Category: Social Policy

Court rules that Tory benefit cap unlawfully discriminates against disabled people

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A high court judge has ruled that Iain Duncan Smith’s welfare policy unlawfully discriminates against disabled people by failing to exempt their carers from the benefit cap. The ruling is the second this year to criticise the cap. In March, the supreme court found that the cap left people claiming benefits unable to house, feed or clothe their family and was therefore in breach of the UK’s obligations regarding international human rights.

Mr Justice Collins said the government’s decision to apply the cap to full-time carers for adult relatives had created serious financial hardship for them, forcing many to give up caring for loved ones, and had also placed extra costs on the NHS and care services.

The ruling comes after two carers brought the case against the Department for Work and Pensions (DWP) following serious concerns that the benefit cap would unfairly harm those who care for their disabled children and relatives. The carers were caring for more than 35 hours a week, the judge said that they were effectively in work, even though they were in receipt of benefits, and therefore should be exempt from the cap.

Carers are able to claim about £60 a week if they care for relatives. These claims, however, were to be included in the £500 a week  benefit cap, which was introduced by the government in the belief that so-called “workless” families need to experience financial loss, a decrease in basic security and a severe decline in their standard of living in order to “incentivise” them to try harder to get a job.

On Thursday, the High Court ruled that the government had breached article 14 of the European Convention on Human Rights. Family carers who receive Carer’s Allowance should be exempt from the benefit cap. The High Court ruled that the Secretary of State for Work and Pensions had indirectly discriminated disabled people by failing to exempt unpaid carers for disabled family members from the cap.

Collins said: “To describe a household where care was being provided for at least 35 hours a week as ‘workless’ was somewhat offensive. To care for a seriously disabled person is difficult and burdensome and could properly be regarded as work.” 

Campaigners have welcomed the decision, highlighting the damaging effects the cap would have had on carers looking after  adult disabled relatives.

Rebecca Hilsenrath, chief executive of the Equality and Human Rights Commission, said: “We are pleased that the court has found the impact on disabled people of losing a family carer had not been properly considered.

“The effect could be profound and the loss of a trusted carer devastating.

“The substantial reduction of income could jeopardise the ability of those affected to continue to care for severely disabled relatives. The court noted that the Secretary of State did not provide any information to Parliament about the effect on disabled people if their family carer were unable to continue.

“The court also held that, rather than saving public money, it would cost considerably more for the care to be provided by local authorities or the NHS.”

Laywers acting for the secretary of state had argued that unpaid carers should be treated as unemployed people who should have to make the same choices as anyone else about whether to work or cut their living costs. But Collins said those providing full-time care could not be in full-time work unless they gave up or cut back significantly on their caring responsibilities.

Unpaid carers made “a huge contribution to society” and “saved the taxpayer the equivalent of £119bn a year,” he said. Were carers forced to give up their role, taxpayer-funded services would have to spend huge amounts providing the care instead.

The judge added that the government should exempt carers because “the cost to public funds if the cap is to be maintained is likely to outweigh to a significant extent the cost of granting the exemption.”

He said: “Nowhere in the impact assessments or in what was put before Parliament was the effect on the disabled of loss of family carers raised. It in my view should have been, since it ought to have been apparent that the impact of a possible loss of a trusted family carer could be profound.

“Reconsideration will I hope be given to whether the present regulatory regime is appropriate, having regard to the hardship it can and does produce.”

A DWP spokesperson said: “We are pleased that the court agrees that the benefit cap pursues a legitimate and lawful aim.

The court didn’t actually agree that.

“The Government values the important role of carers in society – and 98% are unaffected by the cap. We are considering the judgment and will respond in due course.”

On Thursday, the following “urgent” bulletin was released from the Department for Work and Pensions:

Judicial Review in the case of R v Secretary of State of the inclusion of Carer’s Allowance in the benefit cap.

1. Today the judgment has been handed down in a judicial review in the case of R v Secretary of State of the inclusion of Carer’s Allowance in the benefit cap.

2. We are pleased that the Court agrees that the benefit cap pursues a legitimate and lawful aim.

3. However the Court has asked us to look again at the indirect impact on those disabled people whose carer is subject to the cap on household benefit payments.

4. We will consider this judgment and set-out our position in due course. We are continuing to apply the benefit cap as now, and there is no change to applying the cap to carers.

 
The bulletin also provides some questions with answers to enable staff to respond to any enquiries they may receive. You can read those here.

The standard responses to many of the anticipated questions are:

 “We are considering the judgment and will set-out our position in due course.”

“The benefit cap continues to apply.”

 Steve Bell cartoon


Research finds strong correlation between Work Capability Assessment and suicide

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In England between 2010 and 2013, just over one million recipients of the main out-of-work disability benefit, Employment Support Allowance (ESA) had their eligibility reassessed using a new stringent functional (as opposed to medical) checklist – the Work Capability Assessment.

Doctors, disability rights organisations, mental health chaities and individual campaigners, such as myself, have raised concerns that this has had an adverse effect on the mental health of claimants, but there have been no population level studies exploring the health effects of this or similar policies, until now.

Research, conducted by B Barr, D Taylor-Robinson, D Stuckler, R Loopstra, A Reeves, and M Whitehead, has established a link between the Work Capability Assessment (WCA) and suicide. The research, published in the Journal of Epidemiology and Community Health (which is peer-reviewed,) and carried out by social scientists from a variety of backgrounds, from the universities of Oxford and Liverpool, scrutinised the rates of mental health issues and suicide in different local authorities in England.

The study found that the authorities with a greater number of people undergoing WCAs also have more people reporting mental health problems, more people being prescribed antidepressants, and more people taking their own lives. The research found that every 10,000 assessments led to around six suicides.

For comparison in terms of statistical significance, isotretinoin, an acne medication which was notoriously linked to suicides, is associated with around four extra deaths per 10,000 treatments.

The researchers estimate that for every 10,000 people reassessed, you would expect to see an additional six suicides (95% confidence interval (CI) 2 to 9), an extra 2,700 reports of mental health problems (95% CI 548 to 4,840) and 7,020 extra antidepressants prescriptions (95% CI 3,930 to 10,100). By convention, 95% certainty is considered high enough for researchers to draw conclusions that can be generalised from samples to populations.

There have been more than 1 million assessments since the WCA was introduced, which suggests that there may be more than 600 people who have taken their own lives who would otherwise have not. The researchers say: “Our study provides evidence that the policy in England of reassessing the eligibility of benefit recipients using the WCA may have unintended but serious consequences for population mental health.”

There have been earlier claims and evidence that the Department for Work and Pension’s (DWP) reforms have led to deaths. However, the DWP has persistently refused to release data which would make it possible to assess whether the death rate for people found fit for work is higher than would be expected.

Both the assessment and appeals process itself, which is widely reported to be stressful, and the financial hardship that occurs when people are denied disability benefits, could result in negative health effects. There is good evidence that loss of income, particularly for people already on low incomes, increases the risk of common mental health problems.

People undergoing a WCA are likely to be particularly vulnerable to the adverse mental health consequences of this policy because a very high proportion have a pre-existing mental health problem. Furthermore, those with physical chronic illness are more prone to mental health problems such as reactive depression, and sometimes, forms of depression that are associated with the illness itself.

The research included efforts to rule out other possible causes of suicide – to eliminate potential confounding variables and bias – for example, there is no similar effect found in people over 65, who are not subject to the WCA – and so the results suggest that the link between the WCA and suicide is not due to “confounding” factors, but is most likely causal.

The Department for Work and Pensions has rejected the study’s findings. A spokesperson said in a statement: “This report is wholly misleading, and the authors themselves caution that no conclusions can be drawn about cause and effect.” 

However, the DWP have no grounds for their own claim whatsoever. Whilst correlation isn’t quite the same thing as cause and effect, it often strongly hints at a causal link, and as such, warrants further investigation. It certainly ought to raise concern from the DWP and ministers, regarding the negative impact of policy on many of the UK’s most vulnerable citizens.

The association with the WCA and its adverse effects is, after all, more clearly defined than the one between the drug isotretinoin and suicide, and the drug was withdrawn in the US and some European Member States.

