Thread: From TICTH - The dozy chav Board: Oblivion / Ship of Fools.


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Posted by deano (# 12063) on :
 
Here is a post I made in the Hell TICTH thread which generated a tangent or two...

quote:
Originally posted by deano:
The parents that produced this delicate English flower...

Complete with classy morals...

quote:
As A-level exam results this month, she tweeted: 'Good luck to everyone getting your A-level results today. Girls don't worry if ur results are poor - you can always have a career getting your t***s out or escorting. (Obviously if your over 18)
The common british chav, alive and well.
Forgive the hellish tone in there and there are a few comments in the TICTH thread that frankly I couldn't be bothered to copy over so go and look yourselves, but... Discuss...
 
Posted by Jade Constable (# 17175) on :
 
C**v is a classist slur.
 
Posted by Doublethink (# 1984) on :
 
She was fairly severely bullied at school. I note she was pregnant by 17 having joined the Navy at 16, and she reports working in the sex trade.

I suspect there is a bit of missing information in her biography. She is also, clearly and by her own admission, not very bright.

I think the story is tragic, and I fear she will end up either in psychiatric care or dead by thirty. For her sake, and that of her three children, I hope she gets the help she needs.
 
Posted by lilBuddha (# 14333) on :
 
Miss Cunningham makes an easy target, she has made poor choices. But those choices are to fit into a mold designed by the people criticising her. The Mail makes money on boobs. Look at the side bar on any given day and at least half of the "articles" will be about womens' appearance and many will prominently feature breasts.
"That dirty, chav bitch! Displaying her NHS enhanced body all over the Mail, and the Sun and the Telegraph and all these other sites I've Googled. Cannot describe the feelings that arouse, erm, rise, I mean arise. Speaking of which where did I leave the baby oil and tissues..."
 
Posted by Doublethink (# 1984) on :
 
quote:
She says Josie would come home from school almost every day having been verbally and physically abused.

“It was relentless. They saw she was quiet and shy and sensed her weakness. They needed something to use against her so they chose the fact she had a completely flat chest.

“They would taunt her and call her Josie-boy or Josie no-t*ts. It devastated her.

"One day she was even brought home by police who had rescued her from a group of girls attacking her with bricks. I don’t think she ever got over the trauma.”

Source

Possibly a more pushy family would have considered moving her to a different school, pressing charges, and not waiting five years to ask the GP why she wasn't growing any breasts.

[ 30. September 2014, 20:50: Message edited by: Doublethink ]
 
Posted by Martin PC not & Ship's Biohazard (# 368) on :
 
'Choice'? What's that?
 
Posted by Martin PC not & Ship's Biohazard (# 368) on :
 
And no deano, you're not forgiven. Why are you persecuting this poor woman?
 
Posted by deano (# 12063) on :
 
quote:
Originally posted by Martin PC not & Ship's Biohazard:
And no deano, you're not forgiven. Why are you persecuting this poor woman?

Because I'm a Nazi. Didn't you know?

Of course nothing is her fault. she has made no choices to take her down the route she has taken.

Just like all women who are not clever or have small breasts. They all end up like her don't they?

Keep looking in the article by the way, anyone seen her rat-boy 'agent'? Nice hat. I bet he's her agent when he isn't out twoc'ing.

Give them both twenty years and they will have matching tin-legs-of-money, mobility scooters and a caravan in Skeggy (and fifteen grandchildren all called Chardonnay or Kyle).

I make no apologies for using the word chav. It is in common usage and describes a certain type of person perfectly.

[ 30. September 2014, 21:42: Message edited by: deano ]
 
Posted by Doublethink (# 1984) on :
 
And get beaten with bricks ?
 
Posted by LeRoc (# 3216) on :
 
quote:
deano: Of course nothing is her fault. she has made no choices to take her down the route she has taken.
So, what exactly is she guilty of? As far as I can tell, she hasn't done anything illegal. Maybe she hasn't lived up to your standards and as a punishment you get to call her derogatory names, is that it?
 
Posted by Alan Cresswell (# 31) on :
 
quote:
Originally posted by deano:
I make no apologies for using the word chav. It is in common usage and describes a certain type of person perfectly.

And, it says something about people who unapologetically use derogatory words to describe other people. It has been noted that you have a tendency to push the boundaries of offence, not quite breaking our commandments but managing to bring more heat than light to serious discussion.

For a while you have had the attention of the Admins. We value alternative opinions, but if those opinions are regularly expressed in ways that cause unnecessary offence the cost to this community may be too high.

Take this as friendly advise to back away from the use of offensive terms and language to express your views. Or, next time we won't be as friendly.

Alan
Ship of Fools Admin
 
Posted by lilBuddha (# 14333) on :
 
quote:
Originally posted by deano:


Of course nothing is her fault. she has made no choices to take her down the route she has taken.

I do not think anyone is saying she bears no responsibility for her decisions. This is not a zero sum calculation.
I am saying the road she has taken was surveyed, design and paved by the people making the biggest outcry.
 
Posted by Martin PC not & Ship's Biohazard (# 368) on :
 
Responsibility?

And deano, bless you lad. You haven't suffered enough yet.
 
Posted by ExclamationMark (# 14715) on :
 
quote:
Originally posted by Jade Constable:
C**v is a classist slur.

I agree with you 100% on that.

It does rather remind me of the sad case of Jade Goody who was pilloried in similar terms.

Let's all have a pop at a far better target ... Gideon (aka George) Osborn and his benefit changes anyone? Seems the Tory chaps are still happy to overlook the £7 billion lost in tax avoidance every year ....
 
Posted by Matt Black (# 2210) on :
 
"The 'Gideot' loses £7 billion of hard-working families' money".

Nah. Can't see the Heil running that somehow...

[ETA - still doesn't put Ms Cunningham's boob job in the category of 'sensible things on which to spend other people's money' but at least puts it in its proper perspective.]

[ 01. October 2014, 10:14: Message edited by: Matt Black ]
 
Posted by Sioni Sais (# 5713) on :
 
quote:
Originally posted by Matt Black:
"The 'Gideot' loses £7 billion of hard-working families' money".

Nah. Can't see the Heil running that somehow...


It'll come as no surprise that I don't consider corporations to be hard-working families. Every successful corporation pays far less tax than any hard-working family, thanks to the tax breaks available to them that are not available to real people.
 
Posted by Matt Black (# 2210) on :
 
But the extra tax burden created by Boy George's default does fall on us 'ornery folk'.
 
Posted by Twilight (# 2832) on :
 
The NHS does breast implants?
 
Posted by Sioni Sais (# 5713) on :
 
quote:
Originally posted by Matt Black:
But the extra tax burden created by Boy George's default does fall on us 'ornery folk'.

It certainly won't affect the Osborne Wallpaper Company, or whatever his family's firm is called.
 
Posted by Barnabas62 (# 9110) on :
 
What serious discussion is to be found here?

Dissecting the character of another "RL" person (not a Shipmate) isn't encouraged here because of Commandment 7.

Analysing the meaning of the word "chav" and its use in contemporary culture may be a Purg topic, I suppose.

Analysing the character of deano on the basis of his posts here has happened before, and you can sure do that again in Hell if you like. But not here. Alan C's Admin warning should give you sufficient steer to avoid winding him up here either.

So you've got a little time, not much, to demonstrate to this Host that there is something serious to discuss. Otherwise this thread gets closed, without further notice.

Barnabas62
Purgatory Host
 
Posted by Matt Black (# 2210) on :
 
I guess we could talk about the advisability or otherwise of cosmetic surgery on the NHS(?)
 
Posted by Doublethink (# 1984) on :
 
quote:
Originally posted by Twilight:
The NHS does breast implants?

They do reconstruction if you have a cleft palate, including cosmetic work to try to minimise physical deformity. If you are born with any part of your body missing, e.g. no hand, no foot, no penis, no breasts - they will likewise attempt a reasonable reconstruction of what should be there. (They will also treat micropenis, and do breast reductions if you breast size is so out of whack with your frame that it gives you back problems. Yes, that can happen.) They will also do work on breasts post breast cancer , or if they are majorly asymetric (e.g. 1 a cup 1 DD cup).

[ 01. October 2014, 11:42: Message edited by: Doublethink ]
 
Posted by North East Quine (# 13049) on :
 
quote:
Originally posted by Twilight:
The NHS does breast implants?

Yes, for medical reasons (post-mastectomy reconstruction etc) It's difficult to disentangle truth from fiction with Josie Cunningham, but apparently she had a medical condition and had no breast tissue at all.
 
Posted by LeRoc (# 3216) on :
 
My country doesn't have a public health care system anymore, but if it had, I would have no problem if it performed cosmetic surgery for medical reasons.

[ 01. October 2014, 11:43: Message edited by: LeRoc ]
 
Posted by North East Quine (# 13049) on :
 
quote:
Originally posted by Matt Black:
I guess we could talk about the advisability or otherwise of cosmetic surgery on the NHS(?)

I've been the grateful recipient of cosmetic surgery on the NHS. I went over the handlebars of my bike and had cosmetic surgery three years later to remove the residual facial scarring; there was no medical reason whatsoever for the surgery, it was purely cosmetic. It made a big difference to my life, though.

[ 01. October 2014, 11:46: Message edited by: North East Quine ]
 
Posted by Twilight (# 2832) on :
 
Cosmetic surgery to correct deformities or reconstruct after cancer, etc, of course. That's what most American medical insurance will cover, but the idea that small or even perfectly flat breasts is a "deformity," offends me on behalf of all the women I've known who were shaped like that.

It's only since implants became so readily available that we've all been given the idea that tall thin ectomorphs ever had breasts. Look at the photos of super models, pre 1970 and they were all fairly flat. It went with the body type.

My best friend was like that and she was a model, considered very beautiful. Breasts aren't arms or legs, they're secondary sexual characteristics and some have more than others just like facial hair on men. I understand that it was more extreme in this girls situation but if the NHS is proclaiming all flat chested women, "deformed," then it's just one more step in convincing us all that we must exaggerate our bodies beyond nature just to make ourselves acceptable to men.

It angers up my feminist blood.
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by Twilight:
Cosmetic surgery to correct deformities or reconstruct after cancer, etc, of course. That's what most American medical insurance will cover, but the idea that small or even perfectly flat breasts is a "deformity," offends me on behalf of all the women I've known who were shaped like that.

It's only since implants became so readily available that we've all been given the idea that tall thin ectomorphs ever had breasts. Look at the photos of super models, pre 1970 and they were all fairly flat. It went with the body type.

My best friend was like that and she was a model, considered very beautiful. Breasts aren't arms or legs, they're secondary sexual characteristics and some have more than others just like facial hair on men. I understand that it was more extreme in this girls situation but if the NHS is proclaiming all flat chested women, "deformed," then it's just one more step in convincing us all that we must exaggerate our bodies beyond nature just to make ourselves acceptable to men.

It angers up my feminist blood.

That's a heck of a leap.

NHS breast surgery is given to people with medical conditions. (Randomly, I know two people who’ve been treated on the NHS for similar reasons to the woman in the article). You can be offered surgery if your breasts hadn’t developed properly due to hormone imbalances or bone deformity. Or reductions if you have back problems due to breast size. As well as reconstructive surgery after cancer treatment. It’s hard to get as it can be seen as a purely cosmetic procedure. A lot people end up going private as they can't be bothered with attempting to navigate NHS due process.

You don't get NHS breast surgery because you just don’t like what nature gave you and would like a redo. But, if a private operation goes wrong, the NHS often ends up putting things right.

Tubbs
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Tubbs:
You don't get NHS breast surgery because you just don’t like what nature gave you and would like a redo.

If this is the case surely the surgery should be limited to giving the patient an average breast size - at least for their overall height and size?

The person in question appears to have had quite a significant augmentation.
 
Posted by L'organist (# 17338) on :
 
I love the statement that she had 'no breat tissue' - this is highly unlikely, what she may have been lacking was very much fat and connective tissue - that's the stuff that gives a breast size and shape.
 
Posted by Doc Tor (# 9748) on :
 
quote:
Originally posted by L'organist:
I love the statement that she had 'no breat tissue' - this is highly unlikely, what she may have been lacking was very much fat and connective tissue - that's the stuff that gives a breast size and shape.

And you are, of course, a consultant surgeon who makes difficult clinical decisions based on psychiatric reports, interviews with the patient and your own professional judgement.

I know it's difficult to believe that the woman in question went through all the usual hoops required for elective cosmetic surgery using NHS funds, but since that's what happened, I'm going to trust her doctors to have made a reasonable decision based on clinical need. And not scuttlebutt from the Daily Heil.

[ 01. October 2014, 14:12: Message edited by: Doc Tor ]
 
Posted by Matt Black (# 2210) on :
 
That still doesn't explain why the apparent need for Jordan-sized mammaries though
 
Posted by leo (# 1458) on :
 
Read Chavs; the demonisation of the working class
 
Posted by LeRoc (# 3216) on :
 
Maybe it doesn't make much difference? If the NHS is already going to pay for the surgery because there exist medical reasons for it, the amount of silicium they'll put in doesn't have much influence on the cost, so they leave the patient some choice?
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by leo:
Read Chavs; the demonisation of the working class

"Working"?
 
Posted by Albertus (# 13356) on :
 
Well, working if your bastard neo-liberal chums had left any decent jobs for them to do. (And, before you add anything, if the pseudo-neolibs of New Labour hadn't merrily encouraged global capitalism to ship in plenty of cheap immigrant labour who don't do inconvenient things like join unions and settle down and build community roots and resilience that might make them a bit less dependent on the whims of their employers.)

[ 01. October 2014, 14:42: Message edited by: Albertus ]
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
Maybe it doesn't make much difference? If the NHS is already going to pay for the surgery because there exist medical reasons for it, the amount of silicium they'll put in doesn't have much influence on the cost, so they leave the patient some choice?

The cost is irrelevant. It is saying that the NHS thinks a reasonable remedy to a flat chest is DD implants. This is not only medically unnecessary but a large chest actually typically causes medical problems such as back pain.

I would be similarly concerned if someone who had an accident that affected their face got the NHS to pay for lip plumping injections or some other cosmetic enhancement that goes beyond the basic need of repair.
 
Posted by L'organist (# 17338) on :
 
posted by Doc Tor
quote:
And you are, of course, a consultant surgeon who makes difficult clinical decisions based on psychiatric reports, interviews with the patient and your own professional judgement.
I was not questioning the rights or wrongs of whatever surgery the young lady had: I was questioning the assertion upthread that she 'had no breast tissue at all' since the only condition this would describe (Poland Syndrome) is very rare, usually in boys, and usually presents with other problems which the young lady doesn't seem to have.

I was certainly not questioning the judgement of the clinical team that decided to give this young woman surgery.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: The cost is irrelevant. It is saying that the NHS thinks a reasonable remedy to a flat chest is DD implants. This is not only medically unnecessary but a large chest actually typically causes medical problems such as back pain.
Maybe they decided that a reasonable remedy is implants, and gave the patient some choice in the size of the implants since this doesn't affect cost. I trust that the doctors have checked that the size they gave her won't cause medical problems.

quote:
seekingsister: I would be similarly concerned if someone who had an accident that affected their face got the NHS to pay for lip plumping injections or some other cosmetic enhancement that goes beyond the basic need of repair.
If someone had an accident that affected their lips, and the NHS decided a restorative reparation was needed, and the amount of lip plumping didn't affect the cost of this surgery, I'd have nothing against it.
 
Posted by quetzalcoatl (# 16740) on :
 
I thought that in the past, the NHS would do cosmetic breast augmentation for certain psychological reasons, e.g. if a woman was genuinely disturbed by her breast size, and there was a risk to mental health. But you had to get a psychiatrist to agree that your mental health was at risk.

As far as I can tell, this has practically disappeared now, and most people go private. This is separate from treatment for mastectomies, and so on, and breast reduction may be available if it is causing physical problems, esp. back problems.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
If someone had an accident that affected their lips, and the NHS decided a restorative reparation was needed, and the amount of lip plumping didn't affect the cost of this surgery, I'd have nothing against it.

I should have been more specific - if it is beyond restoration (as in, what the person had previously) and/or beyond what is average or typical, I would find this an inappropriate use of NHS resources.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: I should have been more specific - if it is beyond restoration (as in, what the person had previously) and/or beyond what is average or typical, I would find this an inappropriate use of NHS resources.
But in this example, we'd already assumed that it wouldn't cost extra NHS resources.
 
Posted by Doublethink (# 1984) on :
 
Are you saying my breasts* are somehow not typical ?

(*Sans implants.)
 
