Sunday 29 April 2012

From Cradle to Grave

I have been brought up with the expectation that the State would look after my every needs from cradle to the grave. Clearly this is not possible. Just as a belief in Father Christmas, this is a wholly unrealistic fantasy expectation. Yet it is a wide spread, fervently held expectation, almost as a moral right of citizenship that this shall be delivered to me, if not everyone else. No politician, if they hope to survive,  dares to stir the foundations of this expectation. But for all that it is a fantasy, incapable of implementation.

The human condition is complex, diverse and we are only now getting glimmers of how it might work and come together. One persons needs are of such a different magnitude to another's. Those needs so real and pressing at the time are not immutable. Satiated, the need merely shifts and moves on to new arenas. The time, place and even the company can have a huge impact of the perceived desperation of the need. For some, having an need is a prerequisite to life, without a need to share, they are vulnerable, isolated, cut-off. Their need is their way of relating and claiming attention and reassurance from those around them. Little wonder then that the State has not the least chance of satisfying the needs of its citizens.

All needs are very real to those that live with there lack of resolution. It is rather like deciding on degrees of killing, which is the kinder or more humane method? You might think that providing a wheelchair to a non-ambulant person is a clearly demonstrably more real and justifiable need than reading a newspaper to an elderly person. It all depends on circumstance and expectations. If the non-ambulant person is really missing companionship, the wheelchair may not provide the answer. Hearing the newspaper read may be the last desperate cling onto reality in an otherwise slide into dementia. You tell me which is the real need. Meeting needs is not about cost, it is not about the practical ease of provision, it is not about the physical against the emotional, it is all about a person perception of their need and how it might be provided for. Whether it is a wealthy housewife unable to cope with dusting, a single mum trapped in unsuitable accommodation all across the spectrum to a severely disadvantaged person that needs help just to breath. How can the state cater for all its citizens needs? It simply cannot.

It is the citizen, with their supporting network they have drawn around themselves, that has to address and resolve their own needs, within the pool accessible to them of financial, practical or emotional assistance. Harsh but that is the reality. No magic wands to sweep you out of your circumstance out in to some fantasyland where problems have been banished. We have to live with what we have got and have to learn to overcome the disadvantages of being in that place we find ourselves. Unfair, inequitable but that is life, we do not get to choose were we are born. Which is not to say the State has to be uncompassionate, it has a duty of care to look after those that fall for whatever reason.

Those that fall due to no fault of their own, they are worthy of every possible support and assistance to get back on their feet. Just short of that support becoming a crutch is the catch. As humans we are always going to get it wrong, taken in by a sucker story, to refusing a genuine tale of woe because it appeared self-induced. Despite all the wrong calls, the majority will be desperate needs rightful for state intervention. For all those other self-inflicted needs the state eventually has to provided a final safety net. We cannot let our citizens slump into degradation and despair. There has to be a safety net. It is just that the safety net does not have to equate to  an equivalence of self-sufficient suburban life with own front door and fully equipped and furnished home. The horrors of the workhouse are real and current memories, no going back to that. Short of the workhouse, a place of safety not full of all creature comforts, but a supportive environment to provide shelter and reassurance, for the individual, or members of or up to the whole family,  during that struggle to get back onto ones feet. That is the states remit. That is the extent of the state meeting the needs of its citizens. Well short of support from cradle to grave.





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