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MAGICAL MEDICINE: HOW TO MAKE AN ILLNESS ... - Invest in ME

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anxiety and guilt of people with serious conditions by suggest<strong>in</strong>g that they are caus<strong>in</strong>g their own illnesses, when all<br />

along they are suffer<strong>in</strong>g from <strong>in</strong>sufficiently understood but real diseases.<br />

“The personal adviser will have a worry<strong>in</strong>g degree of power over the lives of people who are by def<strong>in</strong>ition vulnerable.<br />

GPs will no longer be looked to for <strong>in</strong>dependent, expert assessments.<br />

“Sadly, serious disease and disability cannot be glossed out of existence by platitudes like ‘work is the best therapy’.<br />

“People will not f<strong>in</strong>d comfort <strong>in</strong> the Government’s refusal to acknowledge the medical reality of their conditions, or<br />

their own huge efforts to cope with these.<br />

“In effect, though claim<strong>in</strong>g to address the future, the DWP is turn<strong>in</strong>g the clock back to a time before<br />

National Insurance, when the cost of sickness was borne by the <strong>in</strong>dividual and the family. The cost to<br />

those people and their families will be <strong>in</strong>calculable”.<br />

Professor Ravetz followed up her 2006 document with an article <strong>in</strong> The New Statesman published on 1 st<br />

May 2008 entitled “Is Labour abolish<strong>in</strong>g illness?” (http://www.newstatesman.com/politics/2008/05/work‐<br />

benefit‐claimants‐reform):<br />

“We are told that we are foot<strong>in</strong>g an outrageously escalat<strong>in</strong>g bill for 2.4 million people, a million of whom shouldn’t be<br />

on the benefit at all. The true picture is somewhat different. The unreported version is that only 1.4 million of the 2.4<br />

million actually receive any payment (and) the audited estimate of fraud is under 1 per cent – the lowest of any part of<br />

the social security system.<br />

“A ma<strong>in</strong> sell<strong>in</strong>g po<strong>in</strong>t of the reform was the great sav<strong>in</strong>gs it would br<strong>in</strong>g. Delivery is be<strong>in</strong>g farmed out to private<br />

agencies paid by results – which means, of course, the sett<strong>in</strong>g of targets. The next few years will be a bad time to<br />

succumb to a serious disease, particularly a neurological one that does not have obvious outward symptoms.<br />

“People must be healthier, which proves that huge numbers are exploit<strong>in</strong>g a slack and obsolete system. Who is to<br />

blame? It can only be the self‐<strong>in</strong>dulgent, who fancy themselves sicker than they really are, and complacent GPs who let<br />

them th<strong>in</strong>k they are too ill to work.<br />

“The Government’s declared mission is …to overturn a culture based on the ‘medical model’ of illness.<br />

“Doctors –‐ so often the refuge of desperate people try<strong>in</strong>g to f<strong>in</strong>d out what is wrong with them – should as far as<br />

possible be excluded from the process.<br />

“Deliberate rejection of the ‘medical model’ deprives us of all we might have learned (from the wealth of data available)<br />

of the impact of illness on our society.<br />

“I have scratched my head long and hard over this reform…because so much of its theory and rhetoric contradicts my<br />

own experience of chronically and seriously ill family members…and years of <strong>in</strong>volvement <strong>in</strong> action groups for chronic<br />

fatigue conditions. All this has impressed me with the courage of many who live with horrible compla<strong>in</strong>ts, the sheer<br />

hard work <strong>in</strong>volved <strong>in</strong> their day‐to‐day cop<strong>in</strong>g, their relentless search for any amelioration, let alone cure.<br />

“I have witnessed, too, and at close quarters, the hurt and stress of liv<strong>in</strong>g difficult lives <strong>in</strong> a perpetual culture of<br />

disbelief and threat, where some of the most valiant are blamed for their conditions and conflated with the alleged ‘can’t<br />

work, won’t work’ unemployed.<br />

“For the message of the reform that comes across is that a person is valued only as a productive<br />

unit….those too ill to work are outside society, and money spent on them is wasted. Sickness, disablement<br />

and <strong>in</strong>ability to work have no place <strong>in</strong> a modern society – they can’t and shouldn’t be afforded”.

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