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Fences and Ambulances
There's a well-known poem, written in 1913, which discusses a debate whether to build a fence around a dangerous ledge on a cliff, or ambulances to take care of the ledge's victims after they've fallen. (Read the poem here)
Prior to her...uh, 'ascension to royalty', "The Baroness" was a social worker for three years after her graduation. While presently focused on being five months pregnant, she still keeps up with some of the literature and articles related to social workers here in the U.S.
To say social workers are generally left-wing and lean towards 'ambulance-building' is perhaps an understatement. Probably not really a surprise, when you consider that they spend the vast majority of their time working with people who have already fallen off the cliff and are lying wounded on the ground.
One article we both read recently (sorry...no link available) argues mightily against work requirements for mothers on welfare. How is it fair to require single mothers to work 35 hours or more a week--and be away from their children--to satisfy the public assistance requirements of recent welfare reform laws? It lists many instances where children are the ones who suffer from reduced benefits and greater time away from mom. Society should be more open in providing benefits to poor mothers without strings attached, since their 'job' of raising children is one of the most important in all of society.
While I don't disagree with the general principles discussed in the article, as with many 'left-wing' positions, it is very careful to frame the issue so that the only elements allowed in the discussion are those in which the fundamental arguments are the most solidly supported.
Last year, I profiled 'Dorothy'--a divorced mother of two who is currently on welfare. A Hong Kong native, she came to America for the express purpose of taking advantage of America's better welfare benefits. Now, Dorothy's poor situation (and that of her kids) isn't really her 'fault'--her husband unilaterally left her, and hasn't to this point provided any financial support to his kids. Whether she is 'responsible' for, or could have avoided her situation is not the point, really--the crux of the matter is, she's here and on welfare specifically because being on welfare was the most attractive choice among the ones she had. Now, what do you think would happen if welfare benefits increased and requirements for obtaining them decreased--would there be more or less people like Dorothy who specifically choose to stay on welfare instead of looking for other options? The more attractive you make it, the more people are going to consciously seek after it ahead of other possibilities...
If marijuana was legalized for medicinal purposes, do you think the number of people with medical illnesses requiring marijuana would increase or decrease?
If abortion were outlawed except in cases of rape or incest, do you think the reported number of rapes would go up or down?
Under the 'give'em an inch and they'll take a mile' philosophy of human nature, there will always be those who try to use public services and programs for their own benefit. And this has to be a consideration when formulating public policy. How will it be used...and how can it be abused?
The social worker code of ethics states, in part, that one of the goals of social work is to "ensure that all people have equal access to the resources, employment, services, and opportunities they require to meet their basic human needs". In a situation where infinite resources are present, society can afford to cast its 'safety net' wider and deeper, taking care of any poor soul who happened to fall to the ground from the ledge of 'normalcy' above. Unfortunately, without infinite resources someone's always going to be left out... No matter how many ambulances you build, you won't be able to save everyone who falls off the cliff, especially if the number keeps going up. Therefore it should be of paramount importance that the number of people who fall off the cliff be as small as possible.
If meeting the needs of those who desperately require help is the primary goal of social work (as it should be), then you can't afford to spend your finite resources on those who have alternate means of support...but choose not to pursue them. The larger the second group is, the more likely it is some in the first group are not going to get what they need. And the more wide-ranging and comprehensive you make welfare benefits, the more tag-alongs you're going to get... Is it good when caring people spend much time, effort, and money to help one pregnant teenager get back on her feet...and then have two more walk in the door after she leaves?
How to make welfare 'unattractive' enough, so that only those who need it the most will receive it? Well, you need to keep benefits at a minimum and maintain a certain 'stigma' so that psychologically no one would want to be on welfare in lieu of other options.
And, of course, that's exactly the opposite of what your average social worker is trying to accomplish...
Thus, the age old welfare problem remains: (1) Increase benefits and see the number of people 'needing' welfare suddenly increase. With finite resources, someone truly needy is going to have their benefits vultured away by someone else. Or (2), decrease benefits to keep people away from welfare...at the expense of those few who really need it. Unfortunately, many of the truly needy lose either way...
