
Scotland's future is uncertain. But then so is the here and now
At the same time, many in the mischievous media exaggerate the transient. Who is up, who is down? What is new, what is demanding attention? Always eager to hasten to the next caravanserai.
This week, by contrast, there was a glance towards the longer term. Where are we going with our NHS, our services, our fiscal structure? What, an Edinburgh conference asked, will Scotland look like in 2050?
Now, even adopting such a perspective may be viewed as courageous, given the perils currently confronting our planet. As Israel and Iran trade missiles, as President Trump ponders, it may seem rash to contemplate anything other than our collective survival.
However, we cannot live that way. We cannot flee for the sanctuary of a dark corner whenever Donald J. Trump turns into King Lear: confused and uncertain yet insisting that he is the terror of the earth.
And so it is entirely right to cast an eye ahead. However it may appear at first glance that there is a faintly futile tinge to the entire endeavour.
Consider. In 1920, did the ravaged continent of Europe discern that, by 1945, they would have endured a second, bloody conflict? They did not.
More prosaically, in 1980, did we know that the passing of a further quarter century would lead to a transformation in Information Technology and the creation of a Scottish Parliament? We did not.
Yet contemplate a little more deeply. Were not the roots of the Second World War seeded in the aftermath of the First World War? The constraints and financial reparations understandably imposed upon Germany – but resented by their emerging, deadly leader?
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And the more modern period? Were there not early prequels for the 21st century information revolution?
Further, here in Scotland, was not the cause of Scottish self-government measurably advanced in the wake of the election of Margaret Thatcher in 1979?
In short, when we purport to look into the future, we are in reality studying present-day conditions. We are examining how reform might generate a steady transformation which would emerge over that longer period.
It is a way of urging impatient voters and the mischievous media to cut a little slack for our elected tribunes. It is about the future, yes, but viewed through the prism of the present.
In the context of reform, there was much talk this week about reviving thoughts advanced by the commission on public services, ably chaired by the late and decidedly great Campbell Christie.
I recall Campbell for his intellect, his humour, his baffling devotion to Falkirk FC, his fierce competitiveness at golf – and his determination to work with all and sundry to make Scotland a better place.
In 2011, his commission urged Scotland to embrace 'empowerment, integration, efficiency and prevention' in transforming the public sector.
This week, Ivan McKee, Scotland's Public Finance Minister, set out a programme of reforms and savings – with an explicit nod to those earlier endeavours by the Christie team.
Mr McKee is a key figure in the Scottish Government, returning to office alongside his close ally, Kate Forbes. Both advocate a focus upon efficiency – and, perhaps above all, economic growth. In doing so, they are most certainly aligned with the instincts and aims of the First Minister.
Now John Swinney displayed another intuitive tendency in his forward-looking remarks this week. His solution to the entrenched problems confronting Scotland? It lay, you will be astonished to learn, with independence.
So shifting attention back to independence, rather than the day-to-day concerns of the voters? Was this a U-turn? Not really, no. Indeed, I suspect too much can be made of this apparent change.
Firstly, Mr Swinney is a believer, a fervent Nationalist. He yearns for independence. Secondly, he leads a party which contains many whose fervour is undimmed by minor matters such as convincing others. Thirdly, there is an SNP National Council this weekend.
Enough, Brian. Away with cynicism. I believe John Swinney is simply sustaining his dual strategy. He feels a little more liberated to advance the option of independence – while simultaneously concentrating for the most part on the anxieties of the people, such as the cost of living and the health service.
John Swinney (Image: PA)
In short, his attention is drawn by the here and now, even as he offers a potential vision of the future. His opponents are similarly grounded. Labour's Anas Sarwar, for example, glanced forward and concluded that the SNP were only offering 'managed decline.'
Still, futurology can be a source of innocent merriment. What might we favour? Ivan McKee is surely right to suggest public services which prioritise customers rather than producers, which share information and thus resources.
But how about the health service? The current system is simply unsustainable, unaffordable. Do you see that nurse gesturing to you? That health worker is not waving but drowning.
We have to cut waste – but also overall demand. Perhaps, as the Health Secretary Neil Gray suggested, that can be done in part by an emphasis on prevention.
However, that will undoubtedly take time – which ministers facing elections do not have. Politically, Mr Swinney's focus will be upon ensuring that the stats are going in the right direction.
