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Tag Archives: Peter Dutton

Border Force Farce And The Abbott Government!

Well, the Border Force in Melbourne sort of confirmed it.

Either they have no idea, or else they think that they’re writers who believe that anything Clark and Dawe can do they can do better.

When Peter Dutton refused an interview with the ABC because it was an “operational matter”, the whole idea I had for a piece had been stolen by the minister himself.

And if you can’t laugh at something like this, you have to take it seriously.

We were assured by the head of Australian Border FORCE that this was a low level press release. Mm, it was quoting the regional commander for Victoria and Tasmania, which means that either what he was saying wasn’t meant for public consumption or else the person writing the press release was simply making it up. Sort of like Godwin Grech and utegate.

Either way, Don Smith’s statement had a lot of people making unfair comparison with Nazi Germany and Stalinist Russia. Let’s break down the most controversial part of Commandant Smith’s – sorry, I mean Commander, bloody autocorrect – statement.

“ABF officers will be positioned at various locations around the CBD speaking with any individual we cross paths with.”

Well, it certainly is clumsily worded. I mean, everyone knows that you shouldn’t use a prepostion to end a sentence with. But hey, it only says speaking with. It doesn’t say that they’ll be asking to see papers and taking into custody anyone who can’t produce their visa, does it? People who’ve lost their wallet won’t be taken to a detention centre until they can prove their bona fides, will they? So what’s the big deal. Who wouldn’t like a little chat with men in such spiffy black uniforms.

Secondly, I infer that the use of the word “individual” means that they won’t be talking to anyone in a group. And, as we all know, anyone travelling by themselves in the CBD is just asking for trouble. The message was clear, if you’re someone who’s overstayed their visa or snuck in by boat before Abbott was elected and you needed to go to the CBD this weekend, make sure you take friends with you. Or better yet, go to St Kilda where you won’t have to speak to anyone liable to remind you that your days in the world’s most livable city are numbered.

And, while “positioned” makes them sound like snipers, and the words “cross paths” does have a potentially threatening sound, as in the phrase, “You better not cross my path today”, this is mitigated by the full reading of the sentence. As the officers will be “positioned at various locations” it means that they’re not going anywhere and therefore don’t have a path to cross.

Which I guess means that they weren’t going to speak to anyone. Which makes it a rather pointless exercise and a waste of money.

So it’s really great that it’s been called off. I’m surprised that Joe hasn’t been trumpeting it as another example of them saving money, like when they dumped their Paid Parental Leave scheme – it’s savings like that which have enabled them to get spending back under control, so that we have the money to drop bombs costing upwards of $100,000 each on Syria. Yes, I know some of you lefties think that there should be something in place which mandated every time our government drops a bomb that they’re obliged to pick a school or hospital in Australia and drop the cost of the bomb into its bank account. Ridiculous, we’d go broke if we spent money with that sort of gay abandon.

(“Gay abandon” now there’s a phrase you don’t hear much any more, unless you’re talking about the Same Sex Marriage Plebiscite after the next election, when Abbott argues that it’s unnecessary because the people knew his policy when they re-elected him. Yes, I’m being ridiculous. As if Abbott is going to be re-elected. As if he’s going to be PM if he doesn’t hold the next election before Christmas.)

Ah, I’m glad it’s all been cleared up. The AFB wasn’t going to randomly stop people, and they weren’t going to use racial profiling to identify people who were worth “speaking” to. The latter being of particular concern to me because my physical appearance does resemble that of a New Zealander or an American who are amongst the highest countries when it comes to overstaying your visa.

Which sort of does leave one with the question of what exactly were they going to do?

Apart from be involved in “operational matters”, and we have no right to be told what they are . . .

 

No word from our Freedom Commissioner about offshore detention

When George Brandis gifted the IPA’s Tim Wilson the high paying job of Human Rights Commissioner for Freedom despite his qualifications being “woefully inadequate”, he said it was to “restore balance”, believing that the HRC was too focused on discrimination.

Senator Brandis said Mr Wilson was ”one of Australia’s most prominent public advocates of the rights of the individual”.

But apparently that advocacy does not extend to the rights of asylum seekers illegally incarcerated by this government.

