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, August 08, 2019

The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.


August 8, 2019 Edition.
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What on earth can the world do about Trump? He is utterly out of control with these destructive tariffs and is going to do both the US and the rest of the world economic harm. More we also have him pulling the US out of important Nuclear Weapons treaties. He has simply become a global menace. Oh, and we have had another really bad mass shooting in Texas! Sorry for all except the NRA and Trump and bribed and stupid legislators who won't sort the problem out!

Worse he has ramped up the trade war and China has hit back during the week. It does not seem it will end well as far as I can see.

In the UK we have Boris flailing around and looking like he is about to blow up the UK.

In Australia parliament is resting again for a long winter break having worked hard to destroy public trust with data matching, robo-debt, metadata misuse, un-consented private data usage, encryption issues and so it goes on!

Further we seem to have chaos in both water and energy policy, some apparent corruption in some casinos and home units falling down all over!

It also seems some backbenchers are poking the Chinese dragon - that equally may not be such a good idea!
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Major Issues.

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Mortgage prisoners caught in a $4 billion trap

Duncan Hughes Reporter
Jul 27, 2019 — 12.00am
More than 300,000 buyers are trapped in expensive, higher-rate mortgages and could be overpaying by $4 billion on their home loans, analysis shows.
A typical owner-occupier borrower with a $1 million loan taken out in 2016 could be paying 3.56 per cent, or more than 60 basis points, above current rates. A three-year fixed rate for the same amount taken out around the same time is about 30 basis points higher.
Around 25,000 borrowers are locked into uncompetitive fixed rates for up to five years unless they agree to punitive penalties for breaking agreed terms, which will worsen if cash rates continue to fall.
Property loan overpayments could total more than $4.2 billion a year, separate analysis by CoreLogic and uno Home Loans, a digital mortgage broker backed by Westpac Group, shows.
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Big tech must be treated like media: Sims

July 28, 2019
ACCC chair Rod Sims has described technology giants Facebook and Google as publishers, who should be regulated in a similar way to traditional media.
Following the release of the ACCC’s final report into the market power of digital platforms, Mr Sims said Google and Facebook should be subject to the same laws as publishers and broadcasters.
Mr Sims told Sky News Business Weekend a new code of conduct regulating the relationship between digital platforms and traditional media would have “real teeth”.
He said if implemented media companies would start to receiving more revenue for their original content being used by the likes of Facebook and Google to make money.
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Buying 'quality' stocks is no silver bullet

If the Merlon research shows us nothing else it’s that lazy investment slogans – such as “always buy quality” – shouldn’t be followed blindly
Jul 29, 2019 — 12.00am
It’s the sort of investment mantra that no one can argue with: find high-quality companies, invest for the long term and you won’t go wrong.
But Joey Mui, a portfolio manager at fund manager and noted AMP bull Merlon Capital, says putting your faith in “quality” companies isn’t as foolproof as many might think, particularly during a time of low interest rates.
His research suggests some traits that are typically considered indicative of quality companies – such as firms offering high growth and high returns, or firms that demonstrate low earnings and share price volatility, can deliver mixed performance over a full market cycle.
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ASIC calls time out on active exchange traded funds

Jonathan Shapiro Senior Reporter
Jul 29, 2019 — 12.00am
The corporate watchdog has called for a pause in listings of exchange traded funds that are actively managed and use so-called internal market makers to set trading prices amid disclosure and conflict-of-interest concerns.
In a notice to market participants on Thursday evening the Australian Securities Exchange advised market participants, that the regulator had requested it "cease admitting any non-transparent investment products with internal market makers for the time being''.
"This pause on new admissions of these products will remain in place while ASIC considers the appropriate regulatory settings in this changed environment," the ASX said in the notice.
There are more than 20 active exchange traded funds using internal market makers that are listed on the ASX with a value of $3.5 billion. That represents a small portion of the $50 billion of the total exchange traded product market.
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Memo PM: Government goes better with a sharp public service

Ross Gittins
Economics Editor
July 29, 2019 — 12.00am
For good or ill, much of the attitudes and strategies of the modern Liberal Party have been shaped by its greatest leader since Menzies, newly turned octogenarian John Howard.
After Bob Hawke defeated Malcolm Fraser as prime minister in 1983, Howard, his treasurer, reflected unhappily on how little the Fraser ministers had achieved during their seven years in office. Why was that? Because, Howard concluded, the public servants had kept talking them out of doing what they’d intended to do.
So when Howard became prime minister in 1996, he resolved not to let that happen to his government. He began with a “night of the long knives” in which he sacked the heads of six government departments.
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PM starts the week with Newspoll surge

Scott Morrison is leading Labor leader Anthony Albanese as preferred prime minister in a Newspoll published in The Australian on Monday.
Australian Associated Press July 29, 20199:27am
Prime Minister Scott Morrison has begun the final parliamentary sitting week before the winter break with a new poll pointing to a lift in his government's popularity.
But Labor says the government has only gotten off to a good start because it has failed to make any tough decisions.
The coalition's primary vote has increased by 2.6 per cent since its May election victory to 44 per cent, according to a Newspoll published by The Australian on Monday.
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Top economist’s radical tax plan to help workers save for retirement

