This is a story about strict routine...

I don't feel like writing today. I saw something in the news which I wanted to write about and I even started a blog post, but then I kinda lost my way when doing a bit of research. I had selected a photo - different from the one above - and I started to feel that it was unwise to use it because it shows my face without my cunning and infallible disguise. I'm starting to think more and more about how people perceive me and the damage I could do to my own reputation if my blog was read by my work colleagues.

There are certain things that will cause people to look at you in a completely different light. There are prejudices that are so powerful that they can warp reality and turn good people into twisted grotesque imaginary monsters. To write about addiction is to bracket myself with baby-eating, granny-mugging, child-raping, ethnic-minority-murdering, every-other-bad-thing-you-can-think-of, demonised people who are blamed for all the ills in society. Your average injecting crack and heroin addict is going to commit a hundred or maybe even two hundred crimes every year to feed their habit. However, it's a non-sequitur to think that everybody who's experienced a period of drug addiction in the past is an immoral murderous criminal. "Death's too good for 'em! String 'em up!" cries the tabloid press and the public lap it up, even though the vast majority have never been a victim of crime, nor are they aware that the so-called character flaws which potentiate addiction live inside all of us.

I was going to write about that oft-used song lyric: "there's a monkey on my back". I can't say that I ever felt like I had a monkey on my back when I was a drug addict. "I'm waiting for my man" is another famous addiction-inspired song lyric, which again is something I can't relate to at all. In fact I can't relate to any of the addiction references in popular culture. I've never 'scored' drugs from a dealer. I've never been part of a drugs 'scene'. I never adopted a drug as part of my identity - I never wore clothing with a cannabis leaf or some other drug reference advertising my addiction.

There's a lot I don't understand about drug addicts even though I was one myself. I don't understand why many addicts buy crack cocaine when they could easily make it themselves with baking soda. I don't understand why addicts buy their drugs in small quantities. I don't understand why addicts buy impure and weak products at hugely inflated prices. I don't understand why there are heroin addicts when they could easily bulk-buy fentanyl, which is much more powerful. I don't know why addicts don't just stop being addicts and get rich - like me - whenever life gets tough.

Of course, I do understand all those things. I understand that the only difference between me and an injecting crack and heroin user, is that they were exposed to a drug 'scene' which brought them into contact with dealers, street drugs, needles and other drug paraphernalia. Addicts are caught in the never-ending cycle of scoring drugs, turning tricks, petty crime and everything else that's part of the chaotic life of an injecting drugs user, and the only difference between them and me is that I know that there's some hope that I can escape a miserable life of poverty. What hope does your average crack and heroin addict have of earning a 6-figure salary a month after they quit drugs? What hope do they have of ever earning a decent wage?

I've been able to use my wealth, intellect and other privileges - such as my science and technology skills - to research and obtain high purity drugs of the maximum potency at rock-bottom prices. Instead of messing around with £10 bags of crappy cut heroin, I'd do the research and find out what the chemical with the biggest bang for my buck would be, and then buy it in bulk.

What happens when you have access to a practically unlimited amount of drugs and a practically unlimited amount of time to use them, is that you discover the meaning of the word: practically. It's practically impossible to satisfy a desire for addictive drugs. Given enough drugs and enough time, you just die. Eating, drinking, sleeping, personal hygiene, bathroom breaks and other bodily functions are put on hold for as long as possible. There are some addicts who are perfectly functional - they go about their daily business under the influence of drugs and they can carry on like that for years. That's not really addiction though. Addiction specifically means harmful drug use. Smoking, for example, harms the health of the smoker and the health of those who have to breathe their second-hand smoke. Arguably a pill-popper isn't an addict at all, if the pills are not causing health damage. My own addiction took the form of the very worst kind: the insatiable appetite for a drug to the exclusion of everything else, including the basic necessities for human survival.

At some point drug-taking either becomes a chore - it's something which has to be done to stave off the unpleasant withdrawal symptoms - or it becomes so destructive that destitution and death become certainties. I'm sure there are a handful of homeless people who could see that their addiction was making them unable to work and unable pay their rent or mortgage, and they would be evicted eventually, but they didn't want to stop the drugs: they'd rather be homeless, living in a tent or otherwise sleeping rough, and able to carry on with their addictions. Most homeless addicts probably couldn't see any hope of avoiding homelessness if they quit - there was no incentive. The drug-taking becomes a chore and there's no hope of escaping the dreadful circumstances when you fall too far; the health damage is too severe and the behaviour patterns are too entrenched... rehabilitation would take years, and the best possible hope for those people who dropped out of mainstream society for a long time, is that they could become burger flippers, shelf stackers, toilet cleaners and street sweepers. I have nothing against the untouchables on the bottom rung of civilised society, who do the worst jobs for the worst pay, but it's hardly an enthralling prospect to be shackled to a dreadful job which doesn't pay enough to cover rent and bills, and robs a person of their time and freedom. Given the choice, I'd rather be begging on the streets.

My life is a chore. I'm doing things which I've done a million times before - so there's no doubt that I'm extremely capable of doing my job - and I'm working on projects which are exactly the same as every other project I ever worked on. It doesn't matter if it's Space Invaders, torpedo guidance, stockbroker share prices, computers for schools, public transport, investment banking, government... whatever. Same shit different day. I make systems which are just like the old systems. It's like painting a white wall with white paint, over and over and over again.

