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Thread: Lockdown views update

  1. #51
    Quote Originally Posted by RustyBin5 View Post
    All well and good but as I’ve said in another thread all the self employed who get zero support from the government will just ignore lockdown shortly - basically because they have to eat.
    Firstly, they won't have any customers, and secondly they will be shut down by the police.

  2. #52
    Grand Master oldoakknives's Avatar
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    Quote Originally Posted by Holsterman View Post
    Could you proof-read and punctuate your posts, please? They are largely incoherent.

    Micro-organisms are well-known to be influenced by ambient temperature.

    Why have you put drugs in inverted commas? Do you think medical advances are a bad thing? What makes you think that the space available on earth is decreasing?
    More people = less available space per person probably. Not difficult to work out.
    Started out with nothing. Still have most of it left.

  3. #53
    Quote Originally Posted by oldoakknives View Post
    More people = less available space per person probably. Not difficult to work out.
    I guess so, but not what was written. It's like it's a second language.

    Anyway, there's plenty of scope for an expanding population, if we can manage our resources more efficiently and stop fossil fuel usage.

  4. #54
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    Quote Originally Posted by RustyBin5 View Post
    All well and good but as I’ve said in another thread all the self employed who get zero support from the government will just ignore lockdown shortly - basically because they have to eat. Xbox doesn’t fill your belly
    That's an interesting statement, can you elaborate on it a little, who do you mean and where will their customers come from?

  5. #55
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    Quote Originally Posted by Kingstepper View Post
    Not even 4 in the seventies, Channel 4 started in 1982.

    Don’t think on all day until eighties either.
    Blimey you're right of course, just 3 channels in my early childhood, imagine that today. Better programmes then too, though that'll probably be the nostalgia talking.

  6. #56
    Quote Originally Posted by Holsterman View Post
    Do you think medical advances are a bad thing?
    Perhaps the 'many artificially maintained by “drugs” and other medical advances' might be a reference to 'old' people here...


    R
    Ignorance breeds Fear. Fear breeds Hatred. Hatred breeds Ignorance. Break the chain.

  7. #57
    !960: BBC & ITV only. 1964: arrival of BBC2 - which came on the new-fangled 625 lines!

    How time flies.

    R
    Ignorance breeds Fear. Fear breeds Hatred. Hatred breeds Ignorance. Break the chain.

  8. #58
    Quote Originally Posted by ralphy View Post
    Perhaps the 'many artificially maintained by “drugs” and other medical advances' might be a reference to 'old' people here...


    R
    There does seem to be a barely-restrained narrative of "let's kill off the oldies, by rights they should be dead already" with Andyg. I wonder how he'll feel about that in 20 years' time.

  9. #59
    Grand Master RustyBin5's Avatar
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    Lockdown views update

    Quote Originally Posted by Weirdfish View Post
    That's an interesting statement, can you elaborate on it a little, who do you mean and where will their customers come from?
    Any self employed with over 50k income will run out of money with no income or support package. So they will emerge from lockdown to hunt earnings. No specific trade or profession - it will apply to all.

  10. #60
    Grand Master Passenger's Avatar
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    Quote Originally Posted by ralphy View Post
    Perhaps the 'many artificially maintained by “drugs” and other medical advances' might be a reference to 'old' people here...


    R
    Can't really divine who else he might mean tbh R, but how to decide, where do you draw the line... ballot or 'death panel, enforced euthanasia for those requiring too many drugs perhaps...but how much is too much...or just go with an age limit, seems a bit arbitrary, inhumane.
    Last edited by Passenger; 16th April 2020 at 13:25.

  11. #61
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    Quote Originally Posted by Holsterman View Post
    Anyway, there's plenty of scope for an expanding population, if we can manage our resources more efficiently and stop fossil fuel usage.
    According to David Attenborough, and I tend to believe he's a trustworthy and clever chap, all the arable land available on earth (without even more deforestation) is currently being farmed. Fresh drinking water is also a massive issue.
    So I wouldn't say there is massive scope for population expansion, even if we could somehow employ all these new people in a post fossil fuel driven world.