Perhaps the current system is the best one, then... With both the conservative and liberal mindsets constantly struggling against each other, we reach a impasse somewhere in the middle. The welfare net doesn't stretch too far and break from trying to provide too many resources to too many people (the liberal extreme)...and you don't have to sacrifice and abandon those who need governmental assistance for the sake of trying to keep people independant and off welfare in the first place (the conservative extreme).
See, maybe the two party system does have its advantages!
April 29, 2005 in Current Affairs | Permalink
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Comments
If you had a gun, Bob had food, and Alice was starving (to death), would you use the gun to force Bob to share his food with Alice? Would it matter whether Bob (or Alice) was rich or poor (or had other characteristics you liked/disliked)? Would it matter if you took a poll and more than 50% voted for you to force Bob to help Alice?
Posted by: none | May 2, 2005 8:11:34 AM
Wow. Talk about puttin git in a nutshell.
My husband is a Licensed Clinical Social Worker. He has been licensed for over 20 years. While I agree that the profession has its share of nut, fruits and loons, you have done it a disservice. Lumping social work in welfare worker status is not fair by any means.
You left out a major portion of the social worker code of ethics: The primary mission of the social work profession is to enhance human well-being and help meet the basic human needs of all people, with particular attention to the needs and empowerment of people who are vulnerable, oppressed, and living in poverty. A historic and defining feature of social work is the profession's focus on individual well-being in a social context and the well-being of society. Fundamental to social work is attention to the environmental forces that create, contribute to, and address problems in living.
We are told by Christ to love one another. It is unfortunate that as a society we cannot seems to do even the very basic part of that without it being government mandated.
My husband has sat in on the deaths of at least 1000 individuals. has been spat on, called names, had his life threatened and actually once gone to the home of a murder victim to clean up the aftermath of a stabbing (so his wife could return to the home) all in the line of caring for the underlings of life.
Social Workers (Licensed) have at least a Masters Degree in education, plus 2 years of clinical training after graduation. They have to pass a written and oral exam at the time of licensing and have continuing education requirements beyond that. The have more schooling than most stock brokers, financial advisors or CPAs. Yet they are giving less than respect in every aspect of our society. They are the least paid professional with A masters degree. No one wants to deal with the mentally ill, they just want them to go away.
I am sure your wife will agree in part with this assessment.
Posted by: cooper | May 2, 2005 12:33:48 PM
True, I only focused on one aspect of social work. Much of my wife's work experience dealt with the mentally ill, which is a whole other issue apart from welfare.
I fail to see how I 'disrespected' social workers, though... I only mentioned that in general social workers tend to lean towards one extreme--focusing on the present condition of those they care about, rather than how that condition came about in the first place. Again, with finite resources a social worker SHOULD care to some extent about how to keep people from needing a social worker to begin with... Wouldn't any social worker say their ultimate goal is to one day have absolutely NO work whatsoever to do? That requires, though, some effort in prevention (fence-building) rather than just treatment and problem-solving of people who've already fallen. Otherwise, you end up with two new cases walking in the door for every one you help...
Just like the signs on the beach that say DO NOT feed the squirrels and seagulls because it creates a dependance on being fed by humans, it is possible to be TOO compassionate...or at least too compassionate in the wrong area. I'm not arguing for or against increased welfare benefits, only that the argument for increased welfare benefits isn't as obvious as articles on social work make it seem. You have to consider ALL sides of the equation...
Posted by: The Baron | May 2, 2005 7:37:54 PM
In regards to the first comment, God has a 'gun' (so to speak)...yet does not force Bob to share his food with Alice. Is that significant?
Posted by: The Baron | May 2, 2005 7:44:11 PM
While you spelled out quite clearly the flaws in the most prevalent of liberal thinking, that being the trend toward "ambulance building" to treat those that have fallen, or even jumped off the cliff, you failed to point out the primary flaw in most conservative thinking. That is, let's cut the funding to build more ambulances, and also not fund any fences. Instead, let's build more guns and bombs.
Having spent much of my adult life providing foster care services I have seen it time and time again. Funding for basic rehabilitation services are cut at the same time that funding for prevention and early intervention programs are also being cut. All the while, military spending goes up. You do the math.
MRKH
Posted by: Mark Hansen | May 3, 2005 1:02:47 AM
Funding for basic rehabilitation services are cut at the same time that funding for prevention and early intervention programs are also being cut. which is one of the problems.
This is a very complex issue, more than I have time to completely post about, and one of the reasons I get disgusted at times, volunteer at others.
