Doctor and activist


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Category: Accountability

Scientific Fraud

29 December 2021

I have friends who campaign for various things, sometimes quite alone for many years.

One of my friends is Polish.  He was part of the dissident movement when Solidarity was trying to end the Communist system.  While the Government was forced to negotiate with Lech Walesa, the Secret Police were busy and the second tier of activists and sympathisers simply disappeared overnight, so he spent quite a lot of time moving around.  He learned English and studied industrial hygiene, the safe use of chemicals in industry, so that he would have a qualification that was useful and recognised when he escaped to the West, which he eventually did. 

But he retained an interest in Poland and noted that some of the researchers there simply translated English papers, changed them very marginally, passed off the plagiarism as their original work, and became professors based on their great advances.  When the various academies were informed, they did not really want to know, as it disturbed their internal structures and was also something of an insult to national pride.

So he has spent years campaigning against scientific fraud, both there and here. 

There are other problems that grossly distort research.  No one really wants to publish negative findings; new discoveries are much more exciting than finding that stuff was wrong.  Also private research is much more interested in funding work that will produce a marketable product, and research that shows a drug works or is better than another.  The government has got into this mode also, wanting ‘partnerships with the private sector’ that will allow them to defray the research costs. This has arguably meant that the private sector tends to have a lot of say in what is studied, gets the government to pay for areas that it might not have bothered with, and can also grab lucrative patents early.  In this competitive environment, researchers have to find funding, and there is not much money in repeating experiments to disprove them.

Some research needs thousands of subjects to see which investigations or drugs are the most useful so that treatment protocols can be developed. Naturally these require huge coordination between many hospitals, health authorities and clinicians.  They require huge budgets. They offer big rewards if a certain investigation or treatment is shown to be beneficial and is included in the final recommendation of a huge trial.  The lead authors will travel the world for years as the definitive experts in that field with all the prestige that that entails.  Yet, as clinicians tied up with clinical work and often departments to administer, they cannot personally manage the logistics or the data and usually rely on ghost writers to put the drafts together.  Who funds that you might ask?  And what are the consequences if the funding company’s products do not work so well?  Will the professor who said it did not work get funding next time?

There is even a whole scam industry of dodgy or even non-existent  journals where you pay to be published or to be a supposed reviewer of papers.

So the pure idea that scientists are only interested in the truth and have no personal or financial interest was never true and has been under even more stress of late. 

Just as self-regulation in banking, aged care, casinos, building, advertising and many other industries has been shown to be inadequate, now scientific publishing is coming under the public spotlight.

The world of academia is more poorly set up than most industries to act as policeman. Evidence is evaluated in good faith.  Universities are expected to fund their courses from fees and donations so they are less in a position to take action that may be expensive and may damage their reputations.

Now, at last, the Australian Academy of Sciences has asked for a research integrity watchdog. This will help with deliberate individual fraud.

How much it can affect the other biasing factors in research remains to be seen.  The political and economic factors are likely to remain in the ‘too hard basket’.  It is still hard to know what the truth is.  Gut feelings about plausibility are of course ‘unscientific’ and what you ‘believe’ at a point of time is supposed to relate to what the ‘facts’ are.  And all this without social media even considered.

On the bright side, my Polish friend will see a significant step for his campaign, and if regulatory oversight replaces one lot of self-regulation there is hope that it will spread to other industries.

www.smh.com.au/national/macquarie-university-considers-investigating-suspected-research-fraud-20211214-p59hfr.html

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Pork Barrelling Works- it probably determined the 2019 Federal Election .

December 28 2021

There has been a lot of publicity lately about pork-barrelling by the Liberal party prior to the last election.

This is based on some excellent research by Shane Wright and Katina Curtis of the SMH (16/12/21), who went through grants that were at Minister’s discretion. They were worth $2.8 billion;  $1.9 billion went to Liberal electorates and $530 million to Labor.  The numbers do not add up exactly as some grants were hard to classify, being given to organisations that spanned different electorates. 

But if you take the money that has clear electorates, it is $1.9 v.$0.53 billion, which means that Liberal: Labor is 78% to 22%.  But it is even worse than that because $58.5 million and $55.2 million (21% of Labor’s national total) went to Lyons and Corangamite, which were seats the Liberals hoped to win. 

Lindsay, the NSW seat around Penrith got $23.1 million and was the only seat in NSW won by the Libs from Labor in the 2019 election. That number did not even count the $55 million in promised commuter car parks. The adjacent 3 Labor-held seats Chifley, McMahon and Werriwa with similar demographics got $5.9 million between them.