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  12. #62
    Quote Originally Posted by Ruggertech View Post
    According to David Attenborough, and I tend to believe he's a trustworthy and clever chap, all the arable land available on earth (without even more deforestation) is currently being farmed. Fresh drinking water is also a massive issue.
    So I wouldn't say there is massive scope for population expansion, even if we could somehow employ all these new people in a post fossil fuel driven world.
    That's because we are eating way too much animal protein and wasting water.

  13. #63
    Quote Originally Posted by RustyBin5 View Post
    Any self employed with over 50k income will run out of money with no income or support package. So they will emerge from lockdown to hunt earnings. No specific trade or profession - it will apply to all.
    Universal Credit. It'll be fine.

    https://www.gov.uk/apply-universal-credit

  14. #64
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    Quote Originally Posted by Holsterman View Post
    Universal Credit. It'll be fine.
    I've wondered about that, it presumably is available to those who wish to apply/meet the criteria isn't it, I mean the over 50k self employed earners still have this recourse don't they...

  15. #65
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    Is this thread becoming another candidate for being moved to the Bear Pit?

  16. #66
    Quote Originally Posted by Passenger View Post
    I've wondered about that, it presumably is available to those who wish to apply/meet the criteria isn't it, I mean the over 50k earners still have this recourse don't they...
    I would have thought that people earning over Ł50k would have savings. Once savings fall below a certain level, everyone is eligible for UC.

  17. #67
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    Still can't see how many self employed people would manage to find work under the current lockdown situation.

  18. #68
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    Quote Originally Posted by Holsterman View Post
    That's because we are eating way too much animal protein and wasting water.
    They are both a big part of the problem yes, certainly growing crops instead of rearing animals for meat is far more land efficient and water wastage is woefully the world over.
    But watch his documentary "A life on our planet", it is interesting, frightening, thought provoking and quite beautiful all at the same time. He does at the end suggest ways we can improve things, but not so that we can carry on with ever growing population expansion, just to save things as they are now.

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  19. #69
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    Quote Originally Posted by Tooks View Post
    Is this thread becoming another candidate for being moved to the Bear Pit?
    If the arguement that's going on about which age groups are expendable or not then yes, it could be.

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  20. #70
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    Quote Originally Posted by ralphy View Post
    Perhaps the 'many artificially maintained by “drugs” and other medical advances' might be a reference to 'old' people here...


    R

    Why would you think that? Lots of people (of all ages) are being maintained by drugs and medical advances. Also perhaps you need to define “old” for the benefit of all?

    Whoever does not know how to hit the nail on the head should be asked not to hit it at all.
    Friedrich Nietzsche


  21. #71
    Grand Master Andyg's Avatar
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    Quote Originally Posted by Holsterman View Post
    There does seem to be a barely-restrained narrative of "let's kill off the oldies, by rights they should be dead already" with Andyg. I wonder how he'll feel about that in 20 years' time.
    Hang about a minute. Where did I say kill all the oldies FFS.

    BTW I am 60 next month, but if I am living with a debilitating illness in 2 months time with little hope of recovery, then I would like to at least have an opinion as to how I would like to spend my remaining days. Currently this opinion is not available to me.
    Last edited by Andyg; 16th April 2020 at 12:34.

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  22. #72
    Grand Master oldoakknives's Avatar
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    Quote Originally Posted by ralphy View Post
    Perhaps the 'many artificially maintained by “drugs” and other medical advances' might be a reference to 'old' people here...


    R
    Quote Originally Posted by Passenger View Post
    Can't really divine who else he might mean tbh R, but how to decide, where do you draw the line... ballot or 'death panel, enforced euthanasia for those requiring too many drugs perhaps...but how much is too much...or just go with an age limit, seems a bit arbitrary.
    Quote Originally Posted by Andyg View Post
    Why would you think that? Lots of people (of all ages) are being maintained by drugs and medical advances. Also perhaps you need to define “old” for the benefit of all?
    So perhaps the disabled, the old, the infirm, those with underlying conditions, are all an intolerable drain on medical and financial resources which would be better used to help the fit and able. If thats not what is being implied please explain what is?
    Started out with nothing. Still have most of it left.

