Doctor and activist


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Category: Privatisation

Banks Charging $3 a withdrawal- the logical end of capitalist thinking?

11 December 2024
Once upon a time banks functioned to store your money safely giving you some interest for the use of it or lending it to you for a bit more interest.
Then the government made a quick buck by selling the bank to people who had the money to buy shares.
Then the concentration of wealth changed so that most of the money was held by fewer people. And technology changed and the people with the most money used the new higher tech ways of banking.
And then there was less profit in the little people.
And the accounting changed, the CEO salaries went from several tens of multiples of the normal people’s salaries to hundreds of times. But they had to show results to the shareholders to justify this.
So they closed most of the branches and replaced them by Automatic Teller Machines to save all those rents and staff salaries.
And they decided that even to stock the ATMs was too expensive so they put fees on them to use them, but they got criticised for that, so they lessened the number of ATMs, which saved even more.
A few people actually still wanted to go to the few branches left and wait until they could get to the reduced service, but the accountants said that the return on capital to the shareholders from this aspect of operations was not as much as the returns on internet transactions. Clearly the shareholders wanted ‘user pays’ in every aspect of the business so the banks decided to make these little folk pay a fee to get their own money, as had been so successful with the ATMs.
And no one even commented that the function of banks was to provide a service of looking after people’s money, the question was really how to ensure that the shareholders’ returns could be maintained.
And they all lived happily ever after.
THE END

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Health Insurance Executive Targeted in New York

6 December 2024

A top health insurance executive was killed in what seems to be a targeted shooting in New York’. It seems that he was threatened over ‘health insurance issues’.
Every day I see patients who have their perfectly reasonable treatment requests refused by workers comp or CTP (Compulsory Third Party = Green Slip) insurers. The ‘case managers’ who are grandly titled case clerks have little power and follow protocols dictated by more senior folk in the organisati0on. I am unsure if they get bonuses for cases costing less than some statistical average for that type of claim, but nothing would surprise me. Sometimes it seems that they just refuse treatments because they think that they will get away with it, but the odds are stacked that they will often succeed anyway. The case clerks (Case ‘Managers’) cop a lot of abuse and are rotated frequently, perhaps to prevent their abuse or perhaps to prevent them getting to know their ‘clients’, who some of us would call ‘patients’. The case clerks have very little discretion and the system is very slow and seems designed to ensure that absolutely no one could ever be overpaid. The clerks follow their protocols, and are often unavailable and do not return calls. Most use their first names and a letter (presumably the first letter of their surnames) presumably so that they will not be personally targeted by those whose treatments they are refusing. (One would have thought that as people handing out money to people in distress that they might be very popular). It is as if one side are playing a game with money, but for the other side it is deadly serious.
Given that about a third of the population live from paycheck to paycheck, the fact that insurers have 3 weeks to accept or reject the whole claim, then 3 weeks to approve or deny any treatment, and longer if it is a difficult case, a huge amount of human misery can be created without even stressing any protocols. Governments are keen to keep premiums low and seem keen to support any insurer –suggested legislative amendments that achieves this aim. Interestingly the NSW Parliamentary Committee reviewing the NSW Workers Compensation legislation in 2022 had no input for either patients or doctors or their organisations. Presumably they did not seek such input and there was no publicity for the inquiry.
I see in my practice many distressed people whose lives are destroyed by these treatment denials. Now with the insurers only liable for the first 5 years after injury, if they can delay treatment longer than that, they are off the financial hook and the patients need to be treated by Medicare if that is possible. When I say ‘if that is possible’, many specialists will not do any Medicare work as it pays less than half the private rate. The waiting list is usually over a year for non-emergencies and the specialists are even more reluctant to treat cases that should have been paid by workers comp or CTP insurers. Even that assumes that the patients have Medicare; overseas students or people on working visas do not.
My belief is that insurers want to control medicine and the WC and CTP insurers, now with considerable input from the American Health insurance industry are preparing for the (very soon) day when Medicare is irrelevant and insurers tell doctors what they may do.

The patients whose lives are destroyed by the insurer denials of their reasonable treatments are upset and angry, often shattered physically and by the loss of their homes, properties and marriages do not think through how this has all happened. They are angry with the ‘case manager’ but not those higher up in the organisation who set the protocol that was the basis of their treatment denial.
Years ago, when I went to tobacco control conferences in the USA, there would sometimes be discussions among doctors about how to treat various medical conditions. Amongst the non-Americans, the talk was about what regimes were best. The Americans were usually concerned with what the insurers would pay for to the point that it was sometimes frustrating to have them in the conversations. I won a Fellowship in 1985 to study workplace absence and got some flavour of the way treatments were denied. I now see it all unrolling in Australia.
In the US guns are easy to get. When I saw a US health executive had been shot by an unknown person, I did not find it hard to find a motive, and thought that there could probably be a very large number of suspects. I Australia the case managers do not dare give their surnames, but the top executives are still all on the company websites.
If we continue to let Medicare be defunded because of private health donations to the major political parties and put money ahead of people’s reasonable needs, we will follow the Americans.

Here is the Reuters article in the SMH 6 December 2024

Health executive shot dead on New York street

Brian Thompson, the chief executive of UnitedHealth’s insurance unit, was fatally shot yesterday outside a Midtown Manhattan hotel in what appeared to be a targeted attack by a gunman, New York City police officials said.

