Review
Culture
Film & TV
6 min read

When a wallflower blossoms

Unpicking Bridgerton’s complex coding.

Bex is a freelance journalist and consultant who writes about culture, the church, and both government and governance.

A young lady in Regency dress, holds a fan while looking around a garden.
Lady Penelope Featherington, played by Nicola Coughlan.
Shondaland.

Dearest gentle reader, are there any among us who do not love that most marvellous of transformations, a makeover? Something about a new dress, a new hairstyle, even a new lipstick, somehow has the power to make you feel full of potential. Maybe today will be different. Maybe today I won’t stand on the sidelines.  Maybe today, I will be different. A lipstick isn’t going to dramatically change how you look of course – the power is in how it makes you feel.  But what do you do when how you feel inside seems so different to how you behave on the outside? When you know that you can be witty, and funny, and charming, but somehow what comes out is shy silence, or worse, utter waffle?  

And so, in series three of Bridgerton, the hugely popular Netflix show from Shondaland that brings together regency romance, pop-anthem string covers, colourblind casting and some very modern sensibilities – we see Penelope Featherington, to-date the wallflower of the show, step out from the shadows. She has given herself the most modern of regency style transformations. Her clear instructions to the modiste about her new colour-scheme, her hair, how she wants to present, brook no argument.  And she pulls it off with aplomb – the gasps as she descends the inevitable staircase, looking stunning as the strings belt out a-b-c-d-e-f-u, are gratifying. It is hard not to be thrilled for her at the response elicited – the garish citrus florals are gone, and in their place is a new, soft, romantic look, complete with Rita Hayworth hair. She is owning it, finally full of confidence, and it’s fabulous. Our fan-favourite sidekick has become a compelling heroine in her own right.   

This third series is full of romance, but also relationships.  It is only in figuring out who we are, that we can best relate to others. 

But this isn’t the end. This story is just getting started. She might look fabulous, but as Pen tries to launch herself at the town's marriage mart (third time lucky?!) she anxiously fluffs it on an epic scale. And she knows it. Flinging herself onto her bed, she throws down her fan in despair; ‘deep inside, I know I can be clever and amusing but somehow my character gets lost between my heart and sometimes I find myself saying the wrong thing, or more likely, nothing at all’ she explains subsequently. Her work is thriving – as gossip columnist Whistledown she is the talk of the town, making money, with a pen that gives her a power she never dreamed possible as she shares all of Mayfair’s secrets. But her personal life is a mess. On paper she is nailing it; in person she is a disaster.    

Charm school isn’t a new concept in a romcom, but nonetheless upon Pen pouring her heart out to long-time crush Colin Bridgerton, he decides to offer a My Fair Lady approach, promising that he has picked up plenty of tips in Paris that he can share. This won’t go exactly according to plan, and the judgement of the town comes down on poor Penelope again, but this series she isn’t going to retreat in shame or fear; the Whistledown in her isn’t prepared to let her go back to just being an accepting wallflower. This series the colours are brighter, the wigs are that much higher, the ballgowns are even more brilliant, and this time, Pen is going to get herself a husband, despite the assumptions and agendas of her truly awful family. And we are here for it - 3.6 million UK-based viewers watched the season 3 premier within a week of release, outperforming the season 2 opener. 'Polin', as fans have named the burgeoning romance between Pen and the newly-buffed up Mr Bridgerton, is perfect for binging.  

If the first series of Bridgerton was all about the steamy sex, the second series seemed like it was all about longing and yearning for what couldn’t be, then this third series is full of romance, but also relationships. It is only in figuring out who we are, that we can best relate to others. That might be with potential partners, as Pen rejoices as she finally pulls off a successful interlude with a suitor she concedes – ‘I was feeling so low, in fact it somehow allowed me to stop caring so much about how I was perceived and … I was simply myself’.   

God knows us inside and out.  He can discern our thoughts from far further away than across a crowded ballroom. 

Being confident in who we are is appealing, even in the Bridgerton world, and Lord Debling (her paramour of the moment) acknowledges ‘I want to be with someone who knows who they are and embraces their own peculiarity as I do’.  This isn’t purely about who we are on the outside, or on image, but about identity.  And how we make that identity authentic, even when we act differently depending on who we are with. Nicola Coughlan who plays Penelope calls this code switching and notes Pen is ‘code switching a little more than most people do’ as she juggles her public role as a debutante with her private role as Whistledown.  Maybe we aren’t exactly the same at work as we are with friends, or with our grandma as we are with our partner, but does this make each aspect less authentic? 

We may try to choose which aspects we present to our peers or even our partners, but none of those different parts of us can be hidden from God. Terrifying though this might sometimes seem, because as humans we are prone to anxiety and awkward mistakes, God knows us inside and out.  He can discern our thoughts from far further away than across a crowded ballroom, and yet he knows how many hairs are on our head (however high it is styled!) – and yet he loves us so much.  He already knows the parts of ourselves that we chose to show, and those we try to hide from the rest of the world.  As author Philip Yancey wrote ‘There is nothing we can do to make God love us more and there is nothing we can do to make God love us less.’  

