With the ascension of a new Sovereign and the recent controversy surrounding the coronation, the British republican movement has reared its ugly head once more, spearheading a renewed debate as to the Royal Family’s ‘relevance’ and ‘value-for-money’ in 2023. Throughout the day we were bombarded with news coverage of anti-monarchist activism, primarily from Republic and their leader Graham Smith. However, with their focus on democracy and the ‘need for modernisation’, left-wingers fail to fully appreciate the Monarchy’s national function.
Having existed since the kingdoms of Anglo-Saxon England, Britain’s constitutional monarchy has been able to develop organically and overcome numerous challenges (from wars and republican dictatorship, to callous individualists like Edward VIII). With a basis on preparing the heir apparent from birth, many of our kings and queens have been embodiments of duty and moral courage – the late Queen Elizabeth II being a prime example. Indeed, alongside an organic and family-based system comes an inherent sense of national familiarity and comfort – they provide the British people with a unifying and quasi-parental figure, and almost a sense of personal connection with the other royals.
As well as this, the institution acts as a crucial barrier against the danger of democratic radicals and the idiocy and ineptitude that resonates from the Commons. Our entire political class seek to further their own interests, and with the Lords having seen terrible reforms under Blair, the Monarchy is left as the People’s last defence against the whims of power-hungry elites.
They also act as a link to Britain’s past and cultural heritage, as a source of national continuity. The Monarchy embodies our religious character with the Church of England, as well as nature of constitutional government with the different organs. As Sir Roger Scruton eloquently put it, it acts as ‘the voice of history.’ This point fundamentally speaks to the Left’s opposition to the Monarchy’s continuation. They can shout about equality and elected decision-making, but their attack on the Royal Family is inherently an attack on Britain’s history, which they vehemently despise. They want to tear down Britain’s unifying soul, and replace it with some soulless political office, one with no roots in national history or organic development.
The renowned Edmund Burke spoke of the need for national myths, a library of inspiring stories and a rich historical character. This is what maintains a nation’s identity and keeps the people united. It is for this reason (amongst others) that he so fiercely opposed the French Revolution, responding with Reflections on the Revolution in France in 1790. These idealist revolutionaries could topple the Bourbon dynasty and establish a new ‘progressive’ society, but based on what? What would these ‘unifying’ ideals be? Without a solid foundation that had developed and grown organically, what could people possibly hold onto?
Now from the perspective of left-wingers, the transition to a republic would merely be a political one – simply making politics ‘more democratic and egalitarian’. A referendum would most likely be called, people would vote, and the Will of the People would be obeyed absolutely. Consider their preferred alternative, most likely a presidential system. We would be burdened, like so many nations, with yet another incompetent, weak, and self-interested hack at the top – an office created by and for the existing political class to monopolize, the final step in achieving a grey managerialist Britain.
But such an event would in truth represent so much more – a fundamental shift in Britain’s identity. Constitutional monarchy is our one national continuity and forms the basis of our mythos. All else is transient – politicians, the values of the day, social debates. Through the royals, Britons throughout the ages maintain a living link to past generations, and to our Anglo heritage as a people. Once again quoting Scruton, ‘they speak for something other than the present desires of present voters’, they are ‘the light above politics.’
The royals are especially important in Britain’s climate of national decline, with an assortment of failing institutions, from the NHS to the Civil Service to the police. It is increasingly evident that we require a national soul more than ever – to once again enshrine Britain’s history. We can’t survive on the contemporary values of ‘Diversity, Equality, and Inclusion’, on the NHS, Bureaucratisation, or record-high immigration levels. A return to order and stability, faith and family, and aggressive nationalism is the only way forward – Britons need to feel safe, moral, unified, and proud.
This Third Carolean Era has the opportunity to revitalise the role monarchy plays in peoples’ lives. By making it more divine, more mystical – alongside a conservative revolution – we can ensure Britain’s soul remains whole and pure.
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Another Organization? Splendid!
Popular Conservatism (PopCon) has just launched and it’s about as popular as booting a crippled dog into oncoming traffic. Spearheaded by Liz Truss, the shortest serving Prime Minister in British political history and the most unpopular Conservative politician in the country, the organization is begging to be ridiculed by the media and the public.
