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Category: Constraints

20/04/2024

Cheaper EVs?

20 April 2024

Here is an article praising China’s Electric Vehicle industry and noting that Apple gave up trying to do EVs and China has successfully taken up the slack.

It also boasts that Chinese EV technology is excellent and that they have not lowered prices, and it warns that trade tariffs to stop Chinese exports will be counterproductive.

More conventional views are that China has a glut of EVs and a coming economic crisis due to their property bubble.

Australia has no tariffs on EVs and is currently paying too much for them. Despite the tone of this article, China must want to dump EVs somewhere.

I am still not sure that EVs are good for the environment in that the carbon footprint from mining and processing their components is much greater than the simpler components of internal combustion engines, and the factories that manufacture them are mainly powered by coal-generated power. It takes many km of petrol saved to overcome this initial deficit. Hopefully this situation will gradually improve in time, but in the shorter term, will Chinese EVs be cheaper here?

What does China’s electric vehicle rise mean for the global market?

17/03/2024

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.

16/02/2024

‘Health Policy’

Chesterfield-Evans, A. (2024)

Journal of Australian Political Economy No. 92, pp. 98-105.

HEALTH POLICY
Arthur Chesterfield-Evans

Just before the 2022 federal election, Mark Butler, now the Minister for
Health in the Albanese government, spoke to the National Press Club,
praising the courage of the Hawke government in creating Medicare in
1984. His speech also set modest priorities for a prospective Labor
government, committing to (1) improve the digital health record and make
the MyHealth record actually useful; (2) develop multidisciplinary care;
(3) establish a new funding model for ‘MyMedicare’; and (4) grow the
medical workforce, with special mention of nurses and pharmacists (Butler
2022). Significantly, Butler did not commit afresh to Medicare as a
universal health scheme free at the point of delivery, the key element of
the original 1984 scheme that he praised. In an environment where,
politically, it seems that taxes cannot be increased, perhaps this ideal may
be an impossibility, but it is surely significant that it is no longer stated as
an aspiration.
Currently, Medicare is quietly dying as the low rebates cause doctors to
abandon it. Australia is moving to a US-type private system by
default. This has resulted in large amounts of hand-wringing rhetoric, but
so far little action. This short article comments on the changes initiated by
the current Labor government during its first year and a half, contrasting
these with the deep-seated problems needing to be addressed if better
health outcomes are to be achieved.
Labor’s reforms
The government has made some minor changes to Medicare which came
in with great fanfare on November 1, 2023. There were new item numbers

for new specialist technologies or treatments and an increased Medicare
rebate for GPs, up to $41.40 for a standard visit for a RACGP member,
which is 40.6% of the AMA fee. Doctors without the RACGP qualification
still get $21, which is 20.6% of the $102 AMA fee.
When Medicare was born, the Medicare rebate was 85% of the AMA fee.
The rebate has risen at half the inflation rate for 39 years, so doctors now
feel ripped off every time they see a Medicare patient. Labor blames the
disparity on the rebate freezes of the previous LNP Coalition governments,
but its own record is poor. Successive governments of all types have
deferred to the private health lobby and are starving Medicare, slowly
defaulting towards a principally private system, as in the USA. This is a
deeply-troubling prospect because the US health system has been
recurrently criticised (Commonwealth Fund 2021) – and rightly so –
because it makes access to health care dependent on ability to pay. Notably,
however, it is the world’s best system at turning sickness into money.
The other recent Labor ‘reform’ was to allow pharmacists to process
prescribed medications to cover patients’ requirements for 60 days, rather
than 30 days, thereby halving the costs of prescribing and dispensing.
While this may seem helpful, patients are often confused by complicated
generic names and generic brands; and compliance or discontinuation of
medicines is a largely unquantified problem. These are existing problems
with the current arrangements for dispensing medications: the recent
policy change, while well-intentioned, does not redress them. It transfers
resources from professional staff to the pharmaceutical industry.
The ‘Strengthening Medicare Taskforce’ had good medical and allied
health representatives and support. Its December 2022 report defined the
problems but, trying to avoid controversy, positive suggestions were thin
on the ground. A deeper analysis and more comprehensive approach to the
redress of health issues is needed.
Basic problems in the health system
Diverse funding sources causes cost-shifting
Fundamentally, no-one is in overall control of the health system. It has a
number of different funding sources: the Federal and State governments,
the Private Health Insurance industry (PHI), Medicare and individuals