Education? Our economy, our society, both need the acquisition of useful skills. I recall my school textbook entitled 'Physics is Fun!' This proved to be a brazen lie. However, physics is vital, along with tricky stuff like maths, literature and French irregular verbs.
Our universities are struggling financially. But, as they reform, they must maintain the objective of excellence. If they are truly to be world-class, as Scotland advertises, then they must aspire to the very highest standards.
And the economy itself? We need growth and prosperity. We need an environmental drive, including renewables, which does not shut down our industry and agriculture.
The future? Simple really.
Brian Taylor is a former political editor for BBC Scotland and a columnist for The Herald. He cherishes his family, the theatre – and Dundee United FC
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Last week, the UK's highest elected officials ruled on the most existential of questions: how we choose to die. At its third reading, the Assisted Dying Bill passed the Commons by a slim majority of 23 votes, and now its fate lies with the Lords, where it faces a bumpy ride before it becomes law. The upper chamber, for instance, will examine if a three-person panel of professionals (from law, psychiatry and social work) offers greater safety and oversight in approving a patient's application to die than a High Court judge, as was originally proposed. Peers will have at their disposal the grim cost-benefit analysis to the NHS in accelerating the deaths of the terminally ill, released last month under the cover of the local election results. According to the report, as many as 1,300 people are expected to apply to die in the first year, saving as much as £10million in medical bills. 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The nurse hooks her up to an infusion of a lethal dose of narcotics – a 'suicide cocktail'. She merely has to turn a valve, letting the toxic chemicals enter her bloodstream, putting her to sleep for ever. It's important she takes the final step herself, otherwise the helpers could be charged with manslaughter. Assisted suicides like this have been fully legal in Germany since 2020, although legislation has been a generation in the making. After the Second World War the subject was largely taboo, in no small part due to revulsion at the Nazis' Aktion T4 programme, which entailed the 'mercy killing' of 300,000 disabled people. By the 1970s and 1980s, a push for more patient autonomy led to court decisions in 1984 and 1990 that ensured suffering, bed-ridden people had the right to stop treatments that prolonged their lives. With the 2009 Patient Directive Law, people could include such instructions in a living will if they became incapacitated. This gave legal protections to doctors offering assisted suicide. But then the public grew uneasy at what seemed a creeping commercialisation of the right to die. Healthcare is not free at the point of use in Germany, so the nation is more comfortable than the UK with private provision within the system. But only up to a point. Many were appalled in 2014 when a Berlin urologist Uwe-Christian Arnold revealed he had helped 'several hundred people' take their lives since the late 1990s for fees of up to €10,000. Christian groups accused him of undermining the sanctity of life. The German Medical Association threatened him with a €50,000 fine, saying doctors should prolong life, not give their patients lethal poisons. Arnold took them to court over the fine and won. Also in 2014, a right-to-die association in Hamburg caused uproar for offering fast-track assisted suicide consultations in exchange for higher membership fees. Its normal rate was €2,000, with a waiting time of a year, but it introduced a jump-the-queue service for €7,000. Other providers offered discounts for couples interested in dying together. These were grisly bargains that lead many to regard Germany as a Las Vegas of suicide, which was anathema to a country that saw itself as otherwise Christian and conservative. Church groups took to Berlin's streets as legislators sought to crack down on the industry. Arnold and others passionately defended their businesses. The 'death helpers' argued the issue was comparable to abortion: a ban would be unfair to the terminally ill, who shouldn't have to travel to places like Switzerland to end their lives with dignity. The debate ended with parliament banning 'commercial' assisted suicide under Chancellor Angela Merkel in 2015. Subsequently, only friends and relatives who received no money for their assistance could help someone end their life. Legal challenges were launched by right-to-die advocates and people suffering terminal illnesses. In a 2020 judgement, the Constitutional Court said the freedoms enshrined in the country's post-war constitution meant 'the decision to take one's own life must be respected by the state as an act of personal autonomy'. Those who had been put out of work by the previous ruling were free to ply their trade once again. Five years after that decision, it feels like we're back to the Wild West of pre-2015. Assisted suicide in Germany is an unregulated free-for-all. A slew of undertakers, lawyers and independent doctors are facilitating a rising toll of assisted deaths. Last year it was about 1,000, though no one is keeping exact figures. Likewise there's no central registry of providers. Nearly anyone can set up shop. The largest player in the business is the German Association for Humane Dying (DGHS), which charges €4,000 a suicide but offers a discounted €6,000 for couples. 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