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.

Article
America
Church and state
Comment
Idolatry
Politics
4 min read

Trump's triumph is not the end of the world, nor the dawn of a new age

Donald Trump may not be as bad as many fear and not as good as many hope

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

Silhoutted by a sun rise, a helicopter flies over The White House
Marine One Flying over The White House, Inauguration Day, 2017.
Anthony Quintano, CC BY 2.0, via Wikimedia Commons.

Reading reactions to Donald Trump's election win across different news outlets over the last couple of days has been an education in the contemporary political landscape.  

For left-leaning media the future is dark. An Atlantic opinion piece laments that “we must learn to live in an America where an overwhelming number of our fellow citizens have chosen a president who holds the most fundamental values and traditions of our democracy, our Constitution, even our military in contempt.” The Guardian called it “an extraordinary, devastating moment in the history of the United States.” It is a secular version of the sermon: “The End Is Nigh”. 

Yet turn to the Daily Telegraph, The Spectator, or anything on the right, and you find a mixture of gloating (“Trump’s triumph is a disaster for Starmer and the self-regarding, virtue-signalling elites!”) and optimism that a new day is dawning. Trump himself hailed the advent of a ‘golden age’ for the American people. Having been mired in misery since the Conservatives’ routing in the UK general election here is a welcome bit of good news for those on the right. 

On either side the apocalyptic note is hard to miss. A Telegraph writer says: “2024 is the real deal, a revolutionary moment, a reconstitution and realignment of American and Western politics around fresh principles.” A Guardian writer says that “there is nothing but bad news for Europe in Donald Trump’s US election victory. The only question is just how bad it will get.” 

Immediately after elections there’s always a bit of this apocalyptic tone. When Boris Johnson’s Conservative Party dismantled the ‘red wall’, winning traditionally secure Labour seats in 2019, the rhetoric was that this was a generational change, a fundamental re-alignment in UK politics to the right. Labour, surely, was finished. Five years later, after Keir Starmer’s landslide and the routing of the Tories, it all looks very different – at least here in the UK.  

Politicians always, in the long run, fail... The question is how badly they fail and whether they are able to do some good along the way until they do so. 

Tony Blair fell from grace due to misleading us all over the Iraq war. David Cameron fell because he lost a referendum over Brexit. Boris Johnson was ousted because he allowed parties in Downing Street while the rest of the country was locked down. George W. Bush pursued a disastrous campaign for regime change in the middle east. Barack Obama started with great hope, won a second term, but didn’t change gun laws and was widely thought to have weakened the US through a failed foreign policy. Joe Biden is thought to have failed because he let inflation grow rampant and allowed American borders become too porous.

Donald Trump will fail too. He may, as he promised, deliver an improved economy. He may stem illegal immigration. That, after all, is why many voted for him. But eventually he will disappoint. So would Kamala Harris if she had won. So will Keir Starmer. And that is not to criticise these particular leaders. Like football managers, they all get sacked in the end, and there are very few who like Sir Alex Ferguson, or Jed Bartlett, get to wave farewell to the crowds at the time of their own choosing. Even then, Fergie’s legacy was tainted by his inability to create a legacy, and Bartlett was, despite our misty-eyed nostalgia, a fictional President.  

It’s always tempting to reach for apocalyptic language at times like this. Yet the real meaning of ‘apocalypse’ is ‘revelation’, or ‘unveiling’. Taking the longer view, perhaps the real apocalyptic moment at times like these is the unveiling of the true place of politics – as important, but not ultimately important. These moments reveal the inadequacy of all human kingdoms, and our longing for a different kingdom, a kingdom of ‘righteousness, peace and joy in the Holy Spirit’ as the Bible has it, things that no government or election result can ever deliver.  

Politics matters because the way we live together matters. Yet what politics at its best can provide – a well-functioning economy, law and order, managing good international relations - only go so far in enabling a flourishing life. Like returning to a familiar drug that we think we can once and for all make us happy, despite the numerous times it has failed before, we still somehow believe that politics can solve all our problems. “Trump will fix it” said the banners – though in fact that is what every politician promises. Jesus warned: “Many will come in my name and say ‘I am he’, and lead many astray.”  

Most probably, Donald Trump will not be as bad as many fear, and not as good as many hope. Because politics is never the final word. As American theologian, Matthew Burdette put it recently: “The solution to our politics is not a political solution. Voting for the right or the wrong candidate will not change the situation: the devil is happily bipartisan, so long as politics is our idol. No, what is needed is fundamentally and thoroughly spiritual. Only when we can say with the prophet Isaiah that “the nations are like a drop from a bucket, and are accounted as dust on the scales,” that is, only when we can see against the horizon of the ultimate how small are our worries, will these relative, penultimate things like politics be set right and take on their true meaning in our lives.”