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This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters.
I will also try to highlight ADHA Propaganda when I come upon it.
Just so we keep count, the latest Notes from the ADHA Board are still dated 6 December, 2018! How pathetic is that for transparency? Secrecy unconstrained!
It is worth pointing out that in last few weeks ( beginning end July 2020) the ADHA took down the notification regarding the 19+ months since the last minutes notification. Embarrassed I guess – as they should be!
Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.
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Cyber attack could well be worse than coronavirus
Cyber security is going to be a big feature of your life.
Imagine disruption worse than COVID. Imagine vital equipment not working in hospitals. Even simple stuff, like locating needed blood supplies.
Imagine a power outage lasting weeks. You think lockdown is tough; contemplate life without electricity, without heating or cooling, or a refrigerator, for four weeks. Or more. What would happen if a city’s water supply system kept turning itself off? And what if all this occurs simultaneously? And if, when the tech wizards patch things up, they just kept breaking down, over and over?
Science fiction? It sounds like science fiction. Yet everything we’ve seen with COVID — the streets of Melbourne’s CBD looking as though a neutron bomb destroyed all human life, hundreds dead, more hundreds hospitalised, Victoria in savage lockdown trying to stamp the virus on its head once more — would have sounded like science fiction a few months ago.
The cyber nightmare is becoming technically more imaginable every day because of the relentless investment in cyber warfare undertaken by powerful nations.
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https://www.afr.com/technology/how-deep-fakes-could-ruin-your-business-20200804-p55id3
How deep fakes could ruin your business
Author Nina Schick says Western democratic systems and freedoms that should protect you from misinformation could actually make you more prone to the 'infocalypse'.
Lauren Vadnjal Social media and homepage editor
Updated Aug 7, 2020 – 12.37pm, first published at 10.39am
On Nina Schick’s Twitter profile there is a tweet. It’s a photo of her nursing her newborn daughter, along with the caption: Had a baby, wrote a book! Almost immediately someone replied: "Is this tweet a deep fake though?"
It’s a well-played response, which reflects the kind of cynicism that might be triggered after reading Schick’s book, Deep Fakes and the Infocalypse. Schick's point is that we now have to question the authenticity of everything we see and hear via technology; even something as innocuous as a mother breastfeeding her baby.
That’s because deep fakes use artificial intelligence to manipulate media in a way that can make anyone appear to say or do things they wouldn't. It’s like Photoshop for video and audio, mediums that have traditionally been considered pillars of truth.
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News can survive without advertising, but not Google
Gautam Mishra
For publishers, Google has long been viewed a bit like the erratic boss they really want to please, but can never get a full read on. At the mercy of Google’s hot and cold moods, publishers can’t be too sure whether complaining to HR will result in the changes they want to see, or make their lives more difficult.
It’s also an incredibly complex relationship. On the one hand the tech behemoth has managed to disrupt the advertising market that media conglomerates once hoped would replace their “rivers of gold” (newsprint classified revenue). But on the other, Google’s search engine has also delivered huge torrents of traffic to news websites. And for its part, Google has benefited from this exchange as well. While the company argues that news-related queries are just a small fraction of the searches performed, it would be highly disingenuous to posit that a search engine could function with any credibility if it didn’t have access to news-related search results.
To its credit, Google clearly understands this value exchange. It has a number of initiatives in the market, and in the works, to try and help publishers. But little is yet to materialise that signals any real impact or change for publishers.
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Coronavirus has meant a massive boom in telehealth — one Australian start-up was ready
By Belinda Sommer for The Money
In mid-March, when most of us went into isolation, Silvia Pfeiffer was running on adrenaline and minimal sleep.
The telehealth start-up she'd been working on since being hired by the CSIRO in 2012 was suddenly part of the Federal Government's strategy in fighting COVID-19.
Dr Pfeiffer is a computer scientist and the co-founder of Coviu, a healthcare videoconferencing platform.
A day after Health Minister Greg Hunt announced telehealth would become a Medicare item, the fledging company took off.
