Doctor and activist


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Author: Arthur Chesterfield-Evans

A Russian Perspective on Ukraine- (Gregory Clark article below)

25 April 2022

While the brutal tactics of the Russians in Ukraine make horrendous continuing news, significant aspects of the origins of Russia’s Ukraine invasion have been ignored by Western media.  This does not justify the invasion, but one might wonder if the Donbas region in the East could ever have been retained within Ukraine.

It is well known that there is a gradation across the Ukraine from West to East, those in the West favouring Europe about 90%, but those in the East, the Donsek region, has almost 90% keen to merge with Russia.  There was a strong separatist movement in these provinces, with ongoing fighting. The Ukrainian army was not keen to fight other Ukrainians and it was said that neo-Nazi groups were involved in fighting the separatists using very Fascist tactics. 

Historically there had been some strong right wing groups in the Ukraine, and it might be noted that when Germany invaded, troops from Ukraine were recruited and fought with them against the Russians.  At the end of the war, naturally these groups were not seen, but it has been said that the CIA was in touch with them, and that they facilitated the successful storming of the Ukrainian Parliament in the coup in 2014, which led to the Donbas region in the east attempting to secede from Ukraine and Russia seizing Crimea.  It might be noted that Crimea was given to Ukraine by Russia in 1954 when they were both part of the USSR. The transfer was facilitated by Nikita Khrushchev who needed the Ukrainian votes to further his own career, and made little difference while Ukraine was in the USSR.

Fighting continued in the Donbas region which includes the provinces of Luhansk and Donetsk. The fighting led to the Minsk Agreement in September 2014, but the agreement failed leading to Minsk II in February 2015.  Luhansk and Donetsk were supposed to become autonomous regions, but it has never happened.  Fighting has continued, so Russia’s claim that they are fighting Nazis is not as absurd as it has been painted, at least in those regions.

When the USSR was collapsing the US Secretary of State James Baker promised Russian President Mikhail Gorbachev on 9 February 1990 that NATO would not recruit countries to the East.  However, those countries were fearful of a Russian resurgence and wanted to join NATO.  The USSR collapsed in 1991. The Czech Republic, Hungary and Poland joined in 1999 and Russia objected.  Lithuania, Latvia, Estonia, Bulgaria, Romania, Slovakia and Slovenia joined in 2004.  Note the marked move of NATO to the East.  Albania and Croatia joined in 2009, Montenegro in 2017 and North Macedonia in 2020.  The Balkan countries presumably joined as protection against Serbia, which started the wars as Yugoslavia disintegrated in 1991-1999.  Serbia was a strong Russian ally. 

Prior to invading Ukraine, Russia wanted a guarantee that Ukraine would not join NATO, but Ukraine along with Georgia and Bosnia-Herzegovina have expressed membership aspirations.  No one was willing to give a guarantee the Ukraine would not join NATO even as the Russian troops massed for the invasion, though some hoped that Putin was bluffing.

Russia is now the 11th biggest economy in the world, ahead of Spain and Australia at 12th and 13th, so economically it is only a middle power, but having been a superpower with an empire recently, it has weapons far in excess of other middle powers and as it pursues a commodities-led recovery it hankers for its old Empire.

The German Social Democrats, the coalition partners of Angela Merkel, assumed that if Russia were integrated into the European economy by Germany buying their gas there would be no wars.  This has been a major miscalculation. Germany was dependent on Russia for 55% of their gas, this having gone up when then they closed their nuclear plants after the Fukushima disaster.  They still get 39% of their gas from Russia and are reluctant to turn it off as it would cause a major recession there.  This is very controversial in Germany at present.  Someone calculated that German purchase of Russian gas can pay for a tank every 20 seconds.

Here is an article by Gregory Clark, who spent 10 years with the Australian Dept. of External Affairs (which was the Foreign Relations Dept.) and resigned in 1965 in protest at Australia going into Vietnam. He went to Tokyo and was the lead correspondent for The Australian in Japan 1969-74 and a Japanese academic. He came back as an advisor to Prime Minister and Cabinet in 1974-76 (the Whitlam era), and returned to Japan after that. 

Western media have failed dismally in reporting the Ukraine war

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What is Needed in Health

12 May 2022

Dr Stephen Duckett was an architect of Medicare and is one of our leading health policy experts. His opinion of what is needed for the health system has a lot of implied criticism of what has been happening, with excessive resources on late-stage treatments rather than prevention and early diagnosis, which comes in Primary Care.He speaks of the dis-cordination, cost shifting and political nature of decision-making.

