About This Blog

Welcome to James' Philosophical Agora - James' Meeting Place On-Line. (Updated September 2017)

This blog is the place where I write in a more personal way on various areas of philosophical interest. Please be careful when I say 'philosophical' because this does not often mean about purely academic or abstract subjects and ideas; but rather like much of the philosophy of Socrates, it means an investigation of some fundamental things that have a very important baring on the way we live our lives as individuals and as communities.

I have a separate blog where I share my enthusiasm for the specific philosophical tradition and ideas of Socrates, Plato, Aristotle Plutarch and others at: Socrates 4 Today However, this blog James' Philosophical Agora expresses mostly personal viewpoints and so I prefer to have two separate blogs.

Please feel free to comment on any of the blog posts, or add some thoughts of your own to the subjects discussed. You can also contact me personally if you would like to discuss any particular items further at: jamesdelphi2000@gmail.com

Saturday, September 30, 2017

Is the sole purpose of a human being (or a human soul if we have one) simply to make a profit? Perhaps it is ?

When you think about it most things you see around you are only made for profit.  A car tire actually has no purpose in itself..... its purpose is what I will refer to as 'deferred'. That is, its purpose relates to an activity obviously unknown to the tire, which is to be used by a more complex system, and to go  on a motor car; which will take people from A to B.

However, if you think that the tire simply has a deferred real purpose to help get people from A to B this is a mistake. The people who made it in their factory did so in order to make a profit as a their motive and had no special interest in getting you or me from A to B.  And when you look around you, most things (when you think behind the first 'apparent' purpose to the 'underlying' purpose or 'real' purpose) are really all made simply for economic profit.

So one might conclude,  and mistakenly again in my opinion at least, that the logical deduction is that the only real and underlying purpose of a human being is also to make a profit..... And you would not have to walk far down Wall Street in New York, or Oxford Street in London on a busy shopping Saturday, to find lots of people (perhaps even most of the people) who would agree with you.

Let me just say at this point that this making and doing stuff only for profit is not quite as bad or shallow as it seems, since the human being (at least in modern western style societies - and indeed modern eastern, southern and northern societies as well while we are at) has moved on from being 'hunters and gatherers'; we simply do not do it that way anymore.  If you take a bow and arrow on Wall Street and shoot the first 4 legged animal you see for your lunch - you will not even go to jail; probably you will go straight to the funny farm.

Yes these days we make stuff and sell it for profit, in order in the first instance, to feed and support ourselves and to buy the things we need; but all to too often as well these days .... lots of 'stuff' (i.e. unnecessary consumer items ) that we really do not need at all.

One furthur small point on economics before I quickly make the main point of this blog post and finish....  is that for most of us (i.e.  people who work for someone else) what we contribute to the economic or capatalist system (which I am not against at all per se) is our labour and time.  That is, we get paid by someone for our time and labour to make things and provide a service.

So let me return now to the main point of this blog and its title: 'Is the sole purpose of a human being simply to make a profit?  Well, yes I suppose that in part it is.....  unless we are going to take our bows and arrows to the park on Sunday mornings and risk the consequences. However, it is my contention that the human being's purpose is not 'only' to make a profit, but as a rational conscious being, it is 'also' to do stuff that is not for a profit.  This may through necessity get less hours and attention in the week (whether we like it or not) to making a profit of some kind to support ourselves; but this 'not for profit' activity is just as important, or even more so to a human being I believe.

It is when we are helping with the kids local soccer team on a Sunday morning, singing in the local choir, fixing up the garden, reading a book and thinking about stuff, or volunteering for a day here and there for some good cause, that we are really fulfilling our real or underlying purpose; or I would suggest an important part of that purpose.

I have to admit that after several years of contemplating what the real and underlying purpose of a human being is, I am still unsure and decided about this.  However, I think Aristotle was right (in part at least) when he suggested that the human purpose is about the good use of quality leisure time and living well.  Incidently, he acknowldged that some people get very little choice about life owing to poor health or resouces; but if we can, he suggest we should use our leisure time (our not for profit time) productively and live well.

Some readers of this blog will be fairly certain what real human purpose is; but many other like me will wonder whether, like that new tire stacked on the factory floor, the human being has a deferred purpose, as yet unknown to us, and part of a more complex system.  This line of thought and contemplation, or the many lines in could take,  will to some extent at least depend on what we think a human being is.  This was why Socrates urged his students and friends to 'Know Thyself' - meaning to know where we are in life's journey, and more importantly still, what we are.  This will be developed a little in my next blog post on the 'The Delphi Message and Maxims'.

Sunday, June 11, 2017

Bed Blocking in NHS and time to broaden the brief of the NHS

Time to Rebrand the NHS for the next century

Bed blocking by elderly patients in National Health Service wards is just one illustration that it is now time to ditch the NHS in favour of the 'National Health and Well-Being Service'  (NHSWB ?)  This new service should incorporate elderly onward (transitional and on-going) elderly care within its planning and budgeting, and indeed look at the Health and Well Being of the nation as a whole. This new role for the re-branded NHS could truly support people from ‘cradle to the grave’ and could move away from being the place you go when you are sick; and leave either when you are better, or staff feel they can no longer improve your physical health with treatment.

Such a bold move as outlined above while sounding expensive and untenable might on investigation prove not to need as much extra funding as one might first expect. The rational for this is briefly outlined below.

