“The U.S. represents 4% of the world’s population, 25% of global covid deaths, 23% of covid cases and 35% of all Monkeypox cases….The U.S. is a public health fiasco.” (more…)
Category: Health
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Advertising by doctors: Helpful or harmful?
It was only as recently as 1979 that Dr Arthur Burton wrote in his Australian textbook on Medical Ethics and the Law ‘It is the hallmark of a responsible profession that its members do not advertise, and so the ethical rules relating to advertisement are strict.’ In his book he quoted the then advice of the Medical Board of Victoria that: ‘Advertising has for many years been held judicially to constitute infamous conduct in a professional respect, and therefore a ground for deregistration.’ (more…)
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Learning from people who are homeless
A homeless person’s life, burdened, as it often is, by physical and mental illness, addiction, and social disadvantage, can lead us to think their life is meaningless and of no value; but we can be so wrong, they have much to teach us. (more…)
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Beetaloo gas field: Resurrect health impact assessments to save lives
Our new government walks both sides of the street on fossil fuels. (more…)
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The Strengthening Medicare Taskforce: Commonwealth must resist lobbyists and embed team-based care
The Strengthening Medicare Taskforce must set aside the tired, unhelpful trope that care is about choosing between a GP, or a pharmacist, or a nurse. Health care professionals are complementary to each other and provide better care working as a team.
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The demarcations and restrictive work force practices in our health ‘system’ are a public scandal
Our eighteenth century health workforce structure needs a root and branch overhaul. But governments are too frightened to tackle health providers like doctors and pharmacists. Blue collar workers however are easy prey. (more…)
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America the great? How the decline of the US will affect Australian policy
Courtesy of the Financial Times early last year, we ran what I regarded as the graph of the first two decades of this century. (more…)
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Modi’s India gets a free pass on Human Rights – but not China!
The people of Jammu-Kashmir are at a critical juncture in their struggle for justice. Despite the fact that they live in the most militarised region on earth, experience shocking human rights abuses, and have been given a genocide warning by Genocide Watch, few Western countries have acted. It’s time for the Australian government to speak up about the crimes of the Modi government.
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Our primary care system needs a philosophical and structural revolution (part two)
One of the unique disadvantages we must deal with as we try and integrate our delivery of health care is the division of responsibility for Hospital care and Primary Care between our State and Federal governments. The tension created, largely around money, makes the desired smooth integration of all health care needs ,in a patient focussed way, impossible. No reform is more important than abandoning this mess by creating a single funder model for Australia’s health care. (more…)
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Our primary care system needs a philosophical and structural revolution (part one)
It is totally appropriate to use the word ‘crisis’ when describing the current state of Primary Care in our country. Our ‘General Practitioners’ are increasingly giving voice to their frustration with the structures and strictures within which they are expected to deliver health care to Australians. Their disillusionment is infectious with recent studies reporting that only 9-15% of graduating doctors are contemplating careers as “GPs”. (more…)
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The parlous state of consumer protection from health care fraud
Revelations of the incredible harm done to many Australians undergoing cosmetic surgery, performed by doctors lacking the skills to perform such operations, have been literally shocking. Surely regulations exist to insure the surgical competence of those offering such operations? Not so! (more…)
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The strengthening medicare taskforce: All healthcare workers are on the front line. Let’s get them on the front foot
Following the outcome of this year’s Federal Election, Health Minister Mark Butler convened the Strengthening Medicare Taskforce (SMT). (more…)
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Suffer the little children
The plains are polluted. On a windless day – and they’re common – there’s no need for a sniff-o-meter to count the particles – just stand in a high place and scan the smogscape below. (more…)
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Suzanne Davey: General Practice: A bleak future for quality and quantity
As a retired GP, I would like to fully endorse the excellent suggestions of Dr Katrina Watson, expressed in her recent article in Pearls and Irritations, to improve the current parlous state of General Practice in Australia. (more…)
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Australia’s problems with cosmetic surgery: why they have happened and how to fix them
Hardly a month goes by without a new media report (and here) of alleged scandalous conduct of some doctors who call themselves ‘cosmetic surgeons’ but who lack recognised specialised surgical training. These reports have tended to focus on the harm done to patients and generally failed to explain to the public how and why the situation has arisen. While some commentators have blamed the medical profession for failing to regulate itself, this is far from the reality. (more…)
