Life and Death
For those who haven’t been keeping up with the news or those who live outside the United Kingdom, the biggest news story which is exercising the British public lately has nothing to do with economics or the Winter Olympics; rather, it is a matter of life and death.
A quick recap: the documentary maker Ray Gosling admitted in the course of a BBC television programme to having smothered his former lover to death. The rationale was that the young man was dying of AIDS, and in Gosling’s words, “in terrible pain”. Gosling also stated that the doctors could do nothing further and suggested they had purposefully left the two of them alone to carry out the deed. His testimony was moving, though I did raise an eyebrow at the ease with which Gosling suggested he was able to suffocate his companion. The spark of life is not easily doused; he made it sound like it was an altogether gentle task.
That aside, Gosling didn’t help himself with an interview he gave on BBC Radio 4 the following morning: I had assumed that the man Gosling had killed was his life partner, or at least someone with whom he had an enduring relationship. Apparently not: he referred to the dead man as his “bit on the side”. Gosling also apparently suffers from little self-doubt; he suggested that the victim was smiling down from Heaven upon his actions. To add insult to injury, Gosling was quite rude to the Radio 4 presenter and gave off the impression that the law didn’t apply to him so long as his conscience was clear.
After the interview concluded, I was deeply troubled by what had been said: a “bit on the side” is lucky to get an invitation to a funeral, let alone act as a decision-maker for a terminally ill person. Furthermore, no clear process had been set out: Gosling suggested that he and his erstwhile lover had discussed the matter, but he did not say there was a living will, nor did he suggest there was a letter, nor even something written on the back of an envelope which would indicate an adequate expression of wishes. Rather, it sounded like a owner talking about having his beloved pet put to sleep.
This is an issue in which politics is definitely personal. My position is informed by two items; during the Terry Schiavo fiasco in 2005, I listened to an American radio talk show which was kicking the issue back and forth. A lot of heat was generated, but no light. Then a caller to the programme came on who unlike the panellists had actually been in a position whereby his life could have been terminated. According to my recollections, the gentleman in question had been in a car accident and suffered a traumatic brain injury which could have left him in a permanent vegetative state. He was adamant: it was his wishes which should be considered sacrosanct. Given that he had left no clear guidance, the focus had been on palliative care: by an extraordinary stroke of luck, he had recovered with only marginal impairment to his long-term memory.
That said, I have more intimate experience with the dilemma: my maternal grandmother suffered from Alzheimer’s, which eventually led to her death.
Alzheimer’s is often referred to as “the long good-bye”; in my grandmother’s case, there was quite a lot of personality to cart off to the afterlife and so the farewell was particularly drawn out. It hit rather suddenly and was entirely unexpected given how healthy she was: I recall an afternoon in the early 1990′s, during which I was walking to the train station with both of my maternal grandparents. I was eighteen or nineteen at the time; my grandmother, who was then in her early eighties, was keeping up with me while my grandfather trailed behind. We stopped for a moment on a street corner to let him catch up. My grandmother said with a mixture of pride and apology, “Your grandfather says I walk like a young girl.” And so she did: she had a lightness of step which belied the difficulties in her life. Her story began in Sweden, detoured through Weimar Germany while it was in the throes of chaos and hyperinflation and ended up in the United States, where she endured both the Great Depression and World War II.
The progression of her disease was tragic: one of the first visible signs of her deterioration was her loss of emotional control. She would break down in the middle of the night or during lunch, plagued by insubstantial fears. She began to lose her ability to cook meals and remember names. My grandfather did his best to look after her, but as the disease progressed, this became impossible; eventually, my mother found a local rest home which took over her care. I saw her only once during this period: she was no longer the sprightly woman of my memory, rather, frail, white haired and dressed in a brilliant white nightgown, she seemed like a Swedish angel, ready to ascend to the beloved country of her youth. She did not recognise me.
According to my mother, my grandmother was aware, to the extent that she was able to be cogniscent of such things, that something was wrong: she frequently said, “My head is broken”. Shortly before Christmas 1996, my mother had one last conversation with her, and said to her in Swedish, “It’s OK, you can go now.” My grandmother blinked in reply. Less than 48 hours later, she passed away.
My grandfather had been weakened by her long illness: he had become painfully thin and was consuming the adult equivalent of baby formula in order to ensure he was getting enough vitamins. Her death was a shattering blow. He sat in my parents’ kitchen with his head in his hands and cried, “I want to go too.” At the funeral, he stated in Norwegian to her, “I will see you in Heaven.” Less than nine months later, he died.
Would it have been better if my grandmother had access to services and procedures to end her life, as another Alzheimers sufferer, Terry Pratchett, has suggested? I don’t know. Personally, as my mind is the best asset I have, I would rather die than live with losing all the faculties which allow me to engage in living. However, my grandmother left us no guidance, so therefore my family worked to make her comfortable as possible, to provide the best palliative care we could find and cross our fingers. It never would have occured to my grandfather to smother her, as for him, the spark of life, even hesitant, flickering, contained an element of hope. He spoke to me about his dreams of a medical breakthrough which would restore her to her former robust health. Were these aspirations forlorn? Yes. But at the same time, he passed on his memories of my grandmother, a conversation which might not have taken place had the end come more suddenly: it was during this time that my family got the full measure of them both and stories which will ripple down to future generations. In a sense, while both of them died, they still live even more brilliantly and vividly than before.
