The Welfare State We're In, The website of the book by James Bartholomew
December 05, 2007
Wednesday
"Two thirds of the adult population are frightened by the prospect of having to move into a care home". Hypocrisy, selfishness and vanity are reflected in the way we care for the old. Care homes made 'normal' by the welfare state.

Most people say they are "frightened" by the prospect of going to a care home. This emerged in a recent opinion poll:

The ICM poll found:

· 40% of Britons fear being lonely in their old age

· Two thirds of the adult population are "frightened" by the prospect of having to move into a care home;

· More than 90% said they knew they could not survive on the state pension and would need to rely on savings

Although most people said they care well for older members of their own family, the poll found 55% do not believe older people in Britain are generally treated with respect.

I suspect this poll is reflects some pretty unpleasant truths:

1. People fear being in a care home which, by definition, is away from their home surroundings, takes away their independence and removes them from friends and/or family.

2. At the same time, most people decline to save their own parents from living in precisely the same kind of place that they themselves would fear to go.

3. In many cases this is simply selfishness but it is selfishness that is made to appear OK to the outside world because the welfare state has made it 'normal' for people to put their aged parents into homes. So it is now 'normal' to send old people where they fear to go.

4. The welfare state has, in effect, made it a kind of 'human right' to be looked after in your old age by people who do not know you and to take you away from all you know and love.

5. A way for caring for the old age that originally was probably a last resort has been changed into a first resort.

6. Middle aged people are relieved of the duty of looking after their parents. But then, of course, they find themselves old and find themselves in the same unpleasant position they put their parents in.

Of course it is true that some old people appear genuinely to wish not "to be a burden". But they are making a sacrifice in saying so. Becoming old surely does not mean one loses the desire to be with family or friends and familiar things.

I know of several people who died not long after being admitted to care homes. I wonder if anyone has done some research into whether life expectancy is reduced among those who enter care homes (comparing them, of course, with others of similar health and age). I suspect this is the case. I accept, too, that some people are quite happy in care homes and make friends. However I have been to some of what are said to be the best. They are, by their nature, pretty depressing places. People spend hours alone in their rooms, often slumped watching TV. Mealtimes can mean a group of very old people seated around a table in silence. Some places organise entertainments. Many good people do their best. But these are not genuinely happy places.

Care homes reveal our society being hypocritical and selfish. Vain, too. The poll showed that people like to think that they themselves are doing well by their parents. It is just 'others' who are letting their parents down.

The story in the Guardian is here.

Posted by James Bartholomew • Indexed in Care for the elderly

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Comments

This is an interesting article. I come from an Israeli Jewish family. My grandparents were from pre war Jewish Poland where EVERYONE without exception looked after their old. In post 1970's Israel it became the norm to put old people in a care home. My mother was made to feel terribly guilty for putting her mother in in home.

I disagree that every person is obligated to look after their elderly at home and no where else no matter what.
People do deserve to be able to live their own lives. To have to look after old parents , who may need wheeling in wheel chairs, be incontinent at the same time as young children is a huge task. My own problems were sometimes neglected as a teen, while my mother had to deal with a Grandmother.

Saying that, you do have some very good points about selfishness and people fears.

I am almost certain that there are statistics available showing that people in care homes have a shorter lifepan. I just can't remember where.

I've noticed that here in Israel, Care homes seem to be less isolated. They seem to be situated in every neighbourhood and city much more frequently than in the UK. That is because when people do put their elderly in a care home, they want to and are expected to visit them ever week, so they want somewhere not to far. It's like people not wanting the local school supermarket to be too far to get to. Medical care (and elderly care) in Israel is not through one monolith NHS. Instead you have 4 NHS type companies competeing for patients. For each patient they have signed up, the government pays a set amount. There is more specialisation. I have heard that Germany and Austria have similar systems.

Posted by: Rachel at December 6, 2007 08:29 PM

Excuse me posting again. I just want to question; Is this phenomenom a result of the Welfare state? - or is it a result of modern Western culture?
Since when in popular culture/TV/Mags etc. do you hear/see people thinking about caring for their elderly parents - or thinking about something other than themselves, the latest fahions or Spice girls?
When I watch older TV I notice that elderly people play important charcters more often. For example, Dr Who was originally a Grandfather figure. "The Survivors", "Thriller",etc... a lot of 70's TV features older actors + characters in important roles that would probably not be made nowadays.

Posted by: Rachel at December 6, 2007 08:41 PM

I reckon you could replace the words "elderly" with "children", and "care home" with "school" and much of your article would still make good sense.

Posted by: Carlotta at December 9, 2007 03:48 PM

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