Life's a stupid pathetic pointless game. Money is the 'score' and the more you have of it the better player you are, supposedly, but everybody starts with a different amount and the ones with the most are cheating the most. There are other ways to score points, such as academic qualifications, but again, those who start with the most money have the most leisure time to pursue academic interests and surround themselves with people who'll help them obtain those qualification. Winning a game of chess doesn't mean you're smarter than your opponent if the game wasn't on the clock. Winning a game of chess doesn't mean you're smarter than your opponent if you were raised by chess grandmasters and your entire childhood was structured around a single purpose: to make you into a brilliant chess player.

As we scurry around desperately trying to comply with the rules of the game, which mostly means being exploited by capitalists and living in constant fear of losing our job, our home and our children, we surely must stop and think that this is insanity. Why would mortal creatures waste their precious time playing a rigged game, for the benefit of the rentier class who oppress them and profit from their labour?

It must surely be due to drugs and drug addiction that the present situation is allowed to continue. How else are people able to buy alcohol, cigarettes, tea and coffee if they don't have miserable exploitative jobs? How else could we tolerate the intolerable except with massive amounts of anti-depressants, anti-anxiety drugs, tranquillisers, sedatives and sleeping pills? Why would we bother with the miserable commute and the horrible work, unless there was the promise of some artificial and chemically induced bliss during our breaks and at the end of the working day?

You can have as many slaves as you want, but they won't work without coca leaves, khat, betel leaves, areca nut, tobacco, tea and coffee. Fear, intimidation, pain and torture will only get you so far. There needs to be carrot as well as stick.

If you watch enough X-Factor and Pop Idol on TV then you'll see that all anybody has ever wanted for their whole entire life - more than anything else - is to be a singer. Why then are those who succeed against the odds in becoming a rich and famous pop singer, are very often afflicted with addiction problems and many die young?

Consider how hard it is to escape from the poverty trap. Consider how hard it is to escape the rat race. Consider how hard it is to accumulate enough wealth to be truly free. Consider the effort and exertion necessary to break the chains and liberate yourself from the shackles of capitalism and bullshit jobs.

Unfortunately, most people's idea of freedom is flawed. Are you looking forward to your retirement? Why? You'll be old and your health will be declining... why didn't you retire when you were young and fit? Are you looking forward to fame? Why? You'll be working for your sponsors; you'll be working for your fans. Are you looking forward to being rich? Why? What are you going to do when you are? If you spend your money you'll be poor again, and you'll be just as much of a slave as you ever were, except you'll have developed expensive tastes.

Drugs strip away all of capitalism's artificial constructs. A £10 bag of heroin will get a billionaire just as high as a homeless penniless person. Drugs can - in a way - become a way of life which has much more meaning than the pursuit of wealth. However, the insatiability of a drug addiction; its intrinsic destructiveness and lack of meaning beyond the internal experience of the drug addict, leads inexorably to the desire to use drugs as a form of protracted suicide.

Art is the only known antidote, but art is denied to the vast majority of humanity. Only wealthy spoiled trust-fund brats are truly free enough from the tyranny of capitalism to be artists. Of course many of the spoiled brat offspring of the ultra-rich will become drug addicts, because they're too stupid to appreciate the incredible privilege it is to be able to be an artist.

Perhaps the other choice is to bury ourselves in bestial behaviour. If you're blessed with enough stupidity and ignorance to be happily consumed by your reproductive efforts, all the best to you - enjoy yourself. Sadly, this isn't an option for those who've read too many books and newspapers, and have become aware of the absurdity of existence - ignorance is bliss, and there's no returning to those blissfully ignorant times once your eyes have been opened to the stark reality of human life.

In a godless world with no afterlife, free from magic, spiritual and otherwise ethereal non-existent mumbo-jumbo, there's little which is comforting and inviting in a hostile universe which obeys strict mathematical laws. Just a few hundred kilometres away there's the vacuum of space, where you'd just turn into a frozen corpse and float around weightlessly for billions of years. And you're worried about losing your minimum wage zero-hours contract McJob cleaning toilets just so that you can give every penny you earn to a capitalist, even though you already give every waking hour of your life to a different capitalist? Don't you feel conned; cheated?

I don't feel like doing much, but is that really surprising? Is it so surprising that life feels like such a chore?

Tags: #addiction #suicide #capitalism #religion #drugs #legalhighs

This is a story about early retirement...

I was pretty pleased with my life's achievements by the time I hit the age of 30. I'd earned a lot of money and been able to enjoy a lavish lifestyle, and I had plenty of material possessions as status symbols to attest to my accomplishments. My income vastly exceeded my expenditure and I'd amassed enough savings and assets to be able to support myself without a job for many years, without having to tighten my belt or live frugally.

I decided to quit the rat race and be my own boss. I retrained as an electrician and set myself up in business as a one-man operation: just me and my van... and my customers. Turns out that you always have a boss, whether you're a salaried employee or the founder and CEO of your own company. There's always somebody who you're dependent on for your money, like investors and customers who have to be kept happy. Perhaps only trust fund brats are truly free from the tyranny of having to kowtow to anybody, but even they have to kiss the ass of the trustees if they want to get their hands on more cash than their already more-than-ample unearned lifelong income.

My subsequent attempt to use my software smarts to earn money while I slept didn't turn out much better than my attempt to become a traditional tradesman. Realising that customers were harder to extract money from than I'd anticipated, and that I was going to end up giving away a substantial amount of equity and control to investors, I burned out and became very depressed about life.

