Quote Of The Year

Timeless Quotes - Sadly The Late Paul Shetler - "Its not Your Health Record it's a Government Record Of Your Health Information"

or

H. L. Mencken - "For every complex problem there is an answer that is clear, simple, and wrong."

Thursday, September 06, 2018

The Macro View – Health, Financial And Political News Relevant To E-Health And The Health Sector In General.

September 6, 2018 Edition.
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Trump would appear to have wandered off the reservation with plans for huge tariffs on China which will not be good for anyone while being progressively being pinned down by legal woes. His disapproval levels have reached 60% with the same being a good deal higher. Hard to know where all this will go from here I believe.

The late news is a senior staffer saying in an op-ed in the NYT that many in the Trump admin are working to stop him doing bad / stupid things. The hunt for the anon. writer is on, to say the least. Staggering stuff!
In OZ Labor is the Government in waiting as Big Mal nicks off the New York to rest in luxury.
Parliament and the Royal Commission are back soon so that will cause more distress to say the least….
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Here are a few other things I have noticed.
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Major Issues.

  • Updated Aug 26 2018 at 6:39 PM

Scott Morrison's new cabinet: It's all about the base

Scott Morrison has tried to keep everyone happy. He has reached out to the party's base by splitting the energy and environment portfolios, which effectively junks the National Energy Guarantee and banishes once more any consideration of emissions reduction under energy policy. Price and reliability are the only priorities. This pretty much ends Australia trying to reach its Paris climate change commitments too, unless it does so passively.
Signalling his priorities, the words "Industrial Relations" return to cabinet, there is a new Population Minister, and Small Business also returns to Cabinet. Given last week's decision to fast track the company tax cuts that have already been legislated for small and medium businesses, and which Labor opposes, that confirms one key battleground come election time.
To help appease the cabinet plotters, Peter Dutton keeps his Home Affairs job, albeit with duties slightly diluted, Mathias Cormann stays in Finance, Greg Hunt stays in Health and Steve Ciobo clings on. He loses Trade but picks up another job.
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  • Updated Aug 26 2018 at 11:00 PM

Five things ScoMo should do with his prime ministership

I've been privileged to know and work with many political leaders in Australia and overseas. Now we have a new national leader, we all wonder how he'll shape up.
Scott Morrison does have experience. He knows the Liberal Party – its moods, its character and its peccadillos – and he knows it well. That's a huge advantage. He's also been a minister in portfolios that have given him a broad overview of the work of government. Coming into office having thought about and dealt with everything from Indigenous affairs and health to tax policy and global security can be daunting; ScoMo's had experience in all those areas especially during his period as Treasurer.
All that is a good start.
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Rudd savages Abbott and Murdoch for wrecking Australian democracy

By Nick O'Malley
27 August 2018 — 12:01am
Former prime minister Kevin Rudd has launched an incendiary attack on Tony Abbott and News Corp executive chairman Rupert Murdoch, who he claims have undermined Australian democracy and contributed to the "orgy of political violence" that led to Malcolm Turnbull's ousting.
In an opinion piece written for Fairfax Media on Monday, Mr Rudd writes that Australian politics has become toxic and unstable due to an obsession with opinion polls and the juvenile culture of a "Young-Labor/Young-Liberal generation of child politicians".
But Mr Rudd, who was prime minister from December 2007 to June 2010 and again from June to September 2013, argues that the most destructive forces upon politics have been the "unique negativity, toxicity and hatred" of Tony Abbott as well as Mr Murdoch, who he describes as the "greatest cancer on the Australian democracy".
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Cancer eating the heart of Australian democracy

By Kevin Rudd
27 August 2018 — 12:15am
Beneath the sound and light show that passed for Australian politics last week, there is a much deeper question of what underlying forces have been at work that have brought us this low. The uncomfortable truth is since the coup of June 2010, Australian politics has become vicious, toxic and unstable. The core question is why?
There have been many factors at work. First, the histrionic politics of climate change dividing the nation for more than decade - we have lacked the national political maturity to just get on with it, despite Australia being the driest continent on Earth.
Second, the cult of opinion polls, leaving the political class in permanent fear of losing their jobs if they actually acted on long-term policy.
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Watch as the wheels fall off this government

  • August 27, 2018
Today’s Newspoll is interesting in more ways than one. For a start the question who is best to lead the Liberal Party saw Peter Dutton secure the support of … wait for it … six per cent of Australians. Apparently “the base” wanted him, according to those spruiking Dutton last week, but when those who were polled is isolated to Liberal voters only, his support drops to five per cent.
So the government appears to have dodged a bullet with the result of the leadership ballot last Friday, thanks to the incompetence of the Dutton forces being unable to successfully manage the coup. Small mercies.
Then we have the two party result in the wake of the week that was: down to 44 per cent for the government. Keep in mind under Malcolm Turnbull’s leadership there had been four consecutive polls showing the Coalition trailing by just 49-51 per cent.
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It’s no wonder Australians are so annoyed

By Amanda Vanstone
26 August 2018 — 11:26pm
The events last week in Canberra exhibit the most disgraceful conduct I have seen in more than 40 years. It’s no wonder Australians are so annoyed. I’ve been out of Parliament for 11 years and people were stopping me in the street to say how angry they are.
Some very foolish people thought that with the economy going well and people therefore finding jobs, with more money in education and health, with big infrastructure in the pipeline, perhaps it would be better if they were at the helm.
Never mind that their party was at the point in the polls from which no government has lost. Some very jealous people saw the PM about to achieve what other governments haven’t for the last decade or more: a national energy policy. Desperate to deprive him of that achievement they set about to whittle away at it and him.
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At last, maybe a real choice on climate change

  • August 27, 2018
It’s a good thing the National Energy Guarantee wouldn’t do much and doesn’t really matter, because it’s unlikely to be a big priority of the Morrison government.
The new energy minister, Angus Taylor, is a prominent anti-renewables campaigner and climate change sceptic. Appointing him, Prime Minister Scott Morrison said he would be “the minister for getting prices down”.
So there seems little chance that anyone will be bothered doing the hard work needed to get the NEG across the line. In fact it would be surprising if the NEG wasn’t entirely ditched as policy pretty speedily, along with any kind of climate change policy at all.
Bring it on, I say. Then we might finally get a clear choice at the next election: action on climate change versus no action.
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Scrap compulsory super, liberate Australians’ wages

