Doctor and activist


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Category: Constraints

Are Google Algorithms Reinforcing Anti-Science positions? 3 Feb. 2021

As the anti-science movement seems to gain strength and undermines the campaign for COVID vaccination, there has been increased interest in the origin, strength and tactics of this.

It is blamed on the Russians, who presumably are trying to weaken and divide the West, and on civil libertarians, who want to politicise medical common sense.  But when it helped by people like Trump in the White House and Kelly in Australia the conspiracy theories are put into perspective, as the anti-science views are given legitimacy.

But in the fuss about Google withdrawing from Australia, or not covering Australian politics, I wondered what effect this might have and tried a different search engine, duckduckgo.  The difference is that google gives me a personalised feed, but duckduckgo gives everyone the same information for the same key words. 

Search engines at a basic level give a ‘top pops’ of popularity of a topic in that those with the greatest number of clicks go to the top.  This may be fine if you are looking for a movie review, but if you want older material it will be a long way down. Scientific articles are a lot further down than mainstream ones, and the algorithm is influenced by the viewer’s previous viewing habits.  If a person has viewed a lot of conspiracy articles, it is presumably then likely that these are more likely to come up again and reinforce the existing views of the viewer.    If the feed is continually biased to a point of view, the viewer is likely to come into contact with more of this view and people who share t, so that they are eventually in a bubble or subculture of people with this belief, and are unaware that their reality has been changed. 

As an example my son went to school with a boy in NZ whose father controlled feral pests for a living, which meant shooting rabbits, ferrets, deer, pigs, cats and possums which are predators on various farms in NZ.  He kept in touch with his friend and they played video games online.  But his friend went shooting quite a lot with his father, joined a gun club and started to receive the literature of this subculture.  His previously non-political, mainstream views are now hugely influenced by the American gun lobby and rabidly right wing.  This is quite unusual in rural NZ.  My son commented, ‘In the end, you think what you get in your feed’.

The algorithms exist to make you happy and to keep you clicking in order to get you to buy things.  But the result might be quite different- a creation of a bubble environment where everyone’s opinion tends to be magnified, sometimes going in a bad direction.

How this can be controlled is a question- if we all got the same feeds, would the sensible people make sensible articles come up first?  Presumably; if most people were well educated.  We had better go there also.  Which Big Brother will tell google how to do its algorithms?

(The longer version of this attached article is available via a link at its end).

https://www.huffingtonpost.com.au/entry/peter-hotez-anti-science-movement-killing-hundreds-of-thousands_n_6014b39ac5b622df90f382ee?ri18n=true&fbclid=IwAR19_qqWuNe9t8ySSTdNU5OjL6jKkxPCT3cDbAP0EhAKXoXrLPod_xVfdKM

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University Cheating Cheapens Degrees 11/1/21

A recent article has university cheating as a million dollar industry and it is hard to to argue with this.  As everything becomes online it becomes ever easier.

When I was in Parliament a University of Wollongong lecturer, Ted Steele, got into problems because he refused to pass a fee-paying foreign student, whose father had been a generous benefactor.   He became a whistle blower.  He was helped by the Union reluctantly as he had been very anti-union in his previous views.  He had a victory and was reinstated as described in the SMH of 29/3/2002, but I think later was forced to resign and settle.

Universities dependent on fee-paying students have a powerful incentive to pass them, and by the same token, less incentive to find cheating ones.

It is one thing to have forged CVs.  It is one step further when the CV is true but the knowledge is absent.  The problem is that everything is for sale, and nothing else is respected.

www.smh.com.au/national/sacked-whistleblower-gets-university-job-back-20020329-gdf5mq.html

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TAFE Merger Fails to Save Money 14/1/21