I tend to win more than I lose when software's involved and my most recent attempt at earning money in my sleep was quite successful, when I bought Bitcoin miners which I kept in my summer house. I also ploughed every pound and penny that I could beg, borrow or steal and I bought Bitcoins, which then appreciated in value a hundredfold or more. Sadly, I needed to liquidate my assets to settle an acrimonious divorce, hence why I'm not [yet] a multimillionaire... well, and also to be honest I didn't think the value of Bitcoin was going to go much beyond $5,000 but that's another story.

To be fully retired and spend my days wandering around National Trust stately homes - or whatever it is that retired folk do - I think would be quite torturous and tedious. I was dragged around enough stately homes as a child, with my pushy parents mistakenly believing that educational leisure experiences would be somehow beneficial to me and my future.

Software is the gift that keeps on giving and I've worked an average of 3 months per year, during the last 4 or 5 years. That's pretty close to semi-retired. The remaining 9 months of each year have been spent sleeping rough, living in hostel dorms, in and out of hospital, locked up on psych wards or otherwise generally living a life which most people would not consider to contain much rest and relaxation.

I'm pretty exhausted to be honest.

I'm 39 years old and I'm knackered.

During the last 9 years I've done all the things which my parents told me not to. I've followed my dreams and I've ended up in a few nightmares too, but I've finally been able to experience life. I was a very well-behaved boy and young man: I was the well-mannered sensible child who did all the right things and was achieving all the things that grannies and aunties like to hear about when your parents phone or write to brag. There's a lot of snobbery in my family and I felt duty-bound to comply with very boring, rigid and old-fashioned ideas of success. I'd spent my life up to the age of 30 living somebody else's idea of how I should live my life. Then, I rebelled.

I really rebelled.

It took me a while, but I caught up. At the age of 32 I had been a straight-laced boring conformist who'd never stepped out of line and had never experienced life, in all its its horror as well as its beauty. By the time I reached my 35th birthday I was pretty much ready to start gently pressing the brake pedal. Now I'm only a year away from turning 40 I've got both feet on the brakes and I've pulled the handbrake too.

I don't think you can really say you've lived until you've been arrested, thrown in the back of a paddy waggon, locked in a police cell, sectioned, locked up on a psych ward, been hospitalised, been in critical care / intensive care, been on a high dependency ward, had organ failure, had dialysis, had a horrific injury requiring general anaesthetic and major surgery, become homeless, slept rough, lived in a hostel dorm, run out of money, been physically addicted to drugs and all the other things which came about when I decided to abandon all caution and just do whatever the f**k I wanted for a few years.

I really made up for lost time, but I don't regret any of it. If I have any regrets, it's only that I listened to my parents and I behaved myself and I was sensible. I wish I followed my dreams earlier. I wish I did what I wanted sooner, rather than attempting to please my parents and gain their approval, which turned out to be impossible anyway.

To continue my life in the way I had been living it until a year ago would be quite disgraceful. There's no dignity in being 40+ years old and doing the kind of crazy s**t that I've been doing during a lot of my thirties... in fact I think it's a real shame to see people who haven't been able to stop the madness when they've reached an age where they should supposedly know better.

In light of the fact that I only have a year until my 40th birthday, I am now semi-retired. I have almost fully retired from my life of crime, drugs and insanity. Now, my life consists of a cushy government job which requires very little thought or effort and gives me a lot of disposable income and leisure time. Life is a lot less exhausting without the police cells and the hospital beds.

Over the coming months I'm going to complete my 1-million word writing project, pay off all my debts, replenish my savings and write a new chapter in my life: the comfortable semi-retired existence of a highly paid consultant doing government work; the return of some of the lavishness of the lifestyle I used to enjoy when I was a much younger man.

I am a little sad to say goodbye to the version of me who could say and do whatever he wanted, but the consequences almost killed me on numerous occasions and my luck was going to run out sooner rather than later.

39 isn't the usual age where people start a laid-back life of semi-retirement, but I think it's appropriate in my case to dial back the insanity from 11 to a much more reasonable 3 or 4.

I hope the previous 12 months I'm writing about this time next year are much more becoming of a gentleman celebrating his 40th birthday. I'm pleased that I've got a year to get things sorted in my life, so I don't feel like a total failure.

Happy birthday to me. 39 today.

Tags: #career

This is a story about being unhinged...

A highly paid civil servant decided to doodle this cock onto a poster which was affixed to the toilet door, at a government agency which is responsible for the collection of £6bn in taxes per annum. You'd have thought that the kind of people who clear the stringent security vetting wouldn't be the types to do graffiti in toilets, especially the toilets at the highly secure office.

There's nothing in writing yet, but I'm getting the shove... services no longer required. Project delivered, happy client, but there isn't another project at the moment, and I'm quite expensive to have sitting around doing nothing, although the banks I've worked for have never seemed to care much about that.

It's the worst-case scenario. Contract has finished early and no extension. Nothing that's very appealing in the local area; not a lot of choice... in fact, pretty much just one contract I could apply for, which I'm pretty sure I'd hate.

If I go on my holiday instead of working, I'll lose £3,000 of potential income. That's a helluva expensive holiday, when I could just write off the £600 it cost me for the flights and accommodation. Should I work that week, and use the extra money to go on a holiday which'd be much more suitable for me now I'm single? Should I work that week and simply go on a better holiday, to cheer myself up? Should I work that week and be sensible, and save the money, given that I'm about to lose my income?