  • 12:00AM August 28, 2018
If the Morrison government hopes to distinguish itself, it will need a policy that deals with the fundamental gripes of our time — stagnant wages and housing affordability — in an immediate, tangible way.
No more promises of tiny tax cuts in seven or eight years, after who knows how many others have taken a turn in the Lodge. No more creating new “ministers for cities” to ease congestion using non-existent constitutional powers over roads and zoning, or talk of giving obscure regulators “greater powers” they’ll never use.
The government needs a policy that reflects liberal values and makes a political ally of the royal commission into financial services rather than the chief manufacturer of ammunition for the Labor Party.
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Trade war could trigger global recession, warns KPMG

  • August 28, 2018
The trade war between the United States and China will bring losses to the Australian economy and possibly a global recession if it continues to intensify, analysis by accounting firm KPMG shows.
With the US about to raise the value of Chinese goods on which punitive tariffs are imposed from $US50bn to $US200bn, KPMG says Australia’s economy stands to lose $36bn over the next decade, even if there is no further escalation.
KPMG chief economist Brendan Rynne says Australia has very little direct stake in the trade conflict, with the United States unlikely to take trade actions that targeted here, because it already runs a large bilateral trade surplus.
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  • Updated Aug 28 2018 at 7:08 PM

Wealth, income inequality rise in Australia, but policy softens blow – PC

Inequality has increased, whether measured by incomes or wealth, but Australia's tax and transfer system eliminate much of this, a report from the Productivity Commission says.
It finds that young people's incomes have grown especially slowly since the mining boom ended, and sons' positions on the income scale are heavily determined by their fathers' positions.
But the report, Rising inequality: A stocktake of the evidence, also finds that inequality in Australia is either in the middle of the pack of rich countries or below average, the tax and transfer system and public services such as health and education eliminate much inequality at the point of final consumption, and most increases are not that recent.
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  • Updated Aug 28 2018 at 6:52 PM

Scott Morrison pushes united front as cracks widen

Attempts by Scott Morrison to unite his party are being hampered by ongoing internal recriminations and a growing push by Labor to exploit the government's woes and force an early election.
Former foreign minister and deputy leader Julie Bishop added another twist to last week's bungled leadership coup by leaving open the possibility of staying in Parliament and vying for the leadership should the Coalition lose the next election.
Sources said it was unlikely Ms Bishop would stay on in opposition. While she will not make a rushed decision, her comments were aimed more at settling down Western Australia's business community and Liberal Party, which is in meltdown over the events of last week, raising the spectre of a fundraising crisis.
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'A truth which must not be spoken': what's really happening to prices

By Ross Gittins
28 August 2018 — 12:09pm
I’ve heard of the gap between perception and reality, but this is ridiculous. According to the experts, increased competition among supermarkets, department stores and other retailers is holding down prices in a way we’ve rarely seen before.
This fits with the consumer price index, which showed prices rising by just 2.1 per cent over the year to June. Over the past three years, the annual increase has averaged even less: 1.8 per cent.
What it doesn’t fit with are the complaints we keep hearing about the high cost of living. I read it’s got so bad parents are raiding their kids’ piggy banks to help make ends meet.
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  • Aug 29 2018 at 10:00 AM

Future Fund delivers 9.3pc annual return

The Future Fund has increased its exposure to risk assets as it tries to balance the rosy short term outlook with its longer term concerns about the global economy and asset prices.  
The sovereign wealth fund reported an annual return for the 2018 financial year of 9.3 per cent, lifting its assets to to $146 billion.
The gains, which tracked ahead of its 6.1 per cent annual return target. The fund has now returned 8.7 per cent per annum over 10 years, above the 6.6 per cent.
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One policy behind fall of a run of Australian leaders

By John Hewson
29 August 2018 — 11:49am
Climate policy has now proved a defining element in the demise of a run of Australian political leaders, from John Howard through to Malcolm Turnbull.
Each of the fallen increasingly played short-term, opportunistic politics, mostly for personal political advantage, on an issue upon which most Australians agree - the need to address climate change. How can it be that voters don’t get heard by our politicians, who claim to listen to and be in touch with their constituencies?
While in all this, we have come close to putting a price on carbon, and developing a deliverable transition pathway, we are really no closer today than we were a decade ago – indeed, in many respects we are further away. As leaders fail and fall - Howard, Brendan Nelson, Tony Abbott, Julia Gillard, Kevin Rudd and Turnbull - we have squandered a host of growth opportunities, investment, and jobs.
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The bombshell decision Canberra wanted to bury

By Peter Hartcher
28 August 2018 — 12:10am
It would have been the biggest news in Australia in any other week of the year. But with the prime ministership in crisis, there was scant media interest in the email that was issued without fanfare at 8.51am last Thursday, the last full day in the life of the Turnbull government.
The subject line was deliberately unexciting – "Morrison - Fifield - Joint Release - 5G security". The announcement from the then treasurer, Scott Morrison, and Communications Minister Mitch Fifield, was a minor masterpiece in obfuscation.
The 1000-word statement did not mention China, or the Chinese telecommunications equipment giants Huawei or ZTE. Nor did it plainly state the bombshell decision that they are to be banned from building Australia's new telecommunications network.
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The Secret State: How you are kept in the dark

By Farrah Tomazin & Tammy Mills
29 August 2018
Somewhere in Melbourne, there’s a public hospital where the risk of something going wrong is much greater than in another hospital across town.
But you’re not allowed to know which hospital it is – because this type of data is hidden from patients and doctors.
A few kilometres away, buried in the files of the state Education Department, an explosive police report exists with allegations of a sex “grooming” ring linked to a suburban school.
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  • Updated Aug 29 2018 at 11:00 PM

Productivity Commission squashes Labor's inequality myths

Is inequality on the rise in Australia? This abstract issue, taught in many universities as an article of faith, has become the political truncheon with which Bill Shorten and militant Australian Council for Trade Union's secretary Sally McManus have whacked the Coalition. Inequality is out of control, the fair go is being undermined and the egalitarian way of life is under threat by low taxes, big business, a paucity of unions and conservative governments.
It's useful that amid this nonsense the Productivity Commission quite literally, has taken stock in a report called Rising Inequality: a stocktake of the evidence. The commission's overall verdict is that "over nearly three decades, inequality has risen slightly in Australia". That's it. For the vast majority of Australians the last 30 years has been good news. That's because 27 years of uninterrupted economic growth has lifted incomes of all Australians. It is a record that sits in stark contrast with the United States from where Labor seems to have imported much of its rhetoric.
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Inequality: Nothing to see here is not the true picture

