The video is a little ropey but please persist and view the whole thing. As ever, Dr Anthony Daniels (aka Theodore Dalrymple) is both interesting and darkly amusing.
He reports that, under a threat of violence (50% of doctors have been assaulted in the last 12 months) most general practitioners in Britain are routinely filling out fraudulent certificates enabling fit individuals to go "on the sick" where benefits are 60% higher than for unemployment and there is no need to pretend to seek work. More than 2.5 million people have such certificates and he claims that "the great majority of them are fraudulent or at least untruthful." More than a million people have them for "depression and anxiety" alone. He comments wrily that it is an achievement of the British welfare state that it has "created more invalids than the First World War".
Another achievement of the British welfare state is an enormous growth in heroin use. In the 1950s, when heroin addicts were registered with the Home Office, there were known to be about 60 in the whole country. It is now thought that there are about 300,000. He describes an official ideology that heroin addiction is a sickness beyond the addicts' control, which renders them unable to work and drives them to crime. An ideology he says is "completely and obviously wrong."
Every user chose freely to take heroin the first time and most use it intermittently for up to a year before beginning to take it regularly. Most users live in a sub-culture in which the consequences of taking heroin are far better known, as he puts it, than "the dates of the Second World War".
He says it's untrue that medical or other support is necessary to give up heroin. He jokingly calls Mao Zedong "the greatest drug therapist in history" because he told China's heroin addicts that if they didn't give it up he would shoot them. 20 million duly did. Without recommending such a radical approach, he points out that this clearly proves a "conceptual difference between, say, rheumatoid arthritis and drug addiction." Mao's approach, after all, would not have "cured" the former.
For so long as users don't give up heroin he says that's no reason for them not to work. Research shows that in the fifties most American addicts worked normally and indeed most of our own users now lead very active working lives – except that their "work" is burglary.
The growth in heroin use is therefore driven, he seems to suggest, by the needs of the "bureaucracy of care" serving the addicts. Its members need a passive population that takes no personal responsibility in order to secure their jobs. He believes that "at some level" these public employees know full well that they are playing games. In his words;
I would say the addiction services need the addicts more than the addicts need the services.
That's a more shocking critique of welfarism from an insider that I would ever have dared to offer from the outside. To suggest that an army of "carers" has, in effect, steadily built heroin use from 60 to 300,000 to give themselves jobs seems so wicked as to be scarcely believable. But then who would have thought the learned members of our medical profession could be recruited to knowing, if not willing, participation in frauds worth billions of pounds?
For all that its servants justify their jobs by droning on about the supposed immorality and greed of their bogeymen in business, only the state, ladies and gentlemen, can corrupt on such a massive scale.
The Last Ditch by Tom Paine 
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