“Monument or Headstone 2”?

(This is a continuing post on the recent theme of the assisted dying bill, click on ASSISTED SUICIDE in the TAG CLOUD for other posts on this subject).

Professor Theo Boer who originally was an advocate of assisted dying has now changed his view after seeing the policy develop after legislation was introduced in the Netherlands in 1967.  What started as a compassionate approach to terminal illness with the active consent of patients and doctors, has now become “normal practice” for many elderly and chronically ill people.

What began as a response to a few exceptional cases has increased by 15% every year since 2008 and may well reach 6,000 deaths this year.  Nearly 1 in 7 deaths are at the hands of doctors in the Netherlands.

A new medical term has now emerged – “terminal sedation” where patients are sedated and then dehydrated and starved to death.  This has been advocated in the UK in the “Liverpool Pathway” – a term which has now been withdrawn.  This approach accounts for 12% of all deaths in the Netherlands, but many people who die this way are not included in the assisted dying figures.

In Belgium the figures are even higher where 1 in 5 of all deaths are ‘helped’ by doctors.

The slippery slope looks to be getting slipperier and slipperier.

This could be the easy answer to the NHS being overwhelmed by elderly patients.  It would be a lot cheaper than prolonging “unwanted” lives.  The pensions industry would have a strategic solution to unpredicted longer lives.  Who knows, annuities might even increase again if life expectancy starts to fall.

The economic argument for shortening older people’s lives is getting stronger all the time, though nobody dare advance that case in speeches in the House of Lords debates on assisted dying.     Meanwhile care and compassion for the frail and vulnerable is talked about frequently in a heart on your sleeve way ——- but seldom acted upon.

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“Monument or Headstone?”

After several years of careful parliamentary steering, Lord Falconer has brought forward his bill on assisted dying to the debate stage in the House of Lords.  I have commented on the path this life ending project has taken —– like the slow march behind the funeral hearse.

(See other posts by clicking on “ASSISTED SUICIDE” in the TAG CLOUD).

Lord Falconer, with all the sure footed confidence of a former Lord Chancellor, knows that only single-minded, blinkered certainty will see the task through.

There is a strong sense of self-righteousness and little humility in the campaign.  No room for doubt, no listening to dissention.  The slippery slope argument advanced by some opponents of the bill, including myself, has been cast aside with disdain.

But is he right, or will this man with a mission end up with a monument for himself and an early headstone for thousands of elderly people – ????????????????

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“Eat More Fruit & Veg 6”

This is a continuation of the fruit and veg theme (click on the “EMFV” in the TAG CLOUD for the other posts).

Now carrots should be an easy win.    Who doesn’t like carrots?     Three tablespoons equals one healthy portion – which must be about one and a half carrots.    They are packed full of vitamins A and C, although again much is lost in cooking.  It rather seems as though cooking is a bad idea when it comes to eating vegetables in a healthy way.

Still, raw carrots aren’t so bad, certainly rabbits think so.

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And don’t I remember carrots improve your eyesight, although that seems to contradict the story about rabbits and headlights  🙂

Stay safe.   Stay off the road when you’re  eating your carrots, or it may not be healthy eating after all !

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“Ill-timed Age UK”

A report was released on 4th July 2014 by Age UK and the Royal College of Surgeons. It highlighted the fact that many people aged over 75 are being denied life saving surgery for breast and bowel cancer on the NHS. This is also the case for knee and hip replacements.

There is no attempt to disguise this blatant ageism as some Health Authorities did not offer any breast cancer operations to patients over 75.

Strange then that this report is released the day after the annual Age UK National Later Life Conference! Yet there was no mention of the report even though the conference speakers included Earl Howe, the Under Secretary of State for Quality at the Department of Health, as well as several prominent clinicians and other health service professionals.

Seems like harmony is more important at Age UK that campaigns for the rights of older people.

Definitely no rage about age!

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“Age UK Conference”

I went to the Age UK Later Life Conference at the start of July; walked into a lot of doctors which is by far the best way to remind you that you have reached the age to go to an Age UK Conference.

Curiously the title of the conference was “Loving Later Life” which held out the prospect of some positive images of retirement, but sadly Age UK swiftly went back to its roots and focussed mainly on “helping the aged” and “age concern”.   Seems like they can’t break free of the burden of their history!