A report by the NSW Auditor-General shows that NSW TAFE had failed in its social objectives and not made its cost saving from merging 10 institutions into one.
It is significant that these problems are always found by Auditors. One would think that monitoring of costs savings or not would be built into such a major change. Dream on!
The problem with mega-mergers is that it empowers people a long way away, who then make decisions without the facts from those on the ground, who have usually been sacked or depowered.
Speechwriter Martin McKenzie-Murray, writing in the SMH of 28/12/20 opined that the reason that speeches were so unmemorable now was that the content was more about short-term media grabs than any substantial vision, and that since political advisers have replaced public service mandarins as the main source of advice there has been a loss of the sense of past history and future vision. In short the lack of proper thinking is why the speeches are no good.
TAFE was conceived as help up; a technical education for those who could benefit from one, whatever their age, and where good tradespeople were valued and could teach their trade. Interference by those who merely see education as another commodity to compete in a market and who have no concept of equity, justice or a fair go as part of public policy have done immense harm to TAFE, not to mention the rest of the nation.
Policy should have continuity and decisions should be evidence-based. A public service that has expertise and long-term stability is the best guarantee of this, where those giving the advice do not have a financial or ideological commitment to a single option.
The article is important in that it emphasises that ideologues must justify their management pontifications and their failures must be held up to them.
www.smh.com.au/national/nsw/scathing-review-reveals-tafe-s-failure-to-meet-cost-savings-20201217-p56oex.html

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Privatisation of Research will Kill Millions due to Vaccine Non-Availability 30/12/20

The COVID vaccines were an international race.   Many countries and companies competed.  The Uni of Queensland one fell over because it made the AIDS test a false positive.  There are now 5 principal ones in the media; Pfizer from Germany, Astra-Zeneca/Oxford from the UK, Moderna from the USA, Sputnik 5 from Russia, and Sinovac from China.  Over here we ignore the two from Russia and China, for some reason.  Do we not trust them, are we just racist, or do we want to support Big Pharma in ‘The West’?

I recently met with some medical sceptics, who said that there is no public proof that the vaccine works, i.e. published papers.  I said that it was in the media that there had been a 43,000 person trial with not very many side effects. They conceded that this was correct, but pointed out that you could inject water  into 43,000 people with few side effects, and that it was a question of how many of the 43,000 had been exposed to the virus, compared to a group of 43,000 in the same environment who had not been vaccinated.  And you could not ask a volunteer who had just had the vaccine to cuddle up to a COVID case- that would be foolhardy.  Their key point was that all the data was still in the drug companies’ hands and not publicly available.  Presumably the regulatory authorities have it, and hopefully they are still being rigorous under the pressure.  We have to assume the vaccines work as we need to open up the world economy.

Our government promised a fortune to these companies before they even had a product to sell, and all the bluster about having an equal world in terms of vaccine access does not seem to have dollars attached.   At present there is not enough vaccine to go around, but it still matters where you start.  Logically, vaccinating Australians where there is very little infection would likely save fewer lives than vaccinating people where the virus is rampant.

I have told the story before about Jonas Salk, who developed the polio vaccine with public funds and did not patent it so that the maximum amount of vaccine could be distributed to rid the world of polio.  This was in sharp contrast to Glaxo, the drug company, which found that an old unpatented drug worked against AIDS, patented it and then insisted that the price of it be at least $US2 a day, although an Indian company said that they could produce it for 7 cents.  The result was several million extra AIDS cases in Africa.

Sadly the Human Papilloma Virus (HPV) vaccine, Gardasil was a similar story.  HPV was found to be the cause of cervical cancer.  The vaccine was developed at Uni of Queensland by Prof Ian Frazer, and then marketed by CSL and Merck.  Its roll out was considerably delayed by its cost, despite the fact that the Uni of Qld declined to insist on royalties from sales in developing countries.  It is still $73 a shot in Australia (2 needed, 3 recommended), though our government makes it free to Australian schoolchildren.

This article says that the Coronavirus vaccines will worsen inequalities.  This is true, because not only will poorer countries not be able to afford the vaccine, they will also have more people die and have higher health costs as they will have to treat the cases. It will also have a bigger impact on their economies.  The fine rhetoric about sharing world knowledge will certainly be tested.  It might be noted that the Chinese released the draft genome of the Coronavirus to the world in January 2020 (Sciencemag.org) in the interest of stopping the outbreak, which was a credit to China and gives credence to their vaccine.  On the other hand, I seem to recall that Pfizer declined to be involved in information sharing, but have been unable to find the reference for this.