However, whilst Truss is the face of the group, the organization is directed by Mark Littlewood, former director general of the Institute of Economic Affairs (IEA), a pro-immigration think-tank. Like Truss, Littlewood is a former Liberal Democrat, serving as director for Liberal Vision, a group of economic liberals within the party. Unlike Truss, he’s a former of the Pro-Euro Conservative Party (PECP), a minor offshoot of the Tories which campaigned for Britain to adopt the Euro and oust then-leader William Hague in favour of arch-Europhile Kenneth Clarke. After the dissolution of the PECP, Littlewood became an advisor to the Conservative Party under the leadership of David Cameron.
Earlier in life, Littlewood worked for the European Movement, an all-party group campaigning for British membership of a federalised Europe; Liberty, the human rights advocacy group which spearheaded campaigns to implement and maintain the Human Rights Act; and NO2ID, a group which campaigns against the introduction of ID cards.
So, what does Popular Conservatism stand for? Apparently, its aims are: “inform and educate candidates and MPs about the need to reform Britain’s bureaucratic structures” and “advance these policies across the country, whilst demonstrating their popularity.”
According to Littlewood, PopCon is about: “Giving ordinary people, taxpayers and voters, their freedom back. That was what Brexit was supposed to be about: taking back control.”
Taking Back Control? Why would Littlewood care about Taking Back Control? Littlewood changed his view on EU integration at the time of the referendum, writing in a personal statement:
“Twenty years ago, I was a passionate and enthusiastic supporter of European integration. I was President of the UK branch of the Young European Federalists in 1996 and my first job was working for the European Movement. I was enthusiastic about the UK joining the single currency and I even supported the Pro-Euro Conservative Party, a breakaway from the Conservatives on the issue of Britain’s relationship with the EU.
“Since then, and bit by bit, my thinking has evolved and the European Union, in my judgment, has increasingly become a force for heavy handed and petty regulation rather than for free market liberalism. The EU is no longer the deregulatory single-market it once aspired to be. Instead, it has become a monolithic and increasingly interventionist bureaucratic super-state. After considerable thought – and with a heavy heart – I have reached the conclusion that Britain would be best advised to leave the EU and I will be voting accordingly on 23rd June.“I believe there are risks and uncertainties involved in going for Brexit, but these are – on balance -risks worth taking. There is no guarantee that Britain will become a more outward-looking, globally free trading, open and free society outside of the EU. But there is, in my view, a pretty good chance of it.”
In summary, Littlewood’s euroscepticism (and by extension, the bent of PopCon’s brand of politics) is rooted in the belief the EU (much like the UK, presuambly) has become too protectionist, too nationalist, too conservative and too isolationist, hindering Britain’s ability to push ahead with economic and cultural globalisation. In the government’s own words:
“Global Britain is about reinvesting in our relationships, championing the rules-based international order and demonstrating that the UK is open, outward-looking and confident on the world stage.”
This aspiration, typically referred to as “Global Britain”, is uncommon amongst Brexiteers generally, but quite popular with a narrow clique of largely London-centric free-marketeers, comprised largely of Tory staffers, centre-right policy wonks, disgruntled civil servants, conservative commentators, and Thatcherite MPs. GBNews’ Tom Harwood, former Chair of Students for Britain, summarises the disposition of this demographic briefly but well: “open globalism, not narrow regionalism”. That’s right, we’re the real cosmopolitan internationalists, the left are the real provincialists!
As many will remember, “Global Britain” was announced as the official post-Brexit endeavour of the Conservative governments of Theresa May, Boris Johnson and Liz Truss, albeit the first and second were over-encumbered by the withdrawal process and Covid to implement many of their desired reforms – besides, of course, importing an unprecedented number of immigrants. Consequently, whilst Boris was intended as the figurehead for Global Britain, the role ultimately fell to Liz “Boris 2.0” Truss.
For clarity, there is nothing particularly radical about “Global Britain”. It has always been the Menshevik position within the Brexit coalition. Throughout the referendum it was occasionally used as a polemical tactic (i.e. Let’s Go WTO), but nothing more. Contrasted to the Bolshevik aspiration of turning Britain into an island fortress, derided by Britpoppers as “Little England”, the Menshevik aspiration is to turn Britain into a mass financial district, in which vampiric multinationals terrorise Middle England from above and an imported underclass of cheap labour, violent criminals, and ethnic displacement terrorises it from below.
