The Euthanasia of the Elderly in Stephen Baxter’s ‘Titan’

A few days ago I put up a post about the nightmare, alternative future described by the British SF novelist Stephen Baxter in his novel, Titan. Baxter’s a writer of hard SF, a subgenre in which the fiction is nevertheless grounded in solid, known science fact, though often with an element of artistic license. Titan was written in 1995, and is partly set in the decaying America of the first decades of the 21st century. A militantly anti-science president, Maclachlan, has been elected with the support of the Ku Klux Klan and Christian fundamentalists. Maclachlan shuts down NASA for good after a shuttle disaster. The launch complexes are closed down. Those that aren’t demolished become simply tourist attractions, as do the agency’s headquarters and mission control. One of these, a museum to the Apollo moon landings, is altered so that it promotes instead the spiritual experiences many of the astronauts did have during their missions. Maclachlan also introduces legislation demanding that only the Aristotelian cosmology of Thomas Aquinas, with its crystal spheres, is taught in schools. What is left of the agency is given over to the USAF under the paranoid and nationalistic General Hartle, who is very much like the rogue American General Jack D. Ripper in Stanley Kubrick’s classic nuclear black comedy, Doctor Strangelove.

Against this, the agency attempts to launch one last, great space mission, a crewed voyage to Titan, where the Cassini probe has found evidence of active biological chemistry.

I commented in my post on the remarkable similarity between the policies of the fictional Maclachlan and Donald Trump. Maclachlan is fiercely nationalistic, and withdraws American peacekeepers from their stations around the globe, as well as pulling America out of NAFTA and the various other free trade agreements. America also pulls out of the World Bank and the IMF, and the UN is kicked out of New York. Like the real anti-Semites of the America Far Right, Maclachlan believes that the US is under ‘Israeli occupation’. Maclachlan also dismantles the country’s welfare programmes, especially those benefiting Blacks and other minorities, and starts building a wall with Mexico.

He also devises a policy to deal with America’s increasingly aging society: euthanasia chambers for the unwanted or neglected elderly. These are euphemistically called ‘Happy Booths’. There’s a very touching scene in which the last, fictitious surviving Apollo spaceman, Marcus White, is gassed to death in one of these chambers by a couple of nurses, who are every bit as malign as Nurse Ratchet in One Flew Over the Cuckoo’s Nest. By this time, however, White is so confused with dementia, that he is lost in the delusion that he is back as a middle-aged man at NASA in his prime, suiting up and breathing the pure oxygen in preparation for another flight to the Moon.

This is interesting, as it completely turns on its head one of the truly despicable pieces of propaganda the Republicans were running ten years ago to make sure the American public didn’t get single-payer healthcare. Instead, we had Sarah Palin and the rest of the maniacs screaming that the introduction of single-payer healthcare, where all Americans would have free medical treatment financed by the state, would lead to ‘death panels’. Palin herself made a speech about how she didn’t want her children facing them. The idea was under a socialist system, medical care would be rationed. Those individuals deemed to be a waste of state money and resources, such as the elderly, would thus be humanely killed.

It was a disgusting piece of propaganda, based partly on the murder of the disabled in Nazi Germany. The Nazis were also pro-euthanasia, producing propaganda forms with titles such as I Don’t Want to Be Born. It was also based partly on the vile views of some of the founders of the Fabian Society, particularly H.G. Wells and George Bernard Shaw, who were very much in favour of eugenics and the sterilization of the biologically unfit.

Unfortunately, many Americans were taken in by this bilge. There was a BBC report on the truly horrific state of American healthcare, in which a clinic offering free treatment in California immediately attracted 50,000 + prospective patients. These are the 20 per cent of Americans, who couldn’t afford their private healthcare before the introduction of Obamacare. The Beeb’s reported also attracted the attention of Republican supporters, who’d believed all the rubbish they’d been fed by Palin and her stormtroopers. One of these was an elderly man, who rushed up to the Beeb’s crew and shouted ‘Your healthcare system stinks!’ When they politely asked him how so, he looked confused, and began to mutter about ‘death panels’.

There are no death panels in Britain, or anywhere else with a socialized, or state-funded medical system. As for Germany, state financing of medical treatment for the workers was introduced by Bismarck in the 1870s, nearly fifty years before the Nazis seized power. There is a problem, where dying individuals may be refused treatment of expensive and/or experimental drugs or other procedures on the NHS because the costs far exceed any chance of success. This is very much a controversial issue, as we’ve seen the past week with the parents fighting to send their dying son over to America for treatment. However, there are no death panels.