The shooting occurred in the early morning outside the Hilton on Sixth Avenue, where the company’s annual investor conference was about to take place. Thompson was rushed to a nearby hospital where he was pronounced dead. The attacker remained at large, sparking a search that included police drones, helicopters and dogs.

“This does not appear to be a random act of violence,” New York City Police Commissioner Jessica Tisch said. “Every indication is that this was a premeditated, pre-planned, targeted attack.” The suspect, wearing a mask and carrying a backpack, fled on foot before mounting an electric bike and riding into Central Park, police said. Law enforcement authorities said the gunman appeared to use a silencer on his weapon, CNN reported.

UnitedHealth Group said Thompson was a respected colleague and friend to all who worked with him. “We are working closely with the New York Police Department and ask for your patience and understanding during this difficult time,” it said in a statement. “Our hearts go out to Brian’s family and all who were close to him.”

UnitedHealth Group is the largest US health insurer, providing benefits to tens of millions of Americans who pay more for healthcare than in any other country.
Video footage showed the gunman arrived outside the Hilton about five minutes be
fore Thompson. He ignored several other people walking by, NYPD Chief of Detectives, Joseph Kenny told reporters.

When Thompson approached the hotel, the gunman shot him in the back with a pistol and then continued firing, even after his gun appeared to jam. “Based on the evidence we have so far, it does appear that the victim was specifically targeted, but at this point, we do not know why,” Kenny said. The shooting happened not long before the scheduled investor conference at the Hilton.

UnitedHealth Group chief executive Andrew Witty took to the stage about an hour after the event started to announce the rest of the program would be cancelled.
“We’re dealing with a very serious medical situation with one of our team members, and as a result, I’m afraid we’re going to have to bring to a close the event today,” he said.

Police tape blocked off the area on 54th Street outside the Hilton, where blue plastic
gloves were strewn about, and plastic cups appeared to mark the location of bullet casings.
Thompson’s wife, Paulette Thompson, told NBC News that he told her “there were some people that had been threatening him”. She didn’t have details but suggested the threats may but suggested the threats may
have involved issues with insurance coverage. Eric Werner, the police chief in the Minneapolis suburb where Thompson lived, said his department had not received any reports of threats against the executive. The killing shook a part of New York that is normally quiet at that hour, about four blocks from where thousands of people were set to gather for the city’s Christmas tree lighting. Police promised extra security for the event.

“The police were here in seconds. It’s New York. It’s not normal here at seven in the morning, but it’s pretty scary,” said Christian Diaz, who said he heard the gunfire from the nearby University Club Hotel where he works.

Police issued a poster showing a surveillance image of the man pointing what appeared to be a gun and another image that appeared to show the same person riding on a bicycle. Minutes before the shooting he stopped at a nearby Starbucks, according to additional surveillance photos released by police. They offered a reward of up to $US10,000 ($15,500) for information leading to an arrest and conviction.

Governor Tim Walz of Minnesota, where the company is based, said the state was praying for Thompson’s family and the UnitedHealth team. “This is horrifying news and a terrible loss for the business and healthcare community in Minnesota,” he said in a statement. Thompson, a father of two sons, had been with UnitedHealth since 2004 and served as chief executive for more than three years. Thompson was appointed head of the company’s insurance group in April 2021 after working in several departments, according to the company’s website.

“Sometimes you meet a lot of fake people in these corporate environments. He certainly didn’t ever give me the impression of being one of them,” said Antonio Ciaccia, chief executive of healthcare research non-profit 46brooklyn, who knew Thompson. “He was a genuinely thoughtful and respectable guy.”
Reuters, AP

 

There was considerable follow up:

www.smh.com.au/world/north-america/bullets-used-in-us-healthcare-exec-s-killing-had-writing-on-them-20241206-p5kwa6.html

www.smh.com.au/world/north-america/wave-of-hate-flows-for-health-insurance-industry-after-ceo-s-shooting-death-20241206-p5kwcz.html

 

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Social Media Ban misses the point- it’s about Algorithms

25 November 2024

Social media is not a fixed thing to be either accepted or banned.

I was surprised to find my son in favour of a ban, thinking it would stop communications between kids. He assured me that with groups able to be formed easily on WhatsApp, kids could still exchange whatever social relationships or information they liked.

It got me thinking about why social media might be harmful. Presumably kids can gang up more easily as they can all see what others write, just as minority groups can find and reinforce each other for good or ill. But this would also be a problem on WhatsApp.

The key point was one that I made a few posts ago. The object of social media is to keep people online so that they will see the advertising and make money for the social media owner. The way that this is done is to put people in touch with people like them or who believe things like them, particularly if their views are unusual. It is also helpful to upset or disturb people as while they are stimulated they will stay online.

The converse of this is that calming people down, or giving them sensible information has no financial advantage.

What viewers get in their feed is determined by algorithms, which are AI (Artificial Intelligence). These algorithms could be set to give good o]knowledge to anyone who asked for it or was open to it. Google searches often give a series of ads where someone paid to be the first thing found in the search, followed by a ‘top pops’ of replies or hits. It could rate the academic reliability of knowledge sources and give greater weight to more credible sources.

The same principles apply to social media. It is about what the object of the algorithm is, and thus what content it favours and directs.

Algorithms are of course ‘commercial in confidence’ which is code for ‘making money and therefore unable to be accessed or interfered with’. In other words, making money is more important than any social distortions or effects are merely tough luck for those affected.
But it seems to me that a more intelligent approach is needed to social media.