  • 12:00AM July 30, 2019
A key architect of the nation’s $2.8 trillion superannuation system has urged the federal government to stop taxing the savings of Australians until they reach retirement.
Economist Vince FitzGerald, who led the landmark 1993 national savings inquiry after the introduction of the super system, said the move would allow workers to build bigger nest eggs during their working lives.
Instead of taxing savings and investment returns in the accumulation phase, Dr FitzGerald argued that people should be taxed at marginal rates when they were drawing money from their super funds in the pension phase.
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'Global environment has turned darker': Aussie bond yields hit record lows

By David Scutt
July 30, 2019 — 12.01am
As the major indices for the Austalian sharemarket have hit or come agonisingly close to all time highs, another key asset class is quietly breaking records. And for less encouraging reasons.
The yield on benchmark 10-year Australian government bonds (ACGB) fell to a low of 1.192 per cent on Monday, according to data from Refinitiv, after closing at a record low of 1.237 percent on Friday.
Three-year yields, which are more sensitive to market expectations for monetary policy settings from the Reserve Bank of Australia (RBA) - also hit a record low of just 0.804 per cent during the session. Bond prices move inversely to yields.
It comes after the All Ordinaries sharemarket index last week hit new highs, and as the benchmark S&P ASX/200 index ended just 3 points below its highest ever closing level on Monday.
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What’s driving up stocks and bonds?

  • 12:00AM July 30, 2019
Long-time readers of this column might recall my fascination with the X-factors that often buffer investment markets. X-factors are the unexpected influences on investment returns that come out of the woodwork, as it were, and have strong effects.
Their key characteristic is the element of surprise; if the influence was widely predicted or anticipated, or already built into market pricing, it’s not an X-factor. Many X-factors affect investment markets each year. Which one should we see as the dominant X-factor of the past 12 months? In my view, it’s the enormous swings in the prevailing view in markets of what the US central bank will do to its cash rate.
A year ago, average market expectations were for Fed to raise its target for the US cash rate on three or four occasions by the end of 2019, each of them adding a quarter of a percentage point. (In any country, expectations for the cash rate at various times in the future can be derived from the pricing of interest-bearing securities with different maturity dates).
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'Fundamentally undermine our effectiveness': AFP hits back at key demand from media chiefs

By Bevan Shields
July 31, 2019 — 10.38am
The Australian Federal Police is urging federal MPs to reject a key change proposed by major media companies to strengthen press freedom, in a rare public appeal to retain its powers to investigate and prosecute journalists.
Already under fire following recent raids on journalists in Sydney and Canberra, top AFP officials have warned that any attempt to water down their right to examine the behaviour of reporters would "fundamentally undermine" the effectiveness of search warrants and even help foreign enemies obtain valuable national security secrets.
Former NT Police chief Reece Kershaw has weighed in on press freedom and the raids on a journalist's home and the ABC Sydney offices.
Parliament's powerful intelligence and national security committee is considering whether laws should change to better protect press freedom in the wake of police raids in June on the Canberra home of News Corp reporter Annika Smethurst and the Sydney headquarters of the ABC.
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'With super nothing is as it appears': The lowdown on super v payrises

Ross Gittins
Economics Editor
July 31, 2019 — 12.00am
Do you have trouble understanding superannuation? Some government backbenchers are urging Scott Morrison to abandon or at least postpone the plan to phase-up the compulsory employer contribution from 9.5 per cent to 12 per cent of salary over the four years to July 2025. Good idea, or another attempt to cheat the worker?
One new backbencher has proposed that, since many low income-earners have a lot of demands on their budgets, super should be voluntary for everyone earning less than $50,000 a year. Whaddaya reckon?
Liberal plans to scale back contributions will cost workers $1000.
You could be forgiven for being unsure. Super is complicated. You have to understand how it's taxed and how it interacts with the age pension and its income and assets tests. I sometimes think that, with super, nothing is as it appears.
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Rising petrol costs lifts consumer price index

Senior Reporter, The Wall Street Journal
  • Dow Jones
  • July 31, 2019
Australian consumer prices rose slightly more than expected in the second quarter following a big jump in fuel prices, but further interest rate cuts look likely as inflation stays well below target.
The consumer prices index rose by 0.6 per cent in the second quarter and was up 1.6 per cent from a year earlier, the Australian Bureau of Statistics said. Economists had expected the CPI to rise 0.5 per cent in the quarter and 1.5 per cent from a year earlier.
One-off gains in petrol prices, which rose by 10.2 per cent in the quarter, and travel costs boosted the inflation rate.
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Profoundly low interest rates are here to stay