By Ross Gittins
1 September 2018 — 12:05am
This week the Productivity Commission issued a “stocktake of the evidence” on inequality in Australia. Its findings will surprise you. But it wasn’t as even-handed as it should have been.
Its report forcefully dispels the myths of the Left – that inequality is great and rapidly worsening – but is much more sotto voce in telling the Right there’s still a problem and that the reason it’s not as bad as some think is that governments have taken corrective actions the Right usually disapproves of.
This has allowed the conservative commentators of the national press to greet the report with great glee. One in the eye for their ideological opponents. Inequality? Nothing to see here.
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Five fresh facts you might not know about inequality

By Andrew Leigh
1 September 2018 — 12:10am
Superyachts are getting longer. Recently, we learned that one of Australia's richest men has progressed from a 21-metre-long sports cruiser to a 27-metre flybridge cruiser. His latest is a 73-metre Hasna superyacht, worth $75 million. But it's not the biggest privately-owned yacht in Australia. Another rich-lister owns a 74-metre Italian-made yacht.
In the world of luxury boats, one expert observes that "the client who 15 years ago would have been satisfied with a 40-metre yacht, which would then have been one of the largest yachts in the bay, is now surrounded by dozens of yachts of 60 to 70 metres, and this plants the seed that he really ought to upgrade. The world's largest yachts now include multiple swimming pools, submersibles, jet skis, concert halls and dance floors. Running costs alone can be millions of dollars per year. Yet as investment banker Mark Carnegie notes, no matter how large megaboats get, "someone's always got a bigger one".
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'I am not sceptical about climate science': Energy Minister Angus Taylor hits back in new price pledge

By David Crowe
29 August 2018 — 11:45pm
The Morrison government will outline a new “price-busting” pledge to drive down the cost of power, keeping a focus on coal and gas and taking a tougher approach towards renewable energy subsidies.
Energy Minister Angus Taylor will outline the new position on Thursday, along with a strident defence against accusations he is a “climate sceptic” who opposes wind farms and other renewables.
 “I am not sceptical about climate science,” Mr Taylor declares in a draft of his first speech as minister.
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Did The Lancet study show all drinking is unsafe? Not quite

By Aaron E. Carroll
30 August 2018 — 10:03am
Last week a paper was published in The Lancet that claimed to be the definitive study on the benefits and dangers of drinking. The news was apparently not good for those who enjoy alcoholic beverages. It was covered in the news media with headlines like "There's No Safe Amount of Alcohol."
The truth is much less newsy and much more measured.
Limitations of study design
It's important to note that this study, like most major studies of alcohol, wasn't a new trial. It was a meta-analysis, or a merging of data, from many observational studies. It was probably the largest meta-analysis ever done to estimate the risks from drinking for 23 different alcohol-related health problems.
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Westpac signals the end of ultra-cheap homeloans

By Stephen Bartholomeusz
30 August 2018 — 10:56am
Westpac may have been the first mover, but it is inevitable that the other major banks will follow its lead and raise their mortgage rates. Indeed, it’s been inevitable for the past six months.
Some of the smaller banks had already lifted their rates. But the majors held off as long as they could - and long after they would have moved historically - for the obvious reason: the violently anti-big-bank environment generated by the unpalatable revelations before the royal commission.
It was inevitable because funding costs, locally and globally, had risen quite sharply earlier in the year.
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Senate president pushes for reform like House of Lords

  • August 30, 2018
Senate president Scott Ryan has proposed two major reforms in a bid to overcome the volatility in the chamber, suggesting all parties could agree not to block policy that is part of a government’s election manifesto.
The senior Victorian Liberal also used the 49th Alfred Deakin Lecture at the University of Melbourne last night to canvas the application of sunset clauses on contentious legislation “to ensure an electoral and democratic assessment of policy at a future date”.
“The Senate has partially evolved from a place of process seeking to negotiate the passage of legislation, to the Senate as a stage for expressing alternative views, and even occasionally seeking attention,” Senator Ryan said.
 “From being primarily a house of review, to one that can often be a forum for entrenched positions, or explicit unrelated trade-offs, this is more familiar to the operation of the United States Senate, where consent for legislation is generated through concessions on unrelated policy objectives of individual senators or small parties or groups of senators.”
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  • Updated Aug 30 2018 at 11:00 PM

Keystone coup could leave Tony Abbott the last man standing

Had it not been for last week's Keystone coup, Julie Bishop would have spent last night in Michael Sukkar's Melbourne electorate of Deakin, as the star attraction for a gala dinner fundraiser.
Given Sukkar joined last week's failed push to install Peter Dutton, which cost him and Bishop their jobs, Bishop was at home in Perth instead. She was looking forward to a long lunch on Friday with girlfriends with whom she has not caught up for aeons. New deputy leader Josh Frydenberg stepped in for the fundraiser.
Malcolm Turnbull should have been flying to Jakarta on Thursday with Steve Ciobo to sign the free trade deal with Indonesia that Ciobo, as trade minister, oversaw.
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Was it bullying or just politics as usual?

