 We'll see how it comes out. The end, please. Ladies and gentlemen, it's a great honour to see you today. Ash likes to hang there and stop us from being invited. Perhaps first I should continue to grant what I'm going to say in the great deal of one of my personal experience. For many years I worked as a doctor in a hospital, a general hospital in a British slum and in a prison in a store. The main differences between these two great institutions was that there was violence in the prison and in what wasn't a great deal or more often it seems that people prefer to be in prison than impossible. This isn't for itself without significance. Well, I've retired now, but I still do a little bit of illegal work and I've purchased writing and reports for the courts. Recently, I was asked to write a repair report on an 18-year-old girl who was living with that 89-year-old great-grandmother whom had been a traditional fashion jade at the time. The young woman was, as she was offered her, under the influence of alcohol and cannabis and she pushed her great-grandmother over, breaking her collarbone. She was living with a great-grandmother because of the breakdown of her relationship with her mother. Of course, there was no father anywhere in sight and with her grandparents. She had a great-grandmother. Within the course of my examination of her name I asked her whether her mother had ever been in trouble with the police. Yes, she said that before I asked her she was on the social. She said that on the social in England means upon social security payments which should really be called out as social. She was on the social and she was working as well. What happened to us? Well, she said she had to get up and work. This was said in a completely natural-fact way as if it was self-evident as my question had been about the foolish one. And a small incident like this, in my view, is very revealing. It tells you something about the worldview of the person concerned precisely because it is unselfconscious and unguarded. It tells you that this young woman is perfectly normal that the state should be the primary source of a person's income if you like being supported by a first resort rather than a last resort. In the social in Europe which this young woman grew up it is now regarded as perfectly normal for people to spend their entire life at the expense of the state which is, of course, of state affairs. There were stages now so important in everyone's life that it is seen as something that is just there like the natural and insatiable future of the landscape such as a volcano, more like a volcano about an artifact created and sustained by men. For many of those who live on the state the dependence is actually regarded as the opposite that is to say as independence. I worked in a hospital in which if it had not been for the presence of immigrants from the Indian subcontinent or third sentence, the illegitimacy rate amongst the children born there would have been one hundred percent. To ask the identity of the young person's father had become indelible or awkward and made some people would either imply that they had made a father in which case I would suggest that they went up to medical administration straight away to be photographed or by saying some things and do you mean my father at the moment which is to say the adult male member of a household at the moment who is invariably a birth passage and now they actually recently something had said do you mean my daddy Nick or my daddy Joe? Contact biological fathers was more often than not and when asked why they were no longer in contact with the fathers their children and others would say it was because they wanted their independence. By this they had a complete lack of contact with the people who I suppose were most normally intermittently connected with them such as their own parents and the father of their child or more often the fathers of their children into part civilians and it was very difficult to tell the generations apart anymore as well you couldn't assume that there was an older woman or an old issue in her 40s and a young issue of the baby the baby belonged to the young woman so independence meant for these women a lack of social ties or any obligations for the people around them not independence from the authorities or the state on which of course they were utterly dependent for their food, their clothes, their lodging, their lighting their healthcare, their education and transport indeed absolutely everything that they consumed and they regarded this as a perfectly normal state of events Well let me now move on briefly to a remarkable achievement of the British War that saved its production of more independence than the First World War and let me tell you a little story from a war in the hostility of the Chinese world which will illustrate this point a young and exceptionally fit indeed athletic man was admitted having taken a deliberate over as we didn't take more of this as any other nation in the world for reasons which actually have been most important over the years I asked him what he did for a living and he told me that he was on sick and did not work and I asked him what sickness he had back and back he replied now that he answered in this fashion was in itself remarkable most people on the scene who were asked this question replied that they get a sick certificate from their doctor the sick certificate itself being regarded as the illness furthering from the legal age it's an entire expert that was meaningless so you never get out they say what do you want to see him for and they say I get a sick certificate why do you get a sick certificate? because I'm on sick and you never even heard from this well I noticed that this particular young man was perfectly able to get on and off a bit without any sign of pain or disability a little later in the interview I was staggered in questions so that people didn't realise what I'm asking so they were very understanding and incidentally this man did not work 18 months I asked him what his interests and hobbies were a martial arts this is a really good verse and I was to another a new middle of illness but he had a bad injury and was not in the world yet but asked him if he'd practice a martial arts and he also told me that he'd wait for