Lots of talk by the doctors about integrating health and social care.   A subject that has been discussed by doctors for years, but since it challenges the independently funded empires of primary care, hospital care and local authority controlled social services, little is likely to change for many years to come.

Government Ministers and Shadow Ministers danced around the subject trying to look positive but say nothing controversial before next years’ election – so that guarantees nothing will happen soon.

Age UK Executives, wanting to be friends with everyone, agreed with everything and congratulated themselves and everyone else about what a good job they were all doing. The few challenging contributions from audience members were quickly glossed over leaving no disharmony on yet another year of little progress.

The changing demographics of the elderly population adds pressure to all elderly services to the point where the NHS is overwhelmed with older people and some services are beginning to be rationed or not offered at all to older people.   GP’s are sinking under the weight of patients with multiple chronic conditions, while their patients wait and wait to see them at all.   Social Services have been starved of cash by Central Government to the point where they are forced to look for excuses not to care for people at home.

Meanwhile, in the parallel universe of Age UK’s later life conference, all is sweetness and no light.

NO RAGE ABOUT AGE HERE

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“Eat More Fruit & Veg 5”

This is a continuation of the fruit and veg theme (click on the “EMFV” in the TAG CLOUD for the other posts).

Broccoli has become the trendy to eat healthy veg.    Two large spears count as one of your seven, if you know what I mean.

It is rich in vitamin C, but the catch is that the vitamin C is lost when you cook it.   I wonder where it goes?    So you have to eat it raw to get the full benefit, which is a bit more of a challenge.

This healthy eating lark is beginning to be hard work.  I feel like I could be wading through a forest of broccoli.

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“Dolly Mixture”

It’s the end of June, all is well, the sun is shining and pensioners are headlining a Glastonbury pop festival. The Times gives over a full-page 3 to 68-year-old Dolly Parton. Nearly 100,000 people came to watch. This only a year after an equally large crowd turned up to hear the ageing rocking Rolling Stones.

So some pensioners can still attract attention!

Elsewhere in the same newspaper in only a few lines on page 17, a small headline quietly with no fanfare states “elderly care faces funding catastrophe”.

The Local Government Association forecasts that another £5.8 billion is required to meet the shortfall in council funding for social care.   Currently 30% of council budgets are spent on the elderly and this is set to rise to 40% by 2020.   Meanwhile the Government’s austerity programme has cut social funding by £2.8 billion since 2010.

Whilst younger people listen to a few ageing rockers at Glastonbury, more and more older people are forgotten in hospital beds and residential homes.

Posted in ELDERLY UK POLICY | 2 Comments

A lifestyle left behind

Have spent two fantastic holidays in Arkansas (pronounced R-can-saw) fishing on Lake Ouachita (pronounced wash-it-ah).  Only problem is they don’t speak English and even though it’s in the middle of 21st century America, it’s rather like stepping back in time.  The following photos were taken on a visit to Mountain View in the Osark Mountains which rather illustrate the point, even though we didn’t quite see the Clampit Family.

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On holiday in Arkansas, USA, staying in Mountain View – a small town 2,700 population, high in the Ozark Mountains.      “The folk music centre of the world”.

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A town lost in a 1960’s time warp.     Elvis features 50 times on the jukebox in the Rainbow Cafe.      He could walk through the door any minute and be quite at home.    Little old boys with long white beards, in denim overalls with 2 inch thick braces, can be found on every corner.

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Mom and Pop shops from yesteryear – home cooking restaurants.     Crafted wood tables and rustic porch seats; fashion shops full of tie died t-shirts and dresses waiting for the hippies who don’t come so often these days; and antique shops full of things that must be at least 40 years old.

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The best shop was the drug store  –  no longer selling snake oil and medicinal potions  –  but still doing homemade ice cream, candy bars and phosphate drinks.    Oh, and Grannie’s pies, made by an 80-year-old lady who has been making pies almost since the pharmacy first opened.     Strawberry pies, coconut pies and peanut butter pies.     All guaranteed to contain at least 2000 calories per slice

But     D  E  L  I  C  I  O  U  S

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The town has status, it is the county town, so in the centre of the town square is the County Court House.      Round the next corner is the Police Station and just a block down the road is the sheriff’s office and the county jail.      Difficult to see where all the crime comes from especially when it is a “dry” county – no alcohol is to be found anywhere.