When the HRC produced their report on children in detention, the government’s response was to launch a very personal attack against Gillian Triggs.

Tim Wilson’s response was to say “I’m not going to get involved in fuelling the debate around this report.”

So what the hell is our freedom commissioner there for?

When reports of rapes and the sexual abuse of minors on Nauru surfaced last October, Scott Morrison’s response was to sack the people who made the allegations public and to report them to the AFP on the basis of “an intelligence report” by the security company running the detention centre that claimed it was “probable” that staff were coaching asylum seekers to manufacture situations where evidence could be obtained to pursue a political and ideological agenda in Australia.

“I have been provided with reports indicating that staff of service providers at the Nauru centre have been allegedly engaged in a broader campaign with external advocates to seek to cast doubt on the government’s border protection policies.”

Whilst saying “the allegations of sexual misconduct are abhorrent and I would be horrified to think that things of that nature have taken place,” Morrison seemed far more interested in pursuing the messenger and commissioned former integrity commissioner Philip Moss to conduct an independent review.

Released late on Friday after news of Malcolm Fraser’s death, the report found no proof of misconduct by the Save the Children staff, 9 of whom are now preparing to sue. I would suggest they have a far stronger case than Joe Hockey so if he wants to set a $1 million precedent, this could cost the government a lot of money.

The report, which the government has had for a month, did however detail many allegations against the security guards and the fact that 12 of them have been dismissed so far.

Mr Moss found compelling evidence that at least three women have been raped inside the detention centre and raised concern that sexual assault is likely to be under-reported due to a climate of fear and detainees worrying about their future refugee status.

“The review became aware of three allegations of rape (two female and one female minor), one which the Nauruan Police Force is investigating and two which the victims do not want to pursue by making a complaint. These allegations are concerning. They are also concerning because two of the victims do not feel able to bring forward these allegations to relevant authorities,” the report states.

Immigration Minister Peter Dutton said “Nauru would work to solve problems highlighted.”

The Australian Lawyers Alliance said the Commonwealth cannot outsource care of asylum seekers and could be liable for a “swathe of future compensation claims”.

“The nature of allegations raised in the Moss Review of sexual harassment, rape, trading sexual favours for marijuana and cigarettes and children being touched inappropriately, if proven, show that the Commonwealth has failed in its duty to take reasonable care of asylum seekers.”

So I went to our Commissioner for Freedom’s page on the HRC’s site to find what he had to say.

Tim Wilson’s latest article on March 11 begins well.

“Behind human rights is the still revolutionary idea that every human being is free and equal, that individuals own their own bodies and should be free to pursue their lives, opportunities and enterprise. Human rights provide the foundation for our liberal democracy, our market economy and our civil society.”

He goes on to say

“the biggest international frontier for human rights is ensuring the legal, social and cultural tolerance of lesbian, gay, bisexual, transgender and intersex people.”

Another article published the same day criticised an advertisement by the Australian Marriage Forum (AMF) against marriage for same-sex couples.

On January 19 he had written an article about Charlie Hebdo and Section 18c of the Racial Discrimination Act and last October he wrote that it was time for the transgender talk.

I could not, however, find one thing about children in detention, or our continuing violation of human rights in offshore detention centres where we are legally liable for detainee’s safety and well-being.

Gillian Triggs, on the other hand, addressed the UN Human Rights Council yesterday.

Do ya do ya do ya really care?

I make this pledge to you the Australian people.

I will govern for all Australians.

I want to lift everyone’s standard of living.

I want to see wages and benefits rise in line with a growing economy.

I want to see our hospitals and schools improving as we invest the proceeds of a well-run economy into the things that really count.

I won’t let you down.

This is my pledge to you.

-Tony Abbott campaign launch speech, August 25 2013

Nice words but let’s face it – the Abbott government doesn’t give a shit about you. The evidence is overwhelming.

With one in seven Australians living in poverty, we have a Prime Minister who spends hundreds of billions on defence, security, and buying armaments. We have a Prime Minister who is so stage-managed he refuses to face the electorate on Q&A.