In Melbourne 4 Labor seats received less than $1million, while 3 vulnerable Liberal sears received an average of over $15 million each.

In my own electorate, which is safe Liberal against Labor, but had independent Ted Mack for some years, our local ‘moderate’ Trent Zimmermann still always votes on the Party line, just like the most rabid right wingers. He produces a lot of brochures with his ‘electoral allowance’ (which you paid for) and mentions many small organisations and the grants to them that he was responsible for. So even if we don’t like ‘pork-barrelling’ we can be glad that our local member is doing a great job. The idea is that we have a disconnect between criticising pork-barrelling at a general level, and voting Liberal at a local level; smart eh?

It si extremely likely that this degree of pork-barrelling determined the 2019 election, which the Liberals won by one seat, so we have corruption at a very significant level.  It is interesting that the Nine Group, SMH and Age, have produced this material more than 2 years after the election and as we look to the next election.  Had this been available immediately after the 2019 election perhaps Labor would have had another reason for their loss and not blamed it all on stating some policies, and then responding by having no policies that could be criticised since.

No doubt the same pork-barrel literature will keep coming in our electorate where the ‘Voices of North Sydney’ Independent, Kylea Tink may threaten Trent Zimmerman.

The only solution is to have a strong public service that is given transparent guidelines as to where money should be spent, and that their recommendations should be made public and not subject to any ministerial discretion.  It won’t happen without a lot of public interest and pressure.  

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Closure of Circus Oz a ‘Management Decision’

24 December 2012

I must admit I was surprised and disappointed by the news that Circus Oz was to close.  I assumed that the lack of support for the Arts during COVID was the main factor. Circus Oz is one of the great icons of Australian culture- world quality circus gymnastics with a unique Australian irreverence.  It will be a great loss.  They also gave rise to the Flying Fruit Fly Circus, which was kids doing the same sort of thing, or as they called it, ‘Ordinary Kids doing extraordinary things’.

It was world quality like the Sydney, Melbourne or Tasmanian Symphony Orchestras, but like the Australian Ballet and Bangara Dance, it had a more distinctly Australian flavour.

So it was a shock to read that he artists did not want it shut down, and Management did it without asking them.  Can we assume that the Australia Council and Creative Victoria demanded the management changes that were not delivered, or was Circus Oz management merely obdurate in their relations with the staff?  The latter seems more likely.

Hopefully Circus Oz can survive, but it is not looking likely.  The only other question is whether their ideological stance offended the government.  Nothing was usually said, but the irreverence had an anti-Establishment flavour that some of us liked, and perhaps some did not?

www.artshub.com.au/news/news/circus-oz-company-members-respond-2521930/?fbclid=IwAR0BzMqHjGbimsukMRzo23yTjDJA6YH8_5VKjZ7Uy_U63z7C3iBnfr0xj8o

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‘Government Responsibility’ is needed, not just ‘Personal Responsibility’.

22 December 2021

The huge, systemic and ongoing cop-out approach of the Federal and now the NSW State governments seems to be based on the hubristic belief that governments can set the agenda and influence the media to the extent of creating a perceived reality conducive to their interest. This is often successful, as the news becomes ‘What Mr Morrison did or said today.’

The narrative is changed slightly, so unless you are watching carefully, it always seems OK.

As in Animal Farm, ‘You may not sleep in a bed with sheets’. People did not remember the ‘with sheets’ bit of the slogan, but, hey, you do forget things.

But neoliberalism likes to stress individual responsibility. It allows small government, which advantages bigger players who can move into monopoly positions in an unregulated situation. It allows governments to have the perks and trappings without having to do too much as not much is expected these days.

The Federal public service is actually too small to do much except tell the States what they should do, and even this function is increasingly left to the politicians and their minders, those ambitious political science (or mainly art-law) graduates (with no scientific expertise). Hence the need for the Army when anything actually needs to be done.

But the key aspects of the current policy of getting rid of masks, social distancing restrictions, QR codes, and limits on people numbers in groups is a foolish populism and an assumption that business will do better if commerce returns to normal. This is right out of the IPA playbook.  ‘Let ‘er rip and if a few oldies and sickies die off, that is the price of society continuing’.

It also has the advantage that nothing is the government’s fault any more. If the omicron variant gets out of control, that is obviously because it is so infectious and out of the Government’s control. If the population choose not to go out to protect themselves and the businesses go broke, that is not their fault, they opened everything up (and also saved a motza by not having any more pesky jobkeeper or jobseeker payments).

