Doctor and activist


Notice: Undefined index: hide_archive_titles in /home/chesterf/public_html/wp-content/themes/modern-business/includes/theme-functions.php on line 233

Author: Arthur Chesterfield-Evans

The Cost of Colonialism

27 February 2021

Most of the wealth of the West is built on the labour of countries that are paid less.

The British Empire was built on exploiting other countries. India the most, being the biggest, but the gold of Africa and the riches of Australia and Canada were not trivial.

Colonialism pre-1900 insisted that the coloniser took over, and in Britain’s case put their flag on the colony’s flag. After 1900, things became a bit more subtle. The financial arrangements were made, but not advertised on flags. The US in the Philippines is a good example, or its efforts in South America.

It is good that this is discussed as in the article below. It is the first step in change, though note that the article is from 2018, so the discussion is by no means inevitable.

As there is free trade since WW2 top level capitalists get stuff made in low cost countries then sell it in high cost countries. The rip-offs continue but there is still a gradual transfer of both capital and expertise to developing countries, as well as the transfer of jobs, that is squeezing developed country jobs.

The greatest challenge for the next generation is to have justice between nations without the West’s lifestyle being destroyed; you could call it a controlled climbdown. Some method of evening the wealth within Western countries might be a start.

www.aljazeera.com/opinions/2018/12/19/how-britain-stole-45-trillion-from-india?fbclid=IwAR0JosFy8foda9iCMA-arjrccEEgsNUeQVINetrH3PoILVAGutePbgNHEMo

Continue Reading

Privatisation of Quarantine = Government Collecting Money for Corporations- Permanently??

21 February 2021

There are two quarantine stories extant, one short-term, one long-term:

The Sun Herald front page story is ‘State Debt Collectors eye hotel millions’.  It is about how 5264 invoices covering 7214 travellers who stayed at quarantine hotels have not paid and thus have to be chased for the money.  The fact that they had to stay at these very expensive hotels for 2 weeks to be allowed to come home seems irrelevant. The fact that they may have had to stay in hotels for 9 months overseas in lockdown situations, had to come home  on very expensive flights  and may have no money and no job is also not mentioned.  What might have been thought of as repatriating citizens caught in a situation that was not of their making is now a routine debt like a speeding fine, to be chased by the NSW government’s privately contracted debt collectors.

Meanwhile down in Victoria in today’s Age there is talk of building a quarantine hotel at Avalon Airport.  Avalon airport was ex-RAAF and is about 3 hours from Melbourne (as I discovered to my cost when taking a Jetstar fight to Melbourne without looking where it landed). It is now owned by Linfox Transport group, and the Wagner Corporation of Townsville was keen to build the quarantine facility.  When asked by an interviewer what accommodation would cost, Mr Wagner replied that this was ‘commercial in confidence’.  There was none of this nonsense about giving arriving travellers a ‘fair go’; presumably such assurances are not necessary to get the contracts these days.

The colonial-era Manly Quarantine Station, which was saved from developers some years ago and remains in the dangerous situation of being  a historic site in NSW used to have 3 levels of accommodation, for the rich, middle class and poor. At least the financial reality was recognised then.

Presumably backpackers who needed to come home would be happy to stay in backpacker accommodation, whereas some business folk really cannot manage less than the Ritz.  But the government ought to make provision for Australians who want to come home and returning travellers needing to be quarantined should have the right to return without having to pay whatever a privatised accommodation facility chooses to charge them, without the government’s contribution being to unleash the debt collectors.

www.smh.com.au/national/nsw/it-s-not-optional-debt-collectors-sent-in-for-overdue-quarantine-hotel-bills-20210219-p5747y.html

www.theage.com.au/business/companies/bold-brash-and-benevolent-wagners-wheels-turn-to-quarantine-facility-20210219-p5744b.html

Continue Reading

Mental Health and Cheating

20 February 2021

I like to think that my credentials as a mental health advocate are pretty good.  I was responsible for the NSW Parliamentary Select Committee of Inquiry into Mental Health in December 2001 which reported in 2003.  The result of this inquiry was an increase in the mental health budget in the following year of $320 million, a new accounting system so that the money could not be transferred by hospital administrations to other areas, and publicity which led to a similar Senate Inquiry in Canberra.  This reported in 2006 and led to psychologists being put on Medicare.  (Not that my contribution was noticed by the Parliamentary press gallery).

One of the elements of recognising mental health is having it treated the same as physical health.