themselves. Workers Compensation (WC) and Compulsory Third Party
(CTP) insurers also put in a bit. These arrangements lead to a situation
where each funding entity attempts to shift costs without any real care for
the overall cost of the system. Private entities such as pathology and
radiology also have an interest in providing more services, whether they
are needed or not.
The broad division of the health system is that public hospitals and
emergency departments (EDs) are State-funded, and non-hospital services
are Federally, PHI or self (patient) funded. There is some overlap,
however, because the State’s provision of some community-based services
allows them to save on hospital-bed days; and private funds paid to State
hospital in-patients are eagerly sought. The starvation of Medicare (which
reduces the Federal government’s spending) has resulted in more patients
going to EDs at higher (State) cost, as well as increasing PHI and patient
costs.
This cost-shifting has evident implications for the affordability of health
care: notably, a recent study showed that Australia, when compared to 10
other countries, scored poorly on its measure of affordability
(Commonwealth Fund 2021).

A new health paradigm is needed
Yet more fundamentally, there is a huge problem with the conceptual
model of the health system. In common parlance, the ‘health system’ is the
‘paying to treat illness’ system. Paying doctors to see and treat patients is
seen as the major cost and is the most politically fraught element in the
system.
Historically, everyone was assumed to be healthy and had episodes of
either infectious diseases or surgical problems. They went into a hospital
for a brief period and either recovered or died. The legacy of this is that
heroic interventions are over-resourced and the more cost-effective early
interventions are under-resourced.
Infectious disease is now relatively uncommon, notwithstanding the recent
and ongoing coronavirus concerns. Most disease is chronic; and the
objective is to maintain health for as long as possible and to support those
who need support in the community rather than in institutions. ‘Health’
must be re-defined as a state of physical and mental wellbeing; and
maintaining it as ‘demand management’ for the treatment system.

Life-style diseases of diet, obesity, smoking, vaping, alcohol, drug-use and
lack of exercise need attention. It might be commented that these habits
are more determined by the political economy of the products than by any
health considerations; and the government should intervene to re-balance
this market failure.

Hierarchies, cartels and corporatisation
The medical system is hierarchical with specialists at the top and GPs at
the bottom. The specialist colleges have produced less practitioners than
would have been optimal. The starvation of General Practice has led to
increasing specialist referrals for simple procedures. Most patients are
happy to go along with this, though often much less happy about the rising
costs. Practitioners tend to work down to their station rather than up to
their capacity. GPs, if given the appropriate additional education and
empowered to act, could do what quite a lot of specialists do now, while
nurses could take the load from GPs; and, in terms of home support, a more
comprehensive and flexible workforce needs to be developed.
Private medical insurance systems are a further source of problems. They
have marketing, churn, profits, liability and fraud issues; and they make it
necessary to account for every item of every procedure. While the
corporations watch every cost, the regulator cannot. Corporations buy
medical practices and take up to 55% of the gross revenue. Smaller
radiology practices are being gobbled up as investments (Cranston 2020).
If overheads are defined as the amount of money put in compared to the
amount paid for treatments, Medicare costs about 5% and PHIs, as they
are regulated in Australia, about 12%. In the USA, the private health funds
take up to 35%, and Australia’s CTP system got close to 50%. A universal
health insurance system could avoid many of these costs and would be far
superior from a social equity point of view.
Similar problems are evident in the provision of care for people with
disabilities. Labor pioneered the NDIS when last in office a decade ago,
and rightly claims this as evidence of its commitment to redress the
previous neglect. However, the NDIS can be considered as a privatisation
of the welfare system. It overlaps medical system functions and is poorly
regulated. If its efficiency is judged by the percentage of money put in that
is paid to the actual workers delivering the service, care is not very

efficient. There have also been significant criminal rip-offs (Galloway
2023).
Retirement care arrangements have major flaws too. Aged-care
accommodation is largely driven by the real estate industry; and access to
continuing care is an add-on of often dubious quality.