What have I got now? No girlfriend. My car is about to be declared unroadworthy. No job. I've only got 2 friends in the local area, and one of them I haven't seen for 6 months and the other I've only met twice. All my money is earmarked for debts, rent and bills. I have no surplus which I can use to have an unplanned break from work - I need another contract.

Wind back to September 9th 2017 when I tried to kill myself. Why did I go through that hospital treatment to save my life and restore me to physical health? Why did I go through that psychiatric treatment, to make me safe to release from hospital? Why did I go though the stress of moving to yet another city where I don't know anybody? Why did I work my arse off and have the misery of living out of a suitcase, staying in a different AirBnB every week? Why did I work my arse off getting security vetted and landing a cushy public sector contract? Why did I spend every spare penny I had getting a car and an apartment? Why did I wine and dine and generally woo and wow a girlfriend? Why did I bother? Why did I think that I'd get anywhere; that I'd make any progress; that I'd ever be able to get ahead in life? Why did I think I'd ever be happy; content?

I'm not sure if I'm a danger to myself, others or both. I'm unhinged. I'm mad. I'm deranged, demented and disturbed. What the hell am I going to do? How the hell am I going to react? Who or what am I going to blame?

Desperate people who believe they have nothing to live for - that their lives are not worth living - are dangerous, aren't they? Can you think of anything more dangerous than somebody who's got nothing to lose?

Fear of consequences is the thing that keeps our behaviour 'in check'. What possible consequence could be used to threaten me or control my behaviour? Why on earth should I behave myself? What reason have I got to give a damn about consequences? I've got nothing to lose.

I've played by society's rules and it's gotten me nowhere because the game is rigged. I've conformed and complied and it's been to my detriment, because there are so many who lie and cheat and break the rules. I had hope and I had things that I didn't want to lose, but now I don't. That's a dangerous situation. That makes me a dangerous person.

I'm liberated. Too liberated. Too liberated for society to tolerate... depending on my completely unpredictable behaviour.

Should I be locked up?

Tags: #suicide #career

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 the end of democracy...

There's a widely held belief that our governments know what's best for us, because they're privy to information that the general public aren't. In the case of foreign affairs, our military intelligence gathering agencies will prepare briefings for those in power, which will persuade our government to act in the interests of national security. However, this runs contrary to the principles of civilised society, where information is presented transparently and we the people decide what's best for us - that's called justice, and that's called democracy.

Would you want to be imprisoned or sentenced to death at the whim of a powerful ruler, on the basis of a flimsy allegation? Would you do away with jury trials and the burden of proof? Would you prefer to hand all the power to a ruling elite who 'know better' than the rest of us, as opposed to having a democratic system?

The idea that there are a group of people who are smarter than all of us, and more capable of making an informed decision that's the best for everyone, has eroded the power of democracy and our own individual agency. Instead of being able to make our own informed decisions, the decisions are taken for us by people who think that they know best.

Life-or-death decisions are taken by people behind closed doors, who arrogantly believe that they are doing the right thing, because they surround themselves with other members of the guardian class. By talking privately amongst themselves in their bubble, they arrogantly believe that their intellect is superior to that of others, and that they will be able to reach a decision that's best for everyone, without consulting any mere mortals. This self-appointed elite believe they're smarter and make better decisions than the general populace, and have a right to hand down judgements as well as to keep their process and decision making opaque. By sticking together in a tiny clique, this arrogant group convince themselves that they're following a process that legitimises their tyranny.

There simply aren't a group of people who are better than the rest of us. There aren't a group of people who know better than the rest of us. The elites are self-appointed, and they mistakenly believe they are superior, because of exam grades, job titles and other social status symbols. The jury system delivers a consensus from a cross-section of society, which is a safeguard against arrogant people who believe their own bullshit and think they know it all.

Under communism, the belief that the greater good was more important than any individual's suffering or death, led to an end-justifies-the-means culture that killed millions. Today, we have a culture that worships the great and the good who believe they are infallible elites capable of deciding what's best for all of us, because they're better than the rest of us.

This is not anti-intellectualism. This is anti-elitism. You can be an intellectual without being an elitist. You can care about people and the fate of humanity without being a tyrant. You can be caring and compassionate without installing yourself in a position of ultimate power in people's lives. Nobody should have the power to rule over their peers, in a minority group - that erodes democracy and creates misery, suffering and death.

I abhor those committee sitters who are so hungry for power that they have abandoned public service, in pursuit of positions which afford them godlike powers over ordinary people's lives. I have a deep hatred for anybody who thinks that they alone can make a decision, when presented with some information which they guard and horde, lest it become an open and transparent decision making process and their power base is eroded.

I've witnessed first-hand the scramble to censor, cover-up and cover arses after a death, where the committee sitter was culpable. Instead of inviting transparency and admitting that the elitist arrogance was the cause of death, the committee sitters close ranks and become thick as thieves - skulking around in the shadows. The arrogance, when this behaviour is causing lives to be lost, is the reason that so many lives continue to be lost. Instead of relinquishing their power, admitting their mistakes, becoming open and transparent, those who are culpable for deaths continue to believe that they know best.

It sickens me that there are a group of people who think they have a license to kill; some kind of moral justification for their tyranny and the misery and deaths they cause.

Tags: #politics

This is a story about malingering...

