This is a story about normality...

Most people want a secure job, secure housing and to feel prosperous. Most people don't care about freedom of speech and a free press. Given the choice between security and freedom, most people would choose security every time. It's only a handful of paternalistic elites who dictate that we the people care a very great deal about freedom, when in actual fact this is not true at all.

Freedom has a very narrow definition. When we talk about freedom of speech and a free press, we do not also acknowledge the freedom to be hungry, the freedom to be homeless, the freedom to be marginalised, excluded and abandoned by our "fit in or f**k off" culture. While we might enjoy freedom of speech and a free press, those luxuries are only useful to a privileged few; the wealthy elites; the rich and powerful. While you are theoretically free to run for political office or broadcast your opinions, you are not at all free in practice.

The only freedoms that ordinary people have are the choice between virtually identical minimum wage zero-hours contract McJobs; the choice between conformity or social exclusion. You can be a free tramp, if you choose: you can be homeless, penniless, destitute and free, or you can be enslaved to the capitalists... it's up to you; you're free to choose.

Further, for those who are not neurotypical you have to choose between social exclusion, stigma and poverty or the chemical straightjacket of powerful psychotropic medications. You're free to accept the diagnoses and swallow the pills, and allow yourself to be 'normalised' so that you fit the rigid static definition of how a 'normal' person should think and act, or you can choose to be excluded from most economic and social activity because you don't fit in.

Many of us willingly and indeed eagerly beat a path to the door of our doctors, demanding medications that will return us to 'normality' when we find that we are deviating from what we perceive to be the norm. We see millions of others around us getting up at dawn, commuting to bullshit office jobs and being uncomplaining, so when we're troubled by depression, anxiety and other disruptive changes which force us to confront the purposelessness of our absurd existence, we 'choose' to be made normal again by psychiatry.

Society should be constantly adapting to the changing needs of the people, such that the stress and exhaustion in our lives is reduced or at least kept constant, but instead we see that the people themselves believe that they are the ones at fault. Students take amphetamines, modafinil and methylphenidate in order to artificially increase their concentration spans and stay awake during marathon exam-cramming sessions. Workers drink tea, coffee and energy drinks in a desperate attempt to stimulate their brains and fend off tiredness. We take antidepressants and anti-anxiety medications so that we can withstand the horrors of a society which places greater and greater demands upon us, while also giving us less and less security: our jobs are under threat, our homes are under threat, we and our children are under threat. Where has the feeling of prosperity and the sense of optimism gone? We presume that it must be us who have faulty brains, as opposed to seeing that it's society itself which is failing to deliver the things we need.

As is oft-quoted: "it is no measure of health to be well-adjusted to a profoundly sick society"

When more than 50% of the population are categorised as suffering from some sort of mental disorder, we must surely accept that it's the minority group who are the sick ones. Why should society continue only to serve the ones who are not suffering? Why should our idea of what is 'normal' be based on something which is abnormal because it is less common? Why are we trying to conform to such unrealistic and impossible ideals, which do not serve the majority of people?

"I'm miserable, so you have to be miserable too"

I think the above quote accurately sums up the attitude of powerfully influential figures in our society, who are blocking any progress towards a better way of life for all our citizens. I had the misfortune of making the acquaintance of a doctor who hated their job, their commute, the daily grind and - seemingly - their patients. This doctor made it their mission in life to deny time off work to anybody they could. Their reasoning was simple: because they were miserable and hated their job, they were going to make everybody within their power suffer too. A doctor has the power to dispense medications which might temporarily mask the symptoms of a sick and broken society, or to sign a piece of paper which excuses a person from the charade of having to go to their bullshit McJob every day. A doctor has the power to inflict misery on potentially thousands of people every year, and we must presume that as many doctors are as miserable as the general population as a whole, which means that more than 50% of doctors are perpetrating this kind of awfulness on the people they have power over.

We worship medicine and medics as a force for good, but in the increasing absence of organised religion in wealthy western democratic countries, we are seeing doctors elevated to a social status beyond what is reasonable, creating demi-gods who abuse their power. Just as with organised religion, we have suspended rational thought, cynicism, curious inquiry and skepticism, and have placed blind faith in the medical establishment to cure the ills of society. We reject politics and politicians as corrupt self-serving liars and we have lost faith in the ability of our vote and other democratic instruments to be able to influence our lives for the better.

The only thing we believe we're able to change is ourselves, with the assistance of doctors who can give us "magic bullet" pills to alter our mood and perceptions, as well as keeping us youthful and protecting us from death. We have fake tits, white teeth, hair implants, botox and numerous other procedures to alter our appearance, because we're powerless over anything except our looks. We can be reasonably sure that our lives are protected by hospitals and medicines, but our power to influence anything else in life, such as our socioeconomic prospects, is precisely zero.

While a sharp-elbowed tranche of middle-class society obsesses about their children's exam grades, places at the most desirable schools and universities, internships, graduate training programmes and otherwise attempting to give their precious little darlings a head start in life, this blinkered myopia ignores the fact that the baby boomers are getting older and older but living longer and longer, while also amassing asset portfolios well beyond their means, and preventing those precious little darlings from having any hope of having secure jobs and secure housing. In order to pay grotesquely unjustified and disgustingly greedy defined-benefit pensions to the generation who've contributed the least - except to national debts, global warming and a decline in living standards - the pension funds demand that workers are paid pitiful wages for longer hours in terrible working conditions, so that profits, capital gains and dividends can keep sustaining the unsustainable, unrealistic and ridiculously greedy selfish demands of those who are taking out far more than they paid in.

A small segment of society is free to write, paint, photograph, travel and generally enjoy the freedoms that we would all love to have, but the very vast majority of us are too busy trying to survive in an ecomony which is built to benefit the few, not the many. Only the old and wealthy are free, and they did not work hard to earn their freedom: they have stolen that freedom from the young and from the future generations who will inherit all the problems of today and tomorrow.

If you're an artist and/or an academic and you enjoy your life and your job, you need to remember that the position of privilege you're in is very rare and a very high price is paid by a huge number of people, so that you can swan around having a lovely time. Your freedom ends where mine begins, so if your freedom is disproportionately large compared to the rest of society's then you're being greedy and antisocial; you're an enemy of society. While it's very trendy to talk about freedom being important, we must be mindful that most people want security, not freedom. Think about the price that's paid by the whole of society for your luxury privileges.

To be truly free and happy, we might have to re-evaluate our priorities. We can't demand cheap food and cheap goods if we want to be free, for example, because those things are only made possible by the exploitation of workers. We can't demand passive labour-free unearned income, for example, because that's only made possible by tyranny, economic slavery and exploitation of the vulnerable. Most importantly, we can't expect to feel contentment and security, when we need unhappy, insecure people in order to sell consumer products and to keep our entire workforce on the treadmill, by heavily indebting them and denying them social housing or the ability to buy/build their own home.

You might teach your children that a strong work ethic and academic excellence are the route to getting ahead in life, but it's not true. Being a compliant hard worker means you will be exploited, and obtaining academic qualifications incurs a substantial amount of debt. Servicing debts and paying rent is a form of tyranny which has encroached on personal freedom to the point where only a tiny fraction of society enjoys any kind of meaningful freedom at all. Your children will not be able to escape the trap; there's no hope. The depression and lack of optimism for the future is driven by a rational, reasonable and sound assessment of our younger generations' prospects.