Although interest rates touch almost every aspect of economic life, the developed world remains deep in denial about the consequences. Here are eight themes for investors and policymakers to ponder.
Robin Harding
Jul 31, 2019 — 10.18am
This will be a discomforting, defining week for the global economy. That is not because the US Federal Reserve is set to cut interest rates. Rather it is because of the strikingly low level of rates from which the Fed will start: a range of just 2.25 to 2.5 per cent.
After more than a decade of economic expansion, and despite everything from tariffs to tax cuts, it seems this is as high as US interest rates go. Meanwhile, the European Central Bank is debating whether to reduce its negative rate still further.
Until this month, it was possible to imagine that pre-financial crisis levels of 4 to 5 per cent might eventually return. No longer.
According to their own projections, Fed officials believe rates will settle at 2.5 per cent in the long run. Subtract their 2 per cent inflation target and the real reward for capital is going to be a miserable 0.5 per cent.
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Sydney property developer Ralan collapses

Jul 31, 2019 — 1.48pm
One of the country's biggest private developers, Sydney-based Ralan Group has collapsed leaving billions of dollars of East Coast apartment projects and hundreds of jobs in doubt.
Founded and led by William O'Dwyer, the developer appointed Said Jahani, Phil-Campbell Wilson and Graham Killer from Grant Thornton as voluntary administrators on Tuesday.
Ralan Group's pipeline of projects includes the $1.4 billion four-tower Ruby Collection project on the Gold Coast with 1600 apartments and another big project in Arncliffe in Sydney's southern suburbs, which is currently under construction.
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Ralan buyers could lose their deposits

Aug 1, 2019 — 6.07pm
Hundreds of buyers who bought apartments off-the-plan from failed developer Ralan could lose deposits of as much as $70,000 or more, after they were used by the collapsed group to pay expenses, including interest on unsecured loans.
Joint Ralan administrator Said Jahani from Grant Thornton said the "majority" of purchasers of apartments in Ralan's $2 billion Ruby and Sapphire projects on the Gold Coast and Sydney's The Orchid in Arncliffe had entered into "side agreements" with two Ralan subsidiaries (controlled by founder William O'Dwyer) where their deposits were released "either in full or mostly in full" as unsecured loans to the developer.
The future of all three projects is now uncertain, with the administrators warning of a "significant deficiency owing to unsecured creditors and purchasers".
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A recession is coming (eventually). Here’s where you’ll see it first.

Ben Casselman
Aug 1, 2019 — 8.35am
Last week's report on second-quarter gross domestic product showed that the economy slowed last spring. It also came exactly 10 years since the Great Recession ended, making this officially the longest expansion in American history. (Well, probably. More on that in a second.)
So perhaps it's no surprise that forecasters, investors and ordinary people are increasingly asking when the next downturn will arrive.
Economists often say that "expansions don't die of old age". That is, recessions are like coin flips - just because you get heads five times in a row doesn't mean your next flip is more likely to come up tails.
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House prices stabilise as rate cuts start to help property market

By Shane Wright
August 1, 2019 — 10.03am
Sydney and Melbourne house values have lifted on the back of interest rate cuts, looser lending standards and the Morrison government's income tax cuts, but most of the increase is going into top end properties.
CoreLogic's closely watched monthly measure of property values showed a 0.1 per cent increase across the nation's capital cities through July.
The increase was driven by Sydney, where house values lifted by 0.2 per cent, and Melbourne where they were up by 0.1 per cent. Values of apartments in the two cities increased by 0.3 per cent and 0.4 per cent respectively.
It was the second consecutive monthly lift in values for the nation's two largest property markets.
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The residential construction party is over. And the hangover looks severe

Elizabeth Knight
Business columnist
August 1, 2019 — 12.01am
Building materials group Adelaide Brighton could be the canary in the coal mine, revealing the toll of damages resulting from the turndown in residential construction, and the risks such a decline may pose to employment.
The company's profit downgrade for the 2019 financial year took the market by surprise and infected other building materials companies - sending the share prices of Boral and CSR spiralling.
Immediately after the release of Adelaide Brighton’s revised earnings prospects its share price tanked 19 percent, CSR tumbled 6 percent while Boral investors watched the value of their holdings slump by 8 percent.
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Mercer says Grattan research is 'misleading'

Joanna Mather Superannuation writer
Aug 1, 2019 — 11.06am
Calls to abort scheduled superannuation rises are based on flawed modelling that assumes people will retire richer than is the case in reality, super administration and advice firm Mercer says.
Mercer senior actuary David Knox is the latest to take a swipe at the Grattan Institute for peddling what he describes as "misleading" research about the adequacy of the 9.5 per cent compulsory super contribution rate.
Dr Knox said one of the main problems with Grattan's work was that it inflated the proportion of retirees receiving the full-rate age pension for singles.
"Grattan assumes that we are single when we retire whereas 70 per cent of us have a partner," he said.
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Business, conservatives no longer need each other

Business likes the Coalition's pro-growth policies -- but not the social conservatism that seems out of step with their own work forces.
Phillip Coorey Political Editor
Aug 1, 2019 — 8.00pm
More out of hope than expectation the business community thought that, just maybe, the Morrison government would let slide its promise to introduce its so-called big stick legislation.
That all ended on Monday when Energy Minister Angus Taylor told Parliament: "I'm pleased to say that we will be bringing forward later this year the big stick legislation that those opposite have voted against 13 times.
"This legislation is vital to ensuring that we have another tool in the toolkit to maintain supply in the market and drive prices down.''
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Newstart doesn't work for over-55s