He does not even mention the need to fix Medicare- saving it is not enough!

What I would do if I were the Minister for Health and Ageing in the next government

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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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Australian Human Rights Commission Defunded and stacked by Morrison.

23 April 2022

“The Australian Human Rights Commission, who investigate matters of discrimination, have just lost their international A- minus rating due to massive funding cuts and the LNP appointing three people as Commissioners who are unqualified!

Here is an extract of the April 2022 newsletter from the AHRC president:

“A key issue we have been navigating recently has been the re-accreditation review of the Commission by the international accrediting committee of the Global Alliance of National Human Rights Institutions – the international standards body. ��The accreditation reviews are a peer review process conducted every five years. The review considers whether a national human rights institution (NHRI) continues to meet the criteria for independent status set out in the UN Principles on National Institutions. ��If an NHRI meets these criteria it is accorded ‘A status’, which provides crucial standing in various international fora — particularly the reviews of compliance against each of the key international human rights treaties. ��The question asked in an accreditation is whether the NHRI under review operates with the necessary level of institutional independence to ensure the effective promotion and protection of human rights. It is an assessment of government action and the legislative and policy environment for the operation of the NHRI, as well as the advocacy of the NHRI itself as an independent body to seek change. ��The Commission faced three possible outcomes through this review: reaccreditation as an A-status institution; downgrade to a B-status institution; or deferral of reaccreditation for a period of time for serious matters of compliance to be addressed. ��The Commission was not reaccredited as an A-status national human rights institution. Its reaccreditation was deferred. ��The key concern of the Committee that led to the deferral was the selection and appointment process for Commissioners. This latest report reflects feedback from the Committee over a 10-year period about Australia’s appointment processes, with three appointments in this timeframe not meeting the accreditation requirements. ��The Commission has advocated consistently for open, merit-based, appointments of Commissioners and that the expectations against the international standards of independence for NHRIS are set higher than the Government’s Merit and Transparency Guidelines. ��With respect to the two Commissioners who have been appointed during my period in office otherwise than through an open process, we have sought to support them strongly in their work as independent officeholders.��Please see below for the Commission’s statement about the decision and its implications.

With my very best wishes,

Rosalind

Emeritus Professor Rosalind Croucher AM�President”

An accepted claim now has a waitlist of at least six months before they can begin to investigate your complaint.

I had missed an earlier article about their funding in The Guardian of 17/3/22

www.theguardian.com/australia-news/2022/mar/17/australian-human-rights-commission-to-slash-staff-after-budget-cuts-and-surge-in-workload

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$55 Billion in grants in Federal Ministerial grants in less than 4 years!

21 April 2022

The Easter Saturday Herald had the story that Ministers have had the ability to give out $55 billion in less than 4 years, $20 billion last year alone!

Clearly this is used as a pork barrel to buy re-election and the public service and proper process has been sidelined by this government, which has set new lows in moral standards.

Morrison, when quizzed, has stated that he could not introduce an ICAC because Labor would not support his model.

There are two things wrong with this argument:

1. When did the government ever need support of the Opposition to introduce legislation?  The main thing wrong with Australian democracy is the ‘winner takes all’ nature of the debate.

2. The model Morrison wanted was so weak that all the activities that people have objected to would not have been able to be investigated, and presumably he would have stacked the toothless tiger with people who would have been hard to remove. 

Labor was quite right to oppose his model, and of course if they put in a functional one and it goes after the rorts of the current government it will be accused of being party political.

And it seems that there is $13.8 billion still to be given out between now and the election according to an article by David Crowe in the SMH of 31/3/22!

Here is the SMH article:

Taxpayers fund $55.6 billion in federal grants over less than four years

By David Crowe

Updated April 16, 2022

Taxpayers have funded $55.6 billion in federal grants over less than four years under rules that give ministers sweeping powers to decide the payments, with new research fuelling an election row over calls to establish a national integrity commission to safeguard public funds.

The findings show the grants reached $20 billion last year alone across federal departments from health to transport and industry, revealing the scale of the payments and sparking a new proposal for tighter rules and stricter oversight to prevent corruption.

The analysis shows the government issued $3.4 billion in grants in the four months after Scott Morrison became prime minister in August 2018 and this climbed to $16.9 billion in the following calendar year.

After Prime Minister Scott Morrison refused to commit to setting up an integrity commission in the next term of parliament, former judges have stepped up their calls for a powerful watchdog and accused him of breaking his election promise three years ago to act on the problem.