In the UK, it is now (as of November last year) prescribed only under strict monitoring conditions, and patients are provided with warnings about the possibility of adverse psychiatric effects. No such warning and monitoring exists regarding the possible adverse psychiatric effects of the WCA. In fact the government have stifled both enquiry into a causal link and discussion of even the possibility there may be such a causal link, despite being presented with much evidence of a strongly indicated correlative association.

Dr Benjamin Barr, one of the researchers from Liverpool University, said that a causal link was likely: “Whilst we cannot prove from our analysis that this is causal, there are various reasons why this is a likely explanation,” he said.

He agreed that a study looking specifically at people who had undergone a WCA would be more precise, but added that the DWP has not released that information.

Dr Barr said: “If the DWP has data on this they should make it openly available to independent analysis.” He added that the DWP has so far chosen not to run a trial of its own into a link between WCAs and suicides.

The researchers found that those local areas where a greater proportion of the population were exposed to the reassessment process experienced a greater increase in three adverse mental health outcomes – suicides, self-reported mental health problems and antidepressant prescribing.

These associations were independent of baseline conditions in the areas, including baseline prevalence of benefit receipt, long-term time trends in these outcomes, economic trends and other characteristics associated with risk of mental ill-health. These increases followed – rather than preceded – the reassessment process.

The report concluded that the study results have important implications for policy. The WCA and reassessment policy was introduced without prior evidence of its potential impact or any plans to evaluate its effects. Given that doctors and other health professional have professional and statutory duties to protect and promote the health of patients and the public, this evidence that the process is potentially harming the recipients of these assessments raises serious ethical issues for those involved.

The Royal College of Psychiatrists has also said the research was of “high quality”, adding that it called into question the wisdom of the Government’s reforms.

Last year, coroner Mary Hassell told the DWP she had concluded that the “trigger” for Michael O’Sullivan’s suicide was his fit for work assessment.

“During the course of the inquest, the evidence revealed matters giving rise to concerns. In my opinion, there is a risk that future deaths will occur unless action is taken,” she wrote in the document, known as a Prevention of Future Deaths or regulation 28 report.

At the inquest, Hassell said O’Sullivan had been suffering from long-term anxiety and depression, “but the intense anxiety which triggered his suicide was caused by his recent assessment by the Department for Work and Pensions [benefits agency] as being fit for work and his view of the likely consequences of that”.

The inquest heard that the DWP assessing doctor, a former orthopaedic surgeon, did not factor in the views of any of the three doctors treating O’Sullivan. The coroner said O’Sullivan was never asked about suicidal thoughts, despite writing them down in a DWP questionnaire.

Previously, the loss or reduction of benefits has been cited by coroners as a factor in deaths and suicides of claimants.

The DWP have so far failed to respond coherently, other than with a denial of a “causal” link.

You can read the full research report here.

It’s not the only time that Conservative austerity policies have been implicated in causing harm to citizens. Nor is it the only time that Conservatives have responded with utter indifference to the disproportionately negative impact of their policies on the poorest people. 

A study from Durham University, which looked at over 70 existing research papers, concluded that as a result of unnecessary recession, unemployment, welfare cuts and damaging housing policies, Margaret Thatcher’s legacy includes the unnecessary and unjust premature death of many British citizens, together with a substantial and continuing burden of suffering and loss of wellbeing.

The research shows that there was a massive increase in income inequality under Baroness Thatcher – the richest 0.01 per cent of society had 28 times the mean national average income in 1978 but 70 times the average in 1990, and UK poverty rates went up from 6.7 per cent in 1975 to 12 per cent in 1985. Suicides increased.

Co-author Professor Clare Bambra from the Wolfson Research Institute for Health and Wellbeing at Durham University, commented: “Our paper shows the importance of politics and of the decisions of governments and politicians in driving health inequalities and population health. Advancements in public health will be limited if governments continue to pursue neoliberal economic policies – such as the current welfare state cuts being carried out under the guise of austerity.”

David Cameron’s government has gone much further than Thatcher ever did in cutting essential support and services for protected social groups, such as sick and disabled people, and poorer citizens.

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Pictures courtesy of Robert Livingstone

From homes fit for heroes to the end of secure, lifelong social housing tenancies

Social housing arose to supply uncrowded, well-built homes on secure tenancies at reasonable rents to primarily working class people. The First World War indirectly provided a new impetus for house building programmes, when the poor physical health and condition of many urban recruits to the army raised alarm. This led to a post-war campaign – Homes fit for heroes and in 1919 the Government first required councils to provide housing, helping them to do so through the provision of subsidies, under the Housing Act 1919.

Determined to “lift the shadow of the workhouse from the homes of the poor”, David Lloyd George also promised “a land fit for heroes.” But it was after the Second World War that council house building programmes and inner city slum clearance began in earnest. There was and still is a constant demand for social housing, and “waiting lists” are maintained, with preference being given to those in greatest need.

The post-war settlement refers to an era of public policy consensus that included support for collectivism, a mixed economy, access to justice, healthcare, social housing and a broader welfare state. It lasted until the monetarism and privatisation programmes of the New Right government of Thatcher.

Thatcher’s “right to buy” scheme depleted social housing stock, and there was a sharp decline in the building of new council homes, as she legislated to prevent councils reinvesting money from the sales of housing in building new council houses.

Now the Conservative government is planning to scrap lifetime security of tenure for renters in council and housing association properties, in favour of in favour of fixed-term contracts, according to housing industry reports. Up until recently, most tenants in council and housing association properties had lifetime security, compare to private renters who generally face six-month or one year tenancies.

However, the Tory bedroom tax has eroded the very idea of secure social housing tenure, because people on unemployment benefits, low wages and particularly disabled people now face either an unaffordable housing benefit penalty (and therefore a rise in the amount they have to pay in rent) if they are deemed to be “under-occupying” their home.

Now, under government plans, social landlords will no longer be able to automatically issue tenancies on a lifetime basis and would instead be forced to offer fixed-term lets for prospective tenants.

Although social landlords have been allowed to issue five-year tenancies since the Government changed the law in 2012, only around 1 in 10 new tenancies have seen the offer taken up.

In July the government said it would review the use of lifetime tenancies and limit their use. Civil servants have briefed several sector figures in the last few weeks that this strategy will go as far as preventing landlords offering lifetime tenancies to new tenants.

The Government and the social housing sector recently had a major disagreement over Tory plans to extend its Right To Buy policy to housing associations.

Landlords initially threatened legal action over the proposals when they first appeared in the Tory manifesto, but were apparently encouraged to agree a deal that involved no primary legislation.

The Government recently cut social housing rents in the budget but is planning to raise them for higher earners, under a new policy dubbed “pay to stay”.

Although Natalie Elphicke, co-author of the Treasury-commissioned House/Elphicke review of council house building, has previously urged that lifetime tenancies are restricted to groups such as those in “extreme old age” or “highly disabled” people, at the moment there is no guarrantee  that this will happen.

Michael Gelling, chair of the Tenants and Residents Organisations of England (TAROE), said the prospect was “alarming”, and that long-term tenancies gave tenants and communities stability.

Civil servants are said to be briefing industry figures on the changes, with an official announcement due within the next few months.

A spokesperson for the Department for Communities and Local Government told Inside Housing: “More details will be available in due course.”

547145_195460507271672_1145852710_nCourtesy of Robert Livingstone

This post was written for Welfare Weekly, which is a socially responsible and ethical news provider, specialising in social welfare related news and opinion.

United Nation’s investigation in the UK concerning the human rights of disabled people- submission deadline

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I reported last year that the UK is to be investigated formally by the United Nations because of allegations of “systematic and grave” violations of disabled people’s human rights.

In August I wrote that officials from the United Nation’s Committee on the Rights of Persons with Disabilities (UNCRPD) are to visit Britain. The inquiry is confidential, and those giving evidence have been asked to sign a confidentiality agreement.

A United Nations team have arrived in the UK and it’s understood they will visit Manchester, London, Bristol, as well as parts of Scotland, Wales and Northern Ireland.

The United Nations team are also expecting to meet with the Equality and Human Rights Commission, members of parliament, individual campaigners and disabled people’s organisations, representatives from local authorities and academics.

The team will be gathering direct evidence from individuals about the impact of government austerity measures, with a focus on benefit cuts and sanctions; cuts to social care; cuts to legal aid; the closure of the Independent Living Fund (ILF); the adverse impact of the Work Capability Assessment (WCA); the shortage of accessible and affordable housing; the impact of the bedroom tax on disabled people, and also, the rise in disability hate crime.

In 2013, Amnesty International condemned the erosion of human rights of disabled people in UK, and the Joint Parliamentary Committee on Human Rights conducted an inquiry into the UK Government’s implementation of Article 19 of the United Nations Convention on the Rights of Persons with Disabilities – the right to live independently and to be included in the community. The inquiry, which began in 2011, has received evidence from over 300 witnesses.

The inquiry highlighted just how little awareness, understanding and employment of the Convention there is by the (then) Tory-led Government. Very few of the witnesses made specific reference to the Convention in their presented evidence, despite the inquiry being conducted by the Parliamentary Human Rights Committee, with the terms of reference clearly framing the inquiry as being about Article 19 of the UN’s committee on the rights of persons with disabilities. (UNCRPD.)

“This finding is of international importance”, said Oliver Lewis, MDAC Executive Director, “Our experience is that some Governments are of the view that the CRPD is nothing more than a policy nicety, rather than a treaty which sets out legal obligations which governments must fulfil.”

The report was particularly critical of the Minister for Disabled People (Maria Miller, at the time) who told the Committee that the CRPD was “soft law”. The Committee criticised this as “indicative of an approach to the treaty which regards the rights it protects as being of less normative force than those contained in other human rights instruments.” (See the full report.) The Committee’s view is that the CRPD is hard law, not soft law. 

In August, I wrote about how the inquiry was triggered by campaigners and groups using the convention’s optional protocol, (which the last Labour government signed us up to, in addition to the convention.) The protocol allows individuals (and groups) who are affected by violations to submit formal complaint to the UNCRPD.

The deadline for evidence submissions to the UNCRPD is thought to be 31 October.

Contact details are here.

Jeremy Corbyn confronted the Tories with the poverty they’re creating at PMQs – and all they could do was laugh – Liam Young

Originally published in the Independent by Liam Young.

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The Tories seem to forget that they were the last government – at some point they will have to take responsibility for their handling of the nation.

As Jeremy Corbyn stood for his second PMQs today, the mocking Tory laughs told us everything we need to know about their enduring Bullingdon Club-style politics. Old habits die hard, it seems. But Corbyn opened strongly, with an issue that unites the Labour party: the cuts to working tax credits which penalise the lowest earners, known colloquially as the Tory work penalty.

Again, the Tories laughed at the name ‘Kelly’, so apparently unbelievable do they find the first names of Corbyn’s constituents; they soon fell silent, however, as they heard of her struggle as the mother of a disabled child earning minimum wage in a 40.5-hour-per-week job. Corbyn tackled the bullyboys by pausing at their laughter this time. ‘Some may find this funny,’ he said, as he continued to talk about mass inequality and the housing problem in London. It was a subtle highlight of something glaringly obvious: for millionaires protected by Tory policies, inequality bolstered by unfair taxes and buy-to-let properties really is hilarious.

Cameron’s reply to the work penalty issue was the same old line: apparently a £20-a-week increase in wages will magically solve the problem. This is not true, of course, as Corbyn promptly replied: working families are set to be £1,300 a year worse off as the Conservative government hammers the working and middle classes so as to give to the super rich.

Cameron claimed that Corbyn’s figures on poverty were wrong, but perhaps that is something to do with the fact that the Work and Pensions Secretary fixed the definition of ‘poverty’ recently. You don’t feed and clothe homeless children by changing a definition, and the government should be ashamed. The fact that 50 per cent of wealth is in 1 per cent of hands globally is shambolic, and reports today that inequality is growing in the UK even as our country now has the third most ‘ultra-high net worth individuals’ in the world put paid to Cameron’s claims to have driven opportunity. There could be no bigger proof that his policies continue to squeeze the middle and punish the poor.

Jeremy Corbyn probably had a headache even before PMQs started. George Osborne’s proposal of a ‘fiscal charter’ has been causing problems for Labour over the last few days, not least because it was once a Labour policy rubbished by Cameron himself. It seems strange, then, that Tories are so desperate to implement it now, considering that the Governor of the Bank of England has not endorsed its proposal and no economist has come out in support of it. Most commentary has focused on how it is unrealistic to try and tie the hands of future governments – almost as though Osborne is trying to make an ideological (and erroneous) point about how Labour ‘caused the recession by their overspending’, rather than the truth about rich bankers running wild without regulation. Of course, it also gave Osborne an excellent opportunity to personally ask Labour MPs to rebel – little more than a cynical attempt to ruffle some feathers.

In June, over 70 economists published a letter that clearly noted that the charter has ‘no basis in economics’ and that permanent surplus would increase the debt of households and businesses. The policy is not about protecting the British economy; it is an attempt to bury the Labour party under the same message of the last government. The Tories seem to forget that they were the last government – they have been in power now for almost six years, and at some point they will have to take responsibility for their handling of the nation.

Despite all this, PMQs today were the best moment of Corbyn’s leadership of the Labour party so far. Osborne’s attempt to destabilise the Labour party and force Labour MPs to rebel spectacularly failed, while Corbyn asked if he could bring the Prime Minister back to reality as Tory rhetoric failed against his grassroots facts.

Cameron wants to get Britain building houses, he wants to alleviate poverty, and he wants to rebuild the economy – or so he’d have you believe. In the last five years, house-building has stalled, poverty has increased, inequality appears to be rising and the national debt has doubled. At some point, the Tories have to stop blaming Labour for their own disastrous record. Corbyn is now attacking their mythology head-on – and he might just be getting somewhere. 

Liam Young is a freelance political journalist studying international relations at the LSE

Sanctions are founded on Tory psychobabble. You can’t “incentivise” people by starving them

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The fact that there is now such an extensive gap between Conservative rhetoric, the claims being made and reality makes the task of critical analysis difficult.

But the most striking thing isn’t just the disorientating gap between rhetoric and reality: it is also the gap between the bland vocabulary used and the references, meanings and implications of what is actually being said.

Lying, saying one thing and doing another, creating a charade to project one false reality when something else is going on, is very damaging: it leaves people experiencing such deception deeply disorientated, doubting their own memory, perception and sanity.

To cover their tracks and gloss over the gaping holes in their logic, the Tories employ mystification techniques, the prime function of which is to maintain the status quo. Marx used the concept of mystification to mean a plausible misrepresentation of what is going on (process) or what is being done (praxis) in the service of the interests of one socioeconomic class (the exploiters) over or against another class (the exploited). By representing forms of exploitation as forms of benevolence, the exploiters confuse and disarm the exploited.

The Conservatives also use Orwellian-styled language – semantic shifts – and construct incongruent, dissonance-inducing narratives to misdirect us, and to mask the aims and consequences of their policies.  For example, the words “fair”, “support” and the phrase “making work pay” have shifted to become simple socio-linguistic codifications for very regressive punitive measures such as cuts to social security support. 

The semantics are also stratified. People who are unaffected by austerity policies will probably take the bland vocabulary at face value. Cameron said:

“The British people are decent, sensible, reasonable, and they just want a government that supports the vulnerable.”

However, the “vulnerable” know a very different reality to the one substituted and described on their behalf. People who are adversely affected by Conservative policy will regard the bland vocabulary as bewildering, deceitful, frightening – especially because of its incongruence with reality – and most likely, as very threatening. Such rhetoric is designed to hide intention, but it is also designed to deliberately invalidate people’s own experiences of Tory policies and ultimately, the consequences of an imposed Tory ideology.

Not that there can be any mistaking the threats aimed at sick and disabled people from Duncan Smith in his Conference speech. He said:

“We won’t lift you out of poverty by simply transferring taxpayers’ money to you. With our help, you’ll work your way out of poverty.”

Of course the Work and Pensions secretary employed a traditionally Tory simplistic, divisive rhetoric that conveniently sections the population into “deserving” tax payers and “undeserving” non-tax paying citizens, to justify his balefully misanthropic attitude towards the latter group, as usual. However, the majority of sick and disabled people have worked and have contributed tax. 

Tory claims are incongruent with reality, evidence, academic frameworks and commonly accepted wisdom.

As Dr Simon Duffy, from the Centre for Welfare Reform points out, the poor not only pay taxes they also pay the highest taxes.  For example, the poorest 10% of households pay 47% of their income in tax. This is a higher percentage than any other group. We tend to forget that people in poverty pay taxes because we forget how many different ways we are taxed:

  • VAT
  • Duties
  • Income tax
  • National Insurance
  • Council tax
  • Licences
  • Social care charges, and many others taxes.