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https://gcphn.org.au/digital-health-updates-for-general-practice/
Content last updated 6/08/2020
Digital health updates for general practice
Below are some recent updates in the area of digital health for general practice including information around Queensland roll out of eScripts, electronic prescription courses, PRODA, changes to Telehealth, National Bowel Cancer Screening and My Health Record.
Queensland final state to roll out eScripts
Queensland has joined the rest of the jurisdictions in approving electronic prescription capabilities, with the first eScript dispensed at a Practice in Bargara, near Bundaberg, this week. Read more here
New electronic prescriptions courses now available – CPD/PDP credits/points
The Australian Digital Health Agency electronic prescriptions eLearning courses for both prescribers and dispensers are now available. The eLearning courses are free and accessible at training.digitalhealth.gov.au.
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https://www.lexology.com/library/detail.aspx?g=4a67a912-10e0-4b8f-993a-3aaf5dd6e4c5
Your electronic devices and international travel: The key security risks
Despite the advent of technologies such as videoconferencing which allow international business associates to stay connected from the comfort of their own boardroom, global corporate travel continues to increase. There is therefore an increase in corporate laptops, phones and other devices crossing borders every day, which may be targeted by malicious actors to access sensitive information or hack into networks. This ultimately compromises the ongoing operation and security of an organisation.
The Australian Cyber Security Centre (ACSC) and Australian Signals Directorate (ASD) provide advice regarding travelling overseas with electronic devices, which may assist organisations to secure electronic devices before, during and after overseas travel in order to prevent potential cyber incidents.
Before overseas travel
- If appropriate, staff may be provided with new devices and accounts from a pool of dedicated travel devices
- If appropriate, SCEC-endorsed tamper seals may be applied to key areas of electronic devices (e.g. USB slots)
- Educate staff on best practices including not taking their own personal devices, and conducting inspections to detect tampering
- Keep an inventory of key details of electronic devices being used for travel (e.g. serial numbers)
- Ensure devices are running vendor supported operating systems that have been securely configured
- Configure remote locate and wipe capabilities of electronic devices and ensure they are encrypted
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https://www.itnews.com.au/news/trump-issues-orders-for-us-ban-on-wechat-tiktok-551413
Trump issues orders for US ban on WeChat, TikTok
By Staff Writer on Aug 7, 2020 1:17PM
Ban comes into effect in 45 days.
US President Donald Trump issued executive orders on Thursday banning any US transactions with ByteDance, the Chinese company that owns video-sharing app TikTok, and Tencent, owner of the WeChat app, starting in 45 days.
The orders come as the Trump administration said this week it was stepping up efforts to purge “untrusted” Chinese apps from US digital networks and called the Chinese-owned short-video app TikTok and messenger app WeChat "significant threats."
The TikTok app may be used for disinformation campaigns that benefit the Chinese Communist Party, and the United States "must take aggressive action against the owners of TikTok to protect our national security," Trump said in one order.
In the other, Trump said WeChat "automatically captures vast swaths of information from its users.
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Casting a light on tech’s murky misuse of our data
Vijay Sundaram
As the ongoing and evolving global pandemic has intensified our reliance on technology, it has catalysed the latest wave of questionable data privacy standards and in doing so renewed the scrutiny placed on our personal data, who’s accessing it, and why. Whether it’s concerns over the security of the latest social media craze TikTok, the widespread and confounding hack of prominent Twitter profiles, or even the alleged involvement of the Chinese Government in a recent cyber security attack on Australia, heavyweight tech corporations are turning into surveillance companies.
These examples form just the tip of a troubling iceberg that sees big businesses, today, value the collection of personal data above all else. Societally, we’re starting to understand that our online habits are being tracked, and that our data is sold to advertisers, businesses and even political lobbying groups who exploit it for their benefit. Catalysed by a stream of high-profile privacy breaches involving the world’s most powerful companies, our trust in tech is falling as our awareness of the scale of data misuse rises. For anyone who, like me, values personal privacy – one of our most basic rights – this is concerning.