Posted by Snags (# 15351) on :
 
I'm sure they're typical for you [Smile]

(Disclaimer: I have no knowledge of DT's breasts, either mundane or divinely inspired. Although I'm sure they are the latter, of course)
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
quote:
seekingsister: I should have been more specific - if it is beyond restoration (as in, what the person had previously) and/or beyond what is average or typical, I would find this an inappropriate use of NHS resources.
But in this example, we'd already assumed that it wouldn't cost extra NHS resources.
The cost is not the problem. It's the tacit endorsement by the NHS of what Twilight was saying earlier - that the solution to a flat chest is a DD chest.
 
Posted by LeRoc (# 3216) on :
 
quote:
Doublethink: Are you saying my breasts* are somehow not typical ?

(*Sans implants.)

(I assume this was directed at seekingsister, not at me?)
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Doublethink:
Are you saying my breasts* are somehow not typical ?

(*Sans implants.)

Certainly not as I'm in the same neighborhood! But for my height and size I certainly don't have the proportions that Miss Cunningham does. Few women do naturally. So not sure why the NHS is indulging in fulfilling body fantasies.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: It's the tacit endorsement by the NHS of what Twilight was saying earlier - that the solution to a flat chest is a DD chest.
It seems to me that the tacit endorsement by the NHS is that the solution to a flat chest is a chest, the size of which they give the patient some freedom in choosing. On what basis do you want to withhold this choice from them?
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by seekingsister:
quote:
Originally posted by LeRoc:
quote:
seekingsister: I should have been more specific - if it is beyond restoration (as in, what the person had previously) and/or beyond what is average or typical, I would find this an inappropriate use of NHS resources.
But in this example, we'd already assumed that it wouldn't cost extra NHS resources.
The cost is not the problem. It's the tacit endorsement by the NHS of what Twilight was saying earlier - that the solution to a flat chest is a DD chest.
IF you manage to convince the NHS that you meet the clinical criteria for breast surgery on the NHS, then you do get some say about what the final output looks like.

Both my friends had it because their breasts hadn't developed "normally" - one because of hormone inbalances and one because a bone deformity meant that one breast didn't develop. This lead to other problems because, as the article pointed out, people can be pretty vile when you don't look like society tells you you should.

The figure that the DM is getting outraged out - OMG she had a £4,000 op on the NHS - is pretty much what it would have cost to go private.

Tubbs
 
Posted by quetzalcoatl (# 16740) on :
 
I doubt very much if the NHS today will give you breast augmentation because of a flat chest; it might be possible, if you could demonstrate severe risk to your mental health, but you will need psychiatric back-up for that. Just saying that you are fed up with it, won't wash.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
It seems to me that the tacit endorsement by the NHS is that the solution to a flat chest is a chest, the size of which they give the patient some freedom in choosing. On what basis do you want to withhold this choice from them?

The point of the NHS is choice? The same NHS that (allegedly) threatened an order of protection against parents who wanted it to pay for treatment abroad?

Look at the damage stories like this do to trust in the NHS. If you Google this lady's name you see articles saying "Why did she get a boob job when my son is going to die of cancer?" It would be easier for people to believe that it was done for legitimate reasons, if it wasn't so clearly the type of work one gets done to become a glamour model rather than what post-mastectomy women tend to get.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: The point of the NHS is choice?
It should be, at least to a degree.

quote:
seekingsister: Look at the damage stories like this do to trust in the NHS. If you Google this lady's name you see articles saying "Why did she get a boob job when my son is going to die of cancer?"
The NHS should base its treatment decisions on the outrage it would generate on the internet [Roll Eyes]
 
Posted by Matt Black (# 2210) on :
 
And you don't think the views of those who help pay for the NHS' treatment are relevant? [Disappointed]
 
Posted by LeRoc (# 3216) on :
 
quote:
Matt Black: And you don't think the views of those who help pay for the NHS' treatment are relevant? [Disappointed]
I'm sorry, I don't have time for false dichotomies like this one.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by Tubbs:
The figure that the DM is getting outraged out - OMG she had a £4,000 op on the NHS - is pretty much what it would have cost to go private.

Yes, but then we wouldn't have been paying for it.
 
Posted by Doublethink (# 1984) on :
 
Ok, why is it acceptable to do cosmetic surgery for the non-functional consequences of a cleft lip and palate, or post mastectomy, or a malformed but functional penis, but not for breasts that have not grown. We'd do surgery for malformed earlobes or a hairy birth mark.

What exactly is your issue, her career choice afterwards ?

Secondary sexual characteristics are a normal part of body growth. In the same way, we'd treat alopecia if we could - because - normally you have hair.
 
Posted by lilBuddha (# 14333) on :
 
Cost between a B or DD should be negligible, so that is rubbish.
We've determined that getting implants can be done for positive, healthy reasons.
So why are we outraged again?
 
Posted by mark_in_manchester (# 15978) on :
 
Reminds me a little of the episode of 'Embarrassing Bodies' I found myself semi-conscious in front of the other night, on telly.

To generalise - poor, not-very-bright people who might be a bit greedy or a bit desperate and are certainly naive concerning the media - are easy prey for turning into fodder to sell advertising space. This goes as much for the outrage porn of the Heil as it does for the 'what's this weird goo leaking from my ass' titillo-edu-shtick of EB.

I guess rich, not-very-bright people who might be a bit greedy and are naive concerning the media could at least hire Max Clifford to limit their personal PR disaster. Or at least, that used to be the case [Devil]
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Doublethink:
Ok, why is it acceptable to do cosmetic surgery for the non-functional consequences of a cleft lip and palate, or post mastectomy, or a malformed but functional penis, but not for breasts that have not grown. We'd do surgery for malformed earlobes or a hairy birth mark.

Is standard cleft lip and palate surgery done to make the person have the lips and jawline of Angelina Jolie? I suspect not.

I still am wondering what is wrong with expecting the NHS to have an average range of breast size for women based on height and weight and propose that as standard in these situations.

Certainly when I fight with my GP over one of my prescriptions (I believe the dose is too low and I have side effects) I'm told that for my height and weight that's the dose I'm meant to have. But for boobs it's a free-for-all?
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by Marvin the Martian:
quote:
Originally posted by Tubbs:
The figure that the DM is getting outraged out - OMG she had a £4,000 op on the NHS - is pretty much what it would have cost to go private.

Yes, but then we wouldn't have been paying for it.
The OP was on the NHS because she had a medical problem that needed to be treated. The treatment was a breast op. Are you and Seeking Sister saying that someone whose breasts haven't developed "normally" because of hormone imbalances or bone deformaties shouldn't get treatment at all? Are we rationing treatment on the basis of "acceptablity" - of either the treatment or the person - now as well as cost?!

Tubbs

[ 01. October 2014, 16:26: Message edited by: Tubbs ]
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by lilBuddha:
Cost between a B or DD should be negligible, so that is rubbish.
We've determined that getting implants can be done for positive, healthy reasons.
So why are we outraged again?

It makes people lose trust in the NHS's decision making, because there are a lot of people waiting for essential treatments who feel quite bitter to hear stories like this.

That is in my view enough of a reason to review the practices on this and potentially other cosmetic procedures that are paid for with tax money.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: I still am wondering what is wrong with expecting the NHS to have an average range of breast size for women based on height and weight and propose that as standard in these situations.
What's wrong with this is that you don't get to determine someone else's treatment. You don't get to impose on other people the cup size that you happen to find 'standard'. You don't get to choose for them.

quote:
seekingsister: Certainly when I fight with my GP over one of my prescriptions (I believe the dose is too low and I have side effects) I'm told that for my height and weight that's the dose I'm meant to have. But for boobs it's a free-for-all?
As long as there is a medical need for the operation and there are no contra-indications against this cup size, yes. I don't see why not.

In your example you're poisoning the well. When your GP refuses to prescribe a higher or lower dose to you, it's usually because there are medical reasons against it. I have seen no evidence that there are medical reasons against Ms. Cunningham having this cup size. You assume there are, but that means nothing to me. You're not her doctor.
 
Posted by Doublethink (# 1984) on :
 
Cosmetic repairs are done for cleft lip and palate, in addition to functional surgery, - I am not sure what you are suggesting, surgeons should make their nose slightly wonky so they don't get above themselves ?

No effort or investment should go into prosthetics, they should be functional but obviously fake ?

Post chemo wigs should be obvious ? Post-mastectomy repair shouldn't be offered because it is not medically necessary - and if it is they should be offered a standard size, preferably not well enough done to be be use din modelling ?

[ 01. October 2014, 16:32: Message edited by: Doublethink ]
 
Posted by seekingsister (# 17707) on :
 
I continue to be disturbed at the way a flat chest (whether or not congenital) is treated as the same sort of physical deformity as a cleft palate or as equivalent to the replacement of a body part that was removed as part of cancer treatment, by some on this thread.
 
Posted by Matt Black (# 2210) on :
 
quote:
Originally posted by LeRoc:
quote:
Matt Black: And you don't think the views of those who help pay for the NHS' treatment are relevant? [Disappointed]
I'm sorry, I don't have time for false dichotomies like this one.
I'm sorry you're so dismissive of the views of others whose loved ones are dying of cancer because NICE have decreed in their infinite wisdom that their treatment should be withheld and yet have to see their taxes spent on boob-jobs. It's about prioritising of resources and need, surely?
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: I continue to be disturbed at the way a flat chest (whether or not congenital) is treated as the same sort of physical deformity as a cleft palate or as equivalent to the replacement of a body part that was removed as part of cancer treatment, by some on this thread.
Just to make sure, I haven't made this comparison.


In this discussion, I've been making these assumptions:
  1. There is a medical reason for having a breast operation.
  2. The cost difference between different cup sizes is insignificant.
  3. There are no medical contra-indications against the requested cup size.
Under these conditions, I don't see a reason why the patient shouldn't be allowed to choose.
 
Posted by lilBuddha (# 14333) on :
 
Right, 'cause that is how it really works.ETA: response to MB

[ 01. October 2014, 16:46: Message edited by: lilBuddha ]
 
Posted by Matt Black (# 2210) on :
 
I'm questioning the validity of the operation in this instance, not merely its...er...size: in an era of ever-scarcer resources, when people are being turned down for life-saving medical treatment on the grounds of - let's be honest, dress it up however you like it - cost, I would question the ethics of such a procedure on the NHS.

[ETA - to LB -then explain how it does 'work', cos I ain't seein' it]

[ 01. October 2014, 16:49: Message edited by: Matt Black ]
 
Posted by LeRoc (# 3216) on :
 
quote:
Matt Black: I'm sorry you're so dismissive of the views of others whose loved ones are dying of cancer because NICE have decreed in their infinite wisdom that their treatment should be withheld and yet have to see their taxes spent on boob-jobs. It's about prioritising of resources and need, surely?
I'm not dismissive of the views of people whose loved ones are dying of cancer, and I find your suggestion that I have been offensive. Within this discussion I have assumed that there is an established medical need for a breast operation. I'm not interested in a discussion about prioritization.
 
Posted by Matt Black (# 2210) on :
 
I refer you to your post at the top of the page.
 
Posted by LeRoc (# 3216) on :
 
quote:
Matt Black: I refer you to your post at the top of the page.
I'm familiar with this post, thank you.
 
Posted by Gwai (# 11076) on :
 
Discussion is becoming rather heated here. I suggest a chill pill, but if necessary, take it elsewhere.

Gwai,
Purgatory Host
 
Posted by Matt Black (# 2210) on :
 
Then explain what you meant by this:

quote:
quote:
seekingsister: Look at the damage stories like this do to trust in the NHS. If you Google this lady's name you see articles saying "Why did she get a boob job when my son is going to die of cancer?"

The NHS should base its treatment decisions on the outrage it would generate on the internet [Roll Eyes]

, if not being 'dismissive of the views of those whose loved ones are dying of cancer'?

[ETA - Host comment noted; I don't particularly want to take it to Hell but would like Le Roc to clarify what was meant by the above]

[ 01. October 2014, 16:56: Message edited by: Matt Black ]
 
Posted by LeRoc (# 3216) on :
 
The basis of my discussion is this. I assume that:
  1. There is a medical reason for having a breast operation, enough for the NHS to approve this operation.
  2. The cost difference between different cup sizes is insignificant.
  3. There are no medical contra-indications against the requested cup size.
Under these assumptions, I asked seekingsister on what basis she wanted to withhold the choice for the patient. The basis she gave for withholding this choice (here) is that giving her this choice would cause outrage over the internet, including people who have relatives suffering from cancer.

As much I respect people who are in this situation (I've been in this situation myself), I don't believe that their collective opinion as expressed over the internet is a sufficient basis for withholding the choice for a patient.

Of course, within this discussion you may challenge my assumption 1, but that's not really a discussion I'm interested in.
 
Posted by Jane R (# 331) on :
 
Matt:
quote:
I'm sorry you're so dismissive of the views of others whose loved ones are dying of cancer because NICE have decreed in their infinite wisdom that their treatment should be withheld and yet have to see their taxes spent on boob-jobs. It's about prioritising of resources and need, surely?
Yes. Yes, it is, which is why you can't just waltz into your GP's surgery and say you're fed up with your boobs and expect to get them resculpted to your specifications on the NHS, no questions asked. Like Doc Tor, I am willing to believe that whatever treatment this woman had met the criteria for NHS funding and I don't see what her subsequent career has to do with it. Doctors are there to cure you; what you do when you've been restored to health is up to you. Or are you suggesting that we should only cure people whose lifestyle you approve of?
 
Posted by Matt Black (# 2210) on :
 
OK, thx, I understand what you're saying now; I'm just not sure about #1. Pax vobiscum.

[cp with Jane - I accept that 'bad cases don't make good law', but that doesn't alter my concerns that this may very well be a bad case. Not because of her lifestyle, but because cases like this serve, as Seeking Sister has said, to discredit and undermine the NHS in the eyes of many who help pay for it. And, no, I'm not a doctor so, no, my opinion doesn't and shouldn't carry anywhere near the weight that that of a medic does and should, but I am a taxpayer who wants to see the NHS thrive and I think that gives me a right to have some kind of opinon.]

[ 01. October 2014, 17:10: Message edited by: Matt Black ]
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
Under these assumptions, I asked seekingsister on what basis she wanted to withhold the choice for the patient. The basis she gave for withholding this choice (here) is that giving her this choice would cause outrage over the internet, including people who have relatives suffering from cancer.

You keep saying "internet" as if it matters. I am sure the outrage extends to the actual lives of the people who happen to be featured in newspapers, which have websites that are on the internet.

My opinion is that if the NHS offers augmentation to "repair" flat chests caused by congenital reasons, it should offer to do so within guidelines that are based on an average size for a woman within certain parameters.

Therefore I disagree with the treatment offered to Miss Cunningham and anyone else who has received it. Had she come out with a B/C cup not only would I be OK with it, it wouldn't be in the press because there's no news story in such an outcome in the first place.

This is my opinion and so I am not going to be able to convince you of it, but I wish for it to be clear so that people can actually evaluate it fairly.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Jane R:
Like Doc Tor, I am willing to believe that whatever treatment this woman had met the criteria for NHS funding and I don't see what her subsequent career has to do with it.

Some of us are questioning the NHS' position entirely. Just because it met the criteria, doesn't mean the criteria themselves are appropriate.
 
Posted by lilBuddha (# 14333) on :
 
Matt,

"Mum died of cancer because Josie got a boob job" is a lovely Mail headline, but rarely are things so clear cut.
Who was denied? What were the odds of survial after procedure? And for how long?
Your wording makes it sound like "Young child denied guaranteed long life" when it is often "85 year old denied 3 additional months after rejection of 4th treatment".
Yes, it is about prioritising, but not necessarily in the manner you seem to imply.
 
Posted by quetzalcoatl (# 16740) on :
 
Actually, for me, a case like this doesn't undermine the NHS. In fact, I would say that it is in the spirit of the NHS; that patients are given some choice over their treatment. The fact that this lady has been given a hard time in the tabloids does not really impress me.

[ 01. October 2014, 17:23: Message edited by: quetzalcoatl ]
 
Posted by LeRoc (# 3216) on :
 
quote:
Matt Black: OK, thx, I understand what you're saying now; I'm just not sure about #1.
I know too little about this case and I'm not a doctor, so I can't comment on #1. Vobiscum pax.

quote:
seekingsister: My opinion is that if the NHS offers augmentation to "repair" flat chests caused by congenital reasons, it should offer to do so within guidelines that are based on an average size for a woman within certain parameters.
You're entitled to your opinion, but you haven't given me a good reason of why the NHS should stay within these guidelines.
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by seekingsister:
I continue to be disturbed at the way a flat chest (whether or not congenital) is treated as the same sort of physical deformity as a cleft palate or as equivalent to the replacement of a body part that was removed as part of cancer treatment, by some on this thread.