Of course, it’s colossally terrible but it’s not too dissimilar to the relatively liberal arrangement we had before Brexit and certainly no different to the arrangement we have now. Alas, this doesn’t stop PopCons from complaining the system is stacked against efforts at economic liberalisation. Yes, the planning system is needlessly complicated, but there’s no need for hyperbole; weaning people off microplastics and ultra-processed food isn’t Soviet.
Essentially, both Global Britain and PopCon are tendencies born out of the ideas contained in Britannia Unchained, a book which seeks to answer the question on everyone’s mind: “How can we get white British people to work more for less and demographically replace them in the process?”. Making immigration uncontroversial by making it productive, saying NO to identity politics, saying NO to the Nanny State, Getting On Your Bike, STEM, India Superpower 2020, Peace… through Commerce. Real Tory Boy stuff.
This leads into another problem with PopCon. It isn’t just its initial unpopularity, it has no idea how to be popular, despite the fact the answers have been in plain sight for years. Boris Johnson’s popularity peaked when he promised to end immigration and shouted “Fuck Business” to a Belgian diplomat. Theresa May, a completely unknown and irrelevant politician, reached unprecedented levels of popularity after the referendum when she was attacking “citizens of nowhere” to such an extent she was being compared to Adolf Hitler. David Cameron reached the height of his popularity when he was promising to reduce immigration and hold a referendum on the EU, threatening to leave the ECHR, and declaring state multiculturalism to be a failure.
Compare this with Liz Truss. In her historically brief tenure, she tried to pursue free movement and trade with India and borrow billions to fund tax cuts for the rich. Suella Braverman, for all her many faults, understood during her leadership bid that leaving the ECHR and stopping illegal immigration are popular with the public, especially with voters in the Red Wall – policies which PopCon lightly sprinkled into their otherwise bland, derivative, and highly ironic attempt at wrapping Orange Book Liberalism in a flag.
Flip-flopping seemed to be an integral theme of the PopCon event. As established, Littlewood and Truss are former Lib Dems, but Anderson is former Labour, Farage was pivoting back and forth between endorsement and dismissal throughout the whole thing, and Holly Valance gave an unrelentingly generic interview stating life is about being left-wing, making money, and then moving rightwards.
This obsession with switching is bizarre, but it’s the recurring tendency one should expect from an organization which simultaneously fights for the so-called “rules-based international order” and complains about an arbitrary global humanitarian class undermining national democracy; fronted by a former Prime Minister and her group of orbiters who’ve done nothing in their 14 years of government to address any of the problems their organization hopes to “inform and educate” us about.
PopCon doesn’t seem to understand that some of us have been aware of the Great Replacement, Cultural Marxism and The Blob since secondary school. We don’t need to be told that some people think there are more than two genders or that state-funded charities and quangos are jampacked with people who hate our country; we don’t need to be told liberal-left ideas and values are hegemonic, or that illegal immigrants take advantage of the welfare system. We are children of the revolution, for Christ’s sake!
All the way down, PopCon is a group for people to scratch their heads at problems they have helped to create, assuming nobody else has identified them before, and offer milquetoast solutions with the galling expectation of jubilant applause.
It is slightly comical. 2030 will arrive and Liz Truss will be explaining the drawbacks of the sexual revolution and quoting G.K Chesterton. Erstwhile, MechaBlair will be conscripting masses of young White British men to fight Populism in Ukraine and organizing taxpayer-subsidised migrant mega-orgies in The North. Indeed, trying to make political progress with the present batch of Conservative MPs is like trying to scale Mount Everest with Stephen Hawking; it’s really quite demoralising.
Whilst Donald Trump is saying immigrants “poison the blood” of America, whilst Germany’s AFD is advocating mass remigration, whilst France’s Eric Zemmour is openly discussing demographic displacement, the British right is forced to contend with another attempt to rehabilitate Thatcherism, another attempt to undercut the emergent nationalist, protectionist, and socially conservative elements of the right which have been trying to take root in established positions since the referendum; another perversion of the anti-immigration spirit of Take Back Control (TBC), framed in terms of mere economic and legal technicality, adorning it with another SW1-friendly signifier to go with the rest: TBC as a vote for liberalism, as a call for localist devolution, as a general dislike of politicians, as a mere symptom of economic turbulence, as a nationwide Freudian psychodrama.
Despite all of this, despite my complete contempt for PopCon, I’m glad it exists. In all sincerity and without a hint of contrarianism. PopCon is bad because it’s Tory-branded Globalism run by Thatcherite Zombies without a hint of self-awareness, creativity, or charisma, not because it’s “another organization” – a complaint I’m absolutely sick of hearing from supposedly disaffected voices.
