Throughout the short life of the Assisted Dying Bill which failed last week in the Commons, the ‘faith community’ (a quaint term for that category of human beings who throughout history have been more assiduous than any other in trying to kill each other) have with skill and persistence deployed an argument of great potency. Such is the argument’s intuitive appeal that the pro-assisted-dying brigade never found a way of countering it. They have resorted simply to denying that what the faith squad say would happen, could happen.
But it could. The argument is that licensing assisted dying is to smile upon the practice. The legal change would act as a cultural signal that society now approves. This would in time lead to pressure on those who might not otherwise have contemplated ending their lives, to hasten their own demise — so as ‘not to be a burden’ on others. One day (say the faith squad) it could even become the norm.
I am sure they’re right. We who may argue for ‘permissive’ legislation must have the intellectual honesty to admit that the ending of a legal prohibition does act as a social signal. In vain do we protest that ‘nobody is forcing’ upon anybody else (say) same-sex marriage, or the cashing in of pension pots, or a quickie divorce, or the possession of marijuana. Indeed not. Nobody is forcing these delights upon others, but humans are social animals and one of the ways a society signals its attitudes is by criminalising behaviour it thinks very harmful, and decriminalising behaviour towards which its attitude has softened.
Thus, for instance, the stoning to death of women taken in adultery under sharia law is undoubtedly the signal of a cultural attitude towards adultery. Were you to advocate the abolition of this punishment, Islamic moral conservatives would be right to warn that the move would both indicate and encourage a softening of public moral disapproval of female adultery. Likewise, the progressive removal of legal restraints on homosexuality has been both consequence and cause of an increasingly sympathetic attitude towards gays. It is futile to deny this.
Assisted dying is not a novel desire, not a strange new way of thinking. As a moral impulse, the idea that one might hasten one’s end because one gained no pleasure from living and one had become a burden on friends, family and the state has been with us since the dawn of man. You will find it in literature right down the ages. In your own lifetime you will have heard it expressed by others of your acquaintance. The impulse, though, has usually been discouraged — resisted as an unworthy attitude to life — and this cultural disapproval is reflected in law.
To alter the law in a permissive way would therefore be pushing (as it were) at an open door: legitimising a moral argument that has always been present (or latent) among humans. I would have every expectation that, given the extra push, the habit would grow.
And so it must — indeed, in the end, will: and if it does not lead, the law will follow. At root the reason is Darwinian. Tribes that handicap themselves will not prosper. As medical science advances, the cost of prolonging human life way past human usefulness will impose an ever heavier burden on the community for an ever longer proportion of its members’ lives. Already we are keeping people alive in a near-vegetative state. The human and financial resources necessary will mean that an ever greater weight will fall upon the shoulders of the diminishing proportion of the population still productive. Like socialist economics, this will place a handicap on our tribe. Already the cost of medical provision in Britain eats into our economic competitiveness against less socially generous nations.
This does not mean an end to social generosity. It does not mean an end to economically unproductive state spending. These are social goods that we value for non-economic reasons, and should. But the value we place on them is not potentially infinite. They have their price. Life itself has its price. As costs rise, there will be a point at which our culture (and any culture) will begin to call for a restraining hand. I believe that when it comes to the cost of keeping very enfeebled people alive when life has become wretched for them, we’re close to that point.
I don’t even say we should look more benignly upon the termination of life when life is fruitless. I say we will. We may not be aware that our moral attitudes are being driven by the Darwinian struggle for survival, but in part they will be. And just as we feel ourselves looking more sympathetically at those who wish to end it all, so we shall be (unconsciously) looking at ourselves in the same way. The stigma will fade, and in its place will come a new description of selfishness, according to which it may be thought selfish of some individuals (including potentially ourselves) to want to carry on.
We admire Captain Oates for walking out of his tent and into his death when he judged his enfeeblement was threatening his colleagues’ chances of survival. That is an extreme case, but it illustrates a moral impulse that I expect to grow — and for the same reasons as it occurred to Oates: the good of our fellow men.
I do not therefore need to campaign for assisted dying. I do not need (and wouldn’t want) to persuade anybody that the time has come for them to end their lives. I don’t need to shout from the rooftops that suicide can be a fine and noble thing, or rail against the ever growing cost of medical care in the final, prolonged phase of people’s lives. My opinions and my voice are incidental. This is a social impulse which will grow, nourished by forces larger than all of us. I don’t exhort. I predict.