Doctor and activist


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Category: Constraints

Want to know about high energy prices?

4 September 2022

It is about market failure.  When public power utilities were privatised a market was set up and power producers could bid into a market to supply at a certain price for each period of time.  But obviously if someone bid in at a low price for part of the market, they would then watch as others bid in higher and made more money.  So the price to all producers was set at the last bid, so the cheap producers made a lot of money.

There were a few problems. The amount of electricity needed varies widely. Coal fired power is not very flexible-it needs a constant load, cannot be stopped and can vary its output only slowly and within a limited range. When renewables came, solar is only in the daytime, and wind varies, so the system had a problem with ‘stability’- the ability to dispatch power when it was needed.

Another problem was rorting, though no one wanted to talk about this.  There were big players who could withhold power so that there was a shortage; the price went up, and then they all cashed in. ‘Imperfect competition’ as economists would call it.  No one wanted to build coal plants and there was not enough storage to let renewable energy last overnight or for dull or windless days. So the Morrison government said that gas was a ‘transition fuel’ and more gas plants would be built.

Meanwhile the Australian gas industry agreed to massive export contracts on the assumption that they could frack Australia as the US had been fracked. But the environmentalists realised the harm this did and resisted.  So our price of gas went up.  So the companies pressured the Albanese government, which is now breaking its election promises and approving fracking. Sorry environment- what is a bit of permanently polluted groundwater and desertification between friends?

Of course years ago, publicly owned utilities run by professional engineers were charged with providing electricity and gas to the public on a non-profit basis. They charged enough to cover their costs with some money for maintenance and future planning.  The price was the average price of generation, not the most expensive component.  The model worked quite well and could again.  The change to a ‘market’ was ideological.

At an international level, the problem is similar, but it all being blamed on Russia, which is only partly true.  Naturally in a globalised world, we are also affected by the European gas market, but less directly, especially if we frack to get out of it; which is a very bad solution, substituting a long-term problem for a short-term one.

Here is an international article:

https://eand.co/this-is-why-your-energy-bills-are-going-through-the-roof-cc99e2a59d12
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Electric Vehicles: How helpful are they for Climate Change?

5 June 2020

There are claims and counter claims for how much electric vehicles (EVs) improve the greenhouse gas situation. The production of batteries is quite energy-intensive, so a large battery car takes about twice as much energy to produce as a normal Internal Combustion Engine (ICE) car.

The ‘payback’ time for that extra energy is about 2 years based on the number of km an average (UK) driver does per year.

But the key variable is how the electricity is generated, both in making the battery and in running the car. If it is made in Asia with coal fired electricity to manufacture the car and then charged with coal powered electricity, there is very little benefit. If the battery is produced by renewable electricity and the car charged with renewable electricity, the savings are more than two thirds by 150,000km.

If you keep your old ICE car for 4 years, it will have produced about the same amount of greenhouse gas as it takes to produce a new electric car. Looked at it the other way, it takes 4 years for a new electric car to pay for itself from an emissions point of view as against paying just for the petrol of an existing ICE car.

www.carbonbrief.org/factcheck-how-electric-vehicles-help-to-tackle-climate-change

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‘It’s the Monopoly Game Stupid’