That's what bothers me, too. It's an example of our medical profession going along with a cultural slant that says small breasts are abnormal and huge boobs on a smallish body are normal.

I'm a "D" cup myself and don't want to offend any larger women but I wasn't a "D" when I was a thin young woman, really large sizes usually come with increases in weight and age. I was watching a pre-code 1930's film the other day and during a big production number about thirty young show girls were doing a mermaid thing with nothing above the waist but little shells they were holding. And I mean very little shells. I doubt if there was a "B" cup in the bunch. That's what we used to expect pretty young girls to look like and now plastic surgeons and fashion have taught us to think it's really possible to have very low body fat and very large breasts at the same time. Possible maybe, but certainly rare.

I don't think serious doctors should be a party to this fad. Outsize breasts can cause problems of their own, back aches, difficulty detecting breast cancer, to name a few. Would they surgically implant a big red bulb on the end of a man's nose because he said he wanted work as a clown? He can get that done privately just as some people are having horns implanted for shock value, but I would think NHS doctors would be less into extreme fashion and more about the, "first do no harm," bit.
 
Posted by seekingsister (# 17707) on :
 
I've given a reason, you just don't like it. I said large breasts cause back ache, your answer is "I trust the doctors." Mine is a fact, yours is an opinion.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: I've given a reason, you just don't like it. I said large breasts cause back ache, your answer is "I trust the doctors." Mine is a fact, yours is an opinion.
No, it isn't a fact that the cup size Ms. Cunningham has been given will cause her back aches or other medical problems. Not at all. That's very much your opinion, and one you have based on absolutely nothing.

[ 01. October 2014, 18:01: Message edited by: LeRoc ]
 
Posted by Jane R (# 331) on :
 
seekingsister:
quote:
Some of us are questioning the NHS' position entirely. Just because it met the criteria, doesn't mean the criteria themselves are appropriate.
So far the only reasons you've given for this opinion of yours are (a) "It's unnatural to have boobs that size" and (b) "Anyone with boobs that size gets backache."

Well, with all due respect to you and Twilight, there are women around whose boobs are naturally bigger than a C cup. Some of us even manage to avoid the curse of backache. It's hardly our fault that the current ideal of female beauty is a kind of stick figure with a couple of melons bolted to her chest. Blame Barbie, if it makes you feel better.

And if a treatment is offered (by any doctor) then the patient should have some say in how it will proceed. Anything else would be unethical.

Oh, and what quetzalcoatl said.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
quote:
seekingsister: I've given a reason, you just don't like it. I said large breasts cause back ache, your answer is "I trust the doctors." Mine is a fact, yours is an opinion.
No, it isn't a fact that the cup size Ms. Cunningham has been given will cause her back aches or other medical problems. Not at all. That's very much your opinion, and one you have based on absolutely nothing.
We don't know yet. But as breast implants are typically good for 10-15 years before needing additional surgery, her doctors will know the impact then. And we'll be paying for that too.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Jane R:
seekingsister:

Well, with all due respect to you and Twilight, there are women around whose boobs are naturally bigger than a C cup. Some of us even manage to avoid the curse of backache. It's hardly our fault that the current ideal of female beauty is a kind of stick figure with a couple of melons bolted to her chest. Blame Barbie, if it makes you feel better.

And if a treatment is offered (by any doctor) then the patient should have some say in how it will proceed. Anything else would be unethical.

Oh, and what quetzalcoatl said.

Jane you might want to read upthread. I'm a D. I'm also very tall and in proportion. If they were on my much smaller mother she'd fall forward. And I get older honestly I'd rather less than more.

I disagree in principle with NHS-funded augmentation beyond they bounds of average size. And you're not going to convince me otherwise.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: We don't know yet.
So, by your own admission you don't know whether these implants will cause her back aches or not. Yet you have already disapproved of the doctors' decision to give her these implants.

quote:
seekingsister: But as breast implants are typically good for 10-15 years before needing additional surgery, her doctors will know the impact then. And we'll be paying for that too.
We already agreed on the assumption that there is a medical need for her to have implants. As I understand it, she will need this additional surgery regardless of the implant size. So, this is rather irrelevant.

quote:
seekingsister: I disagree in principle with NHS-funded augmentation beyond they bounds of average size. And you're not going to convince me otherwise.
As I've said before, you have a right to disagree with it. You just don't have any good arguments for it.

[ 01. October 2014, 19:27: Message edited by: LeRoc ]
 
Posted by Doublethink (# 1984) on :
 
quote:
Originally posted by seekingsister:
I continue to be disturbed at the way a flat chest (whether or not congenital) is treated as the same sort of physical deformity as a cleft palate or as equivalent to the replacement of a body part that was removed as part of cancer treatment, by some on this thread.

Why ? Most human characteristics are normally distributed. If your IQ was more than two standard deviations from the norm, you'd probably be defined as having a learning disability, two standard deviations above and you might be described as a genius. If a child falls too far off the curve in terms of their height, we give them growth hormone. Too tall and we worry about that too.

The health service is designed to do key things, treat ill health and prevent ill health.

Essentially, cosmetic work on people who are born looking significantly different from most people - at their request - is designed to prevent the long term deterioration in mental health.

Depression and social anxiety can be debilitating conditions that cost, far, far more than £4000 to treat over the long term.

The NHS itself says this.
 
Posted by Doublethink (# 1984) on :
 
quote:
Originally posted by seekingsister:
quote:
Originally posted by Jane R:
seekingsister:

Well, with all due respect to you and Twilight, there are women around whose boobs are naturally bigger than a C cup. Some of us even manage to avoid the curse of backache. It's hardly our fault that the current ideal of female beauty is a kind of stick figure with a couple of melons bolted to her chest. Blame Barbie, if it makes you feel better.

And if a treatment is offered (by any doctor) then the patient should have some say in how it will proceed. Anything else would be unethical.

Oh, and what quetzalcoatl said.

Jane you might want to read upthread. I'm a D. I'm also very tall and in proportion. If they were on my much smaller mother she'd fall forward. And I get older honestly I'd rather less than more.

I disagree in principle with NHS-funded augmentation beyond they bounds of average size. And you're not going to convince me otherwise.

The UK average bra size in 2012 was 34DD

[ 01. October 2014, 19:36: Message edited by: Doublethink ]
 
Posted by daronmedway (# 3012) on :
 
quote:
Originally posted by Marvin the Martian:
quote:
Originally posted by leo:
Read Chavs; the demonisation of the working class

"Working"?
Yes, in huge numbers.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Doublethink:
The UK average bra size in 2012 was 34DD

And I repeatedly said average within height and weight parameters. The average UK woman is also overweight bordering on obese, hence the bra size.
 
Posted by Doublethink (# 1984) on :
 
And you have some sort of stats on this ? Breast size is not in some sort of totally linear correlation with height and weight.
 
Posted by Doublethink (# 1984) on :
 
Oh look, information.
 
Posted by Firenze (# 619) on :
 
quote:
Originally posted by seekingsister:
The average UK woman is also overweight bordering on obese, hence the bra size.

Whereas US women are becoming ever more - taller, bigger and fatter apparently.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Doublethink:
And you have some sort of stats on this ? Breast size is not in some sort of totally linear correlation with height and weight.

Do you know what "average" means? Doctors have height and weight charts to see if children are under developing. I've certainly had my chest measured. So let's make the same chart.

What is the typical bra size for a 5'5 woman who weighs 150 pounds - 25th - 75th percentile. Let the NHS patient choose her size from this range. Still get the breasts you need.

I think this is pretty reasonable but apparently not based on the reaction here.
 
Posted by rolyn (# 16840) on :
 
quote:
Originally posted by Twilight:
..... if the NHS is proclaiming all flat chested women, "deformed," then it's just one more step in convincing us all that we must exaggerate our bodies beyond nature just to make ourselves acceptable to men.

It angers up my feminist blood.

I sure it does if you want to believe another -everything's the man's fault- feminist myth.

AIUI women do not have cosmetic surgery for the benefit of men, nor do they spend billions on apparell and beautification for the benefit of men. It is done for themselves, one reason being that women compete with each-other on a subliminal level. If the cosmetic industry makes women more 'acceptable to men' then that is a byproduct, it is not the driving force behind it.
 
Posted by Lamb Chopped (# 5528) on :
 
Why fuss about it? The bigger sizes don't cost more, do they? And as for backache, I'm also a DD to E with no backache. That isn't a guaranteed thing.

And I was large-breasted when I was thin. It's genetics, I think. We have both sizes, C-D cups and A cups, running in our family. (Which causes a certain amount of crankiness between sisters who get the opposite genes)
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by quetzalcoatl:
Actually, for me, a case like this doesn't undermine the NHS. In fact, I would say that it is in the spirit of the NHS; that patients are given some choice over their treatment. The fact that this lady has been given a hard time in the tabloids does not really impress me.

Having spent some time working on a fairly poor housing estate, I realised pretty quickly the only difference between me and the people that lived there was geography. Being born at the start of the bus route meant I was encouraged to think I could be more than I knew. Being born at the end of it meant being presented with a fairly limited set of options and not a lot of encouragement.

This woman had a medical problem and the treatment was a breast op. That's pretty standard if the breasts don't develop properly. Properly can mean both not developing or one developing and the other not. We could save money and just give people some socks to stuff into their bra. Cheap ones.

But woman needing medical treatment has medical treatment doesn't really suit the DM's agenda. Chav wastes precious NHS resources that could be given to the more deserving is much more up their street. Two of the DM's obsessions in one article! Win!

Tubbs
 
Posted by Doublethink (# 1984) on :
 
quote:
Originally posted by seekingsister:
quote:
Originally posted by Doublethink:
And you have some sort of stats on this ? Breast size is not in some sort of totally linear correlation with height and weight.

Do you know what "average" means? Doctors have height and weight charts to see if children are under developing. I've certainly had my chest measured. So let's make the same chart.

What is the typical bra size for a 5'5 woman who weighs 150 pounds - 25th - 75th percentile. Let the NHS patient choose her size from this range. Still get the breasts you need.

I think this is pretty reasonable but apparently not based on the reaction here.

Creating such a chart is going to be a very expensive exercise, because apparently you want it to only include people who fall within a medically approved BMI range, who have no condition effecting their breasts, and it needs to be age normed, height normed and pre-post menopause divided.

We'd also need to adjust for back size. And revise every five to ten years to allow for generational change.

And maybe adjust for physical fitness level, because BMI is a poor guide for people who have a high percentage of muscle.
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by Doublethink:
quote:
Originally posted by seekingsister:
quote:
Originally posted by Doublethink:
And you have some sort of stats on this ? Breast size is not in some sort of totally linear correlation with height and weight.

Do you know what "average" means? Doctors have height and weight charts to see if children are under developing. I've certainly had my chest measured. So let's make the same chart.

What is the typical bra size for a 5'5 woman who weighs 150 pounds - 25th - 75th percentile. Let the NHS patient choose her size from this range. Still get the breasts you need.

I think this is pretty reasonable but apparently not based on the reaction here.

Creating such a chart is going to be a very expensive exercise, because apparently you want it to only include people who fall within a medically approved BMI range, who have no condition effecting their breasts, and it needs to be age normed, height normed and pre-post menopause divided.

We'd also need to adjust for back size. And revise every five to ten years to allow for generational change.

And maybe adjust for physical fitness level, because BMI is a poor guide for people who have a high percentage of muscle.

It doesn't take into account that some people have this treatment because one breast has developed normally and the other hasn't. The surgeon would normally make the artificial breast a similar size to the other one. Would that be allowed under this system if the natural breast was considered too big?!

Tubbs
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: What is the typical bra size for a 5'5 woman who weighs 150 pounds - 25th - 75th percentile. Let the NHS patient choose her size from this range. Still get the breasts you need.
And if you were the boss of the NHS, I'm sure this is what you would do.

Maybe as an individual I also think that the NHS should have given her a different cup size, for whatever reasons I might have for this. I'm entitled to my opinion, like any other person. But, as an individual I don't get to influence what happens between her and her doctor. Neither can the Daily Mail or the collective consciousness of the internet. And I find that a very good thing.
 
Posted by Doublethink (# 1984) on :
 
Quite - I do fail to see the point.
 
Posted by Barnabas62 (# 9110) on :
 
So do I.
 
Posted by Curiosity killed ... (# 11770) on :
 
Another person here who cannot see the problem with DD cup - I am 32/34DD/E naturally on a 5'2" size 10/12 frame, my daughter is 28DD/E on her size 6/8 frame and similar height. Nor has my size changed much since I was 18. And no, I don't get backache either. Only problem (other than finding fitted shirts) is that I need to wear a sports bra to be comfortable exercising.

The girls with augmented breasts are going for 28G and 28H (just try buying 28E bras and you learn these things).
 
Posted by seekingsister (# 17707) on :
 
Glad you're all so happy to fund body dysmorphia and glamour model aspirations - enjoy!
 
Posted by Doublethink (# 1984) on :
 
So she shouldn't get medical treatment because she wants to be a glamour model ?

(As far as I know she doesn't have body dysmorphia, which is something they would screen for *before* offering surgery as it is a contraindication.)

[ 01. October 2014, 22:19: Message edited by: Doublethink ]
 
Posted by quetzalcoatl (# 16740) on :
 
Funding glamour aspirations - WTF? This is getting more and more like a Daily Mail front page.
 
Posted by Autenrieth Road (# 10509) on :
 
Women being judged on the size of their breasts. Gee, where have I met that attitude before? Didn't expect to meet it among Shippies.

[ 01. October 2014, 22:31: Message edited by: Autenrieth Road ]
 
Posted by Curiosity killed ... (# 11770) on :
 
But DD is not glamour model sized, really truly. It's pretty average.

Glamour model sized is out in the G and H cups, Jordan (Katie Price) claimed to be a DD, but was really a 32FF depending on what you read and has now reduced her implants to a 32D.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Curiosity killed ...:
But DD is not glamour model sized, really truly. It's pretty average.

Glamour model sized is out in the G and H cups, Jordan (Katie Price) claimed to be a DD, but was really a 32FF depending on what you read and has now reduced her implants to a 32D.

Yeah, but 'glamour model' fits the Daily Mail mentality: 'Chav gets massive boob job for glamour modelling career, while others die'.
 
Posted by lilBuddha (# 14333) on :
 
quote:
Originally posted by rolyn:


AIUI women do not have cosmetic surgery for the benefit of men, nor do they spend billions on apparell and beautification for the benefit of men. It is done for themselves, one reason being that women compete with each-other on a subliminal level. If the cosmetic industry makes women more 'acceptable to men' then that is a byproduct, it is not the driving force behind it.

Men's magazines = big tits
Women's Magazines = rail thin
Try again.
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by quetzalcoatl:
quote:
Originally posted by Curiosity killed ...:
But DD is not glamour model sized, really truly. It's pretty average.

Glamour model sized is out in the G and H cups, Jordan (Katie Price) claimed to be a DD, but was really a 32FF depending on what you read and has now reduced her implants to a 32D.

Yeah, but 'glamour model' fits the Daily Mail mentality: 'Chav gets massive boob job for glamour modelling career, while others die'.
Pretty much. The DM hates women, the poor and the NHS so this story is a gold mine for them.

Everyone working themselves up about this seems to be quietly ignoring the fact that she was bullied over her physical appearence. And she did have a geninue medical problem. I mean, having no breasts or uneven ones can't be a big deal, can it? People, particularly teenagers, are just so accepting of others whose appearance doesn't fit the norm. And, when offered the chance for surgical treatment, someone who's never had breasts before might be tempted to go for something that ensures that no one will ever tease them again.

No, of course none of these things matter because she's just a chavvy slag and deserved what she got. Classist much?!

Tubbs

[ 02. October 2014, 09:05: Message edited by: Tubbs ]
 
Posted by Matt Black (# 2210) on :
 
quote:
Originally posted by Doublethink:
So she shouldn't get medical treatment because she wants to be a glamour model ?


Er...no, certainly not at taxpayers' expense...as in, WTF?! As in, she's welcome to have a boob job to further her career if she wants, but don't expect the rest of us to pay for it! I go on CPD courses to further my career, but don't ask the taxpayer to pick up the tab.
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by Matt Black:
quote:
Originally posted by Doublethink:
So she shouldn't get medical treatment because she wants to be a glamour model ?