a job every night now I telephoned his family doctor his general practitioner to tell him that in my opinion his patient being a sportsman who had a new physical science and disability seemed to me to be capable of off work and the family doctor well I know all that but the last time I tried to take a sick certificate away from a patient he picked up a computer and threw it out for me so now so now I just took a sick certificate once now I'm not sure what you might have said this is not just a new form and it is actually emblematic of a max phenomenon 50% of British doctors have been assaulted or threatened or assaulted in the last 12 months and this creates precisely the atmosphere in which full certification flourishes patients have come to expect a sick certificate not as a reflection of a genuine illness that they might have but as an inalienable human right an invetoration in the neck of the throat or the throat or the throat or the throat etc and so as a social service to help them out with their current difficulties or to accord with their wishes well approximately two and a half million adults in Britain are now in receipt of sick certificates with the great majority of the portion or at least untruth and those in receipt of them are pleased because they no longer have to pretend to look for work as they would if they were unemployed and receive unemployment benefit and furthermore a sickness benefit is 60% more than unemployment benefit in Britain so the government is content with this situation because it can claim and frequently does claim and has had it to claim to accept it while it reads in the French newspaper for example an acceptance of this claim that it has reduced the number of unemployed there be fact if you add the numbers of supposedly six the numbers of unemployed in Britain the total has not changed very much whereas what has changed is the proportion of sick to unemployed where once there were far more unemployed and sick there are now far more sick than unemployed more than a million and are more or less permanently unemployed because of depression and anxiety well the mass phenomenon I have described in my view is deeply corrupt first it corrupts little by allowing the government to assert things that if not outright lies are certainly not true the opposition is reluctant to call these untruths by their name because they know that they are likely to resort to the same precisely the same untruths and distortions of the truth themselves when they come to power the main profession which ought to be incorrect society is corrupted because much of most doctors most general practitioners now issue official documents which have practical effect knowing them to be false and while you start behaving in this fashion it reduces your capacity to resist further demands for intellectual moral anti-financial corruption finally the effects on the recipients of these false sickness notes is a harmful as well if people are certificate it sin for long periods in the end they will begin to feel sin and to play sin and this is perfectly natural they come to inhabit a twilight world in which truth and lies the line between good and evil as well become indistinguishable or so intermixed that nothing is straight forward anymore and everything then becomes just again in short integrity and innocence can't be possible for the government for the opposition for the medical profession and a significant part of the population all of you the line and equivocation as perfectly normal and acceptable strategies in life indeed as strategies to survive the twilight world lies on truths and equivocations extend well beyond this particular situation in there in the world of their state there is an incentive for people to present themselves as victims of circumstances even all perhaps I should say especially where they have created their circumstances in the sense this is reflected in the language they need that they use and the way in which they enjoy their lives it's very noticeable in the language of criminals for example if a man stands another person to death he always says the night went in which is the night that is the active participant in the whole of their never-night and the action took the night off the city and killed the only person who behaves it it was still enough that he would see share the action of this and I will illustrate what I mean also by reference to the correlation that I use as an example and I must mention that the heroine has become a master phenomenon in Britain in the last 20 years or so in the 1960s where registered by the Home Office the Ministry of Interior they were known to be about 60 in current Britain and while this might be an underestimate it's unlikely to be wrong by very much when it's now thought that there are about 300,000 heroin addicts in Britain the entire apparatus cares of such people regardless of as being in control of an even grip of an uncontrollable impulse they did not choose to take heroin in the first place they're craving for it so they were well mean that they cannot be expected to resist it and the consequences of stopping heroin without any retention are so terrible that no one would be expected to do so because such people need therefore to take heroin and heroin costs money while at the same time destroying their capacity work and it's our privilege to try this is the official try an official ideology on which treatment is based on gun policy needless to say this is completely and even obviously wrong when an addict says he is hooked by heroin as he barely does say to explain his vision book like a fish he attributes agency to the drug rather than to himself but the evidence is that most addicts need heroin intermittently for a year before they take it regularly and furthermore they live in such cultures in which the consequences of taking the drug are extremely well known unlike for example the dates of the Second World War or any other actual historical site or indeed any other action can not overestimate the effect of the British education system I used to ask my young patients questions to find out what they knew and I remember one of the most known good example but when I was a chap by 1813 time four he said after 11 years of compulsory education I should say at the end of the story he said we can get that far anyhow it would be more true to say that the addict hooked heroin than the heroin code the addict and one has to choose to be an addict and to work at it and the state of addiction is more upon easing it is not true that withdrawal from heroin is a serious medical condition on the contrary unlike the withdrawal from alcohol which is a serious condition it is a trivial one isn't far off the suffering from withdrawal from heroin is real rather than fame it is a largely result of anticipatory anxiety which itself is the consequence of the mythology built up over many years and very assiduously promoted by doctors, social workers calls and so forth the relation between addiction and crime is not as described it is not true that addiction to heroin is incompatible with going to work in the 1930s for example and most American morphine addicts went to work just like a lot of them and in fact have very busy days one way or another they do actually say well I went out to work unfortunately their work is version and therefore their inability to go to work is not a pharmacological consequence of the drop of their addiction and into our criminal you should have long criminal records before they ever take care of you in other words it is moral acting that whatever causes them to become criminal also causes them to become addicts rather than that their addiction causes them to become criminals it is not true that medical assistants that they need medical assistants that they need medical assistants thousands indeed millions of addicts have done so without despite his illegal assistants there is good historic relevance and perhaps the most striking example is that of Martin Trudeau who was by far a great historic terrorist in the history of the world he said to Abbie to convey this thought I would shoot you and we are now offered to shoot you and people that have came up now this would not this means that there is a sexual difference in rheumatoid arthritis and drug addiction it would not make sense for now to say stop having rheumatoid arthritis or our shooting but it didn't make sense but it did make sense it was a logical thing to say it shows that everything with this common knowledge about care and addiction is wrong why is this common knowledge so deeply entrenched in public consciousness then my answer is that there has been a dialectical relationship between the addicts and the apparatus of care they need each other and I wish I had a thousand euros every addict would send to me and I have the help to seriously love is never becoming insufficient quantities or in precisely the right way if anything I would say that the addiction services need the addicts more than if addicts needed the services for addicts and for addicts both of them I have a very big interest in presenting addiction as something that just happens but as if a person became an addict in the same way that he might become a son in other words, your opposite care requires a passive population a passive population knows perfectly well at some level of its heart mind that it is paying lies to itself and to others to obtain supposed benefits that your opposite has to offer and that it is therefore paying gains for example the very start of the example of this prison which I worked I would observe prisoners who are just in broad surveillance in a way to rule immediately before they came into my thoughts confrontational they would be laughing and joking among themselves but when they entered my rule they would present themselves being the throes agonizing before they would double up to pay and they would scream in order that I would describe an invitation for them which they wanted but in my view it is not me when I wanted out they had been laughing and joking at some of them would laugh and admit that ok this time they've been caught out but others would react with outrage and injured innocence and it made me wonder really whether it is more more difficult to be rightly accused or wrongly accused which is worse than I'm not quite sure although it has the improved experiment that addicts talk about drugs and addiction to each other in a very different way than those who may think might offer what are usually drugs for no notice is taken of these elements by those who provide services for addicts and they provide those services on the assumption that addicts are a help of play things or something which is completely the alternative for them and this leads to services that are almost beyond that for example it is now in Britain to give money or goods to addicts in return for their abstinence from drugs or at least for the provision of urine samples that contain no drugs which is actually quite another matter as every one experienced or knows and this is the first time in history in the Soviet Union that bribery has ever been considered a medical treatment and such I once suggested certainly that we gave money to burglars as a treatment for the terrible diseases of burglars and one who would be able to demonstrate a proper dense response curve in other words the more money you gave the longer they would give out their burglars though there hasn't any medical treatment there wouldn't be failures because there are burglars who do actually enjoy the burglars enjoying the burglars in itself it's a vocation among them that has had a few periods well known below such bribery that became official down but it's not about the burglars but the regards and riots proving to be a victim of my late self friend that the only true unemployment these days is among satirists in the world that we have created that is prophecy I have a certain length about private addiction because it's a good example of the intellectual corruption that has become so prevalent in our countries or at least as I know from experience in the British Royal States but for those who have received benefits and those who are now considered in 15% of British that households are now in receipt of direct receipt of money from government independent from lies dishonesty of truth contradiction in self-deception play-acting and so forth all of which in my opinion destroy the human personality and this is a bad thing irrespective of the economic effects of such unimposited background