To say that this non-strategy will not work is to understate the situation. We managed to control the situation when there was no vaccine. Now that there is, the governments wants to throw away all public health norms for infectious disease and rely on vaccination alone. This has conspicuously not worked in Europe.  Look at the Daily Case histograms (see link below) for Denmark, the UK, France, Spain and Italy. It seems that Germany, Belgium and the Netherlands have managed to begin to turn around the latest spike, but I have not researched their latest policy changes. Israel, largely triple-vaxxed is doing better. The US has a rising spike- it will be interesting what happens with their poorly vaccinated population.

But there is no need to look overseas.  The Australian graph is already rocketing up with new highs reached every weekday.  We are not triple-vaxxed and now there is another vaccine shortage.  NSW yesterday was responsible for 3763 of the national total of 5724 (66%) and the percentage is rising.  So Perrottet is as bad as Morrison.  (Figures from covid19data.com.au).

Individuals cannot protect themselves when the virus is everywhere unless they become hermits, and even then they will have trouble getting fed.  It needs mass action. It is a public health problem that needs government action. This is so obvious that it is extraordinary that it should even need to be stated.  But our governments have reached such a low level of effectiveness that we are in grave danger.  The Lucky Country is about to squander its advantages yet again.  We can only hope that the National Cabinet meeting is the platform for a national about face. 

Please protect yourselves and try to get the governments to see reason.

May be a cartoon of ‎one or more people, people standing, suit and ‎text that says "‎We're هll about taking personal responsibility And if this approach turns out to be disaster? Then you'll have only yourselves to blame. wikak‎"‎‎
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Kerry O’Brien Speaks for Julian Assange

24 December 2021

Kerry O’Brien, who was for a long time host of ABC’s 7.30 Report took the opportunity at the Walkley Awards on 29 November to call for Julian Assange to be released. Hear what he said on the link below.

It seems to me that as an Australia, not living in the USA, Julian Assange was in no way subject to their laws, but it seems the US wants to charge him under their laws, then demand that countries with extradition treaties simply hand him over, effectively making their laws world laws.  This might be OK for most murders and frauds etc, but for political crimes, it is a different matter.

Another significant fact that is deliberately overlooked is that Assange was not the first to release all the Wikileaks information.  He had spent a lot of time with major media journalists and they had their front pages ready to roll.  He was advised that if he released the information, he could be solely liable and they would merely be republishing material that was already public.  So he delayed his release. The major media called him and demanded that he release the material, but he did not. They could not stop their front pages, so put it out before he did.  They may accuse him of bad faith by not taking all the risk himself, but technically in a legal sense, these huge outlets did it before he did.  And the US government, rather than target the major media who actually did it before he did, have given them impunity and are targeting Assange only.  The lack of support from the major media is perhaps because they could be targeted; presumably that is the US government’s message, ‘See what happens to him- you would not like it to happen to you’.

Our government has no commitment to freedom of the press, and simply manipulates the media as much as it can, that is no news to anyone. Assange must be freed.  We can only hope that Labor gets the courage to do something if they are elected.  Don’t hold your breath.

www.abc.net.au/news/2019-11-28/kerry-obrien-press-freedom-walkley-awards-julian-assange/11748198

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Morrison’s Character Analysed

11 November 2021

Sean Kelly, the SMH journalist has written a book on Scott Morrison, ‘The Game: A Portrait of Scott Morrison’. 

As an example he analyses Morrison’s first (maiden) speech.  These speeches are always studied as they are when a new politician states their values and objectives, hopefully unsullied by the political pressures that will come later. 

Morrison is from the Kurnell electorate, where Cook first landed.  His first speech was the day after Prime Minister Rudd had apologised to the Aboriginals. Though Morrison says ‘sorry’ to the Aboriginals, he then makes it a regret that Aboriginal children are currently disadvantaged, and says that invasions were the colonial mistake was made by every powerful nation at that time.  So effectively, the word ‘sorry’ is cheapened and the apology not worth much.  As Kelly points out, the first impression is that it is an apology, but later everyone can find something to agree with.  All powerful countries did it, so we are not guilty, and we have much to be proud of etc.  The words are crafted to appear to mean something, but overall there is no policy and ambiguous meaning.

The question now is whether the crafted releases which dominate the news will overcome the silent record of Morrison’s Prime Ministership; stoking fear of Labor, pork-barrelling and not doing much that is useful or permanent.

www.smh.com.au/culture/books/on-policy-there-s-less-to-morrison-s-words-than-meets-the-eye-20211026-p593b3.html

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Mental Health and Physical Health

11 November 2021

The Health system has a major divide that is not often spoken about- the divide between mental health and physical health. 