At present, Britain doesn’t have a political culture, but it wasn’t always this way. Indeed, some people (mainly our anti-political overlords and pseudo-Anglos within and adjacent to our circles) have espoused the notion that political organization is somehow terribly un-English. However, a brief glance at history tells us that beneath gentle-mannered disposition (some might say caricature) of the native population, political organization, rowdiness, and militancy – even outright violence – have existed for several hundred years in this country, boiling beneath the surface of even standard parliamentary exchanges.
The snobbish anti-partisanship of those who are disgruntled by the lack of action but see themselves above political organization are an abject cancer. Everyone has remarked that MPs enter Parliament to immediately do something else, whether it’s charity work or presenting a TV show, but few have surmised what this means. It shows that power is contingent on the wider superstructure of society; the Overton Window must be adapted so political objectives can fully actualise themselves and legislated into reality, something the enemies of Britain have done and are currently doing very well.
As such, we don’t need less organization or less division, we need more. More organization, more division, more militancy, more enmity, more ideology, more partisanship, more coups, more activism, more conflict, more metapolitics of every form and variety. Let the Darwinian selection processes of the political run wild; radicalise democracy against every rendition of liberalism and rejoice as it stampedes over the latter’s mangled corpse. No, PopCon doesn’t deserve to fail… it deserves to be killed.
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Keir Starmer is right about the NHS
A couple of weeks ago Keir Starmer made headlines by claiming that too many people from overseas are recruited by the NHS. For this he was, of course, slandered as the second coming of Sir Oswald Mosely or Enoch Powell by his own side, who, despite their protestations to the contrary, rarely look beyond the headline when it comes to statements about immigration.
Sir Keir made the point that immigration was not the key to ending the staffing crisis faced by the NHS, a point in which he is perfectly correct. Rather than relying on foreign workers to fill the shortfalls in staffing, he would instead “train people in this country” to return to the goal that every country that seeks: remaining somewhat close to self-sustaining one of its most important government services.
An estimated 34% of people joining the NHS last year were from overseas, up from 18% just 8 years ago, a massively disproportionate amount compared to the wider population. There remains in England a shortage of 12,000 hospital doctors and more than 50,000 nurses and midwives. This compounded with the issues of the COVID backlogs has meant that the health service now faces some of the longest waiting periods in its history. Going into a winter with the ongoing fuel and power it is clear that, amongst the litany of other permacrises the service seems to face, the NHS may be entering one of the most testing seasons of its 75 years.
Why not then, if the situation is indeed so dire, accept as many immigrants as it takes to see us through? This makes sense to the types to whom immigration is a hammer and every problem a nail, but continuing this reliance on outsiders to prop up our geriatric and unreformable healthcare system can only end in disaster. They would have us prioritise short term relief over long term investment, a propping up of an overreaching shanty than to build with foresight the proper foundations of a functioning institution
But it makes sense to build from within. For one, it makes no sense to have our healthcare system, one of the most important things in the lives of millions of our countrymen, reliant on those who could at any time up and leave to go home. This has already happened with many Poles who after the covid pandemic dissipated have decided to go back to the continent, affecting services like bus provision in Birmingham particularly hard; so why are we so blind to it’s possible happening in a far more crucial industry? There is also a conversation to be had about our own homegrown medical personnel leaving for America after their training; but one problem at a time here.
This all feeds into the wider discourse around immigration, which has once again hit a record high. 1 in 6 people in England and Wales were born abroad, yet the ONS has decided – for no reason at all, I’m sure – to no longer record ethnicity statistics, and coincidentally demands for housing and services are strained to breaking point. The arguments are tired, but now with this it seems some are finally awake to our current reality that mass immigration is unfair and unjust to all parties save two: left-wing parties who prey on the votes of migrants; and big businesses who can save on labour costs by endlessly importing low cost workers from the third world.
All others suffer for the system; native peoples find their wages undercut and the value of their vote diluted, their languages and culture displaced from inner cities now turned to foreign ghettos. These areas are inhabited by the destitute peoples drawn to a strange place where they have no roots or history, taken from countries far poorer than ours who desperately need the wealth and skills of the people poached from them by the lazy politicians and managers of our institutions who would rather paper over cracks than build from within a stable and secure foundation.
