Looking at the list breaking down the reasons for which people are granted Personal Independence Payments (PIPSs), up to £180 a week to help them with their daily living and mobility, one cannot help but be reminded of the London Bills of Mortality of the seventeenth century, when some people died ‘frighted’, or of ‘grief’, or ‘lethargy.’
Descanting on his own deformity does nothing to reduce Richard’s unease
Of course, our nosology – our classification of disease – is far more scientific than it was nearly four hundred years ago, except perhaps in one important respect: that of psychological difficulties. This is important because such difficulties are responsible for by far the largest category of claims for PIPs. This, in turn, is alarming because it is often relatively young people who make such claims.
It seems almost as if the volume of PIP grants is inversely related to both the severity and certainty of the diagnosis.

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