Er...no, certainly not at taxpayers' expense...as in, WTF?! As in, she's welcome to have a boob job to further her career if she wants, but don't expect the rest of us to pay for it! I go on CPD courses to further my career, but don't ask the taxpayer to pick up the tab.
She got medical treatment because she needed it, just like many other people do. Or do breast problems come under the things that the NHS doesn't treat anymore because they're a luxury. Her career choices after that are up to her.

Tubbs
 
Posted by Snags (# 15351) on :
 
quote:
Originally posted by Matt Black:
quote:
Originally posted by Doublethink:
So she shouldn't get medical treatment because she wants to be a glamour model ?


Er...no, certainly not at taxpayers' expense...as in, WTF?! As in, she's welcome to have a boob job to further her career if she wants, but don't expect the rest of us to pay for it! I go on CPD courses to further my career, but don't ask the taxpayer to pick up the tab.
Missed point error (I think). I believe the argument goes:


[1]Regardless of the wisdom/likelihood of being able to make this a reality
 
Posted by quetzalcoatl (# 16740) on :
 
There seems to be a logic failure going on here. From 'she had medical treatment, and then she wanted a modelling career', we get to 'she had a boob job in order to have a modelling career'.

In the second version, the medical treatment just disappears.

Some kind of class prejudice maybe. Working class chavs don't really need medical treatment.

*Same point as Snags really.

[ 02. October 2014, 09:35: Message edited by: quetzalcoatl ]
 
Posted by Matt Black (# 2210) on :
 
OK, misunderstood - I thought Doublethink was saying she had the procedure to further her career prospects as a glamour model
 
Posted by seekingsister (# 17707) on :
 
I don't wish to spread them around, but in regard to this story I've come across several internet forums where women ask "What should I say to my doctor to get him to refer me for breast implants" essentially asking for the "script" on how to claim psychological problems as a result of a flat chest, when in fact the primary issue is a desire (and not a medical need) to change appearance.

To me this is the same type of abuse of the system as drug seeking behavior by addicts. I believe following Miss Cunningham's story the NHS has tightened its rules on who is allowed to receive augmentations, but the fact that it has happened means that we have people who are spending a great deal of energy trying to game the system so that they can get their turn.

The size debate has gone on but anyone who has Googled this woman can see that she does not have average proportions. She has glamour model/adult film star proportions. NHS-funded B cups aren't going to get the recipient onto Page 3, and won't get the publicity that cases like this one have - which fuel the behavior I just mentioned above.
 
Posted by quetzalcoatl (# 16740) on :
 
The tabloids in this case are using a weird kind of prioritization - really saying that the £4000 on this operation could be used towards cancer treatment, hence the headlines 'this woman has boob job and my son can't get X medication'.

However, how far would this go? The NHS carries out quite a number of minor ops - so should these be cancelled and the money carried across to cancer? For example, if you break your nose in an accident, the NHS will reset it for you. But if you cancelled all such operations, think of how much money you could save. A few misshapen noses would be a small price to pay. And so on and so on.

I suppose also behind it is an attitude of mysogyny and anti-working class sentiment - why should a chav like this get free treatment? And then for some, like the DM, they hate the NHS.
 
Posted by Matt Black (# 2210) on :
 
Maybe we should prioritise life-saving medical treatment?
 
Posted by Zoey (# 11152) on :
 
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

I've been refraining from making the point that if I were in charge of the NHS (which fortunately for everyone is never going to happen) nobody would get any fertility treatment or IVF on the NHS. I've refrained from making this point so far, because I know it's a personal hobbyhorse of mine based on my own emotional baggage. But, Matt Black, if your position is as stated in your last post, do you think the NHS should stop all spending on fertility problems and IVF? Nobody is going to die of not having a baby.
 
Posted by The Great Gumby (# 10989) on :
 
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

And herein lies the problem. Lots of people seem to be stuck in a false dichotomy of "essential life-saving treatment v trivial waste of money", but that's not the reality. What the Tory Mail-reading vultures close their eyes and ears to is that the apparently small, trivial operations are the ones that return the true value, both personally and for the country as a whole.

The only operation I ever had on the NHS was to straighten my nose after it was hit by a cricket ball - presumably, if I had aspirations to be a professional cricketer that would qualify as a Waste Of Public Money in some people's eyes. The operation was partly cosmetic, but it was also preventative. By straightening it, possible future problems with further deterioration and breathing difficulties were avoided. Similarly, if someone's self image and mental health are adversely affected by having no breasts, correcting that turns out to be the cheap option for the NHS and the country as a whole. It's not like there are signs up at hospitals advertising free boob jobs - this is a considered use of resources.

The NHS does have finite resources, and sometimes tough decisions have to be made about what treatments should be funded and what shouldn't, but that doesn't always mean what you think, and a strict cost-benefit analysis would probably indicate less "life-saving medical treatment" than is currently offered. A "frivolous" operation has exactly the same value as an accident prevention campaign, or a mental health and wellbeing service, and the only reason they don't get the Daily Heil "this money could be spent on teh Cancer Kiddiez" treatment is because it would be too obvious that they're acting like monumentally disingenuous dicks.
 
Posted by Matt Black (# 2210) on :
 
Not necessarily, but if we are saying that NHS resources are ever-diminishing (which is all I ever seem to hear), then priorities must surely be re-jigged. For example, about 10 years ago I had a nose op on the NHS to stop me snoring so much -I'm not sure that I should not have paid privately for that then, and I don't think the case should be made out for me to have it on the NHS now, given that there was nothing life-threatening such as apnoea attached to the condition, I just have a wonky nose!

[CP with TGG - I was going to say 'snap!' but maybe that's inappropriate with a broken nose...]

[ 02. October 2014, 10:30: Message edited by: Matt Black ]
 
Posted by Zoey (# 11152) on :
 
If Gumby had posted 10 minutes earlier, I probably would have refrained from posting at all, because he's outlined the overall issues very eloquently and without the emotional baggage I bring to fertility issues.

(I think I've heard arguments that fertility treatment on the NHS should happen, amongst other reasons, because people's mental health is severely negatively affected by not having babies. Also, on a cost-benefit basis, if people scrape together money for privately-funded IVF they're more likely to go for having ridiculous numbers of embryos put in in one go, thereby increasing the risk of having multiples born very prematurely who cost a fortune in specialist neo-natal medical care.)
 
Posted by Barnabas62 (# 9110) on :
 
quote:
Originally posted by The Great Gumby:
A "frivolous" operation has exactly the same value as an accident prevention campaign, or a mental health and wellbeing service, and the only reason they don't get the Daily Heil "this money could be spent on teh Cancer Kiddiez" treatment is because it would be too obvious that they're acting like monumentally disingenuous dicks.

Preach it Brother Gumby. I'm very glad I left the thread open.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: I don't wish to spread them around, but in regard to this story I've come across several internet forums where women ask "What should I say to my doctor to get him to refer me for breast implants" essentially asking for the "script" on how to claim psychological problems as a result of a flat chest, when in fact the primary issue is a desire (and not a medical need) to change appearance.
And I'm pretty sure that none of the women whom you've seen debating these things will actually manage to get a breast enhancement on the NHS. Look at the NHS website, these things are rare.

AFAICT Ms. Cunningham didn't rig the system, she didn't give false information about her health status, she didn't bribe anyone. There are some conditions under which a rare number of people qualify for a breast enhancement under the NHS, and she qualified. Good on her. You may not agree with these conditions, but then you should seek the democratic channels to try to change them. That has nothing to do with Ms. Cunningham. And your arguments to change them so far have been very weak.

After she's been approved for such an operation, what happens next is between her and her doctor. And that's a pretty sacred space to me, which no-one on the outside should influence. I'm sure that her doctor has done a risk assessment and established that the requested cup size doesn't pose a health threat to her. You may not agree with that risk assessment, but that's not your call. You may have esthetical objections against the cup size she chose, but that's not your call either.

What you seem to suggest in your previous posts is that you or the comments section of the Daily Mail should have a say in what happens between a doctor and a patient. I'm not British but if I were, I'd find that scary. Very scary.
 
Posted by quetzalcoatl (# 16740) on :
 
Right on, Brother Gumby.

Something I've been involved with professionally is depression and anxiety. Well, an argument could be made that the NHS should not be treating these, but should use that money for 'life-saving'.

Of course, treatment for depression and anxiety can be life-saving indeed; none the less, one still hears the slander quite commonly, that depressed people are too self-centred and lazy and should get off the sofa and do an honest day's work.

Of course, this is callous in the extreme, but then the Daily Mail, and like-minded people, are.
 
Posted by quetzalcoatl (# 16740) on :
 
LeRoc

Yes, I think we should have a vote on operations, to decide if they are necessary or life-saving.

Old guy needs his wisdom tooth extracted - well, maybe, but let's face it, how much longer has he got? Cancel.

Young kid with fractured elbow - nah, it'll mend in good time, no danger to life.

Slag wants facial surgery to correct a bad birth-mark - nah, she's a slag.

Immigrant wants anything done - no thank you very much, go back where you came.

This could be a vote-winner!
 
Posted by LeRoc (# 3216) on :
 
quote:
quetzalcoatl: Yes, I think we should have a vote on operations, to decide if they are necessary or life-saving.
Don't be ridiculous. A vote? A reality show where people send messages costing £2 each! Don't you ever think of the babies who could be saved with this money?
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by LeRoc:
What you seem to suggest in your previous posts is that you or the comments section of the Daily Mail should have a say in what happens between a doctor and a patient. I'm not British but if I were, I'd find that scary. Very scary.

I "seem to suggest" nothing of the sort.

Giving out huge glamour model implants on the NHS draws negative publicity to the service and serves to contribute to a loss of faith in it. This is bad.

I am 100% supportive of augmentation for medical reasons as Miss Cunningham had. My problem is with the provision of sizes that are beyond what is typical for a woman naturally. You can find articles about her where she says she dreamt of being a glamour model from age 10, so to pretend that her choice to get DD implants was totally unrelated to this stretches credulity, in my opinion. She would have been well served with a B/C and we would not be talking about her now if that's what she had received.

I don't read the Daily Mail (the link in this thread is probably the only time in recent memory I've been on its website). I don't care what it's commenters think. What I am saying is what I think, end of story.
 
Posted by North East Quine (# 13049) on :
 
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

Do you have any evidence that the NHS doesn't prioritise life-saving medical treatment?
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by LeRoc:
quote:
quetzalcoatl: Yes, I think we should have a vote on operations, to decide if they are necessary or life-saving.
Don't be ridiculous. A vote? A reality show where people send messages costing £2 each! Don't you ever think of the babies who could be saved with this money?
But this is pure genius. A NHS reality show, where various people have to demonstrate their wounds and diseases, and then we, the caring, kind, British public, get to vote on which ones get the go-ahead for treatment.

Cute kid with rare disease - 100% votes.

Slag with bad facial birthmark - 0%

And the winner is - cute kid!
 
Posted by seekingsister (# 17707) on :
 
quetzalcoatl I'm getting increasingly uncomfortable with the way you are portraying myself and others who have a problem with this type of treatment as prejudiced. The words you are using in your posts are offensive and I've not posted anything even remotely in that universe. I don't use that language (not being British why would I - but anyway).
 
Posted by quetzalcoatl (# 16740) on :
 
seekingsister wrote:

Giving out huge glamour model implants on the NHS draws negative publicity to the service and serves to contribute to a loss of faith in it. This is bad.

Actually, the reverse is true for me. I am heartened that the NHS can still both treat medical conditions, and respect people's choices, whilst also resisting the sick comments in various tabloids, which contain both misogyny and anti-working class sentiment.
 
Posted by Matt Black (# 2210) on :
 
quote:
Originally posted by North East Quine:
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

Do you have any evidence that the NHS doesn't prioritise life-saving medical treatment?
Herceptin.

[And, like seekingsister, I'm starting to get fed up with the way 'prioritise' is being misrepresented by some posters here]

[ 02. October 2014, 11:06: Message edited by: Matt Black ]
 
Posted by Snags (# 15351) on :
 
<Tangent>

quote:
Originally posted by Zoey:
(I think I've heard arguments that fertility treatment on the NHS should happen, amongst other reasons, because people's mental health is severely negatively affected by not having babies. Also, on a cost-benefit basis, if people scrape together money for privately-funded IVF they're more likely to go for having ridiculous numbers of embryos put in in one go, thereby increasing the risk of having multiples born very prematurely who cost a fortune in specialist neo-natal medical care.)

Which is clearly bollocks, because apart from the one maverick guy in Harley Street, who IIRC got a smackdown for it, no clinic in the UK will actually do that, owing to regulations etc. etc. (And (cynical) repeat business being good, and (not cynical) also wanting to actually get a good result, not any result).

FWIW whilst I'm not passionate about it, I also incline to the view that IVF is, on balance, not the best use of NHS resources. Not because it wasn't an option for us and we therefore pissed a lot of our own money up the wall on private treatment - which we were lucky to be able to afford by making other sacrifices, but not lucky enough to get a result on - but because it is (relatively) costly with (relatively) poor success rates. On a triage basis if nothing else I'd rather then money went to where it will do the most good.

I'm also very glad I don't actually have to make the decisions, though!
</Tangent>
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by seekingsister:
quetzalcoatl I'm getting increasingly uncomfortable with the way you are portraying myself and others who have a problem with this type of treatment as prejudiced. The words you are using in your posts are offensive and I've not posted anything even remotely in that universe. I don't use that language (not being British why would I - but anyway).

I'm not sure why you think I have been portraying you at all. As far as I can see, you have accepted the need for this lady's op. My ire is directed at those who would deprive her of it, because she is a chav, and she is a woman, and also, because they hate the NHS. This has nothing to do with you.
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: Giving out huge glamour model implants on the NHS draws negative publicity to the service and serves to contribute to a loss of faith in it. This is bad.
Thus, you suggest that negative publicity a doctor's decision could generate should have an influence within the relation between him/her and the patient. In other words, the people who would look negatively upon such a decision should have a say in what happens between a doctor and a patient. Which is exactly what I said before. And it's a very scary thing.

quote:
seekingsister: My problem is with the provision of sizes that are beyond what is typical for a woman naturally.
And the NHS should only offer sizes that are within the bounds of what you happen to find typical for a woman naturally ... why exactly? Whatever you find typical should not influence what happens between Ms. Cunningham and her doctor.

quote:
seekingsister: You can find articles about her where she says she dreamt of being a glamour model from age 10, so to pretend that her choice to get DD implants was totally unrelated to this stretches credulity, in my opinion.
It doesn't matter. When a doctor performs a medical treatment to repair a body part, whatever we want to do with this body part after the treatment is of no concern to him/her.

quote:
seekingsister: She would have been well served with a B/C and we would not be talking about her now if that's what she had received.
Whatever you think she would have been well served with should have no inluence on what happens between Ms. Cunningham and her doctor.
 
Posted by seekingsister (# 17707) on :
 
LeRoc - if you fundamentally believe doctors are always right, the NHS is always right, and therefore questioning choices made by either is unreasonable, then our conflict is not about breast implants. In which case there's not much more we can discuss with each other.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
I think it's more that LeRoc believes that it's got nothing to do with you.
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Karl: Liberal Backslider:
I think it's more that LeRoc believes that it's got nothing to do with you.

Someone posted this topic on a discussion forum - I'm not meant to comment on it? Give it a rest!
 
Posted by LeRoc (# 3216) on :
 
quote:
seekingsister: LeRoc - if you fundamentally believe doctors are always right, the NHS is always right, and therefore questioning choices made by either is unreasonable, then our conflict is not about breast implants. In which case there's not much more we can discuss with each other.
No, I don't believe that doctors are always right. Trust me, I've had some fights with my GP over time. But I also don't believe that when doctors are wrong, you should step in and provide the right answer.
 
Posted by Karl: Liberal Backslider (# 76) on :
 
quote:
Originally posted by seekingsister:
quote:
Originally posted by Karl: Liberal Backslider:
I think it's more that LeRoc believes that it's got nothing to do with you.

Someone posted this topic on a discussion forum - I'm not meant to comment on it? Give it a rest!
You can comment. Other people can tell you why they believe you're wrong. That's how it works.
 
Posted by Matt Black (# 2210) on :
 
quote:
Originally posted by seekingsister:
quote:
Originally posted by Karl: Liberal Backslider:
I think it's more that LeRoc believes that it's got nothing to do with you.

Someone posted this topic on a discussion forum - I'm not meant to comment on it? Give it a rest!
It's also bollocks as a line of reasoning - by extending that argument, the Health Secretary and all ministers and civil servants within his/her department should all be medically qualified, since only doctors should have a say on decisions in the NHS.
 
Posted by quetzalcoatl (# 16740) on :
 
The point about negative publicity about the NHS is a joke, because some tabloids and some politicians, devote a lot of energy to such bad publicity. Why? Because they hate the NHS, and they want to see it dismantled, and replaced by private medicine.

