One day in the 1980s, I climbed to the upper deck of the
bus, where smokers and schoolchildren gravitated, and saw a simple graffito on
the back of the seat in front: ‘kill the old.’ I didn’t know then that it would
become government policy.
For example, there is (or was) the
Liverpool Care Pathway, developed in the late 1990s. https://en.wikipedia.org/wiki/Liverpool_Care_Pathway_for_the_Dying_Patient
The word ‘care’ in this context is a sick perversion of the normal usage: even
the worst felon in any British prison would not be made to die of hunger and
thirst. Allegedly the LCP was to be phased out seven years ago, though the Daily
Telegraph then commented (£) https://www.telegraph.co.uk/news/health/news/10487109/Liverpool-Care-Pathway-being-rebranded-not-axed.html
that it was merely being ‘rebranded’, replaced by ‘individual end-of-life care
plans,’ another mealy-mouthed verbal formula that smells of rat.
A couple of years later (2015),
the NHS was adopting the United Nations’ ‘Sustainable Development Goals’ (SDG),
under the terms of which the death from ‘non-communicable diseases’ of patients
aged 70 or over would not be counted as ‘premature’, with obvious implications
for health service targets and strategies. (£) https://www.telegraph.co.uk/news/health/elder/11637179/Elderly-face-NHS-discrimination-under-new-UN-death-targets.html
This ageism was challenged by Professor Lloyd-Sherlock https://www.edp24.co.uk/news/uea-professor-and-his-mother-take-on-un-over-ageism-1-4149130
, seeking to change the word ‘premature’ to ‘preventable’, because: https://ageing-equal.org/trying-to-make-sense-of-ageism-in-health/
‘The problem lies in how the UN (and World Health
Organisation) define ‘premature mortality’. This is specified as deaths
occurring between the ages of 30 and 69. In other words, deaths occurring
beyond age 70 should not be considered to be ‘premature’ and should not be
included in the UN target.’
To date, he has been unsuccessful,
as the deadly word remains in place (target 3.4) https://www.un.org/sustainabledevelopment/health/
.
Please don’t imagine it will stop
there. Already the ageist attitude is seeping down in the NHS to apply to
patients below this cut-off point and to cases that are eminently treatable. My
wife, who is under the Biblical ‘three score and ten’, healthy and active - received
a telephone consultation on Saturday regarding a condition that is painful but
correctable by surgery, and in the course of the discussion the consultant twice
came back to her age, which felt to her as though he was implying that for that
reason, she should seriously consider not bothering.
As Dr Vernon Coleman says
('Coronavirus – Why and How the Government and the Media Are Wrong,' Health,
16th March) http://www.vernoncoleman.com/main.htm
'The young who seem to welcome the idea of the
elderly being deprived of medical care might like to reflect on two thoughts.
First, they may one day be old themselves. Second, the age for cutting off
medical services will get younger and younger – as the pension age gets older
and older. Today’s 20-year-olds may well find that they are ineligible for
medical care when they hit 50.'
(I am also indebted to Dr Coleman for his
reference to the UN’s SDG, among other valuable points in the same piece.)
In the current crisis, it’s not
true that the PM advocated a ‘take it on the chin’ approach to the coronavirus https://fullfact.org/health/boris-johnson-coronavirus-this-morning/
, which might potentially result in hundreds of thousands of avoidable deaths –
but in the US, CNBC’s Rick Santelli did https://www.commondreams.org/news/2020/03/06/your-brain-capitalism-cnbc-market-analyst-rick-santelli-calls-infecting-global
.
Yet is it really a choice between
the money men’s ‘Nature red in tooth and claw’ approach and the blanket curfew
here that threatens to crash the economy? The cost of the latter surely dwarfs
that of a more focused alternative plan (as others have argued here on TCW):
testing, tracking and isolating cases of infection (numbered even now in the
thousands rather than the hundreds of thousands); and putting in place
protective measures for the elderly and others who are particularly vulnerable
– organising systems of supplies, checking the health of their carers etc.
While we are on this subject, why
is it taken for granted that thousands in this country should die every year
from influenza? Those who want to downplay the coronavirus contrast the low
(for now) toll with that of flu – which spreads less easily and is less often fatal.
Unlike Covid-19, flu sufferers are most contagious after symptoms appear, a
smaller proportion of the population is affected than is predicted for WuFlu,
and a smaller proportion of flu sufferers need hospitalisation and intensive
care. https://www.npr.org/sections/goatsandsoda/2020/03/20/815408287/how-the-novel-coronavirus-and-the-flu-are-alike-and-different?t=1584948495372&t=1584973645869
However, as with coronavirus, the risk of death rises significantly with age
and with comorbidities. https://www.sciencedirect.com/science/article/pii/S0163445313003733
So why is there not a national
plan for annual flu, more than just the hit-and-hope vaccination against the
strain that is guessed to become the commonest that year? Not all of us can escape
the British winter and fly to the south of France as the upper crust used to
before the War, but we could all consider our behaviour – and our plans for
care - towards those who are immunocompromised by age and health conditions; we
can wash hands more often and remember the wartime slogan ‘coughs and sneezes
spread diseases’. Why should flu-riddled employees be praised for taking
tablets to suppress symptoms, struggling into work and infecting colleagues
(and indirectly, many others), rather than be ordered to self-confine for
public safety? Is it merely coincidence that since we started to think about
these things, deaths from respiratory diseases in February have dropped by
hundreds per week, even when compared to the same period in 2018 and 2019? https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/weeklyprovisionalfiguresondeathsregisteredinenglandandwales
Are the old being murdered wholesale by indifference and negligence?
In the shadow cast by this
pandemic, rough beasts are slouching towards us to be born: the abrogation of
civil liberties by the Executive (see Peter Hitchens on this) https://www.dailymail.co.uk/debate/article-8138675/PETER-HITCHENS-shutting-Britain-REALLY-right-answer.html
; and the death culture that is moving from abortion on a scale that was never
envisaged in 1967, past the implications of the way courts have sometimes
tackled cases of alleged ‘mercy killings’, towards an ugly scrutiny of the
expensive and troublesome aged. Perhaps we are in a battle for values that we
thought we were defending in the last World War.