Australia’s health policy in relation to vapes is in disarray. Yet this deeply flawed approach is currently supported by all state, federal and territory governments. (more…)
Category: Health
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Environment: Australia declared climate change ‘rogue actor’
A new “water economics” needed to safeguard supplies of domestic water and make it a common good. Australia’s fossil fuels make it a rich “Climate Wrecker”. Carbon capture technologies fail to deliver. (more…)
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RFK Jr slammed for halting US support for global child vaccine program
“Kennedy is either misinformed or lying,” said one critical physician, “but either way, children will die as a result.” (more…)
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Israel’s ‘weaponisation’ of food is a ‘war crime’: UN
“It is weaponised hunger. It is forced displacement,” said one UN human rights official. “All combined, it appears to be the erasure of Palestinian life from Gaza.” (more…)
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Pregnancy as a death sentence
Genuine good news stories involving government initiatives are rare. Here’s an exception. (more…)
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Inequality in an age of weather extremes
“In tropical climes there are certain times of day When all the citizens retire to tear their clothes off and perspire. It’s one of the rules that the greatest fools obey, Because the sun is much too sultry And one must avoid its ultry-violet ray…” (more…)
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Mental health of workers undermined in New South Wales
The NSW Government is seeking to pursue legislative changes that would ultimately worsen mental health outcomes for working people. (more…)
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Thames Water disaster drags on
The Macquarie Thames Water saga may be coming to an end albeit at great cost – but not, of course, to Macquarie which has reinvested the billions it took out into other things. (more…)
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Why psychologists can’t clearly say what they’re trained to do
I am a registered psychologist with extensive additional training in advanced trauma modalities. But under Australia’s current advertising guidelines for health practitioners, I am unable to say that clearly in public-facing communication. (more…)
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Three ways to support young people with mental ill-health
The social and economic cost of youth mental ill-health in Australia is a burning issue that will persist unless we urgently and actively change the way the system interacts with young people and their families. (more…)
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Inaction also speaks louder than words
The focus of my work, over more than half a century, has been on getting good things to happen and/or preventing harm from happening. It has been a mixed history that includes both successes and failures; victories and defeats. (more…)
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Dangers and conveniences of combining great power with egomania
To take just one possible indicator, if the worldwide stampede to safe haven investments is anything to go by, there is a general sense of foreboding out there regarding President Trump’s election to a second term in office and the deleterious effects of this on the global economy, the stability of international relations and the likelihood of war with China, the genocide in Gaza, the gathering pace of global warming, authoritarian rule, and the suppression of dissent. (more…)
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Support at Home: Immediate risks and urgent issues
Australia’s aged care system is gearing up for one of its biggest shake-ups yet. The Support at Home program, set to launch on 1 July, aims to merge existing in-home care arrangements into a single, streamlined, person-centred reform. Or at least, that’s the theory. (more…)
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Is government a good ‘parent’ to foster kids?
Australian Governments have an opportunity to make a huge positive difference in the lives of the young people who grow up in its care. All that is needed is one simple change. (more…)
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The need for depressive realism and a forgotten type of truth-telling
Prolonged observation of domestic and global politics reveals a world that is continually being shaped by radical contingency and surrounded by absurdity. Other conditions can be seen, but the two just mentioned are the regnant operational conditions. (more…)
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Where has all the laughter gone?
In August, 1964, Norman Cousins, a former editor of the Saturday Review was diagnosed with a serious degenerative and painful disease of the connective tissue. He was given a one in five hundred chance of recovery. (more…)
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Aged care reform in 2025: An agenda for the next Australian Government
As the first of the baby boomers turn 80 this year, the major parties are on a unity ticket sharing an ideological commitment to the private market and a commitment to make older people pay more for their aged care. Neither party has the details right. (more…)
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Worried about a ‘baby bust’? Then prevent pregnancy ‘wastage’
Hardly a day passes without anxiety-laden news stories about falling birth rates across the globe. (more…)
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Health and the election: Band-aids when surgery is needed
Health policies are out and there is little difference between the two major parties. The policies definitely help patients afford to see GPs and get medication. (more…)
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If alcoholics don’t pick up the first drink, they can’t get drunk
Alcoholics Anonymous in Australia is celebrating its 80th anniversary with a national convention in Sydney this month. Ross Fitzgerald, who has been sober for 55 years, looks at the organisation’s history. (more…)
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There is no future without children
Imagine a world without children, a world steadily depopulating like that in the dystopian novel by P.D. James, Children of Men. (more…)
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If I were health minister…
Ministerial time is a scarce commodity. Hence setting priorities is critical. But, unfortunately, the minute I walk into my new office I will be assailed by the smell of a dead cat on my desk emanating from a stack of briefs on private sector issues. (more…)
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Making science great again – or not
In the US, the freshly installed administration of President Donald Trump is attempting to drastically reshape science. Here we focus on interventions that are relevant to epidemiology and public health. (more…)
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Nuclear power: Fukushima’s lessons for Australia
In November 2011, eight months after the Fukushima Daiichi Nuclear disaster, I travelled with Japanese colleagues to Iitate, a village some 50 kilometres from the stricken power plant. (more…)
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Nuclear power is not safe, it’s more dangerous than ever
Media and campaign coverage of the rekindled pitch for Australia to embrace nuclear power has focused on the poor economics, the protracted timelines of implementation, and dubious real-world benefits as a climate strategy. (more…)
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If I were the minister for health…
When preparing for this, I did look back at what I had written in 2022 on the same topic and I’m sad to report, dear reader, that our current minister hasn’t implemented many of my innovative suggestions from last time, apart from some minor parts of my suggestions about workforce planning. (more…)
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Where is the ‘mature debate’ about the health impacts of nuclear power? Informed consent matters
There is a clear disconnect between the claims of the nuclear lobby and the real-world adverse consequences of nuclear energy. Communities, workers and indeed all Australians need accurate information about the health impacts. (more…)
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For an alcoholic, abstinence is the surest path to long-term recovery
It may be an inconvenient truth, but the fact is that, in terms of its harm, alcohol is by far Australia’s most dangerous drug. (more…)
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Medicare’s much-needed reform held hostage by vested interests: Michael Lester in conversation with John Menadue, AO
Access to affordable primary healthcare through GPs has collapsed, forcing more people to rely on overcrowded and understaffed public hospitals. These hospitals, meant to be a last resort, have instead become the costly default option. (more…)