  23. #73
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    Quote Originally Posted by Holsterman View Post
    Universal Credit. It'll be fine.

    https://www.gov.uk/apply-universal-credit
    Universal credit which is available to those on low income or out of work - neither of which apply to the group I’m talking about ?

  24. #74
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    Quote Originally Posted by Holsterman View Post
    That's because we are eating way too much animal protein and wasting water.

    That’s one way of looking at it. Another way is that we simply have to many mouths to feed and that it’s only through modern irrigation, GM, factory farming practices, pest control, etc is that we can feed the billions that already exist. By increasing the population you become more dependant upon technologies and will cause even more damage to the environment.

    Also, you need to define the “we” - lots of countries do not eat “to much animal protein” nor do they “waste water”, however many of these countries already suffer from starvation.

    Whoever does not know how to hit the nail on the head should be asked not to hit it at all.
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  25. #75
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    Quote Originally Posted by monogroover View Post
    It's a misconception to think that the government wasn't quick enough, in my view. The CMO and chief scientific adviser did actually stress the importance of timing the various measures at the right moment for maximum effect, precisely in the interest of minimising fatalities. The point that people seem to be overlooking, conveniently in some cases, is that these measures are not infinitely sustainable and therefore I'm thankful that the government took particular care to introduce them at the best possible moment.
    https://www.theguardian.com/commenti...nce-who-advice

  26. #76
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    Quote Originally Posted by RustyBin5 View Post
    Universal credit which is available to those on low income or out of work - neither of which apply to the group I’m talking about ?

    Don’t forget that Universal Credit is paid from Taxation. If people are not spending or earning then they are not paying tax. In which case the government will be unable to pay it out. They could of course borrow the money, but then all loans have to be repaid at some point. So not necessarily a problem for the boomers and millennials, but a problem for the generation X’s

    Whoever does not know how to hit the nail on the head should be asked not to hit it at all.
    Friedrich Nietzsche


  27. #77
    Quote Originally Posted by Andyg View Post
    Hang about a minute. Where did I say kill all the oldies FFS.

    BTW I am 60 next month, but if I am living with a debilitating illness in 2 months time with little hope of recovery, then I would like to at least have an opinion as to how I would like to spend my remaining days. Currently this opinion is not available to me.
    If you are talking about voluntary euthanasia for terminally-ill people, I agree with you, with appropriate safeguards.

  28. #78
    Quote Originally Posted by Andyg View Post
    That’s one way of looking at it. Another way is that we simply have to many mouths to feed and that it’s only through modern irrigation, GM, factory farming practices, pest control, etc is that we can feed the billions that already exist. By increasing the population you become more dependant upon technologies and will cause even more damage to the environment.

    Also, you need to define the “we” - lots of countries do not eat “to much animal protein” nor do they “waste water”, however many of these countries already suffer from starvation.
    I'm talking about westernised countries, and those with a growing middle class, such as China.

    I see veganism, or near-veganism in all our futures. Raising animals for food is unsustainable.

  29. #79
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    Quote Originally Posted by Andyg View Post
    but if I am living with a debilitating illness in 2 months time with little hope of recovery, then I would like to at least have an opinion as to how I would like to spend my remaining days. Currently this opinion is not available to me.
    This isn’t correct.

    My Father (who is 70), is to all intents and purposes terminally ill, and he received his letter saying he should consider shielding for 3 months to avoid catching Corona Virus.

    It did also state that the Government/NHS completely recognise that people in his situation may choose to exercise their right to go outside, whilst maintaining social distancing rules, rather than spend a huge chunk of his remaining life confined to his own home.

    We are still human, we still have free will, even during this time.

  30. #80
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    Quote Originally Posted by RustyBin5 View Post
    Any self employed with over 50k income will run out of money with no income or support package. So they will emerge from lockdown to hunt earnings. No specific trade or profession - it will apply to all.
    It's no good buying an expensive watch one day and moaning about no government support the next day.

  31. #81
    Quote Originally Posted by catch21 View Post
    Why? Why shouldn't it be happening? "Work" doesn't have to be "essential" to be able to carry on.