Therefore they will of course use cases like this, and use their revolting headlines, and impugn doctors and surgeons, all in the cause of their reactionary politics.

Some of them also hate women, and therefore a case like this is doubly useful.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by seekingsister:
Someone posted this topic on a discussion forum - I'm not meant to comment on it? Give it a rest!

The original topic was about this lovely young woman complaining about getting shagged by someone she thought was a footballer but turned out not to be, and advising girls that if their A-Level results are poor they can always have a career getting their tits out or escorting (i.e. prostitution).

It has well and truly been diverted into a discussion of the morality of her boob job, possibly because that's the only thing about her the lefties can bring themselves to defend And they have to defend her somehow, because she's working class and therefore can do no wrong. Unless said wrong can ultimately be laid at the door of someone who is either upper class or tory, of course.
 
Posted by Sioni Sais (# 5713) on :
 
quote:
Originally posted by seekingsister:
quote:
Originally posted by Karl: Liberal Backslider:
I think it's more that LeRoc believes that it's got nothing to do with you.

Someone posted this topic on a discussion forum - I'm not meant to comment on it? Give it a rest!
OK then, how do you think decisions should be made in the NHS? Should there be rigid rules that define the treatment available to all people in a given set of circumstances, which will have the advantage of impartiality, or do you accept that clinicians need to be able to treat people as individuals, which will mean taking the wishes of that person into account as well as the availability of resources and the benefits that may accrue to the individual, which can easily appear inconsistent.

Just wondering.
 
Posted by LeRoc (# 3216) on :
 
quote:
Marvin the Martian: It has well and truly been diverted into a discussion of the morality of her boob job
(Maybe I should ask this in the Styx, but may I remind you that the topic of this thread has been 'diverted' at the specific and explicit request of a Host?)
 
Posted by quetzalcoatl (# 16740) on :
 
I remember when Viagra became widely available, and there was a debate about it being available on prescription, and the Health Secretary at the time made the limpid comment that male impotence didn't cause pain, therefore it should not be given via prescriptions. I think medical opinion was opposed to this view.
 
Posted by Marvin the Martian (# 4360) on :
 
quote:
Originally posted by LeRoc:
(Maybe I should ask this in the Styx, but may I remind you that the topic of this thread has been 'diverted' at the specific and explicit request of a Host?)

You may indeed remind me, as I had forgotten that fact!
 
Posted by Matt Black (# 2210) on :
 
quote:
Originally posted by quetzalcoatl:
I remember when Viagra became widely available, and there was a debate about it being available on prescription, and the Health Secretary at the time made the limpid comment that male impotence didn't cause pain, therefore it should not be given via prescriptions. I think medical opinion was opposed to this view.

[More personal anecdotes which I know <>data]

When I was on a very high strength of anti-depressants a few years ago (which were, rightly IMO, available on the NHS as it was/is a potentially life-threatening debilitating condition, affects my ability to work, etc) these had the unfortunate side-effect, as they often do, of depressing my libido to the extent that I needed Viagra-type stuff. This however wasn't available on the NHS - again, rightly IMO, since it wasn't any of the above and, although having the drug can jazz up one's love life, so can a meal out, and I don't expect other people to pay for that either.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Sioni Sais:
quote:
Originally posted by seekingsister:
quote:
Originally posted by Karl: Liberal Backslider:
I think it's more that LeRoc believes that it's got nothing to do with you.

Someone posted this topic on a discussion forum - I'm not meant to comment on it? Give it a rest!
OK then, how do you think decisions should be made in the NHS? Should there be rigid rules that define the treatment available to all people in a given set of circumstances, which will have the advantage of impartiality, or do you accept that clinicians need to be able to treat people as individuals, which will mean taking the wishes of that person into account as well as the availability of resources and the benefits that may accrue to the individual, which can easily appear inconsistent.

Just wondering.

Added to that is the point that various Health Trusts can make different decisions about various treatments. I suppose this has the negative result of 'postcode lottery' with some treatments; the positive aspect is local decisions and accountability. But it militates against a one-size-fits-all approach.

I think it's been a burning issue with IVF, since it's easier to get in some Trusts than others.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Matt Black:
quote:
Originally posted by quetzalcoatl:
I remember when Viagra became widely available, and there was a debate about it being available on prescription, and the Health Secretary at the time made the limpid comment that male impotence didn't cause pain, therefore it should not be given via prescriptions. I think medical opinion was opposed to this view.

[More personal anecdotes which I know <>data]

When I was on a very high strength of anti-depressants a few years ago (which were, rightly IMO, available on the NHS as it was/is a potentially life-threatening debilitating condition, affects my ability to work, etc) these had the unfortunate side-effect, as they often do, of depressing my libido to the extent that I needed Viagra-type stuff. This however wasn't available on the NHS - again, rightly IMO, since it wasn't any of the above and, although having the drug can jazz up one's love life, so can a meal out, and I don't expect other people to pay for that either.

That's puzzling as a few of my clients did get Viagra on prescription, as I think they ought to. It's not life-threatening, to use your term, but it causes depression and messes up marriages.
 
Posted by Matt Black (# 2210) on :
 
Homing in on one word, what do you mean by 'accountability'?

[CP -it wasn't actually called Viagra but something beginning with 'L' -Levitil(?). Cost about £25]

[ 02. October 2014, 11:56: Message edited by: Matt Black ]
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by Matt Black:
quote:
Originally posted by North East Quine:
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

Do you have any evidence that the NHS doesn't prioritise life-saving medical treatment?
Herceptin.

[And, like seekingsister, I'm starting to get fed up with the way 'prioritise' is being misrepresented by some posters here]

It’s very expensive and no extra funds are made available for it so cuts would have to be made to other services to pay for it. What would you cut? Treatment for lifestyle related illnesses as these are self inflicted? The old as they’ll die soon anyway? Cosmetic treatments such as this one as a pair of socks down a bra will work just as well? The other problem is, I suspect, the media plays up the fact that this drug is a miracle cure without mentioning its limitations. Aside from if you fund that, you can’t fund this, it only works for a small number of patients and the benefits are small – weeks or months rather than years etc.

The thing is, if people agree that treating women in these circumstances is fine, why is it anyone’s business apart from the woman’s what cup size she selects? Or, what she decides to do with her life afterwards. They might not be life choices I’d make or want my daughter to make, but … And that’s not a lefty thing, it’s more about being tired of people demonising others for making choices that they themselves don’t approve of. Wanting to be a glamour model isn’t a crime last time I looked.

Tubbs
 
Posted by seekingsister (# 17707) on :
 
quote:
Originally posted by Sioni Sais:
OK then, how do you think decisions should be made in the NHS? Should there be rigid rules that define the treatment available to all people in a given set of circumstances, which will have the advantage of impartiality, or do you accept that clinicians need to be able to treat people as individuals, which will mean taking the wishes of that person into account as well as the availability of resources and the benefits that may accrue to the individual, which can easily appear inconsistent.

Just wondering.

This is an interesting thought experiment, but the second choice requires an unlimited budget to achieve. Which the NHS does not have.

There should be rules and where doctors are convinced and exception is necessary, a means to appeal or propose to an advisory committee to get the exception.

So in the case of augmentation if someone wishes to wait for their specialist to get permission for DD rather than take a size within the range as offered, that would be their choice.

I looked up NHS criteria for reductions (sorry don't have the link anymore) and there are all sorts of specific rules - cup size of F or larger, BMI below a certain level, chest measurement of at least X inches, etc. To think these ranges can't be determined for augmentation as well seems odd, especially since reduction is more clearly a medical need for many women due to back pain.
 
Posted by LeRoc (# 3216) on :
 
quote:
Marvin the Martian: It has well and truly been diverted into a discussion of the morality of her boob job, possibly because that's the only thing about her the lefties can bring themselves to defend And they have to defend her somehow, because she's working class and therefore can do no wrong. Unless said wrong can ultimately be laid at the door of someone who is either upper class or tory, of course.
I'll ignore your dumb swipe at the left for a moment. What I'm defending here isn't so much Ms. Cunningham. I don't personally know her, but I do think some of the things she has said and done are rather daft.

What I am defending though is the sanctity of the relationship between a doctor and a patient. What happens there shouldn't be influenced by what other people find 'normal' or 'natural', it shouldn't be influenced by what other people think they can diagnose on the base of a newspaper photograph, and it shouldn't be influenced by what effect it would have on public opinion.

What do you think should be able to influence the relationship between you and your doctor?
 
Posted by Matt Black (# 2210) on :
 
Bzzzz! Lots of people already do: the admin staff in the Trust, the receptionist in the surgery, civil servants in the Dept of Health, government, etc, etc.

[ 02. October 2014, 11:58: Message edited by: Matt Black ]
 
Posted by Twilight (# 2832) on :
 
You have a point Marvin, and I really should have started a separate thread because I don't really know the particulars of this woman's "breast tissue" issues, but I do have a permanent bone to pick over the whole subject of breast implants.

Women's bodies of whatever height, weight or proportion were pretty well accepted and even desired for thousands of years, even while we played around with kohl around our eyes and henna on our hair -- all inexpensive and non-permanent.

Only in the last forty years have we gone to the unprecedented extreme of volunteered to pay thousands of dollars and submit ourselves to major surgery to make one particular part more enticing.* It's drastic.

The only thing comparable in history is the trend of foot binding in China and those women were seldom given a choice.

Today's modern post-feminist movement woman is volunteering for this! I think she believes her body is not satisfactory without this extreme Barbiefication of dieting to the point of almost zero body fat (thus losing most of her estrogen) while having a large surgically endowed top. Young men are growing up seeing this sort of model and believing it's the norm.

Women are buckling under the peer pressure and studies are showing that these same women are three times more likely to commit suicide. All those doctors, who we are told here not to question, are giving the okay for the surgery because the young women say they are depressed. Well great big Duh? If one's self-esteem is depending on something so superficial isn't that a red flag to begin therapy, not to try one other superficial thing that is sure to set up disappointment?

I'm against this trend, not as a moral judgment, but as a matter of human rights just as I would be over foot-binding. Sure, it's voluntary and legal, but shouldn't we be discouraging this rather than acting as though it's a painful right of passage that thousands of young women must endure to meet some arbitrary standard?

*Always accepting the small percentage who are correcting malformations and post surgical problems, of course.
 
Posted by Matt Black (# 2210) on :
 
[Overused]
 
Posted by Matt Black (# 2210) on :
 
quote:
Originally posted by Tubbs:
quote:
Originally posted by Matt Black:
quote:
Originally posted by North East Quine:
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

Do you have any evidence that the NHS doesn't prioritise life-saving medical treatment?
Herceptin.

[And, like seekingsister, I'm starting to get fed up with the way 'prioritise' is being misrepresented by some posters here]

It’s very expensive and no extra funds are made available for it so cuts would have to be made to other services to pay for it.
I accept that to a degree. I was asked for an example of where the NHS doesn't prioritise life-saving treatment, and this is one. I accept there are reasons for his.
quote:
What would you cut? Treatment for lifestyle related illnesses as these are self inflicted? The old as they’ll die soon anyway? Cosmetic treatments such as this one as a pair of socks down a bra will work just as well?
I can just as easily turn this around: given that the £4000 of this cosmetic procedure could have been spent elsewhere in the NHS, what would you cut to fund it?
quote:
The thing is, if people agree that treating women in these circumstances is fine,
The thing is, I'm not sure I do agree. (I'm not sure I disagree either, but I haven't even got to the point of agreeing so, for me, arguments about the 'morality' of cup-sizes don't really feature.)
 
Posted by quetzalcoatl (# 16740) on :
 
Tubbs wrote:

The thing is, if people agree that treating women in these circumstances is fine, why is it anyone’s business apart from the woman’s what cup size she selects? Or, what she decides to do with her life afterwards. They might not be life choices I’d make or want my daughter to make, but … And that’s not a lefty thing, it’s more about being tired of people demonising others for making choices that they themselves don’t approve of. Wanting to be a glamour model isn’t a crime last time I looked.

Yes, I don't get the lefty thing. It is the demonization which gets my goat; it is so common now in various tabloids and politicians. Attack the poor, attack women, attack the NHS - and here they had a joyful fusion of all of them. Very sick behaviour, but it is now the norm in British society, or some sections of it. It makes me quite fearful really, as to where we are heading.
 
Posted by North East Quine (# 13049) on :
 
I agree with Twilight's point regarding the wrongness of surgically altering bodies but I disagree with
quote:
The only thing comparable in history is the trend of foot binding in China and those women were seldom given a choice.
There is a long history of women's bodies being deformed by corsetry, which pushed ribs inwards, displacing internal organs. Belladonna in the eyes (to enlarge the pupils) caused immediate blurred vision and could lead to blindness in Elizabethan times. The "Alexandra limp" could cause hip problems. Etc etc etc.
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by Matt Black:
Maybe we should prioritise life-saving medical treatment?

...
quote:
What would you cut? Treatment for lifestyle related illnesses as these are self inflicted? The old as they’ll die soon anyway? Cosmetic treatments such as this one as a pair of socks down a bra will work just as well?
I can just as easily turn this around: given that the £4000 of this cosmetic procedure could have been spent elsewhere in the NHS, what would you cut to fund it?
quote:
The thing is, if people agree that treating women in these circumstances is fine,
The thing is, I'm not sure I do agree. (I'm not sure I disagree either, but I haven't even got to the point of agreeing so, for me, arguments about the 'morality' of cup-sizes don't really feature.) [/QUOTE]

I don't have a clue what should be cut and am grateful that I'll never be asked!

I suspect that most people would say that any treatments that could be considered cosmetic or for conditons that are lifestyle related should not be funded on the NHS. People should go private instead. So no breast ops, sex changes, obesity clinics, viagra, ferility treatment, addiction clinics, drink or drug related illnesses or ... See, I've saved a small fortune already!

Until, of course, they or someone they know needs treatment for these things. [Roll Eyes] Then it's the job, the duty of the NHS to treat them. For free. At the point of need.

Tubbs
 
Posted by quetzalcoatl (# 16740) on :
 
Yes, clearly treatment of alcohol-related or obesity-related conditions is absurd. Why should some drunk or fat bastard get free treatment, when they have brought it on themselves? Of course, some of them are drunk and fat, pathetic losers.

<In training as a Daily Mail journalist>
 
Posted by Doublethink (# 1984) on :
 
On that basis we'd stop funding most cancer treatment, and I am going to guess that no one would be in favour of that.
 
Posted by Heavenly Anarchist (# 13313) on :
 
I always start my teaching sessions on health inequalities with a debate on providing liver transplants to ex-alcoholics and end with a discussion as to which members of society are disadvantaged by withdrawal of such services.
Defining only 'innocent' health problems is very problematic. If we really withdrew NHS treatment for self inflicted illness then the NHS would save millions by not paying for blood pressure and heart treatments for those who eat too much salt or fat or lead stressful lives. My parents' cancers wouldn't have been treated either, I'm sure their meat laden Northern diet contributed to those, certainly my father's love of whisky wouldn't have helped with his stomach cancer.
Re: the original post, I have no problem with her surgery as it was for medical reasons. As to her size, the surgery is between her and her doctor, IMO. And for all we know she might have been given the same size that her female relatives were.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Doublethink:
On that basis we'd stop funding most cancer treatment, and I am going to guess that no one would be in favour of that.

Well, hang on a minute, what about these fat chavs who drink and smoke, while they sit at home on the sofa, on benefits, watching Sky TV all day?

Why should my taxes pay for their self-induced ailments?

Yours, disgusted tax-payer.
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by quetzalcoatl:
It is the demonization which gets my goat; it is so common now in various tabloids and politicians. Attack the poor, attack women, attack the NHS - and here they had a joyful fusion of all of them. Very sick behaviour, but it is now the norm in British society, or some sections of it. It makes me quite fearful really, as to where we are heading.

Quetzalcoatl, I love you, I really do. You're always out here ready to mix it up on the threads I'm interested in, and you're very nice about it .... but, on thread after thread, I have the, "You're wrong because you sound like the "Daily Mail," thing thrown in my face.

I'm tired of this. I never see the Daily Mail or any other tabloids. I read some Google News and watch the The Daily Show with Jon Stewart, CNN and listen to the National Public Radio, all relatively liberal.

Can't we just be responsible for our own considered opinions and not have to worry about sounding like any certain, disliked media?
 
Posted by Matt Black (# 2210) on :
 
Amen to that!
 