13 August 2022
In case you missed it, that is a misquote of Bill Clinton’s 1992 election mantra, ‘It’s the economy,
stupid’. (He beat George W Bush when the US economy turned down).
Other apposite quotes are Stalin’s ‘The only thing I believe in is the power of the human will’ and
Mao Tse Tung’s ‘Power comes out of the barrel of a gun’.
The Stalin and Mao quotes relate to the power of governments, Clinton’s the power of economic
forces. It seems that the economy is more powerful than governments, as it was responsible for the
collapse of the Soviet Union, and the current rise of China is partly because they have a new model
where they set the rules for the economy.
The other variable more powerful than governments is technological innovation as it totally changes
the way we live, but this is not a point I want to discuss now.
The two Wars last century were over access to markets, so at the Bretton Woods Conference in 1944
that set the rules for a post WW2 economic system the object was to eliminate trade barriers so that
countries that were doing well would rise, and those doing poorly would fall, all this happening
gradually and without wars. This has turned the whole world into a market, and because money
crosses borders so easily, big companies can take over smaller ones, and governments, being
restricted by their borders have their powers limited. The ability to move jobs offshore makes
workers compete globally.
As governments’ power has fallen relative to big companies and the best brains in the nation go into
companies rather than into government, many governments do not believe that they can defy big
corporations. The Australian governments following the interests of the mining lobby and the
Murdoch press are just a couple of examples. Another is the tax and (non-)royalty system, and yet
another the drive to privatise public utilities as Capital wanted the returns from performing certain
functions that had previously been done by the public service for no profit. The governments did
not have the courage to say ‘No’, particularly as the companies were generous donors to the
political parties.
As in a Monopoly game, the rich get richer and the poor get poorer unless there is government
intervention, and even this has limits.
As we struggle with rising inflation rates, falling relative wages, house prices supercharged by 40
years of negative gearing and manifestations of rising inequality, we need to look at the root causes
and to what extent they can be modified. Governments need to rattle their cages domestically and
cooperate more internationally. Is Albanese up to it?
www.thesaturdaypaper.com.au/news/politics/2022/08/13/how-tax-bludgers-are-ripping-their-
fellow-australians

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An Optimistic View of Australia

22 July 2022
It is nice to have some sensible optimism.


Spanish tycoon tells our fortune
David Crowe SMH 15/7/22
A global green energy mogul sees Australia as a sure bet. Other money will follow his.
The bulls were running through the streets of Pamplona when a young Jose Manuel
Entrecanales encountered some of the first Australians in his life – and promptly got into a
fight. The Spanish businessman, now one of the biggest investors in Australian clean
energy, is hazy on what the fight was about. He was in his late teens at the time and had
joined thousands of others at the San Fermin festival in northern Spain. Was alcohol
involved? No doubt. But he remembers settling the argument at a pub.
It turns out that the way Australians settle their arguments is one of things Entrecanales likes
most about the country. In short, he respects a place with a solid court system. It is one of
the reasons he is planning a pipeline of projects here worth $26 billion over the next few
years.
Australians are prone to putting their country down. Or complaining about the politicians who
have messed it up. So the view from Europe might help explain why Australia still has
immense opportunities ahead. Entrecanales was born into money but knows how to make a
lot more of it. And he is placing big bets on Australia becoming a powerhouse in renewable
energy.
‘‘From an objective point of view I find that you have, by far, the best variables for growth
and for stability,’’ he says when asked if he is happy with Acciona investments here since

  1. ‘‘I mean, you are a legally binding country. Which is, in fact, a show of legal maturity
    because people need the resources of law and legal arbitration because it is very efficient. In
    other countries you cannot do that because, in the first place, it is not fair and, secondly, it is
    not efficient. So that is, to me, one of the
    biggest assets you have, that you are naturally a very solid democracy. Then you have the
    biggest amount of natural resources in the world.’’ He is not just talking about oil and gas
    and coal: his investment plan is all about wind and solar.
    ‘‘And then you have something that, I’ve noticed, you Australians don’t see so much as an
    asset and you’re very worried about, which is the infinite capacity to attract talent. I mean,
    you have a line standing outside your borders of probably three billion people just waiting
    outside to be allowed in. And you can select who comes in. ‘‘That asset, together with all the
    other elements – space, resources, the rule of law, democracy, political stability – all of that
    is just unheard of. Think about where you can find that. Maybe Canada,
    despite the fact they have lousy weather most of the year.’’
    Why should Australians care what one of Europe’s elite thinks about investing here? Parts of
    Australia, including most of the Nationals, are convinced Europe is wasting its time on
    renewable energy. Their scepticism about the Acciona boss would only rise if they learned
    he has been advocating a price on carbon for years. To make things worse, he plays polo
    and his family is worth about $5 billion, which puts him at No.4 on the El Mundo rich list for
    Spain.
    Yet Entrecanales has made that fortune by being smart enough to anticipate the change in
    global energy over the past three decades. He inherited a construction company and turned
    it into a renewable energy giant. He put money into the wind farms in Spain in the 1990s.