Pfizer did not get public funding but their development partner, BioNTech, did.   The question is how much profit will there be in all this, and how much will the price stop poorer countries getting the vaccine.

The fact that governments no longer fund the research directly and go into ‘private-public partnerships’ gives rise to the feeling that governments put in the funds but the private partners both determine the priorities in research with a bias towards research that can make a profit and then make that profit.  The governments then either largely fund the profit, or leave their populations unable to benefit from the research that they as taxpayers funded.

I have two relevant articles on this, one below, and one coming shortly.

www.internationalhealthpolicies.org/featured-article/why-does-pfizer-deny-the-public-investment-in-its-covid-19-vaccine/

https://amp.theage.com.au/business/the-economy/a-pitiful-response-global-economic-inequality-a-side-effect-of-vaccines-development-20201226-p56q99.html

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Marketing Obesity to Children 11/10/20

About 37 years ago BUGA UP (Billboard Utilising Graffitists Against Unhealthy Promotions) identified the problem of advertisers marketing to children and produced a guide, ‘AdExpo- A Self-Defence Course for Children’.  It was in black and white as BUGA UP had no money and the ads are a bit dated now, but the text us still relevant.  www.bugaup.org/publications/Ad_Expo.pdf

Advertisers market to children, and are successful with it.  Now there is the internet, which has made things a lot worse.  Kids can be targeted with the parents only dimly aware of what is going on, and before the kids have actually been formally ‘taught’ anything.  The ads are part of the exciting environment that their little heroes show them.  At last attention is being drawn to this.  This article is from the NY Times, with a cut-down version in the SMH of 7-8/11/20.

Are ‘Kidfluencers’ Making Our Kids Fat?

By Anahad O’Connor, NY Times 30/10/20

Popular YouTube channels often bombard young children with thinly veiled ads for junk food, a new study finds.

One of the most popular YouTube videos from Ryan’s World shows its star, Ryan Kaji, pretending to be a cashier at McDonald’s.  “It’s a stealthy and powerful way of getting these unhealthy products in front of kids’ eyeballs,” a public health expert says.Credit…via YouTube

That is the conclusion of a new study published on Monday in the journal Pediatrics. The authors of the study analyzed over 400 YouTube videos featuring so-called kid influencers — children with large social media followings who star in videos that show them excitedly reviewing toys, unwrapping presents and playing games. The study found that videos in this genre, which attract millions of young followers and rack up billions of views, were awash in endorsements and product placements for brands like McDonald’s, Carl’s Jr., Hershey’s, Chuck E. Cheese and Taco Bell.

About 90 percent of the foods featured in the YouTube videos were unhealthy items like milkshakes, French fries, soft drinks and cheeseburgers emblazoned with fast food logos. The researchers said their findings were concerning because YouTube is a popular destination for toddlers and adolescents. Roughly 80 percent of parents with children 11 years old or younger say they let their children watch YouTube, and 35 percent say their children watch it regularly.

A spokeswoman for YouTube, citing the age requirement on its terms of service, said the company has “invested significantly in the creation of the YouTube Kids app, a destination made specifically for kids to explore their imagination and curiosity on a range of topics, such as healthy habits.”  She added, “We don’t allow paid promotional content on YouTube Kids and have clear guidelines which restrict categories like food and beverage from advertising on the app.”

Young children are particularly susceptible to marketing.  Studies show that children are unable to distinguish between commercials and cartoons until they are 8 or 9 years old, and they are more likely to prefer unhealthy foods and beverages after seeing advertisements for them.

Experts say it is not just an advertising issue but a public health concern.  Childhood obesity rates have skyrocketed in recent years: Nearly 20 percent of American children between the ages of 2 and 19 are obese, up from 5.5 percent in the mid 1970s.  Studies have found strong links between junk food marketing and childhood obesity, and experts say that children are now at even greater risk during a pandemic that has led to school closures, lockdowns and increased screen time and sedentary behavior.  The new findings suggest that parents should be especially wary of how children are being targeted by food companies on social media.