Posted by Curiosity killed ... (# 11770) on :
 
This episode of the BBC Radio 4 Philosopher's Arms discusses choice in the NHS. It's on Trolleyology, the philosophy behind making decisions, and one of the experts in the room has been part of the decision making for NICE (the National Institute for Clinical Excellence - the body that decides which treatments are affordable on the NHS).

(I ought to listen to it and see how much made the final edit, but there was a long discussion about how those decisions were made at the recording)
 
Posted by Jane R (# 331) on :
 
<sarcasm on> What about the fat cats who drink and smoke and overeat and sit in front of a desk ordering other people about all day? Let's stop funding their care instead, they can afford to pay for it themselves. <\sarcasm off>

Funny how the outrage is only over poor people being treated by the NHS. Rich people are treated by it too; even the ones with BUPA, because their BUPA plans won't cover pre-existing conditions, or chronic conditions, or emergency treatment, or corrective surgery when their private operation at the BUPA hospital goes horribly wrong; any of the above patients will get thrown straight back to the NHS. That's why the private sector is so "efficient"; they only do the easy stuff and they never have to clear up after themselves.

If spending £4000 on a (medically necessary) operation will turn someone who is too ill* to work into a tax-payer in gainful employment, I am really surprised that any right-winger would object to it. Especially someone who believes in the unfettered free market; why do you care what she does for a living? The more she earns, the more tax she pays (unless she can afford to have the same accountants as Google and Amazon).

If you want to complain about wasteful government spending, what about sending a bunch of Typhoons (unit cost, somewhere in the region of £30 million each) to destroy one rather second-hand-looking pick-up truck?

*I'm including mental illness here.
 
Posted by Tubbs (# 440) on :
 
quote:
Originally posted by quetzalcoatl:
Tubbs wrote:

The thing is, if people agree that treating women in these circumstances is fine, why is it anyone’s business apart from the woman’s what cup size she selects? Or, what she decides to do with her life afterwards. They might not be life choices I’d make or want my daughter to make, but … And that’s not a lefty thing, it’s more about being tired of people demonising others for making choices that they themselves don’t approve of. Wanting to be a glamour model isn’t a crime last time I looked.

Yes, I don't get the lefty thing. It is the demonization which gets my goat; it is so common now in various tabloids and politicians. Attack the poor, attack women, attack the NHS - and here they had a joyful fusion of all of them. Very sick behaviour, but it is now the norm in British society, or some sections of it. It makes me quite fearful really, as to where we are heading.

I hate to say this as it automatically means I’ve lost the argument, but if you take history as your example and think about the way media and political parties are taking about the sick and the disabled, it ends with Nazi Germany.

Tubbs

[ 02. October 2014, 13:55: Message edited by: Tubbs ]
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Twilight:
quote:
Originally posted by quetzalcoatl:
It is the demonization which gets my goat; it is so common now in various tabloids and politicians. Attack the poor, attack women, attack the NHS - and here they had a joyful fusion of all of them. Very sick behaviour, but it is now the norm in British society, or some sections of it. It makes me quite fearful really, as to where we are heading.

Quetzalcoatl, I love you, I really do. You're always out here ready to mix it up on the threads I'm interested in, and you're very nice about it .... but, on thread after thread, I have the, "You're wrong because you sound like the "Daily Mail," thing thrown in my face.

I'm tired of this. I never see the Daily Mail or any other tabloids. I read some Google News and watch the The Daily Show with Jon Stewart, CNN and listen to the National Public Radio, all relatively liberal.

Can't we just be responsible for our own considered opinions and not have to worry about sounding like any certain, disliked media?

I'm puzzled why you think my comments are about you. The post you cited mentioned tabloids and politicians - why do you think you sound like them, or that I think you sound like them?

I don't see the demonization expressed on this forum, but it is certainly going on in the right-wing press and in right-wing politicians, and also in Labour politicians. I find it scary - attacks on women, the disabled, the poor - where the hell are we going?
 
Posted by Gildas (# 525) on :
 
quote:
Originally posted by quetzalcoatl:
quote:
Originally posted by Doublethink:
On that basis we'd stop funding most cancer treatment, and I am going to guess that no one would be in favour of that.

Well, hang on a minute, what about these fat chavs who drink and smoke, while they sit at home on the sofa, on benefits, watching Sky TV all day?

Why should my taxes pay for their self-induced ailments?

Yours, disgusted tax-payer.

You don't even have to get into the stigmatisation game.

If I have an ingrowing toenail that can be sorted out for a couple of hundred quid, surely I should be expected to fork out rather than take money from deserving cancer patients? Granted my couple of hundred quid isn't going to count for very much in the scheme of things but replicate that across the board a few thousand ingrowing toenails per year is going to add up to quite a lot of cancer drugs for someone or other. I suspect that there are quite a lot of treatments on the NHS which are comparatively piffling in the scheme of things and which would cost a lot of us a comparatively small amount to pay for and which could be diverted into paying for the latest alleged wonderdrug that NICE are refusing to stump up for.

If, on the other hand, you want a National Health Service (and most of the electorate do, there's a reason the Labour Party bang on about it all the time when they are in the doldrums and why the SNP wouldn't shut up about it during the late referendum) as opposed to National Cancer Service then you are pretty much committed to forking out for stuff which is less pressing than deserving cancer victims.

I'm not a woman, so I'm guessing at this point, but I suspect that growing up with no breasts worth speaking of, or breasts of obviously different sizes or whatever is, in it's own way, at least as painful as an ingrowing toenail. And the surgeon who does these sort of ops has got to justify them to his peers who are all convinced that their particular specialism is the most deserving recipient of all that taxpayers moolah which is going begging so I would, frankly, be bogglingly surprised if the NHS was routinely dishing out frivolous boob jobs just for the heck of it.

So what we basically have, here, is our old friend, hard cases making bad law. Granted the case in the OP may not be exactly what the Blessed Nye Bevan (PBUH) quite had in mind but if the plan is to have free health care, by and large, available to the general population not all of it is going to be lavished on cancer victims with the morals of Marcus Aurelius. Of course there are going to be cases which make people sit up and say "hang on a mo, I'm not sure that's right" but I would rather, all things considered, that those decisions were made by clinicians on the basis of medical need than by unqualified persons on the basis of rather more subjective criteria.
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by quetzalcoatl:
quote:
Originally posted by Twilight:
quote:
Originally posted by quetzalcoatl:
It is the demonization which gets my goat; it is so common now in various tabloids and politicians. Attack the poor, attack women, attack the NHS - and here they had a joyful fusion of all of them. Very sick behaviour, but it is now the norm in British society, or some sections of it. It makes me quite fearful really, as to where we are heading.

Quetzalcoatl, I love you, I really do. You're always out here ready to mix it up on the threads I'm interested in, and you're very nice about it .... but, on thread after thread, I have the, "You're wrong because you sound like the "Daily Mail," thing thrown in my face.

I'm tired of this. I never see the Daily Mail or any other tabloids. I read some Google News and watch the The Daily Show with Jon Stewart, CNN and listen to the National Public Radio, all relatively liberal.

Can't we just be responsible for our own considered opinions and not have to worry about sounding like any certain, disliked media?

I'm puzzled why you think my comments are about you. The post you cited mentioned tabloids and politicians - why do you think you sound like them, or that I think you sound like them?

I don't see the demonization expressed on this forum, but it is certainly going on in the right-wing press and in right-wing politicians, and also in Labour politicians. I find it scary - attacks on women, the disabled, the poor - where the hell are we going?

Because:
Since my posts here have largely been "against the NHS" decision regarding this "poor" "woman" that puts me on their side, at least to some degree. So I feel included in the dreaded accusation of demonization of the NHS, the Poor, and Women.

This was at the root of our misunderstanding on the Pistorius thread:

a. I thought Pistorius should have a harsher sentence.

b. You railed against the "lynch mob in the media," who seemed to "want" Pistorius to go to prison.

c. I said maybe you "wanted" the victim to die.

d. You were surprised I was being so nasty.

Can't you see that if you say, in so many words, that the people in the media who share my opinion are horrible mean folk, that you are insulting me too?
 
Posted by quetzalcoatl (# 16740) on :
 
Twilight

I hadn't realized that you were attacking women, the poor, and the NHS! That is the agenda of the Daily Mail, and various right-wing politicians, and also some Labour politicians.

They use cases like 'the dozy chav', to quote the OP, to mount these attacks, since here they get them all in one package.

How on earth are you like that?
 
Posted by lilBuddha (# 14333) on :
 
quote:
Originally posted by North East Quine:
I agree with Twilight's point regarding the wrongness of surgically altering bodies but I disagree with
quote:
The only thing comparable in history is the trend of foot binding in China and those women were seldom given a choice.
There is a long history of women's bodies being deformed by corsetry, which pushed ribs inwards, displacing internal organs. Belladonna in the eyes (to enlarge the pupils) caused immediate blurred vision and could lead to blindness in Elizabethan times. The "Alexandra limp" could cause hip problems. Etc etc etc.
But this should be fixed by solving the problem, not punishing a victim.
 
Posted by quetzalcoatl (# 16740) on :
 
Surely nobody objects to surgically altering bodies per se, do they? I think what is meant is altering bodies for purely cosmetic purposes, and not medical ones. I don't think anybody has suggested that this case is like that though.
 
Posted by Albertus (# 13356) on :
 
quote:
Originally posted by quetzalcoatl:
quote:
Originally posted by Doublethink:
On that basis we'd stop funding most cancer treatment, and I am going to guess that no one would be in favour of that.

Well, hang on a minute, what about these fat chavs who drink and smoke, while they sit at home on the sofa, on benefits, watching Sky TV all day?

Why should my taxes pay for their self-induced ailments?

Yours, disgusted tax-payer.

What about me, then? Non-smoker, moderate drinker,taxpayer, generally take care of myself. Stepped out into traffic without looking while distracted by something else, knocked down (fortunately by pushbike rather than bus), olecronon fracture to elbow necessitating a couple of xrays, plaster, operation to pin it, follow-up physio, day surgery 18 months later to remove pins. My own bloody silly fault but the NHS did it all for me for free. Should I have been charged for all that?
 
Posted by Firenze (# 619) on :
 
Only if you used it to leverage a career in glamour modelling.
 
Posted by LeRoc (# 3216) on :
 
*mic drop*
 
Posted by rolyn (# 16840) on :
 
quote:
Originally posted by lilBuddha:
Men's magazines = big tits
Women's Magazines = rail thin
Try again.

Ok I will.
Many men like big tits agreed. Not though the perfect equation to women undergo big tit surgery *because* that's what men like. 'Like' being in terms of -- I selflessly dedicate this surgery to the sexual gratification of a man.

Good looking women tend to have an unfair career advantage in a man's world I'll grant you that one.

As for thin women in women's mags? No idea.
 
Posted by lilBuddha (# 14333) on :
 
Rolyn,

The competitive culture amoungst women you reference earlier exists because attractiveness has been seen as a woman's primary asset for millennia.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Albertus:
quote:
Originally posted by quetzalcoatl:
quote:
Originally posted by Doublethink:
On that basis we'd stop funding most cancer treatment, and I am going to guess that no one would be in favour of that.

Well, hang on a minute, what about these fat chavs who drink and smoke, while they sit at home on the sofa, on benefits, watching Sky TV all day?

Why should my taxes pay for their self-induced ailments?

Yours, disgusted tax-payer.

What about me, then? Non-smoker, moderate drinker,taxpayer, generally take care of myself. Stepped out into traffic without looking while distracted by something else, knocked down (fortunately by pushbike rather than bus), olecronon fracture to elbow necessitating a couple of xrays, plaster, operation to pin it, follow-up physio, day surgery 18 months later to remove pins. My own bloody silly fault but the NHS did it all for me for free. Should I have been charged for all that?
But are you sure that at the same time, you didn't have that chin modelled a little, so as to get that chiselled look? Just a little extra, you understand; we are a forgiving lot.
 
Posted by Albertus (# 13356) on :
 
Well, I'm afraid Firenze got it right. Elbow glamour modelling is rather a niche market, of course, but it's a fiercely competitive one. Google 'hot elbows' and you'll probably find one of mine. There, my shameful secret is out.

[ 02. October 2014, 22:06: Message edited by: Albertus ]
 
Posted by L'organist (# 17338) on :
 
I've got so much metal work propping me up the children plan to have it all removed post mortem, sell it for scrap (a lot is titanium) and use the proceeds for the wake.
 
Posted by lilBuddha (# 14333) on :
 
Albertus?
 
Posted by Albertus (# 13356) on :
 
Oh the shame, the shame, it is. You need a prosthesis to do that, you know!
 
Posted by Leaf (# 14169) on :
 
seekingsister: Since we're playing thought experiments, I have one that may avoid what you find a moral or ethical hazard. You object that in the case of this woman's augmentation, the result is not typical.

All the NHS would have to do would come up with the range of all possible breast sizes for women of that age, height, BMI, ethnicity, etc. and then have a lottery! The patient would get the chance at a random draw of augmentation size. Hey, if it works for Mother Nature, why not the NHS?

"Ooh, I hope I get the D cup! Aw, crap... EEE?! Guess I'm off to the specialty lingerie store, for the rest of my life."

Or, it could be left as a decision between a patient and her doctor.
 
Posted by Figbash (# 9048) on :
 
quote:
Originally posted by North East Quine:
I agree with Twilight's point regarding the wrongness of surgically altering bodies but I disagree with
quote:
The only thing comparable in history is the trend of foot binding in China and those women were seldom given a choice.
There is a long history of women's bodies being deformed by corsetry, which pushed ribs inwards, displacing internal organs.
I suppose the fact that there's no actual evidence for displaced ribs / organs as a consequence of corsetry doesn't bother you, because it's one of those things that everyone knows. And why do you know it? Because it's one of the various grotesque claims made by Victorian anti-corsetry activists in their attempt to halt the trend for tight lacing. Like the claims about women fainting, or dying due to their tight lacing, or the nonsense about women removing ribs.

And who were these anti-corsetry activists? Sisters outraged at the things their sisters were forced into? No. They were men.

Examination of the literature of the period shows tight-lacing as an exclusively woman-led phenomenon, a passion indulged in despite the opposition of brothers and fathers and husbands. It was, in fact, a kind of proto-feminist revolt, an assertion of identity and right to control one's one body.

As to Twilight's claim, it is clearly entirely incorrect, and in itself an unacceptable form of authoritarianism. Perhaps, as the case of tight-lacing demonstrates, you should talk to the women who want to modify their bodies instead of simply condemning them.
 
Posted by orfeo (# 13878) on :
 
quote:
Originally posted by Jane R:
*I'm including mental illness here.

Nah. Not real. If you can't see it it's not a 'proper' illness. [Biased]

Anyway, on the question of health care costs... I'm curious whether any UK Shipmates have seen the series Food Hospital, which I've stumbled across here recently. In some respects it's a bit light and fluffy, but it does seem to have a serious basic point, which is that NHS costs could be significantly reduced by addressing some conditions through diet rather than medical interventions like pills. The show has illustrated that even conditions that are technically incurable can sometimes be managed very effectively through dietary changes.

Thinking like that seems a far more effective means of making the health budget stretch further, rather than making moral judgements. There have been quite a few cases on the show where they've said that a person's weight is a contributor to their health problem, but rather than saying "we won't help you because you're fat", they've said "let's help you NOT BE fat so that your health problem resolves/reduces, and then the need to help you in some other way will no longer exist".
 
Posted by Heavenly Anarchist (# 13313) on :
 
quote:
Originally posted by orfeo:
quote:
Originally posted by Jane R:
*I'm including mental illness here.

Nah. Not real. If you can't see it it's not a 'proper' illness. [Biased]

Anyway, on the question of health care costs... I'm curious whether any UK Shipmates have seen the series Food Hospital, which I've stumbled across here recently. In some respects it's a bit light and fluffy, but it does seem to have a serious basic point, which is that NHS costs could be significantly reduced by addressing some conditions through diet rather than medical interventions like pills. The show has illustrated that even conditions that are technically incurable can sometimes be managed very effectively through dietary changes.

Thinking like that seems a far more effective means of making the health budget stretch further, rather than making moral judgements. There have been quite a few cases on the show where they've said that a person's weight is a contributor to their health problem, but rather than saying "we won't help you because you're fat", they've said "let's help you NOT BE fat so that your health problem resolves/reduces, and then the need to help you in some other way will no longer exist".

I used to be a nurse in a NHS obesity clinic held by an endocrinologist. We had a programme which combined medical supervision with that of a dietician and a psychologist and it was very popular and successful (I worked in the clinic whilst pregnant and the patients used to comment on my growing size as I'm only 4 foot 11 and spent several months looking like very round). Referrals were mainly from GPs but also hospital physicians.
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by Figbash:


Examination of the literature of the period shows tight-lacing as an exclusively woman-led phenomenon, a passion indulged in despite the opposition of brothers and fathers and husbands. It was, in fact, a kind of proto-feminist revolt, an assertion of identity and right to control one's one body.

