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A summer of scapegoating: Laurie Penny on being trailed by the police

Millions have urgent, legitimate grievances with government. The criminalisation of dissent should outrage us all.

Last weekend, some friends and I took a trip to the seaside. We ate ice-cream on the beach in the brilliant sun, and tiptoed out into the icy waves, negotiating bits of floating plastic, shrieking like excited children with rolled-up trousers and tucked-in skirts: five get messy in Brighton. It was, in every respect, a normal holiday. Except for the eight or nine uniformed police officers watching us paddle.

Two "forward intelligence teams" had been sent down from London specifically to keep an eye on us, taking pictures as we handed out flyers about tax avoidance with a local anti-cuts group and ate chips with little wooden forks. If this really represents a danger to the state, the state is in far more trouble than we have been led to believe.

Bad things happen to people who protest against the British government and its austerity program. You no longer even have to have committed a crime to be reported to the police. This week, the City of Westminster's "Counter Terrorist Focus Desk" issued a call for all "anarchists" to be identified, stating that anyone who thinks that the state is "undesirable, unnecessary and harmful" should be considered as dangerous as al-Quaeda. Presumably the architects of the "big society" project will soon be getting the heavy knock at the door.

The Metropolitan Police have made their priorities extremely clear. Up to 200 officers have been devoted to hunting down students and anti-cuts activists, knocking on the doors of school pupils and arresting them for their part in demonstrations against education cutbacks that took place nine months ago. Thirty UK Uncut protesters are still facing charges for their part in a peaceful demonstration in Fortnum and Mason, footage from the police recordings of which shows some dangerous anarchists waving placards in the foyer and batting a beach ball over a stack of expensive cheese. Up to 300 activists have been arrested so far, in a joint operation that has already cost the taxpayer £3.65m. By contrast, only eight man-hours were spent in 2009 investigating the allegation that feral press barons were being permitted to run what amounted to a protection racket at the Met.

When he resigned as Police Commissioner, Sir Paul Stephenson listed some of his proudest moments at the Met. These included the force at their "glorious and unobtrusive best" on the occasion of the royal wedding. Thats not how I remember it. I remember hippies and students all over the country being dragged out of their homes and arrested for crimes they hadnt even thought of committing. The disgraced former police chief also congratulated the force on their "professional and restrained approach" at the recent student demonstrations. Thats not what I saw. I saw them dragging Jody McIntyre out of his wheelchair. I saw crowds of students and schoolchildren screaming and scrambling over one another as they fled a charge by mounted police that put at least forty-three of them in hospital and left one young man fighting for his life on the operating table.

As students and activists continue to be charged with violent disorder, it seems to have been forgotten that this offence normally relates to acts of self-defence in the face of police brutality. It is now a crime to fight back when you're getting bludgeoned with batons for daring to take a stand against unfair, unnecessary cuts to public services. Police officers, meanwhile, are rarely charged in connection with violence against protesters. In 2009, despite video evidence showing Sgt Delroy Smellie assaulting Nicola Fisher, District Judge Daphne Wickham ruled that he had acted lawfully. This week, the same judge ignored sentencing guidelines to send Jonnie Marbles to prison for attempting to splatter Rupert Murdoch with shaving foam.

Marbles hurt nobody with his misguided prank. Nor did 20-year-old Frank Fernie, who is serving a year in jail for "throwing two sticks at police officers" in full body armour. Nor did Charlie Gilmour, whose drunken antics at the student demonstrations earned him 16 months in Wandsworth, where he is currently spending 23-hours a day locked in a tiny cell with an armed robber. Although some have identified these opprobrious sentences as attacks on the right to protest, the courts seem only to be making examples of certain types of protester whose principles directly threaten the ruling consensus. Stephen Lennon, the leader of the far-right English Defence League, was recently convicted of leading a street brawl and threatening members of the public, but received only a fine and a community order.

The Home Office has admitted to ongoing discussions with the Metropolitan police about operational policies and procedures concerning UK Uncut and other anti-cuts groups. So much for the separation of powers. So much for the rule of law. I am sick of it. I am sick of seeing peaceful protesters scapegoated as violent thugs and sent to prison while right-wing extremists and corrupt media tycoons walk free. At a time when millions have urgent and legitimate grievances with this government, the criminalisation of dissent should outrage us all.

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

Flickr/Michael Coghlan
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Why does the medical establishment fail to take women in pain seriously?

Women with mesh implants have been suffering for years. And it's not the only time they have been ignored. 

Claire Cooper’s voice wavered as she told the BBC interviewer that she had thought of suicide, after her mesh implant left her in life-long debilitating pain. “I lost my womb for no reason”, she said, describing the hysterectomy to which she resorted in a desperate attempt to end her pain. She is not alone, but for years she was denied the knowledge that she was just one in a large group of patients whose mesh implants had terribly malfunctioned.

Trans-vaginal mesh is a kind of permanent “tape” inserted into the body to treat stress urinary incontinence and to prevent pelvic organ prolapse, both of which can occur following childbirth. But for some patients, this is a solution in name only. For years now, these patients – predominantly women – have been experiencing intense pain due to the implant shifting, and scraping their insides. But they struggled to be taken seriously.