Mr Duncan Smith said that many sick and disabled people “wanted to work” and that the Government should give them “support” to find jobs and make sure the welfare system encouraged them to get jobs.

Ah, he means the “making work pay,” approach, which is the Tory super-retro approach to policy-making, based on the 1834 Poor Law principle of less eligibility again.  The reality is that sick and disabled people are being coerced by the state into taking any very poorly paid work, regardless of whether or not they can work, and to translate the rhetoric further, Duncan Smith is telling us that the government will ensure the conditions of claiming social security are so dismal and brutal that no-one can survive it.

Cameron also claims that the Conservatives are the “party for workers”, and of course lamblasted Labour. Again. Yet it was the Labour party that introduced tax credits to ensure low paid workers had a decent standard of living, and this government are not only withdrawing that support, we are also witnessing wages drop lower than all of the other G20 countries, since 2010, the International Labour Organisation reliably informs us.

This fall not only led to a tight squeeze on living standards (the cost of living has rapidly increased), it also led to a shortfall in treasury income in the form of tax revenues. But all of this is pretty standard form for Conservative governments, and shouldn’t come as any surpise, given their history and ideological foundation. We see recession, lower standards of living, wages being driven down and poorer working conditions under very single Tory government. Thatcher did the same, for example.

And Cameron’s promise during his address to the Conservative party conference that “an all-out assault on poverty” would be at the centre of his second term is contradicted by a sturdy research report from the Resolution Foundation that reveals planned welfare cuts will lead to an increase of 200,000 working households living in poverty by 2020.

Duncan Smith also criticised what he claimed was Labour’s “something for nothing culture” which was of course a very supportive and fair, reasonably redistributive system. He also dismissed and scorned the protests against his policies, which his party’s conference has been subject to. But demonstration and protest is a mechanism of democracy for letting a government know that their policies are having adverse consequences.

Many of the disabled protesters at the conference are being hounded, hurt and persecuted by this government and actually, we are fighting for our lives. But clearly this is not a government that listens, nor is it one that likes democratic dialogue and accountability.

In his teeth-grindingly vindictive and blindly arrogant speech, Duncan Smith also criticised the old Employment Support Allowance benefit for signing people off work when they were judged by doctors as too sick to work. He claimed that Labour treated disabled people as “passive victims.” I’m wondering what part of professional judgements that a person is too sick to work this lunatic and small-state fetishist finds so difficult to grasp. Duncan Smith is a confabulating zealot who drives a dogmatic steam-roller over people and their experiences until they take some Tory neo-feudalist deferential, flat-earth shape that he thinks they should be.

Let’s not forget that this government have actually cut support for disabled people who want to work. The Access To Work funding has been severely cut, this is a fund that helps people and employers to cover the extra living costs arising due to disabilities that might present barriers to work. The Independent Living fund was also cruelly scrapped by this Government, which also has a huge impact on those trying their best to lead independent and dignified lives.

By “support to get jobs”, what Duncan Smith actually means is no support at all. He means more workfare – free labor for Tory donors – and more sanctions – the removal of people’s lifeline social security. He also means that good ole’ totalitarian dictum of “behaviour change,” a phrase that the Tories are bandying about a lot, these days.  Ask not what the government can do for you.

And what about the very frail and elderly people needing support?

The public care sector has been cut by a third this past 5 years, yet people are still aging and living longer, so demand for the services has risen. We know that private residential care homes notoriously put profit over care standards, as yet there’s not been an equivalent local authority scandal, but cuts and gross underfunding mean care workers are stretched beyond limit, and there aren’t enough funds to run an adequate home care service. It’s mostly the very frail and elderly who need this service. And it’s those vulnerable citizens that are being increasingly left without adequate care, and certainly not care of a sufficient standard to maintain their dignity.

These are citizens that have paid into a social security system that was established for “cradle to the grave” support if it was needed. This government has so wickedly betrayed them. That’s hardly making a lifetime of work and contribution “pay”.

The knock-on effect is that many people without adequate care end up stranded in hospital, taking up beds and resources, through no fault of their own, and as we know, the health service is also desperately struggling to provide adequate service because of Tory cuts.

Tory policy is all about social engineering using justification narratives founded on an insensate, draconian ideological and semantic unobtainium equivalent. It’s clear that this government lacks the experience and understanding necessary for the proper use of psychological terms. The content of their smug and vindictive justification narratives and stapled-together, alienating and psychopathic rhetoric deviates markedly from even basic common sense and good judgement.

The Tories reduce long debated, complex ideas to surprisingly spiteful platitudes, and hand us back dogmas gift wrapped in aggrandized certitude.

They bandy about insidiously bland, psychobabble words like “incentivise” in the context of coercive state actions – such as the ideas for welfare increased conditionality and brutal operant conditioning based sanctions.

I sent an Freedom of Information request (FOI) to the Department of Work and Pensions asking about the sanction figures from 2010 to present day, and I also asked how sanctions can possibly “incentivise” or “help” people into work,  what psychological/academic/theoretical framework the claim is premised on and what research evidence supports this claim, after I pointed out Maslow’s motivation theory based on a hierarchy of needs – accepted conventional wisdom is that you can’t fulfil higher level psycho-social needs without first fulfiling the fundamental biological ones.

If people are reduced to struggling to meet basic survival needs, then they can’t be “incentivised” to do anything else. And even very stupid people know that if you remove people’s means to eat, keep warm and shelter, they will probably die. It’s worth remembering that originally, benefits were calculated to meet only these basic survival needs. That’s why welfare is called a social “safety net”.

No response from the Department of Work and Pensions yet.

maslow-5Maslow’s hierarchy of needs

There can be no justification whatsoever for removing that crucial safety net, and certainly not as a political punishment for people falling on hard times – that may happen to anyone through no fault of their own.

No matter what vocabulary is used to dress this up and attempt to justify the removal of people’s lifeline benefits, such treatment of citizens by an allegedly democratic, first-world government is unacceptable, despicable, cruel: it’s an act of violence that cannot fail to cause harm and distress, it traps people into absolute poverty and it is particularly reprehensible because it jeopardises people’s lives.

And what kind of government does that?

This is an excerpt, taken from a much longer article about the Tory Conference.
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Related

Sanctions misery for tens of thousands of families this Christmas

If the Tories don’t like being compared to the Nazis, then they need to stop behaving like despots.

Government under fire for massaging unemployment figures via benefit sanctions from Commons Select Committee

A tale of two suicides and a very undemocratic, inconsistent government

Rising ESA sanctions: punishing sick and disabled people for being sick and disabled

Benefit sanctions are not fair and are not helping people into work

292533_330073053728896_1536469241_nThanks to Robert Livingstone for the illustrations

Employment and Support Allowance – Another Mean Cut From IDS – Sheila Gilmore

Originally posted in the Huff Post, by Sheila Gilmore.

544840_330826693653532_892366209_nCruel cuts.

Policies developed on a false premise will inevitably run into problems. When these policies apply to people this can also cause great harm.

The Government’s policy on ‘sickness benefits’ is framed on the assertion that previous governments ‘dumped’ people on these benefits who never worked again. For their own good they needed to be re-tested on a new basis. Many people would then be returned to the labour market and spending on the benefit would be cut. The trouble is that numbers haven’t reduced much, and projected savings haven’t been made. But rather than review the basis on which their policy was built, it appears that the Government is simply going to cut by £30 per week the benefits of many of those its own test has found unfit for work for the time being. 

Like all good myths this has some elements of truth. Incapacity Benefit was used to deal with the problem of those displaced from industries like coal, textiles and steel during the 1980s. Job opportunities where they lived were limited, and many genuinely suffered from work related poor health . This was particularly true of older workers whose chances of a new job were always the slimmest. Under the Conservatives between 1978/79 and 1996/97, the total number of claimants more than doubled from 1.204 million to 2.569 million. This rate of increase slowed under Labour, with total numbers eventually peaking at 2.678 million in 2008/09 when ESA was introduced.

As this Budget rolls out I suspect we are going to hear a vigorous refreshing of the ‘people being callously dumped’ argument from Tory Ministers and backbenchers. However the truth is more complex. Even where total numbers have remained similar over a fairly long period, these are not by any means the same people. There is substantial flow both on and off benefit. Of those who are long term claimants , many have long term conditions making employment difficult, sometimes impossible.