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“The way these branded products are integrated in everyday life in these videos is pretty creative and unbelievable,” said Marie Bragg, an author of the study and an assistant professor of public health and nutrition at the New York University School of Global Public Health.  “It’s a stealthy and powerful way of getting these unhealthy products in front of kids’ eyeballs.”

Dr. Bragg was prompted to study the phenomenon after one of her co-authors, Amaal Alruwaily, noticed her young nieces and nephews obsessively watching YouTube videos of “kidfluencers” like Ryan Kaji, the 9-year-old star of Ryan’s World, a YouTube channel with 27 million subscribers, formerly named Ryan ToysReview.

The channel, run by Ryan’s parents, features thousands of videos of him excitedly reviewing new toys and games, doing science experiments and going on fun trips to stores and arcades.

Children’s channels like Ryan’s World — which are frequently paid to promote a wide range of products, including toys, video games and food — are among the highest grossing channels on YouTube, raking in millions of dollars from ads, sponsored content, endorsements and more.   According to Forbes, Ryan earned $26 million last year, making him the top YouTube earner of 2019.  Among the brands he has been paid to promote are Chuck E. Cheese, Walmart, Hasbro, Lunchables and Hardee’s and Carl’s Jr., the fast food chains.  One of his most popular videos shows him pretending to be a cashier at McDonald’s.  In it, he wears a hat with the McDonald’s logo, serves plastic Chicken McNuggets, cheeseburgers and French fries to one of his toys, and then eats a McDonald’s Happy Meal.  The video has been viewed about 95 million times.

“It looks like a normal child playing with their normal games, but as a researcher who studies childhood obesity, the branded products really stood out to me,” Dr. Bragg said.  “When you watch these videos and the kids are pretending to bake things in the kitchen or unwrapping presents, it looks relatable.  But really it’s just an incredibly diverse landscape of promotion for these unhealthy products

In a statement, Sunlight Entertainment, the production company for Ryan’s World, said the channel “cares deeply about the well-being of our viewers and their health and safety is a top priority for us.  As such, we strictly follow all platforms terms of service, as well as any guidelines set forth by the FTC and laws and regulations at the federal, state, and local levels.”

The statement said that Ryan’s World welcomed the findings of the new study, adding: “As we continue to evolve our content we look forward to ways we might work together in the future to benefit the health and safety of our audience.”

Other popular children’s channels on YouTube show child influencers doing taste tests with Oreo cookies, Pop Tarts and Ben & Jerry’s ice cream or sitting in toy cars and ordering fast food at drive-throughs for Taco Bell, McDonald’s, Burger King, KFC and other chains.  “This is basically a dream for advertisers,” said Dr. Bragg.  “These kids are celebrities, and we know from other rigorous studies that younger kids prefer products that are endorsed by celebrities.”

To document the extent of the phenomenon, Dr. Bragg and her colleagues identified five of the top kid influencers on YouTube, including Ryan, and analyzed 418 of their most popular videos.  They found that food or beverages were featured in those videos 271 times, and 90 percent of them were “unhealthy branded items.”  Some of the brands featured most frequently were McDonald’s, Hershey’s, Skittles, Oreo, Coca-Cola, Kinder and Dairy Queen.  The videos featuring junk food have collectively been viewed more than a billion times.

The researchers could not always tell which products the influencers were paid to promote, in part because sponsorships are not always clearly disclosed.  The Federal Trade Commission has said that influencers should “clearly and conspicuously” disclose their financial relationships with brands whose products they endorse on social media.  But critics say the policy is rarely enforced, and that influencers often ignore it.

McDonald’s USA said in a statement that it “does not partner with kid influencers under the age of 12 for paid content across any social media channels, including YouTube, and we did not pay or partner with any of the influencers identified in this study.  We are committed to responsibly marketing to children.”

Last year, several senators called on the F.T.C. to investigate Ryan’s World and accused the channel of running commercials for Carl’s Jr. without disclosing that they were ads.  The Council of Better Business Bureaus, an industry regulatory group, also found that Ryan’s World featured sponsored content from advertisers without proper disclosures.  And a year ago the watchdog group Truth in Advertising filed a complaint with the F.T.C. accusing the channel of deceiving children through “sponsored videos that often have the look and feel of organic content.”

