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In practice it almost always leads to people who are entitled to that benefit being wrongly denied it, or unable to access it. It also introduces a grey area of people who should qualify but don't.

Assessors are pressured, and incentivised financially, to get through as many cases as possible[0]. One gentleman recorded his assessment and found multiple falsifications[1]:

> On his phone recording you can clearly hear the assessor carrying out a peak test to measure his lung function, and reading out the data.

> But in the final report, his last reading appears to have doubled from 150 L/min to 300 L/min, making him seem better than he actually was.

The means testing of disability benefits in the UK is such an abject failure, that a noticeable number of people die within a month of being declared fit for work[2].

[0] https://www.benefitsandwork.co.uk/news/pip-assessors-paid-bo...

[1] https://www.bbc.co.uk/news/health-41581060

[2] https://www.theguardian.com/society/2015/aug/27/thousands-di....




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