Doctor and activist
22/04/2020
22 April 2020 Ansett Airlines collapsed in 2002 and nearly took Air NZ, its owner with it. It had 40% of the market at that time. It had had subsidies, but continued to lose money. Virgin Blue, a cheap carrier had just come into the market and may have gone broke had Ansett not collapsed […]
22/04/2020
22 April 2020 The COVID-19 crisis highlights the failure of market mechanisms. The lack of good health care in the USA will highlight how private medicine simply does not deliver the health care people need. The same can be said in Australia, though we still had a bit more public system to build on. But […]
12/04/2020
12 April 2020
Prof John Ashton CBE, Ex-President of UK Faculty of Public Health is extremely critical of the Johnson government’s management of the corona virus epidemic. He says that the idea of herd immunity was an absurd one and amounted to an unlikely theory being preferred to information that had come from overseas, including China, which had initially covered up but once the WHO had come in were forthcoming of their experience in managing the epidemic.
The current problems include lack of PPE (Personal Protective Equipment), ventilators and even oxygen are because of the lack of recognising the seriousness of the problem and failure to order equipment and to prepare.
He urges more attention to cleaners and porters who are as important as doctors in nurses in the spread of virus in a hospital environment, but the class system, which lessens their importance, has meant that they have not had enough attention to their PPE and this will lead to spread.
The other aspect is Private Public Partnerships, which have seen the creeping privatisation of health in Britain. He makes the point that there are no longer Community Nurses to trace contacts of the corona virus in the community as private corporations only do what is in their contracts, and are only of peripheral use in a pandemic. He wants a fundamental re-think of the privatisation of health, and a real investigation of who made what decisions when, not merely the outcome of awards to people who were high in the hierarchy, however incompetent their decisions.
Many countries have had health systems inappropriately evolved to deal with an infectious disease pandemic. How well countries have done is measure of the flexibility and responsiveness of their political systems as well as their health systems. His view is the UK has not done well.
We all need to look at our governments in the light of how well they responded to this challenge. The danger is that initial dilatoriness will then be replaced by authoritarianism, imposed on people while they are frightened.
www.youtube.com/watch?v=YBm7LCeOzHU&feature=emb_rel_end
02/04/2020
2 April 2020 This is now a current question because of a French trial. When a new disease comes there is a rush to test existing substances to see if they work. When AIDS arrived, many drugs were tested. One drug, acyclovir was found to help. Acyclovir had been developed as an anti-leukaemia drug but […]
02/01/2020
The air is better today, with the wind from the north-east, so we spent the day on the roof cleaning out the gutters.
It terrifies me especially climbing up the slope to do the dormer window gutters, which were the most full of tiny pine needles. Zincalum (Colorbond) is much more slippery than the old galvanised iron was as you are reminded with every step. I always resolve that ‘This is the last time I go on a roof’, but it seems resolutions are easier to make than to keep. There is always some circumstance.
I had always suspected that gutter guards were more trouble than they are worth, but today proved it for me. There was a more material under the gutter guard than on top of it, and it made the gutters much harder to clean. Jan was cross, and having had the gutter guard installed at great cost ripped it off to make it easier to clean next time. The object was to have the gutters so clean that no ember can find sustenance there, but obviously a few days of wind before a fire will undermine our efforts. Gutters are dangerous in that they do allow a point for fires to attack houses and my brother says that in Western Australia, gutters are illegal in fire-prone areas. This is logical, but the gutters are needed to collect water, and fortunately we still have enough of that at present- it is very expensive to buy it by the tanker load.
I had not realised how much material is blown up under the corrugations of a roof. Even with a 35 degree slope there are quite a lot of pine needles under both the ridge cap and where the roofing iron meets the valleys. It is hard to get out, so we banged the tin to dislodge them. I am not sure if it is a way that fire gets into the roof space, but it seems logical to try to remove them.
So that is the rant about roofs. Tomorrow I have to teach Jan how to use the chain saw, as the dead tree is still not removed, and persuade her that the pergola needs a more severe pruning. We are going to get a real fire pump, which John says manage a higher flow. Proper fire pumps, give a large volume quickly, so you can turn them off and not waste water. The one we managed to fix yesterday just gives a modest even flow. John was a Fire Education Officer before his accident and was just a little offended that I raced off to be briefed by the fire team that he used to work with, but I assured him that prophets are never recognised in their own homes, so he took it in good part.
Tomorrow will hopefully be a quiet day and I may return to Sydney. My son, Mike and nephew Nick will come down as the relief team as Saturday expects heat and southerly winds, so the danger will be on again. The fire is still 35 km away, so hopefully it will still be OK.
Everything is relative. As we were on the roof a couple drove in with a double horse float. Jan went down and spoke to them. They run a resort with 14 horses. Jan has two of theirs already and they had brought 2 more. He said that he had done a google risk analysis and said that we were the safest farm for horses in the Southern Highlands because of the amount of open space between the trees on the road and the house and stables. He has National Parks on all sides of his resort, which is mainly native eucalypt forest and he has only one access road. He brought food for his horses seeking asylum. The Moss Vale showground will take horses, but is very crowded and the rule is that you have to stay with the animals, which of course mostly means abandoning your property.