What should the government do?
The problems described above are diverse, deep-seated and not easily
rectified. However, a government intent on staying in office for a series of
terms could heed the call for some big thinking, drawing on the experience
of health practitioners themselves. Here is a list of what might be done,
becoming more medical and more politically difficult as it progresses:
• Keep people healthy with education, clean water, sanitation, housing,
good food, regular exercise, high vaccination rates, road safety,
universal swimming lessons, CPR and first aid training and the active
discouragement of smoking, vaping, alcohol and drug use, junk food
and gambling.
• Provide housing with graded community support options for those
people with disadvantage or impairment. Create a registration and
insurance system for home and community support services, so that
individuals can buy standardised services from other individuals.
• Maintain fixed staff-patient ratios related to the disability
classification of residents in institutional care.
• Make maximum use of community and school interventions and
support services such as District and Community nurses and School
nurses, mental health support networks, Aged Care Assessment
Teams, Hospitals in the Home etc.
• Address health problems as early and as low down the support and
treatment hierarchy as possible, by empowering those who provide
the services.
• Create a meaningful regulatory, inspection and enforcement system
for support services, both community and residential, and for
workplaces and recreational facilities.
• Use the medical information system to research drug and treatment
effectiveness.

• Support General Practitioners and try to increase their ability to solve
problems without referral. Have GPs work in Health Centres with
community support workers as far as possible; and improve
communication with data collection a by-product of normal work, not
an additional imposition.
• Have independent evaluation of the numbers needed in the specialties
and pressure the colleges to provide these numbers. Use waiting times
as an initial index.
• Initiate either university-based or college-based continuing medical or
professional education, with mandatory refresher exams every
decade.
• Have universal professional indemnity insurance, with doctors and
other health professionals unable to be sued if they report all incidents
of sub-optimal outcomes within 48 hours of becoming aware of them,
and participate in regular quality control meetings.
• Publicise and promote organ donation, end of life plans, wills and
enduring powers of attorney as sensible steps in life-management.
• Evaluate Intensive Care interventions in QALY (Quality-Adjusted
Life Years) terms, researching their outcomes and comparing them to
earlier intervention initiatives.
• Change the composition of the Pharmaceutical Benefits Advisory
Committee so that it has no pharmaceutical industry representative on
it; and remove ministerial discretion from its decisions. The previous
system evaluated new drug listing approvals with a cost-benefit
analysis (Doran et al. 2008), but the Howard reforms of 2007,
following the Australia-US Free Trade Agreement and lobbying by
Pfizer, put a drug industry representative on this committee, making
its negotiations more transparent and thus more difficult for the PBS
to negotiate prices (Access to Medicine Working Group 2007).
• Work towards replacing Workers Compensation and CTP insurance
schemes with income guarantee schemes (this will only be possible
when Medicare allows timely treatment).
• Create a credible and indexed scheme for paying medical
professionals which does not have KPIs that distort performance.

• Make Medicare a universal taxpayer funded health system that is free
at the point of delivery and stop subsidising PHI. It might be noted
that the Government currently quotes Medicare and PHI costs
together as a sum rather than itemising the two, which serves to
disguise the subsidy to PHI (Parliament of Australia 2022).