In March, Senators Edward J. Markey of Massachusetts and Richard Blumenthal of Connecticut introduced legislation to protect children from potentially harmful content online.  Among other things, the bill would limit what they called “manipulative” advertising, such as influencer marketing aimed at children, and prohibit websites from recommending content that involves nicotine, tobacco or alcohol to children and teenagers.

The F.T.C. has long forbidden certain advertising tactics on children’s television, such as “host selling,” in which characters or hosts sell products in commercials that air during their programs.  Critics say the agency could apply the same rules to children’s programs on the internet but so far has chosen not to.

“It’s beyond absurd that you couldn’t do this on Nickelodeon or ABC but you can do this on YouTube just because the laws were written before we had an internet,” said Josh Golin, the executive director of the Campaign for a Commercial-Free Childhood, an advocacy group.

“These videos are incredibly powerful,” he said.  “Very busy parents may take a look at them and think that it’s just a cute kid talking enthusiastically about some product and not realize that it’s often part of a deliberate strategy to get their children excited about toys, or in the case of this study, unhealthy food.”

Anahad O’Connor is a staff reporter covering health, science, nutrition and other topics. He is also a bestselling author of consumer health books such as “Never Shower in a Thunderstorm” and “The 10 Things You Need to Eat.” 

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Workers Compensation in NSW and Victoria- ‘Immoral and Unethical’ – 4 Corners Exposes It. 28/7/20

This is what I have been saying for years. If you think the banks are bad, you have not dealt with insurers. They will do anything rather than pay people’s legitimate medical and living expenses.

My poor patients literally starve. They change their addresses each visit as they couch-surf their friends. The foreign patients with no Medicare cannot even get GP treatment, and because they are often paid sub-award wages in cash cannot even prove their incomes. Most specialists simply will not operate for the Medicare rebate, and even if they will the waiting time is a year. I tell the patients where the soup kitchens are. They are in huge pain and the most I hear from governments are warnings that they have been on narcotics too long, as they wait for the surgery that the insurers have refused to pay for.

The patient Scott with his supportive wife, at the beginning of the 27/7/20 4 Corners tells the story of his shattered life, which is just like what my patients tell me.

The Victorian the Ombudsman, Deborah Glass did an investigation into WorkSafe Victoria, the callous government insurer there. She found appalling behaviour and says so very clearly.

In NSW it is the same- the appalling, hopeless iCare, who should be called ‘I Don ‘t Care’ put together a bunch of insurance executives who had no experience in working with people. They all got awarded huge salaries and set about having computer algorithms to replace claims clerks. So when a claim goes wrong (which takes a while to figure out as 3 week delays are pretty much the norm), you call and ask to speak to the case manager. You can’t. But if you persist eventually you find one, but he or she only got the claim yesterday. i.e. There had been no person managing it until you hassled like hell, and it is often refused anyway.

Meanwhile the patient had no treatment and the fat cats at the top had not noticed that their system had a few glitches. And most of the concern in both the management echelons and the media is about some financial deficit which, if we are to believe the totally out-of- touch iCare CEO, Ken Nagle, depends how you do the accounting.

No one seems to remember that this is just a health insurance scheme to help Workers’ Compensation and Motor Vehicle accident Victims. If Medicare worked it would be completely unnecessary, and it cannot even manage to function like a private health insurer. It assumes that all doctors are crooks who cannot be trusted to order just the tests and operations necessary- they all have to be evaluated and denied by insurers who get every dollar that they refuse to pay, and who seek out dodgy doctors to carry out ‘Independent Medical Examinations’ (IMEs) to deny normal treatments. If the IME doctors do not do what the insurers want they get no more work from them.

The directors and top executives of iCare should be sacked and the whole thing given to ICAC to examine. ICAC needs more resources also.

SIRA (State Insurance Regulatory Authority) has been more hopeless than ASIC and APRA were with the banks, and should be abolished also. This story came from a whistle-blower, not from SIRA, the responsible agency, though some of us have been trying to get SIRA to act for years.