It’s about algorithms stupid!

www.change.org/p/oppose-australia-s-proposed-social-media-ban-for-under-16s

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An Explanation of Corruption in the Building Industry

20 October 2024

The key enabler is the privatisation of both the project and the inspectorate.

https://michaelwest.com.au/cfmeu-whistleblower-on-gangsters-unions-and-workers-entitlements/?utm_source=newsletter&utm_medium=email&utm_term=2024-10-20&utm_campaign=Today+s+news+from+Michael+West+Media

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The Australia Card and Data

16 March 2024

The Australia Card debate, which was from 1985-7 was whether we should all carry a card that would link all the information about us.

I was in favour of it because my concerns at that time in occupational health and safety was as to whether exposure to various workplace chemicals had an adverse effect on health.

The best data came from Sweden, where people’s occupation was on a database and their mortalities could be compared. Nowhere else had comparable data.

It seemed to me that the data was going to be collected inevitably and we should have a debate then and there as to who would collect it and what could be done with it.

I was in the Australian Democrats, who were usually quite sensible and given to rational argument, but the view was that people would be safer if the data was not collected at all so they opposed the card and the naysayers won the day in the Party and the nation.

The Credit Reference Association was already collecting data about unpaid bills and there was a debate as to whether the subject of the data, (who was usually only alerted to its existence when they could not get a loan), could have access to their own record to respond with reasons for whatever was on it.

Naturally financial data was of use to the tax office and now buying habits, web-search histories and emails result in changes to the feed of ads on social media.

Now that financial data is collected, the discussion can move on to more socially helpful data.  Apparently Facebook can announce a flu epidemic earlier than the public register of viral tests or hospital admissions just from reading the frequency of the words ‘flu or sick’ on the posts.

In life I have progressed from dealing with acute diseases in heroic medicine and  intensive care settings to looking at how to do prevention. Prevention is always the poor cousin, because if you spend money on it is hard to show results in the short time frame that accountants and politicians want.

As I moved from medicine to social policy and tried to advocate for ‘preventive social policy’ the situation became even more difficult, despite the well known fact that increasingly social disadvantage gives rise to poorer health outcomes. This is acknowledged with lip service, but the late-stage capitalist growth in inequality powers on regardless.

In 2001 as a NSW MLC I initiated an inquiry into DoCS (Dept of Community Services), which was then called FACS (Family and Community Services), and is now called DCJ (Dept of Communities and Justice).  My inquiry showed that the Dept was dysfunctional, which we knew already, and the changes since have not helped much. Initially the problem was that they wanted to concentrate on the children most at risk, which meant still minimal supportive prevention for cases that were not at risk yet.  Then the Department became even more defensive and privatised cases, so the kids became a commodity with NGO and ‘for profit’ corporations getting packages to look after kids with problems and then giving them to carer families for about a third of the money that they were given.  ‘Management’, it seems, is a very expensive and lucrative business.

Obviously looking after kids whose parents are dysfunctional is a very difficult undertaking.  Does one take the child and give it a good foster care family?  What is a good foster care family? How much do you support dysfunctional parents?  Are the grandparents, who presumably brought up the dysfunctional parents a good bet? Who makes the decision and what appeal mechanisms are there?  Presumably all this is rendered ever more difficult by the fact that the gap between rich and poor is rising, there is no longer anywhere near enough public housing, and welfare payments are not really enough to live on.

It seems that the best way to see what policy works is to follow the kids in a lifetime study and see how they turn out. The criticism is that the OOHC (Out of Home Care) system has a hugely higher percentage of kids graduating to juvenile justice and then adult prisons.  But data is hard to get as the Department, despite its numerous renamings, will not release the information as it is politically embarrassing.  Naturally the privacy of the children is cited, but the data could easily be de-identified as much epidemiological data is.

We need to get data to make better decisions, ones based on facts as far as possible, with transparent assessment procedures with honest assessments of what is happening and a minimum of political or bureaucratic interference. With ‘issues management’ aka PR BS getting more sophisticated all the time, it will be an increasing struggle.  The Aust Bureau of Statistics, which tries to produce facts, but can only work with the data it is given and presumably cannot be political in trying to get better data, was significantly defunded by Tony Abbott as part of his war on facts. Meanwhile the private sector hoovers up personal data and a few diehards try to keep using cash.

Ross Gittins, the SMH Economic Editor who generally writes good commonsense in a digestible form and has recently been recognised for his good work, has penned the article below in today’s SMH.

Australia Card anyone?

 

How the digital world is getting better at measuring us up

Ross Gittins, Economics Editor

SMH March 15, 2024

These days we hear incessantly about “data”. The media is full of reports of new data about this or that, and there’s a new and growing occupation of data analysts and even data scientists. So, what is data, where does it come from, what are people doing with it, and why should I care?

Google “data” and you find it’s “facts and statistics collected together for reference or analysis”. The advent of computers has allowed businesses and governments to record, calculate, play with and store huge amounts of data.

Businesses have data about what goods and services they’re making, buying and selling, importing or exporting, and paying their workers, going back for 30 or 40 years.

Our banks have data about what we earn and what we spend it on, especially when we use a credit or debit card – or our phone – to pay for something.

Much of this data is required to be supplied to government agencies. If you ever go onto the Australia Taxation Office’s website to do your annual tax return, it will offer to “pre-fill” your return with stuff it already knows about your income from wages, bank interest and dividends.

