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.

Snippet
Care
Change
Community
Easter
2 min read

A day without water tapped into the best of us

In a crisis, community seeps through our walls.

Imogen is a writer, mum, and priest on a new housing development in the South-West of England. 

On a doorstep a man hands a bottle of water to another man.

Recently on our housing development we experienced a surprising addition to our lives. Due to a pretty major error, a main water pipe was hit by a digger… this resulted in 24 hours of no running water for our entire estate and the local school while the pipe was repaired. 

24 hours is a long time. In our house, water consumption over that time looks something like this: 

  • 1 dishwasher cycle 
  • 1-2 clothes wash cycles 
  • 2 loads of dish washing up 
  • 2 boys in a bath 
  • 2 showers 
  • 10-15 toilet trips 
  • various hand washing, plant watering, child play etc. 
  • 4-6 bowls of boiled pasta/rice 
  • 8-10 cold water drinks 
  • 20+ cups of tea 

Let me tell you, 24 unexpected hours without water was a challenge. But it also got me thinking. 

It got me thinking about privilege. In the UK, access to clean water is not a daily conscious consideration, it is assumed. We assume that we will have water when we turn on the kitchen tap, when we flush the toilet, and when we run a bath. We assume that the water out of the taps will be clean and safe. This is not the case for everyone. Around the world, one in four people do not have access to safe drinking water. Access to water is a universal human right, but in reality access to water shows our privilege. 

It also got me thinking about simplicity. Lent is a time for reflection and often in the Christian tradition it is a time for fasting. In previous years, I have fasted from multiple things: coffee, chocolate, Instagram, and this year Vinted and meat. But I have never fasted from clean, running water. There were many household chores and to-do list items that I simply couldn’t do because we didn’t have water. As with other fasting attempts, I hope that this unexpected space led me to prayer. There was a temporary, reflective simplicity to the absence of water. 

And it got me thinking about community. Crises bring out the worst and best in humanity. Though I could tell you a couple of horror stories, instead let me tell you about the heroes. Tessa, Tom, Marjay, Sarah, Vineeth, Megan, Danny. These heroes went out of their way to buy and distribute water across the development, to monitor and communicate updates from the water company, to offer support with boilers. Several houses had bottled water piled outside their homes for anyone who had run out. We had multiple unexpected water deliveries and neighbours checking in. Our community thrived as we struggled without water. In a crisis, community seeps through our insulated walls and isolated lives. In a crisis, community swells and surges showing that there is indeed good in this world. 

I’m glad we’ve got our water back. But I’m also glad for all the thinking. 

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