The world finds itself reflecting on the legacy of Queen Elizabeth II as 2023 marks what would have been her 100th birthday. In a recent cover story from PEOPLE magazine, the focus shifts to the contemporary state of the royal family in light of the late monarch’s absence. This milestone invites royal experts to consider how Queen Elizabeth would have navigated the current challenges her family faces.
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Throughout her 70-year reign, Queen Elizabeth was a pillar of stability for the nation. From tribulations during the “annus horribilis” to the societal changes wrought by her long tenure, she remained a steadfast presence. Royal biographer Sally Bedell Smith commented on the late Queen’s calmness during crises, stating, “She was the calm in the face of problems. People knew that they could count on her.”
However, the monarchy has encountered numerous difficulties since the Queen’s passing in September 2022. This period has been marked by controversies, including Prince Harry’s strained relationship with the family and the scandal surrounding Prince Andrew. Catherine Mayer, author of the forthcoming book *Divide and Rule*, remarked on the transformation of the royal family, observing, “You go from having a streamlined but action-ready royal family to having the monarchy itself looking incredibly tattered.”

The scrutiny extends beyond family dynamics to serious health concerns, as both King Charles and Kate Middleton disclosed their cancer diagnoses in early 2024. This newfound openness stands in stark contrast to the late Queen, who, throughout her long life, was known for maintaining her health as a private affair, rarely revealing details of any medical challenges she faced. Queen Elizabeth lived a full 96 years, frequently emphasising the importance of duty above all.
In a notable shift, Kate Middleton shared in January 2025 that she was in remission, while King Charles informed the public in December that his treatments were being reduced. This candidness from senior royals marks a significant change in how the monarchy addresses personal health matters, explicitly contrasting the previous stance held during Queen Elizabeth’s rule.

When discussing how the late Queen might have addressed these health crises, Bedell Smith suggested, “The Queen would have been extremely concerned, but would have relied on her faith to sustain her… She would have been a good support for both of them.” Ailsa Anderson, who served as the Queen’s former press secretary, echoed this sentiment, highlighting the monarch’s role as a unifying figure in tough moments. She stressed, “In moments of anguish, stress and crisis, she was the glue that kept us all together.”
Despite the absence of Queen Elizabeth’s guiding influence, Anderson believes the royal family has the resilience to navigate these trying times. She conveyed an optimistic message to PEOPLE, asserting that their troubles are not destined to spell their downfall. “They’re survivors. The monarchy has weathered far worse,” she stated confidently.
The modern royal family, though facing trials, may still draw upon the principles of stability, duty, and resilience that defined the late Queen’s legacy. Members of the family are adapting to unprecedented challenges, suggesting that they carry forward the lessons learned during her reign. As Britain reflects on the Queen’s centennial, it stands at a crossroads, pondering its future while honouring the enduring impact of a figure who shaped modern monarchy.
As discussions regarding the royal family’s dynamics and health continue, the public waits with bated breath for the future paths that will unfold. The spirit of Queen Elizabeth II remains an integral part of these conversations, serving as both a touchstone and a guiding light amidst the uncertainties they now face.