As to Twilight's claim, it is clearly entirely incorrect, and in itself an unacceptable form of authoritarianism. Perhaps, as the case of tight-lacing demonstrates, you should talk to the women who want to modify their bodies instead of simply condemning them.

I have condemned no one. I have asked why and deplored the trend not the women who follow it.

I think your view that men play no part in all this is short sighted. Yes, it's women who laced themselves into eighteen inch waists but it was men who, at that point in history found tiny waists desirable and attractive. If the most sought after debutante at the ball had a tiny waist, then the next ball might show that women had laced themselves more tightly. If the only Chinese women who were making good marriages had tiny feet, then the mothers might go home and have their daughters' feet bound. If most of the women chosen by the football team to make their cheerleading squad or Playmate of the year, have breast implants -- young women who think this is the way forward in those careers are going to make that choice.

Yes, it's usually the woman who makes the appointment with the foot binder or the plastic surgeon but it's men who are driving the need. That doesn't mean I particularly blame men for any of these things because women have to be complicit for it to work, but to say it's all a "passion" of women that men play no part in seems naïve to me.

Evidence that all those things are discouraged by men for their sisters and daughters is not surprising. Men have never much wanted their sisters and daughters to be sex objects.

I've known lots of women with breast implants and they all say they didn't do it to please men but to please themselves. I find it hard to believe that if they lived on deserted islands with no men in sight they would still want to have balls of saline inserted in their chests to make every movement more cumbersome and awkward.

Some of them might say they got their large implants as an expression of power, a desire to look like the women super-heroes in comic books drawn by men, they might as you suggest say "it is a kind of proto-feminist revolt, an assertion of identity and right to control one's one body." So might the women say this who have or perform genital mutilation. Wouldn't a better more logical feminist revolt be a refusal to do any of these things and to control ones own body by taking charge of birth control? Is it just coincidence that they are "asserting their identity" by playing to the fantasy of many men? Why aren't they asserting their identity by having large biceps implanted or shaving their heads?

I just don't buy any of this. I think it's actually a sad desire to meet a false and superficial ideal that turns women into objects of sexual desire.
 
Posted by Penny S (# 14768) on :
 
I've just been catching up with a programme on differences between male and female brains. Interestingly, or not, the male presenter believed that the differences were there and were innate, and the female believed that the differences were tiny, and emphasised by the plasticity of the brain and its response to social and environmental conditions. I came on here to make a comment about their vox pop (elsewhere) when reading this thread again struck me as making the programme relevant to it. All the practices mentioned have been ones which made the differences between the bodies of the women concerned and those of men much more apparent, pushing themselves to an extreme version of female. That some of these practices make them less able to carry and nurture offspring is a bit ironic.

[ 03. October 2014, 21:37: Message edited by: Penny S ]
 
Posted by Figbash (# 9048) on :
 
quote:
Originally posted by Twilight:
quote:
Originally posted by Figbash:


Examination of the literature of the period shows tight-lacing as an exclusively woman-led phenomenon, a passion indulged in despite the opposition of brothers and fathers and husbands. It was, in fact, a kind of proto-feminist revolt, an assertion of identity and right to control one's one body.

As to Twilight's claim, it is clearly entirely incorrect, and in itself an unacceptable form of authoritarianism. Perhaps, as the case of tight-lacing demonstrates, you should talk to the women who want to modify their bodies instead of simply condemning them.

I have condemned no one. I have asked why and deplored the trend not the women who follow it.

I think your view that men play no part in all this is short sighted. Yes, it's women who laced themselves into eighteen inch waists but it was men who, at that point in history found tiny waists desirable and attractive.

So why did they rail against the trend for narrow waists, complaining that they made women unnatural, undesirable and unhealthy?
quote:

If the most sought after debutante at the ball had a tiny waist, then the next ball might show that women had laced themselves more tightly. If the only Chinese women who were making good marriages had tiny feet, then the mothers might go home and have their daughters' feet bound. If most of the women chosen by the football team to make their cheerleading squad or Playmate of the year, have breast implants -- young women who think this is the way forward in those careers are going to make that choice.

And so it is impossible that women might want to reshape their bodies for their own reason. Maybe even because men didn't want them to?

Your argument shows the standard fallacy of feminist theory. It assumes that all women (save, of course, the feminist theorist) are pliant victims who are incapable of doing anything save because men want them to. This is deeply offensive to women. It is also deeply patronising, in that the feminist theorist appears to believe that she has the right to say what women should and should not do, which makes me wonder in what way she is meant to be better than the patriarchs. And worst of all, it has little, if any, basis in truth.

Take, as a case in point, the replacement of midwives with doctors bearing forceps. The feminist myth is that this was imposed on women by their husbands, determined to break up the cosy feminine world of the birthing chamber, and replace it with cold male science. Unfortunately, reference to the events shows that it was women who demanded the doctors and their devilish devices, for the very simple reason that they liked something that reduced the chance of dying or being seriously injured. Opposition came from men, who feared the presence of sexy male doctors in their wives' bedrooms, and who also rather liked the fact that the midwives tended to ask them whether to save the mother or the child, whereas the doctors had a distressing tendency to ask the mother...

But I'm sure you won't buy that either.
quote:


Yes, it's usually the woman who makes the appointment with the foot binder or the plastic surgeon but it's men who are driving the need.

How do you know? Do you have any evidence? Or is it just something that feminist theory teaches you in its 'All women but me are victims 101' class?
quote:

That doesn't mean I particularly blame men for any of these things because women have to be complicit for it to work, but to say it's all a "passion" of women that men play no part in seems naïve to me.

No, it's naive to think that women cannot get excited by things that the sisters, with their complete lack of historical context, and lack of interest in understanding viewpoints other than their own, have decided to disapprove of. If you read the correspondence in the ladies' magazines of the period, or the horrified commentary by their menfolk, you might see why one might describe it as a passion. People can be passionate about all kinds of things, and it is deeply patronising to assert that women cannot be passionate about something, just because you have (post facto) decided that men might like it.

And, if you want to know, part of the reason for the excitement about tight lacing could relate to the fact, suggested by a certain amount of medical evidence, that it can induce a state of mild orgasm...

quote:

Evidence that all those things are discouraged by men for their sisters and daughters is not surprising. Men have never much wanted their sisters and daughters to be sex objects.

Oh come on, that is just full of unspoken assumptions. You have decided that men objected because they saw it as sexy. Do you have any proof of that? Do you even know that they did find it sexy? Evidence from contemporary sources (including a large number of quite nasty cartoons in Punch) suggests that they did not.

quote:

I've known lots of women with breast implants and they all say they didn't do it to please men but to please themselves. I find it hard to believe that if they lived on deserted islands with no men in sight they would still want to have balls of saline inserted in their chests to make every movement more cumbersome and awkward.

And it doesn't strike you that that attitude is astonishingly arrogant? Would it not be better to perhaps accept that these women know what they are talking about? You have merely decided that they are wrong. And why should it matter if there are men about? The fact that men might see it doesn't make their decision any less self-empowered.

quote:

Some of them might say they got their large implants as an expression of power, a desire to look like the women super-heroes in comic books drawn by men, they might as you suggest say "it is a kind of proto-feminist revolt, an assertion of identity and right to control one's one body."

Oh dear, oh dear. Do you actually read comic books? Real comic books? Some of the most well endowed characters have been drawn by women. You check out the work of Melinda Gebbie or Dame Darcy for a start. And, of course, the spectacularly endowed women drawn by the great Amanda Conner. Now Conner, famously drew Power Girl (Shock horror: woman draws superheroine with boobs!), who is extremely popular with more statuesque cosplayers everywhere. Now, you would (on the basis of the above) assert that this is because they want men to like them. Well, no. What they actually say is this: in a society where the image portrayed of feminine perfection is a stick with a duck's beak on top, it is hugely empowering to be able to identify with a character who is (a) stacked, (b) notoriously bad tempered whenever any male even tries suggesting she do something, (c) Kryptonian, and hence immensely strong, invulnerable, super intelligent, etc. Regardless of the 'I know better' argument deployed above, this is not women wanting to please the patriarchy.

quote:

So might the women say this who have or perform genital mutilation. Wouldn't a better more logical feminist revolt be a refusal to do any of these things and to control ones own body by taking charge of birth control? Is it just coincidence that they are "asserting their identity" by playing to the fantasy of many men? Why aren't they asserting their identity by having large biceps implanted or shaving their heads?

And isn't it arrogant to assume that one knows what is going on better than they, with little knowledge of their context or culture? What gives first world white (I assume) women the right to assume that their issues are those of everyone else?
quote:

I just don't buy any of this. I think it's actually a sad desire to meet a false and superficial ideal that turns women into objects of sexual desire.

And I don't buy the desire to impose the really very, very unpleasant world view of feminist theory on women and men all over the world. It looks at the world and sees all men as vicious exploiters and all women as dumb slaves. It sees women the world over who insist that its interpretation of their actions is wrong, and replies that it doesn't buy it, and they must be victims really. If any of its practitioners had the slightest shadow of intellectual integrity, they would see this as reason to dump the theory and get a better one. One must conclude that they do not.
 
Posted by lilBuddha (# 14333) on :
 
Originally posted by Figbash:
quote:
How do you know? Do you have any evidence? Or is it just something that feminist theory teaches you in its 'All women but me are victims 101' class?

Alright then, you tell us how women have been valued through the millennia.
 
Posted by Figbash (# 9048) on :
 
quote:
Originally posted by lilBuddha:
Originally posted by Figbash:
quote:
How do you know? Do you have any evidence? Or is it just something that feminist theory teaches you in its 'All women but me are victims 101' class?

Alright then, you tell us how women have been valued through the millennia.
I don't think I said that they had been. My complaint is at the extraordinary, and frankly insulting to women, theory that just about anything any woman does, that a feminist theorist doesn't like, must be done, not because she is a free agent, but because men are making her do it. In other words, a woman is only truly being herself if she does exactly what the sisters say she should. Is it just me, or is this not simply exchanging one tyranny for another?

Moreover, I am sure that the word 'valued' is loaded in such a way that, no matter how I respond, no matter how strong my evidence, you will still find some way of claiming that it doesn't really constitute women being valued, but is merely exploitation. That is, of course, the advantage of overarching single narrative theories: they can be used to explain anything (and nothing).

But here goes. Two examples.
I could go on, but your question is disingenuous. You appear to imply that no woman has ever been valued in any way at all. That this is nonsense scarcely needs saying. It depends on a definition of 'value' that allows more or less anything to be written off as exploitation. So being 'valued' only counts if it accords with your idea of 'value'.

In other words, it is a determination to adopt victimhood as a badge of honour. Which is where we started in on all this.
 
Posted by Soror Magna (# 9881) on :
 
quote:
Originally posted by orfeo:
... There have been quite a few cases on the show where they've said that a person's weight is a contributor to their health problem, but rather than saying "we won't help you because you're fat", they've said "let's help you NOT BE fat so that your health problem resolves/reduces, and then the need to help you in some other way will no longer exist".

But OMG! that's not lifesaving treatment! What about the children with cancer?
<yes, sarcasm>
One fundamental drawback of prioritizing life-saving treatment is that preventative care gets less priority. Even though preventative care gets more bang for the buck, in so many ways.
 
Posted by orfeo (# 13878) on :
 
quote:
Originally posted by Soror Magna:
quote:
Originally posted by orfeo:
... There have been quite a few cases on the show where they've said that a person's weight is a contributor to their health problem, but rather than saying "we won't help you because you're fat", they've said "let's help you NOT BE fat so that your health problem resolves/reduces, and then the need to help you in some other way will no longer exist".

But OMG! that's not lifesaving treatment! What about the children with cancer?
<yes, sarcasm>
One fundamental drawback of prioritizing life-saving treatment is that preventative care gets less priority. Even though preventative care gets more bang for the buck, in so many ways.

In a couple of cases they flatly said it WAS life-saving treatment. They told a couple of patients what their current life expectancy was, and it was not flattering.
 
Posted by lilBuddha (# 14333) on :
 
quote:
Originally posted by Figbash:

Moreover, I am sure that the word 'valued' is loaded in such a way that, no matter how I respond, no matter how strong my evidence, you will still find some way of claiming that it doesn't really constitute women being valued, but is merely exploitation.

Not loaded. Doubting, yes, but not loaded. You list the women of Sparta, but they were not only different to Athens, but the rest of Greece and the Mediterranean. And yes, the list is longer than that. It does not change that the great majority of women in the great majority of societies have been valued primarily for bearing children and that attractiveness has been a main factor in gaining a mate.

quote:
Originally posted by Figbash:

That is, of course, the advantage of overarching single narrative theories: they can be used to explain anything (and nothing).

And you do not see your "feminist agenda" argument is exactly this?


quote:
Originally posted by Figbash:

In other words, it is a determination to adopt victimhood as a badge of honour. Which is where we started in on all this.

No determination to adopt victimhood. It is the same argument faced by black people in the West.
If one is never allowed to point out the wrongs, the wrongs will not be righted.

Victimhood is a label for the ones who never try.
Not for the for the ones who shine a light on the very real obstacles in their path as they move forward.
 
Posted by Gee D (# 13815) on :
 
Perhaps Ms Cunningham could contact Geoffrey Edelsten, who seems to have a preference for pneumatic women much younger than he.

On a much more serious note a 15 or 16 year old girl showing no breast development, would seem to have some problem requiring medical treatment. Both here and in the UK, that sort of treatment is and ought be available through the public health system, free of charge to her. It is unfortunate that either she was not better advised as to a suitable result, or chose not to accept any such advice. If the latter, perhaps an over-reaction to her flat-chestedness?
 
Posted by Autenrieth Road (# 10509) on :
 
What are the suitable size of breasts a woman should have?
 
Posted by Gee D (# 13815) on :
 
Good point, but I think you know what I mean. Apart from anything else, think a few years down the track, some more children perhaps, and the usual effect of age - she may well be very uncomfortable. But as my avatar suggests, I'm a grumpy old man.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by Autenrieth Road:
What are the suitable size of breasts a woman should have?

Yes, we are back to the issue of authority, or in fact, authoritarianism. Should we have a situation where a patient is offered choice, but then told that her choice is not acceptable? Or the NHS could simply offer no choice - but I think that goes against one of its philosophical bases.
 
Posted by Boogie (# 13538) on :
 
quote:
Originally posted by Autenrieth Road:
What are the suitable size of breasts a woman should have?

The size she is comfortable with.
 
Posted by quetzalcoatl (# 16740) on :
 
I was interested in the points made by Figbash, for example, on tightlacing, that in fact, this was often desired by women, and not imposed by men. And also, that various fantasies about damage to internal organs were common in the 19th century - I think doctors and clergymen were often opposed to tightlacing. I'm not sure why clergymen were, perhaps some kind of moral objection to female curves?

But the thing I find puzzling is that this is often a matter of interpretation. How do we tie this down empirically?

One of the problems here is to do with unconscious motives - did women want corsets because men wanted a certain body shape in women? And were they aware of that motive? There are many anecdotes of mothers tightlacing their daughters - to achieve the desired body shape. But does this mean that corsets were part of female culture?
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by Figbash:

Your argument shows the standard fallacy of feminist theory. It assumes that all women (save, of course, the feminist theorist) are pliant victims who are incapable of doing anything save because men want them to. This is deeply offensive to women. It is also deeply patronising, in that the feminist theorist appears to believe that she has the right to say what women should and should not do, which makes me wonder in what way she is meant to be better than the patriarchs. And worst of all, it has little, if any, basis in truth.



Or is it just something that feminist theory teaches you in its 'All women but me are victims 101' class?

If you read the correspondence in the ladies' magazines of the period, or the horrified commentary by their menfolk, you might see why one might describe it as a passion.




And I don't buy the desire to impose the really very, very unpleasant world view of feminist theory on women and men all over the world. It looks at the world and sees all men as vicious exploiters and all women as dumb slaves. It sees women the world over who insist that its interpretation of their actions is wrong, and replies that it doesn't buy it, and they must be victims really. If any of its practitioners had the slightest shadow of intellectual integrity, they would see this as reason to dump the theory and get a better one. One must conclude that they do not.

You seem to be blaming me for all the "feminist theory," in the world simply because I'm against the trend of implanting artificial breasts. I've actually never had a course in feminist theory or read any books on the subject, so it's odd that you think I'm quoting from freshman class 101.

I don't blame men for everything wrong in the world of women and I've never viewed women as helpless victims of the patriarchy.

You are correct about one thing. I haven't read a comic book since I was ten years old when men wrote most of them.

As to tight lacing, I'll take the overall evidence of paintings, photographs and description in novels written at the time, over magazines of the period with specific viewpoints and letters chosen to support that viewpoint.

This thread is about breast implants (along with the NHS) and I certainly don't see women as helpless victims in this. Neither do I see the women who chose to have them as self-empowering Amazons using large breasts as a symbol of their own passion for themselves. I think it's a fashion. Like most fashions there are a number of people who will follow it just because everyone else is doing it, some who feel pressured to conform and some who think the opposite sex wont find them attractive without it.

I think this particular fashion is drastic, invasive and rather stupid. That's my opinion as an individual, not as a spokesperson for feminist theory and not something I'm demanding the "sisters," as you so offensively call them, get on board with.
 
Posted by Autenrieth Road (# 10509) on :
 
quote:
Originally posted by Gee D:
Good point, but I think you know what I mean. Apart from anything else, think a few years down the track, some more children perhaps, and the usual effect of age - she may well be very uncomfortable. But as my avatar suggests, I'm a grumpy old man.

No, I don't know what you mean, and your explanation seems like a post hoc rationalization.

quote:
Originally posted by Boogie:
quote:
Originally posted by Autenrieth Road:
What are the suitable size of breasts a woman should have?

The size she is comfortable with.
Exactly.
 
Posted by Late Paul (# 37) on :
 
The thing about restricting NHS boob-jobs to appropriate sizes is that it's using medical rules to try to effect cultural change i.e. we (society) decide that disproportionate large fake breasts are part of a wider pattern of objectification of women and we want to change that by not paying for them. I think if there were were implants on demand on the NHS then I might agree with that, but as we're talking about a procedure that has a medical justification I'm uncomfortable with imposing a moral judgement on the individual patient.

I'm in favour of trying to change the negative cultural norms but to do so using the small minority of women who are in medical need, and who are arguably more vulnerable anyway, seems high-handed to me. It'll also be futile if similar restrictions aren't placed on private operations.

How about this instead: tax private cosmetic surgery and use the money to fund public information campaigns promoting positive body image?
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by Late Paul:
The thing about restricting NHS boob-jobs to appropriate sizes is that it's using medical rules to try to effect cultural change i.e. we (society) decide that disproportionate large fake breasts are part of a wider pattern of objectification of women and we want to change that by not paying for them. I think if there were were implants on demand on the NHS then I might agree with that, but as we're talking about a procedure that has a medical justification I'm uncomfortable with imposing a moral judgement on the individual patient.

I don't think anyone is expecting the doctors to effect cultural change, or to make moral judgments, just that they stick to medicine and stay away from fads. I know that if I went to my dentist to replace a missing tooth and asked him to make vampire fangs, he would refuse on the grounds that he's a serious dentist and not a Hollywood special effects artist. By the same token a doctor who is working to correct abnormally small breasts probably shouldn't be going to the opposite extreme for show business reasons. It's not a moral judgment to make reasonable esthetic decisions.


quote:
How about this instead: tax private cosmetic surgery and use the money to fund public information campaigns promoting positive body image?

Now that I would be against. I think what people pay for privately is their own right, be it eight holes in each ear or three breasts, provided they can find a private doctor who is willing to take their money.

I would like to see cultural change in this as well, but I think it has to come from within, not through any sort of government action.
 
Posted by Soror Magna (# 9881) on :
 
While we're arguing about the right size of boob job, let's not forget how this thread began:

quote:
Girls don't worry if ur results are poor - you can always have a career getting your t***s out or escorting.
She's not wrong in describing the actual state of affairs in our society and many others. Women's bodies have always been an exploitable commodity. The arguments above about feminist theory* seems to be about who is exploiting whom.

* And I have no idea what anyone here means by feminist theory, because there are many theories of feminism. Maybe she's a socialist feminist and being ironic. [Razz]
 
Posted by rolyn (# 16840) on :
 
quote:
Originally posted by Soror Magna:
The arguments above about feminist theory seems to be about who is exploiting whom.

Most, if not all discussions about female porn, prostitution, or the general enhancement of female sexuality distill down to the self-same point.
Who exactly is doing the the exploiting? And which party, male or female, is the one exploited?

Finding agreement with something Twilight said above I too personally dislike the idea of silicone implants, as that which nature provided is often the most beautiful. Having said that I can still understand why many women feel the need to have it done.

No one here is knocking medical advancements that allow people who have been disfigured through injury or illness to be restored, whether it be a woman who's had a mastectomy or a man blown up by a landmine.
 
Posted by Late Paul (# 37) on :
 
quote:
Originally posted by Twilight:
quote:
Originally posted by Late Paul:
The thing about restricting NHS boob-jobs to appropriate sizes is that it's using medical rules to try to effect cultural change i.e. we (society) decide that disproportionate large fake breasts are part of a wider pattern of objectification of women and we want to change that by not paying for them. I think if there were were implants on demand on the NHS then I might agree with that, but as we're talking about a procedure that has a medical justification I'm uncomfortable with imposing a moral judgement on the individual patient.

I don't think anyone is expecting the doctors to effect cultural change, or to make moral judgments, just that they stick to medicine and stay away from fads.
But by even calling it a "fad" you're invoking a cultural argument. And even if it is a "fad" (personally I think something that's been around as long as implants and shows no signs of disappearing has outlived the fad phase) then saying that it's wrong to follow fads is a moral judgement.

quote:
I know that if I went to my dentist to replace a missing tooth and asked him to make vampire fangs, he would refuse on the grounds that he's a serious dentist and not a Hollywood special effects artist.

Another comparison might be where you are having a "normal" tooth but you and your dentist disagree on which is the best colour match. Choice of analogy tells us something about where our values lie.

quote:
By the same token a doctor who is working to correct abnormally small breasts probably shouldn't be going to the opposite extreme for show business reasons.

Well I'm not talking about the OP specifically, but I understand that the comments about getting implants for career purposes were made after she'd had hers done for medically sound reasons.

But even so, I'd argue that where there are medically equivalent options then the choice should go to the patient. The patient's reasons for their choice are then their own business.

quote:
It's not a moral judgment to make reasonable esthetic decisions.
See I think it is. If two courses of treatment are medically equivalent but have different aesthetic outcomes then telling the patient that her choice is not "reasonable" is a moral judgement. Why should the doctor, the NHS or society at large get to say that her aesthetics are unreasonable?

If the answer is that it's because we're paying then that's using medical treatment to effect cultural purposes. I suspect there are people who are OK with that but I'm saying it makes me a little uncomfortable to go down that route.

quote:
quote:
How about this instead: tax private cosmetic surgery and use the money to fund public information campaigns promoting positive body image?

Now that I would be against. I think what people pay for privately is their own right, be it eight holes in each ear or three breasts, provided they can find a private doctor who is willing to take their money.

It's their right but so are a lot of things that we tax. Using tax as a disincentive toward certain activities as well as a way of raising money is a well trodden path.

Still I don't think it's likely to happen - but I was just trying to imagine something that would be the sort of thing one could do to discourage cosmetic surgery if one thought that it was a negative thing.

quote:
I would like to see cultural change in this as well, but I think it has to come from within, not through any sort of government action.
But restricting which cup size of implants a woman can get on the NHS would be a "sort of government action".

As I said it was more a thought experiment than a real suggestion, but it occurred to me because as well as dubious - to my mind - to try to effect such social changes through medicine, it's also targetting the minority of cases where implants are done on the NHS. So the message gets muddled up with ability to pay and it looks like an attack on poor women. The tax-PI plan was an attempt to think about a more level playing field.
 
Posted by Enoch (# 14322) on :
 
quote:
Originally posted by Soror Magna:
While we're arguing about the right size of boob job, let's not forget how this thread began:

quote:
Girls don't worry if ur results are poor - you can always have a career getting your t***s out or escorting.
She's not wrong in describing the actual state of affairs in our society and many others. Women's bodies have always been an exploitable commodity. The arguments above about feminist theory* seems to be about who is exploiting whom.

* And I have no idea what anyone here means by feminist theory, because there are many theories of feminism. Maybe she's a socialist feminist and being ironic. [Razz]

Perhaps she's implicitly arguing that it's a good thing that the government is providing an operation that better fits her for the oldest profession, that so it should, this operation should be available under a start-up grant and other girls should do the same.

From that, the next step is the ultimate logic of some right-wing free-marketeers, that unemployed benefit should be withheld from young women unless they can show they have tried this career option and failed.

[ 05. October 2014, 13:12: Message edited by: Enoch ]
 
Posted by Twilight (# 2832) on :
 
quote:
Originally posted by Late Paul:
But by even calling it a "fad" you're invoking a cultural argument. And even if it is a "fad" (personally I think something that's been around as long as implants and shows no signs of disappearing has outlived the fad phase) then saying that it's wrong to follow fads is a moral judgement.


Only I never once said, or implied, that it was wrong to follow fads.
I said I thought doctors should stick to the business of health and leave fashion, including cosmetic surgery, to the people who work in those fields.

I wouldn't ask my doctor to give me botox injections or a tattoo and I wouldn't ask my dentist to knock out a healthy tooth and put in a gold one. It's against their oath to do no harm and their primary mission to fight disease.



quote:
If the answer is that it's because we're paying then that's using medical treatment to effect cultural purposes. I suspect there are people who are OK with that but I'm saying it makes me a little uncomfortable to go down that route.

I haven't said a word about the cost. It makes me extremely uncomfortable to bring money into health decisions. Of course my whole point is that I don't think huge implants have much to do with health.

I am also uncomfortable with the way you keep putting words, and attitudes like this, in my mouth. Talk about moral judgment.
 
Posted by RuthW (# 13) on :
 
quote:
Originally posted by Figbash:
Examination of the literature of the period shows tight-lacing as an exclusively woman-led phenomenon, a passion indulged in despite the opposition of brothers and fathers and husbands. It was, in fact, a kind of proto-feminist revolt, an assertion of identity and right to control one's one body.

This is very interesting. Could you refer me to the literature you mention? And where can I read about how women preferred doctors with forceps to midwives?

quote:
[Your argument shows the standard fallacy of feminist theory. It assumes that all women (save, of course, the feminist theorist) are pliant victims who are incapable of doing anything save because men want them to. This is deeply offensive to women. It is also deeply patronising, in that the feminist theorist appears to believe that she has the right to say what women should and should not do, which makes me wonder in what way she is meant to be better than the patriarchs. And worst of all, it has little, if any, basis in truth.
You're painting with a very broad brush here. Google something like feminism + complicity + resistance and you'll find that there are plenty of feminist scholars who recognize that it's a lot more complicated than that.
 
Posted by Late Paul (# 37) on :
 
quote:
Originally posted by Twilight:
quote:
Originally posted by Late Paul:
But by even calling it a "fad" you're invoking a cultural argument. And even if it is a "fad" (personally I think something that's been around as long as implants and shows no signs of disappearing has outlived the fad phase) then saying that it's wrong to follow fads is a moral judgement.


Only I never once said, or implied, that it was wrong to follow fads.



You said that doctors shouldn't follow fads. You also made it clear earlier in the thread that you think that this particular fad is a bad thing:

quote:
I'm against the trend of implanting artificial breasts
I'm really not trying to put words in your mouth, but it seemed like a reasonable inference that you would think following this particular fad would be a bad thing.

quote:
I said I thought doctors should stick to the business of health and leave fashion, including cosmetic surgery, to the people who work in those fields.


But in the case where cosmetic surgery is done for medical reasons you can't entirely separate the "fashion" part. And if the choice is between an approved cup-size NHS operation and none (due to lack of money) then that would be imposing societal standards on an individual. It's that that I'm unhappy with regardless of whether I share those particular standards or not.

quote:
I wouldn't ask my doctor to give me botox injections or a tattoo and I wouldn't ask my dentist to knock out a healthy tooth and put in a gold one. It's against their oath to do no harm and their primary mission to fight disease.
The problem with those analogies is that we've already established that the NHS doesn't do implants for purely cosmetic purposes. So the closer analogy would be an unhealthy tooth that you have replaced with one with a particular aesthetic look.


quote:
quote:
If the answer is that it's because we're paying then that's using medical treatment to effect cultural purposes. I suspect there are people who are OK with that but I'm saying it makes me a little uncomfortable to go down that route.

I haven't said a word about the cost. It makes me extremely uncomfortable to bring money into health decisions. Of course my whole point is that I don't think huge implants have much to do with health.



I didn't say you'd brought money into it. I brought money into it. I brought it up because I was anticipating it as a possible response to my point (and not necessarily from you). And I brought it up because it's been mentioned before on this thread.

It makes me uncomfortable too. I also think it's an inescapable facet of the discussion of medical priorities.

quote:
I am also uncomfortable with the way you keep putting words, and attitudes like this, in my mouth. Talk about moral judgment.
I'm sorry if it comes across like that, it's really not my intent.

I'm trying to argue against a particular idea (medically necessary implants should be restricted in size) not a person. That's what we do in Purgatory isn't it? So my points about moral judgement etc aren't directed at you personally, they are directed at the idea. I think that if, as a society, we were to implement these restrictions then we, as a society, would be making medicine a tool of cultural change and making moral judgements. I'm not saying "Twilight is making moral judgements"
 
Posted by no prophet (# 15560) on :
 
While the term 'chav' is foreign to me, the debates about health care and responsibility arent. What should and shouldn't be paid for?

How about obese people pay for their own gastric banding surgery? Or smokers for their cardiac bypass? And obesity related diabetes self pay?
 
Posted by Lamb Chopped (# 5528) on :
 
[RANT ON] Really, if we start getting all moralistic on people's health care, we might as well cut out pretty much everybody. How many people can say hand on heart that they've never had any share whatsoever in causing any of their health problems at any point in their lives? [Disappointed]

Besides, we don't even know half of what causes many health problems. Granted, if you scarf a dozen doughnuts at every meal you're going to get fat; but this can also happen if you're low thyroid, on antidepressants, live with chronic debilitating pain (which is unfortunately not visible to judgmental onlookers) and etc. etc. etc. There are even indications that some obesity is caused by viruses.

Twenty years ago we could have gotten all judgmental and health-care-denying to people with so-called stress ulcers. Now we know a bit more and we pop 'em on antibiotics and clear up the h. pylori infection we didn't use to know was causing them.

So, yes. Pay for the gastric banding, the implants for the totally flat chested, the infertility treatments. Or risk having some ass get judgmental on you and yours when you need a liver transplant/lung cancer care/dental care etc. etc. etc. And consider investing in a T-shirt to wear everyday that says "No, I really don't drink/smoke/eat lots of candy, thank you" to serve as a shield from all those accusing eyes. Seriously, you can't explain to everyone. And even if you could, why is it any of their business?

I think we need to cut people some slack.*

* Of course, I'm only saying this because I'm a dozy fat uppity daughter of the working class who just happens to have low thyroid, antidepressant use, and chronic pain due to an invisible genetic condition that prevents my joints from functioning properly. But hey, none of those things are visible--no walker or wheelchair yet. So I'm fair game for every jerk on the street who wants to shout slurs at me over my weight, and every fool in the papers who thinks I don't deserve medical care because of my weight. [RANT OFF]

And now I'll get all apologetic and Midwestern for ranting. Sorry, folks. But I've been sniped at the last few days for my size, and I'm at my wits' end figuring out what exercise etc. I can access that won't further destroy my collagen.

[ 05. October 2014, 20:38: Message edited by: Lamb Chopped ]
 
Posted by Enoch (# 14322) on :
 
I agree with Lamb Chopped on this. I disagree with No Prophet.
 
Posted by quetzalcoatl (# 16740) on :
 
quote:
Originally posted by no prophet:
While the term 'chav' is foreign to me, the debates about health care and responsibility arent. What should and shouldn't be paid for?

How about obese people pay for their own gastric banding surgery? Or smokers for their cardiac bypass? And obesity related diabetes self pay?

I can think of three reasons against that: one, it's unworkable, since it's very difficult to check what unhealthy habits people have; two, poor people would be told to go away and die; and three, basically, it would privatize half the NHS. Well, of course, you could do that, but I quite like the NHS.
 
Posted by Curiosity killed ... (# 11770) on :
 
I'm really not sure Figbash is right on corsets - this BBC4 programme on the unseen killers of the Victorian home talks about corsetry as it's second killer and looks at the effects of tight lacing. According to that programme corsetry was rejected by the Rational Dress Society led by Constance Wilde (wife of Oscar).
 


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