Physical health tries to be a science and likes to think that its diagnoses and treatments are based on sound experimental evidence. If someone is sick and there are not enough facilities there is a fair effort from the medical profession and relatives to get more resources and they are mostly successful.  There is a highly respected system and career structure.

Mental health has similar endeavours, but has less of a scientific base for its diagnoses and treatments.  There has been a lot of work on neurotransmitters associated with depression and drugs that supposedly increase the good ones, but no single test is associated with a diagnosis, and diseases are defined.  It gives it a lingering stigma of imprecision.

The workforces in mental and physical health have relatively little crossover, even isolated within the same hospital. When I last worked in the health system 9 years ago in a hospital that had both an active ED and a mental health facility, patients were triaged as physical or mental, different teams saw them, and neither team wanted much to do with the other stream’s patients.  There was a shared waiting room, but different personnel, assessment areas, practices and wards.  Getting one of the other team to assess someone was an afterthought, or only when the pathology was fairly gross.

When I was in tobacco control, there was a lot of reluctance to try to get mental health patients to stop smoking as ‘they needed it’, which was another way of saying that to add the nicotine withdrawal to their generally stressed situation was merely making trouble.  But the public health statisticians said that people with mental health problems had a lot of physical problems and died about 14 years earlier (AIHW).  So glossing over the physical health of mental health patients is not without consequence.

It was interesting to note recently that a COVID-19 infection in a mental health inpatient went undiagnosed for 4 days, and drew attention to the fact that mental health patients had a poor vaccination rate also.

www.smh.com.au/national/nsw/hospital-patient-s-covid-19-infection-undetected-for-four-days-20211105-p596aw.html

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iCare will repay 53,000 underpaid injured workers

11 November 2021

iCare, the State workers’ compensation insurer has admitted that it has underpaid thousands of workers and will now repay them, according to an article in today’s SMH.

This story has been leaking out in the media for ages.  At a day to day level, my patients have always complained that they get a lot less in compo than they got before their injury. This has been even for workers on regular salaries. Those on casual work were in a worse situation as there was some argument about what their PIAWE (Pre-Injury Average Weekly Earnings) were, especially if they got variable hours from a labour-hire company.

When this scandal first broke, I tried to tell my patients to ask iCare if they had been underpaid and some did.  It seemed that iCare could not work out what their PIAWEs were. It did not have the data. In that employers’ future premiums related to how much was paid out in claims, it suited both the employers and the insurers to minimise their PIAWE, so if a low amount was put in, there was little incentive to check it up.  Now, a few years later, iCare would need a forensic accountant going through the employer’s books to get to the correct amount. This is unlikely to happen.

So while this promise is a start, it is hard to believe that it will be enough to see justice done.

Workers’ Compensation has always been seen as a cost for business rather than a moral obligation to pay for people injured at work. Generally it is about minimising the cost of the payout, rather than having an energetic injury prevention programme.

The Minister in charge is the Treasurer, so all of this happened on Dominic Perrottet’s watch. Matt Kean, the new Treasurer may be more sympathetic, and this will help, but we still need a lot better enforcement of safety to prevent accidents, and much more power to injured people to ensure that they are correctly paid.

It illustrates that active Unions are necessary to redress the power imbalances in the the system. Legislation without enforcement is just words on a page, just as apologies from banks and insurance companies for rip-offs are just sound vibrations in the air.

Here is the article:

‘My sincere apology’: iCare will pay back $38 million to 53,000 injured workers

Lucy Cormack          SMH   November 11, 2021

State insurer iCare will pay $38 million to 53,000 largely underpaid injured workers affected by historic miscalculation errors between 2012 and 2019.

An iCare review of 16,000 injured worker case files has revealed an average error rate of 3.5 per cent or an underpayment of $26 a week due to miscalculated pre-injury average weekly earnings.

“I would like to offer my sincere apology to any injured worker who has been affected by this calculation error,” said ICare chief executive Richard Harding.

Among the most seriously injured and affected are 523 workers underpaid a total of more than $3.9 million, or around $7500 each.

The mass pay-out follows a joint investigation by The Sydney Morning Herald, The Age and ABC’s Four Corners which last year revealed iCare had underpaid as many as 52,000 injured workers by up to $80 million in compensation.

ICare then disputed the underpayment figures, saying it believed only 5000 to 10,000 workers had been underpaid up to $10 million in total.

Chief executive officer Richard Harding on Thursday said affected employers and employees had been unable to provide the data to accurately assess underpayments. As a result, iCare conducted a “file by file review” of 16,000 cases as a sample to assess the scale of the errors.