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We need more than an Auditor-General’s report on COVID-19 vaccination
The recent Auditor-General’s report on the COVID-19 vaccine rollout gave the Department of Health a C-minus – late starting work, not paying close attention to the curriculum, but scrambling to catch up and deliver an adequate but not wholly satisfactory performance. However, the aged care vaccine rollout raises a fundamental issue outside the scope of the audit. (more…)
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Stumbling Surveillance: The end of the COVIDSafe App
It took a few years of tolerable incompetence, caused fears about security, and was meant to be the great surveillance salvation to reassure us all. Instead, Australia’s COVIDSafe App only identified two positive cases of infection during the SARS-CoV-2 pandemic, and failed, in every sense of the term, to work. (more…)
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How to produce competent general practitioners…faster
Father and daughter general practitioners, Dr William Howson and Dr Anna Howson, work in the same group practice in Wonthaggi, Victoria. They’re acutely aware of the GP workforce crisis and have thought about ways to address this. Katrina Watson caught up with the family in their natural habitat. (more…)
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What the strengthening Medicare Taskforce: Must do to modernise the primary health care workforce
The first of the five focus areas identified by the Strengthening Medicare Taskforce is to have a reliable training and development pipeline, to build a strong and vibrant primary health care workforce. This is a logical and critical first step, but it is a well-known maxim that form must follow function. (more…)
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Integrating care for better health
Complexity is part of our contemporary experience and mind-bogglingly complicated health systems make even small changes difficult and broad reform almost impossible. (more…)
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Tackling junk food
Australia’s Children a report from the Australian institute of Health and Welfare (AIHW), was published in 2019 and updated this year. It struggled to find data that would enable a comprehensive understanding of our children’s nutritional and physical activity status. (more…)
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My life with Friedreich’s Ataxia – some autobiographical reflections
I can still remember some events quite well of my early life when I was seven. For example, let me tell you about trying to ride a bicycle. It took me a while and took me some time before I got to master it. It was no easy feat. (more…)
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Jeffrey Sachs and Neil Harrison: Did US biotechnology help to create COVID-19?
NEW YORK – When US President Joe Biden asked the United States Intelligence Community to determine the origin of COVID-19, its conclusion was remarkably understated but nonetheless shocking. (more…)
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Katrina Watson: How to save General Practice
I’m a recently retired specialist doctor and I keep an eye on medical affairs. They affect all of us, especially as we get older, and people still ask what I think. (more…)
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Peter Brooks and Peter Lewis-Hughes: A possible roadmap for a national pandemic plan
The Covid-19 pandemic has highlighted weaknesses and disconnections within Australian Health systems which significantly impacted on our ability to reliably detect and respond to this outbreak in a timely, effective and efficient manner. (more…)
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Will 2022 be the year primary health care takes a step up?
One thing primary care has a lot of is reports about reform. But despite a significant investment in reviews, consultations, and paper over the last five years, not a single cent has been invested in transforming these words on paper into policies which benefit patients and practitioners. Even though the previous government’s ten-year primary care strategy was released on Budget night, no dollars were allocated for implementation. (more…)
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Demographic future of China, the USA and India
Much has been written of the 21st century being the Chinese century in contrast to the 20th century being the American century. (more…)
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Time to get serious about ventilation and air quality in training and post-secondary education
Australia is not doing enough to improve clean air in post-secondary education and training environments. Given the COVID-19 pandemic will be with us for a very long time to come, training providers and universities need to invest more in ventilation and air quality to ensure that students can learn in the safest environments possible. (more…)
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Time to unleash the full potential of nurses
If we want to improve the health of Australia, we cannot continue to under-use the largest workforce in primary health care. (more…)
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Complacency, wishful thinking and misinformation are all contributing to our lack of success in containing the spread of COVID-19
I don’t read “The Australian” so I did not know until I received a barrage of emails from ‘anti-vaxxers’ lauding the wisdom therein, that on July 4 the paper had published an ‘Opinion’ piece criticising Australia’s response to the SARS virus. The article claimed that the incompetence involved warranted examination by a Royal Commission. (more…)