Lies and Distractions…

Just when I thought Keir Starmer was the most rage inducing Labour politician, Tony Blair popped his head out of whatever luxury hole he currently resides in. He decided that we all needed to hear his ableist and stigmatising opinions.

This statement is vile in a number of ways. Blair’s wilful ignorance will contribute to rising disability hate. There is no excuse for someone in his position to feed the right wing ‘scrounger’ narrative. I feel compelled to clear some things up.

Self Diagnosis

There is one reason and one reason only that there has been a rise in ‘self diagnosis’. That is inability to access mental health services. NHS waiting lists are long and actually getting a referral in the first place is laborious. Many people are instead directed to online resources and/or NHS helplines. Those who make it onto a waiting list may still have battles ahead. Most patients are offered a short course of CBT*, a modality that is not suitable for everyone and is often counterproductive. Those struggling to deal with mental illness are not researching symptoms and looking for a diagnosis for the hell of it. They do so because they are desperate. They are not adequately supported by professionals and are driven to find their own answers.

Disability Benefits Bill

Let me be clear, no one without an official diagnosis is receiving disability benefits. Successfully applying for these benefits (PIP, DLA, ESA or ADP**) is an incredibly onerous endeavour. The process requires extensive disclosures, evidence and the support of medical professionals. The system already purposely discriminates against those with mental illness. The criteria are designed to exclude symptoms and difficulties experienced by those with common mental illness like depression or anxiety. Many people with a professional diagnosis and treatment input from psychiatric services are denied these benefits. There is zero chance of someone just saying they have a condition and being approved.

Gaming the System

Implying that large numbers of people are illegitimately claiming benefits is dangerous and inaccurate. Fraud rates for disability benefits are very low. In fact, there is a higher percentage of claimants being underpaid. The application process is exhaustive. It is intentionally stressful and intimidating. Assessors frequently over ride expert medical opinion despite being unqualified to evaluate the conditions claimants have. Vast numbers of claims are rejected only to be overturned on appeal. Contrary to the current narrative, disabled people are often denied support they are entitled to.

***

Scapegoats

Disabled people make great scapegoats. We are one of the most vulnerable demographics. Often with little emotional or physical resources to fight the bureaucracy. We have been subject to harsh conditions since the beginning of austerity. Research from the University of York found that the impact of cuts to social & healthcare were linked to over 57,000 more deaths than expected between 2010 – 2014 alone. The perception that disability benefits are easily scammed and so costly as to damage the economy further endangers us. In 2023/2004 multiple regions in the UK recorded their highest number of disability hate crimes. Being scapegoated by those in positions of power is nothing new. The Tories have been using us as a distraction from their disastrous policies and corruption for years. To have Labour join in is a tough blow. I didn’t have high hopes for this government, but this page from the Conservative playbook is still alarming. Yes, I know that Blair is not a member of our government, but he does still hold sway within the party. His comments will absolutely be associated with Labour.

Disabled people are not to blame for the crisis in our health service. The UK has been experiencing a swell in both physical and mental illness for a number of years. This is as a result of deteriorating public services and a drop in quality of life. The pandemic played a part, but the biggest culprits are our political leaders. It disgusting that the trend of pointing the finger at a vulnerable group to distract from the reality of governmental failures is set to continue.

* Cognitive Behaviour Therapy

** Personal Independence Payment. Disability Living Allowance. Employment and Support Allowance. Adult Disability Payment.

*** Department of Works & Pensions

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Not to blame…

As this pandemic continues to wreak havoc there is an increasing need for a scapegoat. Predictably, fat people have become a convenient target. Navigating this strange new world is hard enough without all the finger pointing.

If you’re feeling hounded, I get it. I’m fiercely fat positive & always prepared to fly the body liberation flag. Even I am finding the constant barrage of fat phobia exhausting. With our feckless PM giving credence to a BMI/Covid link and the tabloids eating it up it is understandable that we feel attacked. When the government makes weight stigma policy it absolutely feeds the trolls.

For the record, losing 5lbs will not make you less likely to contract covid nor will it effect the severity of the virus if you do. Like much of the Tories covid 19 response it is not rooted in science. In fact, it is too early for any studies to provide reliable data on the impact of covid on fat bodies. Especially when the intersections with poverty, disability, poor medical care etc are often not factored into research.

Fat phobic newspaper headlines

You are not irresponsible for living in a fat body. You are not a burden on the NHS. You are deserving of the same care & respect as anyone else. If you need help reinforcing these facts or dealing with others who refuse to accept them I highly recommend checking out the resources below. I have linked to their Instagram accounts from which you can find all their links/books.

Jess Campbell (haes_studentdoctor) is as her insta implies a student doctor with a Health at Every Size approach. She shares excellent information in a really straightforward manner.

Dr Natasha Larmie (fatdruk) is a GP in the UK who campaigns to end medical weight stigma. She shares her own experience along with insightful analysis. Definitely a must follow.

If you aren’t already aware of Dr Joshua Wolrich where have you been? He is an NHS surgical doctor who promotes HAES, debunks junk weight loss science & has a much anticipated book due very soon.

Lindo Bacon is a body liberation author, speaker & researcher. Their first book, Health at Every Size completely changed my understanding of how my body works & the effect of dieting. I cannot recommend their work enough.

Image of book,  health at every size lindo bacon

I only recently discovered HPWAS (Health Professionals Against Weight Stigma) and I am so glad. As a fat person it can be difficult to deal with the medical community. It is therefore very reassuring to know there are professionals trying to change things from within. They are currently collecting lived experiences of medical fat phobia. Please do consider sharing if you feel able.

Big fat love to everyone struggling.

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