Around the time others were inventing the worldwide web, he was commercialising clean
power.
That makes his opinion count. And if he thinks Australia is a good place to build more clean
power, you can be sure others will reach the same conclusion. Some will do it for the good of
the planet. Others will do it to boost their bank accounts. Either way, the change is coming.
The Acciona chairman believes there is a solid rate of return on Australian renewables when
measured in the basic unit of global finance, the basis point. He evaluates everything by
whether it can deliver 300 or 400 basis points, which is to say 0.3 per cent or 0.4 per cent in
returns above the cost of finding the capital to build the project. He says 300 points would be
‘‘a reasonable objective’’. In Australia it might be between that and 400 points. That might
not sound like a lot, but it suggests Australia may have a slight edge in attracting investment.
What is next? Probably hydrogen. The commercial barriers are significant. But Europe is
putting immense amounts of time and money into making green hydrogen work as a way to
store and
transport energy created by electrolysis that is powered by electricity from renewable
sources.
In the Netherlands, the Port of Rotterdam has struck deals with companies including Shell to
import and generate hydrogen to send by pipeline into Europe.
In Spain, the company that builds the trams for Sydney’s inner west light rail, CAF, has built
a hydrogen train using fuel cells from Toyota. It will be tested on the country’s rail lines at the
end of this month. Navantia, the company that built three air warfare destroyers for the Royal
Australian Navy (and wants to build three more), is developing a submarine powered by
hydrogen.
Entrecanales says Australia would be a natural exporter of green hydrogen. But he thinks
the trade in hydrogen will only happen at large scale when the price is cut in half from the
current $12 or so per kilogram.
‘‘We’re living a moment of truth in trying to develop this technology,’’ he says. ‘‘I think we’re
close, meaning I’ll see it in my shift – meaning, my professional life.’’
So Entrecanales is betting on Australia. He is running with the bulls. Some of the crowd will
be mauled, of course. Some will get into a few fights.

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Priorities for a Pro-Life US State Senator

3 July 2022
One of my US friends quipped that ‘Republicans are pro-life until it is actually born’. During the birth
process Republicans are against free health care and after the birth they are against welfare, child
support, living wages, equal opportunity in education etc.
The Pro-life senator in Oklahoma, Wendi Sherman, who was the proponent of the abortion ban
there, said, “The purpose [of government] is to protect life, not to provide for citizens.”
The practical corollary of this definition of the role of government is that women are forced to have
children that they did not want and then forced to care for them, when they knew before the birth
that this was too difficult to attempt. One might ask whether this is the same religious view that was
extant when I was young that having a baby was punishment for the sin of having sex. There is no
quote or evidence of a question on this subject, but these sort of fundamentalist views do seem
extant in the US.
I wonder if political hardheads in the Republican party just use abortion to shore up the significant
religious vote. Abortion is painted as a ‘life and death’ issue and so has great weight. Other policies
like foreign wars, tax cuts for the wealthy and cuts to Medicare and welfare programs can sail
through because of this preoccupation/obsession.
www.abc.net.au/news/2022-07-03/abortion-rights-oklahoma-roe-v-wade/101167280

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Huge Corporate Rort with Petroleum Resource Rent Tax

24 April 2022

Foreign companies are paying no tax due to deficiencies in the Petroleum Resource Rent Tax (PRRT). You may recall that the Rudd government tried to bring in a realistic tax based on the one that they have in Norway with a sovereign wealth fund set up to tide the country over a rainy day (like a COVID epidemic perhaps).  The extent of the tax avoided is currently 13% of GDP!

Rudd was targeted by a combination of the miners and Murdoch, who he was trying to stop getting a virtual monopoly of the Australian media.