    What rules would you like them to follow, rules which are in place or rules which you would like to be in place?
    There was quite a lot of confusing messaging coming out from the Govt about this to start with, around making sure "essential" work could continue. That messaging has softened significantly and it seems that anyone who can't work at home can go to their work as long as they can do so safely.

    The rules around construction have been clarified and both commercial and residential works are permitted to continue.

    Of course, whether customers want the workers to visit is another matter altogether.

  32. #82
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    Quote Originally Posted by oldoakknives View Post
    So perhaps the disabled, the old, the infirm, those with underlying conditions, are all an intolerable drain on medical and financial resources which would be better used to help the fit and able. If thats not what is being implied please explain what is?
    I'm not sure what Andy meant either.
    Last edited by Passenger; 16th April 2020 at 13:13.

  33. #83
    Some parts of this forum make pretty grim reading - and I don’t just mean this thread. ‘Who should live or die, the old and disabled don’t count, what should I invest in once businesses recover. Ooh, will more Rolex become available?’ Not a very pretty picture.


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  34. #84
    Grand Master RustyBin5's Avatar
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    Quote Originally Posted by Mick P View Post
    It's no good buying an expensive watch one day and moaning about no government support the next day.
    What has the shape of the government’s support package got to do with whether I bought a watch?

    Huh? This isn’t just about me Mick. It’s about electricians, plumbers, photographers, etc etc

    Just so we are clear - my income WILL survive this as I am able to do a considerable amount of my role from home and via e-comms. I am far more concerned about my clients who have 50k+ income who are being hung out to dry here. So yes I will moan about the package if it means my clients could lose everything because the package offered is fundamentally skewed and unfair to them. Does that clarify my stance ?

  35. #85
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    Quote Originally Posted by RustyBin5 View Post
    What has the shape of the government’s support package got to do with whether I bought a watch?

    Huh? This isn’t just about me Mick. It’s about electricians, plumbers, photographers, etc etc

    Just so we are clear - my income WILL survive this as I am able to do a considerable amount of my role from home and via e-comms. I am far more concerned about my clients who have 50k+ income who are being hung out to dry here. So yes I will moan about the package if it means my clients could lose everything because the package offered is fundamentally skewed and unfair to them. Does that clarify my stance ?
    Yes it does and that is fair enough. However HMG has a responsibility to protect the public purse and as a taxpayer you be able to see that also.

    It's nothing personal, just trying to keep tax levels down.

  36. #86
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    Lockdown views update

    Quote Originally Posted by Mick P View Post
    Yes it does and that is fair enough. However HMG has a responsibility to protect the public purse and as a taxpayer you be able to see that also.

    It's nothing personal, just trying to keep tax levels down.
    Lowering the total payment amount but extending it to all means fairer and the same total amount spent so the public purse would be no worse off. Also the public purse has a duty to protect the whole public
    Last edited by RustyBin5; 16th April 2020 at 13:37.

  37. #87
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    Quote Originally Posted by RustyBin5 View Post
    Universal credit which is available to those on low income or out of work - neither of which apply to the group I’m talking about ?
    They can claim UC Rusty but it won't be as generous as the Ł2,500 furlough scheme. It's their income today that matters, doesn't matter how much they were earning up to Feb/March?

  38. #88
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    Quote Originally Posted by Suds View Post
    They can claim UC Rusty but it won't be as generous as the Ł2,500 furlough scheme. It's their income today that matters, doesn't matter how much they were earning up to Feb/March?
    Not until they use their savings up I thought as UC is means tested on capital over 16k? Sorry I don’t have figured in front of me do this might be inaccurate

  39. #89
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    Quote Originally Posted by RustyBin5 View Post
    Not until they use their savings up I thought as UC is means tested on capital over 16k? Sorry I don’t have figured in front of me do this might be inaccurate
    Sorry, yes if they have 16K in savings. However they can claim something called new style JSA which is unemployment benefit based on NI contributions if they paid NI for the two tax years ending Apr 2019? There is also a similar sickness benefit if that situation applies. Not Brewsters, but something?