Our heavily indebted and heavily medicated society is also controlled by draconian laws which were ostensibly introduced to counteract terrorism and industrial unrest, but have been abused to undermine the strength of trade unions and prevent the establishment of any counter-cultural movements which might challenge the status quo. While we should be living in an age of alternative lifestyles and people dropping out of a society which clearly no longer serves the majority of people's needs, we are instead witnessing a miserable dystopia, where we're all trapped on the treadmill because the only alternative is hunger, homelessness, persecution and social exclusion.

Yes, I'm free to write whatever I want, provided I do not defame the powerful figures who are responsible for maintaining this miserable state of existence for so many millions, but those in power are quite comfortable in the knowledge that my ranting is safely confined to an echo-chamber filled with so much noise that, as Aldous Huxley predicted, the truth is drowned in a sea of irrelevance - information overload.

We are somewhat hoisted by our own petard. Almost none of us of us demanded freedom, but we have collectively made freedom of speech into something useless; toothless. We are not free at all and we have no mechanism by which to affect any meaningful change. What is supposedly our most powerful tool to speak truth to power - the freedom to express ourselves - has in fact become the reason why our voices are not heard and our suffering goes ignored.

All that's left is the freedom to be hungry, homeless, persecuted and excluded.

Tags: #homeless #politics #capitalism #socialmedia #media #writing #philosophy #society

This is a story about not going anywhere...

The question of free will - whether we have it or not - is one that often troubles me. The problem with assuming that we have absolute freedom of choice at all times, is that it does not take reality into consideration. Often times when we see people who have been affected by a natural disaster - or even a man-made one - we might naïvely ask "why don't they just move?". It must seem fairly obvious that a low-lying country like Bangladesh is regularly going to suffer terrible flooding, and in the long run it's going to be underwater due to rising sea levels. Surely people - with their free will - should just do the rational thing and move somewhere better than Bangladesh?

To now talk about not being able to get out of bed because I felt depressed, when I've just been talking about some of the world's poorest people, whose whole country is under threat of being wiped out, is rather vomit-inducing, so I'm going to need to find a segue which doesn't imply that I consider my first-world-problems to be comparable.

Why this obsession with comparison anyway? Why should we compare ourselves to a starving African child but shouldn't we compare ourselves with a professional footballer? Who gets to choose who it's right to compare ourselves to, and who it's wrong to compare ourselves to? Who decides that?

I often think about that one person - the only man or woman on the whole planet - who can genuinely claim in all honesty that their life is worse than anybody else's. It's obvious that one single individual exists at any one time, who by all objective and subjective measures, everyone would agree is the only person in the world who can feel sorry for themselves, because they're the most wretched and unfortunate; they're suffering the most. Nobody can say to that one person "things could be worse" because they really couldn't be. For that one person, none of the oft-quoted platitudes are applicable.

Again, am I inducing vomit, talking about the world's most unfortunate human being - the one who's suffering the most - in the same piece of writing where at some point, presumably, I'm going to segue into talking about myself, which implies that I'm comparing my own suffering with that of the world's current #1 sufferer, who obviously must be suffering unimaginably, given the very great suffering that the bulk of humanity endures.

Let's return to the troubling question of free will. Given free will - absolute freedom of choice at all times - why choose to have children in war-torn and disaster affected countries that live in dire poverty? Why choose to carry on living, when your life is full of misery and suffering? Are these not two sides of the same coin? Who wants to watch their children suffer and die? Are we not certain indeed, that all life eventually leads to pain, suffering and death quite naturally anyway? Who wants to grow old and infirm? Who wants to be sick and senile? This isn't one of my antinatalistic rants, this is a genuine puzzle to me: in a world of free will, who would knowingly inflict this moral suffering onto their offspring, and indeed continue to suffer themselves, when it seems far more logical to just kill yourself - quickly and painlessly - at the first opportunity.

Given absolute freedom of choice, why did you choose your mediocre life, with all its suffering and stress? Why didn't you choose to be the world's most attractive quintillionaire and king/queen of the universe? It seems rather stupid of you to have used your free will to make all the choices that have led you to the point where you're just waiting for you and all the children you've created, to die in suffering and pain.

The fact that my Tuesday didn't happen seems quite irrelevant in the face of the question: "why don't I just kill myself?".

Tags: #suicide

This is a story about bullies and abusers...

I only have a couple of months left to go and I'll have hopefully achieved my ambition of writing a million words in 3 years - the world's longest suicide note - and the most comprehensive, candid and unflinching glimpse inside the mind of a dead man walking.

"We didn't know" and "he seemed fine" and "what could we have done differently?" are the kinds of things that haunt the people after somebody has committed suicide.

Well, there are no excuses here - I've made my very best attempt to write on a daily basis, all the things - most of which are very practical - which have driven me to attempt suicide. Eventually, I will die at my own hands.

To imagine that there's a doctor, psychiatrist or other charlatan out there who's got the f**king cure, means you're more delusional and insane than I am. Take a good look around you - things are getting worse not better; more and more people are feeling depressed; suicide has gotten so bad that it's the number one thing that's gonna kill a man like me, yet there are no pills that work, psychological treatments which are available to anybody but the extremely wealthy or indeed any offer of safe sanctuary for those of us who can't guarantee our own safety... we're a danger to ourselves. Check the data - we are suffering an epidemic of mental health problems. Every piece of objective data you can gather says the same thing: so-called 'medicine' is not making people better, and things are getting worse and worse.

Writing this blog is my therapy. It's the rock I'm clinging onto, shipwrecked in a storm as the rain lashes down and giant waves threaten to drown me. This blog gives me pride in what I've achieved, despite the adversity I've faced. More than anything else, this blog is MY PRECIOUS ARTWORK which is 90% complete, but it's fragile... don't fuck with it.

I was attacked by proxy. A horrible person got a muscly bully to invade my home and force me - with threats and intimidation - to delete quite a lot of blog posts. That coward is using their macho friends, colleagues - whoever - to coerce me to submit to their will. You can beat the living shit out of me if you like, vandalise my car, smash up my stuff, but don't f**k with my motherf**king art. If you're hiding behind your muscly bullies, thinking you can fuck my art up and you're safe because you're protected by your macho 'protectors' then you've underestimated how much it's hurting me... beyond a certain point you'll have hurt me so much that I don't care if your thugs kill me; the treats and intimidation won't matter any more. You're such a coward and you're so horrible for trying to f**k up the one thing that's most precious to me, via your proxies.

Hands off my art. It means so much to me that I'm prepared to suffer whatever the consequences are for standing up to the bullies and those who threaten me; invade my home; intimdate and force me - literally standing over me making threats - to destroy my art.

I'm not sure how many thousands of words were lost when my home was invaded and I was threatened, intimidated and forced by a macho proxy to delete parts of my artwork, but even a single word is too many. I was forced to delete a picture of a sausage, for f**k's sake. Having that level of control over somebody's 3-year project, while thinking you're safely protected and your macho proxies are doing your dirty work... that's despicable. Words don't come easily. 1 million words don't come easily. 3 years on a single project is not easy. If you f**k with it you're hurting me more than you can possibly imagine.

If you think there's a vindictive vengefulness bubbling under the surface here, think about how you'd feel if somebody took a knife to one of your children and left a scar across their face - that's how I feel about this artwork being f**ked with. Every time I look at this blog, I'm reminded that there's a scar... when a thug forced their way into my home and threatened and intimidated me, and wrecked my artwork.

I'm a desperate man with nothing to lose. All I've got is my art - my 3-year project - so the hurt you cause me if you f**k with it is incalculable.