But I am also a tennis fan, not a tragic, but a fan.  In the quarter finals of the Australian Open, Ash Barty, Australia’s favourite and No 1 seed was eliminated by Karolina Muchova of the Czech Republic.  This might not be remarkable were it not for the fact that the game had Barty winning easily until Muchova took a 10 minute medical timeout.  After this, the game and momentum swung totally Muchova’s way and she won.  Muchova admitted that she wasn’t injured, she just took time off to get her head together.  Obviously she did that, and Barty was sufficiently disconcerted to lose the match. The public waited the 10 minutes and the TV filled the break as usual.

Barty was magnanimous in defeat, saying that Muchova had the right to take a medical break, but one has to ask whether taking a 10 minute break to compose one’s head if one is not doing well in a match will become the new norm  Hey, there is no rule against it, and now a precedent for it!

It will be hard for a tournament referee to say to a player, ‘I do not accept you injury, get back on and play’, but what is the alternative?  This is a bad precedent. This is not mental illness.  Any suggestions how it should be dealt with?

Continue Reading

Federal Auditor-General Defunded- Government cuts teeth of watchdog

20 February 2021

What else would a PR driven government do to lessen criticism of its rorts?

Here is an SMH article today by Katina Curtis entitled:

Cuts Mean Government Agencies will avoid scrutiny’.

The watchdog in charge of keeping the government accountable for its use of taxpayer money says his budget has fallen so much, some agencies might only face scrutiny once every 20 years and auditors are tolerating ‘‘uncomfortable’’ risks in financial statements.Auditor-General Grant Hehir says over the next four years he has to cut the number of performance audits his office does, which in the past year has uncovered the sports rorts scandal and the $30 million paid for the Leppington Triangle land valued within a year at just $3 million.The cut will reduce the number of audits by a quarter, from a historical average of 48 a year to 36, the lowest number this century, bar 2016 when the double dissolution of Parliament meant fewer sitting weeks to deliver his reports.‘‘In effect, I am unable to provide the Parliament to the same extent with the evidence it has used to hold executive government to account, thereby reducing accountability and transparency,’’ Mr Hehir yesterday told a parliamentary committee reviewing the Australian National Audit Office.Over the past two years, the performance audit section has lost 20 staff, equivalent to the capacity for eight audits. ANAO funding as a proportion of government spending is now half what it was 10 years ago.‘‘Should it be going up proportionately? I’m not arguing that, but I think it shouldn’t be going down,’’ Mr Hehir said.Since 2013, the Australian National Audit Office’s budget has been cut by nearly $6.3 million – or more than 22 per cent in real terms – although Mr Hehir told the committee ‘‘we probably wouldn’t use the word cut, it’s fallen’’.While the budget has shrunk, the number and complexity of financial statement audits the office must do has grown. Mr Hehir said the budget squeeze meant he’d had to increase the risk tolerance of these audits to a point where he was ‘‘uncomfortable’’.As well as a reduced number of audits, their scope will be narrower, and they will focus on higher-risk activities in large entities such as the Tax Office and the Defence Department.‘‘Many smaller agencies may not be audited for extended periods of time, potentially over 20 years,’’ Mr Hehir told the committee.

Continue Reading

Facebook will not carry Australian News

18 February 2021

Here is the ABC story about this. Note that Facebook sees itself as giving clients and coverage to other media, not using them to get customers. In support of this, the interesting figure is that only 4% of its users are looking for media news sites. Readers of my posts will definitely be in the 4%, presumably the other 96% is items of interest other than news. People have a right to family and social contacts, and a zillion other interests.

But Facebook is like google in that it is paid per click, so it does not seem unreasonable that it should pay the news outlets per click. It is a worry that deals are being done with the major (i.e. Big) media with no guarantee that the smaller media that give diversity of opinion will get any money. The question then become as to who sets the rate? Presumably google and Facebook charge per click and this is ‘commercial in confidence’.

The other question that is never addressed is whether we the users should ever be paid from the data harvested from us. As someone said, ‘if you are not paying for the product you are the product’.

Our personal information is hoovered up in our normal activities. whatever we buy, the words of our emails, our click preferences, and if we have voice-activated phones or devices, every word we say. This is on-sold, and what we get is the convenience of having email software, chatting on apps, or having a computer bot serve us. But what is the profit margin on the data?  Could and should we get a cut of what we generate?

ABC News:

Facebook news ban stops Australians from sharing or viewing Australian and international news coverage

Australians are being blocked from accessing news in their Facebook feeds, in a dramatic escalation of the social media giant’s stand-off with the federal government.

Australians waking up this morning found they were blocked from viewing or sharing news content from publishers’ pages, including news organisations like the ABC.

The social media giant said it made the move in response to the government’s proposed media bargaining laws, which would force major tech giants to pay Australian news outlets for their content.

The move also prevents people overseas from sharing Australian content on the social media site.

Treasurer Josh Frydenberg tweeted that he had held “constructive” talks with Facebook chief Mark Zuckerberg this morning, while Communications Minister Paul Fletcher said Facebook should “think very carefully about what this means for its reputation and standing”.

Facebook said the proposed Australian law fundamentally misunderstood the relationship between their platform and publishers who use it to share news content.

It said it faced the stark choice between attempting to comply with a law, or banning news content on its services in Australia — and “with a heavy heart” it was choosing the latter.

The move came a day after Nine and Seven West Media reportedly made multi-million-dollar deals with Google for use of content.

“We understand many will ask why the platforms may respond differently,” the Facebook statement said.

“The answer is because our platforms have fundamentally different relationships with news.

“Google Search is inextricably intertwined with news and publishers do not voluntarily provide their content.”

A Google spokesperson took issue with this claim, highlighting growing division in the technology sector.

“All publishers, along with everyone else, always have a choice about whether their site shows up in Google Search,” they said.

The social media giant said it had explained for months that “the value exchange between Facebook and publishers runs in favour of the publishers — which is the reverse of what the legislation would require the arbitrator to assume”.

“Last year Facebook generated approximately 5.1 billion free referrals to Australian publishers worth an estimated AU$407 million.”

The company said what it gained from news content was “minimal”, and made up about 4 per cent of what people saw in their newsfeed.

Google deals continue

The legislation implementing the proposed new media code passed the House of Representatives last night. The Senate is likely to pass it next week.

The code is designed to ensure media companies are paid fairly for the use of their content on search engines and social media platforms.

Major media companies Seven West Media, Nine, and News Corp have all reportedly struck content deals with Google this week.

News Corp and Google will develop a subscription platform, share advertising revenue through Google’s ad technology services, build out audio journalism and develop video journalism by YouTube.

The deal comes after years of public feuding between Mr Murdoch and Google, most recently in Australia, where Google has threatened to shut down its search engine to avoid “unworkable” content laws.

News declined to comment on financial details of the deal, which it said involved “significant payments” by Google.

The Nine and Seven West Media deals are collectively worth $60 million a year, according to media reports.

ABC/Reuters

Continue Reading

Health Effects of Coal

14 February 2021

Here is Dr Peter Sainsbury, Prof of Public Health. writing about the health effects of coal. Many of the deaths related to the polluting effects are not in Australia, which is not a very reason for us not to be concerned about it.

Some years ago, as we tried to stop the subsidy to Tobacco Growers in Australia, the number of deaths of tobacco-caused disease was compared to the number of jobs in the tobacco industry, which was orders of magnitude lower.

Sainsbury says it will be about 6 deaths per year per job in the coal industry, which is yet another good reason to transfer to renewable energy.

The practice of looking at the number of deaths caused versus the number of jobs created seems a sound basis for looking at the cost benefit of industries. The ‘defence’ industry needs to be looked at in a similar way.

The other interesting fact in this article is that he estimates that Electric Vehicles will be the same price as petrol ones in about 3 years because of the falling price of batteries. Presumably the Morrison government cannot retard progress forever.

Continue Reading

Trump Acquitted. Significance?

14 February 2021

President Trump was not impeached because it needs a two thirds majority of US Senators and the Democrats and Republicans have 50 each, with the Vice President having a casting vote.  So 13 Republicans would have had to vote for the impeachment, and only 7 did so. 57 to 43 was not two-thirds.

 Senate Republican Leader Mitch McConnell said that Trump could not be impeached as he was no longer President, but this was because the Senate delayed the debate while he was, so it looked like a convenient cop-out.  Whether it was ‘loyalty to the Republican party’ is a moot question. In practical terms, Trump has a lot of support at the grass roots of the Republican party, and if he directs his supporters to oppose a Senator’s pre-selection next time it will be likely to cost them their seat.  So they were willing to toe the line that the election was rigged, and now vote that Trump did not incite supporters to storm the Capitol. It is remarkable that they were in the Chamber when the Capital building was stormed, and the Senators were in physical danger, but now they decline to condemn Trump.

It is worth looking at the Republicans who did have the courage to cross the floor:

Mitt Romney of Utah was an Independent until 1993, and a Mormon.  He stood as the Republican Presidential Candidate against Barack Obama in 2012, and was elected to the Senate in 2019.  He is 73 now, but has probably a very strong base.

