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…)
Category: Health
-

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…)
-

Allied health devil in aged care reform detail
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

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…)
-

Will the US trade war push up the price of medicines in Australia? Will there be drug shortages?
Talks of a trade dispute between the United States and Australia over the cost of medicines have no doubt left many Australians scratching their heads. (more…)
-

Trump cutting Vaccine Alliance funds could kill 1.2m children worldwide
“This isn’t fiscal responsibility. It’s a political decision to let preventable diseases spread – to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all.” (more…)
-

The PBS is under fire from US drug giants. There’s not much they can do
The drug companies have bought both American political parties. They have not bought Australia. (more…)
-

Zionism, anti-Zionism, and the role of psychological coping strategies
As both the actively enabled genocide against Palestinians in Gaza and the sanctioning of those who protest it continue, the associated psychological challenges likewise continue unabated. It is not only the international `rules-based’ order which is subverted (with all the political, legal, social, and economic dimensions that entails). When any pretence to a moral order is also subverted, the psychological scaffolding by which we navigate existence is at risk as well. (more…)
-

Environment: Building nuclear involves killing more people
Building nuclear power plants requires keeping air-polluting coal power going for an extra 25 years and killing 3000-10,000 Australians. Which milk alternatives will reduce your environmental footprint? Australia’s Carbon Credit Units trade for less than a tenth of the social cost of carbon. US Environmental Protection Agency abandons the environment.
-

When patients are harmed in hospital, issues aren’t always fixed to avoid it happening again
Recently, the media has reported several cases of serious “adverse events”, where babies, children and an adult experienced harm and ultimately died while receiving care in separate Australian hospitals. (more…)
-

Dutton has little faith in Medicare. Like Trump, he prefers culture wars
Peter Dutton does not really believe in Medicare. He is more interested in Trump-type culture wars than the health of Australians. (more…)
-

An election looms, but there’s no sign of the political boldness needed to fix our healthcare system
The inequity and inefficiencies in our current health programs and the resulting need for change, have been obvious for decades. Finding the necessary political boldness to change this situation has eluded us to date. I acknowledge that there have been a number of governments and ministers who wanted to improve the healthcare of Australians and the cost efficiency of the same. (more…)
-

Medicare skullduggery
Prime Minister Albanese has announced an $8.5 billion boost for Medicare to make bulk-billing available to all adults, not just concession card holders. Within hours, the Leader of the Opposition matched Labor’s bid. Both leaders are acutely aware that health care affordability is a critical issue for the electorate. In his commentary on P&I March 1 Ross Gittins states “Medicare has more problems than just out of pocket payments’. (more…)
-

Bulk-billing incentives should be the start of something bigger
The federal government’s new $8.5 billion investment in general practice is a powerful painkiller. It will bring welcome relief to patients facing GP fees, and to a primary care system that’s under pressure. But it won’t cure the system’s underlying problems. (more…)
-

To make Medicare healthy again, our leaders must treat these worrying symptoms
I don’t know if you noticed, but the federal election campaign began on Sunday. The date of the election has yet to be announced – it may be mid-April or mid-May – but hostilities have begun. And they began with an issue that’s been big in election campaigns for 50 years: Medicare. (more…)
-

The Grandmother Effect, an evolutionary lesson for housing policy
Evolution works by conserving traits that carry value for the species, but more often it is perceived as “survival of the fittest” or in “social darwinism”. These are literary licences: scientifically, they are close to misinformation. A look at the Grandmother Effect will show you why. (more…)
-

Stopping the neoliberal bullies dividing up the spoils at our expense
American TV and movie comic Groucho Marx (no relation to Karl) had a gift for one liners, such as: “Honesty and fair dealing, that’s what people want. If we can fake that we can make a million!” (more…)