Tags: #relationships #art #writing

This is a story about dead ends...

Sir Clive Sinclair is a very clever man. So also is Hermann Hauser. So is Dr. Robert Sansom. So are the fellow members of my cohort who were lucky enough to be chosen from a very great number of hopeful applicants for an opportunity to fraternise with Cambridge's tech elite. We were destined for greatness.

The pinnacle - the apogee - of an entrepreneurial career in tech would be the moment when you have the undivided attention of a packed auditorium with a total net worth of tens of billions of pounds. Even if only for 5 or 10 minutes, all eyes are on you. It's your 5 minutes of fame, insofar as any geek can ever expect to have in their lifetime.

With offensive dismissiveness, the egotistical front man who would claim credit for the meeting of these minds, said my co-founder "was last seen with twins around his ankles" (he actually has 3 young children) and that I had returned to my former career with my tail between my legs.

Whatever I do, I think I do it with dedication and I achieve results. I obsess over my goals and I work tirelessly to reach them.

However, I feel old, unwell and somewhat burnt-out; spent.

If intellect was a good predictor of wealth, we'd see a much stronger correlation between the top exam grades, first-class degrees, doctorates and those who have been lucky enough to earn their fortunes, such that they have the financial means to retire early. If you think that a high IQ and studying hard at school and university is going to help you get ahead in life, you're sadly mistaken: you'll be a wage-slave in the rat race, just like everybody else.

I thought momentarily that I had found a tolerable compromise: a way to enjoy the lifestyle of the trust-fund endowed sons and daughters who can rely on family wealth to bankroll their carefree existence, while only sacrificing a small amount of my time each week to rather boring, menial, unethical and demeaning labour. I struck a deal with the devil, as it were.

Realising, however, that I was cash rich and time poor, I started work on projects which far predated websites like taskrabbit.com and mybuilder.com. My dot com - getajobdone.com - might not have been a world-class brand, but this was soon enough after the dot com boom [and crash] that I can claim some bragging rights.

I was too young and inexperienced to profit from the dot com boom, but I was at the very forefront of the iPhone app craze.

But where did it all go wrong?

How did I end up back in my old career, as Jon Bradford so astutely [and offensively] observed?

Fuck you. That's why: fuck you.

I make simple plans which seem fairly achievable, like having a nice little apartment with sea views and a yacht in the marina. Simple plans like having a job where I can drive to work in less than 15 minutes and enjoy a 6-figure salary. Then, it all goes to shit, so fuck you. I have it, then I lose it. I get a taste of it, then it's snatched away.

Where did it go wrong? Fucking everywhere, that's where. Everywhere from breakups to losing jobs - through no fault of my own - to the fact that the world is just a crazy competitive dog-eat-dog awful cut-throat world.

I live a charmed existence, by all accounts, but you should never forget the sacrifices I've made. While the rest of you have been creating clones of yourselves and lining the pockets of the banks with your mortgage interest payments, I've been cut loose in a world which views a man with no family ties with suspicion. In fact, having no family ties and no local connection to anywhere puts me at risk of destitution; total abandonment - I'm one of society's unwanted members. No safety net exists for me.

In 25 hours I'm hoping to be reunited with an old friend whose path through life might see him [incorrectly] labeled as an "overnight success" story. What a world apart, the last 6 or 7 years of our lives have been. How could we ever reconcile the differences in our experiences? Him the millionaire and me the pauper.

To divine where it all went wrong is an impossible task.

All I know is that I'm exhausted and I've got nothing to show for my efforts.

I'm not bitter though, I think. I cherish my experiences, no matter how harrowing and traumatic they've been.

Tags: #career #startups #cambridge

This is a story about the values you raise your children with...

It seems like I have had the sentimental attachment most of us feel towards everything we revere in society systematically thrashed out of me. If you pick one thing that summons feelings of safety, security, comfort, respect for authority and faith in the divine/spiritual, then I will tell you how exactly how I came to question everything: every institution, everything sacred, every tradition, every profession, people who are normally considered beyond reproach and ultimately even existence and its purpose.

Starting with my birth, I'm literally a bastard. I was born outside of wedlock. My parents never married and always planned to remain unmarried, such that I took my mother's surname instead of my father's. Ironically, my mother had once been married, and I have the surname of her ex-husband instead of her maiden name. Confused? Imagine trying to explain that to your fellow pre-schoolers when you're 3 years old. I didn't really understand it at the time, but I understood that I was different; unusual.

My schools would often address letters intended for my parents to Mr & Mrs Grant, and my father would always tell me that I was the only Mr Grant in the house and therefore the letter was addressed to me. My mother would tell me that she was no longer Mrs Grant and she was Ms Grant. "Why not Miss?" I would ask, and she would explain that she had been married, and Miss was only used by women who hadn't been married. If anybody telephoned the house and asked to speak to Mr Grant, my father would hand the receiver to me and say "it's for you", which it never was, of course.

I understood that there was divorce and some of my school-friends were raised by a single parent, or a step-parent. My peers would often ask if my father was my step-father, to which I would reply "no". Nobody could understand how I came to have a different surname from my biological father, or entertain the notion that I could have been given my mother's surname, not my father's.

At some point, a fairly clear question formed in my mind: "why aren't my parents married?". 

The reasons why people get married had become quite clear in my mind, for the very simple reason that I had endured years and years of people's reactions that suggested that not getting married was very atypical behaviour. Nobody wants to feel unusual; freakish. Nobody likes to feel odd.

When I posed my question - "why aren't you married?" - to my parents, they replied with their own question: "why should we get married?". I had a pretty easy answer for them, as I've explained: because that's what everybody else does. "Do you want to be like everybody else?" my parents asked. "Yes" I replied.

[I just burst into uncontrollable sobbing. If it wasn't what you experienced, I don't think you can begin to understand what it's like to spend your entire childhood as the freakish weirdo; the odd one out... the one who's different from everybody else]

Having covered marriage there is a natural segue into the topic of religion, and the origins of my atheism.

For a number of formative and important childhood years I lived in an attractive terraced house in an area called Jericho, on one of the most desirable roads in central Oxford. These houses are the most expensive in the world, far exceeding real estate prices in London, San Francisco and Hong Kong, in terms of their affordability. However, these £1.5 million houses were bought by the first wave of gentrifiers, when academics and young professionals with families started to move into slummy areas because they couldn't afford family homes in the more desirable parts of the city.

When your immediate neighbours include an MP, a barrister, a heart surgeon, a City banker and a number of promenant Oxford dons and professors, their children were raised in an environment which was knowledge-rich and encouraged the exploration afforded by a curious rational mind; critical thinking. Nobody went to church. My friends, whose father was a consultant at Oxford John Radcliffe Hospital, went to Quaker "friends meetings" occasionally, but my peer group - the sons and daughters of the intellectual elite - had little place for God and church in their lives.

We should rewind a little bit, back to the village our family lived in before we moved to central Oxford. If one were to imagine the most quintessentially English picturesque Cotswolds village, with the manor house, the village green, the workers' cottages, the post office and village shop, the village pub, the village school, one should not forget the church and its graveyard. The church's presence and influence is not to be underestimated. My religious indoctrination began as soon as I started school, with the vicar regularly present. Village social events are very often church-linked, like harvest festival, and of course everybody who grew up in such an idyllic village wants to get married in that particular church, have their children baptised there and be buried in that graveyard.