Bo Seo Reporter
Aug 1, 2019 — 5.29pm
On Wednesday, Jan French squeezed in a workshift between a medical appointment for her 96 year-old mother in the morning and kinders day for her grandchildren in the afternoon.
The former aerobics instructor and antique dealer is now in her mid-60s and works at the packing company The Finishing Touch, which has 200 employees who are all women with an average age of 55.
Ms French said she was grateful to have an understanding employer, but added that the government needed to afford a "bit of slack" to older people who were looking for work amid similarly demanding schedules.
"I can understand the pressure they're under. It would not be good to be in that position," she said.
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Greenland has massive ice melt after European heatwave

August 2, 2019 — 10.14am
Berlin: A heatwave that smashed temperature records in five European countries a week ago is now over Greenland, accelerating the melting of the island's ice sheet and causing massive ice loss in the Arctic.
Greenland, the world's largest island, is a semi-autonomous Danish territory between the Atlantic and Arctic oceans that has 82 per cent of its surface covered in ice.
The area of the Greenland ice sheet that is showing indications of melting has been growing daily, and hit a record 56.5 per cent for this year on Wednesday, Ruth Mottram, a climate scientist with the Danish Meteorological Institute, said. She said that was expected to expand and peak on Thursday before cooler temperatures slowed the pace of the melting.
More than 10 billion tonnes of ice was lost to the oceans by surface melting on Wednesday alone, creating a net mass ice loss of about 197 billion tonnes from Greenland in July, she said.
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'Gut feel' not data guiding central banks amid pressure from populists

By Shane Wright
August 2, 2019 — 12.01am
Central banks are relying more on "gut feel" than what official data is telling them about the state of the global economy, one of the world's leading experts in the field believes, with the Reserve Bank of Australia (RBA) leading the way.
Professor Eli Remolona, a former regional head for the Bank for International Settlements who is developing the world's first master's degree in central banking, on Thursday said the breakdown in key economic theories was making it more difficult for those charged with setting official interest rates.
In Australia to deliver a public address on central banking communication strategies, Professor Remolona said the way inflation and wages had failed to lift despite falling unemployment was now perplexing almost every central bank.
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Magellan's Douglass sees lower growth for longer

Hamish Douglass
Aug 2, 2019 — 10.27am
“The value of every business, the value of a farm, the value of an apartment house, the value of any economic asset, is 100 per cent sensitive to interest rates because all you are doing in investing is transferring some money to somebody now in exchange for what you expect the stream of money to be, to come in over a period of time, and the higher interest rates are the less that present value is going to be. So every business by its nature … its intrinsic valuation is 100 per cent sensitive to interest rates.” – Warren Buffett – 1994 Berkshire Hathaway annual general meeting
“It all comes down to interest rates. As an investor, all you’re doing is putting up a lump sum payment for a future cash flow.” – Ray Dalio, Founder Bridgewater Associates
In our view, all true investors are value investors. To be an investor, you must assess the intrinsic value of a business and compare that assessment to the price at which that investment can be purchased. Any person who buys an investment without first assessing the intrinsic value is a speculator, not an investor.
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Aussie dollar tumbles to lowest level since GFC as trade war escalates

By David Scutt
August 2, 2019 — 11.42am
The Australian dollar has tumbled in response to an escalation in trade tensions between the United States and China, falling to the lowest level against the greenback in a decade.
The local currency traded at 68.06 US cents by early afternoon on Friday, breaking the lows struck in January 2016 when the currency was hit by market concerns about the strength of China's economy. It had fallen as low as 67.96 US cents earlier in the session.
Excluding a "flash crash" in early January this year, which saw the Aussie fall over 3 per cent in a matter of minutes in holiday-impacted trade, it now sits at levels not seen since March 2009, when markets were stuck in the depths of the global financial crisis.
The plunge was sparked by a series of tweets from US President Donald Trump that said the United States will impose additional 10 per cent tariffs on $US300 billion ($440 billion) worth of Chinese imports entering the country from September 1, adding to the 25 per cent tariffs on $US250 billion in imports already in place.
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How to find the best returns in a low-rate world

William McInnes Reporter
Aug 3, 2019 — 12.00am
For 20 of the past 30 years of investing, there were some certainties. Investing in equities would give you a higher rate of return coupled with a higher risk premium, bonds were a steady and stable form of income, and cash, while delivering only low returns, came with very little risk.
But the global financial crisis just over 10 years ago threw the investing world into crisis. Sluggish inflation, negative bond yields and record low interest rates are the new normal and a stagnant global economy appears resistant to central bank efforts to stimulate growth.
That low-yielding world has funnelled investors toward equity markets, with the promise of some reasonable returns worth the risk for many. Equities showed sharp gains in reaction to dovish actions from central banks this year, with US, Australian and international shares all receiving a kick from the promise of more liquidity.
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Market record: The stocks doing the heavy lifting

