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Laurie Penny on the battle against benefit cuts and “poverty pimps”

Disabled people and their allies are fighting back against cuts – shame on the rest of us if we do not fight with them.

Of all the obdurate lies peddled by the Conservative Party in the run-up to the last general election, perhaps the most callous was when the Tory disability spokesperson Mark Harmer told key representatives of Britain's millions of disabled and mentally unwell citizens: "I don't think disabled people have anything to fear from a Conservative government." It turns out that disabled people have a great deal to fear.

Despite a fraud rate of just 1 per cent, the government is determined to toss 500,000 people who currently rely on sickness benefits into the open arms of the bleakest labour market in a generation, to cut already meagre disability stipends to starvation levels, to confiscate mobility scooters and community groups from the most needy, and to remove key services that make life bearable for thousands of families with vulnerable relatives. The party assures us that someone's got to pick up the tab for the recklessness of millionaire financiers. So, naturally, they're going to start with the disabled and the mentally ill.

Disabled people, their friends, family members and allies, have much to fear – and much to fight. Today has been designated a national day of action against benefit cuts, and resistance groups across the country will be staging protests and spreading the word about how the government's plans to dismantle most of the welfare state and privatise the rest will affect them. "Housing benefit cuts mean I'm probably going to lose my home," says Carole, 32, "but the removal of the Incapacity Benefit safety net means that I'm terrified of looking for work. If I'm made to do a job I'm not well enough for and have to leave, I'll be left penniless. I don't know what to do."

Many of the demonstrations will target private companies like Atos Origin, which have been given government tender to impose punitive and – studies have shown – largely unreliable medical testing of welfare claimants before forcing the sick to seek work that even the healthy can't get. Campaigns like Benefit Claimants Fight Back are quite clear what they think about these companies – they are "poverty pimps".

As Britain's welfare claimants who are well enough to do so take to the streets, the beleaguered workers responsible for administrating the ersatz and vituperative benefits system have just finished a 48-hour strike over the way their jobs are being restructured to meet increasingly high targets of claimant turnover. "The system is driven towards saving money at the expense of vulnerable people. We want to help people but they're not letting us," says William, a 22-year-old worker in a call centre that deals with Incapacity Benefit claims. "You get old people phoning up in floods of tears when their relatives have died."

"I hate them calls. We're so limited in what we can say because all our calls are recorded and they watch us all the time. You're chained to your desk. It's hell working here," he says.

"We have people off sick with stress all the time – I've had to take medication for anxiety and I normally consider myself quite a strong, down-to earth person," Davies adds. "People come to work in tears, but they're terrified of saying they can't cope, because they know just what happens if they have to go on the sick.

"Nobody wants to have to deal with our system from the other end."

The withering of the welfare state is not just a party game. The gradual erosion of the principle, formalised in the Attlee settlement, that people who are unable to work and support themselves should not be left with nothing to live on, did not start with this government. Labour formalised the process in 2008, mounting grandiose campaigns against "welfare cheats" and flogging off support services to private companies whose express purpose was to deny benefits to as many people as possible – including, in several cases, terminal cancer patients. The argument, put forward by many commentators, that punitive welfare reform can't be that bad because "Labour started it", is the political equivalent of sticking your fingers in your ears and humming to block out the angry cries of a million human beings deprived of their dignity.

This is more than a party game. For New Labour, the financial intimidation of the sick and vulnerable was, in part, a desperate appeal to the prejudices of voters in marginal seats, a strategy tried and tested by PR professionals in Clinton's second term who later came to work for the Blair/Brown administration. Bullying people off benefits, however, is about more than just votes. It's part of a creeping cultural shift towards a public consensus that there is no room in this society for the weak.

In this country and across the developed world, labour is precarious, competition for jobs and adequate pay is fierce, workers are under terrific pressure and anyone who cannot keep up with the rat race, whether through sickness, mental ill health or physical disability, is mistrusted and shamed. "My clients frequently express more shame that they are not able to work than over the perceived inferiority of their bodies," comments an anonymous disability worker. "In a materialist society, apparently, the ultimate failure of the disabled is that we don't make money."

We like to think of ourselves as a nation where, if anything, 'political correctness' has gone too far, but our attitude towards people with disabilities and mental health problems has barely improved in 20 years. A recent survey revealed that four out of five employers would prefer not to take on anyone with a history of mental health problems. Meanwhile, rather than question the terms of a target-driven labour market whose precariousness routinely drives workers to the edge of mental and physical breakdown, ordinary people are taught to kick down savagely at any fellow citizen who can't keep up.

This is not just about a culture that puts profit before people. This is about a culture that has begun to believe, on some deep and terrifying stratum, that if one cannot turn a profit, one is not really a person at all. Disabled people and their allies are fighting back in whatever way they can. Shame on the rest of us if we do not fight with them.

Laurie Penny is a contributing editor to the New Statesman. She is the author of five books, most recently Unspeakable Things.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear