prevention in the disability insurance
Actually I wanted to write this blog already, as in Switzerland, led the discussion on the revision of Act IV to the conclusion that should be detected earlier and ill or injured person as quickly reintegrated. About these "findings" exists among the parties, but also among the insurers and the social services much in agreement.
I believe that the prevention, ie, the prevention should start much earlier. Just as the Suva considerable research on accident prevention should be built, I think this is the sickness funds and the Disability Insurance do for disease prevention, for I am convinced that it could often be prevented or become chronic diseases break out, if they are already at work recognized, would be taken seriously and treated.
suffering, such as chronic pain disorders, some forms of depression, but cardiovascular diseases are often rooted in a personality constellation associated with a strong sense of duty and great motivation. For these people, is the work of the place where they find a satisfactory recognition they (the work is usually her life!). Often ill people when they get older, disabling them Suffer when they had to take early in their lives too much responsibility, be it for family reasons, or - especially for workers and employees from poor areas, such as Sicily, Kosovo and Albania - Must earn through from an early age. So there are usually people who deserve our respect - probably even those of SVP - politicians, as long as they "work"). In my experience, are found in this man as a rule before the fall ill or before the crucial accident which can often be a minor accident, signs that may be provided by the environment (perhaps should): If they are not otherwise known Carelessness, a accumulate of small accidents, often also associated with a certain amount of depression with pain in joint events (and it was only "snack") take part, very common sleep disorder, an increase of food (Alkohol!) or smoking; faster to excite, possibly with incomprehensible, or just people in this unusual outbursts of anger and so on.
But why I write this blog today is due to an article in the Telegraph today I under the heading "Man and work" reading. Finally, or hopefully addiction to work in the public is increasingly perceived, and indeed for what it is: A dangerous Addiction, which can lead to severe physical and mental illness! The workaholic is still very popular, envied by many, appreciated by the employers. The thing I like this article ( www.nzz.ch ) also liked: It is also pointed to the negative form of the disease: the obsessive work shirkers. He also is not a monster, and above all no Scheininvalider, because he is a sick man. Every addiction has had to avoid in my view a positive form, ie the people with whom she comes to light, and a negative form in which they too vigorously, or even compulsive reject, and. The negative forms of smoking can be observed in the current debates about smoke-free areas very well. (Get excited I mean by no means all Non smoking, no, but some people in a way ...?) Is known, this negative form in alcoholic couples: The "addiction-free" partner cursed the alcohol and makes it his life's work, the partner to 'rescue' of this evil, and there is a vicious circle: one is dependent on alcohol and the other by the alcoholic. You can often look hardly what such coabhängige people suffer and endure until they can finally break away from their partners, if at all.
me that this issue dear to the heart is also clear, as I am now five years of invalid workaholic. Wenn ich zurückdenke, was ich gearbeitet habe, kann ich kaum mehr glauben, dass das jeweils alles in einer Woche Platz hatte. Wenn ich zurückdenke, wird mir aber auch klar, dass ich bereits vor zehn Jahren ahnte, dass alles in einer Katastrophe enden könnte: Ich musste mich am Knie operieren lassen. Im folgenden Monat, in dem ich nicht arbeiten durfte (also kein schlechtes Gewissen zu haben brauchte), wurde mir lichtklar, dass meine Weise zu arbeiten auf die Dauer nicht geht. Ich dachte sogar daran, mich umzuschulen, sah jedoch davon ab, weil ich mich ja mitgenommen hätte. In den folgenden Jahren zeigten sich alle Vorzeichen meiner späteren Krankheit: Nach jahrzehntelangem Fahren ohne Unfall häuften sich die Blechschäden; since my first hernia at age 25, my back my best signaling device for the first time since the hernia repair (I had about 35 a second), I managed not to live with my daily pain, as this increased so much that I am treat several times had to leave, I was impatient roared quickly carried away and left me to outbursts of anger, for which I am ashamed today. Then came the big car accident in which I could be dead. Since it happened in a tunnel, he was picked up by television cameras, so my innocence was proven, but for me personally, I am still of the opinion that I have some years before, in this situation more quickly and would have reacted differently. After some serious disappointments in the profession and to colleagues I had then relax for the first time the request correctly and told me in rehab - to clinic Gais. Since my health insurance refused to pay me this visit, I made then, two weeks at home free. You see, I was actually all right, but as with all addictions, I tended to play down this clear. Also as with all other addictions begin sooner or later to suffer in the relationship and are eventually breaks. A year before my breakdown, I decided to give up my independence and I do leave, but was now too old and got nothing but rejections. A colleague I wanted to make a point, but we would have to require a contribution of the canton, the latter could not grant under the current pressure to save money. Also typical of workaholics I began in this time after 14 years of abstinence from smoking again. Finally, I decided again to stay in Gais and this time was also willing to shell out for these myself. They called me there still "Mr. Pressure", but when I started my work again, was this high pressure - up to the eyeballs in the blood and - quickly fizzles out and since I am disabled.
you see from my example, and they can read the article in the Telegraph: The characters are very early - With me 5 years before the collapse - as indicated. Prevention should therefore be used as even. Now that is not so easy for addicts. I wonder now often what a person would have to do it when I realized, have to convince me that I really must do something. I was with a therapist, this has also sent to a siding. Somatic my doctors I played the strong, even though I was often so exhausted any more. As a good actor, I probably gave my people a chance ... I do not know.
In any case, after the collapse of the Second important: The earliest possible reintegration. The vocational counselor IV tried this with me in an exemplary manner. Therefore I should but needed a place where I had first to experience how much pressure I'm at all, because I no longer knew, and secondly, I would have had to learn to deal with my rapid fatigue so that 50% would be in it located . For this operation would attempt to pay me a per diem IV and thus relieves the employer from a payment of wages for six months. But who is a 60 year old already has one for such an experiment? One of the bosses, which I imagined, told me that he had read that in the depressive relapse probability at least - He said, at least - 25% was, and this risk is too high for him. I asked if he would take me when I was younger. He replied, no, it would also be a boy, the risk is too high, and he told me under what pressure he stands. It is easy to require employers to offer at integrating a disabled hand: government institutions are under pressure to save money, and each of them fighting for places percent. The private companies are under cost and competitive pressures. Hope and Reality!
What would take me too wonderful - and I think that would be worth investigating - whether it is really only in Basel at the doctors that there the mentally Invaliden häufen, oder ob eine Beziehung besteht zwischen den Anforderungen, die an Angestellte in den dort vorherrschenden Betrieben gestellt werden, und dem Produktivitätsdruck, unter dem diese Betriebe stehen. Wobei sich die Frage stellt: Können wir den Druck, unter den ein Betrieb gerät, wenn er produktiver werden muss messen? Ich meinte: Ja, denn dieser steht wieder in Beziehung zum Konkurrenzdruck und zum Druck unter den ihn seine Investoren setzen.
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