CSL, miners, banks and infrastructure stocks have propelled the equity market back to record highs in 2019.
Aug 2, 2019 — 7.16pm
The stockmarket roared to new record highs this week, led by miners, banks, infrastructure stocks, global biotech group CSL Ltd and telecommunications group Telstra.
Miners are benefiting from higher commodity prices, banks are in something of a relief rally after being beaten up during 2018's banking royal commission, Telstra is in a similar place and infrastructure stocks are attracting yield-starved investors.
CSL, the world's leading plasma products group, has benefited from a weaker Australian dollar - which is trading at its lowest levels against the US dollar in a decade - while Telstra investors like its cost-cutting plans, which include shedding thousands of jobs.
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Ralan, Steller start of developer 'washout'

Aug 2, 2019 — 4.21pm
Highly leveraged developers operating on thin margins could be the next casualties from the "washout" occurring in the off-the-plan apartment market following the implosions of the Ralan and Steller groups, insolvency and restructuring expert David Walter has warned.
"There may well be other developers to follow [Steller and Ralan] of different shapes and sizes," Mr Walter, a partner at law firm Baker McKenzie, told AFR Weekend.
"Why? Because a lot of them are holding residual or unsold apartment stock, which impacts on cash flows and their ability to repay debt and press on with other new projects," he said.
In a week in which Sydney-based Ralan Group collapsed with debts of $500 million, leaving hundreds of apartment buyers at risk of losing their deposits, Mr Walter warned second- and third-tier listed developers could be next. He said spreading fallout from a wider market correction characterised by slowing sales, falling valuations and rising construction costs could put such developers under "a lot of financial pressure".
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NAB pressured to come clean on prohibited products

James Frost Financial Services Writer
Aug 2, 2019 — 12.11pm
NAB is under pressure to come clean and address claims it knew it was selling prohibited financial products after an investigation by The Sydney Morning Herald and The Age.
A lengthy report published on Friday morning alleges NAB chairman and former treasury secretary Dr Ken Henry knew the bank was selling products that would one day blow up in its face.
Dr Henry is reported as giving the example of a self-managed super fund or SMSF "borrowing to invest in managed funds".
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Star pupil Philip Lowe gives tips on why inflation is so low

Ross Gittins
Economics Editor
August 3, 2019 — 12.00am
Reserve Bank governor Philip Lowe started his study of economics at high school in Wagga Wagga and finished it with a PhD from the Massachusetts Institute of Technology. Much thanks to his teacher, Mrs King, whose teaching style convinced him economics was interesting as well as important.
The great attraction of high school economics is its emphasis on linking theory to current events.
The head of the RBA has told the government it's now up to them to prevent a dangerous economic slowdown.
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Why we’re power-poor but renewables-rich

  • 12:00AM August 3, 2019
It’s an extraordinary twist of fate that despite all the argument and uncertainty about energy policy over the past decade, Australia is now leading the world in building renewable energy.
In fact, there is so much solar and wind power either being built or about to be built that the grid can’t handle it. The head of network design at the Australian ­Energy Market Operator, Alex Wonhas, told a seminar this week: “It is nothing short of a ­revolution.”
I wasn’t there, and he spoke off the cuff, so I’m relying on Giles Parkinson’s reporting for the website reneweconomy.com.au, but apparently Dr Wonhas said that 18 gigawatts of new generation is in the feasibility stage and another 78GW is in pre-feasibility — a total 96GW seeking AEMO’s approval.
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Low rates set growth on the up and up

  • 12:00AM August 3, 2019
Amid elevated if not euphoric valuations in some corners of the market it has been easy to say it’s all going to end in a spectacular pile of losses. More challenging has been swimming against the rising tide of market prices.
But more challenging again is an unbiased exploration of the arguments in favour of a continuation of the present support for even profitless companies.
An increasing frequency of commentary suggests low rates are now a permanent feature of markets, as is the likelihood of central banks rescuing investors from themselves through the perpetual deployment of unconventional monetary policy tools.
It’s relatively easy to dismiss these claims as examples of “this time it’s different” — I did that in my last column.
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Central banks look to batten down for a global recession

  • 12:00AM August 3, 2019
It would have been unthinkable a generation ago. The Australian government is borrowing for free. The Treasury issued a bond worth $800 million this week at what amounts to an interest rate of 1.09 per cent a year — far below current and expected inflation.
Yet what might seem like a boon is born of mounting fears of a global recession.
The US is in the longest economic expansion since World War II, recently exceeding the golden run between 1991 and 2001. If you think that the longer you stand at the bus stop, the more likely it is a bus will come long, that’s not good news.
The Federal Reserve’s decision this week to cut interest rates, for the first time since the global financial crisis, signals the central bank’s models predict the expansion is going to end.
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Wages growth 'a long way off', say top economists

By Eryk Bagshaw and Shane Wright
August 4, 2019 — 12.01am
Workers will need to wait for a mining-style boom to see any meaningful pick up in their wages, as most of Australia's top economists describe Treasury's forecasts as "optimistic," dashing hopes that pay packets will rise before 2022.
The unemployment rate will need to get close to 4 per cent, well above the government's goal of creating another 1.25 million jobs, to generate pay increases, according to The Sydney Morning Herald and The Age Scope survey of 19 of Australia's leading economists.
The RBA has cut interest rates to a historic low of one per cent.
AMP Capital's Shane Oliver said wages growth will pick up again to decent levels one day, but the economy probably needed to get unemployment and underemployment a lot lower.
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Larger super balances hit by high administration fees