SIRA became a bit more interested after the Hayne Royal Commission into Misconduct in the Banking, Superannuation and Financial Services Industry reported in February 2019, presumably as they realised that if the Commission has been given enough time to look at insurance, they would have had their own hopeless regulatory efforts scrutinised. They had an internal investigation, the Dore Inquiry (no, you almost certainly have not heard of it), but it did actually find that iCare was behaving appallingly. The report release was delayed 5 months (July-December 2019) and released just before Christmas with iCare’s reaction, which was to admit that they had made ‘mistakes’ and that they accepted all the recommendations. Great PR! Released on a busy day to avoid scrutiny and if you as a journo were a tiny bit interested, there was no story because iCare accepted the changes suggested. The SIRA strategy worked- no scrutiny of either iCare or SIRA.

At last there is a 4 Corners on this! Watch it if you missed it!

Let us hope that when it goes to ICAC some major changes are achieved. It seems that 4 Corners is the only regulatory force in the country. I guess that is why the government wants to de-fund the ABC.

https://youtu.be/fxIvKogrE2Q

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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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Housing Stimulus: More Middle Class Welfare 5/6/20

Successive governments have used the building industry to pump up the economy on credit.  How so?  For decades the tax deduction on negatively geared real estate has made housing a favoured investment. It has been the no-brainer way to make money. You borrow to own a property, and as long as it is your, all the capital gain is yours.  So the lesser fraction that you own, the greater the percentage rise in your total assets.  And since you save on tax and gain rent, it is far better than shares or other assets. If you ask to borrow 90% to buy shares, no bank would lend you 90%. They would fall about laughing, and you would be taking a big risk.  If you wanted to borrow 90% of real estate, no problem- all perceived as low risk.  How come?  Because Australia’s private debt is rising and is now the highest in the world.  This little Ponzi scheme has a cost. We have the best houses, which are the most expensive relative to our incomes, and we have a huge national private debt, which means that we pay interest to foreign banks and have no money to develop and own our own country.  Like all Ponzi schemes, it is OK as long as you sell out before the bubble pops.  The older generation are doing this, cashing out as the younger generation takes up the huge loans that are now necessary.

The tax department got less money to create this mess, so public housing was not built, and there is a huge shortage of public housing.  Because prices are so high there is also a problem in affordable housing as wages in the real world have stagnated as globalisation allows jobs to go offshore to be done more cheaply by third world people.  The negative gearing thing amounts to middle class welfare, where those who had one house were able to buy more, and those that did not merely saw rents and prices rise.  Labor tried to address this and lost the election.

Now we have a recession, worsened by the COVID-19 crisis and the taxpayer has to step in, making more debt for the future.  So what projects to spend the money on?  More middle class welfare! Those who already have $150,000 to improve their house get another $25,000 from the future taxpayer, the young people of today.

It is merely another example of the Morrison government’s lack of commitment to a fair go for all. This could be a huge opportunity to build social housing to help those who have been left behind.  Is the excuse that the projects are not ‘shovel-ready’?  The government could pay for the huge outstanding renovations and repair bill on the public housing, which has been neglected for 30 years.  Surely these repair lists on yellowed paper could be found and actioned.

Morrison governs for his voters, not for the country as a whole. His policies increase inequality, which stores discord for the future.  This last effort will further the Matthew Effect, named after the biblical quote, ‘For to every one who has will more be given, and he will have abundance; but from him who has not, even what he has will be taken away’.

— Matthew 25:29, RSV.

www.theguardian.com/australia-news/2020/jun/03/morrison-government-to-offer-25000-grants-to-help-build-and-renovate-homes

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Limits to the Market and a Solution for Australia? 15/5/17

Since the last two world wars were over markets, it was assumed at the conference at Bretton Woods that if there were free markets everywhere there would be no wars and countries who did well would prosper. It worked.  Germany and Japan traded in markets that had been denied to them pre-war and ‘won the […]

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Load-Based Pollution 24/12/16

Dr Ben Ewald from the Hunter, who has been working with Doctors for the Environment has been lobbying for a Federal EPA and wrote a submission on the load-based licensing system, which is another name for polluters paying a levy per tonne of pollutant that they produce.  There is some charge for each type of […]

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