Cashing in on impairment

app1
Today it was brought to my attention via Twitter that there was a review of a company who is selling an iPhone App to tell people with Alzheimers what apps they should use - 'for their health care needs'.

The company has a web site called Healthful Apps.

Basically, they are Apps that you pay for which list other 'useful Apps' and review them (with user reviews invited).

It's Medical Model in that their site appsforall.net tells carers about Apps so that they can improve the quality of life for those who they care about and for.

Now I appreciate that some people with Alzheimer's may not be able to choose Apps and most of the software is used as 'tools' by care works and therapeutic staff - so aiming the App at health and social care workers may be appropriate.

However, they also make Apps for other people and this is where I felt uneasy.

CHARITY_MODEL
Apps become an act of charity

I am sure that most people on dialysis can choose for themselves which Apps they might find useful - but here you will find one 'for them' called 'Dialysis Apps. It promises to be a 'gift' for those in dialysis and expresses how dialysis is a gruelling experience. Clearly it plays on the tragedy and charity model where disabled people are portrayed as pityful, needy and dependent on the 'gifts' bestowed upon them by the caring none-disabled members of society.

I was not Appy to say the least

Not only is the language quite sickening and disempowering but I had to ask myself is this another sign of cashing in on impairment? Granted it's only a couple of dollars (some individual ones for the equivalent of 59p) but there are lot's of review sites where you can find reviews for free and chat about them on disability forums etc as many people indeed do. Let's not forget the actual Apple App Store review and search functions where quite a lot of disabled people post a review from their own perspective.

The Alzheimer's App talks about Apps to calm and lift the spirit and another on Apps that improve memory.

I have heard of many people using Apps in this way and reaping the benefits - what I dislike is that these just sound so commercial. They are devoid of social model thinking, user engagement/input, empowerment etc and are clearly aimed at giving carers control of Apps they think disabled people should be using.
FED_UP_PERSON

It gets worse

The Autism App claims to be relevant for people with Down's Syndrome, MS and Traumatic Brain Injury - just to lump people together and maximise profits.

This is cashing in on impairment at it's worse.

Eugenic cleansing in 2010

Genetic testing - eugenics in 2010?

Every so often, as a person with a neuromuscular disorder, I receive a magazine detailing genetic research, potential therapies and new ways to test if parents are likely to be carriers of the genetic makeup that could result in a child with that disorder.

Genetic tests are already offered to couples to detect their carrier status and allow for informed reproductive decisions. A new test is to be offered to couples (and possible over the internet) where a sample of saliva can be tested for over 100 inherited impairments - including those similar to me.

The Times, today, quotes it as a "genetic test that would virtually eliminate their chances of having a baby with ...". Let's look at that sentence again 'ELIMINATES'. It's a strong word.

Genetic testing already eliminates babies who would have been born with, for example, the same impairment as myself. The form of this elimination is unlikely to be abstinence and more like increased abortions or selecting none disabled children through IVF, both of which I disagree with. Whilst the tests may reveal a child with that genetic code - it can not tell you to what level their impairment will manifest and when, in most instances. For example, I have MD and some people stop walking when they are small children and others in their 70's where it has had little impact on their life.

One of the concerns I have with couples choosing not to have a child with an impairment is that this decision is likely to be made out of ignorance. The belief that disabled people live terrible lives is still held by so many people who have little or no experience of life as a disabled person. They read in newspapers how some disabled people have such a bad life that they want to end it - so why not just stop that life from starting in the first place or continuing upon conception? Society provides a somewhat gloomy picture to the uneducated which is simply not a true reflection of life as a disabled person in the UK - and not the sort of information couples should base a life/death decision on.

Studies have shown, however, that couples are often provided with only 'worse case scenarios' when information is sought from medical professionals. It is often unbalanced and pessimistic compared to that which might be offered by a national charity support group for example.

For some couples it's the need for the child to give them what they feel is every parent's right - the joy of seeing a child do well at school, graduate, form their own relationships, bring them grandchildren etc. Any child who might not fulfil this selfish desire is another reason not to have them. If you are going to have children - you want the full monty? Of course, disabled people don't necessarily deny anyone these things. Even if they did, should all children not be valued for who they are and not what we want them to become or what they can give us in return later in life? Should not the love of raising a family be unconditional?

Today @lisybabe tweeted an article where a Russian journalist breached professional ethics by promoting the killing of disabled newborns because, amongst other things, their life would be hell. However, not everyone is in disagreement with this journalist. He argued that it is no worse than an abortion. Indeed, in the UK, it is perfectly legal to kill a full term disabled baby through an abortion.

Congratulation on the birth of your baby

I leave you with this thought.

I random search of e-cards on the net brought up cards with the following insert messages:

  • Ten Little Fingers, Ten Little Toes
  • Bragging Rights
  • A Purrr-fect baby

New parents proudly show and announce their 'perfect' babies to the world and people coo back affirming that perfect and 'bouncing' with 'ten fingers and ten toes' is worthy of congratulations. Are disabled children any less worthy of a joyous welcome into the world - or does it mark their initiation into the world of inequality? I suspect that if mothers were to be asked what did they mean by perfect - they are likely to indicate good health, not disabled or looking and behaving 'normally'. For me, it raises questions about the emphasis society puts on having none disabled children and what we define as 'perfection'. By definition, a child who is not perfect must be imperfect - a word so easily linked to less desirable, not as valued or deserving, dysfunctional or in some cultures shameful even.



The Times article on genetic testing ends with a consultant at Guy's and St. Thomas' Hospital, London, declaring the test as having an uncomfortable 'eugenic flavour' and I believe they are right.


An article I wrote in
2003 on Eugenics and disability.