Conclusion
The current federal Labor government has made statements about health
policy reform and done minor tinkering during the first year and a half in
office. Based on this start, it is doubtful that it will have the courage to
make the necessary major changes, addressing the systemic problems.
Fine rhetoric is unlikely to achieve much. That makes it doubly important
to develop proposals for more fundamental reform. Written with this
intention, the suggestions made in this article could be the basis for
tackling the fundamental institutional and political economic issues
problems associated with personal and societal ill-health.
Dr Arthur Chesterfield-Evans trained as a surgeon in Sydney and the UK
and is a Fellow of the Royal College of Surgeons. He currently works as a
GP with interests in workers’ compensation and third-party injury. He has
been a tobacco activist and an elected member of the upper house of the
NSW Parliament. He has Master’s degrees in Occupational Health and in
Political Economy.
chesterfieldevans@gmail.com

References
Butler, M. (2022) ‘Address to National Press Club, 2 May,’ available:
www.health.gov.au/ministers/the-hon-mark-butler-mp/media/minister-for-health-and-aged-
care-speech-national-press-club-2-may-2023.
Commonwealth Fund (2021) US Report, available:
www.commonwealthfund.org/publications/fund-reports/2021/aug/mirror-mirror-2021-
reflecting-poorly.
Cranston, M. (2020) ‘Radiology enjoys a post-virus buying boom’, Australian Financial
Review, available: www.afr.com/policy/economy/radiology-enjoys-a-post-virus-buying-
boom-20201106-p56c7k.

Doran, E., Henry, D., Faunce, T.A. and Searles, A. (2008) ‘Australian pharmaceuticals policy
and the idea of innovation’, Journal of Australian Political Economy, 62, pp. 39-60.
Galloway, A. (2023) ‘Federal crime syndicates using cash vouchers and gifts to steal NDIS
funds’, The Sydney Morning Herald, available: www.smh.com.au/politics/federal/criminal-
syndicates-using-cash-vouchers-and-gifts-to-steal-ndis-funds-20230414-p5d0ma.html.
Parliamentary Library (2022) Health overview, available:
www.aph.gov.au/About_Parliament/Parliamentary_departments/Parliamentary_Library/p
ubs/rp/BudgetReview202223/HealthOverview.
PBS (2007) ‘Access to medicines working group’, available: www.pbs.gov.au/info Access to
Medicines /general/working-groups/amwg/amwg-jul-2007.
Sax, S. (1984) A Strife of Interests: Politics and Policies in Australian Health Services,
Sydney: George Allen and Unwin.
Searles, A., Jefferys, S., Doran, E. and Henry D.A. (2007) ‘Reference pricing, generic drugs
and proposed changes to the Pharmaceutical Benefits Scheme’, Medical Journal of Australia,
187(4), pp. 236-39.
Strengthening Medicare Taskforce (2022) Taskforce Report, Commonwealth Department of
Health, available: www.health.gov.au/sites/default/files/2023-02/strengthening-medicare-taskforce-report_0.pdf.

17/12/2023

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!

07/12/2023

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.

23/11/2023

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

23/11/2023

Climate Change- a Depressing Update

23 November 2023

In Australia the Labor government struggles mightily to get legislation through to allow Woodside to pipe carbon dioxide to East Timor’s territorial waters for supposed CCS (Carbon Capture and Storage) to allow them to develop a new gas field. East Timor is not a signatory to the Paris Accord- convenient eh? Supposedly the carbon dioxide will be pumped into a reservoir that used to have gas, but Woodside has a track record of not meeting its CCS targets; if you think CCS is a real thing and not a cop-out farce.

Evidence suggests that the world is on target for a 3 degrees temperature rise, which may make human life unsustainable in its present form. Petrostates are installing lights at beaches so that people can go for a night swim to cool off because it is too hot in the daytime!

The graphs below show world energy consumption tripling since 2000 and continuing that upward trajectory. If one considers that the production of energy by a human is about a kilowatt a day, one realises that the amount of energy consumed now per person is many times that, and far higher in developed countries, the situation is unsustainable. The invention of the steam engine in 1690 and the internal combustion engine in 1872 and the use of fossil fuels, which has resulted in the energy and carbon dioxide stored as carbon over tens of thousands of years being released in a century. It is ridiculous to think that reforestation can capture this amount of carbon as the total area of forests in the world is still declining.