When Rudd fell, Gillard came in and introduced an alternative tax, which allowed her to save face, but one commentator some time later noted that the increase in miners’ profits that year was almost exactly what Rudd’s tax would have raised, and the new tax raised almost nothing.  It was also said that the Tax Office had not modelled the new tax, and it came from the miners.  This fits the theory that it was a face-saver so that Australians would still think that the government was actually in control.

Here we are a few years later, with a whole election debate is about tax, tax cuts, handouts and the cost of living, yet neither of the major parties have the guts to call out the real tax avoiders, who actually changed the legislation in their favour.  The Greens do and for that they are called radical lefties!

The government takes credit for the COVID bounce-back recovery, which has nothing to do with their policies, and for the low unemployment rate which relates to the lack of backpackers and students, who usually do the dirtiest and least safe jobs for sub-award wages, not to mention the definition of ‘employment‘ as having at least one hour of work a week.  The claimed 4% unemployment rate is actually a bad joke.

Here is an article in Crikey from Bernard Keane:

www.crikey.com.au/2022/04/20/prrt-could-be-biggest-theft-in-history/

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Bullshit Jobs

8 April 2022


The idea of bullshit jobs is not new. It comes from a book in 2018.

However, with employment supposedly doing well, largely because we have excluded guest workers due to Covid, it is worth looking at how many jobs are actually needed.

Everyone needs something to do and a reasonable income to live on. The status of having a job relates generally to its perceived income, though there is some ‘doing good’ status associated with jobs like nursing despite their being chronically underpaid.

But technology replacing people has not brought the expected benefits because there seems no plan to spread the benefits evenly, or look at whether what is being done has any social utility. Many jobs that need doing are not done. Many people who want to work cannot, yet much energy and money is spent doing useless things.

I waste about 80% of my time as I treat Workers Comp and CTP injuries. About 20% of my time is deciding what treatment is needed, and about 80% filling in paperwork or writing reports to try to get the treatments paid for. On the other side there are a phalanx of clerks trying not to pay and to transfer the costs elsewhere. (i.e. to Private Health Insurance, Medicare or the patient themselves). Many doctors and lawyers also strive mightily in this unproductive area. The bottom line is that while the overheads of Medicare are about 4.5%, the overheads of CTP are close to 50%,; i.e half the money goes in processing or disputing claims or in profits for the companies indulging in this nonsense. And since many patients often cannot get the treatment or suffer long delays because of their efforts, it is a really bad use of human energy.

Someone needs to look hard at what we do and where the benefits go. Assuming that ‘the market’ will fix it is about as sensible as saying that ‘God’ will fix it, and is usually espoused with the same uncritical zeal.

Here is Wikipedia summary of the book:

In Bullshit Jobs, American anthropologist David Graeber posits that the productivity benefits of automation have not led to a 15-hour workweek, as predicted by economist John Maynard Keynes in 1930, but instead to “bullshit jobs”: “a form of paid employment that is so completely pointless, unnecessary, or pernicious that even the employee cannot justify its existence even though, as part of the conditions of employment, the employee feels obliged to pretend that this is not the case.”[1] While these jobs can offer good compensation and ample free time, Graeber holds that the pointlessness of the work grates at their humanity and creates a “profound psychological violence”.[1]

The author contends that more than half of societal work is pointless, both large parts of some jobs and, as he describes, five types of entirely pointless jobs:

flunkies, who serve to make their superiors feel important, e.g., receptionists, administrative assistants, door attendants, store greeters, makers of websites whose sites neglect ease of use and speed for looks;
goons, who act to harm or deceive others on behalf of their employer, e.g., lobbyists, corporate lawyers, telemarketers, public relations specialists, community managers;
duct tapers, who temporarily fix problems that could be fixed permanently, e.g., programmers repairing bloated code, airline desk staff who calm passengers whose bags do not arrive;
box tickers, who create the appearance that something useful is being done when it is not, e.g., survey administrators, in-house magazine journalists, corporate compliance officers, quality service managers;
taskmasters, who create extra work for those who do not need it, e.g., middle management, leadership professionals.[2][1]