By David Crowe
30 August 2018 — 11:01pm
Sometimes a dark stare in a Parliament House corridor is all that is needed for a politician to know exactly where she stands with a powerbroker who can decide her fate.
Sometimes a faction leader can utter the most menacing threat in the softest voice. There is no need to slam a door to send a message that those who control the numbers in the local branch will be told how to use them, tossing an MP aside and installing a replacement who knows how to behave.
All it takes is a quiet word over the phone from the one with the numbers to the one without them. Something like: “This is very damaging for you.”
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  • Updated Aug 31 2018 at 11:00 PM

Minority government one more challenge for shaky Morrison government

A recent earthquake on the Indonesian island of Lombok was marked by terrible after-shocks. Australian politics is now undergoing its own version of the Lombok after-shocks.
The political earthquake was the August 24 Liberal party room ouster of prime minister Malcolm Turnbull. After-shocks in coming weeks will range from a boil-over in former Liberal prime minister Tony Abbott's seat of Warringah to a hotly contested byelection in Turnbull's old seat of Wentworth, tensions over the Liberal party's treatment of women and deep divisions over energy policy and climate change.
For a Coalition that has temporarily lost its one-seat majority in Parliament after Turnbull's departure from Wentworth, the after-shocks could test its hold on power, suggesting parallels with the dragged-out political crisis that hit Australia in 1941 in the dark days of World War II.
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  • Updated Aug 31 2018 at 4:05 PM

Liberal leadership spill: The idea of compromise has not just been lost but made vile

The notion that recent extraordinary events in federal politics were driven by policy differences, rather than just pure spite and collective madness, seems to have pretty comprehensively bitten the dust in the past week of post-coup bewilderment.
But that is not a good reason to forget that, in the midst of the chaos, there was one particular dynamic at work, concerning the future of the national energy guarantee, that we need to think about a lot more, if politics is ever going to make sense at some time in the future.
Remember that on Tuesday, August 14, Malcolm Turnbull and Josh Frydenberg got overwhelming support in the Coalition party room for their proposed national energy guarantee?
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The texts, threats and lies that will haunt the Morrison government

Some moments during the Liberal Party leadership crisis were so brutal they are burnt into the memories of MPs, and make a mockery of claims the Morrison government can unite in time for the election.
By David Crowe
31 August 2018
The shock at the top of the Australian government is almost physical when Liberals recount the trauma of their leadership spill, a moment in political history when a frenzied campaign split their party and toppled Malcolm Turnbull.
A new Prime Minister now claims his team will “go forward together” after the bitter and bruising week, but Scott Morrison now leads a party that is riven by conflicts over what just happened. Every development is a matter of dispute. Few can agree on how their party gave in to what Turnbull called a “form of madness” – a phrase that will stick.
The shock could be heard in the Liberal party room in the moment when Turnbull lost the vote on Friday, August 24, to declare his position vacant.
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Dutton backers won’t stop at toppling Turnbull

  • 12:00AM September 1, 2018
By the time of the 2013 federal election, the then Labor government had descended into such ­internal bitterness and backstabbing that it deserved to lose, irrespective of how worthy its political opponents were of high office.
As it turned out, the Coalition has proved itself unworthy for much the same reasons. An unpopular prime minister, Tony Abbott, was ousted less than two years into the job, while the transaction costs of such skulduggery were overlooked.
Less than three years later, Abbott’s reactionary mates botched a coup to remove their internal enemy, Malcolm Turnbull, delivering a compromise prime minister in the shape of Scott Morrison.
Compromised ministers now adorn the ranks of cabinet and the outer ministry. How anyone could believe any longer a single word Health Minister Greg Hunt utters in combating Labor attacks is beyond me. Put to one side his policy gymnastics in e-health and so on. Hunt stood up in parliament and expressed confidence in his prime minister immediately after voting to oust him, and immediately before doing so again. And he was scheming with Peter Dutton to run on a ticket as his deputy.
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Labor's ATO plan a watershed moment

By Adele Ferguson
31 August 2018 — 4:04pm
It was a watershed moment for small business when the shadow treasurer Chris Bowen promised a massive overhaul of the Australian Taxation Office if Labor wins government.
The decision to create a separate and dedicated appeals group led by a new, second ATO commissioner not only takes some of the sting out of the ATO’s extraordinary powers but brings it into line with comparable international tax collection agencies such as its United States counterpart.
The move to reform the ATO could be seen as a slap in the face to the tax commissioner Chris Jordan, who has long argued that it is fine just the way it is.
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Labor’s high-risk tax revolution: it could lose the unlosable election

  • 12:00AM September 1, 2018
If the Labor Party wins the next election — which it definitely would if it wasn’t for the contents of this column, which make a Labor victory less certain — Bill Shorten and Chris Bowen will bring about one of the biggest tax reforms this country has even seen, possibly the biggest.
They will do five things (and counting, maybe more by the time we get there) roughly all at once:
● Restrict negative gearing to new dwellings;
● Halve the capital gains tax discount from 50 per cent to 25 per cent;
● Remove dividend franking cash refunds;
● Tax all discretionary trust distributions at 30 per cent; and
● Repeal the company tax cut for businesses with revenue of up to $50 million.
Each of these things has been announced and is well known, and each is defensible in the context of chronic deficits and big calls on the budget for health, welfare and infrastructure, but taken together they would be little short of a revolution, matched only by the Coalition’s Fightback! plan in 1993, which never happened, because it lost the unlosable election. (Bill Shorten take note.)
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'Secure, open and inclusive': Indo-Australia trade deal to cover almost everything



Wednesday, September 05, 2018

Do You Reckon The Political Mess In Australia Is Providing License For Some Very Stupid Things To Happen?

After the last week or two it seems that if the Australian Polity is not broken it is in pretty bad shape.
Here are some comments from the weekend papers. (Skip past the politics if you know all this – it is relevant.)
First we have Laura Tingle.
  • Updated Aug 31 2018 at 4:05 PM

Liberal leadership spill: The idea of compromise has not just been lost but made vile

The notion that recent extraordinary events in federal politics were driven by policy differences, rather than just pure spite and collective madness, seems to have pretty comprehensively bitten the dust in the past week of post-coup bewilderment.
But that is not a good reason to forget that, in the midst of the chaos, there was one particular dynamic at work, concerning the future of the national energy guarantee, that we need to think about a lot more, if politics is ever going to make sense at some time in the future.
Remember that on Tuesday, August 14, Malcolm Turnbull and Josh Frydenberg got overwhelming support in the Coalition party room for their proposed national energy guarantee?
Just three days later, on Friday August 17, the government was preparing to dump central features of the policy in the face of an insurgency that threatened the prime minister's leadership.
The insurgency wasn't really about the NEG of course. But the policy became victim of a threat to Turnbull's leadership from Home Affairs Minister Peter Dutton (who had taken time off from helping au pairs in distress) that had its immediate origins in a meeting of Queensland MPs on Wednesday, August 15, which crystallised concerns about Turnbull's leadership that went back to the Longman byelection on July 28.
The grumblings were fanned into the appearance of a full-scale revolt. There were suggestions up to 10 MPs might cross the floor in the House of Representatives to vote against the NEG, a major defeat for the PM, his policy, and his grip on power.
When the policy was formally dumped the following Monday, August 20, Turnbull blamed Labor – rather than his own colleagues.
Here is the link:
Second we have Peter Van Onselen:

Dutton backers won’t stop at toppling Turnbull

  • 12:00AM September 1, 2018
By the time of the 2013 federal election, the then Labor government had descended into such ­internal bitterness and backstabbing that it deserved to lose, irrespective of how worthy its political opponents were of high office.
As it turned out, the Coalition has proved itself unworthy for much the same reasons. An unpopular prime minister, Tony Abbott, was ousted less than two years into the job, while the transaction costs of such skulduggery were overlooked.
Less than three years later, Abbott’s reactionary mates botched a coup to remove their internal enemy, Malcolm Turnbull, delivering a compromise prime minister in the shape of Scott Morrison.
Compromised ministers now adorn the ranks of cabinet and the outer ministry. How anyone could believe any longer a single word Health Minister Greg Hunt utters in combating Labor attacks is beyond me. Put to one side his policy gymnastics in e-health and so on. Hunt stood up in parliament and expressed confidence in his prime minister immediately after voting to oust him, and immediately before doing so again. And he was scheming with Peter Dutton to run on a ticket as his deputy.
A conga line of other ministers behaved similarly, including Ang­us Taylor, promoted to cabinet anyway despite the sort of treachery that in any other employment situation would see you fired.
As such, irrespective of how worthy Bill Shorten is of high office, this government does not deserve to retain it. We must hope, though, that the next Labor government — even one led by the man who orchestrated the downfall of Kevin Rudd and then Julia Gillard — has learned from past mistakes.
Meanwhile, the attempts by Liberals who partook in last week’s regicide to justify the decision have involved a litany of false narratives. Turnbull was finished anyway, we are told, as though making the situation worse would somehow ameliorate the problems the government faced. Much less installing Dutton, who has long enjoyed single-digit support in the polls as a potential leader. The latest Newspoll had it at a whopping 6 per cent. Among Liberal voters — the base Dutton’s supporters told us he appealed to — it drops to 5 per cent.
Full article here:
Last we have:

The texts, threats and lies that will haunt the Morrison government

Some moments during the Liberal Party leadership crisis were so brutal they are burnt into the memories of MPs, and make a mockery of claims the Morrison government can unite in time for the election.
By David Crowe
31 August 2018
The shock at the top of the Australian government is almost physical when Liberals recount the trauma of their leadership spill, a moment in political history when a frenzied campaign split their party and toppled Malcolm Turnbull.
A new Prime Minister now claims his team will “go forward together” after the bitter and bruising week, but Scott Morrison now leads a party that is riven by conflicts over what just happened. Every development is a matter of dispute. Few can agree on how their party gave in to what Turnbull called a “form of madness” – a phrase that will stick.
The shock could be heard in the Liberal party room in the moment when Turnbull lost the vote on Friday, August 24, to declare his position vacant.
The Liberal Party whip, Nola Marino, told MPs gathered in the party room that the motion to declare the leadership vacant had been carried. But how? A voice called out for the numbers. It was Victorian backbencher Russell Broadbent, insisting the room hear the count.
“I want the numbers, please,” said Broadbent. Marino turned him down several times but Broadbent insisted and had vocal support from the room to get his way.
It was 40 to 45. The Prime Minister had lost his job by less than a handful of votes and looked stricken. “This is a farce,” he said to those around him.
What was meant to be a tour de force for Peter Dutton, the challenger who thought he had the numbers, turned into a coup de farce instead that installed Morrison as leader and shoved Dutton to the side.
Some of the moments were so brutal they are burnt into the memories of all involved. Friendships have been fractured, hatreds inflamed and suspicions deepened among Liberals who are supposed to present a united face to Australian voters at an election due within nine months.
How the government recovers depends on how it deals with this history.
Vastly more here:
The point is, in the midst of all this strife and turmoil, is that we – as a populace – are making a decision about the shape and prospects of Digital Health for the next, no one knows, how long.
The myHR was conceived almost a decade ago – has cost a couple of billion dollars, and as far as anyone knows has delivered virtually no observable clinical or efficiency benefits.
We are now told that if we force essentially every-one to have a myHR we will move to a broad sunlit upland where enormous benefits will suddenly flow and all will be totally right with the Digital Health world. If you believe that I have a bridge I would like to sell you!
But it gets worse! We have a Health Minister who is responsible for all this who is totally distracted by political survival and has not shown even the slightest  understanding of the possible personal, financial, privacy and security risks the opt-out approach may bring.
Worse – in the ADHA we have a collection of world class spinners, invading small distant towns and aboriginal settlements spruiking unmitigated wonder and benefit with zero balance in the story they are pushing. They should be providing balance but instead they offer propaganda.
The decision on opt-out should not be made by a discredited and uninterested Minister and a shambles of a divided Government, who if the polls are right will all be the Opposition Spokesman or worse real soon now, and they should not leave the incoming Government with an almighty mess the scale of which may sadly take a while to become apparent.
It is doubtful the myHR can be fixed but it is certain Minister Hunt et. al. and the ADHA spinners have no chance in hell of fixing it.
David.

Tuesday, September 04, 2018

Commentators and Journalists Weigh In On The MyHR Debate And Related Matters. Lots Of Interesting Perspectives - Week 7.

Note: I have excluded any commentary taking significant  funding from the Agency or the Department of Health on all this to avoid what amounts to paid propaganda. (e.g. CHF, RACGP, AMA, National Rural Health Alliance etc. where they were simply putting the ADHA line – viz. that the myHR is a wonderfully useful clinical development that will save huge numbers of lives at no risk to anyone – which is plainly untrue) (This signifies probable ADHA Propaganda)
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So Doctor, do you know what your duties and responsibilities are when using the My Health Record System?

Posted on 31/08/2018 by Thinus
Much have been said in the media about the impact on privacy and security of personal health records for anyone who had signed up or, in the near future, are being automatically signed up for a My Health Record.
My most recent commentary on the matter was a discussion on the matter of standing consent and the apparent contradictory advice being provided by the Australian Digital Health Authority and the Royal College of General Practitioners on this matter.
My conviction that the RACGP is providing their members with incorrect information was strengthened by a leaked ADHA document that surfaced this week
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'Big data' says you're a cancer risk. Do you want your insurer to know? Do you want to know?