  40. #90
    Grand Master RustyBin5's Avatar
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    Quote Originally Posted by Suds View Post
    Sorry, yes if they have 16K in savings. However they can claim something called new style JSA which is unemployment benefit based on NI contributions if they paid NI for the two tax years ending Apr 2019? There is also a similar sickness benefit if that situation applies. Not Brewsters, but something?
    They can’t apply for JSA either as they are not unemployed. They are self employed with no income - it’s an important distinction.

  41. #91
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    Quote Originally Posted by RustyBin5 View Post
    They can’t apply for JSA either as they are not unemployed. They are self employed with no income - it’s an important distinction.
    Regs have been relaxed under current crisis - tell them to claim! Lots of self-employed have claimed already

  42. #92
    Quote Originally Posted by Andyg View Post
    Hang about a minute. Where did I say kill all the oldies FFS.
    You didn't say that.

    What you did say was:

    Your question:
    Quote Originally Posted by Andyg View Post
    But I am curious to understand what changes people would like to see occur in future to prevent a repeat of this, especially as viruses are a force of nature.
    A reply:
    Quote Originally Posted by Holsterman View Post
    IMO, we need to start treating nature and wildlife with a lot more respect than hitherto. Digging carbon out of the earth and putting it into the atmosphere is not a great idea.
    Your response:
    Quote Originally Posted by Andyg View Post
    Poor food hygiene, global travel, globalisation and 8B people (many artificially maintained by “drugs” and other medical advances), compressed into a ever decreasing space on the hand, does.
    So you gave four examples of your own choosing as to what changes you would like to see in the future, one of which was the size of the global population and you made the point that many of those people are still here because they are artificially maintained by “drugs” and other medical advances.

    BTW I am 60 next month, but if I am living with a debilitating illness in 2 months time with little hope of recovery, then I would like to at least have an opinion as to how I would like to spend my remaining days. Currently this opinion is not available to me.
    I've got some good news: your opinion(s) are still available to you.
    R
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  43. #93
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    Please please Eddie remove this post...like the last one it's getting to the my dick is bigger than your dick if you don't agree with me.

    Should be in the Bear Pit along with all the same sad posters...

    Let's get G & D back to what it should be.

  44. #94
    Grand Master Andyg's Avatar
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    Quote Originally Posted by oldoakknives View Post
    So perhaps the disabled, the old, the infirm, those with underlying conditions, are all an intolerable drain on medical and financial resources which would be better used to help the fit and able. If thats not what is being implied please explain what is?

    Wow, why should I bother, you seem quite happy to infer and suggest what being implied to suit your own narrative.

    However to attempt to provide some clarity and few questions for you.

    a) do you accept that medical resources (people, drugs, technology, etc ) are finite?
    b) do you accept that no one can live for ever?
    c) do you accept that quality of life is more important than longevity?
    d) do you accept that people should have the right to determine their own death?

    Now the given the answers to a) and b) are absolute. This only leaves c) and d). Personally my responses to both would be yes. Yours however might not.

    So for clarity, I am not suggesting we “kill the old”, the handicapped, the infirm, etc, or whatever BS you are peddling today.

    What I am suggesting that we actually show some humanity and allow some to make their own decision regarding their treatment and that medical science takes a step back and looks at the impact of treatment to the quality and longevity of people’s lives. Plus treatment needs to be more about quality rather than longevity. I have witnessed first hand people going through numerous rounds of chemo and radiation treatment (which has destroyed both them and their families physically and mentally) for the sake of a few very painful extra months. At no point was the patient/there families are given a choice.

    What we actually need is more honestly, more humanity and for patients/families to fully understand the implications of the treatments offered and the impact this will have on the individuals quality of life. The problem with this is that it needs a grown up conversation and unfortunately we do not seem capable of having one.

    Strangely people often talk about never wanting to make their pets suffer, yet they seem unable to do the same for their loved ones. I wonder why that is?

    Whoever does not know how to hit the nail on the head should be asked not to hit it at all.
    Friedrich Nietzsche


  45. #95
    Quote Originally Posted by Andyg View Post

    What I am suggesting that we actually show some humanity and allow some to make their own decision regarding their treatment and that medical science takes a step back and looks at the impact of treatment to the quality and longevity of people’s lives. Plus treatment needs to be more about quality rather than longevity. I have witnessed first hand people going through numerous rounds of chemo and radiation treatment (which has destroyed both them and their families physically and mentally) for the sake of a few very painful extra months. At no point was the patient/there families are given a choice.