Graeber argues that these jobs are largely in the private sector despite the idea that market competition would root out such inefficiencies. In companies, he concludes that the rise of service sector jobs owes less to economic need than to “managerial feudalism”, in which employers need underlings in order to feel important and maintain competitive status and power.[1][2] In society, he credits the Puritan-capitalist work ethic for making the labor of capitalism into religious duty: that workers did not reap advances in productivity as a reduced workday because, as a societal norm, they believe that work determines their self-worth, even as they find that work pointless. Graeber describes this cycle as “profound psychological violence”[2] and “a scar across our collective soul”.[3] Graeber suggests that one of the challenges to confronting our feelings about bullshit jobs is a lack of a behavioral script in much the same way that people are unsure of how to feel if they are the object of unrequited love. In turn, rather than correcting this system, Graeber writes, individuals attack those whose jobs are innately fulfilling.[3]

Graeber holds that work as a source of virtue is a recent idea, that work was disdained by the aristocracy in classical times, but inverted as virtuous through then-radical philosophers like John Locke. The Puritan idea of virtue through suffering justified the toil of the working classes as noble.[2] And so, Graeber continues, bullshit jobs justify contemporary patterns of living: that the pains of dull work are suitable justification for the ability to fulfill consumer desires, and that fulfilling those desires is indeed the reward for suffering through pointless work. Accordingly, over time, the prosperity extracted from technological advances has been reinvested into industry and consumer growth for its own sake rather than the purchase of additional leisure time from work.[1] Bullshit jobs also serve political ends, in which political parties are more concerned about having jobs than whether the jobs are fulfilling. In addition, he contends, populations occupied with busy work have less time to revolt.[3]

As a potential solution, Graeber suggests universal basic income, a livable benefit paid to all, without qualification, which would let people work at their leisure.[2] The author credits a natural human work cycle of cramming and slacking as the most productive way to work, as farmers, fishers, warriors, and novelists vary in the rigor of work based on the need for productivity, not the standard working hours, which can appear arbitrary when compared to cycles of productivity. Graeber contends that time not spent pursuing pointless work could instead be spent pursuing creative activities.[1]

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Planning Minister Anthony Roberts scraps flood and fire checks in Planning Laws

March 24 2022

Almost unbelievably, NSW Planning Minister Andrew Roberts has scrapped requirement of his predecessor Rob Stokes that fire and flood risks be considered in planning approvals. This is only a week after the worst floods in history, and a few months after the worst bushfires.

His excuse was that he had a priority to act on affordable housing.  No doubt flood-prone land is cheaper.

One might think that It is almost impossible to explain such stupidity, but we might note that the Property Council and the Urban Taskforce supported the decision, with the usual disparagement of ‘red tape.’

We might also note that Minister Roberts started working in Parliamentary offices at the age of 22, worked for Flagship Communications as a PR person and was cited by journalist Chris Masters as the liaison person between Alan Jones and John Howard’s offices.  Flagship Communications was the PR company for the Orange Grove development, which set up a ‘factory outlet’ and turned it into a full blown shopping complex (until it was shut down by then-Premier Bob Carr after lobbying from Westfield).  He became an MP at the age of 33 as member for Lane Cove.

There has been quite a lot of negative reaction to his planning decision in the letters columns. 

Here is the SMH story:

NSW Planning Minister scraps order to consider flood, fire risks before building

By Julie Power  March 22, 2022

NSW Planning Minister Anthony Roberts scrapped a requirement to consider the risks of floods and fires before building new homes only two weeks after it came into effect and while the state was reeling from a deadly environmental disaster.

Mr Roberts last week revoked a ministerial directive by his predecessor Robert Stokes outlining nine principles for sustainable development, including managing the risks of climate change, a decision top architects have branded “short-sighted” and hard to understand.

But a spokesperson for Mr Roberts said the minister had been “given a clear set of priorities to deliver a pipeline of new housing supply and act on housing affordability” by Premier Dominic Perrottet.