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https://www.afr.com/technology/experts-bemoan-lack-of-detail-in-cyber-strategy-20200806-p55j7m
Experts bemoan lack of detail in cyber strategy
Paul Smith Technology editor
Aug 6, 2020 – 6.17pm
New rules to make company boards responsible for their organisations' cyber defence prowess have been welcomed by industry experts as the bright spot in an underwhelming national cyber security strategy.
Concerns have been raised that only defence and law-enforcement functions are receiving sufficient new funding.
Prime Minister Scott Morrison and Home Affairs Minister Peter Dutton unveiled Australia's overdue Cyber Security 2020 strategy on Thursday morning, after details of new requirements on crucial infrastructure providers were revealed on Wednesday night.
The new strategy included $1.67 billion investment over 10 years, with $1.3 billion going on a Cyber Enhanced Situational Awareness and Response (CESAR) package, including 500 new jobs within the Australian Signals Directorate, which was announced in June.
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https://www.ausdoc.com.au/news/gp-scripts-rejected-amid-confusion-over-eprescribing
GP scripts rejected amid confusion over e-prescribing
Pharmacists say they are sending patients back to their doctor for paper scripts
6th August 2020
Widespread confusion over the rollout of the national e-script system is resulting in GPs issuing electronic prescriptions that can’t be dispensed, it has emerged.
The Australian Digital Health Agency has been running TV and social media advertising since April promising to “connect Australia to a healthier future” with electronic scripts.
The campaign followed promises by Minister for Health Greg Hunt to fast-track a national system for GPs and pharmacies as part of the Federal Government’s coronavirus response.
But despite officials initially saying the technology would be ready Australia-wide from May, e-scripts are currently only available at trial sites involving 22 GP practices servicing 24 communities.
The national rollout is not expected until the end of the year.
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https://www1.racgp.org.au/newsgp/professional/gps-have-embraced-telehealth-survey-finds
GPs have embraced telehealth, survey finds
RACGP survey results from July show GPs and patients are seeing the benefits of telehealth consultations – but there is room for improvement.
06 Aug 2020
GPs who use video said they find it to be more personal, it helps them in assessing the patient, and that it aids them in undertaking a physical examination.
Since
telehealth was rapidly unrolled in March
in response to the coronavirus pandemic, GPs have proven their ability to adapt
– as have patients.
Among more than 420 GPs surveyed by the RACGP, one in five respondents reported
that 61–80% of their patients have requested a telehealth consultation.
While the majority of GPs opt for the telephone when undertaking a telehealth
consultation, more than half (54%) of those surveyed had used video at least
once.
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https://www.ausdoc.com.au/news/patients-prefer-their-own-gp-telehealth
Patients prefer their own GP for telehealth
Nationwide survey shows 95% booked a non-face-to-face consult with a practice they'd been to before
5th August 2020
When it comes to telehealth, patients like to consult with their regular GP, a new survey has found.
Nearly all (95%) patients who booked a telehealth consult between April and June had been to the practice before.
And one quarter booked a follow-up appointment at the same practice, according to the research by HealthEngine.
The results are based on data from nearly 220,000 telehealth appointments at 730 practices and 496 patient surveys.
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https://www.miragenews.com/racgp-survey-finds-gps-keen-on-telehealth/
August 6, 2020 5:34 am AEST
RACGP survey finds GPs keen on telehealth
Royal Australian College of GPs
The Royal Australian College of General Practitioners (RACGP) has released the results of a survey showing that GPs and patients are embracing telehealth consultations.
The survey found that many GPs are willing to adopt or continue using telehealth services if the temporary Medicare Benefits Schedule items stay in place beyond 30th September this year.
The July survey of more than 420 GPs found:
· more than half (54%) had undertaken telehealth consultations using video at least once
· the most common types of consultations undertaken via video are standard consultations, follow-up consultations, prescriptions and referrals, and mental health
· GPs who use video rather than telephone services report that it helps them assess the patient (26%), find video to be more personal (19%), and aids them in undertaking a physical examination of the patient (18%)
· the vast majority of respondents indicated they would continue to provide care via telehealth if the temporary COVID-19 MBS items are extended beyond 30th September, with 37% of those who currently only use phone consultations stating they would try video consultations.