People, however, are easier to keep secrets from.  Pen is still hiding the secret of her alter ego from almost all her friends and family.  It’s a secret that has already ruined her relationship with BFF Eloise.  Showrunner Jess Brownell has described the will they/won’t they of the wreckage of their friendship as the ‘secondary love story of the season’ noting that like any relationship, friendships just aren’t linear.  Nor do all relationships develop in the same way – this series we have seen Mama Bridgerton have her own meet-cute to a Sia soundtrack, and Francesca Bridgerton has herself a very reserved romance incorporating silence and sheet music.  This has led to discussions online about whether Fran’s character is on the autistic spectrum due to her introvert nature and rich internal world.  Love can come in all shapes and sizes here in the Bridgerton universe – literally as well as figuratively.  This reality has room for everyone.  But it remains to be seen if Pen and Colin can have a future in a world where both her identities are revealed; he has sworn to ruin Whistledown…  when he discovers the truth, will he want to marry his former wallflower?   

 

Bridgerton series 3 part 2 will be released on 13 June.     

Article
Assisted dying
Care
Culture
Death & life
8 min read

The deceptive appeal of assisted dying changes medical practice

In Canada the moral ethos of medicine has shifted dramatically.

Ewan is a physician practising in Toronto, Canada. 

a doctor consults a tablet against the backdrop of a Canadian flag.

Once again, the UK parliament is set to debate the question of legalizing euthanasia (a traditional term for physician-assisted death). Political conditions appear to be conducive to the legalization of this technological approach to managing death. The case for assisted death appears deceptively simple—it’s about compassion, respect, empowerment, freedom from suffering. Who can oppose such positive goals? Yet, writing from Canada, I can only warn of the ways in which the embrace of physician-assisted death will fundamentally change the practice of medicine. Reflecting on the last 10 years of our experience, two themes stick out to me—pressure, and self-deception. 

I still remember quite distinctly the day that it dawned on me that the moral ethos of medicine in Canada was shifting dramatically. Traditionally, respect for the sacredness of the patient’s life and a corresponding absolute prohibition on deliberately causing the death of a patient were widely seen as essential hallmarks of a virtuous physician. Suddenly, in a 180 degree ethical turn, a willingness to intentionally cause the death of a patient was now seen as the hallmark of patient-centered doctor. A willingness to cause the patient’s death was a sign of compassion and even purported self-sacrifice in that one would put the patient’s desires and values ahead of their own. Those of us who continued to insist on the wrongness of deliberately causing death would now be seen as moral outliers, barriers to the well-being and dignity of our patients. We were tolerated to some extent, and mainly out of a sense of collegiality. But we were also a source of slight embarrassment. Nobody really wanted to debate the question with us; the question was settled without debate. 

Yet there was no denying the way that pressure was brought to bear, in ways subtle and overt, to participate in the new assisted death regime. We humans are unavoidably moral creatures, and when we come to believe that something is good, we see ourselves and others as having an obligation to support it. We have a hard time accepting those who refuse to join us. Such was the case with assisted death. With the loudest and most strident voices in the Canadian medical profession embracing assisted death as a high and unquestioned moral good, refusal to participate in assisted death could not be fully tolerated.  

We deceive ourselves if we think that doctors have fully accepted that euthanasia is ethical when only very few are actually willing to administer it. 

Regulators in Ontario and Nova Scotia (two Canadian provinces) stipulated that physicians who were unwilling to perform the death procedure must make an effective referral to a willing “provider”. Although the Supreme Court decision made it clear in their decision to strike down the criminal prohibition against physician-assisted death that no particular physician was under any obligation to provide the procedure, the regulators chose to enforce participation by way of this effective referral requirement. After all, this was the only way to normalize this new practice. Doctors don't ordinarily refuse to refer their patients for medically necessary procedures; if assisted death was understood to be a medically necessary good, then an unwillingness to make such referral could not be tolerated.  

And this form of pressure brings us to the pattern of deception. First, it is deceptive to suggest that an effective referral to a willing provider confers no moral culpability on the referring physician for the death of the patient. Those of us who objected to referring the patient were told that like Pilate, we could wash our hands of the patient’s death by passing them along to someone else who had the courage to do the deed. Yet the same regulators clearly prohibited referral for female genital mutilation. They therefore seemed to understand the moral responsibility attached to an effective referral. Such glaring inconsistencies about the moral significance of a referral suggests that when they claimed that a referral avoided culpability for death by euthanasia, they were deceiving themselves and us. 

The very need for a referral system signifies another self-deception. Doctors normally make referrals only when an assessment or procedure lies outside their technical expertise. In the case of assisted death, every physician has the requisite technical expertise to cause death. There is nothing at all complicated or difficult or specialized about assessing euthanasia eligibility criteria or the sequential administration of toxic doses of midazolam, propofol, rocuronium, and lidocaine. The fact that the vast majority of physicians are unwilling to perform this procedure entails that moral objection to participation in assisted death remains widespread in the medical profession. The referral mechanism is for physicians who are “uncomfortable” in performing the procedure; they can send the patient to someone else more comfortable. But to be comfortable in this case is to be “morally comfortable”, not “technically comfortable”. We deceive ourselves if we think that doctors have fully accepted that euthanasia is ethical when only very few are actually willing to administer it. 