The Conservative Government makes policy based on the assumption that anybody who doesn't work is lazy and that we - the British public - should spy on each other, bully and coerce each other into bullshit dead-end underpaid McJobs in the interests of further enriching the obscenely wealthy capitalists. To talk about the 'free' West is a joke. You're free to be homeless. You're free to be hungry. But you are not a free man or woman at all.

I've suffered many periods of depression in the past, but the present one sets a new record for its length and severity. Further exacerbating my depression has been a dire financial situation. It's true... if somebody hungry enough they can drag themselves out of bed. If somebody's in enough pain they can drag themselves out of bed. If somebody's afraid enough they can drag themselves out of bed. That doesn't mean that we should inflict fear and pain and hunger onto sick people, in order to bully and coerce them into working bullshit McJobs simply so the rich can get richer.

I spent the last 24 hours without any of the medications I've been dependent on for a whole year. It's been 24 hours of hell on earth. "Have you tried breathing exercises?" etc. etc. Bullshit. I was sick. I was really really really sick. I still am.

I've limped along for so long. It's true that I can force myself to get up and appear half functional because I absolutely have to, but it's unsustainable. In fact, it's counter-productive for me to force myself into horrible stress and anxiety-inducing situations, having what little energy I have left drained from me by some bullshit job. It's been incredibly costly to my mental health to have been forced back into the workplace when I'm still so unwell.

I'm bumping along the bottom. I barely get a whisker above the absolute lowest I can get and then I'm pummelled back into the floor. If only I had the time and the money to recover properly. If only I could get well before I'm forced back into work by economic necessity.

I'm kind of a poster boy for the Government's unethical and abhorrent abuse of the British public - I've been bent to their iron will; I've been bullied and coerced and forced at gunpoint to do shit that's fucking awful. I'm held up as an example that "depression's all in people's heads" and "people who are sick can work". I supposedly demonstrate that if things are desperate enough, mental health problems can be overcome and somebody can go to an office and do a job... except I can't.

My life is a continuous crisis. Suicidal thoughts plague every waking moment. My anxiety and stress levels are through the roof. I'm very much not at all functioning - this bullshit life is killing me.

You might think I'm being hyperbolic. You might think that I'm making a fuss. You might think I'm complaining too much, because you can't quite get over the fact that every day I put on a smart suit and I go to work in an office. You believe that the fact I'm going to work is all the evidence that you need to declare that you were right all along - depression is just a made-up illness and people who say that they can't work because of mental health problems are lazy liars; leeches on society.

The daily agony that I'm put through is enough to cause me to end my own life. Life is too unbearable. It's not like I was supported back into the workplace by a loving, caring Government and now I'm finding that it's really good for my self-esteem and I'm really glad I'm back at work. Bullshit! I call complete and utter bullshit on such infantile fantasies as the idea that some people are just lazy and they need to be punished.

It's possible that I might be able to find some cocktail of medications that would allow me to be more functional, but it's not me that's the problem, is it? It's no measure of good heath to be well-adjusted to a sick society. I refuse to take loads of pills with horrible side-effects, just so that I can conform to your bullying and coercion. I refuse to be called 'sick' when really it's the spying and hatefulness between citizens that's sick - who gets to decide that somebody else is "lazy"? It's bullshit.

The smug and arrogant guardian class have been co-opted into the coercive and bullying world of Conservative Government. Safe and well paid government jobs are given to ordinary citizens, who then become brutal and tyrannical arseholes, casting their judgement on their fellow men and women. It's not right to give people God-like powers over their fellow citizens, allowing them to approve or deny them the things they need to survive. It's too much power and it's creating a class of absolute c***s who think they can sit in judgement over those who they believe are beneath them.

I've seen people who have sworn an oath to do no harm, be turned into harm-inflicters. I've heard utterances from those who have supposedly dedicated themselves to saving lives and improving public health, become corrupted by an ideology that believes we should all be enslaved to the capitalists - anybody who's not working is a "scrounger" or a "benefit cheat" or otherwise somebody beneath contempt.

It angers and upsets me that those who are supposed to help and support and care, have been turned into beady-eyed prying spies, bullies - part of the apparatus that is oppressing and tyranising tens of millions, turning their lives into abject misery.

Where's the compassion?

Tags: #politics #economics

This is a story about justification...

What do you suppose this stack of laundry baskets and boxes full of clothes is? Perhaps this is a new modern art installation at the Saachi Gallery?

200 days ago - April Fools' Day - I was so paranoid that I believed that somebody was going to break into my ensuite bathroom on the 4th floor, and invade my bedroom. I was also so unwell that I believed I could secure my bedroom by tying my dirty laundry baskets to the door handle.

Paranoia does not generally trouble me during my day-to-day life: nothing to hide, nothing to fear.

I'm about to make a factual declaration that might shock and disgust you.

Men's libido will drive them to relieve themselves - through sex or masturbation - on a relatively frequent basis, depending on each individual. You might consider a man who masturbates every day to be a twisted pervert. You might consider a monk who has taken a vow of celibacy having undesired nocturnal emissions - he ejaculates in his sleep - to be the finest example of a man that is biologically possible, without castration.

Let's just re-iterate this for emphasis: biologically, the human race has evolved a reproductive imperative that is as strong as breathing, sleeping, shitting, pissing, drinking and eating. If you can stop doing all of the latter for a few years, then you're welcome to then argue the point with me.