Analysis
By technology reporter Ariel Bogle
Waiting for your name to be called. The squeeze on your arm from a blood pressure test. Visiting a doctor feels nothing like logging into Facebook, but for how long?
Your health is becoming another data point to be collected and analysed on a massive scale, as clinical records are digitised, apps track our heart rate, and new tools promise they can tell someone's mental state from a tweet.
This growing mass of health data has led some experts to call for a new "social contract" — a fresh negotiation of trust between patients and the groups that want their most intimate information.
While digital healthcare could have significant benefits, University of Maryland artificial intelligence law expert Frank Pasquale warned citizens may need protection from the unintended consequences of big data analytics in healthcare.
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Can MHR help reduce medication misadventure?

My Health Record can help prevent medication misadventures that see more than 230,000 people end up in hospital each year, says Dr Steve Hambleton

Each year, approximately 230,000 Australians are admitted to hospital as a result of medication misadventure, costing our health system $1.2 billion each year.
Dr Steve Hambleton, Deputy Chairman of the My Health Record Steering Committee and former AMA President said most of these medical misadventures are preventable.
“Medication mistakes that land people in hospital can cause serious illness and in worst cases, can kill,” said Dr Hambleton.
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Winnunga backs My Health Record

By Daniella White
1 September 2018 — 12:00am ADHA Propaganda
Winnunga Nimmityjah Aboriginal Health and Community Services has backed the controversial My Health Record, saying its clinical benefits for indigenous Canberrans outweigh any risks of stigmatisation or privacy breaches.
A digital My Health Record will be created by the government for all Australians this year unless they opt out by October 15.
It has created fears of privacy breaches and security risks with up to 900,000 health professionals having access to the system.
The government recently moved to clarify the legislation to exclude police or government agencies from having access without a warrant, in the face of growing concerns.
Chief executive of the Digital Health Agency Tim Kelsey was in town to spruik the benefits of My Health Record.
He said he was confident the number of opt outs would not exceed about 10 per cent of the population - similar to other schemes around the world.
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My Health Record’s invisible marketing strategy

With bad press swirling around it, it's essential My Health Record gets a solid marketing strategy in place, writes Engaging.io's Fraser Gordon.
August 31, 2018 9:32
by FRASER GORDON
The nature of humans means we are often dubious about things we don’t understand. We’re always looking for the catch and waiting to be disappointed. The job of marketers (good ones at least) is to recognise this and make marketing not only engaging, but informative and relevant.
So why exactly does there seem to be so much controversy surrounding the Australian government’s My Health Record program? Is it simply a case of poor marketing, or is there a deeper issue?
My Health Record isn’t something new. Originally called the Personally Controlled Electronic Health Record (PCEHR), the system has been around since 2012 and already six million are enrolled in it, many of whom are unaware how they were enrolled into it.
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My Health Record can help prevent medication misadventures that see more than 230,000 people end up in hospital each year

31 August, 2018 - 10:00 ADHA Propaganda
Each year, approximately 230,000 Australians[1] are admitted to hospital as a result of medication misadventure. This is almost four times the annual number of people who are hospitalised as a result of motor vehicle accidents. It’s also costing our health system $1.2 billion each year yet 23 per cent of adverse drug events in primary care are preventable.
Having a My Health Record is one of the most effective ways to reduce the risks of medical misadventure because it can alert healthcare practitioners to any serious patient medication risks before it is too late.
My Health Record is an online summary that allows people to share and control their health information with doctors, hospitals and other healthcare providers from anywhere, at any time.
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My Health Record controversy

EditorAugust 30, 2018
The My Health Record scheme has proved to be yet another debacle for the already embattled federal government.
Less than one month since announcing that all Australians with a Medicare card will, by default, have a digital health record unless they opt out, the government has been forced to back track and make a number of concessions.
Folding under the outcry surrounding concerns of privacy and the integrity of the model itself, health minister Greg Hunt was forced to extend the opt out deadline by one month and also pledged to put extra security assurances in the legislation.
Before the government announced the new opt out policy, many people had not even heard of My Health Record. Ostensibly, it is an electronic summary of your health information that can be accessed by you and your healthcare providers.
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Down With My Health Record

Australia offers a cautionary tale of government tech gone really, really wrong.

1:13 PM
Future Tense is a partnership of Slate, New America, and Arizona State University that examines emerging technologies, public policy, and society.
Wes Mountain, an editor and cartoonist for the Australia-based website the Conversation, decided to opt out of his country’s new “My Health Record” program on the very first day he could.
The project, which Australia has been working on for years at substantial cost, is supposed to make health care more efficient and allow medical providers to better communicate with one another. In its early years, it was an opt-in program that let Australians decide whether to participate. But after spending billions of dollars and many years to build what political leaders assumed would be an appealing program to create a centralized health care database, the government discovered that many citizens weren’t sold on the need for, or benefits of, the program. When less than 25 percent of Australia’s citizens signed up for My Health Record in its first few years, the government didn’t question whether it was a good idea in the first place. Instead, it decided to just sign them up by default. July 16 was first opportunity for people to make the proactive decision not to take part. Then the tweets began.
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My Health Record woes detailed in leaked document: Report

It's time for the Australian Digital Health Agency to take a strategic approach, but it seems it would rather fix problems 'on the fly' or just ignore them.
By Stilgherrian for The Full Tilt | August 30, 2018 -- 05:06 GMT (15:06 AEST) | Topic: Digital Transformation
A leaked document from the agency responsible for Australia's centralised digital health records reveals an organisation that's still on the defensive. In some cases it's even still in denial about problems with the system.
The document, obtained by Healthcare IT News (HITN), is dated August 20, and contains the Australian Digital Health Agency (ADHA) responses to questions from community representatives on the My Health Record Expansion Program steering group.
"It is a rare backroom view of the ADHA's reaction to the media storm and public data privacy backlash following the start of the opt-out period in July, and shows an agency variously holding steadfast or fixing problems on the fly," HITN wrote on Wednesday.
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My Health Record - Staying In or Opting Out

People With Disabilities ACT have produced a resource kit to support people with disabilities to make an informed decision whether to stay in or opt out of My Health Record.
My Health Record is a digital health record for consumers to view and manage important health information. We know that people with disabilities face more challenges in accessing and managing their healthcare information. There are many benefits to a coordinated system for managing health information, but also considerations about access and privacy.
The aim of these resources are to give a summary of the benefits and potential risks of Staying In or Opting Out of having a My Health Record. Any decision should be considered and informed based on a person’s individual circumstances, needs and support network.
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Family backs new health record

29th Aug 2018 3:49 PM  ADHA Propaganda
MY HEALTH Record is here and by the end of 2018 a record will be created for every person with a Medicare or Department of Veterans' Affairs card, unless they choose to opt out.
The national digital health record system is an online summary of your key health information.
Information about health issues such as allergies, current conditions and treatments, medicine details, pathology reports or diagnostic imaging reports will be digitally stored in one place.
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Setting the record straight: should you opt out of My Health Record?

