9 May 2020

UnHerd: Not every death is a traged

Of course we know in theory that death comes for us all eventually. But for the most part, our culture treats death as abnormal, even outrageous — not the inevitable fact it still is. While volunteering as a bereavement counsellor, I learned that some GPs will prescribe antidepressants barely days after a loss, as though normal grief at the death of a loved one is a medical condition. And one of the most contentious areas of debate among doctors is how to manage relatives’ pleas for life-prolonging interventions for a patient, even in cases where there is no hope and such measures will only cause pain and distress to a dying person. [...]

This quandary in turn helps explain why the government’s initial response to the pandemic (which arguably it is still following, albeit more circumspectly) was so politically unpalatable. This initial response followed roughly the lines set out in the government’s pandemic flu planning documents. The assumption was that transmission would be impossible to contain, so the aim was to slow the spread, ensure healthcare systems are not overwhelmed, and over time to reach a state where enough people are immune that replication would fade away: ‘herd immunity’.

But from the outrage that erupted when Boris tried to explain this, you’d think it was a calculated plan to kill off the old and frail. Surely we could do more. ‘More’ turned out to be total lockdown — an approach that still commands widespread support with the British public. A recent Opinium survey suggested that even the barest hint that the government might be considering relaxing lockdown has caused public approval of Johnson’s handling of the crisis to dip. Most of us, it seems, want rules that will prevent any further tragic deaths.

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