If you consider the unpleasant combination of being so horny that you need to masturbate, with the belief that you're being watched at all times, then you might understand that it's an impossible situation, assuming that you value your dignity and your privacy. At present there are at least 3 webcams watching me and 2 microphones listening to me. Of course, I presume that no ransomware is recording me without my permission, but such software exists in the wild. How much do you trust the manufacturer of your phone and your laptop, to not co-operate with your government, giving them the ability to spy on you?

Nothing to hide, nothing to fear?

I'm guessing that you wouldn't want your family, friends and work colleagues, or even complete strangers, to see you tugging your todger; yanking your chain; bashing your bishop, or whatever your preferred euphemism is for masturbating to orgasm. I'm guessing that you'd find such voyeurism to be unacceptably compromising and distressing enough to destroy your mental wellbeing.

Do you note that I'm leaving aside any discussion of anything 'kinky' or not otherwise in accordance with plain vanilla biological imperatives?

Of course, we could all just have sex, and then we've got a partner in crime - we have safety in numbers; at least there's somebody else who's looking ridiculous with us, as we make the beast with two backs. However, this is not always practicable. Natural urges do not always align with the competing demands of the world around us. Sometimes, we are horny and single.

If you're thinking "eeeewww" or otherwise troubled by an undesirable mental image, you understand perfectly that the vast majority of us wish to maintain some privacy around this particular activity. I cannot relate to men who take a thrill from masturbating at somebody, flashing their genitals or sending unsolicited dick pics. I am not writing about the exceptional cases, where men act in an antisocial or illegal way - these matters are excluded from the discussion, because they are unusual and those men do not think and behave like I do.

In short, the only way that my behaviour seems at all unusual, is the exceptional lengths that I will occasionally go to in order to not be spied upon while masturbating. If we consider our desire for privacy, it doesn't seem odd. If we think about the fear of the indignity and shame of having explicit images and videos of us masturbating, shown to other people, that fear is not irrational - it would be extremely distressing, for almost everybody.

Just over 6 months ago my mind was shattered. Today I'm barely troubled by paranoia.

My paranoia doesn't come from nowhere - of course it needs a seed. The internal source of my paranoia is sleep deprivation, hunger, thirst and mind-altering substances: I have a choice over whether I disturb my mind with these things or not. The external source of my paranoia could be explained simply in this way: do you imagine that men in psychiatric hospitals no longer need to masturbate?

Ask yourself where it would be appropriate to masturbate, when you're being checked on regularly by nurses and support workers. Ask yourself whether you think you could quietly do the deed in a dormitory with other men. Presumably, you'd go to the toilet or the shower, wouldn't you? If you're masturbating in an institutional environment, with the noise of staff and patients all around you, does that make you a twisted pervert?

This topic is the most sensitive that I could write about. Nothing could shame me more than you knowing these deeply troubling things, which is why I write about them - I'm grasping the nettle.

If you care to read back through what I've written, you'll see that I stop short of painting an explicit picture - the images in your head are entirely from your own imagination. I'm not attempting to upset anybody, nor am I discussing matters that have no place outside of a basic human biology lesson.

I believe that honesty is the best policy, and I'm taking that to its extreme conclusion, despite the detrimental effect it seems to be having on me and my life. I started the questionable experiment, to publish my inner monologue, and I'm compelled to continue, even though it causes me a great deal of anxiety.

Why do I need to live in fear of people learning who I am and how I feel? Why would I need to wear a mask? Why do I need privacy, when so many are determined to sneak a peek behind the curtain anyway?

What happens when a person lays themselves bare, instead of letting paranoia destroy them?

Tags: #paranoia #writing

This is a story about being inspected...

Today the psych ward is being inspected by the Care Quality Commission (CQC) and the staff are so nervous that some of them feel physically sick. I try to reassure one nurse that they're doing their best, despite staff shortages and rampant drug use - the synthetic cannabinoid called Spice is ubiquitous throughout prisons and psych wards.

There's always somebody peering over your shoulder, sneeringly judging you. Is it any wonder that paranoia takes hold in a mind, destroying it? The United Kingdom has an exceptional ability to track the movement of its citizens, using simple conventional CCTV - no spy satellites even needed.

In the free West, we deride the Stasi and the KGB. We talk about China's vast number of people employed to snoop on their own citizens, but we don't acknowledge the work of GCHQ and the NSA. Have we forgotten Edward Snowden's revelations so quickly? The Government read your fucking emails and the police - the regular ordinary police - have a backdoor into Facebook to read all your private messages.

Nothing to hide, nothing to fear. If you believe that, why do you feel stressed if a police car is following you when you're driving, and a sense of relief when the police overtake you and disappear over the horizon? You have insurance; you've had your car's roadworthiness tested; you've paid your road tax... nothing to worry about, right?

It was only a short time ago that I was deeply indoctrinated by my schooling, that had shaped me into a meek conformist - I was fearful of defying any of society's rules and regulations. A family friend wanted to go fishing with me, and I said we needed to obtain a permit. "Our prisons are full of people who got caught fishing without a license" this friend laughed. "What are you in here for? Murder. What are you in here for? Fishing without a license" he continued jovially.

The city centre is crammed with 50,000 protestors preparing to march. I walk past a police cordon and I can hear a police officer yelling at me that I can't go the way I'm going, but I know that he'll be busy dealing with my obedient friend who will have stopped per the instructions. I keep walking, pretending to be unable to hear the entreaties to return. The policeman lets my friend go and we walk to the head of the march.