Essentially, the church's opportunity to exploit a child's vulnerable immature mind were scuppered by my father. For everything that the church had a comforting but incorrect explanation for, my dad cited a lack of evidence and instilled in me the skepticism which gradually became integral to my developing personality: "show me the evidence".

When we moved to the centre of a city whose university is globally recognised for its academic excellence, I never encountered another simple-minded fool who had been persuaded to believe in Gods and other aspects of religion, which are so obviously irreconcilable with the pursuit of knowledge. Religion encourages ignorance but I had been raised to question everything and remain skeptical until I had seen convincing proof. "What are atoms made of?" I remember asking one of my friends who lived on my street. "Quarks" he replied. We were perhaps only 5 or 6 years old - the product of a childhood immersed in academic culture, as opposed to the sentimental and traditional.

The disturbing and unpleasant consequences of an irreverent life can impose themselves on a child at a worryingly young age. I've already been uncontrollably sobbing about just one thing - the tradition and sanctity of the institution of marriage - and I haven't even mentioned how a child deals with the concept of mortality and threat of death without the comfort of religion.

A US Air Force pilot who drank at the village pub which my parents later bought and now live in, drunkenly boasted about the ability of the United States to wipe humanity off the face of the earth. I was definitely no older than 4 years old. With my friend with whom I had discussed subatomic particles, we talked about the temperatures which could be reached near ground zero of a fission or fusion nuclear bomb, and how the radiated 'heat' (electromagnetic radiation) had instantly vaporised human beings in Hiroshima and Nagasaki, with only their shadows left behind, permanently etched into the walls of buildings.

If you believe you live in a Godless world with no afterlife you naturally want to know what everything's made of if God didn't make it; you want to know why it's here. How did it get here? Why is it here? You start to pick everything to pieces by iteratively asking what each thing is made of: humans are made of cells, and cells are made of molecules, and molecules are made of atoms, and atoms are made of quarks and leptons... and you can in fact keep asking the question. There's good proof that the electron is not a fundamental particle, as had originally been thought.

When your schoolmates are smart-arse little shits, because their parents are brilliant academics, teachers and school loses its awe and authority. If you're being taught science that's almost 100 years old, and sometimes even 200+ years old, the whole exercise is nothing more than a box-ticking exercise to be endured.

The other thing to consider is that my parents used illegal drugs on a daily basis, and had strong views about the legitimacy and usefulness of the law, certainly in the instances that suited their own addictions. As with many drug users, they were very paranoid. They viewed the police as corrupt and not to be trusted - the enemy. My father's criminal conviction for drugs not only poisoned his views on the police, but also made him very anti-American, as he believed he would never be allowed to enter the country due to his criminal record.

[I'm crying again]

It was only because of first-hand dealings with the police that my viewpoint changed from skepticism due to lack of evidence: the police had never caused me any harm, and in fact I had never had any dealings with the police at all for most of my adult life. You might be surprised to learn I adore and respect the police. My accumulated experience of police encounters has consistently shown that they are some of the most kind, patient, empathetic, forgiving, reasonable people, who have always gone out of their way to bend the rules and simply help as opposed to ever enforcing the letter of the law.

One shouldn't mistake my respect for the men and women of the police force for reverence. I would never for a minute expect that a 999 call is somehow going to be the answer to my prayers. I don't feel safer or more secure, knowing that I can call for police assistance. I wouldn't feel any more comfortable in a stressful situation if there was a police officer present. Of the very many police men and women who I have had first-hand dealings with, they have always treated me very fairly and kindly, and it's quite clear that they deal on a daily basis with a huge number of very vulnerable and damaged people, which they do so with incredible compassion - they are the living embodiment of humanity not deities who should be worshipped and revered.

[More crying]

So if I don't revere priests, vicars, teachers, headmistresses, marriage, religion, military superpowers, soldiers, the police, the law and my own parents, what else is there left for me to lack reverence for?

Cumulatively, I've spent almost 6 months having my life saved in hospital - often in high dependency and intensive treatment unit (ITU) wards. Shouldn't I revere doctors; surgeons?

I think that if there was one thing that would make almost anybody feel more secure and happy in a stressful situation, it would be knowing that there's a doctor present. It's such a clichéd question: "is there a doctor here?".

To explain my irreverence for doctors, we merely need to explore the reasons why I have ever had to deal with one, and the outcomes of those interactions.

Having been lucky enough to escape congenital abnormality, it doesn't take a rocket surgeon to figure out what I want from a doctor and why. You don't need to spend 5 or 6 years at medical school to know that the human body has been dealing with pathogens since the species first came into existence. You hardly have to be brain of Britain to figure out whether you're dealing with a viral, bacterial, fungal or parasitic infection, and furthermore, which is likely to be treatable. In actual fact, I've never been to my doctor for antibiotics: every infection has always cleared up on its own. Fungal and parasitic infections can be dealt with without a doctor obviously: head lice shampoo is available in every pharmacy, without a prescription, for example.

At the age of 28 I went to my doctor wanting treatment for depression, but I knew which specific medications I was prepared to try and which medications I didn't want because the side effects were not acceptable. Having my choices limited only to SSRIs provided firm evidence that doctors were an obstacle to be overcome, not a panacea.

When we think about the first time I was hospitalised, do you think I didn't know that I was going to end up there and what the problems were going to be? Do you think it was an accident that I ended up in hospital?

Again, you don't need to spend 5 or 6 years at medical school to know that the human body needs water, salt, glucose, proteins, amino acids, vitamins, minerals and myriad trace elements, or else the bodily functions haven't got the fuel, carrier fluid and raw materiels they need. You don't need to be a doctor to know that human body temperature needs to be homeostatic as much as possible - much like every other measurable thing in the human body - and any extreme variation too high or too low is going to have dire consequences.

When you are making choices in full knowledge of the likely consequences, medicine ceases to be lifesaving magic, and instead it becomes another simple case of what do you want and why?

One must consider the very last time I was hospitalised to truly understand my irreverence.

Not only had I quite carefully pre-planned my suicide attempt, when I arrived at hospital against my will, I gave very clear instructions: do not put activated charcoal into my stomach, do not perform gastric lavage, do not intubate, do not provide life support and most importantly of all, do not resuscitate. "Do you know what's going to happen?" the A&E doctor asked. "Yes. I'm going to die of a combination of organ failure and serotonin syndrome, with a lot of seizures" I replied. "Do you think you'll be unconscious? Do you think it'll be painless?" the doctor asked. "No. I expect that it will take a long time to die and I'll be conscious and in a lot of pain for most of it" I replied. Then I started having seizures.

Doctors see a lot of people who are scared and they don't understand what's happening to them. They're desperate for somebody who seems to know what they're doing and what they're talking about; doctors are an authority figure. I have no doubt that for feckless simpletons and those who lack access to medicine, the arrival of a doctor or a priest/shamen/witch-doctor is incredibly soothing and comforting. If you don't know what you want and why, your reverence is misplaced, but it may still ease your passage from life to death.

When shit goes bad, who are you going to turn to? If you have to pick your team of people to survive on a remote island, who are you going to pick and why?

Why revere anyone? Why kiss anyone's arse and tell them they're great because they did the study and training that you could've done if you wanted to. You could have passed those exams. You could have gained those qualifications. You could have followed that path if you wanted to. If you wanted it bad enough, you could put on that uniform; you could get that job title; you could prefix or suffix your name with the bit that tells the world just exactly why everyone should drop to their knees and worship you.

Nothing's sacred to me. I could do your job if I wanted to.