Time will tell. It is likely to be a long summer.
22/12/2019
22 December 2019 ‘The God Delusion’ had been on my ‘to read’ list for years. Having been through years of boarding school I had heard all the arguments about the existence of God debated ad nauseam I was a bit chastened that I had not written the book myself and I assumed that I knew […]
21/11/2019
21 November 2019
There was a coup in Bolivia which has had minimal coverage in Oz, but I have 3 worries:
The SMH coverage was from Bloomberg and seemed unable to figure out why there were two governments in Bolivia:
For all reasonable observers Morals won the election with 47% of the vote and with more than 10% lead over his nearest rival, should not have needed a run-off election. Irregularities were alleged, (but then again they always are when foreign interests are threatened). Morales offered a re-run, but was not allowed to stand by the guy who came second and the Army!! So Morales fled, which is very odd thing for a President to do if it were not a coup.
But the SMH article is written as if the Bolivian coup is very hard to understand.
President Evo Morales had nationalised a big oil company, and wanted his people to get a larger share of the country’s big lithium deposits. He claimed that this was why he was deposed.
A Venezualan perspective is given at
https://orinocotribune.com/the-coup-in-bolivia-five-lessons
I tried to post this on my Facebook page and it was denied as offending ‘Community Standards’! I just put the name of the paper, Orinoco Tribune, not the url and it was still denied with the same- ‘Community Standards’.
So what with the major media giving very one-sided coverage and Facebook censoring material, presumably for being anti-US, how do the Australian public ever get to know what is going on.
I will attach what I attempted to post separately..
I did manage to post some material critical of the SMH article and the RT article and they have remained there.
(A more radical view is at:
07/11/2019
7 November 2019
I have some experience in this area, though I would not seek to overstate it.
In 1985 I won a public service fellowship to look at workplace absence and I looked at the evidence of whether drug testing in the workplace worked. The main place it was suggested was at pre-employment medicals. The idea was that if you tested them and they were OK, they could have the job. It was a pretty silly idea as only a really serious addict would come to job medical interview with drugs on board so the pick up rate was low, the costs high, and the impression on the workers quite negative.
Later in my OHS job a worker was sent in for a medical as he was said to be using hard drugs in the portable toilet (thunderbox). He was taunting and arrogant, saying that I could not prove anything, and could not do anything as he would not give permission for the test. He was right of course, but he soon proved his accusers right as well by falling out the door of the thunderbox with a needle stuck in his arm.
When I worked in private OHS, the NSW State government saved money by sending people on parole to be drug urine tested on Medicare by local GPs. I was stuck with it in our practice which was one of the few that still agreed to do the testing. A man came in, angry and abusive, demanding immediate service, which he was granted to stop him terrorising the waiting room. He brought in a jar of very cold urine for testing. I said that I wanted a fresh specimen, gave him a jar and pointed to the toilet, ten paces away. He left to ‘get a new specimen’ and came back some time later. I said that I wanted to see him pass it, so he pulled his undies down saying, ‘There it is, are you happy now?’ No I wasn’t, as he had another small vial of urine in his hand as he held his undies. ‘You are a hard bastard’, he said as he eventually passed the urine, which unsurprisingly showed he was still using narcotics. The Parole people were pleased. They said, ‘We knew he was using but could not get a GP to get us a specimen’. I was not surprised that GPs were reluctant. At $15.20 for a Medicare visit that involved a terrified waiting room, half an hour of time, a threat to have your head punched in and the disruption of a whole afternoon for a whole medial practice, I told them that we were not going to continue testing either. Presumably he went back to gaol, and one might wonder how much good that did.
My next encounter was a female friend who had been very traumatised by a previous serious rape attempt that she had fought off. She was going through Central Station on her way to work, when a sniffer dog made the Police insist on searching her bag and ‘patting her down’. She had an empty plastic bag in her handbag that she had had a small amount of marijuana in some weeks before. But she was very traumatised by the experience because of the memories that were stirred and by the idea that she could not even walk around without people assuming that they had the right to touch her body.
The NSW Government will not allow pill testing at concerts, but wants to try to stop the drugs entering. Presumably there is a risk that younger people will bring them in if they are exempt from searches. Where will this end? Body cavity searches? MRIs outside concerts?
Prohibition will generally not work in the workplace, let alone the rock concerts. We need harm minimisation policies. This is not easy and it is not perfect, but it is better than prohibition.
Here is the NSW story in the NY Times, presumably with the unstated subheading, ‘Look what these mad Australians are doing now.’
www.nytimes.com/2019/11/06/world/australia/strip-search-children-drugs.html
20/10/2019
20 October 2019 When I was in Parliament, 4 things happened in quite rapid succession. I was part of an inquiry into prisons and a Dept of Corrections psychiatrist who attended court to question accused people told the committee that it was much easier to get into Prison than the mental health system and that […]