Is the Guardian worse than it used to be?

Medicine is an extremely complex and difficult process. It seems to me that some patients might be able to self-diagnose on more minor matters, but on anything serious, surely trained professionals are needed. Even if you can successfully diagnose a serious illness in yourself, you won't be able to do anything about it without doctors.

assuming doctors take you seriously which isn't necessarily a given

one current area of the NHS where patients can to some extent refer themselves directly to a specialist is mental health services. it's not exactly the shiny beacon of efficiency that Streeting's talking up

it's also, of course, largely outsourced at the practitioner level

it's shite but he knows this

there's definitely an ideological social/personal disciplinary element to this (i.e. its not just incompetence or ignorance or irrationality) as with so much new labour and tory policy but other people can theorise this much better than I can

this is basically just cameron's big society though isn't it

Labour are genuinely dangerous. All that shit about "encouraging" sick and disabled people back into the workplace from last week - all I read was quotes from the slimeball shadow-health creep, but it sounds absolutely sinister.

i'm sure there's a bunch of Streeting-adjacent Labour grownups who would love to bring in the NHS equivalent of tuition fees and they're just waiting for their moment

sorry I'm getting Ashworth/Streeting mixed up here. Two of the creepiest bastards in UK politics.

i like how the "encouraging" message clearly signals that these people are bone idle parasites, which is why Labour will "encourage" them rather than, say, addressing the existing barriers that prevent disabled people who do want paid work from ever having the opportunity

meanwhile the DWP continues to keep tens of thousands of people with conditions that make it impossible for them to have any reasonable chance of working on the Intensive Work Search regime

there is a need for some reform to make it less treacherous for disabled people to access work, but these people are not the ones to trust with it. All I can envisage is more cuts and more deaths behind the bullshit soundbites.

yeah that's precisely my point, disabled people are doubly disadvantaged - those that want to work are routinely discriminated against by employers and the job market as a whole, those who don't feel able to work are routinely discriminated against by the government and its agencies

in the same way that there was a kernel of enlightened progressive thinking behind "inclusion" until successive governments realised it was a great smokescreen for closing important specialist schools and colleges

Patients have become far better informed at self-diagnosis.

Is there one shred of evidence to support this? I say this as someone who was dismissed by a GP for a health concern which an online forum helped me successfully diagnose.

― kinder, Friday, 13 January 2023 bookmarkflaglink

If there is evidence Jenkins doesn't let us know. If you are going to change how healthcare is delivered 'google/AI will replace a doctor' needs work.

But ofc it's not about that.

among this bunch of fantastic and rich western democracies in the G7, I've seen multiple graphs illustrating that the UK has measliest and most punitive benefits system. And probably is the worst so called wealthy country for disabled people to live in amongst them. This is something (no it wasn't really that much better before 2010) that has been a cross party project for decades, and now the opposition party are basically saying that level of Cameron austerity is the best we can realistically expect. No wonder some people just give up altogether.

I managed to survive the last few rounds of culling-the-surplus-population (if you call this living) but it feels like I'm on borrowed time

i feel like the social presence of the self-informed has an increasingly massive weight in the whole of present-day politics, given the fact of a colossal and ever-expanding archive of information (which is often intensely contested of course)

it is for example at the root of the distaste for "populism" and the worry at the swelling (often-partisan) distrust of technocratic expertise -- the culture-wars assault on facts and logic blah blah

what's the politics of this as a general effect? "too early to tell" — zhou enlai

my partner probably hasn't got that long left to live, is wracked with MS and is developing dementia. A DWP letter dropped the other day to inform her that they are only just starting a PIP renewal review, 2 years after the form was sent in. I'm not taking it for granted that the renewal will be successful. That's how shite the system is.

without going into too much personal work-life detail let me just say that the DWP is in full "hassling people to get jobs by referring them - often against their will - to job support schemes that are frequently inappropriate" mode

That shit makes my blood boil calz, sorry you’re all going through it

Left too and anyone else on the sharp end of these cunts’ miseries

Fucking hell calz, my heart goes out to you. This is appalling.

And yes, sorry Left, I hadn’t scrolled up

Really sorry, Calzino. Really hope your partner gets the support needed.

Left too..

So sorry Calz. Have had my eyes opened in the last few years as to how people with disabilities are basically bottom of the pile. Obviously I have also seen some great support but it's stretched so thin it's transparent.

Calz, I am so sorry you’re going through this xx

thanks all, the upside to this is I've become quite calm and stolid in the face of crisis - a crisis expert almost, which you need to be these days!

glad you're holding up, it's a fucking war

Best wishes for you and your partner, Calzino, for whatever that's worth.

echoing the support from others, calz and Left <3

Just been reading the current LRB and I am increasingly convinced Iain Sinclair and Simon Jenkins are the same person

— Alex Harrowell (@yorksranter) January 21, 2023

Nothing says "change of senior editor" at The Guardian like a piece presenting wild swimming as anything other than a panacea for all the worlds ills being published.

RIP wild swimming. Nature’s ‘cure all’ has thrown in the towel | @EvaWiseman https://t.co/bfzWzDmmFn

— Observer Magazine (@ObsMagazine) January 22, 2023

breaking news: swimming in raw sewage is not as beneficial for your health as previously stated every week in the graun

my dad liked roger deakin's books (bcz he liked to read abt trees) so i read waterlog when it came out, as it was sitting there by dad's bed: its concept of wild swimming was more like hiking across the wild countryside and being sure to take a dip if/when you found open water like a sparkling stream or a cool calm lake miles from anywhere -- which i can't imagine myself doing tho i can see dad doing this when he was much younger (and not bed-ridden)

i.e anyway NOT swimming at the normal ordinary seaside! (dad liked beaches but i bet deakins despises them!) (lol even more now that they're mostly knee-deep in human waste lol)

wild swimming but it's at a lido south of the thames 😨

I've been in the sea at Newquay before in a wetsuit. And that was too cold for my liking, ankle deep is about as far as I can bear cold water.

yeah an afternoon paddle in August at Hornsea with the icy North Sea rattling the shingle up your legs is about my level

Enjoyed this column quite a bit. Pretty ruthless on someone who claims they will "self-destruct":

https://www.theguardian.com/lifeandstyle/2023/jan/22/ask-philippa-perry-im-single-about-to-turn-40-and-fear-i-will-self-destruct

Roger Deakin loved the seaside, some of the best bits of Waterlog are about beaches. He actually seemed to like people, unlike eg Sinclair.

ok busted it's like 20 years since i (skim)read waterlog but beaches still aren't wild swimming

Guardian leading the way in removing the 'T' from LGBT with their 'LGB+' designation, no doubt at the behest of the sensible middle-class white person lobby

https://www.theguardian.com/society/2023/jan/25/young-people-england-wales-twice-likely-identify-lgb-overall-population

holy shit

metadata harder to kill:

https://www.theguardian.com/world/lgbt-rights

times are hard at the Graun, the cost of those extra Ts adds up

Thank you Bill.

https://www.theguardian.com/us-news/2023/jan/24/bill-gates-startup-cow-burps-methane-emissions

I was also surprised at the usage of LGB+ but I think it is because there is a separate section in the ONS census data around trans identity.

Yes, in census terms the letters LGB (sexual orientation) and the letter T (gender identity) represent different kinds of information. Every newspaper that reported on this story used LGB+ in this way (presumably because that's what the ONS used in their own reports on this data).

dammit did i just get outraged for no reason??

no because fuck the ONS