The president of the NSW chapter of the Australian Institute of Architects, Laura Cockburn, said the decision was difficult to understand “after the recent devastating floods and with bushfires still scorched in our memory”.

The revoked directives had sought to address “risk-management and resilience-building in the face of such disasters”, Ms Cockburn said.

“In the midst of our current flood and housing crises, why would a government choose to remove planning principles aimed at disaster resilience, and delivering affordable housing?” she said. “This is a short-sighted decision that could have enduring negative impacts.”

Mr Roberts’ spokesperson said: “The minister did not consider that the planning principles due to take effect on March 1 would assist in delivering his priorities so discontinued the principles and issued a new ministerial direction to that effect.”

Mr Roberts’ move coincides with expectations the government will also scrap or substantially change the new Design and Place State Environmental Planning Policy (SEPP) under consideration for apartments and homes. The policy stresses sustainability, quality and liveability by requiring, for example, better ventilation.

Mr Stokes’ directive on sustainable development, issued on December 2 but in effect from March 1, was designed to simplify the planning system, cut red tape and put people first. It said housing should meet the needs of the present “without compromising those of the future”. It was scrapped on March 14.

These principles are also reflected in the new design policy developed by the office of the State Architect. It is being reviewed.

Mr Stokes directed the planning department, developers and councils to also consult Indigenous landowners, consider the risk of climate change, and provide the public with information about the risks of natural disasters where they developed, lived or worked.

“Land use should be compatible with the level of risk of an area, such as open space or playing fields in flood-prone locations,” Mr Stokes’ statement of principles said.

Many in the property industry expect Mr Roberts will abandon plans for the new Design and Place SEPP.

Luke Achterstraat, NSW executive director of the Property Council of Australia, supported Mr Roberts’ move. With NSW facing a shortage of about 100,000 dwellings, the council backed any measure that sought to reduce red tape and activity that would “unblock” the planning system.

“The added significance of why we support the Minister’s announcement is that he has doubled down on housing supply and affordability, and has recognised the industry has been in an elongated process of policy reform.”

He said the Property Council expected the new Design and Place SEPP would either be set aside or substantially changed. Mr Achterstraat said the government’s own modelling found they would cost an additional $2.3 billion.

The chief executive of Urban Taskforce Australia Tom Forrest also applauded Mr Roberts’ decision.

“Planners were confused. Lawyers were aghast. Developers were exasperated. It is great to see this unwelcome initiative abandoned,” Mr Forrest told The Urban Developer, which first reported Mr Roberts’ policy change.

Stephen Albin, an analyst and principal of consultants Urbanised, advised Mr Stokes on the scotched principles.

He was disappointed to see Mr Stokes’ principles abandoned when NSW’s planning system needed reform. “The definition of stupidity is doing something again and again, and expecting another result,” he said. “We wanted a modern planning system that was inclusive.”

Ms Cockburn said she hoped the latest change by Mr Roberts would not impede the significant efforts to design places to meet the needs of their communities in the Design and Place SEPP.

Architects across Australia are also campaigning for new planning policies that ensure clearer standards and codes to protect consumers from worsening impacts of climate change, including new controls for building in floodplains.

A recently released research report by Climate Valuation found a million homes nationwide will be “at high risk of devastating riverine flooding by 2030 without investment in adaptation and mitigation”.

The future of building on floodplains will also form part of the inquiry into the NSW disaster that has left nine people dead and thousands with damaged homes.

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Loneliness and its solutions

25 February 2022


I sometimes watch Foreign Correspondent on ABC TV and by chance on 15/2/21 I came across this excellent programme on loneliness in Japan.


The ABC correspondent there looks at loneliness in the Japanese population from older folk dying alone, to younger people simply withdrawing from society.


Some of the older ones had no family or jobs. Some of the younger ones were so pressured to succeed and felt that they had failed, so simply withdrew from society. It seems that the pressure on kids all to be CEOs is an absurd and unachievable objective.