Try it sometime. You’ll be amazed by how much the taxman knows and how accurate his data are.

Another dimension of the “information revolution” is how advances in international telecommunications – including via satellites – have allowed us to be in touch with people and institutions around the world in real-time via email and the web – news, entertainment, social media, whatever.

Last month, the Australian Statistician – aka the boss of the Australian Bureau of Statistics – Dr David Gruen, gave a speech outlining some of the ways these huge banks of “big data” about the economic activities of the nation’s businesses, workers, consumers and governments can be used to improve the way we measure the economy in all its aspects: employment, inflation, gross domestic product and the rest.

We’re getting more information and more accurate information, and we’re getting it much sooner than we used to. But we’re still in the early days of exploiting this opportunity to be better informed about what’s happening in the economy and to have better information to guide the government’s decisions about its policies to improve the economy’s performance.

Gruen starts by describing the Tax Office’s “single-touch” payroll system, software that automatically receives information about employees’ payments every time an employer runs its payroll program.

Not all employers have the software, but those who do account for more than 10 million of our 14 million employees.

Gruen says the arrival of the pandemic in early 2020 made access to this “rich vein of near real-time information” an urgent priority. The taxman pulled out the stops, and the stats bureau began receiving these data in early April 2020.

With a virus spreading through the land and governments ordering lockdowns and border closures, they couldn’t afford to wait a month or more to find out what was happening in the economy. Thus, the whole project of using big data to help measure the economy received an enormous kick along – here and in all the other rich economies.

So, in addition to the longstanding monthly sample survey of the labour force, we now have a new publication: Weekly Payroll Jobs and Wages Australia. These data allowed the “econocrats”—and the rest of us—to chart the dramatic collapse in jobs across the economy over the three weeks from mid-March 2020.

They show employment in the accommodation and food services industry falling by more than a quarter in just three weeks. Employment in the arts and recreation services industry fell by almost 20 per cent. By contrast, falls in utilities and education and training were minor.

The monthly labour force survey has a sample size of about 50,000 people, compared with the payroll program’s 10 million-plus people, meaning it provides information on far more dimensions of the workforce than the old way does.

So, the bureau’s access to payroll data taught it new ways of doing things. And the pandemic increased econocrats’ appetite for more info about the economy that was available in real-time.

With household consumption – consumer spending – accounting for about half of gross domestic product, improving the timeliness and detail of the data was a great idea.

So, in February 2022, the bureau released the first monthly household spending indicator using (note this) aggregated and de-identified data on credit and debit card transactions supplied by the major banks. This indicator provides two-thirds coverage of household consumption, compared with the less than one-third coverage provided by the usual survey of retail trade.

The bureau has also begun publishing a monthly consumer price index in addition to the usual quarterly index. This is possible because big data – in the form of data from scanners at checkout counters and data scraped from the websites of supermarket chains – is much cheaper to gather than the old way.

The bureau has also started integrating different but related sets of big data from several sources, so analysts can study the behaviour of individual consumers or businesses. It has developed two large integrated data assets.

The one for individuals links families and households with data sets on income and taxation, social support, education, health, migrants and disability.

The one for businesses links them with a host of surveys of aspects of business activity, income and taxation, overseas trade, intellectual property and insolvency.

The purpose is to allow analysts from government departments, universities or think tanks to shed light on policy problems from multiple dimensions.

For instance, one study showed that people over 65 who’d had their third COVID vaccination within the previous three months were 93 per cent less likely to die from the virus than an unvaccinated person. But that’s just the tiniest example of what we’ll be able to find out.

 

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Secularism Australia Conference 2023

3 December 2023
I attended the Secularism Australia Conference on 2/12/23 at the NSW Teachers Federation in Sydney.
There were some interesting features:

Sponsors
There were a number of sponsoring groups, which cooperated to put it on. They were the NSW Teachers’ Federation, the Secular Assoc of NSW. Humanists Victoria, National Secular Lobby, Rationalist Society of Aust, Plain Reason and Humanists Australia. This seems a new level of cooperation, which is encouraging to see.

The Big Picture
Ex-Senator Chris Schacht drew attention to the 2021 Census which had 93% answer the religion question and a very large rise in the ‘No Religion’ percentage:
No Religion 38.9%
Christian 43.9% (Catholic 20%, Anglican 9.8%)
Not Stated 6.9%
Islam 3.2%
Hindu 2.7%
Buddhism 2.4%

It is also noteworthy that younger age groups are less religious with the 15-24 age group at 45.6% and 25-34 at 48.4%. Chris said that the political system and its patronage had in no way responded to this change and that it was necessary that they be forced to do so by more effective advocacy.

He said that a key problem was the reluctance of both Federal and State governments to reveal the true cost of the subsidies to religions. They get huge grants, pay no tax from their activities, not all of which may be charitable, and also have huge tax exemptions from State land taxes and Council rates. It would take quite an effort to get the full total of this, but it seems that neither Federal nor State gover\nemtns of both major parties do not want to draw attention to the issue. That is without considering aspects like private school funding, which is subsidised inequity. One politician when challenged said, ‘I have a 4% margin in my seat, and if I upset the Churches, it might be enough to change that’. Chris points out that if the ‘no religion’ votes were mobilised, it would certainly counter that fear, but most politicians have not considered the matter. And the ‘no religion’ voters have not demanded the end to these subsidies and unquantified tax lurks.