I'm not smarter than anybody. I'm not better than anybody. That's the whole point: I'm lucky enough to not have anything that's holding me back; limiting my potential.

I really don't recommend telling your kids they can follow their dreams and be anything they want to be. I really don't recommend telling your kids to question everything, and understand everything about how the universe works, to the point where they reach the very bleeding edge of scientific research. I really don't recommend raising your kids to challenge the status quo and resist the urge to fit in with wider society and their peers.

Take it from me: there's a mind-destroying kind of cold uncaring "nothing matters" bad feeling that comes from being too rational; too much of a free-thinker. Take my word for it: understanding the absurdity of existence will destroy your mental health.

You should probably experiment with hard drugs. That's probably way less likely to fuck up your life than going down the rabbit-hole of picking everything to pieces and trying to reason from first principles and pure logic.

Tags: #philosophy #childhood #parents #oxford #physics #hospital #depression #suicide

This is a story about desperate men...

If you ever wondered about the origins of extremism, you probably think it has something to do with religious fanaticism, indoctrination or some underlying hatred of a certain race, gender or other form of identity. You'd be wrong.

People strap bombs to themselves and blow themselves up because they're marginalised and they feel like they've exhausted all other avenues; their voices are silenced; they're oppressed.

Think about the "lone" part of "lone wolf" and you can see that at the very core of disturbing behaviour is loneliness, isolation... and in a lot of cases discrimination, stigmatisation. Lone wolves are pariahs. They are so often described as "loners" but do you think that loneliness was their choice?

The more we demonise and profile certain groups, lumping them together as probable perpetrators of atrocities, the more we isolate and marginalise them.

It's a self-fulfilling prophecy.

You think you can bully and abuse somebody until they do what you want? You think that the solution to the so-called bad eggs in society is to filter them, block them, ignore them, threaten them and marginalise them? You think that through fear and intimidation you'll achieve anything? You think that by excluding people from the conversation - denying them a platform - you're making the world a better, safer place?

You think you can put locks on your doors and hire muscly men with pointy sticks to keep you safe? You think you can build a wall? You think you can create an impregnable fortress, where you're safe from the dangerous fanatics; the lunatics?

I think it has the opposite effect. The more Islamophobic we get, the more at risk of terrorism we are. The more we perpetuate the lie that all men are violent murdering rapists, the more at risk of incel extremism we are. The more walls and barriers and so-called 'security' and 'defence' that we surround ourselves with - marginalising and excluding members of society - the more lone wolves we create.

If this sounds threatening, I don't mean it to. I'm sad. I'm sad that we have a society that grows more and more fearful, and more and more mistrustful. I'm sad that the net result is this unpredictable, unstable, dangerous world that we live in. I'm sad about it.

If you want to defuse and de-escalate a situation, don't bully and intimidate. Apologise first, ask questions later. Communicate. Lower the defences. Lower your weapons. Take down the fences; the barriers.

Think about who is strong and who is weak. Think about who has the power and the force, and who has none. Imagine the example of the Palestinian children throwing rocks at an Israeli army with tanks, guns, drones, missiles and the rest of its military might. Think about how pissed off those poor people, who are basically unarmed, are about being tyrannised by those with so much power. It's a pressure cooker; a tinderbox.

Why not offer an olive branch; make a peace offering? Why not be the bigger person and back down, even though you know you're far stronger, far mightier and you can crush your opponent in a humiliating defeat whenever you want?

The route to a safer more co-operative and more stable world is not bigger and better weapons, and more henchmen to threaten and bully, it's surely got to be communication, diplomacy and just downright being nice to each other - apologise first, ask questions later.

You might feel self-righteous in your insular bubble. You might feel like you have the moral high ground. It's dangerous territory though. So many tyrants in history thought that they were justified in their actions; their atrocities.

Friends close, enemies closer and all that, eh?

Tags: #relationships

This is a story about role models...

Many people might ask themselves "what would my mother think?" before saying or doing something stupid. My druggie loser parents - who I'm now estranged from - were not inspiring role models for me growing up. Instead, I can pinpoint the things which have given me everything good in my adult life, and I attribute those things to three friends' families, and one family in particular.

The seed of my initial interest in computers was sown by my friends Joe and Ben, whose father had an Apple Mac and whose mother was a systems analyst. Without that introduction to the pure joy of using a computer with a graphical interface and a mouse, I would not have become hooked.

With my neighbour, Julian, we used to use his dad's Apple Mac, which maintained my interest in computers and allowed me to see their practical applications beyond computer games. Julian's dad was a heart surgeon, and we played around with a heart surgery simulation game. Julian's dad also showed us a piece of software he'd developed to diagnose angina based on a set of questions the patients answered.

Then, Ben - a different Ben - taught me how to program a computer. Ben and his mum ran a computer club one evening a week at a place which compiled Oxford's most well-known "what's on" guide. Ben's dad took a group of us to the E3 computer games exhibition. Also, Ben's family encouraged creativity beyond the screen - the children were encouraged to be artistic and musical in a way that was fun, as opposed to simply an academic exercise in the interests of appearing to be a more well-rounded person when attending university interviews. Ben's dad took a bunch of us not-so-athletic geeks to play a game of basketball once.

Because I got moved around so much as a kid, I only got to spend 3 years with Ben - the second Ben - during childhood. I went back to Oxford for a visit as soon as I got a car that was reliable enough to complete the journey, but then the visits became more and more infrequent. I've only seen Ben 4 times in my adult life.

So, you'd think that it'd be pretty weird to have somebody I've seen so infrequently as a kind of role model, but that's what's happened.

My childhood had 8 different schools and 6 house moves. If I was taught anything during childhood by my parents, it was that I shouldn't get attached to my friends, my school, my room... anything. I was taught not to get attached, because the rug would keep getting pulled out from beneath my feet.

The beauty of the internet is that your friends are your friends, wherever they are in the world. I've worked for 15 different organisations all over the UK and abroad, and I've moved around an unimaginable amount - I've been quite nomadic. The only friends I've managed to hang onto are those who have an online presence, because - as I've learned the hard and painful way - when you're out of sight you're out of mind.

Ben was an early adopter of everything online, which inspired me to get into similar things. While he was building websites and a classified ads system for the aforementioned Oxford "what's on?" company, I found a similar local company and started building similar stuff. Through the internet, I always stayed roughly abreast of what Ben was doing.

A common childhood friend of ours crossed my path in Winchester, and tragically I was probably the last person in our friendship group to see him alive. Through the internet I was aware of the funeral, but it felt strange, being this lurker... this outsider. My friends had done their GCSEs, their A-levels and then had all gone off to their various universities, but I'd missed out on that - I'd been taken away from all that, as had so often happened, by my druggie loser parents.

When I did a tech startup and I was lost without a co-founder I asked Ben for advice and invited him to join me on the venture. Ben was going to be a mentor on the Springboard technology accelerator program in Cambridge, and he suggested that I apply, which I did. Ben had to go back to California to be with his family, so he didn't end up being a mentor on the program, but it often makes me think about whether I'm a bad son, because I feel like my parents can rot in hell when they get sick. I feel like I'd be there for my mum if she was on her own, but I can't deal with my parents - I had enough of dealing with them on my own from age 0 to 10; I'm too bitter about them ruining my childhood.

I think a lot about how angry and bitter I've been with my writing. I think about how Ben would never write stuff like I do; Ben would never say or do anything regrettable.

