Sunday, April 15, 2007

Care of the elderly; a memory

Tom Paine left a comment on my last post on the elderly and it was immediately clear that it had to be a post in itself. He kindly agreed to this:

When I was a little boy, the neighbouring house in the terraced row we lived in (two up, two down, outside lavatory) had the widowed grandfather living there. In the Winter he sat by the fireplace. In the Summer, he sat in his shed. I don't think it had ever been agreed that the family would take him on. He just got past being able to live alone and it happened naturally.

He smelled a bit funny, but I liked him. He used to talk to me when I was playing in the garden. He would tell me stories, teach me the names of the passing insects, let me pretend to smoke his pipe, that kind of thing. He didn't mind a bit being the besieged settler in a prairie schooner to my Indian chief. He had all the time in the world to spend, unlike the responsible adults.

There would be a paedophile panic now, so sick has our society become, but it was not like that at all. He was just a lonely old man, probably remembering the little boy he had been himself, somewhere back in the 19th Century.

I learned from him, as did the children in his own family. We certainly learned not to think of old people as belonging to another species. He represented a future part of our own lives. I only wish he had been a bit more articulate.

The welfare state has destroyed the family's natural tendency to look after its own, having cruelly promised something better - and then failed to deliver - or rather delivered to its usual crappy standard.

People have lived their lives on the assumption that they did not have to provide for their own old age or for that of their poorer relatives. Planning regulations even make it difficult to build houses big enough to accommodate the odd babushka.

All the taxes taken by force against promises to provide such care have been squandered by politicians with five year horizons (and a substantial guaranteed pension). Yet another reason why I can't understand how they walk in public without being lynched.

I have an old school friend who works in a nursing home. She tells terrible stories. The inmates are only cleaned up and looked after properly when family are due to visit. If you can't provide for yourself, only family WILL look after you in your old age - even to that limited extent. All else is lies.

[medical care] increasing dilemma of the elderly

My best friend over here would not appreciate me writing of his elderly mother and her difficulties but let's say the issue is constantly on the mind. This is exacerbated by having lost two parents and a step-parent myself [the latter recently].

The elderly and the toddler are two issues which make it very difficult to be completely non-Statist. Do we run a near-totally free system like Russia's with sub-standard treatment except at the pay clinics or do we go the whole hog the other way:

The United States has many advantages to offer the newcomer, but a stable, affordable health care system is not one of them. The phrase health care crisis is perhaps too mild. Costs are skyrocketing, lawsuits proliferating. Special interest groups aggravate the problems. Racism, poverty, drug abuse and AIDS make matters worse. Significant portions of the population can no longer afford adequate health insurance. As a result, to get good health care in the United States you have to know what you're doing.

Britain is halfway. The running down and dismantling of the NHS by Labour and the previous government has caused the finger to be pointed in different directions:

The near-withdrawal of the NHS in many areas from paying for elderly people who need health and medical care was revealed by the charity Age Concern. It follows years of controversy over the reluctance of health chiefs to pay for people who need high levels of medical and nursing care but who live in care homes rather than in hospitals. [Daily Mail]

The Eastern Daily Press has highlighted four heartbreaking cases this week of pensioners going blind, being forced to pay privately for injections to slow the progress of age-related macular degeneration.[Ellee Seymour]

Free and available to all is not possible and everyone in Health provision knows that … The blood sucking greedy Doctors . God I detest them , they prattle on about problems when you can see their Ferrari parked outside a run down Surgery.[ newmania]

Specialists & Surgeons working both in the NHS and their private practices - are in conflict of interest. They prevent the NHS being able to employ another specialist or surgeon to work full-time for the NHS, whilst they are free to disappear any time to work in their private practice.

… But if the NHS wasn’t willing to pay the prices set by the BMA & RCS (a monopoly) or if we had more surgeons & specialists, prices would have to come-down. Their price-fixing would be classed illegal by the Monopolies Commission in any other field: whether the Oil industry or Microsoft or Utilities … [Quasar9]

NHS hospitals will have no option but to invest in marketing tactics, such as advertising, if they are to survive against private firms who will already have large marketing budgets and considerable expertise in selling themselves. [BMA]

I personally feel that the state's resources, such as they are, should cover all health care costs for the elderly and babies, should cover defence and should partly subsidize free choice education and start-up businesses.

This need not mean big government, quite the opposite, which in turn would reduce wastage and make government jobs more like hen's teeth.

As far as the elderly go, the coming grey majority will have an effect on policies towards them but by then it will be too late for today's elderly.

[jeremy on doughty] intercourse on the couch

The beauty of the blog

by presenter, raconteur and occasional explorer

Jeremy Jacobs

Back from Africa and back onscreen

I’ll be reviewing the joys of internet intercourse

and its importance to modern communications – with a brief charity detour to the Maasai foothills – live with Iain Dale on

The Blogging Hour

www.18doughtystreet.com

9pm: Monday 16th April

[kate] nice girl, pity 'bout the paparazzi


More here.

[at the café] where true natures are revealed

Most of us take a bit less than the going rate for our work but we do insist that, modest though it is, it is actually paid in full and on time. In Russia, 'next week' is no time at all.

Where it's more difficult is when people go out to a café or restaurant. Was there ever a showcase of people's true natures than in this situation? There seem to be twelve particularly virulent types, [there might be more], whom you need to be on the lookout for:

1] I get paid on Thursday

"Could you cover me for the moment and we'll settle up on Thursday?" Of course he's out of town next Thursday and anyway, he's counting on your gentlemanliness not to come looking for him.