Senator David Shoebridge (whose speech is on his Facebook page) pointed out that there are 15,000 charities who receive government funding of $24 billion in addition to any tax-deductible donations. This is mostly for contracts for hospital or aged care services, but under legislation by Gillard they do not have to produce reports of how the money is spent!

School Funding
In terms of the Federal Government’s response to funding schools, Whitlam wanted a needs based formula and Gonski in his original report was similar, but the Schooling Resource Standard (SRS) formula under Turnbull was that 80% of Federal money went to private schools and only 20% to public. Chris hoped to change the formula. The slogan should be ‘Excellence through Equity’ not through ‘choice and competition’, which has manifestly failed as Australia tumbles down the OECD Education rankings. Sadly the current Federal Minister of Education, Jason Clare, was photographed with the Parliamentary Friends of School Chaplaincy.

Religion and the Constitution
There was quite a lot of interest in the legal history, with Michael KIrby ex-Justice of the High Court and Prof Luke Beck an academic. The question was whether the government could support religion as the Constitution specifically forbids the government from having an official religion as discriminating on the grounds of it. There had been a prosecution of a Seventh Day Adventist (SDA) in 1894 for illegally working on a Sunday, and he had unsuccessfully argued that their Sabbath was on Saturday and he needed to work on Sunday. The guilty man was fined two shillings and sixpence (=25c) or two hours in the stocks. He chose two hours in the stocks, but it turned out that there were no stocks available and there was a bit of a fuss that the government declined to make any. SDA lobbying may have been the reason that the prohibition on the government sponsoring a religion was included in the Constitution. The precedent of course was the “Church of England’ set up by Henry VIII so he could divorce his first wife. Henry Parkes, the father of Federation did not want any mention of religion in the constitution, but the mainstream churches insisted, so it is mentioned, but not given any practical grounds to empower religious institutions.

When state money was first given to Church schools the Council for the Defence of Government Schools (DOGS) took a case to the High Court that it was unconstitutional to favour a religion. The High Court, whose members mostly came from private schools, ruled against the DOGS, Kirby himself writing a dissenting judgement. He wondered what would happen if the DOGS case were re-litigated today.

Religion and the Radical Right
Chrys Stevenson, a freelance researcher spoke on Christian Dominionism. These folk want a theological world where the second coming of Christ will be when there is a (Christian) God on the top of every mountain on every continent. I was inclined to think that this was crazy stuff, but it seems that huge amounts of money from the Right of US politics links to very conservative Christianity through the Atlas network, the Tea Party Movement and Charles Koch (22nd richest man in the world at $US 60 billion), There are quite a lot of ‘Think Tanks’ funded by these groups. It seems that a preoccupation with letting God fix things aligns quite well with unfettered market capitalism. There have been very successful efforts to put more religious people in political parties, particularly the Right wing evangelicals into the Liberals. The links between the religious Right and the US Republicans are well known. The Labor Party has a lot of Catholics. Chrys wonders if the religious nutters are ‘useful idiots’ for the Right. It may be crazy stuff, but I am less sure that it is irrelevant stuff.

Religious Education in State Schools
There was quite a lot of discussion of religious education in State schools. The National School Chaplaincy program was an idea of Peter Eawlings, taken up via Greg Hunt, Julie Bishop and John Howard. It had been previously called CHIPS (Christians Helping in Schools), but with the new funded program the new name for Chaplains became ‘Student Wellbeing Officers.’ Maurie Mulheron the ex-President of the NSW Teachers Federation noted the lack of qualifications of those delivering religious education in schools, which had increasingly been done by volunteers with a trend towards evangelicals as the only people willing to do it. They see it as an opportunity for recruitment. Bill Browne of The Australia Institute surveyed Chaplains on their knowledge of the National Student Wellbeing Program, which replaced the National School Chaplaincy Program. He asked 50 questions. 71% of Chaplains had not heard of the program, 10% were unsure, and 20% had heard of it.

Most schools had struggled to find alternatives to the Chaplains, and kids who stayed away for a free ‘do nothing’ period tended to be hard to get back to a school focus.

Prof Anna Halafoff had surveyed children 13-18 and found that 52% had no religion, as opposed to 45% in the 2021 census of 15-24 year olds.

A Western Australian teacher said that there was a preoccupation with Christianity, but she was concerned that girls in Muslim schools have to have their menstrual periods recorded as they cannot go to the mosque, which is a significant infringement of their privacy and human rights. She tweets under infidelnoodle.

Ron Williams had challenged religious education in schools under Section 51.23a of the Constitution, pointing out that $1.47 billion was spent on it since Howard initiated it, and that funding of $61 million a year was locked in until 2027. Albanese increased it to $307 million! Williams had run out of money so ran the case himself and lost in the High Court.

There is a group called FIRIS, (Fairness In Religion In Schools) run by Steven Cowgill and Craig McLachlan. The slogan is ‘Teaching not Preaching’. There is a similar group, ‘Queensland Parents for Secular State Schools’. It was felt that the teaching of religions should be by qualified teachers who would explain that there were diverse views with the object of increasing understanding and tolerance as well as ethical values.