The ‘Happy Booths’ described in the book are a piece of artistic invention by Baxter. Conventional Christian morality rejects euthanasia for the same reasons it has traditionally ruled out abortion, except in certain very restricted circumstances. This is because both judge that there are certain forms of human beings, such as the unborn and the disabled, who are held not to have the same rights to life. If it is permitted to kill the disabled and the unborn, it is argued, there is a danger that the same attitude will spread to other groups also considered inferior, like the Jews and other ‘untermenschen’ in Nazi Germany. And Baxter is aware of this, as elsewhere in the book he describes how the British relative of one of the astronauts, stricken by CJD or ‘Mad Cow Disease’, is going to a euthanasia clinic even though their parents consider it unchristian.

A president dependent on the support of right-wing Christian fundamentalists would alienate a sizable part of his constituency if he did. What happens instead is that, through its hostility to state medicine and the welfare state, Republican politicians of Maclachlan’s type make it impossible for the poor, severely ill to support themselves. Hence Bernie Sanders’ chilling statistic that 50,000 Americans die each year because they cannot afford private medical treatment.

This is basically the same attitude of Tory party under David Cameron and Theresa May. They have extended the sanctions system and the Work Capability Tests to make it as difficult as possible for the unemployed and the disabled to quality for state support. The result of that has been that researchers at Oxford University found that in 2015 alone, 30,000 people died through the Tories’ austerity policies. And Mike over at Vox Political reported yesterday that, according to the Skwawkbox, there’s a nasty clause in Universal Credit, which means that the claimant has to find a job in two years, or they lose their benefit.


This is a right-wing ‘genocide of the disabled’, as Mike, Johnny Void, Stilloaks, Tom Pride and the Angry Yorkshireman have said on their blogs, and Jeffrey, one of the great commenters here, has said on this. But it’s carefully hidden. The victims aren’t actually killed, they’re simply left to die. And the few politicos, who dare to call it what it is, are denied their ability to sit in parliament.

On Friday Mike commented on a piece in the Disability News Service about Mr. Jared O’Mara, a disabled Lib Dem MP, who has called the Tories’ policies towards the disabled ‘eugenics’, and stated that they want disabled people to ‘suffer and die’. Mr. O’Mara is to be commended for the way he tried to tackle Iain Duncan Smith, the former head of the DWP and therefore the government’s chief minister responsible for implementing this policy. However, Mr. O’Mara finds it impossible to find anywhere in the House of Commons to sit during debates. There is insufficient seating for all 650 MPs, and there is no form available for disabled MPs to fill in stating that they have particular seating needs. As Mike says, this is all very suspicious.

As a religious person, I can’t say I’m happy about the anti-religious stance of Titan. I went to a Christian college for my undergraduate degree, and some of the students were Creationists. I am not saying that their literalist reading of the creation story in Genesis is correct, but I have to say that they were, by and large, decent people. Those I met weren’t racists or political extremists, and I know that one or two were actually left-wing. I also can’t say that they were anti-science, outside of the very specific field of evolution. Moreover, since the election of Donald Trump there has been the emergence of a religious Left in America, something which couldn’t have been predicted when Baxter wrote the book back in the 1990s. One of the authors of the collection of articles attacking the Neo-Cons, Confronting the New Conservatism, pointed out that the Neo-Cons were not necessarily going to be politically dominant for ever. Kansas, and many of the other mid-western Republican states, had in the 1920s been centres of the Social Gospel movement, which combined Christianity and Socialism. It’s possible that as more Americans recognize how truly disgusting Trump and his party are, Christians over the other side of the Pond may return to it.

However, Trump and his administration are anti-science. The Republican party is strongly opposed to climate change, and so there has been a concerted attack on environmentalism since Trump took office. Legislation protecting America’s glorious natural heritage has been repealed, and federal scientists responsible for monitoring the environment have been effectively gagged. They may not publish any scientific papers supporting climate change, and the federal agency itself has been effectively gutted.

Titan also portrays a future suffering from global warming and catastrophic climate change, as do very many of the SF novels written during the same decade, such as Bruce Sterling’s Heavy Weather. So far Trump hasn’t wound up NASA, though I don’t doubt that the agency is still under considerable pressure to keep expenses under control. But the real harm is being done by Trump’s deliberate rejection of climate change to appease powerful donors from industry, particularly the Kochs in big oil. This denial of climate change, and that of the other world leaders, will lead to the deaths of millions worldwide. If it hasn’t already.


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2 Responses to “The Euthanasia of the Elderly in Stephen Baxter’s ‘Titan’”

  1. DT Says:


    Jared is a Labour M.P and on the left, not a lib dem, but you are right he is tenacious on disability issues.

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