I'm sure that anarchy would be a disaster for sick and vulnerable people. I have no desire to see civilised society crumble. We can't all do whatever the fuck we want, whenever the fuck we want. Perhaps if everybody acted like I did, it would be the end of the world as we know it.

"Don't walk" says the sign in the United States. I jaywalk with gay abandon. Even in Manchester people look at me like I'm mad and suicidal, for the way I cross the road. However, it's done with such confident aplomb that nobody challenges me. I notice that people who are surrounded by plenty of steel and glass and plastic, such that they would suffer no injury at all if they killed me to death with their motor vehicle, do not give a single fuck about whether I live or die. In London, a motorist will slow down or even brake, to avoid killing a pedestrian, but these provincial plebs treat human lives with no such sanctity.

To live in a crowded city is to be humbled by humanity. To be detained against your will on an underfunded psych ward is to humbled, also. In the city, you are forced to confront your pathetic meaningless existence, as an ant crawling in its nest would be, if it had the faculties to perceive itself and its surroundings. But an ant's nest is akin to a row of gleaming skyscrapers, insofar as being a testament to what can be achieved by a society working together. On the psych ward, you are forced to confront your powerlessness over forces greater than yourself - society will exclude its troublemakers.

Perhaps you think I would endorse heroin being sold in supermarkets and that babies' pacifiers should be replaced with crack pipes?

As six police officers pinned me to the ground and my bum was injected with lorazepam, in the Accident & Emergency department of a hospital, I noticed a cleaner and a security guard nearby - some of the lowest paid people in society are often completely unacknowledged for the role they play in maintaining the division between the peasants and the aristocracy. My face was inches from the floor, but the policeman's trousered knee on my head was clean and so was the linoleum. Circles of red and green blinked at me - the police bodycams, videotaping the whole gruesome specatcle. I'd fallen from grace, but I hadn't slipped anywhere near the bottom - it's a long way down.

A friend whose judgement I trust and respect, tells me that I should drop the bad boy image of "the guy who got fucked up in Manchester". She knows that people are watching and I'm misrepresenting myself. She knows that people are lazy and won't look any deeper than the superficial image that I present.

Is my life - and the way I document it - by accident or by design? Do you imagine that when I'm writing, I don't think at all about how things are going to be perceived? The joke's on you if you don't read what I write with the prerequisite pinch of salt.

If you just dip in at random - like a care quality inspector - then you will get a random impression. On a good day you'll get a good impression. On a bad day you'll get a bad impression.

Do you think the graph above shows that things are improving? No. No it does not. Things are getting worse. Much, much worse. The data above shows conclusively that during the period under examination, there was a fourfold increase in the very metric that was supposed to be cut by 80%.

Do you remember blue tablet man? Well, anyway, he assaulted a nurse for giving him a yellow tablet (5mg of diazepam) instead of a blue tablet (10mg of diazepam).

A drugs dog sweeps the ward. The patients believe the dog can sniff out cigarette lighters. I ask the handler if the dog can sniff Spice and he confirms that it can. There's Spice everywhere on the ward, despite its deleterious effect on the mental health of susceptible individuals - prodromal schizophrenia can turn into fully-blown psychosis under the influence of the powerful synthetic cannabis, making it all the more concerning that it's so widespread on an acute psychiatric ward.

The patients here are the lucky ones and they know it. Everybody agrees it's better to be here with a warm dry bed and three hot meals a day. Everybody agrees it's better to be here, where the chances of being beaten up and/or robbed are minimal. With winter on its way, months of unimaginable suffering lie ahead of Manchester's homeless population, which has increased 1,100% in just 7 years - and a huge number of them smoke Spice.

Abandon hope all ye who entered the world from the mid-1990s onwards. What are the prospects for the youth of today, and the glut of graduates who were promised that indebting themselves and spending three or four years at university would be a good move?

Does it not seem like an obvious reaction to a decline in living standards, to retreat into drugged-up oblivion?

We're sifted and sorted and dissected by tests. We're examined, inspected and measured in every conceivable way. We never have any respite from the world's desire to label us, grade us and monitor us. The pressure to meet the expectations placed upon us is relentless. Some of us will crumble and have nervous breakdowns or be paralysed by anxiety disorders. Some of us will rebel and kick back at the suffocating environment that's desperate to eject and marginalise anybody who doesn't neatly fit in a box. Lots of subcultures have sprung into existence, with members exchanging knowing looks - these people are so much happier now that they have rejected the stereotype they were supposed to embody.

It saddens me that the hard-working staff on the ward are anxious and on best behaviour, when the other 364 days a year I know that they try their very hardest. This is just one of many psych wards, where the macro problems are greater than anything that can be influenced in the microcosms.

If you're going to randomly dip in, be careful to not make a lazy judgement based on a small sample size.

Tags: #nhs #hospital #mentalhealth #addiction #politics

This is a story about being observant...

Where do blue tablets actually come from? Well, presumably they are pooped out by blue fish, like the ones that can be seen swimming here on the pavement and road. Can you see them - the little blue fishies?

With our Sherlock Holmes deerstalker hat on, puffing from our pipe, we might deduce from the proximity of a large hospital and the lack of water, that these are not actually fish. What could they be?

An electroencephalogram (EEG) is a graph of what's going on in our head, quite literally. En kephalé means "in head" in Greek, and the gram bit means "written down". Electro should be relatively self-explanatory.

Were these fish involved in seeing what was going on inside somebody's head? No, I don't think so.