I am not sure that the situation in Australia is as bad, but I thought about some of my patients and could think of half a dozen immediately. With some of them , I am one of the only two or three people in the world they have any contact with, their relationships are tenuous.


None of them started with mental health problems. Here are some examples:


A 60 year old man worked for a security company looking after an insurance company. He was doing surveillance for them, but it took over his life as he was contacted 24 hours a day for various crises. Case management employees having conscience over what they were doing had to be rescued from self-harm in the toilets. Enraged claimants with refused claims threatened to blow up the company offices with cans of petrol. He saw staff high-fiveing as some claimant got a derisory settlement when they deserved and needed a lot more. It went on like this for years. When he said that he could not do this anymore he was treated as badly as any of the people he had dealt with. He told me this story, and I had hoped that with his considerable management skills and experience, he could be put into a less stressful position. But he deteriorated. Everything reminds him of the corruption of the world. He is estranged from his wife and they communicate with post-it notes on the frig. He goes for a walk at 11 at night so he will not have to speak to people in the street. One son has stuck by him and visits daily, and will build him a self-contained unit in his new home.


Another patient is a 62 year old ethnic taxi driver who was so badly bashed 11 years ago by a gang stealing his takings that he lost an eye, has never worked again and never recovered mentally or physically. He was divorced; lives alone and sometimes will not even answer the phone.


One is a 42 year old foreign student who came to study theology, wanting to become a pastor. Her English is not great. She is a trifle unworldly, and thought that the world is basically kind and people look after each other. She had a casual job in a motel and her boss asked her to move a bed down the stairs between floors. She said it was too heavy and she could not, but he threatened to sack her. She did it and got an injury to two discs in her back. She was frightened to have surgery, so was in agony for a couple of years and eventually agreed. She had minimal surgery, which was not successful. The insurer decided that she was not complying with what they wanted so refused to pay her. She was effectively broke and homeless, so an old lady from her church offered her a bed and food. But she lives a long way away and up a drive that is hard for my patient to walk up. She was effectively trapped. As a foreign person she did not even have Medicare for the minimal psychological help it offers (6 visits a year). Her mental health deteriorated and she shunned all outside contact, and would not even answer the phone. She has gone home to her family- I can only hope she improves there.


One is a 39 year old from a religious and teetotal family with a high sense of ethics. He was a top salesman of a computer company and became aware that they were ripping off some customers. He drew this to management’s attention, but they declined to do anything and he was labelled a whistleblower. Management supported him by putting out an email asking that he be supported for his mental health issues. He felt that this ostracisation was the end of his career, because he had asked them to behave ethically. He was certain that no one in his tight top group will now employ him, so he withdrew and started to drink to lessen the pain. His family then rejected him because of the drinking and his sales friends are estranged also. The psychologist gives him Cognitive Behavioural Therapy exercises and I try to get him to drink less and somewhat ironically counsel him that you cannot withdraw from the world merely because the baddies generally win. He lives alone, answers the phone and is just able to do his own shopping, but is not improving much.


These are just some examples that I know. Coasting home as GP at least keeps you in contact with life. The point is that many people have broken lives, but just keep living. None of these examples have done anything wrong themselves. Is a sense of ethics a mental illness?


As everyone has to ‘look after themselves’ in a consumer-oriented society, more people will fall through the cracks, especially as the gap between rich and poor is enlarged by pork barrelling which puts resources into areas that need them less, tax breaks for the rich, subsidies for private schools and private health insurance, derisory welfare payments, and insurers allowed simply to refuse to pay without penalty.


People need basic support with universal housing and universal health case. They need jobs or at least occupations and an adequate income to survive. And we need outreach and support services that can be called upon.
When people say, ‘There are not enough jobs’, they are taking nonsense. Anyone can think of many worthwhile things that need doing. And there are plenty of people who would be happy to do them. The problem is that in a world where nothing can be done that does not make a profit, a lot of things that need doing are not done. That is where the policy change are needed. We cannot simply look at the money and see to what level existing activities can be maintained. We need to look at what needs to be done, and then work out how to achieve it. We need to decide that everyone has a right to live and those who have a good life will live in a better society if everyone can share at least a basic quality of life. There has to be recognition that the ability to be profitable need not be the overwhelming criterion for what is done. Tax may go up, but if there is real re-think of priorities, it is not likely to be all that much.


