The decision to allow same-sex marriages in church will be a headache for Justin Welby

It may end up dominating the new Archbishop of Canterbury's tenure in the way that the women bishops debate has dominated Rowan Williams'.

As if he didn't have enough on his in-tray trying to sort out the mess over women bishops, the government's decision to permit same-sex marriage in church will create more problems for the incoming Archbishop of Canterbury, Justin Welby.

When his appointment was announced, Welby was widely described as being a "staunch" opponent of same-sex marriage. But he has never used the language of, say, the Archbishop of York John Sentamu, who once claimed that to allow gay couples to get married would be to "torture the English language."  Instead, during his first press conference Welby promised to "listen very attentively to the LGBT communities and examine my own thinking prayerfully." But however his own thinking evolves, the change will inevitably call into question both the unity of the Church of England and its relationship with wider society. 

As the women's bishops debate also showed, the church can't afford to get too out of step with the nation from which it takes its name.  When it does, it raises awkward questions about its constitutional status and privileges, even about what it is for. 

The Church's official position, as set out in its response to the government's consultation earlier this year, is to oppose any move towards equalisation marriage between gay and straight couples.  Even the government's initial proposals, which would have prohibited any same-sex ceremonies in religious premises, went too far for the Anglican leadership. The document claimed that the change would "alter the intrinsic nature of marriage as the union of a man and a woman, as enshrined in human institutions throughout history." 

It also made legal arguments, casting doubt on the government's distinction between religious and civil marriage and stressing the historic obligation of the Anglican priests to marry couples resident in their parish, whether they were members of the church or not.  However, the Church of England has long had an exemption when it comes to marrying divorcees, and recently acquired one in respect of transsexuals, so there's no obvious reason why it shouldn't also have an exemption from being required to perform same-sex marriages.

The real problem for the established church - and for the new archbishop - will be internal rather than external.  Instead of vicars being forced by the state to perform gay marriages against their conscience, a more likely scenario will see clergy banned by the church from following their conscience by performing them. The official statement was not universally welcomed by Anglicans.  Many, in fact, denounced it.  The liberal grouping Inclusive Church put in its own submission, describing the ability of churches to offer same-sex ceremonies "a fundamental principle of religious liberty."  It was "of the utmost importance that objections to the principle of same-sex marriages by some religious groups should not be used as an excuse to obstruct other groups from acting in accordance with their own religious views."  Giles Fraser, perhaps the Church's highest-profile liberal, declared that he was "spitting blood" after reading the "ridiculous" official response, which he thought had "all the democratic authority of a  Putin election victory."

Such views probably still represent a minority view among practising Anglicans, in contrast to the push for women bishops - which, despite the disappointing outcome of the recent Synod vote, has clear majority support inside the church.  And as that vote showed, it's quite easy for opponents of change to put together a blocking minority in the Synod.  So it's hard to see a proposal to permit same-sex marriage winning the necessary two-thirds majority in all three houses.  It's very likely that religious organisations will be allowed to offer same-sex weddings on the same terms that they can already offer civil partnerships: that is, only if the group as a whole decides to accept it.  Individual priests will not be able to make the decision unilaterally. 

The Church of England officially supports civil partnerships but, unlike some other religious groups including the Quakers and the United Reformed Church, has made no move to permit the ceremonies in its churches.  Once same sex marriage becomes widely accepted, as it surely will once the doom-laden predictions of its opponents prove unfounded, this is likely to change.  There will be increasingly vocal calls from liberal clergy to marry same sex couples.  In Denmark, the national Lutheran Church already performs same sex weddings, with exemptions for individual ministers who have an objection. Such a solution could also work in the Church of England.  But not before another almighty row between the C of E's liberals and conservatives. It may end up dominating Justin Welby's tenure as archbishop in the way that the women bishops debate has dominated Rowan Williams'.  

Justin Welby. Photo: Getty
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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear