This is Donna Thomson's response to What are you skating towards in 2012?

Defense

Frankly, I have no idea what I'm skating towards. I am careening and I can’t quite see where the winds of change are taking me.

Within the last four months, we have moved our family across the world, my husband retired from the diplomatic corps after thirty-seven years, and we helped our adult son relocate from the family home into a residence with nursing care. In my book and my blogs, I write about disability, care in the community and our aging population. Lucky that I have such rich material within my own four walls!

During the past few months, I described to a friend how I felt about the onslaught of change in my life – “it’s as if someone has removed all the floorboards from my house”, I said. “It’s like I am walking on just the narrow joists and I worry about falling”.

I know that others will write about skating towards positive change, and I will be inspired. But I would like to talk about ‘defense’ and not ‘offense’, to use another hockey metaphor.

Over the last year, I have observed a pernicious trend toward labelling some people as unworthy of continued care. In 2012, I will be skating defensively toward it. Thanks to information technology, I have many friends all over the world who are also parents of children with disabilities. One family, from Australia, I have known ‘virtually’ for many years – their son has developmental disabilities, is medically complex and has managed to survive over 77 hospitalizations in his 23 years of life. This year, the professional advisory committee at their hospital took a unilateral decision that there would be no more ICU hospitalizations or resuscitation measures because these would ‘not be in the best interest of the patient’ and furthermore, they would be ‘futile’. It was my guess that a meeting of hospital administrators had taken place that basically placed a cap on the public funds that one individual could or should consume in a lifetime – especially if that individual had developmental disabilities.

In November of this year, Louise Kinross, the editor of “Bloom”, the Holland Bloorview family magazine, attended a conference on medical ethics and disability at McGill. She reported that one neonatologist commented “There is a feeling among my colleagues – an unspoken and probably unconscious bias – between physical and mental disability. Sometimes neonatologists think if you're not perfect mentally, you're better off dead. But when it comes to physical disability, they will go a long way with interventions.”

Ironically the McGill seminar also addressed the  “The Disability Paradox” – that people with serious disabilities rate their lives as good or excellent while able-bodied people, particularly medical professionals, rate quality of life in people with disabilities as poor. The elderly, especially those with dementia, are also in a risky situation. In the absence of a strong and vocal personal support network, those who are vulnerable and voiceless risk becoming expendable, especially in a climate of austerity.

The worth of giving and receiving care is my 'defensive' strategy.   I believe that we urgently need a public conversation in Canada about a national ethic of care – one with a sustainable business plan.  If the 'product' in the business plan is the wellbeing of those who require care, how do we value that product as a nation?  Who performs the tasks of caring and who pays are the questions that require honest answers for all stakeholders.  And if we truly value the wellbeing of our citizens with care needs, governments need to nurture and enable social innovation and social enterprise to operate in this sphere.  The giving and receiving of care IS a commodity, but so is every other facet of daily life.  I value the wellbeing of the vulnerable people in my family and I know I'm not alone.  The giving and receiving of care should be a valuable commodity for everyone.

My hair is white and my son requires 24 hour nursing care. My mother turns 90 this year. Scratch the surface of Canadian society – my family is not that unusual. Careening toward the future is not a good way to score goals and win the game OR make public policy. We need an honest and public appraisal of our strengths and capabilities in the arena. In my family, we rate our life as excellent. I want to make sure that we keep it that way, so in 2012 I'll be keeping my eye on the puck and designing my next defensive strategy.

Donna Thomson is an activist, blogger, global advisor to PLAN Institute and author of The Four Walls of My Freedom.

Note: I am releasing individual essays from the collection, What are you skating towards in 2012?  Upcoming contributions are by Peter Block, Mark Anielski, Kathy Bromley, Maggie Vilvang, Richard Faucher and Allyson Hewitt. You can access the accumulated essays here.

Related Posts:

The Four Walls of My Freedom

Donna Thomson – Becoming Visible in 2011

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