By John Collett
August 4, 2019 — 12.02am
People with higher superannuation balances who are invested in one of their super funds' "choice" options could be paying thousands of dollars a year extra in administration fees, with some funds charging fees as a percentage of account balances that are particularly high.
Fund members who have built up a substantial balance and those in retirement, many of whom are in the choice environment as they have selected a lower-risk investment option, stand to lose the most from outsized percentage-based fees.
Figures compiled for choice options by SuperRatings show while some not-for-profit funds charge administration fees that can be as low as a couple of hundreds of dollars on a super account balance of $450,000, retail funds, including those run by major banks and insurers, are charging up to 10 times that amount.
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Royal Commissions And The Like.

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Government ramps up banking royal commission response

Phillip Coorey Political Editor
Jul 30, 2019 — 12.00am
The Morrison government will accelerate its response to the Hayne royal commission on Tuesday by releasing draft legislation to protect consumers against unfair insurance contracts, and introducing into Parliament a bill to enact at least one other recommendation.
After stating previously that the legislative process would not be rushed and would begin later this year,  legislation for at least one recommendation will be tabled in Parliament with the view to passing it through the House of Representatives before the end of the week.
Cabinet was set to sign off on the legislation on Monday night and it will be put to the Coalition party room on Tuesday.
Treasurer Josh Frydenberg will also release today a draft bill that will extend unfair contracts terms to insurance contracts.
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Big four under siege

James Frost Financial Services Writer
Jul 29, 2019 — 5.51pm
The big four banks are being attacked on all sides with smaller rivals and global giants all seeking to chip away at the cosy and profitable oligopoly that has existed in Australia for decades.
While smaller lenders are stealing a march on the bigger banks by being nimble and more responsive, international banks are undercutting them with cheaper wholesale funding.
The most recent sign of heightened competition comes from a study of more than 2000 mortgages  which shows challenger banks are offering bigger discounts and approving loans more quickly than the big four.
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Carer of dementia sufferer had no support

Family carers have shared their stories with the aged care royal commission, highlighting a lack of support and respite services.
Megan Neil
Australian Associated Press July 29, 2019 6:07pm
Exhausted and devastated after another failed attempt at short-term respite care for her husband with dementia, Rosemary Cameron felt utterly alone.
Staff at the aged care facility had threatened to call police unless she collected him, saying he was "out of control".
Ms Cameron found him with blood on his clothes from a gash on his hand, sitting at the breakfast table with other residents.
She was told nothing but to pack his things and leave.
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Grandfathered commissions face the chop

John Kehoe Senior Writer
Jul 30, 2019 — 5.28pm
Treasurer Josh Frydenberg is fast-tracking legislation to end the payment of "grandfathered" commissions to financial advisers by 2021, rejecting Labor's claims the government was dragging the chain on implementing the banking royal commission's recommendations.
Mr Frydenberg said the government was "going further" by forcing rebates to be paid to clients for conflicted remuneration from January 2021 onwards – a move supported by financial planners but criticised by industry superannuation funds as a "back door" for commissions.
A ban on grandfathered commissions would bring all existing financial advice contracts in line with the 2013 ban on commissions under the Future of Financial Advice reforms.
The Future of Financial Advice laws banned billions of dollars in up-front and trailing commissions, but a watering down allowed pre-2013 arrangements to continue under a "grandfathering" arrangement.
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Life industry under siege

AMP is a microcosm of what can happen when an entire sector of the financial services industry is hit with a triple whammy of negative forces.
Aug 1, 2019 — 12.00am
Australia’s life insurance industry is at one of those rare inflection points that could easily bamboozle the most accomplished chief executive and destroy billions of dollars in shareholder value.
The company at the centre of this is AMP, which is in the throes of trying to rescue the $3.3 billion sale of its life business to Clive Cowdery, the founder of Resolution Life.
Cowdery would not discuss the AMP Life sale on Wednesday when Chanticleer caught up with him over lunch. But you can rest assured he will not be paying top dollar for an asset that is worth $700 million less than when he first agreed to buy it a year ago.
That is clear from his past experience. The most he has ever paid for a book of in-force business is 90 per cent of embedded value. If that happens with AMP Life then the price is coming down by at least $1 billion.
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Henry admitted NAB was still selling rip-offs while royal commission raged

By Adele Ferguson
August 1, 2019 — 7.22pm
National Australia Bank chairman Ken Henry privately told consultants in the midst of the Hayne royal commission he was “confident” the bank was selling products that ripped off its customers and would eventually trigger compensation.
In revelations that have immediately sparked calls for a parliamentary inquiry into the relationship between the big banks and the nation’s largest accounting firms, Dr Henry and dozens of other executives last year told NAB’s auditors EY about serious shortcomings in its risk management.
NAB chairman chairman Dr Ken Henry is questioned about executives’ bonuses during the banking royal commission.
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National Budget Issues.