We deceived ourselves into thinking that assisted death is a medical therapy for a medical problem, when in fact it is an existential therapy for a spiritual problem.

There is also self-deception with respect to the cause of death. In Canada, when a patient dies by doctor-assisted death, the person completing the death certificate is required to record the cause of death as the reason that the patient requested euthanasia, not the act of euthanasia per se. This must lead to all sorts of moments of absurdity for physicians completing death certificates—do patients really die from advanced osteoarthritis? (one of the many reasons patients have sought and obtained euthanasia). I suspect that this practice is intended to shield those who perform euthanasia from any long-term legal liability should the law be reversed. But if medicine, medical progress, and medical safety are predicated on an honest acknowledgment about causes of death, then this form of self-deception should not be countenanced. We need to be honest with ourselves about why our patients die. 

There has also been self-deception about whether physician-assisted death is a form of suicide. Some proponents of assisted death contend that assisted death is not an act of deliberate self-killing, but rather merely a choice over the manner and timing of one's death. It's not clear why one would try to distort language this way and deny that “physician-assisted suicide” is suicide, except perhaps to assuage conscience and minimize stigma. Perhaps we all know that suicide is never really a form of self-respect. To sustain our moral and social affirmation of physician-assisted death, we have to deny what this practice actually represents. 

There has been self-deception about the possibility of putting limits around the practice of assisted death. Early on, advocates insisted that euthanasia would be available only to those for whom death was reasonably foreseeable (to use the Canadian legal parlance). But once death comes to be viewed as a therapeutic option, the therapeutic possibilities become nearly limitless. Death was soon viewed as a therapy for severe disability or for health-related consequences of poverty and loneliness (though often poverty and loneliness are the consequence of the health issues). Soon we were talking about death as a therapy for mental illness. If beauty is in the eye of the beholder, then so is grievous and irremediable suffering. Death inevitably becomes therapeutic option for any form of suffering. Efforts to limit the practice to certain populations (e.g. those with disabilities) are inevitably seen as paternalistic and discriminatory. 

There has been self-deception about the reasons justifying legalization of assisted death. Before legalization, advocates decry the uncontrolled physical suffering associated with the dying process and claim that prohibiting assisted death dehumanizes patients and leaves them in agony. Once legalized, it rapidly becomes clear that this therapy is not for physical suffering but rather for existential suffering: the loss of autonomy, the sense of being a burden, the despair of seeing any point in going on with life. The desire for death reflects a crisis of meaning. We deceived ourselves into thinking that assisted death is a medical therapy for a medical problem, when in fact it is an existential therapy for a spiritual problem. 

We have also deceived ourselves by claiming to know whether some patients are better off dead, when in fact we have no idea what it's like to be dead. The utilitarian calculus underpinning the logic of assisted death relies on the presumption that we know what it is like before we die in comparison to what it is like after we die. In general, the unstated assumption is that there is nothing after death. This is perhaps why the practice is generally promoted by atheists and opposed by theists. But in my experience, it is very rare for people to address this question explicitly. They prefer to let the question of existence beyond death lie dormant, untouched. To think that physicians qua physicians have any expertise on or authority on the question of what it’s like to be dead, or that such medicine can at all comport with a scientific evidence-based approach to medical decision-making, is a profound self-deception. 

Finally, we deceive ourselves when we pretend that ending people’s lives at their voluntary request is all about respecting personal autonomy. People seek death when they can see no other way forward with life—they are subject to the constraints of their circumstances, finances, support networks, and even internal spiritual resources. We are not nearly so autonomous as we wish to think. And in the end, the patient does not choose whether to die; the doctor chooses whether the patient should die. The patient requests, the doctor decides. Recent new stories have made clear the challenges for practitioners of euthanasia to pick and choose who should die among their patients. In Canada, you can have death, but only if your doctor agrees that your life is not worth living. However much these doctors might purport to act from compassion, one cannot help see a connection to Nazi physicians labelling the unwanted as “Lebensunwortes leben”—life unworthy of life. In adopting assisted death, we cannot avoid dehumanizing ourselves. Death with dignity is a deception. 

These many acts of self-deception in relation to physician-assisted death should not surprise us, for the practice is intrinsically self-deceptive. It claims to be motivated by the value of the patient; it claims to promote the dignity of the patient; it claims to respect the autonomy of the patient. In fact, it directly contravenes all three of those goods. 

It degrades the value of the patient by accepting that it doesn't matter whether or not the patient exists.  

It denies the dignity of the patient by treating the patient as a mere means to an end—the sufferer is ended in order to end the suffering. 

 It destroys the autonomy of the patient because it takes away autonomy. The patient might autonomously express a desire for death, but the act of rendering someone dead does not enhance their autonomy; it obliterates it. 

Yet the need for self-deception represents the fatal weakness of this practice. In time, truth will win over falsehood, light over darkness, wisdom over folly. So let us ever cling to the truth, and faithfully continue to speak the truth in love to the dying and the living. Truth overcomes pressure. The truth will set us free.