Dominic Lawson: A modest proposal for the benefit of the elderly

In Trollope's novel, the president of Brittanula believes that compulsory euthanasia at the age of 67 will solve all his nation's future problems of poverty

Share
Related Topics

Among the most interesting documents released today, 28 June 2041, under the 30-year rule concerning the release of government papers, is the following memorandum from the senior special advisor to the then Chancellor George Osborne:

"Chancellor, you asked me to outline for Cabinet's discussion of the imminent publication of the Dilnot Commission's report on the funding of care for the elderly, the salient demographic and financial issues and the most cost-effective solution, fitting these straitened times.

"At the beginning of the last century there were just 61,000 British men and women over the age of 85. Today there are 1.5 million over-85s. In 20 years' time we expect that figure to have risen to 2.5 million. Our colleagues at the Department of Health tell us that no less than 70 per cent of emergency hospital admissions are now of retired people who have had a fall. The average cost of an occupied hospital bed is £3,000 a week, so we can begin to appreciate the cost to the working taxpayer of the physically doddery.

"The chief problem, however, is not one of physical decay. We are much more concerned by the recent research by the private-health provider Bupa, showing that by 2015 the number of British men and women with dementia will exceed the total number of hospital beds within the entire NHS hospital network.

"One would hope that the great majority of such dementia sufferers remain in their homes looked after by their families. However, we do not have the structure of family life that persists in some of the Mediterranean countries – you might know this, Chancellor, from your many holidays in Italy – and so the burden falls overwhelmingly upon care homes funded at local-authority level. You will have seen the recent report by Dr Ros Altmann, director-general of the Saga Group; she points out that 'there are huge gaps in our social-care budget and even the latest extra £2bn that the Government has announced will be given to local authorities to fund care has not been ring-fenced. So the money is not getting through and local authorities are cutting care spending on the elderly by 8 per cent'.

"We understand that under the Coalition's decentralising principle of removing the Treasury from any and all involvement in local expenditures (a brave decision, if we may say so, Chancellor) they are completely free to spend the money we allocated to elderly care on – just by way of example – new twinning arrangements with various towns on the Florida coast and the Caribbean; this is perhaps regrettable, especially bearing in mind that this 8 per cent decline in available funds on social care for the elderly implies a much sharper drop in the amount spent on each old person, given the expected increase in their number.

"Of course, if the number of old people with dementia (or other conditions requiring full-time care) were not to grow, or even to fall, then the problem would not be of the order which has caused you to commission this briefing. That simple observation, combined with your exhortation to 'think outside the box' leads us to ask, Chancellor, if you have ever read The Fixed Period, by Anthony Trollope. We know that you are a keen student of Trollope's Palliser novels, full of insight as they are into 18th-century Parliamentary politics; but perhaps you have not read this lesser-known work. The Fixed Period, published in 1882, imagines the world a hundred years into the future, in particular the events in Britannula, an invented British colony.

"The president of Britannula, an arch-rationalist called John Neverbend, believes that compulsory euthanasia at the age of 67 – this is the fixed term – will solve all his nation's future problems of poverty, which he believes will stem from overcrowding with old people without any productive use. This policy does not go down well with the older members of the population, even though Neverbend tells them the result of their sacrifice will be that Britannulans will become 'the richest people on God's earth'. The older Britannulans alert the British Government, which intervenes via gunboat and removes Neverbend from power. In captivity he consoles himself that a hundred years hence his policy will be seen as both enlightened and essential.

"We do not suggest, Chancellor, that you emulate President Neverbend. Euthanasia of the unproductive and inherently uneconomic as an overt policy of the state has never recovered from its association with the most unfortunate German government of the late 1930s – although its Reich Chancellor's personal 'euthanasia decree' of 1 September 1939 used the phrase 'mercy death' (Gnadentod) which some still find a very appealing term.

"We would have to act in a much subtler manner, gently encouraging the social acceptability of euthanasia – and we are happy to say that the BBC has done some wonderful work on this. If it is legalised, we can expect large numbers of families to be prepared to suggest such a painless end – in a sensitive manner – to their elderly and suffering relatives. This would not, of course, be because they wanted to get their hands on granny's house before it was sold to pay for care bills, but purely out of concern for her well-being. Dignitas in Switzerland charges around £5,000 for its service, but the basic cost of the poison is no more than around £50; so if it were legalised here, you can see, Chancellor, what that would imply for future healthcare costs.