Given this history, I find it very difficult to support what Gosling did. The Nottingham police have arrested him on suspicion of murder, which is an appropriate and understandable response. The difference between murder and merciful release in this case hinges upon that which is most unclear: the express wishes of the dead man. Unless Gosling or relatives of the deceased can straighten out these matters, it was indeed a step too far and should be treated as such. It is sickening to think that he proceeded without such explicit consent in mind, and his vanity enabled him to act as arbiter of life and death; indeed, Gosling’s undoubted flair for the dramatic hints at more than a fair dollop of narcissism on his part. Contrary to what he may think, we, as individuals, are the sole sovereigns of that domain. While there are circumstances in which we may want to depart, unless we make it starkly clear under what conditions that particular passport is to be stamped, all we can expect of our loved ones is to act out of the kind of love which seeks ease and rest for the afflicted, not life’s premature end. I don’t believe I will be alone in saying this: while Gosling has stirred up a debate that we as a society should have, at the same time, it would have been better done had he approached it as a great documentary maker rather than a bringer of death.
I don’t recall the last time a Winter Olympics began with the death of one of the competitors. Yesterday, an athlete from the former Soviet republic of Georgia, Nodar Kumaritashvili,
Yesterday, I attended an activists’ training course which was held at my union’s headquarters in London. I arrived slightly early, but as I sat down, I noticed that the overhead projector was switched on and that a Powerpoint presentation was ready to go. I raised an eyebrow: the presentation’s template was one that I had utilised at a previous event. I opened my pack of course materials and found a printout of the slides: to my surprise, I found that fully a third of them were ones that I had written. No acknowledgement was present.
The British have a talent for self-deprecation. For someone with American origins this is nothing but refreshing: indeed, when I visit my family in the States, I am constantly reminded how patriotism can be elevated from a mere sentiment to a religion. The Stars and Stripes is everywhere: it appears as a gigantic banner fluttering above car dealerships, it’s emblazoned on the front of baseball caps and pinned to the lapels of every national politician. Indeed, the flag is almost a required accessory for every American. It is also conversationally dangerous to suggest in the presence of some Americans that their country may be anything less than extraordinary. At best, one will be reminded in the strongest possible terms that is the “best country”, “land of the free”, “last best hope of mankind”, and so on.
Last October, my parents paid a visit to London. They spent the first few days of their holiday sampling the delights of the capital: they visited restaurants they enjoy, went to the theatre and did a bit of shopping. Then my father began to feel pain in his lower back; it became serious enough that he decided not to attend a performance of “Carmen” at the Royal Opera House. It was a very bad sign: early the next morning, he found he was in so much pain that he could not move.
Commentators often try to obscure simple truths by utilising the dry vocabulary of economics. Behind all the superfluous talk of deficits and GDP figures, there is one underlying fact: we’re not as rich as we used to be, or rather, not as wealthy as we thought we were. Governments and citizens alike got caught up in the heady pleasures of cheap credit and indulged primal instincts to grab everything they desired. People bought expensive cars, expensive homes, expensive televisions, believing that somehow, some way, the debts would be paid. Governments also spent wildly: on wars, on public works, on bridges to nowhere, even sometimes on worthy things like education and health. They believed that tax revenues would somehow be sustained, and indeed, rise to the point that they would solve deficit problems.
The economist John Maynard Keynes once famously said to a questioner, “When the facts change, I change my mind – what do you do, sir?” Similarly, I too have been subject to a political evolution since I was a young man, though it is fair to say that this development has been punctuated by particular milestones. The futility of the war in Iraq, and the lack of any evidence of chemical weapons was certainly an important step. Another point of change occurred when the size of government exploded under George W. Bush, which turned his libertarian rhetoric into a lie. Yet another step was taken when I had to face the necessity of readily available birth control and women’s reproductive services, when someone close to me attempted a dangerous procedure on themselves.
Movies about the apocalypse are commonplace. Late last year, audiences were “treated” to the latest in a long line of films which contemplated the end of the world, namely “2012″,
A new year, a new Doctor: I suppose that was the motto the programme planners at the BBC had in mind when they scheduled the new Doctor Who to take over on January 2. I must confess that I was worried about the change: David Tennant has become a television icon over the past four years and almost as much a living symbol of the Doctor as Tom Baker. His replacement, Matt Smith, is 26 years old: for much of his life, the Doctor wasn’t in production. As a result, it may have been barely a speck on the fringe of his cultural awareness. Given this, how well will he perform in the role? I remain uncertain.
I'm a Doctor of Creative Writing, a son, a brother, a boyfriend, a published novelist, a technology enthusiast, and still an amateur in much else.



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