This is a problem far wider reaching than just the NHS, but given that that particular institution is tantamount to our golden calf it’s a good place to start the discourse. For many in Labour however this discourse is unthinkable, as is any that seeks to come up with any solution to our immigration questions with any other answer than “no human is illegal, just let them all in”. This is Starmer’s problem; there remains in Labour the strain of far-left terminally online social vandals that took charge during the Corbyn administration. Though he is leading a cautious return to the centre, he will be answerable in part to these cerebral vacuums, as will his (often just as miserably online) MPs who have already shown themselves to have a habit of breaking rank, as seen in their attending picket lines over the last few months, in order to appease their Twitter followings.
Starmer, whose wife works in the NHS, might be the political equivalent of a plain ham sandwich but on this he knows what is needed, even if it puts him out of lockstep with his party, to whom even suggesting a policy on immigration that isn’t throwing open the door to the world is equivalent to having a televised fireside chat in which he reads extracts from Mein Kampf whilst sat atop a chair made from slave-picked cotton. It remains to be seen whether he sticks to his guns, or will be cowed back into toeing the line by his party, though on this it can be assured; Keir Starmer is right about the NHS.
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The Problems with Euthanasia
“Do not cast me aside in my old age; as my strength fails, do not forsake me.”
Psalm 71:9I, like many others, am no stranger to a family member who has suffered an undignified death. To see a loved one who previously beamed with vitality and independence to go out in a certain manor is inconceivably hard. At one point, I did think would it not be best if my loved one and the loved ones of many other people, have the chance to die with dignity. That is what it comes down to for many people who are in favour of euthanasia – giving dignity to those who have lost it. I have no doubt that many have good intentions when it comes to euthanasia. What I fear and wish to highlight however is that in our desire to bring dignity to those who are nearing the end of their lives, we’ll be exposing a great many more people to an even worse indignity.
We see this indignity play out in real life – most notoriously – in Canada. Perhaps the most famous example came in February 2022, when a Canadian Woman by the name of Sophie (from Ontario) ended her life after she was unable to secure affordable housing because of her chronic illness and was unable to live with her meagre disability payments. This is far from an isolated case either as there have been other Canadians in a similar position who have felt they’ve had no choice but to end their lives. When discussing bringing about greater indignity – we’re not just talking about on a personal level for these poor individuals. As tragic as the individual cases like Sophies are, the question must be asked what are the structural problems within Canadian society that cause such tragedies such as these to happen?
It should be no surprise to anyone that Canada has some of the lowest spending on social care out of any developed nation; with waiting times being unbearable. Palliative care is also only being available for a select few. It is no coincidence either that this deteriorating situation in both sectors comes off the back of Canada’s liberalisation of euthanasia over the past several years. The numbers suggest this to be the case. Before the 2021 Bill C-7 entered into force, Canada’s Parliamentary Budget Officer published a report about the cost savings it would create. Whereas the old system (based around the 2016 C-14 law that legalised euthanasia in the first place) saved $86.9 million per year – Bill C-7 would create additional net savings of $62 million per year. Healthcare, particularly for those suffering from chronic conditions, is expensive; but assisted suicide only costs the taxpayer $2,327 per ‘case’.
Why – with the obvious financial advantage outlined above that euthanasia brings – would the state in Canada have any incentive to fix the serious issues with its healthcare system? For that matter, why would any state that legalises euthanasia do so either? Simply put, if the state finds it cheaper to simply let you die, then it will more often than not allow for public services to deteriorate. This is what creates the indignity for the greater number of people. It creates indignity for those who can’t proper healthcare, it creates indignity for the disabled who can’t get the care they deserve, it creates indignity in general for the vulnerable in our society who quickly become viewed as a nuisance and would be better if they simply went away.
This is ironic considering that since – for most of Joe Public at least – euthanasia is propagated on compassionate grounds. That compassion is almost out of a sense of social duty towards our fellow man that they should be able to die in a dignified way. What cases like in Canada should demonstrate however is that there is a massive difference between the principle and practical implementation of euthanasia. I would argue however that the practical implementation of euthanasia demonstrates a much more sinister motive amongst our ruling elite. One utilitarian in nature.