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Victoria’s rapid adoption of telehealth and its challenges
Dean Koh | 05 Aug 2020
In the third episode of the HIMSS Australia Digital Dialogue Series, hosted by Tim Kelsey, Senior Vice President, HIMSS Analytics International, guest speakers Neville Board, Chief Digital Health Officer at Victoria’s Department of Health and Human Services, Dr Nathan Pinskier, Member of The Royal Australian College of General Practitioners (RACGP) Expert Committee ehealth, Advisor ADHA Secure Messaging, Renza Scibilia, Manager - Type 1 Diabetes and Consumer Voice, Diabetes Australia and Peter J.K. Weston, APAC Leader, Healthcare Solutions, Hyland Healthcare, Australia discussed COVID-19’s impact on digital health developments in Victoria, and what needs to be done to maintain the momentum from the ‘gains’ made from the pandemic.
COVID-19’s impact on digital health developments in Victoria
Board laid out the context with regards to digital health priorities in Victoria – over 50% of beds in public hospitals are already supported by EMRs and there are multiple EMRs since health services do their own procurement within the given assurance framework.
Some of risks associated with work processes often have to do with paper and digital applications have brought in to reduce this along the continuum of care. “For primary care, we have been given a strong boost by My Health Record with a high uptake of 90% by GPs and community pharmacies. For patients in the public health setting, knowing what medicines they are on is useful, time saving and reduces risk,” said Board. In terms of the digital context, Victoria is in the process of rolling out unique patient identification across health services. Looking forward, digital health support will also be created for touch points in mental health and aged care.
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Queensland’s digital health priorities during COVID-19 and beyond
Dean Koh | 04 Aug 2020
n the second episode of the HIMSS Australia Digital Dialogue Series, hosted by Tim Kelsey, Senior Vice President, HIMSS Analytics International, guest speakers Prof Keith McNeil, Acting Deputy Director-General and Chief Medical Officer Prevention Division, and Chief Clinical Information Officer, Queensland Health, Dr Clair Sullivan, Associate Professor UQ and Chief Digital Health Officer, Metro North Hospital and Health Service, Alastair Sharman, Chief Digital Officer, Mater Misericordiae Ltd and Gary Moss, VP of Sales, Oceania, Intelerad discussed COVID-19’s impact on digital health developments in Queensland and key priorities in the Digital Health Strategic Vision for Queensland 2026.
COVID-19’s impact on digital health developments
“I think that Queensland’s response to COVID-19 has been multi-factorial and has included fabulous governance, some great infrastructure that we already have in place, and really effective staff on the ground, particularly at the ports,” reflected Dr Sullivan.
“Our only way of beating this virus is to digitize things and I guess we’ve been very careful not to throw our strategy out in the middle of the panic, and stick to that strategy.”
With the digital infrastructure in place, it is only about pointing that infrastructure towards COVID-19, which is firstly, to digitize workflows and subsequently take the data and analytics out of those workflows back to the health system to understand how the situation can be improved. Lastly, to use those digital workflows and data to innovate.
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EOI open for sponsored places in digital health micro-credentialed short courses
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in health care planning and delivery settings have played a vital role in our
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The potential contribution digitally enabled healthcare can make to system-wide
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The Digital Health CRC has partnered with RMIT Online to deliver a suite of
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FIND OUT MORE
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https://itwire.com/open-sauce/abc-promises-truth-about-5g,-delivers-fud-about-huawei.html
Author's Opinion
The views in this column are those of the author and do not necessarily reflect the views of iTWire.
Tuesday, 04 August 2020 11:45
ABC promises truth about 5G, delivers FUD about Huawei
The ABC's Four Corners program on Monday night was titled The Truth about 5G. It would have been better if it had been titled FUD about Huawei.
For that was what the program brought to its audience, though what exactly was the provocation to raise the issue now — when it has been around for yonks — was unclear.
Current affairs programs like Four Corners normally tackle what they claim to: current affairs. But the matter of 5G misinformation and crank theories is very old hat; to use some modern terminology, it was a thing at the time when practically all the submissions to a government inquiry into the technology was being held – and this was in November 2019.