The mesh implants has become this month's surgical scandal, after affected women decided to sue. But it should really have been the focus of so much attention three years ago, when former Scottish Health Secretary Alex Neil called for a suspension of mesh procedures by NHS Scotland and an inquiry into their risks and benefits. Or six years ago, in 2011, when the US Food and Drug Administration revealed that the mesh was unsafe. Or at any point when it became public knowledge that people were becoming disabled and dying as a result of their surgery.

When Cooper complained about the pain, a GP told her she was imagining it. Likewise, the interim report requested by the Scottish government found the medical establishment had not believed some of the recipients who experienced adverse effects. 

This is not a rare phenomenon when it comes to women's health. Their health problems are repeatedly deprioritised, until they are labelled “hysterical” for calling for them to be addressed. As Joe Fassler documented for The Atlantic, when his wife's medical problem was undiagnosed for hours, he began to detect a certain sexism in the way she was treated:

“Why”, I kept asking myself, when reading his piece, “are they assuming that she doesn’t know how much pain she’s feeling? Why is the expectation that she’s frenzied for no real reason? Does this happen to a lot of women?”

This is not just a journalist's account. The legal study The Girl Who Cried Pain: A Bias Against Women in the Treatment of Pain found that women report more severe levels of pain, more frequent incidences of pain, and pain of longer duration than men, but are nonetheless treated for pain less aggressively. 

An extreme example is “Yentl Syndrome”. This is the fact that half of US women are likely to experience cardiovascular disease and exhibit different symptoms to men, because male symptoms are taught as ungendered, many women die following misdiagnosis. More often than should be acceptable, female pain is treated as irrelevant or counterfeit.

In another significant case, when the news broke that the most common hormonal birth control pill is heavily linked to a lower quality of life, many uterus-owning users were unsurprised. After all, they had been observing these symptoms for years. Social media movements, such as #MyPillStory, had long been born of the frustration that medical experts weren’t doing enough to examine or counter the negative side effects. Even after randomised trials were conducted and statements were released, nothing was officially changed.

Men could of course shoulder the burden of birth control pills - there has been research over the years into one. But too many men are unwilling to swallow the side effects. A Cosmopolitan survey found that 63 per cent of men would not consider using a form of birth control that could result in acne or weight gain. That’s 2 per cent more than the number who said that they would reject the option of having an annual testicular injection. So if we’re taking men who are afraid of much lesser symptoms than those experienced by women seriously, why is it that women are continually overlooked by health professionals? 

These double standards mean that while men are treated with kid gloves, women’s reactions to drugs are used to alter recommended dosages post-hoc. Medical trials are intended to unearth any potential issues prior to prescription, before the dangers arise. But the disproportionate lack of focus on women’s health issues has historically extended to medical testing.

In the US, from 1977 to 1993, there was a ban on “premenopausal female[s] capable of becoming pregnant” participating in medical trials. This was only overturned when Congress passed the National Institutes of Health (NIH) Revitalisation Act, which required all government funded gender-neutral clinical trials to feature female test subjects. However, it was not until 2014 that the National Institutes of Health decreed that both male and female animals must be used in preclinical studies.

Women’s exclusion from clinical studies has traditionally occurred for a number of reasons. A major problem has been the wrongful assumption that biologically women aren’t all that different from men, except for menstruation. Yet this does not take into account different hormone cycles, and recent studies have revealed that this is demonstrably untrue. In reality, sex is a factor in one’s biological response to both illness and treatment, but this is not as dependent on the menstrual cycle as previously imagined.

Even with evidence of their suffering, women are often ignored. The UK Medicines and Healthcare Regulatory Agency (MHRA) released data for 2012-2017 that shows that 1,049 incidents had occurred as a result of mesh surgery, but said that this did not necessarily provide evidence that any device should be discontinued.

Yes, this may be true. Utilitarian thinking dictates that we look at the overall picture to decide whether the implants do more harm than good. However, when so many people are negatively impacted by the mesh, it prompts the question: Why are alternatives not being looked into more urgently?

The inquiry into the mesh scandal is two years past its deadline, and its chairperson recently stepped down. If this isn’t evidence that the massive medical negligence case is being neglected then what is?

Once again, the biggest maker of the problematic implants is Johnson&Johnson, who have previously been in trouble for their faulty artificial hips and – along with the NHS – are currently being sued by over 800 mesh implant recipients. A leaked email from the company suggested that the company was already aware of the damage that the implants were causing (Johnson&Johnson said the email was taken out of context).

In the case of the mesh implants slicing through vaginas “like a cheese-wire”, whether or not the manufacturers were aware of the dangers posed by their product seems almost irrelevant. Individual doctors have been dealing with complaints of chronic or debilitating pain following mesh insertions for some time. Many of them just have not reported the issues that they have seen to the MHRA’s Yellow Card scheme for identifying flawed medical devices.

Shona Robison, the Scottish Cabinet Secretary for Health and Sport, asked why the mesh recipients had been forced to campaign for their distress to be acknowledged and investigated. I would like to second her question. The mesh problem seems to be symptomatic of a larger issue in medical care – the assumption that women should be able to handle unnecessary amounts of pain without kicking up a fuss. It's time that the medical establishment started listening instead. 

 

Anjuli R. K. Shere is a 2016/17 Wellcome Scholar and science intern at the New Statesman

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