 The Government insisted on rolling out the transfer of all existing Incapacity Benefit claimants to Employment & Support Allowance from 2011 , believing that the more stringent test applied for ESA would result in many existing claimants being found fit for work. In its first three years ESA was for new claimants only, with around 35% being found fit for work. The correctness of the testing process has rightly been the subject of much controversy , but applying the same test to those moving from IB produced a different result with only 23% being found fit for work initially.
One conclusion which may be reached is that in fact many people in receipt of IB actually were more unwell or disabled than the Government’s propaganda keeps suggesting . Not a conclusion it appears the Government wants to accept.

Even more crucially despite all the numbers being found ‘fit for work’, trumpeted by the Government as proof of their assertions, when you look at the total numbers in receipt of ESA, together those still on the older benefits, this number remains very high. The total number in receipt of ESA and IB is only 100,000 lower than in 2008/9.

Yet taking just the period between April 2011 and March 2013 some 234,600 former IB claimants had been found fit for work. With the toughness of the test also applying to new claimants, and the time-limiting of contributory ESA to a year for many , one would expect the total number of claimants to drop by more than the number of Incapacity Benefit claimants declared Fit for Work – but bizarrely it has dropped by considerably less.

With unemployment falling since 2008/9, one might hope that more people with health issues would have been able to find work.

Something unexplained is going on. Despite all the stress to individuals, the increasing cost and difficulty of administering the system (the migration process created a huge backlog in the assessment process), nothing much seems to have changed and savings not achieved. Are more people are becoming ill or disabled? This seems unlikely.

But what if the initial assumptions were wrong, and that there are not lots of ‘fit’ people sidelined onto incapacity benefits. Three quarters of those being ‘migrated ‘ from IB are not fit for work. The proportion of new claimants being found fit for work has fallen to 23%, and has been steadily falling . In addition I suspect that a good number of those declared Fit for Work, are simply not getting better, not getting jobs, getting less well and end up reapplying for ESA and being awarded benefit the second time round.

If we accept that most claimants actually face significant barriers to returning to work, we need to be putting more effort into both giving them the help they need, and encouraging employers to take people on. This was what the Work Related Activity Group was intended to do, but for many the support offered is minimal . People are invited to ‘work focused interviews (in letters that contain severe warnings about the consequences of not attending) and are then sent away for a year in some cases. Box ticked but no help given. Some are referred to the Work Programme which has very poor outcomes for this group, not surprising given that those attending say that all the emphasis was on the mechanics of job search with little reference to their heath.

Taking away £30 pw of income won’t tackle these weaknesses of the system. Will there still be a Work Related Activity Group at all? The only difference from being on JSA will be less conditionality (although there is still some and examples of ESA-WRAG claimants being sanctioned).

Nor are we dealing here with people with minor illness. Charities report that 45% of people who put in a claim for ESA, and had Parkinson’s, Cystic Fibrosis, multiple sclerosis, or Rheumatoid Arthritis, were placed in the Work Related Activity Group (WRAG).

While this change isn’t due to start until 2017 it won’t take long for it to apply to a substantial number of people . Around 700,000 apply each year for ESA, of which number around 60% proceed to full assessment (the others generally return to work before the process is complete). Currently around 14% of these go into the WRAG. That’s around 60,000 people affected every year.

37079_433060243430176_1848475368_nPictures courtesy of Robert Livingstone

The new social prescribing: ask not what your government can do for you

socialprescribing


I have a background in community work and have always seen it as a progressive mechanism for social transformation; challenging oppression; extending inclusion and democracy; offering learning and personal growth opportunities; empowerment, social justice, equity, fairness, participation, self-determination, amongst many other things. Communities potentially provide essential support for individuals, groups and organisations, and opportunities for reciprocity. Good community work promotes human development, and fosters civic responsibility through solidarity, cooperation and mutual aid.

Social prescribing is basically a community-based referral: it’s a means of enabling primary care services to refer patients with psycho-social, emotional or practical needs to a range of local, non-clinical services, often provided by the voluntary and community sector, and it’s aim is to improve people’s mental health, physical health and wellbeing, using community interventions.

In practice this means that GPs, nurses and other healthcare practitioners work with patients to identify non-medical opportunities or interventions that will help, improving support and the wider social aspects of their lives. The services that patients can choose from include everything from debt counselling, support groups, allotments and walking clubs, to community cooking classes and one-to-one coaching. Both evidence and commons sense suggests that social prescribing may be particularly appropriate and beneficial for isolated, marginalised groups. And needs-led community provision that supports and enhances psychosocial health and wellbeing is an excellent idea.

Poor mental health is often correlated with poverty, (Melzer et al. 2004) poor community integration, and competitiveness amongst social groups (Arrindell et al., 2003). Key questions arise as to the efficacy, therefore, of working with individuals, when much research suggests community work would be more effective (Orford, 2008).

So far so good.

I had the following message yesterday from friend and fellow writer, Linda:

“I have received an email from my local Tory MP letting me (and other constituents) know that he is going to be setting up a ‘Mental Health Surgery’ Hub with a ‘Mental Health Expert’ who will be handing out ‘social Prescriptions’ as he says he is aware that many mental health problems are caused by ‘Social Problems’. Im wondering if there is perhaps a wider agenda from the Conservatives.”

This is the relevant paragraph taken from his email:

“Since my election in May I have been surprised at the number of my constituents with different mental health issues, so much so I am looking to run a surgery ‘hub’ with a mental health specialist so people can drop in and have their needs assessed and be issued with a form of ‘social prescription’. I recognise many mental health issues are caused or exacerbated by social factors so sometimes a social solution can be more effective than a medical one.

I did a little research.

The 2010 Marmot Review (Fair Society, Healthy Lives) of health inequalities identified social prescribing as an, “approach [that] facilitates greater participation of patients and citizens and support in developing health literacy and improving health and wellbeing”.

It identified additional NHS healthcare costs linked to inequality as being well in excess of £5.5 billion per year. It is claimed that social prescriptions can cut the NHS bill.

However, despite the growing popularity of social prescriptions amongst cash and resource-strapped professionals, the University of York has surprisingly produced research to show that there is little good quality evidence that social prescribing is cost-effective.

But the thing that bothers me the most is the link that the Conservative government have made between social prescriptions, cost-cutting and (as I deeply suspected) as a mechanism of extending behavioural modification (euphemistically called “nudging” by the government’s team of behavioural economists and decision-making “experts”).

I read several current reviews of social precribing, each mentioning both criteria in recommendations for “success.”:

“The work of social prescribing health trainers fits with the approach of the Coalition Government as described in its White Paper on Public Health which emphasises the need to ‘build people’s self esteem and confidence’ in order to bring about changes in behaviour.”

It also fits with the Marmot Review’s recommendation on tackling the social problems that undermine health and with the Coalition Government’s approach to behaviour change as outlined in recent publications such as MINDSPACE.” (Link added by me.)

and:

“In times when finances are under pressure and the NHS is charged with achieving ‘better for less’, primary care needs to be looking at how to do things differently.”

Nesta, who now partly own the Government’s Behavioural Insights Team (the Nudge Unit) are of course at the forefront of promoting social prescriptions amongst medical professionals, firmly linking what is very good idea with very anti-democratic Conservative notions of behaviour change, citizen responsibility and small-state ideology. So, it’s no longer just about helping people to access a wider range of community-based services and support, social prescribing has also places strong emphasis on “encouraging patients to think about how they can take better care of themselves.”

Of course, there is what may easily be construed as a whopping self-serving process of linking behavioural change with social prescribing, opening some potentially very lucrative opportunities for Nesta.  

However, taken at face value, the idea of promoting patient participation in their own care sounds very democratic and reasonable. Common sense, in fact.

In this context, social prescribing can be seen as a logical extention of the Biopsychosocial model (BPS) of ill health. The biological component of the model is based on a traditional allopathic (bio-medical) approach to health. The social part of the model investigates how different social factors such as socioeconomic status, culture and poverty impact on health. The psychological component of the biopsychosocial model looks for potential psychological causes for a health problem such as lack of self-control, difficulties with coping, emotional turmoil, and negative thinking.

