Mike this week put up a piece reporting and commenting on the admission by Maximus that they do indeed ask depressed people questions about suicide as part of the Work Capability Assessment. See http://voxpoliticalonline.com/2017/03/11/dwp-contractor-admits-routinely-asking-sickness-benefit-claimants-dangerous-questions-about-suicide/There are several questions. The first questions simply ask them if they have had thoughts about suicide, and the frequency and severity of these thoughts. These are, in my view, reasonable questions. Or rather, it would be if it were part of a genuine medical examination as part of a real programme to make that person well again. Depression isn’t a case of being ‘a bit down’. It is, as the British medical scientist, writer and Humanist, Lewis Wolpert described it in the title of his book, ‘A Malignant Sadness’. Clearly, if someone does have thoughts about suicide, they are extremely unwell and desperately need help.
The other questions, however, is unwarranted and frankly dangerous. The depressed person is then asked
“And what is it that stops you from acting on the thoughts that you have?
“Can you think of any reason that you’re not doing that? Is it friends or family support?”
Now it should be clear to anyone with the most meagre level of intelligence that asking people, who are already mentally fragile and have admitted they think of doing themselves injury or actually killing themselves, why they haven’t done so is extremely dangerous. My guess is that the way it is phrased in particular makes the question seriously unethical, as it seems to assume that the depressed person is not seriously troubled by these thoughts unless he or she has tried to act them out.
I don’t know, but I can imagine that if a social scientist or medical professional doing research amongst the clinically depressed asked the question, they could be hauled up before their relevant bodies overseeing professional standards for ethics violations or misconduct. As part of their training, social scientists are told not to phrase questions in the form of ‘You’re not…are you?’ And the Hippocratic Oath, a form of which doctors were required to take until recently, contained the provision ‘And I shall do no harm.’ These questions seem close enough to the first question, at least in spirit, to make them also unethical, while violating that provision of the ancient doctor’s Oath in that they could seem to some to be suggesting that they should.
The Work Capability Test itself is a scientific travesty. It is based on spurious and scientifically invalid research supposedly linking recovery to illness to mental attitude. The whole wretched test was introduced by Blair and his coteries on the recommendation of the American insurance fraudster, Unum, in a conference in the first years of this century. It is based on the attitude, shared by the Blairites and the Tories, that nearly everyone claiming invalidity or sickness benefit is a malingerer, despite the fact that such fraud only counts for 0.7 per cent of such claims.
The question also shows the immense double standards about health that persists between us and our rulers. It’s assumed that asking a severely ill person why they haven’t harmed themselves or committed suicide is acceptable. But heaven help anyone, who asked the same question of a captain of industry or leading politician why they haven’t tried to commit suicide, and you can imagine the feeding frenzy from an outraged press.
For example, the Blairite contender for the Labour leadership and flagrant liar, Angela Eagle, was asked by Andrew Neil on the Daily Politics about Tony Blair and whether the vile warmonger should face trial for leading Britain into an illegal war. Tellingly, she said no, as ‘Tony’s been through the wringer’. Thus showing that she cared more for the Dear Leader’s anguish than for the real horror he has inflicted on hundreds of thousands, of not millions of innocent people, who have been killed, tortured and forced out of their homes through the carnage he and that other malignant creature, George Dubya Bush, have created through their war. I don’t know what Neil’s response was, but can you imagine the outrage that would have resulted if Neil had said, ‘Well, he can’t be going through too much trouble, ’cause he’s still walking’.
Or if one of the other interviewers asked the same question of one of the Tories, like Theresa May, David Cameron, or the people directly responsible for the question: Ian Duncan Smith and Damian Green. There would have been fury directed at the ‘left-wing’ BBC. How dare they suggest that a minister of the realm isn’t doing his job if he hasn’t committed suicide for his failures! Or even the suggestion that they have failed in their job, which the Tories have, spectacularly.
But if it is acceptable to ask a gravely disturbed person why they haven’t acted out their desires to harm themselves, then by the same standard it should be acceptable to ask the same questions of anyone, including and particularly the ministers that have formulated that question.
Now I am not suggesting that Blair, May, Cameron, aIDS or Damian Green should be asked these questions, or otherwise be told to kill themselves, for precisely the same reason I don’t think anyone should be asked these questions. I am merely trying to point out the double standards involved here.
Now I imagine that if they were asked about this question, Damian Green or his predecessor, the Gentleman Ranker (and a right ranker he truly was) would say, in their inimitably patronising manner, that they are only trying to gauge the severity of the illness. This is rubbish. The whole test is structured so that the government can find some pretext to deny paying the ill person disability benefit on the grounds that they’re still somehow fit for work.
And Mike and many other bloggers and disability activists also see something much more sinister here. Many tens of thousands of people have committed suicide, or died in poverty and misery after being thrown off benefit, although the DWP continues to deny it. See Stilloaks website and the blog, ATOS Miracles, for further coverage of this and the biographies and individual cases of some of the victims. For Mike and people like Jeff Davies, one of the long term commenters on my blog this is evidence of a covert, secret genocide of the disabled. The government wants them dead, because that way they don’t have to pay out to support them. They can continue lowering the taxes of their rich donors.
This is how it’s beginning to look to very many of us, whether we’re disabled or fit. The presenters of the Channel 4 comedy review show, The Last Leg, even said so themselves. There should be mass outrage about these questions and the test itself. That there isn’t is a major disgrace in itself.