Our Prime Minister for Indigenous Affairs has overseen the slashing of funding and the abolition of many successful initiatives that were working towards supporting our Indigenous people and closing the gap. But we have truancy officers aplenty, even if most of them are working for the dole.

We have a treasurer who feels those on welfare, the ‘leaners’, should be the ones to clear the country of debt. His justification for this is that he must cut spending and poor families get more money from the government than the rich, whilst steadfastly refusing to consider raising revenue by cracking down on tax avoidance.

He tells the world that our economy is in good shape while whipping up hysteria here about a non-existent emergency.

After coming to power on the promise of reducing the debt, Hockey has been borrowing so fast the net debt has increased from $178.10 billion when he took over to $217.55 billion at the end of August. PEFO numbers had net debt peaking at $219bn (12.7% of GDP) in 2015/16. The gross debt has risen from $290 billion to $345.035 billion – that’s extra borrowing of about one billion a week.

We have an education minister who has reneged on funding reform for schools, wants to make tertiary courses unaffordable, has closed down trades training centres, has insulted teachers, wasted money on a pointless review, and wants to rewrite history as a Christian crusade.

We have a health minister who is busily unwinding universal healthcare and preventative health agencies and who wants to discourage the poor from seeing a doctor.

On one hand we are warned about the alarming increase in obesity and diabetes, on the other we have the assistant minister for health, at the behest of her junk food lobbyist chief of staff, taking down a healthy food website.

Senator Nash insisted the health star site be pulled down a day after it was published in Febuary on the grounds it was published in error, despite freedom of information documents showing the minister was warned it would be published, and the states committing to spend $11 million on it.

In June, a watered down version of the site was reinstated, with the voluntary introduction period extended to five years from two and companies allowed to use the star ratings in conjunction with the industry’s daily intake guide. They also decided to continue voluntary pregnancy warning labels on alcohol, despite poor uptake by mixed drinks and so-called alcopops. Michael Thorn, the chief executive of the Foundation for Alcohol Research & Education, said it was “disgraceful” and put “booze before babies”.

“The alcohol industry will be celebrating that they have been able to successfully avoid introducing a warning label on their products for almost two decades,” he said.

One of the first steps of the minister for social services, Kevin Andrews, was to wind back gambling reform laws despite recommendations made by the Productivity Commission in its 2010 report into Australia’s gambling industry and the Victorian coroner’s report linking 128 suicides in that state directly to gambling..

This is the man who, along with our employment minister (he of breast cancer/abortion link fame), wants to see young unemployed without any income for 6 months of the year, and for the disabled to get out there and get one of those thousands of jobs that are just waiting for them if only they weren’t such bludgers. He also wants to lower the indexation rate of pensions which will cause the gap in standard of living to widen. All this while cutting $44 million from the capital works program of the National Partnership on Homelessness.

We have an environment minister who wants to cut down Tasmanian old growth forests and expand coal ports and dump sediment on the reef. He has wound back environmental protection laws and the right to appeal and gone on a spree of approving record amounts of fossil fuel production. At the same time, he has overseen the destruction of the renewable energy industry. They don’t even send him to world conferences on climate change because, after all, what could he say other than sorry.

Not content with these overt attacks on the environment, the government has quietly initiated a low key, unscheduled review into Australia’s national appliance energy efficiency standards. The only formal explanation offered to date is in the Energy “Anti-” Green Paper, which refers to “opportunities to reduce the red-tape burden on businesses”.

At least they were honest when our communications minister was appointed to “destroy the NBN” and he has done a damn fine job of it. Despite Tony Abbott’s election speech claim that within 100 days “the NBN will have a new business plan to ensure that every household gains five times current broadband speeds – within three years and without digging up almost every street in Australia – for $60 billion less than Labor,” the truth has emerged.

We will be left with a sub-optimal network, a mishmash of technologies, at a time when the world is increasingly going fibre. It will end up taking nearly as long and costing nearly as much as the all-fibre network it is replacing. The industry – and many around Turnbull – is increasingly realising this. But Turnbull will not budge.

Australia is the loser – all because of one man’s pride.

Scott Morrison, our immigration minister, is about as welcoming as a firing squad. He is like Hymie from Get Smart in his robotic determination to stop the boats at any cost. That goal apparently absolves him from any form of scrutiny, criticism, or human decency. He has a blank cheque and not one cent of it will be used to help refugees.

Despite our growing unemployment, he is also front and centre in providing Gina with her 457 visa workers – no rights, no entitlements, and if they complain they get deported.

Our minister for trade is working in secret, getting signatures on free trade agreements at any cost – it’s the announcement before the end of the year that’s important, not pesky details about tariffs and the fact that we no longer have the right to make our own laws without getting sued by global corporations.

Our attorney-general, the highest legal appointment in the land, thinks defending bigots is a priority. When faced with illegal actions by the government, steal the evidence, threaten journalists with gaol time and funding cuts, and introduce laws which remove official accountability. And while you’re at it, let’s bug the entire nation and make people prove themselves innocent. Even if they haven’t done anything wrong I am sure they have had evil thoughts.

Barnaby was last seen trying to hasten the demise of a few endangered species that are standing in the way of his dams.

Warren Truss is run off his feet planning roads, roads and more roads. Luckily they dumped that idea about releasing cost benefit analyses for any expenditure over $100 million. Thank god we got rid of that pesky head of Infrastructure Australia so we could get someone who understands our idea of what ‘independent body’ means. If the people want public transport they can build it themselves.

And how’s our girl doing? She’s looking tired to me. Making a case for a seat on the Human Rights Council whilst torturing refugees, or being sent in to bat at the world leaders’ conference on climate changed armed with nothing other than a rain forest conference, must shake even asbestos Julie’s steely resolve. The Armani suits and death stare can only get you so far. When in doubt, flirt.

I know you would like a mention Jamie Briggs but for the life of me, the only thing that comes to mind is your fawning introductions for our ‘Infrastructure Prime Minister’….

”To introduce our Tony, is what I’m here to do, and it really makes me happy to introduce to you…the indescribable, the incompatible, the unadorable….. Prrrriiiiimmme Minister!”

GP Co-Payment: Policy Analysis

Even Tony Abbott and Joe Hockey seem confused about their Great. Big. New. Tax on doctor’s visits, as announced in their horror budget two weeks ago. It’s still not clear exactly how this policy will be applied and who it will be applied to. While the government who introduced the tax go back to the drawing board to try to work out how it actually works, I thought it might be useful to do some policy analysis of my own, by interviewing my brother-in-law. I know this is a radical idea and one Abbott and his government clearly haven’t considered, but let’s throw in some facts from an expert. My brother-in-law can provide these facts in an expert manner since he is a GP:

Peter Dutton has said he decided the government should introduce the Medicare co-payment while visiting his doctor. Dutton explained that people should contribute to visits to a GP because this would make the health care system more financially sustainable. This doesn’t strike me as a consultative policy analysis process. If Dutton had chosen to investigate the effect of this policy in a more consultative way, who should he have spoken to?

Changes to the Medicare architecture should be undertaken through liaison between the Department of Health, the AMA [Australian Medical Association], the College of General Practice and State Health Departments.

As a practicing GP, what is your opinion of the Abbott government’s proposed Medicare $7 GP co-payment policy?

The proposed Medicare co-payment and its associated changes to Medicare have the potential to be very destructive to patient care for a couple of reasons.

Firstly, it will deter people from discussing minor symptoms that they have with their GP, which often are a warning sign of more serious illness. This can lead to patients presenting with more advanced or severe disease, which may ultimately present a higher cost burden for the government.

Secondly, the capacity for general practices to be flexible in their billing to patients with limited financial resources is significantly reduced under the proposed changes.

Thirdly, hospital emergency departments will see a major increase in the volume of people with minor ailments presenting for care. Already, approximately 30% of patients presenting to an emergency department are non-urgent or semi-urgent conditions that could be managed in a GP setting. I suspect this proportion will increase significantly after the introduction of the co-payment.

Finally, the co-payment may influence doctors to manage their patients in a less-than-ideal manner, as GP’s may try to protect their patient from additional fees. For example, the GP may not undertake a planned review of an infected wound the next day to see if the antibiotics are helping. Or the GP may defer referring the patient for pathology tests that might have picked up the serious electrolyte abnormality. There is a significant potential for the quality of care to deteriorate.