I think about how I became a complete sociopathic psycho towards my lovely co-founder, while I was on the Springboard program in Cambridge. I made my co-founder cry in front of a Google exec. Perhaps, in some ironic twist of fate, I could've made my co-founder cry in front of Ben. Ben would never make his co-founder cry. Who am I? What have I become? I feel terribly ashamed about the way I spoke to and treated my co-founder.

I read stuff that Ben writes and I get inspired. This whole blog is inspired by the fact that Ben founded the platform on which I write this - it's another one of his startups. I read Ben's blog and it often inspires me to write my own opinions on similar topics. It's a bit weird, but it's mostly harmless.

Then, there's the bitterness, resentment and pent-up anger that seems to come out of nowhere. Some really vicious, mean, angry stuff pours out of me and onto the page. Ben would never write like I do. Ben would never get mad and say really horrible things. Ben just wouldn't rip into people like I do.

I think about all the tirades I've launched on my useless druggie loser parents, and I think that I must be a big disappointment to Ben.

I hate that I disappoint Ben.

I hate that I'm letting him down.

I hate that I'm this person.

I hate that I act like this and that I say this stuff.

I wrote loads of stuff and some of it was OK. I was super pleased that I was writing regularly. I was happy to have a creative outlet and I was proud of my blog. Then, out came a lot of stuff about my mental health, addiction, recovery, detox, rehab. The stuff I was writing was OKish but I was on dodgy ground. I was ashamed to admit that stuff in case Ben read it. I didn't want to admit my failures and shortcomings.

The most recent time I saw Ben I was really unwell, but my girlfriend encouraged me to go and see him while he was in London. It was a rare opportunity to catch up. Even though I was feeling terrible, my lovely girlfriend managed to get me to go and meet up as planned. She met Ben.

But, I got more and more sick. I started being a dick on Facebook. I broke up with my amazing lovely girlfriend, and I wasn't very nice about it. In fact, I was a total dick. I was awful. I was the worst. All my friends surely must have seen what a terrible person I am, including - of course - Ben.

I started dating another girl. Then I left London and went to Manchester, stopped seeing the other girl and got another girlfriend.

Things went badly wrong in Manchester.

On Twitter I wrote "I'm sorry, my far flung friends" after I believed I was beyond the point of saving - I had ingested a massive overdose and was about to lose consciousness. Ben responded right away. I replied. I thought it was probably the last thing I'd ever do: responding to a tweet from Ben.

What have I done since then?

I feel like I've made a fool of myself. I feel like I've failed to capitalise on the opportunity to do some good. I feel like I haven't turned my good fortune - not dying - into something more meaningful. What have I done with my blog and my Twitter followers? What have I managed to do which Ben might think is a useful contribution to humanity?

I've continued to write so many things which are quite cringeworthy. I've continued to grind my axe. I've continued to act in a way that makes me think that Ben must be quite certain that I'm an unpleasant, vicious, mean, nasty, horrible piece of work. I feel like I've disappointed my role model; disappointed the person who I idolise and look up to.

I've very much lost my way. I want to have a positive role model and to act in more positive ways, but I've gone wrong somewhere, or maybe I'm a totally shitty person.

It's weird to idolise a friend from childhood, who I've hardly seen; hardly know, frankly, except what can be gleaned from his creative output on the web.

Like Ben, I've written a novel during National Novel Writing Month, and I've poured my heart and soul into my blog and my Twitter account; my online community. I've attempted to emulate his online achievements, but yet I've somehow failed, because of my lack of dignity and my sheer nastiness... I've made a fool of myself and I'm a disappointment; an embarrassment.

This is, quite possibly, one of the most cringey and weird things I've ever written, but it's my wont to write whatever's on my mind without filter, and this is what's been brewing for a few days now.

I'm sorry Ben, but I think you can take it given the fact you're a public figure who's lived your life online as much as I have, writing under your own name rather than a pseudonym. Only our closest childhood friends would have any idea who I'm talking about. I hope you don't feel that this brings you any shame, in being connected with a shoddy person like me.

The other thing to address is the pressure of knowing that somebody idolises you. It's a bit weird and creepy to know that somebody reads your stuff and also credits so many of their positive life decisions as having been inspired by you. All I can say to that is: my income as a computer programmer has given me every opportunity I ever wished for, and the inspiration to do creative writing has saved my life. Living an online life as an active contributor to various social networks has given me an identity I'm proud of and has brought me numerous lifelong friendships which I treasure dearly. In short, you did a good thing, even if I take some of those gifts and abuse them sometimes... sorry about that; not your fault.

What would Ben do? Probably not write some bizarre stream-of-consciousness thing like this, but I'm glad he's there as an inspiration in my life to be a better person.

Tags: #friends #writing #socialmedia

This is a story about changing the law...

In 1920 in the UK, heroin and cocaine were made illegal to possess - if you were alive when heroin and cocaine could legally be bought and sold, you're 98 years old, or older. Assuming that becoming a drug addict isn't generally possible until you're old enough to obtain money, score drugs and get high without your parents noticing, let's assume that you'd have to be a 12-year-old heroin addict back in 1920, in order to have been affected by this change in the law, which means that you'd be 110 years old today, assuming you're still alive.

Having tried various antidepressants and mood stabilisers which were prescribed by my doctor, I became frustrated with the fact that most of the medications available to those who are suffering with depression, are slow acting - taking some 6 to 8 weeks to become effective - and they cause weight gain, sexual dysfunction and somnolence. Given that I valued my appearance, my sex life and my job, the side effects of the medications on offer were intolerable.

Through extensive research, I found many medications which are not commonly prescribed, but which had shown considerably better efficacy in clinical trials than the SSRIs and other antidepressants which were on offer through the NHS. These medications were not controlled substances, so I was able to legally purchase them from overseas pharmacies and have them delivered to me in the post.

My self-experimentation led me to a medication called bupropion - marketed as Wellbutrin - which is actually France's most popular antidepressant, but doesn't have a license for use as an antidepressant in the UK. Bupropion was very effective and fast-acting - it alleviated my symptoms of depression, and appeared to have no intolerable side effects. However, at higher doses I suffered insomnia and panic attacks. I discontinued its use.

Growing more desperate to find something as effective as bupropion - which had given me welcome and much needed relief from my depression - I turned to a group of medications for treating Parkinson's disease. These had terrible side effects, including a period where I became narcoleptic. Clearly my self-experimentation had become risky and I even induced in myself pseudo-Parkinson's symptoms briefly, which mercifully went away soon after discontinuing my experiment with L-DOPA, without lasting damage.

You have to understand that it was my desperation to feel better after years of suffering with depression and low mood, which drove me to take these risks and use myself as a human guinea pig. Given how suicidal I had been, there was only upside for me - if I died, that was likely to happen anyway through suicide; if I felt better - even briefly - then I had succeeded.

Through a tabloid newspaper, I became aware of legal highs. The tabloid newspaper's sensationalistic coverage of the legal highs was a great advertisement for something I hadn't known about or tried before. I was ready and willing to experiment with legal highs, given that I had already exhaustively experimented with all the medications I could lay my hands on.