"Again, this would have to be with the explicit consent of the subject – although we have drawn up some interesting proposals for incentivisation: perhaps, given the potentially vast savings for the Treasury, we could propose that those taking this step would be exempt from all taxes on their estates: or in the case of poorer families, an outright cash offer could be made.

"We know that such measures will, at the least, require the full support of the Health Secretary; we have taken the precaution of asking our colleagues to place in his red box an American text, The economic argument for euthanasia, which points out that 'Legal euthanasia is the ultimate cost-control measure for the health care industry.'

"Good luck with the Cabinet meeting, Chancellor – and please try not to wear black, as we would not want jokes to deflect us from the essential seriousness of these proposals."



React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Qualified Primary Teaching Assistant

£64 - £73 per day + Competitive rates based on experience : Randstad Education...

Primary KS2 NQTs required in Lambeth

£117 - £157 per day + Competitive London rates: Randstad Education Group: * Pr...

Primary NQTs required in Lambeth

£117 - £157 per day + Competitive London rates: Randstad Education Group: * Pr...

Primary NQTs required in Lambeth

£117 - £157 per day + Competitive London rates: Randstad Education Group: * Pr...

Day In a Page

Read Next
Piper Ryan Randall leads a pro-Scottish independence rally in the suburbs of Edinburgh  

i Editor's Letter: Britain survives, but change is afoot

Oliver Duff Oliver Duff
Some believe that David Cameron is to blame for allowing Alex Salmond a referendum  

Scottish referendum: So how about the English now being given a chance to split from England?

Mark Steel
Scottish referendum: The Yes vote was the love that dared speak its name, but it was not to be

Despite the result, this is the end of the status quo

Boyd Tonkin on the fall-out from the Scottish referendum
Manolo Blahnik: The high priest of heels talks flats, Englishness, and why he loves Mary Beard

Manolo Blahnik: Flats, Englishness, and Mary Beard

The shoe designer who has been dubbed 'the patron saint of the stiletto'
The Beatles biographer reveals exclusive original manuscripts of some of the best pop songs ever written

Scrambled eggs and LSD

Behind The Beatles' lyrics - thanks to Hunter Davis's original manuscript copies
'Normcore' fashion: Blending in is the new standing out in latest catwalk non-trend

'Normcore': Blending in is the new standing out

Just when fashion was in grave danger of running out of trends, it only went and invented the non-trend. Rebecca Gonsalves investigates
Dance’s new leading ladies fight back: How female vocalists are now writing their own hits

New leading ladies of dance fight back

How female vocalists are now writing their own hits
Mystery of the Ground Zero wedding photo

A shot in the dark

Mystery of the wedding photo from Ground Zero
His life, the universe and everything

His life, the universe and everything

New biography sheds light on comic genius of Douglas Adams
Save us from small screen superheroes

Save us from small screen superheroes

Shows like Agents of S.H.I.E.L.D are little more than marketing tools
Reach for the skies

Reach for the skies

From pools to football pitches, rooftop living is looking up
These are the 12 best hotel spas in the UK

12 best hotel spas in the UK

Some hotels go all out on facilities; others stand out for the sheer quality of treatments
These Iranian-controlled Shia militias used to specialise in killing American soldiers. Now they are fighting Isis, backed up by US airstrikes

Widespread fear of Isis is producing strange bedfellows

Iranian-controlled Shia militias that used to kill American soldiers are now fighting Isis, helped by US airstrikes
Topshop goes part Athena poster, part last spring Prada

Topshop goes part Athena poster, part last spring Prada

Shoppers don't come to Topshop for the unique
How to make a Lego masterpiece

How to make a Lego masterpiece

Toy breaks out of the nursery and heads for the gallery
Meet the ‘Endies’ – city dwellers who are too poor to have fun

Meet the ‘Endies’ – city dwellers who are too poor to have fun

Urbanites are cursed with an acronym pointing to Employed but No Disposable Income or Savings
Paisley’s decision to make peace with IRA enemies might remind the Arabs of Sadat

Ian Paisley’s decision to make peace with his IRA enemies

His Save Ulster from Sodomy campaign would surely have been supported by many a Sunni imam