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Assisted dying
Care
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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.

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Freedom of Belief
Trauma
6 min read

Nigeria’s terror survivors share their stories

This violence is not gruesome fiction, it’s reality.
A Nigerian man looks up towards the camera, behind him is dusty ground
Manga survived an attempted beheading.
Open Doors.

This article contains distressing content.  

Something is happening. And nobody is talking about it.  

Nigeria, the big and beautiful ‘Giant of Africa’, is becoming a place of increasing terror for the hundred million Christians who call it home. Since 2000, 62,000 people have been killed for having a Christian faith. Eight-thousand people were killed in 2023 alone. These staggering numbers mean that more Christians are being killed in Nigeria than in every other country combined.  

The violence is as extreme as it gets. And yet, very few of us know that it’s happening.  

When it comes to the Nigerian government and media, the relentlessly brutal attacks are seemingly hidden in plain sight; undeniable and yet somehow unstoppable. While, in the UK, we appear to be entirely unaware. This violence is out of sight, and therefore largely out of mind. The reasons why are admittedly complex, as outlined by Chris Wadibia. Nevertheless, the violence being carried out toward the Nigerian people, particularly those living in the Northern states, surely deserves our attention.  

Earlier this year, I took a trip to Northern Nigeria. While I was there, I got to know a group of people who had endured unimaginable trauma, largely because of their Christian faith. Every day, they would bravely tell their stories – who they were and what they had experienced. Every day, I looked into the faces of children who had lost parents, parents who had lost children, husbands who had lost wives, and wives who had lost husbands. All of a sudden, the bewildering statistics were people before me – people who were having to live with the images of their loved ones being ‘butchered’ before their very eyes. Their villages being burnt down. Their lives being turned upside down by militants with assault rifles and machetes.  

The only reference I had for stories such as the ones I was hearing were apocalyptic movies. But these things happened. They happened to the people sitting across from me. This violence is not the stuff of gruesome fiction, it’s the stuff of reality.  

As she was running, she came across a woman who has hiding herself because she was giving birth to twins. This mother handed the babies to her and begged her to get them to safety... 

I met one woman, she was incredibly gentle and kind, and told her story with a composure that’s hard to fathom. She was working on her land along with her husband and mother-in-law, a totally run-of-the-mill day. They were so engrossed with the task at hand, they didn’t notice that their village was being attacked by armed ‘Fulani’ militants (the majority of the violence being carried out in Northern Nigeria is at the hands of Islamic extremist groups such as Fulani militants, Boko Haram and ISWAP - Islamic State in West African Province). She looked up to find herself face-to-face with two attackers and despite their command for her to surrender to them, she ran, as did her husband and mother-in-law. While she was running, she could hear bullets flying past her head and the screams of her mother-in-law. Making it to a neighbouring village, she gathered help and eventually went back to find her husband and mother-in-law. Both of whom were stabbed and killed that day.  

The Fulani militants now have control over her village, and she told us how she’s been praying that she would be able to forgive these men for what they’d done, as she is now forced to live alongside them. And so, she felt proud because she had recently been able to respond to one of the men as they greeted her.    

There was another woman, she was strong and defiantly compassionate. Her story is laced with horror. She studied at a university – the discrimination she experienced there meant that a course that was supposed to be four years long, took her eight years to complete. In 2014, Boko Haram attacked the university – while she was trying to escape, her friend was shot and ‘hacked at’ while he refused to deny his Christian faith. She recalls how his last words were ‘I’m happy. I’ve saved lives today. And I have Jesus’.  

He died and she continued to run. As she was running, she came across a woman who has hiding herself because she was giving birth to twins. This mother handed the babies to her and begged her to get them to safety, as she did so, she heard the mother being shot behind her.  

She ran those twins to Cameroon, leaving them in safety, and now lives in a rural Nigerian village where she teaches the local children. Her Christian identity is no secret, and so faces continual danger. Her crops were burnt to the ground and destroyed, twice. And the villagers have tried, repeatedly, to get her to leave. One night, she came face to face with young men with bats and machetes who threatened her life – she told them – ‘you can’t scare me. I have seen the Lord’.  

And they left. Remarkably, that village is still her home.  

One heart-wrenchingly-young girl told us how, while she sleeping – she was awoken by her father who told her that they needed to run, they were under attack. She ran, hand in hand with her father, while her mother carried her younger brother. While they were fleeing, her dad was shot and killed. Her mother pried her hand out of her father’s and buried both her and her brother in sand, instructing them to stay hidden. The next day, they found that their house, their crops, their entire village had been burnt down.  

This is what is happening. This is what we are not seeing.  

While we are not seeing this violence, they are not seeing an end to it.   

Since my return, I have met with a man who bears the physical scars of his trauma. He thought his house was being pillaged by armed robbers - it was only when they led him, his brother and his father outside, made them kneel with their hands tied behind their backs, and demanded that they denounce their Christian faith that he realised he was being attacked by Boko Haram. It was a regular evening, he was putting together a lesson plan for his class the following day, and now he was kneeling before an executioner. His father refused their demand, and they beheaded him. His brother also refused, and they took a blade to him, too. Then it was his turn, and while his mind was filled with thoughts of death and how much this was about to hurt, he also prayed that these men would be forgiven for what they were doing. Taking after Jesus, who forgave his executioners mid-execution, this man continued to pray as he felt the blade in his neck.  

Left to bleed to death, miraculously, both him and his brother survived. Now, his scar tells an astonishing story.  

This epidemic of violence seems to reside under our radar. It’s not quite catching our eye, is it? And, as a result, is not quite receiving the force of our outrage nor benefiting from the depths of our compassion. So many of the people that I met expressed a feeling of being neglected – like they’re suffering in deafening silence. While we are not seeing this violence, they are not seeing an end to it.   

What’s happening in Nigeria is a crisis, one that we must acknowledge.