2] Sensitive matter, man-to-man

Fact of the matter is - but promise next time I'll cover the lot [suggestion here is that this will come to far more than you're paying now]. He knows, of course, that there probably won't be a next time.

3] Damn, I must have left my wallet home

Oh-m-gd, where's my wallet? [Frantic searching under the coffee cup, in his cap, to no avail until someone puts him out of his misery, then a rejoinder using N1 or N2 above]

4] Not clear what's expected

He makes no attempt to reach for the wallet but fiddles round with the jacket and scarf or else just converses. When you finally reach for yours, it's: "Oh - you're picking up the tab this time? Are you sure?" Grateful smile.

5] Money bags

Rolling in money, or so he exudes, he only has outrageously large notes - way too much for the tip. Would you mind …?

6] Put it on plastic

A variant on 'money bags', in that he'll cover the tabs of everyone, plus the tips if you'll reimburse him your portion of the meal plus a contribution to the tip. He actually undertips on the plastic but you don't see that and he's not coming here again.

7] This meal was awful

During the dessert or coffee, he demands to see the manager. There seems to have been something wrong with every dish this evening. "Not up to your usual standards, Jacques. It happens."

8] Call of nature

Around the middle to end of dessert, nature beckons him away and he seems to be an inordinate amount of time in there. He reappears whilst everyone's robing, then drops into N1 or N2.

9] Hard luck story

During the meal, he explains how his flat was robbed, his wife left him and some muggers took everything he owned. "But I hope to be back on my feet sooner than you'd expect."

10] What did you just say to me?

The fight is picked sometime during dessert, causing him to pick up his coat and hat and storm out, brushing aside the anxious waitress.

11] Oh m-gd, I'd completely forgotten

Suddenly, unexpectedly, he remembers his appointment just before dessert. Slapping down a note on the table he says: "That'll cover it, all right? Sorry, people. See ya." Of course it nowhere near covers it.

12] It's on your tab

Another variant on the early exit but with no intention ever to see these people again. To the waiter, at the bar: "It's on Bob's tab - yeah, the corpulent one, two places from the end of the table, talking too much. OK? Must rush."

You know any of these?

[testimonials] a little narcissism goes a long way




# Whimsical, amazing, vaguely Celtic. [Bryan Appleyard]

# His blog attempts something to which I would never aspire. It is a one-man magazine. Not only does he blog about a wide range of subjects, sometimes individual posts cover a lot of ground! His is a magpie mind and nothing human is alien to him. [Tom Paine]

# James Higham's prodigious work rate leaves most of us feeling like arthritic old stonemasons. His range of interests is huge, and generally, he lightly dusts his eclectic posts with his points of view, rather than browbeating us with rants. [The Tin Drummer Not strictly true these days but still - it reads well.]

# The Higham fellow is a pathetic, sick individual. He embodies every bit of superstitious belief, ritual, taboo, violence, viciousness, exploitation, and ignorance of any creed known to man. What an ignorant philistine he is. Imprecate vocabulary always is. [Tovarishch Will]

# If you haven't visited James before he's well worth a look. This blog covers an eclectic range of subject matter; just this week, he's looked at fashion, Middle East politics, stolen Icelandic trees and the suicide rate at Renault factories. Never less than compelling, the best aspect of Nourishing Obscurity is that James will surprise you with something unexpected every single day. [Mr Eugenides]

# Last Ditch is one of the two top Moscow based blogs, the other of course being James Higham. [The CityUnslicker. Would be great if I were in Moscow but it's the thought which counts.]

# Snob Inc Special Mention - James Higham who seems to be the hardest working blogger around. Iain Dale seems to get the plaudits but James seems to genuinely care about the blogosphere. Good on him. Applause all round. Pints in Whigham's if he is ever in Edinburgh etc. [Reactionary Snob, himself an award winner. Many thanks, kind sir.]

# In his normal acute way he's picked up on a current phenomenon in today's world - the fissaporous tendencies of minor nationalisms … [Tiberius Gracchus] Fissaporous?

# While we're in a cheerful mood, how about a piccy from my favourite film (which I've been thinking about owing to a depressing post by James Higham today[The Tin Drummer

# James' posts are so frequent, his interests so varied and his contacts so extensive that his blog is rather like the Scottish weather. If you don't like it now, just wait a few minutes. [Tom Paine

# The blog Nourishing Obscurity is one of my favourite reads. Thoughtful, independent and James has a way with words. [Peter McGrath]

# Although readers may not notice any change in substance on my blog, I am quite happy, at James Higham’s suggestion, to promote and support Man in a Shed's ‘Silly Week’ . James Higham writes an excellent blog - Nourishing Obscurity - and is often to be found posting on blkogs as the mood takes him – which is often. [Charon QC]

# A blogger by name one James Higham
Makes posts that too often go by 'em
One might well suppose
He can temper his prose
With ideas that easily fry 'em.
[William Gruff]

# Another clash of the devonshire cymbols gongy thingy award hurtles over to James of Nourishing Obscurity (who is the original thinking woman’s crumpet) and whose posts make me stop and think for hours to finally understand what the heck he was going on about but I do so love his style of writing. I love how he thinks. He makes me think so I love him as equally as I hate him for making me think. [Devonshire Dumpling]

# Seems to be a lot of silliness going on in this blog! [Bella Baita View]

# I have to admit to being honoured by being included [not actually a testimonial as such] as an “Awkward Sod” on Captain Ranty's list.