Bill Cassidy MD, aged 64 was a Democrat who changed to the Republicans in 2001.  He was the only Republican Senator who did not challenge the result of the 2020 Presidential election and was condemned by his Louisiana Republican party for this stance, even prior to his voting for Trump’s impeachment.  He was elected in 2020, so will face the voters again in 2024.

Susan Collins of Maine aged 68 was elected in 1996, and is the longest-serving Republican woman Senator, most recently re-elected in 2020.  She declined to support the bill to repeal Obama’s ‘Affordable Care Act’ and also declined to support the nomination of conservative judge Amy Barrett to the Supreme Court.

Lisa Murkowsi of Alaska aged 63 has been in the Senate since 1998, having followed her father into her seat but via a write-in vote, having been defeated in the pre-selection.  A survey showed her to be the second most liberal Republican Senator after Susan Collins.  She intends to run for a 4th term in 2022, but it has been tipped in Newsweek that Sarah Palin will stand against her in the next preselection.

Ben Sasse of Nebraska aged 48 has taken a strong stand against Trump and effectively bet his political career on what is currently not a popular stand in his State, though he paints himself as a strong conservative.

Richard Burr of North Carolina aged 65 surprised colleagues by voting against Trump. He was elected in 2005, but he had announced in 2016 that he would not seek a 4th term, so preselection is irrelevant for him.

Pat Toomey of Pennsylvania aged 59 was elected to the House of Representatives in 1998, then the Senate in 2011 and 2016, but has said that he would not stand again.

So it looks as if there are very few Senate Republicans who will put the national interest ahead of their own pre-selections and party loyalties. 

This is why we need the power returned to the people both in the USA and here. The interests of the political parties are not the same as the interests of the people.

https://abcnews.go.com/Politics/president-donald-trump-acquitted/story?id=75853994
Continue Reading

Value Capture and Equity in Infrastructure Development

3 February 2021

One of the ways to finance new infrastructure projects is to capture the extra value that they produce.  A rail line makes a suburb far more valuable, particularly the areas around the stations. As it is planned some areas can be sold, or the government can develop the central areas and charge higher rates or a percentage of the increase in value when the land is sold. Simply to buy the land, built the railway and let the developers make all the profit is just plain dumb and is why there are so few rail lines in Western Sydney.

But there seems no sensible plan. The Federal government paid 10 times as much for some non-vital land to a mate, and now seems to be squeezing smaller landholders as they compulsorily acquire the land. If the land is going to be worth a lot more because of the railway, the people who are forced to move should get a bit extra for their trouble. This is only fair.

What is needed is a public formula that gives a fair price when the land is acquired and some value capture for the taxpayer. Railways should be self-financing, with fairness for all.

It seems that the governments are both corrupt and inept.  With all the consultants floating around a formula should be proposed, debated, decided and implemented.

www.smh.com.au/national/nsw/sickening-to-watch-scale-of-acquisitions-for-airport-line-upsets-landowners-20210120-p56vjy.html

Continue Reading

Governments are Simply Bought

3 February 2021

As we observe a seemingly endless litany of government decisions that are not just bad, but are totally against the public interest and wants, we might wonder why. Are politicians less principled than formerly?  Are they of lower calibre?  Is it just all about marketing?

Some long-term trends have to be looked at. At Bretton Woods in 1944 world leaders considered how to lessen the chance of future wars.  The two world war had been because emerging powers  needed markets that were closed to them. So ‘Free Trade’ was the cry that would allow the world to benefit from the free movement of goods from the places that produced them most efficiently to where they were wanted. Governments would not be able to get in the way. This trend has increased, helped by technologies in transport that have lowered freight costs.  Countries that have done well have risen, countries that cannot get a premium on their products have gone down.  But multinational companies have been able to evade taxes and develop oligopolies that allow super-normal prof its.  Multinational companies are now richer than many countries, so governments’ power has hugely lessened in relation to these companies.  So the companies often tell the governments what to do rather than vice-versa. Really good people used to go into government with a vision for their country’s future.  Now these people often go into business, raising the question whether our politicians are second tier.  Marketing is also much more sophisticated, and targeting is very important. Once it is recognised that what determines an election is a few percent in a few seats, the question is how to change those few minds.  So research and election donations become critical.    I have spoken to Ministers who seriously believe that they cannot oppose the industries that are the key players in their portfolio area. And if they believe that, that will certainly be the outcome.

Decisions like the inability of Australia to oppose the coal industry in the Climate ‘debate’, to avoid fracking when the gas industry sold gas on the assumption that it could frack for more, cal mining under dams, property development that sells iconic museums or demands higher dam walls are examples of governments doing what monied donors want.  But the pork-barrelling to ‘look after our own’ is a new low in political behaviour.  It has been coming for a while. 