I enjoyed the post for what the Baron said, not for how what he has observed has been misused or abused. It isn't so much that power/money corrupts as it attracts the corrupted (and it can corrupt as well).
Interesting.
Posted by: Stephen M (Ethesis) | May 3, 2005 6:46:46 AM
While I agree with your thought process on "a social would love to see no work available", it is highly unlikely. We live in a society that disposes of people rather than deal with the problem that makes people want to dispose of them. We do band-aid therapy. For instance: Mentally ill person walks into a clinic and says "I'm feeling very awful about myself and life in general. I need help because if i don't get someone to help me I will kill myself. I have children and a wife(or husband), no job, too many bills, and one of my children has been chronically ill for some time now. I really just want to die." Social Services asks if he has insurance. "No." Well let's see if you qualify for medi-cal or another form of federal medical assistance. Why yes. Let's call them and see if we can refer you to someone." Social Services calls the federal agency for approval. And waits. And waits. 6 weeks later, approval has finally been given. Needless to say the patient could be dead by now. If not, approval is given for one treatment session. "If follow-up medical treatment is necessary, please call for prior approval."
That is just one of a myriad of problems with this system. It CANNOT only be the responsiblity of the social workers of the world. WE ALL are obligated, morally. BYU produces more business majors, lawyers, and accountants all the while saying "enter to learn, go forth to serve". What a joke. We, the elect, cannot even figure out how to help the leat of our brethren without making it look like a handout. Shame on us.
Posted by: cooper | May 3, 2005 12:15:49 PM
Cooper,
Yes! We are all morally obligated to help, which some do better than others. My argument is that charity (volunteered) is good, welfare (provided by the guns of government against the unwilling) is bad. In our desire to help others let us not commit the sin of theft (even if 50%+ vote for it).
Posted by: none | May 3, 2005 7:59:12 PM
So you really expect people to actually care for people, that they do not know or are related to, without government intervention? We can't even get most bishop's to be generous in their help of the poor. To quote President Monson: "If I had a chance to be a bishop again, the thing I would change is that I would be more generous with the poor." We as church members malign those in need of assistance. They are given time limits on their suffering. It is ludicrous and offensive. And if Mormons can't be gernerous how can you expect the world, that is lost in a myriad of sin, to do any better? It's great to have wonderful ideas of generousity and willingness to serve. I agree that all should be willing to serve without government intervention. I disagree with the fact that we should just stop because "I don't want to anymore". Sorry the argument doesn't hold water. Enoch found a way. So should we.
Posted by: cooper | May 3, 2005 9:05:46 PM
Enoch's better way was NOT based on the force of government. And yes I do expect people to actually care for people (withOUT a gun stuck to their head), and if they don't then the sin is on the unwilling head. Christ said 'feed the poor, clothe the naked, etc.' What he didn't say is force your unwilling neighor to feed the poor/clothe the naked.
Back to the original question: "If you had a gun, Bob had food, and Alice was starving (to death), would you use the gun to force Bob to share his food with Alice?"
I think the bigger sin is in forcing Bob to live up to your ethical standard.
We are here on earth to better ourselves and help others, not to institute Satan's plan of force.
Posted by: none | May 5, 2005 7:42:11 AM
I do agree with you on the choice issue. My response is probably a knee jerk reaction to what I have witnessed happen to the indigent, and the mentally ill. I live in California, there streets are filled with throw away people. It is sad, dishertening, and easily fix-able. However government intervention seems to be the only way right now. Churches (in my town of 100,000) are many, 4000+ churches filled with people who profess to be christians. Yet most do nothing to help the poor. Most of us have the NIMBY approach and hope the problem will disappear.
While I wish we could build fences, I am afraid we don't have the commitment level needed to build them. Much less, the money to buy ambulances, either.
Please take my responses with a grain of salt. We, meaning our family, have seen the effects of government mandates and the lack of real caring in the world to the point that I respond in such a jaded fashion sometimes. It's appalling and exactly the opposite of what I seek. If I offended, I apologize.
Posted by: cooper | May 5, 2005 9:29:58 AM
The whole "invisible people" thing and the NIMBY attitude is probably the biggest reason why we don't have ZION today.
MRKH
Posted by: Mark Hansen | May 6, 2005 8:58:14 AM