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The Guardian - UK
The Guardian - UK
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Gaby Hinsliff

Why are so many people in Britain off sick? The answer is far more complex than you think

Illustration by Eleanor Shakespeare

Jamie used to love his job. Working as a hospital porter, helping sick people in need, he probably never expected to become a patient himself: at 50, he was still fit and healthy. But then he strained his back at work, and so began a long, downhill slide. He was given physio exercises to follow online, but couldn’t access them, and before long he was in such pain he was signed off work for good. Unable to keep active, and putting on weight, Jamie was referred to a diabetes prevention programme; but by now his back hurt too much to drive to the clinic, and public transport was a struggle.

Overwhelmed and isolated, he ended up retreating inside his damp, mouldy council house. Five years on, Jamie still isn’t working, but his back is almost the least of his problems. He’s diabetic, asthmatic thanks to the mould, suffering from coronary heart disease, and if he isn’t depressed yet then he probably soon will be.

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