An electrocardiogram (ECG) is a graph of our heartbeat, as denoted by the cardio part.

In order to know what our heart's doing, we are all very familiar with the stethoscope, but there's a more accurate test that doesn't depend on human hearing. The muscles that pump the 4 chambers of the heart never stop unless you go into cardiac arrest or otherwise die. Muscles give off tiny electrical impulses, and these can be measured with highly sensitive equipment - an ECG machine.

So what about these fish? Well, it looks like they're the little sticky electrodes that are put on each of your ankles, arms and across your chest around your heart. When you are hooked up to an ECG machine, you've got a stack of cables attached to you.

One of my fellow patients at the hospital was in such a big hurry to get rid of these stickers, after having the health of their heart measured, that they tore them off and discarded them onto the floor, quite possibly in a fit of rage at having been cared for by one of the finest healthcare systems in the world. It's quite understandable that having received lifesaving treatment that's free at the point of use, this individual should have ripped these electrodes off their body and tossed them onto the road and pavement - that'll teach society a lesson, now that a street sweeper will have to come along and clean up this trash!

We might note that there are only 4 stickers, and we can presume that these are the ones from the person's wrists and ankles, which would have been most conspicuous. Perhaps it wasn't until the person explored their body later, that they found 4 more on their chest - one of which was lurking around on their left hand side and might not even have been discovered until a later date.

Debate rages in the United Kingdom, about whether we should have penalties to discourage people from treating the National Health Service disrespectfully. We could charge people for a no-show to a General Practice (GP) or outpatient appointment. We could charge people for any visit to Accident & Emergency for trivial matters that could have been treated at a minor injuries clinic, or perhaps did not require medical attention at all.

There is evidence that we are starting to allow a two-tier society to emerge where none is supposed to exist. Doctors' waiting rooms have plush leather seats for 'VIP' patients - who are paying for private consultations - while the NHS patients sit on hard wooden chairs. For an operation, paying to go private might mean skipping waiting times, even though it will be the same surgical team, in the same hospital, with the same equipment and in the same operating theatre. Although it's not supposed to happen, surely some of the waiting times are because private patients are queue-jumping?

Those at the bottom struggle with zero-hours contract minimum wage jobs, with the purchasing power of their pay packet decreasing every month, due to inflation. Things are not a lot better on the next rung of the ladder - an NHS Clinical Support Worker's salary tops out at around £15,000. That's £259 a week. Ouch. My rent in London was £480 a week. The wealth disparity is disgusting, isn't it?

While the cost of housing and the cost of energy - electricity and gas - is skyrocketing with double-digit percentage increases, wages barely increase at all. One only needs to look at the use of food banks, to see that the little people are struggling - people who clean your toilet, scrub your floor, wipe your bum, cook your food, stack your shelves and scatter rose petals along the privileged path that you walk. But, these spoiled brats still vote for a ruling elite who care nothing for the wails of distress that are now becoming a deafening scream of pain.

The bulk of the BBC was moved up to Manchester a few years ago, and it's been quite evident that it's had an effect on the mindset of the people who work for the broadcaster. In London, the homelessness problem is inconspicuous in wealthy districts, but in Manchester - where homelessness has soared 1,100% in just 7 years - the problem is inescapable. The BBC has shown a number of documentaries which accurately reflect exactly what I have seen and experienced: there are vast numbers of people in dire need of assistance.

Who wants a McJob that doesn't even pay enough to be able to rent a room in a shit apartment, and have any life at all? Does it surprise you that people are smoking strong synthetic cannabinoids which allow them to escape the stress and hopelessness of a hideous reality that nobody in Government seems to want to address.

There's a crisis that's going on all around us. Pull back the covers and human tragedy is unfolding underneath.

This is not a "wake up sheeple!" alarmist or sensationalistic think-piece, but in actual fact an unfliching and painfully truthful account - I bear testament to what I've seen - of the shocking disparity between London and the South-East, where our wealth is concentrated, and the rest of the United Kingdom where things are very grim indeed.

We talk about the 'Westminster Bubble' and I can attest first hand what it's like. At the beginning of this year I was at the grand headquarters building of Her Majesty's Revenue Collectors (HMRC) and it had been refurbished to an incredibly high standard. I was taken to an extremely grand room, which was capacious enough to hold at least 50, maybe even 100 people, but only had me and the two people interviewing me. Otherwise this space was left empty and unused, so far as I could see - perhaps a metaphor for all the empty homes that have been bought by foreign investors in London.

Meanwhile, it was barely two years ago that I was in social housing apartment (council flat) in London, which was in such a poor state of repair that there was literally 2 inches of water that one had to paddle through, in order to use the toilet or a terrible shower that barely worked. It's quite clear where our tax money is going - tax breaks for millionaires, not houses for nurses.

Bursaries for nursing have now been removed, so our nurses will emerge with the best part of £60,000 of debt when they qualify, which will further reduce their take-home pay. The interest on a student loan of that magnitude is more than 12% of our nurses' starting salary of £22,000, which means they will sink deeper and deeper into debt each year.

Who will mop up your sick, piss, vomit, blood, mucous, pooh, give you a sponge-bath in bed, say soothing things and give you painkillers when you cry out in agony, come running when you press the call button and generally make you as comfortable as possible when you're unwell?

As comrade Corbyn said: a millionaire in their mansion is going to need an ambulance if they have a heart attack, just like anybody else.

Tags: #nhs #hospital #politics