COP28 (the 28th Conference of the Parties) of the UN Framework Convention on Climate Change (UNFCCC), will start on 30 November in the United Arab Emirates (UAE), chaired by Sultan Al Jaber, the CEO of the UAE state oil company ADNOC. How much good is this likely to do?

COP-out: Why the petrostate-hosted climate talkfest will fail

18/10/2023

Advocacy to Delay the Silica Benchtops Ban

18 October 2023

I wondered why the NSW Government was delaying the ban on silica-containing benchtops until July 2024. Infectious diseases have no political friends, but industrial diseases do. Below is a full page ad in today’s Sydney Morning Herald advocating a delay on the ban and some regulations about how to cut the benchtops with no dust. They also point out correctly that other benchtop materials have some hazards, and there are a lot of other products that produce silica dust when cut or dug. And they point out that a lot of people are involved in installing benchtops.

It is true about other products being harmful. But it is also true that there are readily available non-toxic alternatives that could be used. It is a bit rich for an industry that did precious little to stop the development of silicosis now to ask to be regulated. The obvious solution is to minimise the harm from all sources of silica including cutting concrete and digging sandstone foundations. That requires regulations that often actually exist, but Safework does few site inspections and relies on ‘self regulation’ and a ‘notify us’ system of light regulation, based on a fundamental contempt for OHS as soon as it inconveniences business.

The government must be forced by publix pressure to ban silica benchtops, which are basically all silica except for a bit of binder chemical, and to enforce other regulations with filtered air and barriers with PPE (personal protective equipment) as a last resort. Concrete or sandstone must be cut with water on the saw so that there is minimal dust.

It is depressing, but not surprising that those who have created so much of a problem by setting up an import system for this toxic product now have the gall to lobby against effective government action.

C:\Users\chest\OneDrive\Pictures\SMH Silicosis Ad 231018.jpg

03/06/2023

Private Schools- part of entrenching inequality

31 May 2023

In the 1960s State Aid for Church schools was initiated in NSW. Then there became an emphasis on ‘choice’ of school and subsidies for children to catch a bus away from where the child lived to the school that they wanted to go to.

Governments, particularly conservative ones want more children in private schools as this lessens total government expenditure, though private schools have successfully demanded closer to the amount of money per student that the public schools get. The subsidies also favour their conservative voters.

Private school parents, seeking advantage for their students pay high fees so the government funding seems to be spent along with the other money on swimming pools and ‘luxury items’.

Meanwhile Australia is slipping down the world education ratings, because public schools are neglected. The sociology also needs to be considered. The ‘choice’ is only for some. The parents who do not have the financial means for a private school, nor the grades to get into a selective school have to take what they can get. I visited a school in a disadvantaged area in Sydney, and looked at the school photos in the foyer. There was not a white face in the last 15 years- all the students were either of Pacific Islander or Middle Eastern origin. The Principal said to me that she just wished she had a few Anglo students to model what the majority of Australians do. There had been a stabbing in the playground about 30 years ago, and this had led to ‘white flight’. There were also a considerable number of children with disabilities, which may be related to marriages within ethnic family or religious groups. With poorer facilities, disadvantaged students a lack of role models and teachers with lower pay, the Principal said it was very difficult to get her graduates good results and able to compete for jobs.

I live in a relatively good suburb near a place where buses can turn around. Each day 8 busses leave from close to me to go to 8 different private schools, 4 single sex male, and 4 single sex female. I think of them as Apartheid busses. The buses are all branded and new. The students getting on board can go in relative luxury from the civilised suburb to the well-endowed schools. They need have no contact with poorer folk, even on public transport. These advantaged students will go to universities, into top jobs and make decisions for us all.

I am reminded that in the US in the Johnson era there was ‘bussing’ which took more wealthy students to schools in poorer areas to make richer students aware of how the poorer student lived and to increase equality of opportunity. Australia, supposedly the land of the ‘fair go’, is now quite the opposite, subsidising inequality as we become the country with the most privatised (and unequal) education systems in the world. Now, just to emphasis the point, ‘for profit’ schools are coming in. ‘Hey, what is wrong with making a profit?’ we hear them cry.

