Institutional malingering: something is rotten in the States

 

In the British Medical Journal, September 13, 1913, John Collie, M.D., J.P., authored  a note on “Malingering”, which he connected, like any sensible English utilitarian, with the recent debate about the costs of some sort of National Insurance – just the kind of taxpayer fund that the working class would target with all their illnesses:

“The question of feigning or exaggerating illnesses has of late attraced considerable attention in this country, but it is a mistake to suppose that the condition is of recent origin. Those who have to advise insurance companies know that exaggerated and fraudulent claims are, at any rate, as old as the accident laws.”

Malingering became one of those twentieth century occasions to battle it out about what, exactly, we are to do with diseases of the soul, once we have painlessly and scientifically proven that the soul doesn’t exist. Tricky, that.

I think the twenty first century problem is not the malingering of individual patients: it is the malingering of institutions. In particular, the Democratic party in the U.S. seems to have come down with a nasty case of it. If feigned illness could lead to real death, the Democratic party would be dead by now. It isn't: it is merely zombified. Symptomatically, the party is now presenting its loyal voters with the cute notion that a senile Senator, in a state of health where her best option is to prepare her soul and stay in contact with her loved ones, has no special reason to resign her seat, even if she will never again be able to fill it properly or do her duty. Now, we must preserve her place in the committee that votes on judicial nominations because we don't know what else to do. Otherwise, we would have to work, which would mean appointing a bunch of judges which would destroy the millionaire order that has richly benefitted us all! Besides, really, is it that important, judges  – those petty things that can, for instance, decree the criminalization of the abortion pill. Which we shouldn’t worry our pretty little heads about!

Institutional malingering should be of as much interest to social psychologists as malingering has been to psychology in general. How is it that the twenty first century consists of chickenshit parties ruling over decayed republics and unable to do any useful thing to avert the catastrophes that are eating up the young and creating suicidal conditions for the old? How is it that the U.S.A., from which I sprang, that country which, while deathdealing on a global scale, also produced a culture within which civil rights movements actually produced change – that unevenly democracy-tending place – how is it that malingering and malice have become its face to the world? From the legalized lynching of the homeless to the tyranny of lunatic judges on the dumbest Supreme Court ever assembled from the hayseeds that invest our law schools, all we see is bad shit.  The political structure is crap, and everybody knows it. The energy to fix it seems to go, instead, into an infinitely self-satisfied establishmentarianism that is all about why we can’t fix it.

Things go bad in small ways at first, and then in large ways, and then all at once. Fortunes collapse, nations go rotten. And we go around with the taste of the institutional malingers in our mouths. This is not how life is meant to be lived.