Article
Assisted dying
Care
Comment
Death & life
Suffering
5 min read

Why end of life agony is not a good reason to allow death on demand

Assisted dying and the unintended consequences of compassion.

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

A open hand hold a pill.
Towfiqu Barbhuiya on Unsplash.

Those advocating Assisted Dying really have only one strong argument on their side – the argument from compassion. People who have seen relatives dying in extreme pain and discomfort understandably want to avoid that scenario. Surely the best way is to allow assisted dying as an early way out for such people to avoid the agony that such a death involves?  

Now it’s a powerful argument. To be honest I can’t say what I would feel if I faced such a death, or if I had to watch a loved one go through such an ordeal. All the same, there are good reasons to hold back from legalising assisted dying even in the face of distress at the prospect of enduring or having to watch a painful and agonising death.  

In any legislation, you have to bear in mind unintended consequences. A law may benefit one particular group, but have knock-on effects for another group, or wider social implications that are profoundly harmful. Few laws benefit everyone, so lawmakers have to make difficult decisions balancing the rights and benefits of different groups of people. 

It feels odd to be citing percentages and numbers faced with something so elemental and personal and death and suffering, but it is estimated that around two per cent of us will die in extreme pain and discomfort. Add in the 'safeguards' this bill proposes (a person must be suffering from a terminal disease with fewer than six months to live, capable of making such a decision, with two doctors and a judge to approve it) and the number of people this directly affects becomes really quite small. Much as we all sympathise and feel the force of stories of agonising suffering - and of course, every individual matters - to put it bluntly, is it right to entertain the knock-on effects on other groups in society and to make such a fundamental shift in our moral landscape, for the sake of the small number of us who will face this dreadful prospect? Reading the personal stories of those who have endured extreme pain as they approached death, or those who have to watch over ones do so is heart-rending - yet are they enough on their own to sanction a change to the law? 

Much has been made of the subtle pressure put upon elderly or disabled people to end it all, to stop being a burden on others. I have argued elsewhere on Seen and Unseen that that numerous elderly people will feel a moral obligation to safeguard the family inheritance by choosing an early death rather than spend the family fortune on end of life care, or turning their kids into carers for their elderly parents. Individual choice for those who face end of life pain unintentionally  lands an unenviable and unfair choice on many more vulnerable people in our society. Giles Fraser describes the indirect pressure well: 

“You can say “think of the children” with the tiniest inflection of the voice, make the subtlest of reference to money worries. We communicate with each other, often most powerfully, through almost imperceptible gestures of body language and facial expression. No legal safeguard on earth can detect such subliminal messaging.” 

There is also plenty of testimony that suggests that even with constant pain, life is still worth living. Michelle Anna-Moffatt writes movingly  of her brush with assisted suicide and why she pulled back from it, despite living life in constant pain.  

Once we have blurred the line between a carer offering a drink to relieve thirst and effectively killing them, a moral line has been crossed that should make us shudder. 

Despite the safeguards mentioned above, the move towards death on the NHS is bound to lead to a slippery slope – extending the right to die to wider groups with lesser obvious needs. As I wrote in The Times recently, given the grounds on which the case for change is being made – the priority of individual choice – there are no logical grounds for denying the right to die of anyone who chooses that option, regardless of their reasons. If a teenager going through a bout of depression, or a homeless person who cannot see a way out of their situation chooses to end it all, and their choice is absolute, on what grounds could we stop them? Once we have based our ethics on this territory, the slippery slope is not just likely, it is inevitable.  

Then there is the radical shift to our moral landscape. A disabled campaigner argues that asking for someone to help her to die “is no different for me than asking my caregiver to help me on the toilet, or to give me a shower, or a drink, or to help me to eat.” Sorry - but it is different, and we know it. Once we have blurred the line between a carer offering a drink to relieve thirst and effectively killing them, a moral line has been crossed that should make us shudder.  

In Canada, many doctors refuse, or don’t have time to administer the fatal dose so companies have sprung up, offering ‘medical professionals’ to come round with the syringe to finish you off. In other words, companies make money out of killing people. It is the commodification of death. When we have got to that point, you know we have wandered from the path somewhere.  

You would have to be stony-hearted indeed not to feel the force of the argument to avoid pain-filled deaths. Yet is a change to benefit such people worth the radical shift of moral value, the knock-on effects on vulnerable people who will come under pressure to die before their time, the move towards death on demand?  

Surely there are better ways to approach this? Doctors can decide to cease treatment to enable a natural death to take its course, or increase painkillers that will may hasten death - that is humane and falls on the right side of the line of treatment as it is done primarily to relieve pain, not to kill. Christian faith does not argue that life is to be preserved at any cost – our belief in martyrdom gives the lie to that. More importantly, a renewed effort to invest in palliative care and improved anaesthetics will surely reduce such deaths in the longer term. These approaches are surely much wiser and less impactful on the large numbers of vulnerable people in our society than the drastic step of legalising killing on the NHS. 

