Credit Where Credit Is Due. Unfit For Work, by Chana Joffe-Walt at NPR. This includes the type of anecdotal reporting that NPR has long specialised in and drives me nuts. Give me numbers, give me trends. A story may be gripping and tug at out heartstrings, but if it is an atypical case and the typical case is quite different, then it is ultimately misleading. When I read anecdotes, I don't immediately think "This is the real story, because this is a real person." I think "What are they hiding?" As the human-interest side seems to drive journalism, I am apparently unusual in this.
But this one's got numbers, it's got trends. It does have a suspicious amount of "Okay, I haven't researched this but here's how it looks to me," writing, but on the whole it is actual reporting. It points out complications in the common narratives, it gives evidence for a different way of looking at things. And as one who was deeply involved with disability applications for the mentally ill for decades, it's right in my wheelhouse. What does disability even mean? Some psychiatrists would reason "I she can't get her expensive medication she's going to be disabled. So it's a paradox that we apply for disability in order for her to be able to work, but it's a good paradox, because now she's working." True. Entirely true. I can still remember specific cases.
But now that she's on disability, the temptation to just not work at all becomes more intense. You have less money than if you worked on one of the part-time programs, but your kids still have food and shelter and you have medical benefits. You have a sense you'd feel better about yourself if you were doing something productive, but it's not strong enough to do anything about it today. Tomorrow for sure. So what was the right answer?
The medical director took a different approach, but did not insist other psychiatrists follow his lead. "Putting this young man on disability would be the end of his life. He is still developing, still becoming an adult, still learning to adapt. Going out into the workforce in his condition is going to be hard. He might fail. He might just give up. He might become a criminal or even kill himself. But most of them find some sort of life. Most of them find a way. He can go on to have some sort of job, some feeling of worth, have a family. We can't take that from him." He's right, but I'm the one explaining that to his mother who he lives with but can't afford him and is afraid he'll die if she kicks him out. So what's the right answer?
Look at Harold. He's just as sick as his cousin but he found himself two part-time jobs and rents that room above the store. Well, sure, but there aren't enough of those jobs and rooms for everyone anymore. It's musical chairs where he's the last one, but the others have nothing. We don't like for context to be a big factor in disability. We want things to be a clean slice. But there's no way around it.