Of course a major criticism is that the BPS model has been used to disingenuously trivialise and euphemise serious physical illnesses, implying either a psychosomatic basis or reducing symptoms to nothing more than a presentation of malingering tactics. This ploy has been exploited by medical insurance companies (infamously by Unum Provident in the USA) and government welfare departments keen to limit or deny access to medical, social care and social security payments, and to manufacture ideologically determined outcomes that are not at all in the best interests of patients, invalidating diagnoses, people’s experience and accounts, and the existence of serious medical conditions.

Unum was involved in advising the government on making the devastating cuts to disabled people’s support in the UK’s controversial Welfare Reform Bill. (See also: The influence of the private insurance industry on the UK welfare reforms.)

Secondly, this is a government that tends to emphasise citizen responsibilities over rights, moralising and psychologizing social problems, whilst quietly editing out government responsibilities and democratic obligations towards citizens.

For example, poverty, which is caused by political decisions affecting socioeconomic outcomes, is described by the Conservatives, using elaborate victim-blame narratives, and this is particularly objectionable at a time when inequality has never been greater in the UK. Poverty may only be properly seen in a structural context, including account of the exclusion and oppression experienced by those living in poverty, the global neoliberal order, the gender order, the disability, racial, sexual and other orders which frame social life and precipitate poverty in complex and diverse ways. It’s down to policy-makers to address the structural origins of poverty, not the poor, who are the casualities of politically imposed structural constraints.

In this context, social prescriptions are used to maintain the status quo, and are likely to be part of a broader process of responsibility ascription – based on the traditional Conservative maxim of self-help, which is used to prop up fiscal discipline and public funding cuts, the extensive privatisation of public services, defense of private property and privilege, and of course, the free market. The irony of the New Right, neoliberal, paternalistic libertarianism is that the associated policies are not remotely libertarian. They are strongly authoritarian. It’s a government that doesn’t respond to public needs, but rather, it’s one that pre-determines public interests to fit within an ideological framework

A government that regards individuals as the architects of their own misfortune tends to formulate policies that act upon individuals to change their behaviour, rather than to address the structural constraints (and meet public needs,) such as social injustice and unequal access to resources. This isn’t a government prepared to meet public needs at all. Instead it’s a government that expects citizens to change their behaviour to accommodate the government’s ideologically directed needs.

That approach flies in the face of established professional community work values and principles.

Poor people suffering mental ill health because we live in a society that is extremely unequal, are blamed by the government for the “symptoms” of their poverty – poor eating habits and “lifestyle choices”. But poverty is all about limited choices, which is itself not a “lifestyle choice.” No-one actually chooses to be poor. Government policies, social structures and systemic failures create poverty.

The Conservatives extend an economic Darwinism, coupled with an extremely intrusive disciplinary approach, mass surveillance and a stigmatising rhetoric, whilst moralising a free-market framework that constrains many and preserves the privilege of a few. The absurdity is this: if an economic framework isn’t meeting the needs of a population, it isn’t an adequate response for the government to act upon citizens who have become casualities of that framework, to persuade or coerce people into fitting within an increasingly harmful and useless socioecomomic ideology.

There is a clear correlation with low socioeconomic status and poor mental health. Poverty is a complex, multidimensional phenomenon, encompassing the lack of means to satisfy basic needs, lack of control over resources, often, a lack of access to education, exclusion from opportunities, and poor health. Poverty is intrinsically alienating and distressing, and of particular concern are the direct and indirect effects of poverty on the development of psychosocial stress. (See also: The Psychological Impact of Austerity – Psychologists Against Austerity.)

State “therapy” aimed at changing the behaviour of individuals diverts attention from growing inequality, and from policies that are creating circumstances of absolute poverty. It also diverts attention from the fact that if people cannot meet their basic physiological needs, they cannot possibly be “incentivised” to meet higher level psychosocial ones. 

I wrote a critical analysis of the government proposal to introduce Cognitive Behaviour Therapists to deliver state “therapy” in job centres earlier this year, with the sole aim of improving “employment outcomes.” There is also an extensive critique of Cognitive Behaviour Therapy (CBT) included in the article, along with some discussion about the merits of community work, which is very relevant to this discussion. (See: The power of positive thinking is really political gaslighting.)

I also wrote earlier this year about how the government has stigmatised and redefined unemployment, problematizing and re-categorising it as an individual psychological disorder. Both articles are very pertinent to this discusion. (See: Stigmatising unemployment: the government has redefined it as a psychological disorders.)

Welfare has been redefined: it is a now a reflecton of a government pre-occupied with assumptions about and modification of the behaviour and character of recipients rather than with the alleviation of poverty and ensuring economic and social wellbeing.

The stigmatisation of people needing benefits is designed purposefully to displace public sympathy for the poor, and to generate moral outrage, which is then used to further justify the steady dismantling of the welfare state.

Many psychosocial problems have arisen because of social conservatism and neoliberalism. The victims of this government’s policies and decision-making are being portrayed as miscreants – as perpetrators of the social problems caused by the government’s decisions.

It’s all too often the case that good ideas are placed in political ideological frameworks, distorted, and are then applied to simply justify and prop up dogma.

Meanwhile, mental health services are facing crisis because of budget cuts by this government, Local Authorities and community services have also been cut to the bone. (See: The cost of the cuts: the impact on local government and poorer communities.) Those with mental health problems are stranded on an ever-shrinking island.

Policy initiatives such as social prescriptions, which focus on how to remediate problems at an individual level, seeing both poverty and mental illness, for example, as simply states of being – rather than dealing with the generative political and economic practices and social relations framework which precipitated that state in the first place, effectively depoliticises political problems leaving people with an internalised state of oppression, disabling them from taking effective action.

The political refusal to permit people to voice their concerns and anxieties in political rather than personal terms further exacerbates sociopolitical marginalisation, low status, it breaks a sense of connectedness with others and wider communities, it reinforces a sense isolation and of personal responsibility for circumstances that are politically constructed and disowned.

 

Tory rhetoric, the politics of psychobabble: it’s batshit telementalism and mystification

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Oh come all ye faithful

The Conservative conference was a masterpiece of stapled together soundbites and meaningless glittering generalities. And intentional mystification. Cameron claims that he is going to address “social problems”, for example, but wouldn’t you think that he would have done so over the past five years, rather than busying himself creating them? Under Cameron’s government we have become the most unequal country in the European Union, even the US, home of the founding fathers of neoliberalism, is less divided by wealth and income than the UK.

I’m also wondering how tripling university tuition fees and reintroducing banding in classrooms can possibly indicate a party genuinely interested in extending equal opportunities.

“Champions of social justice and opportunities”? Must have been a typo in the transcript: it’s not champions but chancers.

Cameron also claims that the Conservatives are the “party for workers”, and of course lamblasted Labour. Again. Yet it was the Labour party that introduced tax credits to ensure low paid workers had a decent standard of living, and this government are not only withdrawing that support, we are also witnessing wages drop lower than all of the other G20 countries, since 2010, the International Labour Organisation reliably informs us.

This fall not only led to a tight squeeze on living standards, it also led to a shortfall in treasury income in the form of tax revenues. But all of this is pretty standard form for Conservative governments.

It’s interesting to note that the only standing ovation Cameron had for his speech from delegates was not related to policy proposals or even rhetoric. It was a response to the bitter, spiteful and typical Tory bullying approach to any opposition: in this case, an outburst of vindictive, unqualified personal comments, misquotes, misinformation and downright lies about Jeremy Corbyn.

It was more of the usual Conservative claptrap about Labour leaders “hating Britain”. Cameron used an out-of-context quote to paint Jeremy Corbyn as a “security-threatening, terrorist-sympathising, Britain-hating” leader. Cameron had failed to give any context to Mr Corbyn’s comments that he intentionally  misquoted, failing, for example, to mention the fact that Corbyn had said the lack of a trial for Bin Laden was the “tragedy”, not his death itself. The deliberate misquote, however, was met with a deft response from the Left, hoisting Cameron by his own petard.

Here is Cameron’s speech in full technicolour and spectacular ontological insecurity:

Cameron’s malicious comments reminded me again of the Tories’ history of dirty tricks, like the Zinoviev letter, the campaign against Harold Wilson, and made me think of the almost prophetic and increasingly less fictional A Very British Coup.