Chaplains in the Military
Collin Acton was the former Director of Chaplaincy in the Royal Australian Navy. He pointed out that there needs to be reform of the Aust Defence Force (ADF) Chaplaincy service as the only training that the Chaplains have is a theology degree and there are a lot of problems in the ADF, PTSD being a major one. He wanted secular Chaplains, but the Religious Advisory Committee of the ADF targeted him and he was forced out. (There is a story about this on the Rationalist website). There are 150 full time Chaplains and 150 part-time ones, and all of them were Christian. The Navy changed this in 2017 and now has 2 Buddhists, 2 Islam and a Hindu. The British Ministry of Defence has its first 3 non-religious pastors! Acton points out that the major social divide in the ADF is between the military and the civilians. The Chaplains are embedded within the ADF so can be visited easily and without attracting attention. Seeing a counsellor or psychologist outside the military is likely to be noticed and may impact adversely on promotion prospects, so the existing chaplaincy service has an immense advantage.

Religion in Parliamentary and Council Governance Rules
There was quite a lot of discussion about the extent to which religion had embedded itself in society. Some politicians found it offensive that the Lord’s Prayer was said at the opening of Parliament every day, and absented themselves as I had while it was read. It is an opinion that since the Constitution forbids Parliament to make laws that favour any religion, the reading of the Lord’s Prayer is unconstitutional, but it has never been challenged, so the practice stays.

A local councillor from Boroondara in Victoria, Victor Franco, had challenged reading the prayer in his Council, which was in their ‘Governance Rules’. He pointed out that in the census 47% of his community were non-religious, 40% were Christians and 10% were the rest. He wrote to other councillors who still did not want to change. He said that he was going to mount a legal challenge with Prof Luke Beck and Morris Blackburn lawyers. A call for public submissions had 86% anti-prayer, and the Council caved in.

He had compiled some interesting figures of how many councils have prayers:
NSW 72/129 56%
Victoria 42/79 53%
Qld 35/78 45%
WA 11/137 8%
SA 23/70 28%
191/522 37%

He commented that because his Council caved in there was no test case that clarified the matter, and that it might have affected State and Federal Parliaments also.

Conclusion
The conference was felt to have been very successful in that a number of groups had come together to organise it.
It was intended to hold more conferences, regularly and in different States to draw attention to Secular issues and the anomaly of funding religions.
The huge rise in ‘no religion’ was felt to have been ignored and there was a large need to educate the politicians that the religious subsidies, tax exemptions and lack of financial reporting were no longer acceptable.
There was pressure on the politicians present to get the figures as to the extent of subsidies, which they conceded was necessary. All three present, Chris Schacht (retired Labor Senator), Senator David Shoebridge (Greens- NSW) and Abigail Boyd MLC (NSW Greens) said that they had tried without huge success, but would try again.
At an individual level, we need to get our voices heard!

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Hospital Crisis is just part of the story.

6 November 2023


The hospital crisis is partly because General Practice has been so downgraded that more cases go to hospital than need to. The Federal government starving Medicare has a number of consequences:
Many GPs are simply retiring and there are no enough new ones taking their place, so we are getting towards a serious shortage
GPs cannot survive on the Medicare rebate, so now charge a co-payment.
Since Emergency departments are free, people wait until the situation gets worse then go there.
Emergency Depts are about 6 times the cost of GP visits, so the total cost of the Health Care system rises.
The other part of the Federal government starving Medicare is that the State governments pay for the emergency departments, so it is a case of the Federal government saving money by making it a lot more difficult for the States.
But an overriding fact is that Australia has been convinced by the neo-liberals that tax is a bad thing and government spending must be a small percentage of GDP. Currently this is about 38.4% of GDP, slightly less than the USA, which has very poor welfare and health systems. This means that the governments cannot actually afford to do anything, and behave like a corporation, cutting employee wages and making cuts wherever it thinks no one will notice, or it has the power to do so. Now if Labor ever tries to raise taxes, the Liberals, who are great exponents of small government accuse Labor of being ‘tax and spend’, and Labor, rather than have a serious debate merely retreats. The fact that he Scandinavian countries have government as close to half of GDP and have their citizens much better off never gets mentioned. Denmark is at 49.9%, Germany 49%, Finland 54% and France at 54%. The UK is at 45%.
We now have a failing GP sector, a problem in aged care, a shortage of nurses, paramedics on strike, a hollowed out public service that merely awards its former tasks to private sector operators that it cannot even monitor and Australia falling down the World educational standards table is not a coincidence. The governments have a virtual monopoly of these jobs. They have deliberately let wages fall, so that now people simply will not do them.
We need to stop privatising, rebuild that public sector so that it can deliver services that we need. Profit is merely another unnecessary overhead. We need to decide what needs to be done, and raise enough tax to pay the people to stay in their public service jobs. Education, health and aged care do not need a ‘market’ to function/. If one exists for comparison purposes, that is fine, but there is no actual virtue in having most of the services delivered by corporations that have the choice of good service or good profits. It is a con, and it is time we forced the government to give us Medicare and a health system that actually works for all, and education for all.
Here is a letter from my Medical partner in today’s Sydney Morning Herald.

