Matters of Life and Death

A recent Guardian article looked in depth at advances in neonatology – the care of extremely premature babies – and the complex ethical challenges now faced by parents and doctors alike. Modern medicine can now save the lives of babies born at just 21 or 22 weeks old, but does this come at too great a cost? How are we supposed to decide which babies to throw the full weight of neonatal intensive c...

Advances in reproductive medicine in the past half century have meant it is entirely possible for as many as five different adults to be involved in the birth of one child (sperm and egg donors, a surrogate mother who carries the fetus, and the commissioning parents who will raise them, and paid for everyone else). In this maelstrom of competing claims, the state and courts in many countries have...

Since 2010 mental health problems among young people have exploded. At precisely the same time, smartphones and social media have become deeply embedded in the lives of children and teenagers. A growing body of evidence suggests these two things are connected. In this episode we consider the argument that a turn away from physical outdoor play towards spending endless hours scrolling and messaging...

A movement founded at the University of Oxford in 2009 has now captured the imagination – and the wallets – of some of the brightest and most successful across elite Western academic and business circles. Effective altruism, a 21st-century data-driven take on the philosophy of utilitarianism, claims we must give our time and money only to those causes which can be proven to increase the greatest a...

Every tap, swipe and click we make on our phones, tablets and laptops is being recorded by big tech firms. This is often called surveillance capitalism – a network of products and services we use every day which sucks up large quantities of data about us and then sells it on to advertisers at huge profits. It’s garnering increasing concern from citizens and regulators around the world, but should...

While we are away over the Christmas break, here’s a classic episode from the Matters of Life and Death vault. There has been a flood of highly significant if poorly reported developments in embryo research in recent years, all of which raise new and confusing questions for Christians and non-Christians alike. Is it acceptable to use stem cells to create embryo-like structures to research on? Shou...

Many evangelical Christians remain uncomfortable about engaging with the Biblical narrative, in both Old and New Testaments, around evil, Satan, spiritual forces and demonic power. And even more so in trying to identify their malign hand behind modern trends. But in this episode we reconsider what scripture says – and doesn’t say – about the nature of evil and ungodly spiritual forces, the powers...

This week’s episode picks up on our last conversation with paediatrician Julie Maxwell from 2023, and in particular the sweeping changes made to how gender-questioning children are treated in Britain in the last year. A weighty official report by an eminent doctor concluded that the NHS’s sole clinic for gender medicine should be shut down and the practice of treating young people with puberty-blo...

MPs in the House of Commons passed Kim Leadbeater’s assisted suicide bill last week. It will be several years before Britons are able to ask their doctors to help them kill themselves, but it is a totemic moment nonetheless – the first time Parliament has endorsed the concept of assisted suicide. In this episode we discuss what the bill proposes, the campaign that built up to the debate, how MPs d...

While most Protestant Christians have been at ease with using contraception for generations, there is a growing movement to re-examine the ethics of this, with more and more evangelicals asking if perhaps their Catholic brothers and sisters may have a point. At the same time, increasing numbers of women in society more broadly are turning away from hormonal contraception, believing its physical an...

Christians normally explain away human-caused suffering by pointing to God giving us free will, and our sinful natures using that to harm ourselves and each other. But what about all the things entirely out of our control which cause so much sadness, from natural disasters to genetic diseases? In this episode we interview apologist and neuroscientist Sharon Dirckx about the origins of evil and how...

Francis Collins is one of the leading scientists of his generation, a world-renowned geneticist who led the international project to map the human genome. Later he served under three presidents as the director of the National Institute of Health, which led him to play a pivotal role in America’s battle against the covid pandemic. He’s also an evangelical Christian who has often shared his convicti...

A couple of inter-connected news stories set us off this week. First, the prominent DNA ancestry company 23andMe is teetering on the brink of collapse and considering selling off its database of 15m people’s genomes. Can someone else own your DNA, and what are the risks if genomes are passed around the economy as any other product? Next, a US start-up has apparently used UK volunteers’ genomic dat...

Once dismissed as quackery or New Age woo, near death experiences are seeing something of a modern revival. A slew of serious scientists and doctors have begun studying the phenomenon, even constructing clinical trials to try and see what, if anything, goes on when someone is on the brink of death but is resuscitated successfully. And there is now an entire Christian industry of books and films ab...

Pregnant women today are offered a battery of tests and screening for their unborn child, looking for an ever-increasing range of conditions and risks. But is the onward march of technology in this sphere always an unmitigated good thing? With abortion for a disability legal in the UK up to term, women are being given terrible choices previous generations never faced: give birth to a child who pro...

This week we speak with church pastor and author Ed Shaw about John’s book on friendship, and in particular how it intersects with those who are same-sex attracted like him. How has the church unintentionally colluded with the sexual revolution in prioritising and idealising marriage, relegating friendship in the process? Why is it so important for celibate, single leaders like Ed to cultivate and...

Yoga and mindfulness are everywhere in popular Western culture: in school PE lessons, in company retreats, prescribed by doctors, and even sometimes endorsed by churches. Are these harmless or even quasi-Christian practices we can all enjoy, or pagan-derived movements which believers should steer clear of? And is there such a thing as ‘Christian meditation’ we should all be leaning into instead? R...

Harrowing testimony from healthcare staff at the UK’s national covid inquiry has reminded us of the horrendous sacrifices made by doctors and nurses during the pandemic, just a few years ago. And yet the inquiry has drawn hardly any media attention, with most of us happy to move on with our lives and never think about those long months in lockdown again. But is this a wise, or even a Christian, wa...

The new British government has been crystal clear that in their view, the National Health Service – a state-run socialised system which is quasi-worshipped by most Britons – is in long-term crisis. Services from family doctors to cancer treatment to A&E in hospitals are struggling and failing to hit targets, and constantly underfunded. In this episode we discuss the reasons why healthcare services...

Tim is away this week so we’re sharing a classic episode from the MOLAD vault. Since the covid pandemic there has been an alarming rise in people presenting with mental health problems. Today we speak with Christian psychiatrist Daniel Maughan to better understand why this might be happening, how our mental healthcare systems are coping (or not), and how his faith intersects with his work diagnosi...

Today we pick up a number of stories and updates in the conversation around assisted suicide. Long since legal in a growing number of states in the US, a new report has detailed how things are liberalising further. Some states now permit non-residents to cross state lines solely to die, creating a new market in euthanasia tourism for those living in less liberal parts of America. Meanwhile, there...

If and when autonomous and intelligent robots come into existence, should they be granted rights, or even personhood? A growing number of technologists argue governments must lay out what status conscious and rational machines would have before they actually have been invented. But how can we decide what is and isn’t a person, and what rights and responsibilities such a thing should have? And how...

We covered the case of Lucy Letby – a neonatal nurse convicted of murdering seven babies and attempting to kill seven more – last year. Since then, there has been a growing campaign claiming she is the victim of a miscarriage of justice, as Letby herself appeals the judgement. In this episode we look at why some people have become convinced of her innocence, how well-suited our criminal justice sy...

‘Then God said, “Let us make mankind in our image, in our likeness.”’ These famous words from the first chapter of Genesis are the touchstone of the theology of the image of God, or Imago Dei. Christians throw this reference out a lot, but we’re often a bit unclear about it really means to say humans are made in the image of God. Is it about certain things we can do that God also does? Is it about...

Thanks to a long overdue public inquiry here in the UK, shocking stories of how NHS doctors recklessly gave patients blood contaminated with viruses including HIV and hepatitis have been emerging in recent years. One of the most painful cases was at a special school for children with haemophilia, where well-meaning but catastrophically misguided doctors wilfully experimented on children without co...