Labor leader Anthony Albanese will sharpen the divide on the key issue of trust in politics on Saturday by pledging to pass laws this year to establish a federal integrity watchdog, with a challenge to Morrison to deliver on a promise made 1200 days ago.

“That’s 1200 days of rorts, waste and jobs for mates,” Albanese said. “Time’s up.”

The analysis of the federal spending, conducted by the Centre for Public Integrity, shows the government issued $3.4 billion in grants in the four months after Morrison became prime minister in August 2018 and this climbed to $16.9 billion in the following calendar year.

The total fell to $14.2 billion in 2020 before rising again to $20 billion last year, with another $1.1 billion spent on grants in the three months to the end of March.

“This is public money being spent, at times, without any criteria or reporting,” said Michael Barker, QC, a barrister who was a Federal Court judge for a decade after serving on the Western Australian Supreme Court.

“With billions spent in grants through the pandemic, and billions more earmarked in this year’s budget, it is time for an overhaul of the grant administration process.”

The new findings follow years of concern about the growing use of grants after criticism by the Productivity Commission and scathing reports by the Australian National Audit Office (ANAO) into spending on sports facilities, commuter car parks and other projects Morrison promised at the last election.

“The audit office has revealed, repeatedly, problems with the current system and particularly the way that ministers are making grant decisions,” said Gabrielle Appleby, a law professor at the University of New South Wales.

“These decisions are uninformed by expert analysis, reasons for decisions are not recorded, and there is very little transparency and therefore accountability.

“The system needs a total overhaul.”

Tracking trends in government grants is challenging, however, because the federal GrantConnect database only reports data from the beginning of 2018.

The row over the integrity commission has highlighted different opinions among the Liberals, with Morrison dismissing the idea of a “kangaroo court” but Liberal backbenchers saying there was a case for setting up the new agency this year but not in the form Labor wants.

Bennelong MP John Alexander, who is not contesting the coming election after 12 years in parliament, called for bipartisan cooperation if the party leaders could not agree on the best model.

“I don’t think it’s the worst thing if it’s being alleged that it’s very weak,” he said of the government proposal.

“Float it and see where it leaks, and as it leaks, fix it up. It would be good if it’s next term we can get it started.”

The new report, based on research by Catherine Williams at the Centre for Public Integrity, recommends that all significant grants are subject to an independent assessment, strict criteria and greater transparency about the reasons for each decision. The centre is a not-for-profit think tank, which relies on donations and is not linked to any political party.

All grant programs worth less than $100 million – the size of the “sports rorts” program at the last election – would be subject to published merit selection criteria under the proposed reform.

Programs worth more than $100 million would be subject to guidelines set out in legislation and approved by parliament, setting boundaries for ministers over what they could approve.

The reporting scheme would require ministers to tell parliament every three months about spending decisions where they did not follow department advice. As well, departments would have to table documents in parliament on all grant programs worth more than $100 million.

The Centre for Public Integrity is expected to issue its findings in coming days with a call for a national integrity commission as another element to safeguard the use of taxpayer funds.

The new report shows all grants recorded by GrantConnect including essential work by the federal government such as grants to states for health and education, with no findings about waste or corruption. The object of the report was to highlight the money at stake and make the case for greater scrutiny.

The report finds that $17.5 billion has been spent on health grants, $9.3 billion has gone on transport and infrastructure, $5.7 billion on social services and $5 billion on education, skills and employment.

In a series of criticisms of political decisions over government grants, the audit office found that “funding decisions were not appropriately informed by departmental briefings” in the Safer Communities Fund and the reasons for decisions were not properly recorded.

The audit office found that applications “were not soundly assessed in accordance with the program guidelines” in the Regional Jobs and Investments Packages and warned of “insufficient scrutiny” of proposals for a $433.4 million grant to the Great Barrier Reef Foundation.

It found that aspects of the Supporting Reliable Energy Infrastructure Program “did not comply” with Commonwealth grant rules and warned of the absence of published guidelines or eligibility criteria or merit criteria in the Commuter Car Parks Program under the Urban Congestion Fund.

Morrison called the May 21 election last Sunday after a federal budget that included at least $13.8 billion in programs that could fund specific grants during the campaign, separate from road and rail projects in each state.

But the Productivity Commission called five years ago for stronger oversight of transport grants because of the “relatively weak” accountability.