The very first legal high that I obtained was bk-MDMA, also known as methylone. This chemical cousin of MDMA - also known as ecstasy, Molly, Mandy, X etc. - had similar properties but lacked a lot of the telltale giveaway side effects of MDMA, such as jaw-clenching and other involuntary mouth movements known colloquially as "gurning". Its mildly stimulating effects restored the energy and enthusiasm for life that had been stolen from me by depression - it was instantly curative, which is everything I'd ever hoped for.

bk-MDMA was made illegal in the UK in April 2010, but thankfully I was not addicted to it. No plan had been made to help any of the people who had become addicted to the legal highs, which overnight became illegal highs. No detox and rehab places had been made available. No medical support was available. No addiction counselling had been made available. Nobody thought about what would happen to all the people who had become addicted to substances that were completely legal one day and illegal the next. I was one of the lucky ones - I was able to abruptly stop taking bk-MDMA, but of course my depression then returned with a vengeance.

After 2010 followed a period of cat-and-mouse where those people who were addicted, or like me were self-medicating using legally available substances, were then driven out of dependency - not through choice - to then seek an alternative, which global free-market capitalism was only too happy to provide. Out of desperation, I obtained and experimented with every legally available substance I could obtain, in order to treat my medication-resistant depression.

Sadly, during this time I experienced total burnout due to the demands of my business, the collapse of my marriage and subsequent divorce, and other factors which put me at risk of addiction. In this perfect storm, I was careless and ended up experimenting with a substance which all my research had told me was exceptionally risky and should be avoided. Out of desperation I tried a substance I said I never would. It turned out to be fiendishly addictive, even though it was legal.

The cat-and-mouse game of making substances illegal - criminalising the unfortunate addicts caught the trade war - had absolutely nothing to do with health and public safety... I was one of the victims finally caught me in the net and criminalised, through no fault of my own. I had an addiction to a substance that had become illegal overnight, with nothing put in place to help me escape addiction's vice-like grip. No detox, no rehab, no treatment, no legally prescribed substitute, no medical advice, no support, no guidance, no nothing - I just woke up one day, and I was a criminal. I was wilfully and knowingly criminalised by my own government.

My attempts to stay on the right side of the law are documented above. Pictured are legal high packets of substances that could be legally bought until as recently as 2016. These could be bought in shops or via the internet. I attempted to find a legal substitute, so that my addiction did not make me a criminal, but even this route became barred to me. Addictions do not respect the law, just as much as you cannot make a law that says "all people called fred must by law become dogs" and POOF! suddenly all Freds magically turn into a dog - that's wishful magical thinking. One cannot simply legislate to get rid of addiction - addiction is an illness and it needs to be treated.

I'm not pro-legalisation. I don't think that all drugs should be legal. I think that drugs are dangerous. However, it's clearly immoral to criminalise an addict.

If I was committing crime - such as theft - to fund my habit, then I agree that those crimes have been crimes for a very long time. However, what is my crime? What crime did I commit? How did it come to pass that I'd become a criminal, with no opportunity to avoid it given my dependence on the substances in question?

The police, using their discretion, saw fit to caution me on multiple occasions for the same offence - namely possession of a controlled substance. Normally this wouldn't happen and breaking the law for a second time would automatically lead to prosecution, but perhaps the Crown Prosecution Service saw that as a test case, it would have set a disastrous precedent for their new laws.

The New Psychoactive Substances act of 2016 hinges on the central word: psychoactive. In order to obtain a conviction, it must be proven beyond reasonable doubt that the substance deemed illegal is in fact psychoactive. However, as anybody who has read the mighty tomes Phenethylamines I Have Known and Loved and Tryptamines I Have Known and Loved by Alexander Shulgin, will know that it's impossible to predict which substances will be psychoactive and which will not, without experimenting on a human test subject. Ethically it is not conscionable to experiment on humans, purely for the purposes of obtaining criminal convictions, but it's the only way that a conviction could viably stand under the government's new law - otherwise the test of beyond reasonable doubt cannot possibly stand because the burden of proof has not been met to prove the psychoactivity of a new and novel substance.

Today I'm clean and substance-free, but I have police cautions which will remain on record for life, and will not be 'filtered' until 6 years have elapsed, which prevents me from working in jobs which require an enhanced level of background checks. I cannot, for example, use my outdoor pursuits instructor qualifications to teach children to rock climb, abseil, sail dinghies or walk in the mountains. I leave it to the reader to decide whether my punishment is commensurate with my crimes, and what danger I pose to the general public.

I take a huge risk writing about this so publicly, but I feel that it's more important to publish this information than it is to maintain my privacy and anonymity. I feel sorry for those who, like me, have been criminalised by a government that doesn't give a damn who's victimised by their legislation, and whose lives are consequently ruined. I'm very lucky that I don't have a criminal record. Others have not been so lucky, because they are not so well educated and informed as me - they're vulnerable.

Drug addicts will always be a convenient scapegoat, because they're weak and vulnerable. I hope that in telling my story, you can see that addicts aren't evil, immoral and lacking in willpower. Our circumstances dictate the outcome - we don't make our choices freely.

Tags: #addiction #drugs #legalhighs

This is a story about primary care...

Primum non nocere is in and of itself a non sequitur because the use of Latin and other languages of classical antiquity is primarily intended to deter the hoi polloi from becoming educated. The number of doctors who are able to train, qualify and practice, is something that is tightly controlled in order to maintain high salaries - artificial scarcity - as opposed to allowing the unrestricted proliferation of medical knowledge which might improve the health of the nation.

Those who profess the Hippocratic Oath might be able to stay true to the vow they have sworn if they practice the treatment of acute illness in a hospital - dealing with curable disease and injury - but in the treatment of chronic illness in the community, as General Practitioners (GPs), can we say the same?

If we look at a few obvious statistics, we can see that medicine is failing. Average life expectancies have started to fall and chronic illness has seen a dramatic rise. There is an epidemic of mental health problems, and suicide is the biggest killer of men under the age of 45.

Of course, one might say that the root causes of these conditions are non-medical.

It occurred to me that a significant piece of the NHS has already been privatised, in that many general practice surgeries are owned and operated as private profit-making enterprises. This seemed to present a significant conflict of interest, so I decided to conduct an experiment.

I asked a GP a simple question: when you're treating a patient, do you think about their healthcare needs, or do you think about other things? The reply was shocking.

"It's not about [the patient] it's about everybody else"

I'd had my suspicions for a while - gathering plenty of evidence - that those who profess to do no harm might actually have been corrupted into serving other purposes; into betraying their profession and failing in their duty of care. This was the final confirmation that my worst fears were realised, and there are powerful actors within the healthcare system who place other things above the health of their patients.

By co-opting doctors into the capitalist profit-driven sector of the economy, and by co-opting them into the welfare system, we are asking doctors to choose between their luxury cars, the private school fees for their children, and other trimmings associated with their high social status, versus increased taxes to pay for the welfare state. By placing the most vulnerable people in society in front of the doctors, when seeking incapacity benefit, the government is pitting one group against another.

If the study of economics has taught us anything, it's that people respond to financial incentives. While a GP might argue that they're saving valuable taxpayer money, which might be spent on the NHS, by denying incapacity benefit to a vulnerable member of society, one must also admit that the GP acts in rational self-interest. Less money spent supporting society's most vulnerable means a lower tax burden and more money in the pockets of the profiteers, which include GPs who are partners in their practice.

The first principle of do no harm forbids a doctor from weeding out malingerers based on their best guess. To cut off somebody's incapacity benefit is definitely harmful, and there is no diagnostic test which could decide with a high degree of accuracy who is the malingerer and who is genuinely unable to work. If the doctor in question truly cares about their patients, they would have no option but to choose the option which gives most benefit and inflicts least harm.