A re-branded NHS that had responsibility to provide better social care for the elderly, would at the same time be able to free up many hospital beds that had been previously blocked by elderly patients following hospital clinical treatment – for minor as well as more major issues. In addition, a slightly different ethos to health by the government; that is, a greater emphasis on prevention and well-being after treatment to avoid re-admittance, would be preferable for many reasons than simply providing treatment after people get sick or have accidents.

The fact remains that for all users of the NHS both young and old, once someone has actually been admitted to hospital bed the treatment one receives in hospital ward is generally very good. The problem for most people is to get admitted in the first place and not turned away from A & E or have an unreasonable time to wait on the dreaded ‘waiting lists’ if referred by the GP. 

For example, after several visits to A & E with my elderly mother (requiring an ambulance to be called each time, and A & E staff time to be taken up) she was finally admitted to a hospital bed and received the treatment she needed. Another quick example worth mentioning is the elderly mother of a friend of mine who following her hospital treatment would need social care for when she left hospital.  An appointment with the social care staff was arranged three days after her clinical treatment finished. The social care member of staff went to the wrong hospital for the appointment and so another appointment was arranged a couple of days after that.  This meant that the elderly lady had taken up a hospital clinical bed for a minimum of five nights before even receiving any first consultation with social care staff about what would happen to her next when she left hospital.  This is not a big deal in itself were it an isolated example, but I suspect this kind of waste of valuable clinical bed nights in hospital wards is prevalent throughout the NHS, and possibly no real fault of their own making, since they are relying on the local government social services department in order to progress the matter and clear the bed for the next patient.

There is nothing particularly difficult about arranging onward social care for these elderly clients.  It is not rocket science, particularly for a service like the NHS that can arrange complex operations and aftercare for tens of thousands of clinical patients each month. Why then do they need to be slowed down by different social services departments across the country to free up the beds.

The only problem about the current NHS arranging social care for the elderly (and onward placements for clinical patients) is that it is not in the brief of the NHS, and not part of its planning and budgeting for the years ahead to provide this kind of provision and service.

There is no need to outsource this social care provision (particularly for patients who have finished their clinical treatments in hospital) to expensive private care providers, or large cumbersome often parallel government social services departments with their own cumbersome staffing arrangements, office administration's, and priorities on their budgets and resources.  For the NHS, surely being able to clear 5 - 10,000 (?) hospital beds each night across the country would be much higher up their priority list, since it would allow in a single stroke the NHS to meet many of its other targets and goals much more easily.  Whereas care for the elderly leaving hospital is much further down the list of priorities for social services departments with many other calls on their limited resources.

It seems to me therefore, that the NHS is ideally placed, ideally staffed at management and ‘hands on’ level, ideally resourced and already set up to easily factor in to its planning and budgeting this simple provision of onward social care for elderly clients who are blocking valuable clinical beds.

I strongly suspect that a similar situation prevails in residential mental health provision, especially for younger people where clinical beds on psychiatric wards are very scarce indeed. Are these valuable bed places also being blocked once clinical care has come to an end because the onward journey of the patient is delayed several days at least owing to social services departments acting slowly and without any sense of urgency or priority to quickly facilitate the appropriate aftercare for the mental health patient?

It is time to do away with the NHS as soon as possible and welcome the creation of the National Health and Well Being Service, which will have a broader range of responsibilities including onward social care for all patients leaving clinical hospitals. In addition, it should give a new and greater emphasis on prevention and wellbeing within the nation as a whole, rather than the 'let's wait until you get sick - and then fix you up' approach that we seem to be adopting at the moment. This latter approach that we are currently adopting may well come at greater (not less) expense, with greater disruption to lives, and greater other inconveniences to all concerned.

Thursday, May 25, 2017

01 Real Sustainability - Lions or Humans ? Snakes and Bees ?

Regarding the environment I want to start a new concept of 'real sustainability', within my broader idea of 'practical philosophy'; where real philosophy includes intellectual but also practical actions by us all so that any intellectual investigations we may pursue have a definite purpose and positive effect in the real world.
While walking on the hillside in Delphi I was reminded of the need for us 'to share the space' of our environment and its finite resources both with one another, and other species.  As I walk along the country paths I tap my walking stick regularly to warn any snakes and other animals to move away as I approach. This is a tiny example of what I mean by 'sharing' the natural space and resources as human beings and with other species. The snakes can, for example, go back to sunbathing on the path again after I have safely passed. However, someone has just put three illegal bee hives right next to the start of the public footpath. I hope that the bees feel the same way about 'sharing space!

It may be that some people or some species (e.g human beings as a whole) will always take a bigger share of resources than others. After all, the by lion eats first from the pride, eats the most, and takes the best pieces for its meal. If human beings are just very evolved animals (i.e. 'total' Darwinism) then we cannot be surprised that some people take more resources than others. BUT - you cannot have it both ways. You cannot expect better ways of sharing to be adopted by more mere evolved animals. You can only expect and hope for that 'if' you think there is a little more to what the human being is that what Darwinism and some scientists suggest with the process of natural selection and the survival of the fittest. This raises questions about what the human being really, whether we have a human soul, and at very least, whether we should expect a species of animal like us to adopt preferable ways of living as individuals and societies that somehow have shades of 'ethics' and a higher spirit within them.