    What we actually need is more honestly, more humanity and for patients/families to fully understand the implications of the treatments offered and the impact this will have on the individuals quality of life. The problem with this is that it needs a grown up conversation and unfortunately we do not seem capable of having one.
    Doctors don't have the power to compel patients to accept any treatment offered, they should work in partnership with each other.

    https://www.gmc-uk.org/ethical-guida...p-and-teamwork

  46. #96
    Quote Originally Posted by Andyg View Post
    What I am suggesting that we actually show some humanity and allow some to make their own decision regarding their treatment and that medical science takes a step back and looks at the impact of treatment to the quality and longevity of people’s lives. Plus treatment needs to be more about quality rather than longevity. I have witnessed first hand people going through numerous rounds of chemo and radiation treatment (which has destroyed both them and their families physically and mentally) for the sake of a few very painful extra months. At no point was the patient/there families are given a choice.

    What we actually need is more honestly, more humanity and for patients/families to fully understand the implications of the treatments offered and the impact this will have on the individuals quality of life. The problem with this is that it needs a grown up conversation and unfortunately we do not seem capable of having one.
    I'm in complete agreement with that.

    But the legislation has to be changed first and that requires sufficient public sway to achieve it.

    R
    Ignorance breeds Fear. Fear breeds Hatred. Hatred breeds Ignorance. Break the chain.

  47. #97
    Grand Master oldoakknives's Avatar
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    Quote Originally Posted by Andyg View Post
    Wow, why should I bother, you seem quite happy to infer and suggest what being implied to suit your own narrative.

    Actually I'm simply reading your posts Andy, and asking about what you're trying to convey.

    However to attempt to provide some clarity and few questions for you.

    a) do you accept that medical resources (people, drugs, technology, etc ) are finite?

    Yes, of course.

    b) do you accept that no one can live for ever?

    Yes, of course.

    c) do you accept that quality of life is more important than longevity?

    That is up to each individual to answer. It's not a given

    d) do you accept that people should have the right to determine their own death?

    Yes. Without coercion from health workers or family.


    Now the given the answers to a) and b) are absolute. This only leaves c) and d). Personally my responses to both would be yes. Yours however might not.

    So for clarity, I am not suggesting we “kill the old”, the handicapped, the infirm, etc, or whatever BS you are peddling today.

    Again I am simply asking what exactly your comments are implying, and I'm not alone in wondering that. And I agree with you on many things, but if you want to take that tone, what BS are you peddling today?

    What I am suggesting that we actually show some humanity and allow some to make their own decision regarding their treatment and that medical science takes a step back and looks at the impact of treatment to the quality and longevity of people’s lives. Plus treatment needs to be more about quality rather than longevity. I have witnessed first hand people going through numerous rounds of chemo and radiation treatment (which has destroyed both them and their families physically and mentally) for the sake of a few very painful extra months. At no point was the patient/there families are given a choice.

    I don't think any patients in the UK are forced to undergo any treatment against their will. You may know differently.

    What we actually need is more honestly, more humanity and for patients/families to fully understand the implications of the treatments offered and the impact this will have on the individuals quality of life. The problem with this is that it needs a grown up conversation and unfortunately we do not seem capable of having one.

    Strangely people often talk about never wanting to make their pets suffer, yet they seem unable to do the same for their loved ones. I wonder why that is?

    Perhaps because it's not their decision to make for their loved ones, that's the whole point. I may decide my pet is suffering unnecessarily and decide to end it's life. I don't think I should be able to make that decision, either way, for another human being.
    Started out with nothing. Still have most of it left.

  48. #98
    I have some recent experience of what constitutes "quality of life".

    My mother had a massive stroke, lost 30% of her brain function, and went into a stroke unit. Fortunately she had written a living will, drafted by a respected firm of lawyers, and so we knew that, in her circumstances, she wanted to have all sustenance and medical intervention withdrawn.