The horror stories now emerging about overloaded public hospitals, ambulances and emergency departments comes as no surprise to anyone following the downgrading of Medicare to a ‘‘mixed billing’’ system. This has made it unaffordable for many people to see a GP. But the real cost of turning Medicare into a two-tier system has been to the public hospital system. The only winners are private corporations, private hospitals, private health insurance funds and their many lobbyists in Canberra. We are going the way of the US, and if people don’t fight for Medicare, we are all doomed.
Con Costa, Hurlstone Park:


Here is today’s Herald Editorial

Health system needs its own emergency care
The state of health of the health system has dominated the lives of Australians for four years, but it has never been in such need of urgent care. Indicative of how working conditions for frontline healthcare workers have deteriorated, people now spend a median of three hours and 36 minutes in NSW hospital emergency departments, the longest wait ever. It’s little wonder that health workers are suffering burnout, stress and bullying and are leaving the industry in record numbers.
The COVID-19 pandemic sharpened awareness of our vulnerabilities and forced extra spending on hospitals, clinical responses, vaccinations and prevention measures.
And when we emerged from the pandemic’s worst days it became evident the health system too was experiencing difficulty recovering from years of stress. It had been deteriorating for a long time already, but post-pandemic we became uncomfortably aware that ambulances were queueing for hours to offload emergency patients and hospitals were under enormous pressure with lengthy wait times in emergency and admission.
GPs bumped up fees, forcing people who could not afford the $11-a-visit hike into hospital emergency departments. The industry is being further destabilised by the exodus of 6500 nurses and midwives a year.
If anything, the situation is worse outside the big cities. Last year, for instance, five deaths in regional hospitals could potentially have been prevented, but not in an overworked hospital system with staff shortages that make mistakes even more likely. The NSW parliament’s health portfolio committee report on rural, regional and remote health 18 months ago found a ‘‘culture of fear’’ which did not encourage or value feedback and complaints. Some workers say they were even punished for making complaints.
Now an investigation by the Herald has revealed a health system sinking further into crisis. Eight nurses and midwives have taken their lives in the past three years, while nearly 2000 NSW Health workers have lodged compensation claims for psychological injuries over the past two years. More than 33,500 NSW Health employees have also claimed they are burnt out, while 21,000 workers say they have witnessed bullying in the workplace. One in 12 ambulance employees hold a compensation claim for a psychological injury.
Experts and unions warn that the data, drawn from documents obtained exclusively under freedom of information laws and the state government’s recently released annual employee survey, People Matter, shows a workplace struggling with staff mental health concerns.
Further illustrating the stress, NSW Ambulance fielded a record 363,251 calls and fired up the lights and sirens for more than 181,000 emergency call-outs between July and September, the most of any three-month period since the Bureau of Health Information began taking records in 2010.
Money seems to be the root cause of health’s problems. Today’s national cabinet meeting will address the rampant cost blowouts in the NDIS and Canberra wants the states to take responsibility for funding treatments. On Friday, Premier Chris Minns and Treasurer Daniel Mookhey meet the Health Services Union over a protracted pay dispute threatening to collapse the NSW triple zero call system on New Year’s Eve. Minns said the money is not available.
The future funding and structure of our health systems concerns us all. It is an area where the federal and state governments share responsibility. The solution to the healthcare crisis is complex and will take time, but it is an area where increased funding must be found.
That clearly calls for a better national approach and the states responding with an end to parochial wheelbarrowpushing and finger-pointing.

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Argentinian Populist Wins Election

25 November 2023

I visited Argentina, Uruguay and Chile  for 4 weeks over Christmas 2018-9.

Argentina was a pleasant, orderly, developed country. The people were friendly, and you could sit in cafes in town squares where flamenco dancers performed, supported by tips from the enthusiastic locals and tourists.  The main part of Buenos Aires had been built, modelled on Paris around 1900, when Argentina was relatively rich because of beef prices. As commodities fell in price relative to manufactured goods, their economy has suffered. But the fine buildings in the centre of the city remain.  They have alternated between leftist governments that nationalise and take resources from the foreigners and right wing governments, usually supported by the US, who privatise and encourage foreign investment, then use repression to control the people.

The government, when we were there was middle of the road, but having trouble controlling inflation, which was at around 40%.  From a visitors point of view, things were cheap, a meal for two with wine less than half what it would have been in a Sydney pub. We did not feel unsafe.

Because of the concerns with the inflation problem, there were worries about democracy in the future, given the history of right-wing coups in many South American countries.

There had been a military coup in 1975, which seems to have been US-facilitated and the military junta had been in power from 1976 to 1983. Approximately 30,000 people who had been arrested ‘disappeared’.  They were part of a wider ‘Operation Condor’ to persecute and eliminate political, social, trade-union and student activists from Argentina, Uruguay, Chile, Paraguay, Bolivia and Brazil by the right-wing governments in those countries.  The US CIA provided the database so was well aware of what was happening.

Even now, every Thursday at 1pm the mothers and sisters of ‘The Disappeared’ dress in white and walk in pairs around a statue in Plaza de Mayo outside the Parliament.  The women had started protesting in 1977, but anything more than two people walking together was termed a crowd’ and thus illegal. Of those who perpetrated this atrocity only one soldier actually told the tale of what happened. Some of the disappeared had simply been shot in mass graves, but others went to the Naval training headquarters in Buenos Aires where they were kept in the attic and tortured in the basement. Some  were released, but others were drugged with thiopentone, loaded into trucks, then planes and dumped into the Atlantic Ocean.  Some were made to call their families with a gun at their heads and say that they could not talk, but they were happy  in a new life in Paris or some other unlikely tale.

Survivors described how they had a hood over their head at all times and could only see their feet. They described the steps and the colour of the walls, and where the phone was that they had to speak on and the lift next to the phone.  Later, the government came, took out the lift and the phone and painted the walls of the Naval training centre a different colour, so that the building would not match the descriptions of the inmates. Naturally there were no plans of the building changes available. The area was a museum when we were there and there was a small research area, still trying to identify individuals and what had happened to them. They were worried that the government would defund them and close their museum.