The link to the ABC program that initiated this tirade is below.
https://iview.abc.net.au/show/foreign-correspondent/series/2022/video/NC2210H002S00

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Gun Manufacturer Remington Found Responsible for Sandy Hooks School Massacre

20 February 2022

For the first time ever, a gun manufacturer was found to be responsible for a massacre.

As everyone who is aware of US news knows, massacres are commonplace in the US, all carried out by guns being used exactly as they were designed to be used.  Oh yeah, but not used on those people…

Somehow the US gun manufacturers have had immunity from prosecution and the Sandy Hook legal team had to say that it was the irresponsible (and highly successful ) marketing that had caused the assault rifle to be used in the shooting.  So they got them for the marketing, not the product.

Given the political difficulties of doing anything about guns in the US political system, it is natural that people might turn to the legal system for some hope.  It is difficult, but not as hard to change as the political system.

I am reminded of the same debate in the tobacco war.  For years the tobacco industry gave money to the major parties in big amounts and the deal was something like, ‘Say what you like, but no restrictive legislation till after the next election, then the next, then the next etc’.  They denied knowing the health facts, but said that it was common knowledge that smoking was harmful. They had to not know so that they would not be liable, but everyone had to know because then the smokers were responsible for their own illnesses.  This was known as the ‘Tightrope policy’.  Of course they had done the research and knew very well, but hey, lies are common and part of many business models.

In 1983 a group in Northwest University in the US was trying to get enough money to run cases, because tobacco used exactly as intended was causing thousands of deaths every day.  The industry had been very keen to be forced to put ‘Smoking is a health hazard’ on the packs. This was because they could the say that the people who smoked had been warned and they were not responsible for the consequences of using their product.  They also wanted the government to tell them to put it there, so they could say that they did not know if tobacco caused cancer, but the government and health people thought so.  They fought every case, generally drawing it out so that the plaintiff either died or ran out of money or both.  When they were about to lose a lung cancer case in a librarian in Australia, they found out that she had had a child out of wedlock 40 years before, and said that this would be released if she did not stop the case.  Such was the shame of that fact that his person, weakened by cancer, withdrew her case and died.  Ruthless.

The US believed tobacco campaigners believed that their victory would come in the courts, not the parliaments, and this was true.  In Australia it was  a bit different as BUGA UP targeted the tobacco industry and made them such pariahs that they were politically weakened enough for advertising and sponsorship bans, plain paper packaging, rotating health warnings and eventually some-free indoor air.  The tobacco industry in Australia was relatively weaker than in the US, and the gun lobby is also, but it is very unwise to be complacent.

We in Australia need to be very vigilant to keep our gun laws strong, as the Shooters have expanded their base to become the Shooters, Fishers and Farmers and have capitalised  on the weakness of the Nationals to get lower house seats.  They have used balance of power situation in NSW quite astutely under Bob Carr and continuing.   John Tingle, The Shooters MP  in NSW got Carr to enact that to have a shooters licence in NSW, one had to belong to a shooting club and shoot at least once a year. The shooting Club could then keep an eye out for crazies.  But of course the shooting clubs got a subsidy to maintain their records and database, and this is ideal for organising fundraising and troops on election day.  Running a political party is a significant expense- only one group is subsidised, though it must be conceded that the shooting clubs and the Sporting Shooters Association (the lobby group) are not the same entity as the Shooter, Fishers and Farmers party.

We need to watch the US legal efforts, and be vigilant. And of course lessening social inequality and having a place in society for everyone with jobs, income and housing helps lessen the probability of alienation, anger and despair.

www.abc.net.au/news/2022-02-16/sandy-hook-families-settle-with-gun-maker/100833782

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