Again, the burning of 5G masts is four or five months old, with the UK being the prime place where bonfires were set alight with the fuel being 5G towers.
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Lawyers turn to AI to make judgments on workplace claims
James Eyers Senior Reporter
Aug 3, 2020 – 12.00pm
Law firm Maurice Blackburn is now using artificial intelligence tools to read complex insurance policy contracts and give injured workers a fast decision on whether it will take on their claims.
Using cloud computing-based services from Microsoft, the firm turned the idea for the new system into a real tool being used by its lawyers in eight weeks.
The technology, which is helping with assessments of whether to act for new clients with total, permanent disability insurance claims in superannuation, has reduced the triage period from days or weeks, to just minutes – the time of the client's initial phone call.
The "knowledge search system" serves up to the lawyers information on whether a particular super fund offers an insurance policy with coverage for the injured worker, meaning boring administrative work is minimised.
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https://www.afr.com/technology/banks-grapple-with-the-ethical-use-of-ai-20200731-p55hac
Banks grapple with the ethical use of AI
James Eyers Senior Reporter
Aug 4, 2020 – 12.00am
As artificial intelligence's tentacles reach more deeply into financial institutions, there's plenty of work being done to understand how the new technology makes decisions and how these can be explained to regulators.
Take Commonwealth Bank. It's been experimenting with AI for a while now and is using it to improve customer communications. Indeed, over the past few months, the system has helped to identify those with deferred loans due to the coronavirus who need special attention.
Now the country's largest bank is thinking about how to use machine learning systems more broadly.
Last week, its CEO, Matt Comyn, said AI would ultimately be used to help assess whether a customer can repay a loan, a core function of a bank.
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FREE WEBINAR
Delivering quality and
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Thursday 3 September
(11am-12.30pm AWST)
DIVERSITY
DIALOGUES – ‘Quality care from a physical distance’
The focus of this panel discussion is delivering quality and culturally
responsive telehealth services to people from culturally and linguistically
diverse populations, through the pandemic and beyond.
COVID-19 quickly thrust us into using telehealth (phone, online and video
consultations) which has resulted in a range of great benefits as well as
numerous issues, particularly for this hard to reach population.
Our panel will discuss lived experience and use expert knowledge to explore and
unpack the issues and provide practical strategies to achieve best practice.
There will also be time to answer audience questions.
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https://eprints.usq.edu.au/35589/
Preserving Data Privacy and Security in Australian My Health Record System : A Quality Health Care Implication
Vimalachandran, Pasupathy and Zhang, Yanchun and Cao, Jinli and Sun, Lili and Yong, Jianming (2018) Preserving Data Privacy and Security in Australian My Health Record System : A Quality Health Care Implication. In: 19th International Conference on Web Information Systems Engineering (WISE 2018), 12 - 15 Nov, 2018, Dubai, United Arab Emirates.
Official URL: https://link.springer.com/chapter/10.1007/978-3-03...
Abstract
Australian My Health Record (MyHR) system must enable efficient availability of meaningful, accurate, complete and up-to-date health data. However, the major challenge must be to ensure the security of the clinical information of the MyHR. The foremost question that remains unanswered is ‘are current information security settings adequate to protect MyHR?’. To build an adequate security setup and increase the uptake of the MyHR system, it is imperative to show the MyHR is safe to use. In addressing this issue and implementing the adoption of the initiative, we determine and systematically analyse the existing threats to the system. We assess strengths of various solutions against possible threats and discuss the development and implementation process of the proposed model.
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https://itwire.com/open-sauce/fletcher-claims-5g-misinformation-being-spread-by-state-actors.html
Author's Opinion
The views in this column are those of the author and do not necessarily reflect the views of iTWire.
Have your say and comment below.
Monday, 03 August 2020 09:00
Fletcher claims 5G misinformation being spread by state actors
One of the weirdest conspiracy theories to ever emerge in Australia has as its sponsor the Communications Minister Paul Fletcher. According to this theory, people who are raising doubts about the safety of 5G — or tying it to the COVID-19 outbreak — could be state-based actors — aka spies from another country — who are spreading this misinformation to divide Australia.