Not only that, but this is a very religious part of the world with churches on every block – the first Baptist Church,  First Assembly of God,  Grace Lutheran Church,  Happy Hollow Cons Menn Church,  Church  of Christ,  First United Pentecostal Church,  Church of the Living God,  Arbanna Baptist Church,  Bethel Springs Mennonite Church,  First Assembly of God,  Evangelistic Centre Church,  Church of Christ East Side,  Broom Tree Refuse,  First Apostolic CR-Covington……… plus fifteen others!

It is a charming old-fashioned, honest, God-fearing country town, no doubt like many others all over America.    Sadly on its outskirts are the familiar symbols of a more modern commercial world.    The Wal-Mart Superstore, the world’s largest retailer, born in Bentonville, Arkansas, now long since replacing the local shops.    The Wendy’s, McDonald’s and Subway fast food outlets undercutting Grannie’s Pies.

There is a high price to pay for modernisation when communities like Mountain View disappear.

 

 

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“Eat More Fruit & Veg 4”

This is a continuation of the fruit and veg theme (click on the “EMFV” in the TAG CLOUD for the other posts).

When it comes to healthy eating, bananas are a no brainer.  Full of potassium, therefore good for blood pressure.  Presumably that means lowering it not increasing it.  Got to be careful though, a large banana contains seven teaspoons of sugar.  Oops!

My childhood view of bananas was they made great doorstop bread and butter sandwiches, liberally sprinkled with added sugar.   Strange that you don’t find them in trendy sandwich shops like Pret a Manger or Upper Crust nor in the Sealed Box, Cost-a-lot, sandwiches of M & S.

Still, these must now be just childhood memories.   Bread, butter and most of all, sugar and all fruit-non-gratis.  Banana sandwiches have had all the fun taken out in pursuit of the serious business of healthy eating.

However, bananas are the most convenient of convenience foods, they come in their own wrapper and fit easily into a pocket or a handbag.    The problem only comes when you eat the banana.    What do you do with the skin?    You can never find a bin when you want one and you can’t put it back in your handbag or pocket.    If you drop it on the pavement you will be liable for a fine from the litter police patrols.

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Or worse still, if someone slips on your cast off banana skin, you could be caught up in a no-win, no-fee personal injury claim that could run into millions of pounds.

So be extra careful.    Your healthy eating regime could be expensive.

 There is many a slip between banana and lip 🙂

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“Eat More Fruit & Veg 3”

This is a continuation of the fruit and veg theme (click on the “EMFV” in the TAG CLOUD for the other posts).

The next delicacy on my healthy eating menu must be tomatoes.

Bright red, juicy, plentiful tomatoes, available in the supermarkets all year round.   Of course the winter ones are grown in Israel or Morocco or somewhere, so there will be a little damage to your carbon footprint, but maybe its OK to overlook climate change in the interests of your health.    The other minor problem is the winter tomatoes don’t taste like tomatoes, but they are probably still full of nutrients.

Summer tomatoes are easy to grow in your own garden in pots or in the ground, although they need quite a lot of attention, especially watering every day.     Still, the exercise will all add to your healthy living regime.   It is not necessary to talk to them unless you are  Prince Charles.

Watch out for slugs, snails and caterpillars, they can be added to your salad if you want some variety and fancy a “bush tucker trial”.

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Tomatoes are ideal for sandwiches with lashings of salad cream, except in the interests of healthy living you should maybe leave out the bread and the salad cream.   Just one tomato counts as one of your seven.    They are rich in lycopene, and you can never get enough lycopene, it is a nutrient that protects against cancer.    They also contain 40% of your daily requirement of vitamin C, so if you suck a lemon at the same time, that should do the job.

Finally, tomatoes do not last for long, so before they go too soft, make another of your seven by juicing them in a blender adding tabasco, Worcester sauce and a large vodka.

Bloody Mary’s are not on the Government healthy eating list, but who cares  🙂

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