We see so many suicides because patients are fobbed off with inferior treatment options, because it's a cheaper alternative to give somebody pills than to give them psychological therapy. While I understand that being cost-conscious might be seen as being pragmatic, it again violates the principle of do no harm. To fob a desperate and vulnerable person off with ineffective medication, when better treatment options are available, is tantamount to negligence. If a doctor has a consultation with a man under the age of 45, they must surely be well aware that suicide is the thing that is most likely to cause their death, and they should therefore treat it as a serious threat to their life. To call people's bluff and knowingly prescribe ineffective treatment is obviously the reason why suicide rates are so scandalously high.

I imagine that some doctors - although egotistical and in love with themselves - have a tiny piece of them that wants to make a difference and save lives. I think that exhaustion and the pressures that are felt by ordinary people are imposing themselves on doctors now, who are struggling to send their children to the best private schools (boo hoo) and are feeling compassion fatigued because of burnout. If we can relieve the pressure on GPs, they may become more willing and able to work in support of their patients' needs, as opposed to "everybody else" (read: being the government's job police).

I strongly believe that we have an urgent need to change primary care, so that it becomes not-for-profit, and patient healthcare can become the primary objective. Perhaps profits are not the primary motivator, but money has a corrupting influence which can be clearly seen when you speak to a GP who is/was a partner of a practice. Co-opting healthcare professionals into the job of coercing vulnerable people into bullshit McJobs, where they are exploited by the capitalists, has absolutely nothing to do with healthcare and is most certainly harmful.

I've witnessed first-hand how this care for "everybody else" - instead of patients - has become shorthand for the compassionless, sympathy-lacking, bullying, hectoring and suicide-inducing grotesquely twisted vision of so-called medicine, inflicted on society's most vulnerable people.

If you want to be the job police, and you think that suicides are an acceptable price to pay, so you can feel superior and send your kids to private school, perhaps medicine is not for you.

Tags: #nhs

This is a story about being functional...

In every supermarket, corner shop, convenience store, licensed café, restaurant and in vast numbers of bars, pubs, clubs and other establishments where people gather to spend money and socialise, there is always alcohol on sale. Alcohol is ubiquitous. It's always possible to get cheap booze quickly, wherever you are - you're never further than a short walk and a couple of quid away from intoxication.

The weather in the UK is pretty miserable. We get hardly any snow, and there's only a couple of mountains that have a ski lift - it's quicker and easier for me to fly to France, Austria, Switzerland or Italy, than it is for me to drive all the way to Scotland, where the mountains aren't very high and the snow's really poor. The pleasant months of weather in the UK are May through to September, and the rest of the time it's grey and overcast; drizzly and thoroughly miserable. Our summers are often plagued by rain, although the weather is at least pleasantly warm by British standards, but don't forget your brolly even in August. It's enough to drive anybody to drink.

Our little island is quite overcrowded. The industrial revolution led us to abandon our rural lifestyle and move to the cities, seeking our fortune. Our cramped towns and cities have rows and rows of terraced worker cottages, which are too small to comfortably accomodate a family. As our social fabric disintegrated in the 1960s and 1970s, we built brutalist concrete monstrosities, very similar to Soviet-era blocks, which could house vast numbers of people who serve no useful economic purpose in the age of robotics, technology, automation, IT and the boom of the service industries. The vast majority of Britons are struggling to just-about-manage on god-awful estates, some of which were built by councils as social housing, and others were built by a handful of massive property developers. Estates comprise huge numbers of cheap and nasty houses built on the outskirts of dismal towns, which were already struggling to provide the necessary infrastructure to educate, transport, entertain and look after the health of local residents. We have not scaled well.

Overcrowding has reached such problematic levels, that cities such as London, Bristol and Manchester have no-go areas, where drugs, guns, knives and prostitution are the backbone of their black-market economies. In those areas predominantly populated by people who are considered economically redundant, there is little hope of escaping poverty, except by selling drugs or selling your body. Gangs compete for their turf, and violence is rife.

Meanwhile, we have seen the rise and rise of the bullshit job. While the economically redundant are given a pitiful state handout and left to rot on their council estates, the 'cream of the crop' will be able to study at university and obtain the necessary academic credentials to get a job that's completely unrelated to their field of study, which will mostly involve pointless boring meetings, Excel spreadsheets and a ridiculous volume of emails about absolutely nothing. The service industries produce nothing - no real value to the economy, no productive output - but they account for 85% or more of the so-called economy. Paper gets shuffled around in increasingly elaborate ways of obfuscating the fact that nothing of any importance is being done. Our smartest people are very busy doing nothing... and the smarter ones quickly figure this out and become quite disillusioned with the whole sham.

All of these things contributes to a toxic environment which makes people depressed, demotivated, stressed, anxious, but horribly trapped by their mortgages, car loan repayments. Despite stress and exhaustion, there persists a futile and flawed belief that if we only work hard enough, we'll be able to elevate ourselves from our dismal situation and build a better life for us and our family. When the workers eventually realise that life in the UK is a massive con, and we're going to be stuck in our dead-end job that we hate until the day we die - and our children are going to struggle just as much, if not more - then we need vast quantities of antidepressants, anxiety pills, tranquillisers, sedatives - and alcohol - in order to allow us to ignore the horrible situation and carry on functioning. Our nation is packed full of functional addicts.

Alcohol is used because of its ubiquity. It's self-medication that's available on every street corner. The proportion of the average family budget that gets spent on alcohol, versus food, is quite staggering - alcohol is the glue between the pooh... the only thing that's allowing people to carry on being functional in such a toxic environment; under such a hostile conditions.

Alcohol is the cause of so much obesity, as well as the other health-damage that accompanies its chronic consumption. If we really cared about people's health, we wouldn't bully and hector them to give up their crutches, but we would instead improve the quality of people's lives. If we make the world a less depressing and stressful place, we'll see alcohol consumption levels naturally drop.

I hate that I have to drink, just to get through the working week. I hate that I'm using a really fattening and health-damaging drug to salve my stress, and to help me to cope, but it's freely and readily available without having to see a condescending, patronising and unhelpful doctor, who has no sympathy and compassion for the day-to-day struggles of the proletariat. Doctors enjoy a position of high social status and an income that is many times greater than the average wage - they have no idea what life's like in the real world, for ordinary people - and while my overall experience with doctors has been a mostly positive one, the elites completely fail to grasp the awfulness of life for ordinary people, and fail to sympathise with the plight of the just-about-managing struggling masses.

Our doctors are trained in acute medicine - disease and injury - and are not succeeding at treating the chronic conditions that arise from the current economic climate, which is so toxic to mental health. Instead of lecturing, hectoring and bullying people because they use alcohol, cigarettes, coffee and drugs to be able to cope, our medical community needs to recognise that people are driven to use substances because of their intolerable living conditions. The mental health epidemic and scandalous suicide rates are all the proof we need that the model of medicine which dished out bucketloads of antibiotics is not succeeding in saving lives, when it dishes out bucketloads of antidepressants - clearly it's not working and suicide and mental health problems are the number one public health issue we're facing.

Having access to a fast-acting drug which can help when the stress levels become unbearable - when life becomes unliveable - is vitally important for a society that wishes to treat its people with some degree of sympathy and compassion for their plight... people need something to ease their suffering.

I think alcohol is a terrible drug, and I pity those who have become addicted to it, but it's plain to see the reasons why people drink too much, and it's not that they've got 'addictive personalities' or they lack willpower - it's that their lives are fucking shit and they've got to find a way to cope.

I wish I could quit alcohol, but how would I cope without it?

Tags: #alcohol #addiction