Now a far-Right populist, Javier Milei, has won the election, promising to abolish the Central Bank, change the currency to the US dollar, privatise everything and make guns freely available.  He denies climate change and the crimes of the previous military junta.  He has been congratulated by Donald Trump and Jair Bolsonaro, the recently defeated populist from Brazil. He also wants to re-take the Malvinas aka the Falklands.  There is little hope of this simplistic nonsense improving anything in Argentina.  The worry is not only that the ‘Museum to the Disappeared’ will disappear, but that it will all happen again.

www.theguardian.com/world/2023/nov/20/argentina-presidential-election-far-right-libertarian-javier-milei-wins-after-rival-concedes

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Apartheid Education Buses

23 November 2023

I live near a turning circle in a good area of Sydney.  There is a Bus Stop there and the government bus there has an ad with a picture of a forlorn looking schoolgirl saying that she cannot have a decent education, so would I donate to The Smith Family so she can.

As the ad displays there, 8 shiny new buses take private school children from the turning circle to 8 different private schools.

It seems that our governments are happy to subsidise ‘choice’ so that they do not have to fund a fair go and we are happy to tolerate an apartheid education system.

 

www.theguardian.com/australia-news/2023/nov/23/australia-100-wealthiest-schools-earnings-income-data-education-department?utm_term=655e79e42ab1fedfc11542549409ff2e&utm_campaign=AustralianPolitics&utm_source=esp&utm_medium=Email&CMP=aupolitics_email

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An Apolitical Public Service?

One of the ideas that was fashionable in my youth was that the public service was to be apolitical and give unbiased advice to Ministers, who would then presumably implement it.

This principle seems most challenged in the 1980s when ‘Harvard Management’ was the watchword. The facts about what was needed were presumed to be clear to the manager and his (or rarely her) job was to implement this against the inertia and ignorance of the rest of the organisation. There were workshops on ‘how to break down the culture of an organisation.’  There were articles at the time about how superior the US political system was in that the heads and significant senior level of the public service were all replaced after each electi0on so that their departmental programs followed what their new political masters wanted. 

I saw at first hand at Sydney Water the progressive replacement of managers who had risen up through the ranks and knew what they were doing by people who played office politics or were politically favoured and did not even know what they did not know.  The Liberal management imperative at the time was to slim down the organisation, and since it was a ‘government owned enterprise’ realise the profits of its activities.  In short, to sack staff from 17,000 to 2,000, and take what was formerly paid in wages as dividend.  So these wages actually became taxes because the water rates did not fall.  Stormwater pipe replacement programs were halted, the apprentice training school was closed, the employment schemes for people with disabilities, long term unemployed, and for those recently out of prison were all ceased and repairs were only done ‘when needed.’ So the relationship between the Public Service doing its job in a traditional way, and the political imperatives driven by the dogmas of the day were clearly illustrated.

At a more entertaining level, the ’Yes Minister’ series from the BBC showed the politicians being led by the nose by immutable public servants, while the more recent local ABC show ‘Utopia’ had a sensible public service being mucked around by foolish politicians. 

At the Federal Australian level, one might recall the trouble that Andrew Wilkie got into when working for the Office of National Assessment (ONA), when he alleged that the ONA was being told to find evidence that justified the war in Iraq, rather than being asked to evaluate whether such evidence was persuasive.  The Robodebt saga had public servants who seem to have been justified in their belief that if they did not implement the scheme that may well have been illegal their careers would  suffer.  That did not stop them wearing the flak later.

The dogma that the private sector knows best is only true if the Public Service has all the people with specialist knowledge given redundancy, as was the case in Sydney Water. The rise of PwC and the inability to supervise them comes from the weakening of the knowledge base of the public sector, driven by the current imperative to keep the government sector as small as possible, not that using consultants over career public servants with specific expertise actually saves any money in the medium term.

But there is politics in every organisation, from the local tennis club to the public service to international politics. (My only advice is that since all campaigns take much the same amount of energy do not waste time on small issues).  It is naive to expect people not to play politics; it is necessary for a career.  The critical thing that needs to be ensured is that the competition is fair and transparent and that the right things are rewarded.

The top echelons of the public service still have power as was demonstrated by the saga of Michael Pezzullo. He lobbied to increase the power of Home Affairs, which was of course helped by the demonisation  of boat people that had done so well for the conservative side  of politics. He then interfered in who was in Cabinet, favoured Big Tobacco, favoured recognising Jerusalem as Israel’s capital, supported a firm that was going to process visas when this was privatised, and PwC when the COVID quarantine system was to be privatised.  (It might be noted that today’s SMH which details a lot of this has frequent disclaimers, presumably to evade Australia’s rigid defamation laws).

It is ironic that the Public Service Act was revised by the Howard government in 1999 as they presided over the rise of consultants and  the politicisation of the shrinking public service. 

The difficulty of rebuilding the public service is huge. If people have expertise that they can profit from they will be reluctant to return to the public service on a lower salary, particularly as no one will any longer be sure of security of tenure.  One of the advantages of the old public service was that if your career went into an area of specialised knowledge you were not very employable in the open market but you had a job until retirement and your knowledge was respected and used in your field. This situation will be difficult to re-create.

The harms done by the dogmas of small government and neoliberalism will take a long time and a lot of thought to undo.  

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