One wonders from which (red)neck of the woods Fletcher got this crazy notion. He appears to be following in the footsteps of similar people in the US of A who blame every one of their country's ills on some external cause.
One wonders who Fletcher thinks is the bête noire in this case. The Federal Government's favourite black sheep is China, but I think not even Fletcher would argue that China is trying to peg back the spread of 5G, a technology in which it is leading the world both in terms of equipment and also in use.
That he was willing to come out on radio and voice nonsense of this nature is disturbing.
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The future of conversational AI and health care
By Alex Murrey*
Thursday, 30 July, 2020
Consumer-driven tech has shown us how technology can enrich and ease our day-to-day lives. As patients we expect the same level of service and digital solutions within the healthcare experience.
During the COVID-19 pandemic, we’ve seen an increase in the need for contactless devices in health care, with mobile phone companies changing their business models to deliver healthcare industry products over consumer-facing technology.
We have seen the opportunity where conversational AI, cloud services and voice can be integrated into patient care, enabling a more connected and consumer-driven digital experience.
New and engaging patient experiences are becoming available on a range of platforms that allow for automated and contactless care via smart speakers, over the phone or a text line, web chat and Facebook Messenger. Communication technologies that we use every day are now becoming integrated into the future of patient care with the use of simple voice-activated commands.
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https://www.ausdoc.com.au/practice/watch-out-these-pitfalls-when-recording-your-consult
Watch out for these pitfalls when recording your consult
Recording what is said can be advantageous for GPs and patients as long as the rules are followed
6th July 2020
By Ruanne Brell
It’s something GPs regularly hear, especially in the age of telehealth: “Sorry, doctor, I’m really not taking any of this in. Do you mind if I record it so I can listen to it later?”
Recording consultations is an issue that crops up fairly often.
Previously, the question has mostly been about recording face-to-face consultations.
But the dramatic rise in consultations being conducted via technology since the COVID-19 outbreak adds another dimension.
The main point is that as long as you and the patient both agree, having an audio recording can be helpful, but it is important to discuss the implications before anyone presses the button.
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Tech giant code: ACCC, publishers should be careful what they wish for
The world is agog at the Australian Competition and Consumer Commission’s attempt to wrestle the internet goliaths, Google and Facebook, into paying for news content, otherwise known as the “mandatory bargaining code for responsible digital platforms and registered news organisations”.
Anything could happen, and it should be a wonderful show as Google and Facebook, Instagram and Twitter, get onto the park with News Corporation, Nine Entertainment, and the hordes of other publishers that make more than $150,000 in revenue, with the ACCC’s Rod Sims as referee, whistle poised.
The least likely outcome, it seems to me, is that a new source of revenue flows from the bulging, reluctant pockets of Sergey Brin, Larry Page and Mark Zuckerberg sufficient to restore the fortunes of the nation’s penurious news purveyors.
Perhaps a few pennies will find their way into the bowls of the publishers sitting cross-legged on the footpath, but that’s all.
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https://insightplus.mja.com.au/2020/30/dont-waste-this-crisis-scale-up-digital-mental-health-care/
Don’t waste this crisis, scale up digital mental health care
Authored by Helen Christensen
ALONG with the outbreak of coronavirus disease 2019 (COVID-19) came a move away from the traditional face-to-face mental health care delivery. In the blink of an eye, the nation’s health care system made a significant transition to telehealth and digital delivery.
The Australian Government moved swiftly to provide new measures. New COVID-19 call lines were set up for mental health charities and a financial boost was provided for existing ones. By the end of March, the government had doubled the primary health care bulk-billing incentive for telehealth. This transformed the health system as we knew it.
And new initiatives flowed.
In May, the federal government granted $1.4 million to the Black Dog Institute to develop a digital pathway to care, through an app for frontline health professionals.
As Australia battles with curve flattening, and restrictions are alternately eased and tightened, the effects of COVID-19-related anxiety will fluctuate. Best estimates are that at times of lockdown, psychological distress may affect 50% of the population. The financial stressors associated with it will continue and most likely increase over the next 12 months.
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Comments more than welcome!
David.
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