THE LAST DITCH An Englishman returned after twenty years abroad blogs about liberty in Britain
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November 2021

The blogger at bay

The second Mrs P., who led me from my grief at the death of Mrs P. to a new and briefly happy life, has left me. She met a new man at her work. 

Our age difference (almost thirty years) was always a risk. For years before we married I told her that – good though it was for me – our relationship would never work for her in the long-term and that she should find someone more suitable. A religious friend told me I was selfishly putting my own happiness before hers; denying her the prospect of a full life, children etc. I was too weak to take his advice to break it off for her sake.

Perhaps it really was selfish on my part. I tried not to fall in love with her, but failed. I convinced myself that she knew her own mind and that – crazy though it seemed – I was blessed. So much for that nonsense.

Today I am paying the price. I am the old fool there is no fool like and this feels like the end of more than just my marriage. When I told one of my best friends – a younger man I mentored long ago – it was noticeable how quickly he passed from sympathy to boasting of his own achievements. In that moment, I felt like a wounded old lion, skulking off into the veldt to die alone.

My sense of loss is in some ways greater than when Mrs P. died. She, after all, did not choose to leave me. That thirty year relationship was fraught at times and far from perfect. I was no more the ideal husband than she was the ideal wife, but – robustly critical as she often was – she did not reject me like this. Unlike our daughters whose reaction to my remarrying was implacably hostile. They refused to come to the wedding and have mostly spurned me ever since. Another price I pay for folly.

I am not sure what this development means for an already-faltering blog. In COVID times, it's become apparent that the vast majority of my fellow-citizens are as far from my view of politics, economics, justice and morality as it is possible to be. I was already posting infrequently because I felt my cause was lost. The pontificating of a broken and bitter old man is even less likely to win anyone over. 

I shall read and write a little every day. I shall exercise and try to take care of my health. I shall focus on my hobbies and perhaps make a solitary road trip or two. The story took a dark turn but it is not ended yet. 


Doctor Dalrymple's insights

The Pleasure of Apparatchiks > Theodore Dalrymple.

Theodore Dalrymple is the nom de plume of Anthony Daniels, formerly a physician/psychiatrist at Winson Green Prison but now better known for his writings. Wikipedia describes him as a cultural critic. He's certainly one of the best commentators on the culture of modern Britain. He's clear-sighted, thoughtful, tolerant and articulate. He's everything I would hope our society's leaders would be yet spends most of his life quietly documenting how little like him they sadly are. 
 
The linked article recounts his experiences pitching an idea for a television series; a series of interviews with deposed dictators. It would have been fascinating but the TV executives were not buying it in either sense of that expression.  
... the experience was valuable, in a way. It gave me an insight into the pleasure experienced by apparatchiks obstructing the creative and imaginative, such power to do so being a kind of consolation prize for being without original ideas of one’s own...
In my current circumstances – negotiating my father's future with apparatchiks – this rings very true. Their tone  signals the pleasure they take in their position. We're not allowed near him to assess his health or state of mind ourselves. One look in his eyes would tell us all we need to know, but that's forbidden. It seems to annoy them that we press for more details. We have been incredibly polite throughout (our loved one is at their mercy, why would we risk being rude?) but still their lips purse when we don't meekly walk away. 
 
We are concerned about reports of elderly patients languishing for weeks in wards unnecessarily – and at present denied all visitors. We were told there were 150 patients in that position at this particular hospital because of a waiting list for home support; known in the inelegant jargon as re-ablement.
 
Both parents were frail before this latest episode. My sisters and I decided they now need carers at home and found a company to do two visits a day. We have also discussed with them stepping up that care temporarily when Dad is discharged.
 
Yesterday I called the "Discharge Liaison Nurse." She said Dad was not on her professional horizon because he was "not medically fit". Nor was there any discussion of moving him to a rehabilitation ward. I pointed out his consultant had told me he was now "medically well" but in need of physio and that the staff nurse had told me last week they were looking at moving him to rehab. She was unimpressed until I also mentioned the magic words "private care". She said she would talk to the ward staff and have someone call me.
 
In the afternoon I went to pick up laundry etc. and asked to speak to a nurse. She said they'd heard we had private care so we could take him home on Friday. I pointed out the care didn't start until Monday (and we'd have to discuss whether the company could step it up to cope with Dad) so she said "fine, Monday then". I asked about evaluating his needs for care and she said "that's for when social services are going to provide it. If you're doing it yourselves that's up to you."
 
In a few short hours we'd gone from "not fit to be moved to a rehab ward" to "take him home now". 
 
The good news is Dad made it and his discharge is under discussion. The less good news is that the NHS and authorities charged with elder care really don't seem to play nicely together. I worry about the 150 patients on that local waiting list who must be atrophying literally and figuratively on hospital wards while the state apparatus "cares" for them and keeps them away from their loving families. I worry that people always insulated from market forces and – during COVID times – now also insulated from concerned families are quietly enjoying their irresponsible power.

What the British State has learned from COVID

No-one escapes the consequences of the government's response to the COVID pandemic, but the Paine Family has escaped unscathed from the virus itself  – so far. My elderly parents were vulnerable because of their age and health but have managed to steer clear of those hubs of infection - care homes and hospitals. Until this week.

I am currently staying with my frail, elderly mother while my frail, elderly father is in hospital. He collapsed when he attempted to get up on Sunday morning. He was retrieved from the floor and returned to his bed by kindly neighbours. He was eventually hospitalised on Sunday evening after a grandson had spent hours on the phone to medically-unqualified, algorithm-driven NHS gatekeepers in call-centres.

I say hospitalised but gurney-ised would be more accurate. He was not diagnosed until Monday morning when he was finally taken off his trolley, admitted to a ward and given antibiotics. Too late, it seems because he had developed sepsis (one of the most common agents of death in emergency care). Crowds of medics materialised and his life seems to have been saved from the threat their previous absence had quite possibly caused.

This sob story has, I promise, a point. The experience has exposed us directly to the interesting way in which the government health service in Britain has responded to the pandemic. My mother, my sisters and I faced a situation in which Dad seemed likely to be lost to us, but we were forbidden to visit him or be at hand. In normal times, we would have had opportunities to speak to his consultant. Instead we have a number to call. Sometimes a recorded message tells us all staff are busy. Sometimes an anonymous voice summons a staff nurse to give us an update. Sometimes she comes. Sometimes another anonymous voice tells us she's too busy.

After forty-eight hours of that, I asked if it was possible to speak to the consultant. This seemed to be considered a radical request. However I was given a name and told to call the main switchboard and ask for his secretary. I did so and left a message on her answering machine. I called again the next morning and left another. I then got a call saying my message has been passed on and "he knows you want to speak to him". I am still waiting. Despite her careful choice of words, I take some hope from the fact that his secretary did not seem to think it lese-majesté on my behalf to ask.

It's quite shocking how normal this all now seems to NHS staff. They seem actively to prefer not having to deal with the families of patients. Assuming (as I think is reasonable given the staff nurse's response to my request) that most families don't ask to speak to consultants, they at least must have a more relaxed life than usual. I suppose it's up for debate whether the time staff nurses spend on the phone to families is more or less than the time they used to spend dealing with them in person. 

I find it hard to imagine a socialised service untrammelled by market mechanisms will ever return to its old standard now the public has meekly accepted this kind of service. One of my sisters said that "someone will have to give them a rocket" but who, pray, is likely to do that? The Labour Party is the political wing of the public sector unions and the "Conservative Party" is now – at best – New Labour reborn.