“We’ve been advised there is a risk of overcompensation in this approach, but the desire is to get money back as quickly as possible,” Mr Harding said.

“I would like to offer my sincere apology to any injured worker who has been affected by this calculation error.”

The underpayments were caused by errors in the calculation of pre-injury average weekly earnings for injured workers dating back to 2012, when the insurance scheme was run by WorkCover.

Mr Harding said the average lump sum to be paid to the 53,000 workers will be around $700. However, some will receive thousands.

Affected workers will receive any money owed through an adjustment of their weekly benefits for the weeks already paid. Any historical overpayments caused by the same miscalculation error will not be recouped by iCare.

Revelations of financial mismanagement and widespread underpayment across the iCare stable first emerged last year, before a subsequent review into its culture and governance revealed systemic weaknesses and a failure to hold management to account.

Labor treasury spokesman Daniel Mooched said the announcement repudiated earlier claims that only a small number of people were affected.

“As always with iCare, the devil is in the detail. But today’s announcement is meaningful for the tens of thousands of people iCare underpaid”.

Mr Mookhey said the insurer must guarantee that it will not seek to recover the money from sick and injured workers through benefit cuts or employers through higher premiums.

Upper house Greens MP David Shoebridge said the pay-out to workers followed years of chasing by unions, injured workers and non-government MPs.

While he welcomed the payments, he said there was “no evidence from iCare that this payment goes anywhere near meeting their full obligation to injured workers”.

“We will continue to press iCare for a full accounting so that no injured worker is left short-changed,” he said.

Unions have described the decision to reimburse workers as a significant step but called for greater transparency about the process.

“This is hardly an organisation that can be taken at its word. iCare executives, who are better known for receiving fat bonuses, must detail their methodology,” said Mark Morey, Secretary of Unions NSW.

Last week, a budget estimates hearing heard iCare had reported a $1.4 billion underwriting loss in the past year, with the total accumulated loss of the past three years now exceeding $6 billion.

Treasurer Matt Kean, who is responsible for iCare, told the hearing new legislation following recommendations from another review prompted by the scandal would not be introduced until 2022.

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Australia at Glasgow COP26

4 November 2021

Just when you think it could not get any worse- it does.  There has been relatively little about Australia’s appearance and presentation at the Glasgow climate summit and the reaction to it; the media being preoccupied with the fact that President Macron of France called Scott Morrison a liar, and chasing abducted Cleo Smith in WA. 

Australia has had a SANTOS  stall at its exhibition at the Glasgow Climate Summit.  Santos is spruiking its carbon capture and storage, subsidised by guess who?  You and me as taxpayers, facilitated by Energy Minister Angus Taylor who is charged up with a $2.3 million donation from Santos to the Liberal Party.

Carbon capture is a complete nonsense. Coal is more or less solid carbon. To do some basic chemistry, a mole of carbon weighs 12gm and occupies 5.3 cubic centimetres. When it combines with oxygen it weighs 44gm and becomes CO2, a gas which takes up 22.4 litres which is 22,400 cubic centimetres or 422.6 times the volume of the original carbon at atmospheric pressure.  To capture the CO2, and then compress and store it will almost certainly take more energy than was released in burning it.  To halve the volume of a gas, you have to double the pressure, which takes 101 Joules of energy per litre per atmosphere.  The carbon dioxide is also able to penetrate barriers, such as going through solid concrete, and the sites suggested for the carbon storage are at 31 degrees, when carbon dioxide does not become a solid until minus 78 degrees.  So the whole process cannot be economic or sensible, and no ‘technology’ will make it so.

Everything in the above paragraph is high school chemistry, so no great knowledge is required here.  Only those venal or wilfully ignorant can dispute this. How the myth of Carbon Capture and Storage can still be peddled is beyond belief, excepting the explanation attributed to Napoleon, ‘In politics, absurdity is no impediment’.

The fact that Australia could have a Santos stall in its display in Glasgow shows the extent to which the Morrison government is willing to make us an international laughing stock for the sake of their $23 million, not to mention the subsidies, the greenhouse effects and the delays caused by this policy.

The other quote that seems apposite is Greta Thunberg’s, ‘Blah, blah, blah’.

www.theguardian.com/australia-news/2021/nov/03/australia-puts-fossil-fuel-company-front-and-centre-at-cop26?fbclid=IwAR3x1hmLa5dbh7nJ8i_IFx8PyZEAyzSIuIeJVMQOlZfLQfY0-nt9wXE1Wgs

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