Even the BBC have called the Conservatives out on their very nasty anti-democratic propaganda campaign against Corbyn.

From the deluge of incoherent commentaries to the mechanisms of telling lies: Conservatives don’t walk the talk

The fact that there is now such an extensive gap between Conservative rhetoric, the claims being made and reality makes the task of critical analysis difficult and somewhat tiring, and I’m not the only writer to comment on this.

The Conservatives use language – semantic shifts – and construct incongruent, dissonance-inducing narratives to misdirect us, and to mask the aims and consequences of their policies.  For example, the words “fair”, “support” and the phrase “making work pay” have shifted to become simple socio-linguistic codifications for very regressive punitive measures such as cuts to social security support (comparable with the principle of less eligibility embedded in the Poor Law of 1834) and benefit sanctions.

The most striking thing about the Conservative conference, for me, isn’t just the gap between rhetoric and reality, it is also the gap between the bland vocabulary used and the references, meanings and implications of what was actually being said.

The semantics are also stratified. People who are unaffected by austerity policies will probably take the bland vocabulary at face value. Cameron said:

“The British people are decent, sensible, reasonable, and they just want a government that supports the vulnerable.”

However, the “vulnerable” know a very different reality to the one substituted and described on their behalf. People who are adversely affected by Conservative policy will regard the bland vocabulary as bewildering, deceitful, frightening – especially because of its incongruence with reality – and most likely, as very threatening. Such rhetoric is designed to hide intention, but it is also designed to deliberately invalidate people’s own experiences of Tory policies and ultimately, the consequences of an imposed Tory ideology.

Not that there can be any mistaking the threats aimed at sick and disabled people from Duncan Smith in his Conference speech. He said:

“We won’t lift you out of poverty by simply transferring taxpayers’ money to you. With our help, you’ll work your way out of poverty.”

Of course the Work and Pensions secretary employed a traditionally Tory simplistic, divisive rhetoric that conveniently sections the population into “deserving” tax payers and “undeserving” non-tax paying citizens, to justify his balefully misanthropic attitude towards the latter group, as usual. However, the majority of sick and disabled people have worked and have contributed tax. 

As Dr Simon Duffy, from the Centre for Welfare Reform, points out, the poor not only pay taxes they also pay the highest taxes.  For example, the poorest 10% of households pay 47% of their income in tax. This is a higher percentage than any other group. We tend to forget that people in poverty pay taxes because we forget how many different ways we are taxed:

  • VAT
  • Duties
  • Income tax
  • National Insurance
  • Council tax
  • Licences
  • Social care charges, and many others taxes.

Mr Duncan Smith said that many sick and disabled people “wanted to work” and that the Government should give them “support” to find jobs and make sure the welfare system encouraged them to get jobs.

We’ve seen the future and it’s feudal

Ah, he means “making work pay,” which is the Tory super-retro approach to policy-making, based on the 1834 Poor Law principle of less eligibility again.  The reality is that sick and disabled people are being coerced by the state into taking any very poorly paid work, regardless of whether or not they can work, and to translate the rhetoric further, Duncan Smith is telling us that the government will ensure the conditions of claiming social security are so dismal and brutal that no-one can survive it.

And Cameron’s promise during his address to the Conservative party conference that “an all-out assault on poverty” would be at the centre of his second term is contradicted by a sturdy research report from the Resolution Foundation that reveals planned welfare cuts will lead to an increase of 200,000 working households living in poverty by 2020.

Duncan Smith also criticised what he claimed was Labour’s “something for nothing culture” which was of course a very supportive and fair, reasonably redistributive system. He also dismissed and scorned the protests against his policies, which his party’s conference has been subject to. But demonstration and protest is a mechanism of democracy for letting a government know that their policies are having adverse consequences.

Many of the disabled protesters at the conference are being hounded, hurt and persecuted by this government and actually, we are fighting for our lives. But clearly this is not a government that listens, nor is it one that likes democratic dialogue and accountability.

In his teeth-grindingly vindictive and blindly arrogant speech, Duncan Smith also criticised the old Employment Support Allowance benefit for signing people off work when they were judged by doctors as too sick to work. He claimed that Labour treated disabled people as “passive victims.” I’m wondering what part of professional judgements that a person is too sick to work this lunatic and small-state fetishist finds so difficult to grasp. Duncan Smith is a confabulating zealot who drives a dogmatic steam-roller over people and their experiences until they take some Tory neo-feudalist deferential, flat-earth shape that he thinks they should be.

Let’s not forget that this government have actually cut support for disabled people who want to work. The Access To Work funding has been severely cut, this is a fund that helps people and employers to cover the extra living costs arising due to disabilities that might present barriers to work. The Independent Living fund was also cruelly scrapped by this Government, which also has a huge impact on those trying their best to lead independent and dignified lives.

By “support to get jobs”, what Duncan Smith actually means is no support at all. He means more workfare – free labor for Tory donors – and more sanctions – the removal of people’s lifeline social security. He also means that good ole’ totalitarian dictum of “behaviour change,” a phrase that the Tories are bandying about a lot, these days.  Ask not what the government can do for you.

And what about frail and elderly people needing support?

The public care sector has been cut by a third this past 5 years, yet people are still aging and living longer, so demand for the services has risen. We know that private residential care homes notoriously put profit over care standards, as yet there’s not been an equivalent local authority scandal, but cuts and gross underfunding mean care workers are stretched beyond limit, and there aren’t enough funds to run an adequate home care service. It’s mostly the very frail and elderly who need this service. And it’s those vulnerable citizens that are being increasingly left without adequate care, and certainly not care of a sufficient standard to maintain their dignity.

These are citizens that have paid into a social security system that was established for “cradle to the grave” support if it was needed. This government has so wickedly betrayed them. That’s hardly making a lifetime of work and contribution “pay”.

The knock on effect is that many people without adequate care end up stranded in hospital, taking up beds and resources, through no fault of their own, and as we know, the health service is also desperately struggling to provide adequate service because of Tory cuts.

The aim of Conservatives is not to meet public needs, but to nudge the public into complicity with Conservative ideology

Many writers, a number of MPs and Peers have variously likened Conservative rhetoric to George Orwell’s Doublespeak in his novel Nineteen Eighty Four. Others claim that the idea of a language and thought-manipulating totalitarian regime in the UK is absurd. But that said, I never thought I would witness an era of human rights abuses of disabled people, women and children by the government of a so-called first-world liberal democracy. The same government have also stated it’s their intention to repeal our Human Rights Act and exit the European Convention on Human Rights. I can understand the inclination towards disbelief.

There’s another group of people that know something is wrong,  precisely what that is becomes elusive when they try to think about it and the detail slips through their fingers, as it were, when they try to articulate it. But that’s what Tory rhetoric purposefully aims to generate in those who oppose Conservatism: confusion, cognitive dissonance and disbelief

Which brings me to the government’s woeful brand of “liberatarian paternalism” – manifested in the form of an authoritarian Nudge Unit. The fact that it exists at all and that it is openly engaged in changing people’s decision-making without their consent is an indication of an extremely anti-democratic, psychocratic approach to government. The Tories are conducting politics and policy-making using insidious techniques of persuasion and psycholinguistic hocuspocusery for psychic and material profiteering, ordinarily reserved for the very dubious, telemental, manipulative end of the diabolistic advertising industry.

Once a PR man, always a PR man, that’s David Cameron.

By telemental, I mean it’s based on a kind of communication model that is transmissional, linear, mechanistic – where people are treated as conforming, passive “receivers” of information constructs, rather than an interactive, participatory, dialogical and importantly, a democratic one where people are regarded as autonomous critical interpreters and negotiators. We’re being talked at, not with. The Tories are using telementation to communicate their ideological sales pitch, without any democratic engagement with the majority of citizens, and without any acknowledgement of their needs. (Telementation is a concept originally introduced by linguist Roy Harris. )

The co-author of Nudge theory, Cass Sunstein, actually suggested that government monitors political activism online, too. He has some links with GCHQ’s covert online operations which employ social science to inform their psychological operations to influence online interactions and outcomes. Sunstein proposed sending covert agents into “chat rooms, online social networks, or even real-space groups” which spread what he views as “false and damaging conspiracy theories” about the government. “Conspiracy” theories like this one, eh?