On Nightlife with Philip Clark
Share
It’s been six weeks since Australia’s digital health database opt-out period started and there’s been a lot of talk about what you should do.
Even after the Federal Government pledged to improve privacy protections for My Health Record, many Australians have chosen to opt-out of the system; and some of those have even found they already have a record.
Australian Digital Health Record’s Chief Medical Advisor Dr Meredith Makeham, the Australian Medical Association’s Chair of Ethics and Medico-Legal Committee and GP Dr Chris Moy, and UNSW Lecturer Dr Katherine Kemp spoke to Nightlife about some of the concerns raised, identified the intended benefits of the system and made the case for why you might consider staying in.
Duration: 49min 12sec
Broadcast: Wed 29 Aug 2018, 10:00pm
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Measuring Australia's digital divide: the Australian digital inclusion index 2018

29 Aug 2018
DOI http://doi.org/10.25916/5b594e4475a00
Description
With a growing range of education, information, government, and community services moving online, internet access is increasingly regarded as an essential service. The benefits of the digital economy cannot be shared equally when some members of the community are still facing real barriers to online participation. Digital inclusion is based on the premise that everyone should be able to make full use of digital technologies – to manage their health and wellbeing, access education and services, organise their finances, and connect with friends, family, and the world beyond.
The Australian Digital Inclusion Index (ADII) was first published in 2016, providing the most comprehensive picture of Australia’s online participation to date. The ADII measures three vital dimensions of digital inclusion: Access, Affordability, and Digital Ability. It shows how these dimensions change over time, according to people’s social and economic circumstances, as well as across geographic locations. Scores are allocated to particular geographic regions and sociodemographic groups, over a five-year period from 2014 to 2018. Higher scores mean greater digital inclusion. This ADII report incorporates data collected up to March 2018.
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Government’s plans to strengthen privacy protections for my health record

In a media release on 31 July 2018, the Federal Minister for Health, Mr Greg Hunt announced that the Government will strengthen privacy provisions under the My Health Records Act 2012 (Cth) (Act), to match the existing Australian Digital Health Agency’s Privacy Policy (ADHA Policy). This announcement was made after discussions between the Government and the Australian Medical Association and the Royal Australian College of General Practitioners.
The ADHA Policy requires a court order to release any My Health Record information without consent.
The Government’s plan to amend the Act will ensure no record can be released to police or government agencies, for any purpose, without a court order.
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Australian government moves to improve My Health Record privacy

It's hardly an example of legislative clarity, but the proposed amendments are intended to address key privacy concerns around the disclosure of personal medical information.
By Stilgherrian for The Full Tilt | August 29, 2018 -- 03:03 GMT (13:03 AEST) | Topic: Security
As well as its poorly organised self-immolation, the Australian government found time last week to introduce legislation intended to fix some of the problems with My Health Record, the nation's centralised digital health records system.
The My Health Records Amendment (Strengthening Privacy) Bill 2018 [PDF] addresses two of the most prominent problems with the existing legislation: Overly broad access for law enforcement, and the retention of data even when a health record is cancelled.
Under the existing My Health Records Act 2012, individuals' health records can be accessed by hundreds of agencies without a warrant. Health Minister Greg Hunt denied this, but the legislation is clear. His claimed requirement for a warrant or court order is merely the current policy of the Australian Digital Health Agency (ADHA), something that can be changed at any time.
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August 28 2018 - 7:00PM

My Health Record information sessions to be held in MidCoast Libraries

Local News  ADHA Propaganda
Hunter New England and Central Coast Primary Health Network is hosting My Health Record Information Sessions in September.
Hunter New England and Central Coast Primary Health Network (HNECCPHN) is hosting free information sessions about My Health Record throughout September in various MidCoast Libraries.
My Health Record is Australia’s national digital health record system.
A My Health Record is an online summary of an individual’s health information, which can be viewed by the individual and their healthcare providers.
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My Health is shifting the control paradigm

By Bianca Phillips*
Wednesday, 29 August, 2018
Once the majority of Australians have a My Health Record, and more practitioners use the system, a new paradigm for health data control will emerge.
Since the creation of health records, it has been commonplace for their storage to be with the practitioner or clinic so they are available for future appointments. With My Health, digital records are stored in the cloud for over a century from the patient’s date of birth and are managed by the government’s system operator. The legislation affords patients mostly unfettered access and control over these digital records.
The right of a private patient to access their medical record first became part of Australian law after the 1996 High Court case of Breen v Williams, when legislative reforms took effect permitting patient access. The law had recognised the benefits of striking a balance between the rights of the practitioner and the patient to health information. Patient access gave them the liberty to move to another provider and take a copy of their file with them, and in some ways made it easier to file a complaint. My Health signals a further broadening of patient control over data. This will empower patients to control their medical information, but carries with it some practical limitations and risks to the practitioner.
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Exclusive: Leaked ADHA document shows the agency grappling with My Health Record concerns

Lynne Minion | 29 Aug 2018
A confidential government document has detailed the Australian Digital Health Agency’s response to a raft of concerns about My Health Record, including doctors’ claims they couldn’t sign up, plans yet to be made for securing the details of children in care, and a communications strategy that had failed to adequately reach some vulnerable groups.
The leaked ADHA Q&A contains responses from the agency to questions by members of the My Health Record Expansion Program steering group, which is comprised of consumer, healthcare provider and digital health industry representatives.
According to the official document dated August 20, the steering group raised a number of concerns about the national health database, with data privacy, the safety of domestic violence victims, technical problems and clinician burden among them.
It is a rare backroom view of the ADHA’s reaction to the media storm and public data privacy backlash following the start of the opt out period in July, and shows an agency variously holding steadfast or fixing problems on the fly.
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My Health Record