Article
Comment
Film & TV
Truth and Trust
5 min read

Impartial journalism isn’t possible for the BBC – or anyone else

It’s time to give up the ghost and opt for transparency over impartiality

Lauren Windle is an author, journalist, presenter and public speaker.

A wide angle view of the BBC newsrooms show a starm layout of desks
The BBC newsroom.
BBC.

I wrote 3,000 words explaining the differences between a complementarian and egalitarian relationships – loosely these are the two categories that determine a couple’s position on male headship and female submission in a Christian marriage. I have my opinions, sure. But in this piece, I was neutral. I clearly laid out the arguments for and against each, explained the history, context and nuances, all to equip the reader to make their own mind up.  

I proudly handed the piece to my editor highlighting the careful tightrope of neutrality I had walked. She hesitated: ‘Well, I guess. But it’s clear what position you take.’ I was crushed, all the delicate phrasing and open-handed descriptions and I was still as transparent as the Shard on window clean day. 

No matter how hard we try to present balanced arguments, there is no such thing as unbiased reporting. Even when trying to be ‘fair’ in the way we present a story, we always bring our own perception of ‘fairness’ to the table. And without the wisdom of Solomon (in the cut-the-baby-in-half era), we’re not going to consistently get it right.  

I’ve been a journalist for some years but I’ve never worked in an organisation that claims to be impartial, bar a week’s internship at Science in Action on BBC World Service. I have, however, worked for publications that don’t share my political views. And even with the mandate to write in ‘house style’ there are many subtle decisions a journalist can make to skew reporting towards their personal opinion. 

Phrasing is everything. Am I saying they ‘protested’ or ‘rioted’? Is it ‘reform’ or a ‘crackdown’? Are they an ‘immigrant’, ‘asylum seeker’, ‘refugee’ or ‘expat’? Did she ‘splash around in her swimsuit’ or ‘flaunt her curves on the beach’? There is no neutral choice of words or phrasing. Every micro-decision a journalist makes is based, consciously or unconsciously, on the perspective that they have and are trying to impart on you.  

Then there’s choosing which topics to write about in the first place, selecting sources to quote from and statistics to reference and deciding how to frame the headlines. With the vast body of data available online, you can always find a person or stat to back up your belief. None of this can be done without a hint of your own background, culture, and worldview. 

It is through this lens – my belief in the fallacy of impartiality – that I’ve followed the latest fallout at the BBC. After an internal dossier was leaked, it came to light that a Panorama documentary called ‘Trump: A Second Chance?’ that was broadcast not long before 2024’s presidential election, had misleadingly edited a speech he made on January 6 2021. The speech was spliced in such a way as to suggest he had egged on the assault on the Capitol. Shamir Shah, the BBC chairman, acknowledged the fault and said that the editing ‘did give the impression of a direct call for violent action.’  

The BBC has always been plagued by allegations that it is not living up to its Royal Charter legally requiring it to be impartial. Interestingly, there are many examples of these complaints coming in from both the left and right sides of the political spectrum. The term ‘impartiality’ in this context doesn’t mean stripping all viewpoint from its reporting, as the organisation acknowledges the impossibility of that task, but it does say that it strives for balance, fairness and due weight. This is a standard they fell short of in their reporting of Trump’s address. 

In this, it is undeniably at fault. Even the most questionable of news outlets, that do publish quotes out of context, would acknowledge that knowingly editing or adapting quotes and footage to support their own agenda is totally unacceptable. Regardless of a reporter’s own opinion, readers and viewers want to hear a person speak in their own words.  

The wider question this raises for me is: why we are still claiming any news outlet is impartial in the first place? There’s a sense of safety with both right- and left-wing media, that openly acknowledges its own agenda. If you pick up the Guardian, you understand that you are reading about the world from a socially liberal political stance while tuning into GB News where they champion British values and challenge ‘woke culture’ will bring you something very different. 

I think the BBC as an institution is brilliant, important and necessary but not impartial. When people decry the reporting choices or phrasing of BBC reporting as biased, my response is always ‘what do you expect?’. There are important checks and balances, like rights of reply and offering opposing positions, that help round out a story, but they don’t strip it of opinion. I think it’s time to give up the ghost and opt for transparency over impartiality. 

The honest response is to acknowledge that, like every other person who relays a story, the BBC cannot resist the siren call of opinion. To claim it can, when audiences can plainly see the inconsistencies across its platforms, is both disingenuous and outdated. Instead, perhaps they could work to a mission statement along these lines: ‘We are committed to fairness, accuracy, and transparency. We value robust reporting and careful fact checking. We recognise that complete neutrality is impossible, but we strive to reflect the world as truthfully and inclusively as we can.’ This transparency would at least free up 90 per cent of people who write in to BBC’s Point of View to complain about its reporting.  

Years ago, I was in conversation with the deputy editor of one of the big tabloids when he said that, while he thought his paper was great, no one should use it as their sole source of news. I appreciate his transparency. I think if any of us only consume news from one outlet, even if that is the BBC, we are selling ourselves short. Our pursuit of and clamouring for ultimate truth is a God-given and spiritual desire, so the wise would vary their sources. 

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