In the UK, local governments have declared a Climate Emergency, but I struggle to see any tangible changes made to address it. Our daily routines remain unchanged, with roads and shops as crowded as ever, and life carrying on as normal with running water and continuous power in our homes. All comforts remain at our fingertips, and more are continually added. If anything, the increasing abundance of comfort is dulling our lives by disconnecting us from nature and meaningful living.
I have just spent a month in South Africa, visiting places where Mahatma Gandhi and Nelson Mandela lived, including the jails. They both fought against the Apartheid laws imposed by the white ruling community. However, no oppressor ever grants freedom to the oppressed unless the latter rises to challenge the status quo. This was true in South Africa, just as it was in India. Mahatma Gandhi united the people of India to resist British rule for many years, but it was the threat posed by the Indian army, returning from the Second World War and inspired by the leadership of Subhas Chandra Bose, that ultimately won independence. In South Africa, the threat of violence led by Nelson Mandela officially ended Apartheid in April 1994, when Mandela was sworn in as the country’s first Black president.
Mahatma Gandhi was not a politician but a spiritual leader, and his teachings have stood the test of time. In this article, I focus on Gandhi’s advice regarding diet and non-violence. He advocated for a purely vegetarian diet devoid of animal products such as milk, cheese, or eggs—a diet we now call vegan. To lead a meaningful life or achieve spiritual progress, we should cease killing sentient beings that do us no harm simply to satisfy our palate, especially when plenty of other choices are available. There is an apartheid against sentient beings—who will rise to reduce their suffering?
Religious Impediments
Religious ideologies have shaped societal cultures and practices, some of which have included inhumane acts such as animal sacrifices, slavery, the caste system, and restrictive roles for women. Many of these practices are convenient and boastful acts of devotion that ignore basic animal rights and human values. Such cultural practices, consolidated by economic factors, often defy modern ethics.
There is a general reluctance to reinterpret religious texts in progressive ways, but only communities that adapt to contemporary needs will thrive in the long run—others will perish.
In Hindu philosophy, Krishna is closely associated with cows and is also called ‘Gopala,’ meaning protector of cows. For thousands of years, Indian culture, deeply rooted in Vedic philosophy, has distinguished between the worldly (Vyavaharika) view and the spiritual (Paramarthika) view. The spiritual view emphasizes humanity’s intrinsic connection with nature, all life forms, and the environment.
Around 10,000 years ago, our ancestors, including those in India, advanced agriculture using knowledge, tools, and animals such as cows, bulls, water buffaloes, and horses. Among domesticated animals, cows and bulls were most prominent. Rishis (sages) emphasized preventing cruelty toward cattle as a standard for protecting all animals. Associating cattle with Krishna served as a benchmark for others to follow.
In modern times, however, bulls are almost entirely absent from agriculture, while milk demand has surged, leading to excessive cruelty toward cattle. The table below shows the per capita consumption of meat and milk in 2022 in India, the UK, and the USA:
India’s high milk consumption and low beef consumption create economic imbalances, causing misery for farmers and cruelty toward animals. Bulls and calves, deemed unnecessary, are often killed shortly after birth. Cows that stop producing milk after four to five pregnancies lose their economic value and are sold for cheap meat. These cows endure extreme suffering during transport, often without food or water, tethered upright in overcrowded trucks for hundreds of miles.
Some self-proclaimed gurus advocate for gaushalas (cow shelters) by placing a few cows in them, but many of these initiatives are mere shows to raise money.
Poor farm-level economics has also led to unhygienic conditions for farmers, animals, and products like milk and meat. The dairy industry exploits packaging, social media, culture, and religion to promote milk products. India, where lactose intolerance is higher than in Western countries, also has the highest proportion of people suffering from diabetes and heart diseases.
India stands at a critical juncture—it can rise to heal itself, lead the world, and protect the planet.
Cognitive Dissonance
Cognitive dissonance occurs when a person’s behavior conflicts with their beliefs, values, or knowledge. Over the past 50 years, industrial (factory) farming has intensified, leveraging technological, scientific, and economic advancements to maximize productivity. However, this comes at the expense of severe animal cruelty, environmental degradation, and health risks.
For instance, chickens that stop laying eggs and cows that stop producing milk are slaughtered. Many cows on UK farms are so weakened by repeated births and poor diets that they can no longer stand. These “spent” animals are sold for cheap meat, often destined for fast food markets.
The negative impacts of industrial farming include:
- Ethical concerns: Animal cruelty (e.g., suffocating male chicks or slaughtering diseased animals).
- Environmental degradation: Greenhouse gas emissions and deforestation for animal feed.
- Health risks: Zoonotic diseases and antibiotic resistance.
Supply chains are designed to make animal products convenient and affordable, but they rely on consumer demand. Companies like Just Eat encourage mindless consumption, removing the effort and thought involved in food preparation. This disconnect shields consumers from unethical practices, harming both health and the environment.
Activists, educators, and charities in India, the UK, and the USA are working to reverse these trends.
Krishna often depicted with calves and bulls as much as cows!
Non-Violation of Dharma (Duty)
It is impossible to live a life entirely free of violence—walking on grass, gardening, or even vacuuming a house can inadvertently harm insects. Even plant-based diets involve some level of harm. However, a plant-based diet aligns with the principle of "least violence." This is why I prefer the term non-violation over non-violence.