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The RBA's new policy tool is having a big impact

In signalling rates will be lower for longer RBA governor Phil Lowe has turned to the next phase of extreme monetary policy, known as 'forward guidance'.
Patrick Commins Columnist
Jul 29, 2019 — 4.31pm
Last week's speech by the Reserve Bank governor is likely to go down as a landmark event for bond markets.
RBA boss Philip Lowe flagged Australians should "expect an extended period of low interest rates", as he forcefully defended the bank's inflation targeting regime.
The chatter among financial economists turned to whether this constituted "forward guidance", a tool used by the likes of American, European and Japanese central banks as a way to bolster the effectiveness of monetary policymaking as rates approached zero.
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Aussies no better off since GFC: household incomes stagnant for past decade

  • 12:00AM July 30, 2019
Living standards have stagnated since the global financial crisis, ­according to a major national survey­ that finds poverty is on the rise and compulsory superannuation has failed to reduce depend­ence on the age pension.
In figures likely to reignite debat­e on the impact of bracket creep, the typical household’s ­income, after tax, dropped $500 to just more than $80,000 in 2017, compared with a year earlier.
“Over the eight-year period from 2009 to 2017, average household income grew by only $3156, or 3.5 per cent, while the median in 2017 was $542 lower than 2009,” the report, which has tracked the circumstances of more than 17,500 Australians since 2001, finds.
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Household income goes backwards

David Marin-Guzman Workplace correspondent
Jul 30, 2019 — 12.14am
Household incomes are stagnating after years of weak growth and are now worth less than they were a decade ago.
Roger Wilkins, of the University of Melbourne, says household incomes have not moved since 2012. Supplied
The latest Household, Income and Labour Dynamics Australia survey revealed the median household income in 2017 was $80,095, $542 less than 2009 adjusted for inflation.
Average household incomes grew but by just 3.5 per cent, or $3156, over the entire eight-year period to $93,734.
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Proposal to scale back super would cost workers thousands

By David Crowe and Shane Wright
July 29, 2019 — 11.45pm
Workers would lose $1000 a year under a divisive proposal to scale back compulsory superannuation, according to new findings that escalate a policy clash over the best way to save for retirement.
From July 1, 2019 there will be major changes to superannuation aimed at lowering insurance fees.
The analysis shows workers on lower incomes will end up paying more tax and saving less money if they drop out of super in the way put forward by a determined group within the government party room.
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Property sales tumble leading to prediction of '100,000 job losses'

By Shane Wright
July 30, 2019 — 2.15pm
The economy and jobs market is facing a testing few months with fresh evidence the residential construction sector is still struggling, with warnings 100,000 construction workers could lose their jobs.
The Australian Bureau of Statistics on Tuesday reported a 1.2 per cent drop in building approvals across the country last month, led by a 5.4 per cent fall in NSW.
While there was a small lift in approvals for houses, up by 0.4 per cent in June to be down by 14.8 per cent over the past 12 months, approvals of units and apartments slumped 6.5 per cent in the month.
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Building approvals slump to six-year low

Michael Bleby Senior Reporter
Jul 30, 2019 — 11.59am
New housing approvals slumped to a six-year low in the year to June as tighter curbs on lending and falling prices hit development activity and prompted economists to warn of risks to the wider economy and jobs from a sector that was likely to keep shrinking.
Total approvals dropped one-fifth to 187,515 in the financial 2019 year, nearly one-fifth below the 232,915 total a year earlier, as approvals of both attached homes - apartments, townhouses and semi-detached dwellings - and of standalone houses also fell to a six-year low.
"The annual rates of change in building approvals still look ugly"
— JP Morgan economist Ben Jarman
Attached dwellings dropped 30 per cent in total from 2018 to 76,584 in seasonally adjusted terms. But the biggest retreat came in high-rise apartments - units in a building of four storeys or more - which sank more than 37 per cent year-on-year - the fastest rate of annual decline in 22 years -  to 41,715.
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Health Issues.

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'What makes a father?': the sperm donor who asked the courts to answer this question tells his story

It was a landmark legal ruling with potentially dramatic ramifications for sperm donors, and the women who use them to have children. The man behind this case tells why he took his battle to the High Court.
By Greg Callaghan
July 28, 2019
The school pick-up on that bright, sticky February afternoon in 2014 began like so many others before it, with no hint it would be the prologue to a chain of events that would reverberate through Robert Masson's* life and far beyond. Events that would over the next five years entangle some of the sharpest legal minds in the country, cost Robert more than $1 million in legal fees, draw the intervention of the federal Attorney-General, Christian Porter, and crest in a landmark High Court ruling that would flash across TV news bulletins in the US, the UK and Australia.
Behind the headlines around Robert's fight for paternity ("High Court Rules Sperm Donor Is Father") would quietly hover a single question:
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Health insurance: Death spiral or minor headwind?