    However, the hospital legal team looked at her living will and said that, regretably, it wasn't valid in her circumstances since the will didn't stipulate her precise condition. For example, unconscious but breathing unaided. Nor could the clinicians be certain she wouldn't improve to a degree that would constitute a quality of life as she would have determined. They couldn't explain what that would look like, and obviously nor could she. But as an example, bed bound, feeding through a tube and partial consciousness but smiling at grandchildren could easily constitute quality of life for some.

    Perhap most telling, with a patient in my mother's predicament, nobody could say if she could hear or not, and whether, if she could, listening to the radio might qualify as quality of life.

    Others would certainly have a clear idea of what that phrase means to them but, given what I now know, it's impossible to put every possible permutation of quality of life into written form.

    The point being "quality of life" is a nebulous and highly subjective area and, now, when I hear fit and healthy people discussing it as a remedy for others I am not filled with confidence.

    One last thing; after the funeral my Dad, who survived my mother, fired the respected firm of lawyers.

  49. #99
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    Quote Originally Posted by Corporalsparrow View Post
    I have some recent experience of what constitutes "quality of life".

    My mother had a massive stroke, lost 30% of her brain function, and went into a stroke unit. Fortunately she had written a living will, drafted by a respected firm of lawyers, and so we knew that, in her circumstances, she wanted to have all sustenance and medical intervention withdrawn.

    However, the hospital legal team looked at her living will and said that, regretably, it wasn't valid in her circumstances since the will didn't stipulate her precise condition. For example, unconscious but breathing unaided. Nor could the clinicians be certain she wouldn't improve to a degree that would constitute a quality of life as she would have determined. They couldn't explain what that would look like, and obviously nor could she. But as an example, bed bound, feeding through a tube and partial consciousness but smiling at grandchildren could easily constitute quality of life for some.

    Perhap most telling, with a patient in my mother's predicament, nobody could say if she could hear or not, and whether, if she could, listening to the radio might qualify as quality of life.

    Others would certainly have a clear idea of what that phrase means to them but, given what I now know, it's impossible to put every possible permutation of quality of life into written form.

    The point being "quality of life" is a nebulous and highly subjective area and, now, when I hear fit and healthy people discussing it as a remedy for others I am not filled with confidence.

    One last thing; after the funeral my Dad, who survived my mother, fired the respected firm of lawyers.
    That is awful. What a predicament to be in

  50. #100
    Quote Originally Posted by Corporalsparrow View Post
    I have some recent experience of what constitutes "quality of life".

    My mother had a massive stroke, lost 30% of her brain function, and went into a stroke unit. Fortunately she had written a living will, drafted by a respected firm of lawyers, and so we knew that, in her circumstances, she wanted to have all sustenance and medical intervention withdrawn.

    However, the hospital legal team looked at her living will and said that, regretably, it wasn't valid in her circumstances since the will didn't stipulate her precise condition. For example, unconscious but breathing unaided. Nor could the clinicians be certain she wouldn't improve to a degree that would constitute a quality of life as she would have determined. They couldn't explain what that would look like, and obviously nor could she. But as an example, bed bound, feeding through a tube and partial consciousness but smiling at grandchildren could easily constitute quality of life for some.

    Perhap most telling, with a patient in my mother's predicament, nobody could say if she could hear or not, and whether, if she could, listening to the radio might qualify as quality of life.

    Others would certainly have a clear idea of what that phrase means to them but, given what I now know, it's impossible to put every possible permutation of quality of life into written form.

    The point being "quality of life" is a nebulous and highly subjective area and, now, when I hear fit and healthy people discussing it as a remedy for others I am not filled with confidence.

    One last thing; after the funeral my Dad, who survived my mother, fired the respected firm of lawyers.
    You are absolutely correct, when a patient is unable to communicate, it is impossible to assess QoL. It's also very difficult to get the prognosis right. Everyone seems to think that doctors "know everything", but that is a very long way from the truth.

    There was a very thoughtful episode of Star Trek (TOS) which examined this.
    Last edited by Holsterman; 16th April 2020 at 19:53.

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