What influence will the $7 Medicare GP co-payment have on the total price GPs will need to charge their patients rather than bulk-billing? Will there be an administration fee charged on top of the $7 fee?

This will vary depending on the way the practice currently bills. Some practices charge all patients a fee with a gap. The proposed Medicare changes will reduce the amount that patients get as a rebate and they will therefore have a larger gap (however, the co-payment per-se won’t be paid).

It is practices that bulk-bill patients who will see the most impact. For example, a general practitioner that chooses to bulk-bill a pensioner for a standard consult will have a 24% decrease in their income for that patient, and if they charge the co-payment without an additional fee on top, then their income will drop by 11%.

For example, here is the current situation where a standard consult for a pensioner is conducted:

Medicare Rebate ($36.30) + bulk-billing incentive ($6.60) = $42.90

And here are the proposed changes:

If no co-payment is charged then total income for consult is:

Medicare rebate ($31.30) = $31.30

If co-payment is charged:

Medicare rebate ($31.30) and low-gap incentive ($6.60) and co-payment ($2.00) = $39.90

As a general practitioner who runs a small business, these reductions in income have the potential to make the business unviable. My practice is considering its options but it is likely that we will simply have to charge concessional patients a gap of approximately $11 to maintain business viability (this will essentially keep our income stable). We are exploring other options such as reducing the duration of consults from 15 minutes to 12 minutes or reducing the number of supporting staff, but these options all have a negative impact on patient care.

What types of patients will this co-payment affect the most? Do you expect certain types of patients to visit their doctor less often?

This will have the most impact on patients who have chronic illness. In particular; the elderly, those with mental illness, diabetes, high blood pressure and children with recurrent infections. The impact will depend on how the medical profession and medical practices change their fee structure after the changes are introduced. It is unclear whether the large bulk-billing organisations such as Primary Health Care will continue to bulk-bill or whether they will charge the co-payment. I suspect that the overall impact of these changes will be much more severe than expected as many general practices like mine will change from conducting ‘mixed-billing’ (bulk-billing concessional patients and charging gap for non-concessional patients) to conducting private (gap) billing for all patients.

What types of illnesses and conditions will people suffer from more severely if they don’t see their GP as often?

Chronic illnesses such as diabetes, hypertension, asthma, heart disease and those with mental illness are likely to be the hardest hit.

I also expect that some diseases will be picked up later. For example, a woman with a minor breast symptom who delays having it checked and it ultimately is found to be a breast cancer.

Another example is that if a patient reports an unusual mole early and it is excised and found to be an early melanoma, there is very little risk of the cancer spreading and cure is usual. However, if the melanoma is diagnosed after spreading, it is generally regarded as incurable and the costs of newer chemotherapies for melanoma are astronomical in comparison.

What affect do you think the GP co-payments will have on the overall health of the community and on the health budget bottom line?

There is likely to be a negative effect on general health in the community. I suspect that we will see some diseases that have been declining in severity, such as heart attacks or advanced breast cancer, either plateau or even increase in frequency.

I suspect the health budget will largely be unchanged, as while there will be a reduced number of general practice consultations and pathology/imaging rebates, there will be an increase in the number of more advanced diseases. There will probably be some cost-shifting as the more advanced cancers and heart disease will be cared for through the hospital system, whereas there will be less costs coming from general practice.

Do you think it was responsible of the Abbott government to use the revenue from the GP co-payment to build a future fund to fund scientific health research?

Increased funding for research is sorely needed. If there is a co-payment then I would support its proceeds going to research, however, I believe this funding should go to non-corporate research such as through the CSIRO or universities. I am concerned that corporate grants will be given for research by pharmaceutical companies that do not need government support.

The funding to the states for the provision of hospital care should also be increased if the co-payment is introduced as the further demand will outstrip already limited services in our public hospitals.

So there we have it. Not only some much needed facts, but clear analysis that shows the government haven’t thought through this policy. Either that, or they have and they don’t care about the detrimental impacts on our community. Sigh.

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