exist up north. Downsizing USAID activity in Nigeria will disproportionately affect Christians in Nigeria who for historical and contemporary reasons have been able to benefit from USAID assistance in ways developing themselves to help Nigeria compete in the global economy.    

In the current 21st century geopolitical climate US-Nigeria relations are far more likely to become more rather than less relevant. 

Muslims in Nigeria, if unbridled by extreme religious dogma, could just as easily undergo the processes of self-development needed to excel in 21st century economic marketplaces. However, as Nigeria's religious landscape stands today, tens of millions of Muslims simply lack access to opportunities to gain the education, training, and work experience that could unleash the full potential of the legendary Nigerian human capital famous globally.  

Millions of educationally and professionally ambitious Nigerian Christians view their work in vocational terms. Inspired by scripture and theological resources like Catholic Social Teaching and the Pentecostal Doctrine of Prosperity, these Christians intentionally seek out educational and professional opportunities because they believe their faith in Christ commands them to provide for their households and invest into their communities. They believe contributions to their homes and communities double as offerings to God himself. For over six decades, USAID has administered development and humanitarian assistance in Nigeria in ways hugely benefitting millions of Christians ignored by their government.  

Administering USAID aid in Nigeria has never been perfect. Bad actors, many of them government officials exploiting the authority of their offices, have stolen development funds intended for marginalized Nigerians and used it to fund their kleptocratic networks and lavish lifestyles. However, in the current 21st century geopolitical climate US-Nigeria relations are far more likely to become more rather than less relevant. USAID support provides a valuable source of American soft power able to win over the hearts of vulnerable Nigerians whose children might one day seize the reins of state power. It also continues the postcolonial project of assisting in the sociopolitical and economic development of the Giant of Africa.  

Downsizing USAID assistance to Nigeria undercuts investment in the lives of millions of Nigerian Christians disproportionately positioned to drive the country in the direction of evolving into just the kind of capable ally in Africa the US wants to work with long term.  

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