When I was in Parliament I followed up the award of a contract for disability services in the Hunter region, which had not gone to the incumbents who had been considered to be doing quite a good job.  Investigations showed that there had been an exemplary selection process done in the public service, with the incumbent narrowly winning from another provider in the area, both with scores in the high nineties .  The contract went to another tenderer with a score in the 50s. Scrawled across the file was a minder’s note, ‘This one more innovative- support them’.  The Minister did. The minder went off to be CEO of the winning tenderer.  The unsuccessful tenderers withdrew in disgust.  Sadly, this did not come out for some time, so the successful tenderer was then established and the unsuccessful downsized so the decision could not be reversed.   Someone in the office was temporarily stood down.  It was an example of Ministers over-riding neutral selection processes, which is now so commonplace that Gladys Berejeklian assures us it is normal and the Federal government also acts as if this is so. Perhaps soon there will no public service process at all; why bother making potential trouble?

So with government believing that they cannot act against vested interests and also able to buy power with marketing money, it is hardly surprising that industries donate, especially when there is nothing stopping them.  Ministers who are not particularly clever, but have good party connections can also leave politics for lobbying positions in the industries that they formerly were responsible for, having contacts in both the government and the responsible Departments.

As the power and the image of politicians fall, so do party numbers allowing more branch-stacking and nepotism.  Some years ago, Christians, noting their numbers falling in the census made a huge effort to get into the political system to maintain their privileged tax deductible status and school system, so now they are represented in Cabinet way more than in society in general. So there is yet another strong lobby within the system- the religion industry.

These problems are part of long-term trends with technological and economic drivers.  My own view is history is driven by these forces more than by anything governments want to do.  Politicians now have a career structure where their interests are different from the public interest and this will never be reconciled.  So we need a new conceptual framework.  The power must be taken from the politicians and given back to the people.  The government of Switzerland acts similarly to ours except that there are more political parties sharing power, so there is never an absolute majority with governments able to do whatever they like.  More importantly, the people have plebiscites quarterly at Federal, Canton (State equivalent) and local levels.  If there is enough signatures, an issue is put to plebiscite and the result is binding on governments. Legislation can be overturned if the petitions get enough signatures within a statutory time.  So governments govern, but remain aware that they cannot do what they like.  Politicians are all part-time and keep their jobs, which are also their post-parliament continuing careers.  They are also limited to 2 terms, so that they do not have a political career structure that they can put ahead of the public interest.

It is time to change the constitution to lessen the power of the governments.  Restricting political donations should be tried, but I watched as people tried to stop the tobacco industry buying influence. When TV ads were banned, they had ‘sponsorships’ around the grounds and it took 26 years to get rid of these as sponsored sport sang for its supper. Ethnic clubs, Sports Foundations, Rescue boats, Charities, disabled groups; all manner of potential lobbyists were gifted and sang for their supper or donated in kind.  If someone has money and wants to help you, and you want to be helped there are a million ways to get around impediments. Those who think a donation limit will stop the problem are frankly naïve, though I am not saying it should not be done.  It establishes a principle at least, so that we can chase the avoidances.  But more substantial change is needed, a new constitution to lessen the power of Parliaments on the Swiss model.

www.smh.com.au/politics/federal/hidden-donations-highlight-grave-weakness-of-australian-democracy-20210131-p56y70.html

Continue Reading

COVID Problems Caused by Lack of Respect for Knowledge

7 February 2021

Prof Raina McIntyre argues that the COVID19 problems in the developed world, particularly the Anglo world are the result of an understanding of and a lack of respect for public health.  She charts this as within the medical profession, which has its own hierarchies, but also in the political arena.  The overwhelming influence of the corporate sector and the profit motive, and the managerial approach which assumes that if  you are not an expert, you can quickly find one, bone up and take over has been found sadly wanting.  For a manager or politician, selecting an expert is not as easy as it sounds as there are many people who want to tart up their CVs and market themselves with dubious claims to expertise.

This has resulted in a very suboptimal preparation for and response to the pandemic. The failure in the managerial decision-making process has been laid bare in the COVID situation, but this is not an isolated example.  The lack of respect for expertise, the replacement of knowledge with marketing spin, and public good with corporate profits will lead to more bad decisions, which often take a crisis to become evident.  It happened in the bushfires, and is happening with climate change. Examples in foreign policy, education, health and defence all come to mind.

Here is Raina’s paper about COVID19

https://iser.med.unsw.edu.au/blog/hijacking-public-health-and-price-paid-during-covid-19-pandemic

Continue Reading