Mental health, poverty, and the devastating erosion of the social safety net.

Content note: This essay contains mentions of suicide.

There is a summary at the end of this post for anyone who struggles with the full text.

Today it’s come to light that Iain Duncan Smith, the Minister in charge of the Department of Work and Pensions (DWP), has decided not only to retest everyone on Employment and Support Allowance (ESA) and discount many of those with mental illnesses like depression and anxiety, they also plan to stop extreme psychological distress from being counted in Personal Independence Payments (PIP) assessments. (Source) (Source that ISN’T the Daily Mail)

This means people with psychological disorders that disrupt their lives to an enormous extent will not get the support they  may desperately need.

Rather typically of this Conservative government, they previously stated they would be cutting the qualifying distance in the PIP assessment in order to be able to afford the support for people with mental health conditions. This means a large amount of disabled people were kicked off the benefit for support that is now being withdrawn, apparently. It was a way to bring in more cuts and nothing more.

People are so scared about what their futures hold, and then going to be staring at the possibility of losing all support while still being incapable of working.

This is going to cost lives.

I have lost a lot of people in recent years, and I’m already seeing people discussing potential suicide if their reassessment comes up and it’s too much for them. I see a risk of a knock on effect which affects a wider group, those with both physical and mental health problems. I’m genuinely concerned that I may not make it through another application. Last time nearly killed me.

A long standing complaint of all of these changes is reassessment of people who have no hope of recovery. I personally have two conditions and neither are going to get any better. Over time my health will go downhill. I also have mental health problems which can be extreme at times. I need a lot of assistance throughout the day and will continue to, so what on earth is the point? Ah yes, just keep making changes and reduce the number on it regardless of the consequences.

I expect we’ll begin seeing a lot of appeals too. Appeals tend to cost the government an enormous amount. It’s worth remembering that at some points in this government’s term in power, enormous claims were made about 75% of people on ESA being fit to work, based on some dodgy statistics because Atos were just refusing everyone. A very large portion of that 75% actually had their decision overturned, at great expense of the state who had to pay Atos per person fit for work and the state for the cost of the appeals. Is it really worth the cost to both the state and the wellbeing of sick people? It’s costing a fortune.

At times it appears as though the only way you can get through an assessment and be treated with humanity is by pure luck. Some incredibly disabled people have been denied assistance in recent years and the government, far from attempting to ‘lift people out of a culture of blah dependency blah blah’ they’re placing them in poverty and risking homelessness.

A thing I find very disheartening, aside from the lives that will most certainly be lost as a result and impending poverty for so many, that we have so few helping to fight for us. We can’t easily organise, march, and petition. We get passing recognition but little besides that from so many activists. Just look at how long we’ve been fighting for a cumulative impact assessment, the WOW petition has taken a lot of people trying to bring attention to it for a very long time.

When we make noise, the most we can usually hope for is a Guardian article and lots of ‘if they’re so disabled, how are they marching?!’
We need people who are able to march with us, to petition with us, to get our voice heard and bring attention to the egregious behaviour of this government. Disability and mental health issues don’t make for sexy campaigns, there’s no way of making it palatable. Issues of disability are so ignored in this country, and most media attention we get is to criticise us.

The changes they’re making, I suspect a media line of mental illness being over diagnosed or a lot of implications that it’s a character flaw will emerge. Very much downplaying the severity of it, as well as making claim that those with mental illnesses are just getting more support after the £1bn ‘investment’ (it’s not new money, it’s just been moved) which is why the reduction. Alarm bells are ringing, loud and clear, and they sound fascist.

We’re all living in utter terror, always worried about that brown envelope coming through the door that could spell poverty/homelessness. People with mental health problems, rather than being able to focus on getting better in order to get back to work, are having to panic about impending judgement looming over them, threatening to throw their life into turmoil.

We already have to survive on so little. Financial stress can be devastating on it’s own. When you’re already having so many problems with health and living on a low income (as most on these benefits do), the idea of someone coming and taking your last lifeline away is terrifying. If they fail to take any evidence into account, as they often do, you can lose everything.

As I’ve stated above and will again: This will kill people.
The UN’s human rights investigation into our government cannot come soon enough. We signed up as a nation to the convention on the rights of persons with disabilities and we are currently doing everything we can to avoid any responsibility while withdrawing desperately needed support.

I pray they reconsider but sadly I don’t see it happening. Call me pessimistic but frankly I fear they see us as barely human, they won’t care.

Summary: Iain Duncan Smith plans to not only retest everyone on ESA (Employment and Support Allowance), but limit both ESA and PIP (Personal Independence Payment) when it comes to people who are debilitated by mental health problems. I am expecting stories to appear that denigrate the mentally ill, and I don’t expect there to be an enormous uproar with big protests, but rather a big news story for a day and then dies down to a simmer. It will go ahead, and people will die because of it, being unable to work and having no access to disability support.

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