I’ve struggled for things to
discuss recently. Not least of all because I have had a dodgy stomach for the
best part of a weak and it’s rather knocked me for six. No doubt some bug that’s
doing the rounds. I don’t cope with illnesses very well, no matter if they aren’t
serious. But that’s just me.
Certainly there are things I could
discuss, though other blogs are better at investigation than I; you can check
some of them out from the links on the right. It seems a week doesn’t go by
these days without some DWP legal challenge going awry (for them or us). How Duncan
Smith remains in his job I simply do not know.
I have another appointment with
my (other) doctor tomorrow; yet another attempt to explain what I need. I don’t
know how many times I can go back and forth with people that seem almost institutionally
unwilling to grasp the reality of the situation. Not only that but they also
seem to believe that government policy, directly or indirectly, cannot be
counted as a reason to experience problems. As a result one is left perched
precariously in terms of support. The only benefit is that I am not in as bad a
position as some. God knows how I’d manage if I needed to use a foodbank – nor even
how I would get to one.
I am forced to change back to my
previous doctor for two reasons: he is available at least some of the time
locally, and because the current doctor is even more ignorant. The saddest part
of all is that she assures me that I will get support, yet when pressed she
doesn’t understand this won’t be possible. If I fail the tribunal she won’t be
able to help. By not directly helping that outcome is made more likely (at
least according to the CAB).
The great irony is at the heart
of their ignorance: they refuse to see that ESA
isn’t solely intended as a passport to a life of plasma screen fed indulgence
and indolence. Yet because I’m the one asking for support my attempts to
explain fall on deaf ears. Consequently they won’t underwrite, as evidence for
the tribunal, the symptoms that the claim needs evidenced. However they are
happy to offer assurances that I will get support while suggesting that work
will set me free. This, if nothing else, betrays the nature of their ignorance:
a complete lack of understanding of the reality of the labour market and the
effect of government policy. It is as if they are saying “we can’t do anything
about either of those things so we do not count them as hurdles or problems to
overcome”. Yet problems they are.
Both doctors will and have
written sick/fit notes, but balk at providing further evidence. They can’t
verify this, but then who can verify the effect of mental health on someone?
Who lives in my mind but me? Do I need to start cutting myself? Hearing voices?
Stalk the streets with a knife? These horrible symptoms are too often the
result of people whose problems have been underplayed and ignored for too long.
Sticking their professional heads in the sand will not change things.
And yet the doctor I had been
seeing recently (now permanently moved and not available locally) was happy to
post off a load of peripheral notes and case history to the CAB. I had made my
appointment to see her right after my meeting with the CAB advisor, yet she
chose not to wait until I could explain what was required and why (or at least
try). When I tried to clarify what the CAB wanted subsequently of course I was regarded
as being ungrateful and that doing anything more, to rectify, would constitute
the sort of extracurricular work doctors now feel intimidated by – even though
no more than a page or two is all that is required.
It is this mixture of ignorance
and indifference that is the problem. What people in my position need is a
holistic approach. The systems involved should be in synergy, they should not
be in opposition. Unfortunately this will remain the case as long as GP’s think
the benefits system is neither their problem nor their remit, and the DWP insist
on processes that do not reflect the reality of individual problems.
For example, the CAB, in writing
back to me their concerns that the doctor hadn’t provided specific evidence (and
I concede they may be a little too specific), mentioned the doctor had said ‘he
is capable of work’. This is a problem because of how ESA
works. It shouldn’t be a binary interpretation of health: yes/no in respect of
ability to work. It is meant to be about facilitating support through
recognising the conditions and problems present. That is what the CAB is asking
of my GP: to acknowledge the particular problems. They aren’t even asking for a
specific medical diagnosis. They just want a list of the problems; if that list
scores 15 points (an arbitrary scoring arrangement beyond all of us involved
that most us in the real world and dealing with this system recognise as such)
then I am deemed to warrant ESA. But that
doesn’t necessarily mean I couldn’t earn a living somehow. The question that
should be asked and that should follow is: how?
Unfortunately we have a system
that looks for an admission of ‘he can work’ because no matter how you qualify
that statement, in terms of symptoms or conditions attached, you exclude
yourself from state – and thus financial – support on grounds of health. What is
left is a flooded labour market further swollen by people forced to participate
that will at best struggle in competition. Until doctors realise this nothing
will change and no amount of British trademark stoicism will help.