“With no consistent framework for allocating grants, projects made possible through such funding can be particularly subject to the political imperatives of the day, rather than determined by either the performance of roads against consistently assessed need or consistently developed service standards,” the commission said.

Warning that decisions were subject to “political suasion” over taxpayer funds, the commission called for changes to grant rules as part of a wider boost to productivity in its landmark Shifting The Dial report in 2017, most of which has not been acted upon.

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Belated Federal Govt. Action on Vaping

13 April 2022
The Federal government has made statements to try to lessen vaping especially in children. Health Minister, Greg Hunt has made statements and asked for State help on the issue. This is only days before the Federal government goes into ‘Caretaker’ mode before the election, so can have no real effect. Hunt himself is retiring at the election. Perhaps he is doing his best, but he has been undermined by a determined ‘pro-vaping’ group within the Liberal government, which includes Trent Zimmerman, MP for North Sydney. (One might wonder whether the vaping groups are funding the major parties, as they have significant tobacco company ownership. Presumably this will come out eventually- too late to be relevant)
Vaping has been increasing due to the same sort of marketing that launched tobacco, making it exciting, sexy and rebellious. With the internet, social marketing and ‘social influencers able to be paid and target certain groups, this can happen much more under the radar than in former times. As my son commented recently, ‘People believe what their algorithm feeds them’. Older folk who are not fed the ads do not notice what is happening. But now even student correspondents are complaining that there is so much vaping that the school toilets are polluted.
As one Professor of Medicine commented on Radio National Life matters today, ‘We should not be comparing vaping to smoking, we should be comparing it to breathing fresh air’. Exactly.
There were two articles in the SMH this week, ‘Federal bid to stop children vaping’ by Dana Daniel on 7/4/22 and on 9/4/22 (below).
We can only hope that the vaping members lose their seats and that the new Labor government takes a much more active stance. It is late to act on this, but better late than never.

Greg Hunt urges state governments to stop vapes being sold to children

By Dana Daniel April 9 2022

Health Minister Greg Hunt has written to his state counterparts urging them to halt the illicit sale of e-cigarettes to children, but state health ministers want the federal government to stop them at the border.
Community concern is growing about e-cigarettes in schools as increasing numbers of teenagers take up vaping – despite state laws making it illegal to sell the devices to under-18s, regardless of whether they contain nicotine.
“I ask that you take active steps to enforce these laws by taking action against retailers contravening your laws, for example by selling NVPs to school children,” Mr Hunt wrote in the letter, seen by The Sydney Morning Herald and The Age.
Under Commonwealth law, it has been illegal to import liquid nicotine, unless prescribed by a GP as a smoking cessation aid, for the past six months.
But e-cigarettes and vape juices containing nicotine remain widely available through a black market both online and in retail stores and schools are grappling with an escalating problem.
Mr Hunt’s letter dated March 18 linked to a report in The Age about a five-year-old boy who was hospitalised with breathing difficulties after vaping with his brother and a seven-year-old classmate at school.
In that case, the vape was not alleged to have been sold to a child by a retailer, with the child’s father telling the ABC it belonged to another student’s mother.
Victorian Health Minister Martin Foley hit back on Friday, telling the Age and Herald: “We need more action from the Commonwealth to strengthen e-cigarette regulation at a national level – and we encourage the Morrison Government to get on with it.”
A spokeswoman for NSW Health Minister Brad Hazzard, who is recovering from COVID-19, said a national approach was needed to tackle vaping, which the state had formally requested “on multiple occasions, including during feedback on the new National Tobacco Strategy”.
“The federal government previously tried to get a uniform approach on e-cigarettes, but was met with opposition from supporters of vaping,” the spokeswoman said.
Mr Hazzard had already asked NSW Health to “step up its compliance action” before receiving Mr Hunt’s letter.
“Hopefully, it will be possible for federal compliance to be stepped up to minimise the importation of illegal vaping products.”
The federal health department is finalising the National Tobacco Strategy, a draft of which recommends new restrictions on “the marketing, availability and use of all e-cigarette components in Australia, regardless of their nicotine content”.
Australian Border Force Commissioner Michael Outram told a Senate estimates hearing in February that the ABF had not committed any additional resourcing to the detection and seizure of nicotine vaping products since the ban on importation without a prescription began last October.

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Stacked Tribunals- the Liberals’  legacy

10 April 2022

There is an election on May 21.  The Liberals are likely to be decimated.  So what is their response?  To stack mates into as many tribunals as possible.