Jeremy Bentham is not a widely known philosopher – at least not when you’re referring to Joe Public. He’s not as widely recognisable as say Marx or J.S.M. He is arguably however one of, if not the most consequential philosopher in modern history. The basic premise of Bentham’s philosophy is that society and the state should base its decisions on creating the greatest good for the greatest number. Whatever serves the majority interest is in of itself correct. Euthanasia is arguably the purest embodiment of the utilitarian method. As we see with Canada, Canadian law makers see euthanasia (or MAID, as they call it) as a means of saving money and gradually emancipating themselves from the responsibility of looking after the most vulnerable in society. The greatest number in this case is the Canadian tax payers and the greatest good is saving them a load of money. From a purely utilitarian point of view, this is perfectly fine; but I would argue that this is far from the moral thing to do.
Again, utilitarianism may be not a well-known philosophy but it is one of the most consequential in human history. From the workhouse to the totalitarian ideologies of the 20th century – many of the evils in recent human history have based their understanding on the basic utilitarian premise: providing the greatest good for the greatest number. This is not to say that any application of the utilitarian method is bad. It is to say however that you cannot base policy purely on this method – whether it is in the benevolent desire of allowing people to die with dignity or whether by the more sinister application of ridding society of its undesirables. Any application of the method should always be tempered by a strong moral value system.
For Those who have read ‘A Brave New World’ would know one of the things that makes the world of that book so dystopic is its prolific use of euthanasia. Once one reaches the age of 60 in the book, citizens are – whilst not explicitly mandated by the state –heavily encouraged to end their lives. Once you reach past that age, you are seen as more of a burden to society; so it’s best for everyone if you died. This highlights another consequence that will arise from the legalisation of euthanasia. Not only (as highlighted above) would euthanasia encourage the state to rid itself of its duties towards the citizens it governs over but it would make society more brutal in general. A new zeitgeist will form amongst the public, where the value of life is greatly diminished. People will also lose their sense of duty towards their fellow man and start thinking why they should their tax money be spent looking after the most vulnerable in society when they can so easily be disposed of. If the state doesn’t have the idea first, then I should imagine that the state will face grassroots pressure from the public to negate its duties towards the vulnerable. Far too many aspects of A Brave New World have already become a reality in our modern society: I would rather if this didn’t become another prophetic part of our everyday life.
Arguably though, the greatest philosophical/moral argument against euthanasia is that death in of itself is undignified. As a close friend of mine working in policy said to me, there is no dignity in dying. Ever. Dying is always a great humiliation; which can only be alleviated by a clear conscience, family, friends, and having your affairs in order. Death is a sentence passed on all of us: it is the great equaliser. Whether you die soiled and limp or die through sedation and euthanising drugs; the result is ultimately the same: death. As such, euthanasia is a trick to con people into thinking they have agency over that humiliation, but they don’t. That is the great lie that is propagated.
But do we have reason to believe that many of the real world and theoretical issues associated with euthanasia would become a reality in the UK? Yes, the precedent is there in spades unfortunately.
Possibly the most notorious example in the UK is the Liverpool Care Pathway (LCP). Created in the late 1990s in order to provide good palliative care for those reaching the end of their lives, the LCP was initially well received. It became clear by the early 2010s though that things were seriously wrong. There were multiple scandals of malpractice; including purposefully dehydrating patients for days or leaving them sedated, meaning they were unable to ask for food or water. The Pathway was announced to be ending by July 2013 by ministers but by December 2013 it was clear that the programme was simply being rebranded. What’s worse is that the new draft guidance from 2013 stated that any patients unable to swallow could be denied food and fluids by tubes unless a hospital team decides it is in their “best interests” to have them. This goes further than current laws which only allows such practices for patients assessed and found to lack mental capacity. One eery similarity that was found with the LCP and the Canadian experiment is that it was found in 2012 that many patients were sent to the LCP without their or their families consent in order to save money. An additional financial incentive to encourage patients to end of life care has also been present since the 2001 Palliative Care Review, where hospitals get more funding if they put more patients on end of life care.
This is not even mentioning the NHS’s history of ‘do not resuscitate’ (DNR) orders. Around the same time when the LCP was unravelling, there were scandals with NHS Trusts misusing said DNR orders. From May to December 2011 for example, eight Trusts were warned because of such malpractice. University Hospitals Birmingham were warned twice in the previous two years alone and the Queen Elizabeth Hospital – one of the hospitals that came under the Trust – was found in June 2011 by the CQC of not always involving patients or relatives in DNR decisions.