Mahatma Gandhi, in his autobiography, states that humans need no milk beyond their mother’s milk and should sustain themselves on sun-dried fruits and nuts. Such a diet represents an ideal alignment of knowledge, thought, words, and actions—a hallmark of spirituality.
(Dr Prabodh Mistry (prabodh.mistry@gmail.com) qualified as a biochemical engineer, with a PhD from Imperial College London in 1985 and has a deep interest in applying human values in education, science and technology. He works as an environmental consultant, teaches mathematics and is a proponent of Sathya Sai Education in Human Values.)
‘Debate over assisted dying raises risks for medical staff’
AFTER five hours of debate over assisted dying, a historic private members’ bill passed its second reading in the House of Commons. This is a stunning change in the way we as a nation consider ending our lives.
We know from survey research that the religious tend to be against assisted dying. Given Asians in the UK tend to be more religious, comparatively, it is likely that Asians in general are less supportive of this new proposed legislation, compared to the general public.
One study found that assisted dying was considered by Muslims as a grave sin, indicative of turning away from god. Buddhists are inclined to oppose assisted dying, as they are against killing in any form. Hindus tend not to support a doctor’s decision to assist a patient’s request for euthanasia, because of the religious conviction that this produces an unnatural separation of the body and soul, resulting in damage to the “karma” of both the perpetrator (doctor) and the recipient (patient).
But Asians tend to have greater respect for doctors, and what concerns me as a clinician is that for all the hours and hours in the media and in parliament over the debate, this illuminated an entrenched tendency to just ignore medical professional’s opinions on health care. The public and the media seem to turn to anyone – an astrologer, a shaman, a receptionist, anyone – but an actual physician over any aspect of actual medicine.
Doctors confront at first hand unbearable suffering in their patients, so you might think that they would be strongly in favour of assisted dying.
However, I as a psychiatrist, remain concerned that many of those who want to shorten their lives may be doing so because they have become clinically depressed, maybe as a result of some terrible physical or even social predicament. Then, it is the depression that is driving them to choose an early and assisted death.
In other words, we need to be careful that assisted dying isn’t an assisted suicide, when the suicidal thinking could have been the result of a treatable mental illness.
We don’t know what the final legislation might yet look like, but if it includes an assessment is required by a psychiatrist, then would I be reassured?
What might happen – if this aspect is even entertained by legislators – is that they will use terms like ‘mental health professional’, which will make it look to the general public, like psychiatrists are involved, but in the end, the interventions will be done by much cheaper employees, who never darkened the door of a medical school.
We are seeing precisely this trend play out with the fight between doctors and the government over the introduction of ‘physician associates’ into the NHS.
So, in the end, any mental health assessment that is part of a new assisted dying policy will not be any real evaluation, and it will not actually be a genuine part of the contrasting landscape we find ourselves in.
After all, you try getting a mental health assessment at your local general practice for an ‘ordinary’ depression, and experience what a nerve-shredding nightmare that becomes. If NHS mental health care has in fact crumpled up and blown away, what chance is there that those applying for assisted dying are going to get any kind of decent mental health assessment, before being signed up for early dispatch by an already overstretched system?
But it’s not just the mental health of the patients who will come under this new proposed legislation that worries me; in fact, it is also the potential long-term impact on the different emotional demands created for doctors who will work in this alternative system.
I have been told that more medics come to consult with me over their mental health, than any other psychiatrist in the UK. They opt to see me privately in Harley Street in droves because they are nervous that any question over their mental health that enters their NHS medical records could trigger an unwelcome intrusive interest from the doctors’ regulator, the General Medical Council (GMC).
Physicians have an increasingly strained relationship with their regulator, which is widely seen as overly punitive, unfair, and has even been accused of racism.
Generally, doctors work under pressure, and already experience an elevated suicide rate, which varies from country to country, but can be up to two times the suicide rate of the general public.
Interestingly, veterinary surgeons have an even higher suicide rate than doctors, indeed some surveys suggest it is twice the rate of doctors. At first glance, this appears odd, as traditionally, it is even more difficult to get into veterinary college than medical school, so these are super bright, successful people doing a highstatus job, which is often very well remunerated. They would appear to have won the lottery of life.
After all, the hugely popular TV series, ‘All Creatures Great and Small’, was set in a veterinary surgeon practice in northern England, based on the best-selling books by James Herriot, and illustrated the enormous affection the public have for these professionals.
As the British prefer animals to people, so they hold the experts who treat their four-legged friends with much greater regard, compared to those who merely look after humans.
So, given all this love and adoration from the local community, why then do vets have such a high suicide rate?
One interesting speculation might be referred to as a ‘culture of death’ theory, which suggests that what the public don’t appreciate is that a huge amount of what vets do is, in fact, put animals down as a way of relieving suffering.
The theory argues that as a result of this, day in and day out, experience, vets come to see death as a liberation, and a solution to suffering. Perhaps this leads them to pull that trigger on themselves too early, when they encounter personal suffering. If this is the case, and if assisted dying is going to introduce a new kind of similarity to medical practice that vets already possibly endure, could it mean the suicide rate in doctors might also climb higher, strangely enough, because of this new assisted dying legislation?
Dr Raj Persaud FRCPsych is a consultant psychiatrist working in private practice in Harley Street London and is author of The Mental Vaccine for Covid-19 published by Amberley Press