Monday, 27 August 2018 - 8:30am to 9:00am
On this week on Women on the Line we take a closer look at the recent changes to the Australian Government's My Health Record system. Earlier this year the Government announced that the system would be changed from an opt-in to opt-out system. What are the implications of these changes? We chat with Katina Michael (link is external),who is a Professor in the School of Computing and Information Technology at the University of Wollongong, about data and privacy issues with the My Health Record system. Later in the show we hear from Jules Kim, CEO of Scarlett Alliance, chat to us about how the system will impact sex workers.
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WEBINAR: Digital Health: My Health Record in OT clinical practice (NATIONAL)

25th Sep 18 -   ADHA Propaganda

Event Location:          Zoom
Register from:            28th Aug 18 11:00 AM
Register up to:           20th Sep 18 11:55 PM
Non-member Price:       AU $ 80 (incl gst)
Member Price:           56.00 (incl gst)
Places Available:       100

OVERVIEW

At the current stage of progress in digital health, My Health Record is a key feature. I will share my experiences and reflections about My Health Record in OT practice at this early stage and discuss likely trends in digital health in the next couple of years and their implications for OTs.

LEARNING OBJECTIVES

Participants will gain an understanding of:
  • The emergence of digital health in Australia
  • The purpose of My health Record and the types of documents it contains
  • How the use of MyHR can improve client outcomes and the work of OTs
  • Future trends in digital health
  • How OTs can prepare to engage with developments in digital health
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How fake data led me to dump My Health Record

Wrong patient, wrong diagnosis - everything is wrong
Dr Pam Rachootin
24th August 2018
I can feel Big Brother’s presence engulfing me. Today I got a call from the immunisation registry. “I just want to let you know that this call is being recorded for quality assurance. Is that all right?”
“No,” I replied. “Then I have to hang up,” she said, and the line went dead. Since when do I have to be recorded to receive a phone call?
The day before, I was invited to participate in “a short survey about the bowel cancer screening program by the Department of Health”.
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Time for a cyber rethink

  • By Ashley Watkins
  • 3:30PM August 27, 2018
With local and global data breaches making news headlines every week, it’s no doubt that the way impacted businesses deal with these breaches is equally in the spotlight. In 2018 all eyes have been on the likes of PageUp, Family Planning NSW and a string of others on how they dealt with the data breach, informed their customers, and reassured the public.
With new regulations such as the Notifiable Data Breach (NDB) scheme, and the General Data Protection Regulation (GDPR), businesses are required to be much more transparent about breaches and how they handle customer data — something which should be a positive for the industry. However, instead regulations such as these have resulted in many using the compulsory transparency as an excuse to name and shame these companies for a myriad of reasons — jeopardising sensitive information, mishandling supplier networks, or slow disclosure processes that lack transparency.
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Game changer: What you need to know about My Health Record

Guest Author 28/08/2018 - ADHA Propaganda
Many patients will have one from 2018.
The change of My Health Record from opt-in to opt-out will be a game-changer for pharmacists, says PSA National President Dr Shane Jackson.
Are you up to date with the My Health Record Guidelines for Pharmacists? The free Future of Pharmacy eBook has an easy summary.
Click here to get your free copy.
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Driving a modernised bureaucracy: Turnbull’s lasting legacy

By Tom Burton • 27/08/2018
Malcolm Turnbull’s legacy includes a serious attempt to modernise the federal bureaucracy. Remaking the public sector to be relevant in the digital world remains work in progress and a major challenge for the government, no matter who their leader.
Every prime minister brings something to the machinery of government. For Turnbull, his lasting legacy will be the modernity he sought for the public sector.
At the launch of The Mandarin in 2014, a year before he became prime minister, Turnbull told the audience: “We’ve got to try new things and, if you try new things, a lot of them won’t work, but so what? If you smash people because they try something and it doesn’t work, then they’ll never try anything new again.”
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My Health Record: debate rages but there are gems

Authored by  Mukesh Haikerwal
THE My Health Record (MyHR) debate is still raging as the operationalisation of change from “opt in” to “opt out” continues. Many threads intertwine in the vexed program. Then-federal Minister for Health Greg Hunt – at the time of writing, he had tendered his resignation from Cabinet in the middle of the government’s leadership crisis – positively moved to rekindle confidence in the MyHR system and moved the rhetoric from triumphant to acknowledging that we don’t have the “all singing, all dancing bears” in action yet.
On 15 August 2018, the Senate referred the MyHR system to the Community Affairs References Committee for inquiry and report. There have been multiple changes to MyHR, so the legislation governing it must reflect this. There is some good in the MyHR system, but it has to evolve and grow. Political obfuscation will be akin to shooting in both feet the goose that lays the golden egg.
We need clinicians, hospitals and citizens to participate in the system. There must be confidence and a wish to participate. We need an admission of MyHR’s shortcomings from the system’s owners and builders, and there must be agreement to work with the clinical community and citizens of Australia to make good on the unquestionable benefits of keeping clinical information about a citizen in their own hands, to support their own care. The goal must be to improve the quality of health care and life, not to stifle progress.
I am guilty of being an evangelist for the use of technology in health, but it must be with the buy-in of the community, including clinicians, and with ongoing vigilance.
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The digital divide: small, social programs can help get seniors online

August 27, 2018 6.11am AEST
Older Australians are falling behind younger people in their capacity to access and make use of the internet. www.shutterstock.com

Authors

  1. Sue Malta
  2. Raelene Wilding

Contributor

  1. Loretta Baldassar
In Australia, use of the internet is almost universal. At last count, 86% of the population was digitally connected.
Despite the continuing stereotype that many older people are not technologically savvy, or that they can’t learn new things, in 2015 79% of people aged 65 and over had used the internet compared to 6% in 2001.
Increasingly, government services such as myGov and myagedcare rely on individuals having access to computers and the internet, and the knowledge of how to use them. Older adults who do not have these skills may therefore miss out on the services and support they require.
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Comments welcome!
David.