Sick-Note Britain: How Social Problems Became Medical Issues
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Dr Adrian Massey has worked at the intersection of medicine and society for decades. He argues compellingly that our hyper-medicalized society has falsely equated sickness with illness, and sickness with unfitness to work--whereas sickness is primarily a social problem requiring social, not medical, solutions.
Sick-Note Britain lays bare Britain's gross error: when doctors cannot 'fix' anxiety or chronic pain, workplace attendance is still treated as a matter for arbitration by our strained primary care service. What is needed is a tailored, employer-employee contractual solution, but obstacles block this approach: excessively complex employment law constraining both sides; an outdated benefits system that overburdens doctors and traumatizes the vulnerable; and a workplace culture that is too inflexible to keep sick employees in work. This is a blistering condemnation of a sham system that works for nobody, and an urgent call to rethink how we manage sickness--for the sake of our economy, our wellbeing, and our health service.Adrian Massey has been a doctor for over twenty years, specialising in occupational medicine, where healthcare and society meet. He has sat on the executive of occupational medicine's most prominent professional bodies, the Faculty and the Society, and has been a contributor to UK governmental consultations including the Department for Work and Pension's "fit-note" review under David Blunkett.
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