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.

Column
Comment
Middle East
War & peace
4 min read

‘The silent stars go by’, mocking the Middle East peace process

Where are today’s witnesses to peace in the Holy Lands?

George is a visiting fellow at the London School of Economics and an Anglican priest.

Dots of light, caused by missles, fall across a night sky above the city
Iranian missiles above Jerusalem.
BBC News.

The evil shooting stars of ballistic weaponry over Jerusalem would have been clearly visible from Bethlehem, just to the south of the capital in the occupied West Bank, last Monday evening.  

“Above thy deep and dreamless sleep/ the silent stars go by” goes the children’s Christmas carol. Nothing deep and dreamless about sleep in the little town of Bethlehem just now. Those deadly Iranian-dispatched stars were silent enough, until their alignment with Israeli ones in the Iron Dome. Then “Whump!” as each star collapsed, leaving a black hole in the night sky. 

How depressing that these shining stars of violence and hatred should hang in the same sky that, it is said, hosted the star to mark the birthplace of the Prince of Peace. Depressing but not surprising. The Christ child grew up to foretell to Jerusalem that “the days will come upon you, when your enemies will set up a barricade around you and surround you and hem you in on every side and tear you down to the ground, you and your children within you.” 

He predicted his own death in Jerusalem. And, for sure, the Christ is still being crucified there, every time a man, woman or child loses their life to that violence and hatred, there or in the surrounding region. 

Where are wiser counsels this week, witnesses to peace in the Holy Lands? The legend has it that magi followed the messianic star to the stable. Who looks to these different stars in the night sky this week and asks what they mean? 

Iran’s hardliners, under Ayatollah Ali Khamenei, can’t countenance a dove with an olive twig.

It’s a bit of a stretch to apply the status of magus to Masoud Pezeshkian, Iran’s new reformist president who had just been sworn in when he watched the rockets launched. His only similarity with the magi may be that he watched those travelling stars in the sky from an eastern perspective. 

But Pezeshkian has, at least, tried to talk of the possibility of peace, among a Middle-Eastern cast who can only speak of war. He arrived back in Iran from the UN general assembly, where he had declared that Iran is “ready to lay down its arms if Israel lays down its arms.” He added: “We want to live in peace.” 

Even if it’s not the wolf living with the lamb, or the leopard lying down with the kid, it does at least envisage a time when an Israeli wolf may lie down with the Iranian leopard. But Iran’s hardliners, under Ayatollah Ali Khamenei, can’t countenance a dove with an olive twig. They’re consumed with vengeance for Israel’s killing of their putative military leader, Hezbollah’s Hassan Nasrallah, in Lebanon. And death must always be followed by more death in this scenario. 

Followers of the Nazarene into Jerusalem committed to something very different, a defeat of death as a weapon of despair. Two millennia later, we might expect leaders of a western world founded on the principles of those first followers to speak to peace as the overriding priority for the lands from which their religion derives. 

To draw the West into a war with Iran in defence of Israel. A re-elected president Donald Trump would be a useful dupe for this ploy...

Not a bit of it. Peace in the Holy Lands doesn’t even sound like a strategic aim for the West anymore. On the invasion of Iraq in 2003, the US Army general David Petraeus asked: “Tell me how this ends?” No such foresight today. The all-consuming desire seems solely to show that we’re on Israel’s side, come what may. 

President Joe Biden responded to Iran’s aerial attack by saying that the US is “fully, fully, fully supportive of Israel”. For his part, prime minister Keir Starmer declared that “Britain stands full square” with Israel and supports its “reasonable demand for the security of its people.” Admirable sentiments, but they don’t point to peace any time soon, so long as they encourage Israel (or anyone else) to escalate conflict. 

In some quarters, this is held to be deliberate Israeli policy: To draw the West into a war with Iran in defence of Israel. A re-elected president Donald Trump would be a useful dupe for this ploy, abetted in part by the more extreme ends of the US Christian Right, for whom Israel must be protected at all costs as the locus for the second coming of the Christ. So, war with Iran is Armageddon, the great conflict of the End Times. 

These are truly terrifying prospects. For the time being, it’s possibly enough to note that the president of Iran speaks more about peace than the West currently does. Given that the West is supposed to represent the legacy virtues of Christendom, that is in turn alarming. 

That Bethlehem carol goes on to note “How silently, how silently, the wondrous gift is given.” As we raise our eyes to the fearsome lights in the night sky over Israel, we might wonder whether, when it comes to peace, silence from Christian nations is really enough.