Perhaps one of the most famous and tragic cases of the NHS’s misuse of DNR orders is the case of Janet Tracey in 2011. Janet Tracey had been diagnosed with lung cancer and had fell and broken her neck in February 2011. She died 16 days later. Her husband David Tracey launched allegations that the medical staff at Addenbrooke’s hospital in Cambridge where his wife resided, unlawfully issued DNR orders without his wife’s consent – cancelling the first DNR order after she objected and days later adding another to her medical notes without her consent or any discussion. David Tracey took the hospital to the Court of Appeal and won in 2014, with the court ruling that the hospital acted unlawfully. The Tracey judgement did set the precedent that hospitals/Trusts had to inform patients if DNR order has been placed on their records but that judgement doesn’t seem to have been respected fully. Recently during the COVID-19 pandemic, 508 DNR’s were issued from March 2021 to March 2021; ignoring the legal precedent set by the Tracey case. Only last year did a long-term anti-war and peace activist Eric Levy pass away from a double tragedy of having a DNR placed on him and him being put on a rebranded Care Pathway.
This – I must stress – is not an exercise of trashing the NHS in particular. In fact, it’s safe to assume that many issues the NHS has faced and would face if euthanasia was legalised would be faced by most, if not all healthcare systems across the globe. This being said though, with the prospect of euthanasia being legalised becoming more apparent in the UK, looking at the precedent set within our own healthcare system is vitally important, and if we’re being honest here, the picture is not good. One can talk about the need to implement proper safeguards if euthanasia was legalised in this country – which would certainly be pertinent to do. The problem is that the NHS has – on multiple occasions – failed to implement proper safeguards for patients who were reaching the end of their lives in the past; so what makes one think they will implement the appropriate safeguards when/if it’s legalised? It may sound harsh but it’s far from an unfair question to ask, people’s live literally depend on it after all.
The concerns around euthanasia do not just potentially affect those who are of unsound body but also of ‘unsound’ mind. Turning back to Canada, Canada’s C7 Bill will, by March 2023, allow for assisted suicide for people with a whole range of mental health issues; which include but not limited to depression, bipolar disorder, PTSD, personality disorders, or schizophrenia. Unlike in the Netherlands however, there is no need for a doctor to agree that euthanasia is necessary, it’s entirely subjective and based on the afflicted feelings at the time. Even in the aforementioned Netherlands, where the regulations for psychiatric euthanasia is nominally much more strict, the practical checks and balances are sketchy at best. After euthanasia has taken place, the doctors have to submit a report to one of the 5 regional review committees, but the positions on the committees are not full-time roles and they cannot be a specialist in every case, as they have to handle around 6,500 per year (which is not a small number considering the Netherlands size). As a result, the doctor is always right in effect, with there only being one case where a doctor has been prosecuted for breaking the 2002 law. This is in a country that has significant more experience with psychiatric euthanasia and still struggles. One can only imagine the huge amounts of extra bureaucracy that would be needed in the UK to make sure such a practice was properly regulated.
Which poses the question, how do you properly regulate it? Unlike physical illnesses, a medical professionals opinion on mental illness is much more subjective and less definitive. This is a question that needs to be satisfactorily answered because the real world application of euthanasia demonstrates that psychiatric euthanasia will eventually come. I particularly worry about this since we live in a world of millennial/Gen Z nihilism. Sure we like to joke on the internet about it but the sort of satire culture that has emerged around this nihilism amongst the younger generations is based of a genuine feeling of despair much of the time. Legalising psychiatric euthanasia without the necessary safeguards (if the ability to create said safeguards are even possible), along with the growing nihilism and mental health problems arising from the younger generations, is a recipe for disaster. We already see this in part in the Netherlands again where 1 in 5 psychiatric euthanasia’s were not previously hospitalised and a significant minority did not receive psychotherapy. With the NHS being under-resourced as it is currently, I would imagine this ratio could potentially be even higher.
The slippery slope is far from a fallacy. Indeed, I fear that euthanasia, if it is legalised, will initially be legalised based off the desire to allow those in the most incurable suffering to end their lives, but then will gradually become more and more liberalised beyond the original intention of that legalisation. This is not without precedent. With euthanasia this is particularly dangerous because it will potentially mean an industrial scale slaughter of the most vulnerable in our society. We must recognise that whether we are talking about the practical, philosophical, or the moral implications of legalising euthanasia; there are problems at every turn. As such, we must exercise the greatest conservative principle, that being caution, when pondering whether or not we should legalise euthanasia; because once it’s done, it’s done; there’s no going back.
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