When I went to school in Port Kembla, half the school were children of post-WW2 migrants from Europe, ‘displaced persons’, or what we would now call refugees. Half the children arrived at kindergarten unable to speak a word of English. There were 46 in my class. All this was ‘normal’. There was no anti-discrimination legislation. But the over-riding unifying factors were that all the kids in the school had the same experience, all the parents had jobs and the Housing Commission was building whole suburbs of houses as fast as they could to settle the new migrants. By the end of 3^rd class there was really no difference between migrants and Anglo-born. It was equality of opportunity, a ‘fair go’. This is what is being lost. We see the example of the US where the gap between rich and poor keeps growing and we are subsidising the same process!

We forgot about the first Gonski report on educational inequality as the politicans did not want to offend the middle class by lessening their education subsidies. Gonski was pressured to do a weaker second report and inequality of opportunity keeps growing.

The politicians tell us that their education funding has never been higher. Perhaps this is so, but while the money is spent on luxuries for some and there is not enough financially or sociologically to help disadvantaged areas, Australia will continue to slide down the international education rankings and the entrenched disadvantage that continues from generation to generation will continue.

Selling out our school system to profit multinationals

31/03/2023

The Arms Industry Distorts US and the World’s Priorities

31 March 2023

The word ‘defence’ seems innocuous enough, and discussion about is generally starts with a diatribe about the threat of Russia or China.

But just as the tobacco industry was responsible for the smoking epidemic, so the Arms industry is responsible for military spending and the consequent need to have wars to justify that expenditure.

The US has had continuous wars for many years; when one ends, another starts. The wars are not because of a threat to the US, but represent the US exerting global influence, and selling weapons to itself and others.

US foreign policy is hugely affected by its military and a perceived need for global hegemony. There is pressure on countries that seem susceptible (like Australia) to buy weapons systems (like AUKUS) to fit into this hegemonic world view. How long this can be afforded by US taxpayers is a key question; the Roman Empire imploded when its tax base could not pay for the mercenary armies that guarded its frontiers.

A list of some of the wars is; The Cold War 1945-1989, Korean War 1950-55, Vietnam 1955-75, Lebanon 1982-84, Libya 1986, Panama invasion 1989-90, 1^st Gulf War 1990-91, Somalia 1992-95 and 2007, Bosnia and Croatia 1992-95, Kosovo 1998-99, Iraq War 2003-2010, Afghan war 2001-2021, North West Pakistan 2004-2018, Libya 2011 and 2015-19, Iraq intervention against ISIL 2014-2021, and now Ukraine 2022-.

Obviously one can argue about the merits of any of these wars, but the success rate of them is not good from a US foreign policy perspective. The returns to the arms industry, however, are always positive.

But the opportunity cost of these wars in terms of the possibility of diplomatic settlement or the use of monies to address the problems in the warring parties is considerable. The loss of social services and infrastructure to the US population is probably the most critical part from a political level. Inequality and polarisation in the US are increasing with consequent social disharmony.

The arms industry has to be reined in. Its subsidies to the Australian War Memorial have tended to make this a temple of militarism rather than a place for regret and remembrance.

There was a book, ‘The Secret State- Australia’s Spy Industry’, by Richard Hall which came out in 1978 and compared the reports of the intelligence agencies of 25 years previously with the current affairs commentaries of the major daily newspapers of the same time. (The 25 years was the time for the release of the spy agency documents). The rants of the intelligence agencies and their fear-mongering were almost comic and the predictions of the major newspaper editorials were largely proved correct.

It seems that as ‘Security studies’ replace ‘History ‘ in university courses likely to result in graduates getting jobs, the people who teach world events are changing their perspectives, and not for the better. Our current policies with AUKUS would seem to derive from a believing a current spy’s paranoid world view. The Arms Industry is to be feared and opposed in Australia as well as the US.

Congress Has Been Captured by the Arms Industry