The Fair Work Commission has been totally underfunded by the Liberals, as with the deliberate demise of the Unions it was the only hope for some sort of wage justice and an unsuccessful enforcer against wages theft. Obviously if Labor comes in, it is likely to boost its resources and appoint more judges. So what do the Libs do at 5 seconds to midnight?  Appoint a resource industry human resources manager as Deputy Commissioner.

The Australian Petroleum Production and Exploration Association CEO, Andrew McConville was made head of the Murray-Darling Basin Authority.

A Josh Frydenberg minder has been made a commissioner in the Productivity Commission.

The Administrative Appeals Tribunal has become immensely busy due to people having to appeal for NDIS resource allocation decisions and in the absence of resources, its waiting times have blown out.  It was very involved in the early Robo-debt cases.  M Attorney-General Micaela cash has appointed 19 new appointments and extended 26 others. Six of the 19 were not in the ‘expression of interest’ register, so effectively they are Liberal recruits.

There needs to be an impeccable neutral process for the appointment of judicial officers and members of significant QUANGOs. The abuse of office in appointments to the US Supreme Court are a major issue in terms of long appointments, dictating conservative policies for years. The Liberals seem to be taking a leaf from the US Republicans’ playbook. The question is whether Labor will fix the system, or just tit-for-tat put in their people when the time comes.

www.thesaturdaypaper.com.au/news/politics/2022/04/09/coalition-stacking-liberals-across-the-boards/164942640013668

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Liberal Preselection problems are significant in a Binary System

10 April 2022

Now that the election is called, progressives might delight in the bad publicity associated with the Liberals pre-selection battle.

The Saturday Paper had 3 articles yesterday, a front page about Morrison’s personal pre-selection scheming double-cross, an article about ‘How Morrison became a tin-pot dictator’, by Stephen Mutch, a moderate Liberal who was a NSW State MLC and briefly member for Cook, and a comment by ex-Federal leader John Hewson saying that Morrison’s willingness to ride roughshod over constituent processes shows total disregard for rank and file members.

In the immediate term of this election, it may hurt the Liberals, though 6 weeks is long time in politics so many people will forget. In my own experience door-knocking in the North Sydney by-election when Treasurer Joe Hockey resigned to go to New York, a Liberal told me that the local branch had pre-selected a candidate with 36 votes out of 40, and Trent Zimmerman had 2.  But Head office and the branch both had 40 votes, and put in Zimmerman with all their votes, giving him 42.  The local branch members were disgusted and did not help hand out.  Liberals came from other areas to staff the booth; it was a blue ribbon seat and a predictable victory.  Zimmerman is a moderate and the branch had a harder Right candidate, so head office favoured the moderate, who is now asking us to vote for him so that there are some moderates left in the Liberal party.

Similarly, Felicity Wilson, a moderate was parachuted into the State seat of North Sydney against the branch’s desire and against the branch’s more Right-wing candidate. 

Craig Kelly was kept in his seat when the branch wanted to dis-endorse him before last election, but were over-ruled by Morrison’s intervention.  What a success he turned out to be; anti-climate change, and then an anti-vaxxer.  The Libs stuck with him as they needed his vote only to be rewarded as he became an independent and now fronts Clive Palmer’s United Australia Party.

According to Mutch a ‘troika’ determines pre-selections in NSW; Morrison, Perrottet and he does not name the third person.  The question must be asked, what would happen if the troika did not control the numbers.  Who controls the branches and who would control the pre-selections if it were democratic?

Morrison has claimed to be a moderate, but Alex Hawke, Morrison’s hatchet man as the minder of David Campbell an evangelical Liberal right-wing numbers man in the NSW Upper house in the early 2000s, and was then given a safe seat.   The Right are in control.

The US Republican Party is completely out of touch with the common person in the US and acts in the interests of banks, big business, the gun lobby, fossil fuels, voter restriction and gerrymandering to maintain power.  They seem totally beholden to Donald Trump.  This has happened in about 15 years.  In their campaigning and some of the philosophy the Liberals follow the Republicans closely.  We must ask, ‘Who is joining the Liberal party?’  Fewer and fewer people join political parties, so they are correspondingly easier to stack or influence.  Lobby groups work on politicians, but if they can have members beholden to them for their pre-selections, it would make their lobbying much easier.  The Liberals are perceived as very right wing and very influenced by the right-wing Christian lobby.  Why would anyone else join?  And if they don’t, who will be left to control the grass roots?