The nudging of psychobabble and neuroliberalism

Tory policy is all about social engineering using justification narratives founded on an insensate, draconian ideological and semantic unobtainium equivalent. It’s clear that this government lacks the experience and understanding necessary for the proper use of psychological terms.  The content of their smug and vindictive justification narratives and stapled-together, alienating and psychopathic rhetoric deviates markedly from even basic common sense and good judgement.

The Tories reduce long debated, complex ideas to surprisingly spiteful platitudes, and hand us back dogmas gift wrapped in aggrandized certitude.

Malice in blunderland.

There is an accessible government website outlining some of the Nudge Unit’s neurobabble and subliminal messaging “successes”, albeit the more mundane ones, like getting men to pee on the “right” part of a urinal. Or getting people to pay their taxes on time, or to donate organs.

The Nudge Unit’s behaviourism and psychological quackery, however, is all-pervasive. It has seeped into policy, political rhetoric, the media, education, the workplace, health services and is now embedded in our very vocabulary and social narrative. Every time you hear the phrase “behavioural change” you know it’s a government department acting upon citizens everywhere, using  basic, crude operant conditioning without their consent, instead of actually doing what public services should and meeting public needs. Instead, citizens are now expected to meet the government’s needs.

Where do you think the government got their pre-constructed ideological defence lexicon of psychobabble – they bandy about insidiously bland words like “incentivise” in the context of coercive state actions – such as the ideas for welfare increased conditionality and brutal operant conditioning based sanctions?

Did anyone actually ask for state “therapy” delivered by gaslighting, anti-socially disordered tyrants?

I sent an FOI asking the Department of Work and Pensions for the figures for sanctions since 2010 to the present, and I asked for the reasons they were applied. I also asked how sanctions can possibly “incentivise” or “help” people into work, and what research and academic/psychological/theoretical framework the claim is premised on, after I pointed out Maslow’s motivation theory based on a hierarchy of needs – accepted conventional wisdom is that you can’t fulfil higher level psycho-social needs without first fulfiling the fundamental biological ones.

If people are reduced to struggling to meet basic survival needs, then they can’t be “incentivised” to do anything else. And even very stupid people know that if you remove people’s means to eat, keep warm and shelter, they will probably die. It’s worth remembering that originally, benefits were calculated to meet only these basic survival needs. That’s why welfare is called a social “safety net”.

maslow-hierarchy-of-needsMaslow’s hierarchy of needs

There can be no justification whatsoever for removing that crucial safety net, and certainly not as a political punishment for people falling on hard times – that may happen to anyone through no fault of their own.

No matter what vocabulary is used to dress this up and attempt to justify the removal of people’s lifeline benefits, such treatment of citizens by an allegedly democratic, first-world government is unacceptable, despicable, cruel: it’s an act of violence that cannot fail to cause harm and distress, it traps people into absolute poverty and it is particularly reprehensible because it jeopardises people’s lives.

And what kind of government does that?

The nature of deception and psychological trauma

The Government are most certainly lying to project a version of reality that isn’t real.  Critical analysis of Tory rhetoric is a very taxing, tiring challenge of endlessly trying to make sense of disturbing relations and incoherent misfits between syntax and semantics, discourse and reality events. There’s a lot of alienating, fake humanism in there.

When politicians lie, there is a break down in democracy, because citizens can no longer play an authentic role in their own life, or participate in good faith in their community, state, and nation. Deception is cruel, confusing, distressing and anxiety-provoking: keeping people purposefully blind to what the real political agendas are and why things are happening in their name which do not have their agreement and assent.

Lying, saying one thing and doing another, creating a charade to project one false reality when something else is going on, is very damaging: it leaves people experiencing such deception deeply disorientated, doubting their own memory, perception and sanity.

To cover their tracks and gloss over the gaping holes in their logic, the Tories employ mystification techniques, the prime function of which is to maintain the status quo. Marx used the concept of mystification to mean a plausible misrepresentation of what is going on (process) or what is being done (praxis) in the service of the interests of one socioeconomic class (the exploiters) over or against another class (the exploited). By representing forms of exploitation as forms of benevolence, the exploiters confuse and disarm the exploited.

The order of concepts is not the order of things

On a psychological level, mystification is used in abusive relationships to negate the experience of abuse, to deceive and to avoid authentic criticism and conflict. Mystification often includes gaslighting, which is a process involving the projection and introjection of psychic conflicts from the perpetrator to the victim, and has a debilitating effect on the victim’s ability to think rationally and often, to function independently of the gaslighter. It can take many forms. In all instances, however, it involves the intentional, cold and cunning distortion of accounts of reality by a predator that systematically undermines the victim’s grasp of what is happening, distorting perceptions of events, editing and re-writing for the gaslighter’s own political, financial, or psychological ends.

And of course, gaslighting exploits the fact that human beings have a tendency to deny and repress those things that are too overwhelming and painful to bear. Much psychotherapy is based on creating a safe space for allowing experience of the dreadful – which as an event has already happened – to “happen.”

A memorable example of psychological mystification is presented in a case study cited by R.D. Laing. (In Did You used to be R.D.Laing, 1989). A woman finds her husband with a naked woman in the living room. She asks: “What is that naked woman doing in my house on my sofa!?” To which her gaslighting husband, without missing a beat, replied:  “That isn’t a woman, that’s a waterfall.” 

The poor woman felt her grasp of reality weaken, because she had trusted her husband and had always tended to believe him. She lost her self to a period of psychosis because of the deep trauma this event caused her. Her husband was an authoritarian figure. We tend to accept that authority figures tell the truth, with little questioning. But it’s not a safe assumption at all.

She was made to doubt her own perception and account of events, despite the utter absurdity of the alternative account of reality presented to her. To have one’s perception and experience of reality invalidated is very painful, threatening to the self and potentially extremely damaging.

We have a government that thinks nothing of using this type of distortion and deception to cover up the worst consequences of its policies.

This is a government of authoritarians and psychocrats who have an apparent cognitive dissonance: they decided that rich people are motivated only by fincancial gains, whilst poor people are motivated only by financial losses and punishments. However, when you replace the word “incentive” with the value-laden term “deserve”, and then slot it into an ideological framework with an underpinning social Darwinist philosophy, it becomes more coherent and actually, profoundly unpleasant. The Tories think that “social justice” is about taking money from those who need the most support, and handing it to those who don’t

This is a government that’s all about manufacturing conformity and obedience. The gospel, according to the likes of Iain Duncan Smith, is that we are the architects of our own misfortunes, but when it comes to good fortunes, well of course, the government claims responsibility for those. Incoherent, puerile proselytizing nonsense.

The truth of the human condition, according to the Tories, is that poor people scrounge, rich people are saintly and the former group needs humiliating and state “therapy” – degrading “paternalistic” corrective treatment, (mostly comprised of a barrage of anti-humanist ideology and the constant threat of, and often actual withdrawal of your lifeline income), whereas the latter group need all the praise, support and state handouts they can get.

This is a government that use a counterfeit and dark triad (particularly Machiavellian) inspired language to create an impression of plausibility and truth, and to hide their true aims. They are demogogues of a radical and reactionary anti-social agenda. Intolerance, fear and hatred, machismo and bullying tendencies are masqueraded as moral rectitude.

This is a government that uses superficial, incongruent, meaningless psychobabble to justify the most savage and cruelly coercive policies that we have seen in the UK during our lifetime. Those social groups unaffected by the policies think that the government are acting in our “best interests”, but people are suffering and dying as a consequence of these policies.

People’s life problems such as unemployment and poverty arise from bad decision-making from the government and are not clinical maladies, the use of or implying of pseudo-clinical terms in political victim-blame narratives and gaslighting is not meaningful or appropriate.

Political psychobabble is designed intentionally to limit the freedom of public comprehension, it neutralises our own vocabulary, and invalidates our experiences. The nasty party are engaged in psychic profiteering – a government of quacks spouting pretentious gibberish to justify taking money from the poorest citizens and handing it out to the very wealthy.

It’s irrational, incoherent psychobabble from over-controlling, obedience-obsessed irrationalists whose sole aim is to ensure the population conform to government needs, and meet the demands of neoliberalism, rather than, heaven forbid, wanting a democratic government and an economic system that actually meet public needs.

Or if you prefer plainspeak: Tory rhetoric is rather like a long-empty belfry – full of batshit.

Oh, that way madness lies.

Cam weakness
Picture courtesy of Robert Livingstone