In an article in the Sun Herald today (‘Infighting could cost seats: top Liberals) Liberal Federal Vice President Teena McQueen said that sitting members like Trent Zimmerman and Katie Allen could lose their seats but ‘with a couple of lefties gone we can get back to our core philosophy’.

This may not matter for 6 years if Labor wins and gets a second term, or even 9 years if they get a rare third term, but in a binary system the Libs will win eventually, which is why the nature of a major party membership and their pre-selection processes are of interest.  If the Liberals go the way of the US Republicans we are in danger.

Australians generally are sick of the two major parties and their capture by their lobby groups.  The High Court declining to intervene to support the branches was on the ground that political parties are Private entities.  They are not mentioned anywhere in the Constitution so have become almost privatised lobbies.  Labor have declined to release many policies to remain a small target because negative campaigning is more cost-effective than positive ideas. The question is whether Labor will actually do the right thing when they get in, or will they be conservative, do very little and leave things as the Liberals have made them in order to stay in power?  Pundits have described the ‘right-wing ratchet’ where the Conservative parties privatise and increase social inequality and the Progressive parties make noise and minor changes, but never actually undo what the Right has done.

The Independents are a fresh start, and the negative campaigning does not work as well against them.  There is a website ‘notindependent.com’ that is owned by the Liberals asking which party the independent will support? This of course tries to turn the whole thing into a binary contest again and the Independent effectively into a major party backbencher.  They also want the Independents to have a comprehensive set of policies, as if the Liberals do!

In the medium term, it may be reassuring to think that if a tradition of Independents can be established the major parties will not have it all their way, but this does not solve the problem of a Republican-like Liberal Party.

My own answer is a major change to the constitution with citizen-initiated referenda at 3 levels of government able to overturn Parliamentary decisions, part-time politicians limited to 2 terms so that politics is not a career and there are no significant party hierarchies to climb, multiple political parties so that no single one ever has an absolute majority and the members’ retirement plan is their current job.  This will take years of campaigning to achieve, so we’d better get on with it, or the increasing power and vulnerability of a private political party will have us following the US model, just a few years behind. 

www.thesaturdaypaper.com.au/opinion/topic/2022/04/09/how-scott-morrison-became-tin-pot-dictator/164942640013667#mtr

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COVID19 Viral Shedding is unrelated to Symptom Severity

8 March 2022

A new, rather bold study involving health infected volunteers has shown that the severity of symptoms experienced is unrelated to how much virus is shed.  In other words, even someone with minimal symptoms can shed and spread the virus a lot.

The bottom line of this is that people should wear masks to stop them spreading the virus.

Here is a cut-down version of the Nature Medicine article in Australian Doctor.

COVID-19 symptom severity ‘no indication’ of viral shedding

A world-first study offers insight into a key public health question about transmission, researchers say

4th April 2022   By Reuters Health

The world’s first ‘human challenge’ trial in which volunteers were deliberately exposed to SARS-CoV-2 has found that symptoms have no effect on how likely an infected person is to pass the infection on to others.

The UK study showed that among the 18 participants who developed COVID-19, the severity of symptoms, or whether they displayed symptoms at all, had nothing to do with the viral load in their airways.

Viral load was measured by a focus-forming assay (FFA) and quantitative polymerase chain reaction (qPCR) in the project led by Imperial College London and contract research company Open Orphan.

“There was no correlation between the amount of viral shedding by qPCR or FFA and symptom score,” the researchers said in Nature Medicine.

“Furthermore, our data clearly show that SARS-CoV-2 viral shedding occurs at high levels irrespective of symptom severity, thus explaining the high transmissibility of this infection and emphasising that symptom severity cannot be considered a surrogate for transmission risk in this disease.”

The trial exposed 36 healthy young adults without a history of infection or vaccination to the original SARS-CoV-2 strain of the virus and monitored them in a quarantined setting.

Since two volunteers were found to have had antibodies against the virus after all, they were excluded from the analysis. 

Slightly more than half of them contracted the virus.

No serious adverse events occurred and the human challenge study model was shown to be safe and well tolerated in healthy young adults, the research team had said earlier this year.

“With virus present at significantly higher titres in the nose than the throat, these data provide clear evidence that emphasises the critical importance of wearing face coverings over the nose as well as the mouth,” the study team wrote.

A key unresolved question for public health had been whether transmission was less likely to occur during asymptomatic or mild infection compared to more severe disease, the researchers said. 

More information: Nat Med 2022; 31 Mar.

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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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