Jul 29, 2019 — 12.00am
You would think the Grattan Institute's alarming declaration earlier this month that the private health insurance (PHI) industry is in a "death spiral" would be ringing in the ears of investors.
But the opposite appears to be true. Medibank and NIB, Australia's two largest ASX-listed PHIs, are enjoying record share prices. And according to industry research house IBISWorld, the industry is on track to see revenues and profits grow over the next five years. So what is going on?
The statistics are clear: Australians are abandoning private health insurance in alarming numbers. The Australian Prudential Regulation Authority's latest figures show the total percentage of people with health insurance at the end of 2018 fell by 1 percentage point year-on-year to 44.6 per cent, its lowest level since 2006. That was a continuation of a four-year trend.
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'It can kill, it nearly did': researchers uncover clue to deadly flu in healthy people

By Rachel Clun
July 31, 2019 — 7.05pm
Despite being a fit and healthy 32-year-old, Amanda Nix said she is lucky a bout of influenza did not kill her.
“I generally don't get sick very often at all,” she said. “I’m still in shock actually, I had no idea it could happen like that to someone like me.”
Associate Professor Benjamin Tang, an intensive care specialist at Nepean Hospital, has spent the past 10 years researching why some otherwise healthy people develop severe complications when they get influenza.
His latest research, published on Wednesday in Nature Communications, has found a particular immune cell could be to blame.
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Wealthy live eight years longer than remote children

  • 12:00AM August 2, 2019
Children born in affluent and well-serviced city suburbs could expect to live three years longer than the national average, while kids in remote communities might end up dying five years earlier, according to the Australian Institute of Health and Welfare.
At its most extreme, this ­regional life expectancy gap is 8.1 years, ranging from 85.9 years in North Sydney to 77.6 years in the Northern Territory, based on areas defined by primary health networks of doctors.
The institute, in a report ­released today, has distributed life expectancy for those born between 2015 and 2017. Its findings shed new light on the underlying variations behind the headline national life expectancy of 82.5 years, or 80.5 years for males and 84.6 years for ­females, which ranks among the best in the world.
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How to avoid financial stress when moving to aged care

Bina Brown Columnist
Aug 1, 2019 — 11.09am
Harrowing personal stories of neglect and terrible food have so far been a big focus of the royal commission into aged care quality and safety. But in a system riddled with inconsistencies, the stress of the journey into aged care can start well before someone even walks in the door.
For example, the Centrelink "calculation of your cost of care" or "income and assets assessment" is necessary to work out your contribution towards residential care. A request for information from Centrelink on behalf of an elderly parent who is in hospital and suffering dementia is a potential minefield.
Information on a father’s superannuation was sought by a son, who has enduring power of attorney to act on behalf of his father. The same superannuation information is sent biannually to account holders. However, as part of its information gathering, Centrelink requires it in a different format.
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Blood test to detect Alzheimer’s disease

  • By Tom Whipple
  • The Times
  • 2:10AM August 3, 2019
A simple blood test that can detect the onset of Alzheimer’s has been developed by scientists in a breakthrough for combating the disease.
The test could speed up diagnosis in GP surgeries and boost the development of drugs to tackle the condition. At present there is no effective treatment.
The illness affects more than 400,000 Australians, a number estimated to reach 1 million by 2050 as the population ages.
Researchers showed that the test had more than 90 per cent accuracy in spotting toxic proteins in the brain that can be an early indication of the disease. This could enable doctors to identify the illness before memory loss or mental decline.
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Doctors' rights to object to abortion should be protected

By Joanna Howe and Suzanne Le Mire
August 4, 2019 — 12.05am
All Australians should be concerned when a law forces other Australians to act in a way that they believe is gravely wrong.
Freedom of conscience is a foundational principle of a diverse, pluralist democracy
like Australia. It protects individuals who hold moral or religious views from
compulsion. Forcing doctors to refer for abortion – whether directly or indirectly –
undermines our hard-won and precious values of tolerance and freedom of belief
and religion.
This is why it is so concerning that the proposed NSW abortion laws force any doctor with a conscientious objection to abortion to refer patients to a doctor who will perform one.
Those who argue that forcing doctors to refer for abortion is merely about providing access to healthcare fail to understand that the act of referral is no trifling matter for a doctor who believes abortion involves taking an innocent life.
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Anti-vaxxers live in an online bubble this scientist wants to burst

By Liam Mannix
August 4, 2019 — 12.00am
Last month, Catherine Hughes opened her phone and began to compose a tweet.
“Our son Riley died from #whoopingcough before he was old enough to be vaccinated,” she wrote.
“Pregnancy vaccination (not available to us at the time) could have saved his life. Please RT to raise awareness about the importance of #pregnancy vaccination!”
It was a powerful message. Ms Hughes’s tweet got 684 retweets. She felt like she was making a difference.
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International Issues.

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White House currency row sends a clear message to Jerome Powell

Jacob Greber United States Correspondent
Jul 28, 2019 — 11.30am
Washington | We’re headed through the looking glass folks.
Let this sink in: Donald Trump and his top White House officials held a tension-inducing debate last week in which they seriously discussed manipulating global currency markets to drive down the US dollar.
Two things leap out about this.
The first is how disruptive and unconventional this is, even if it doesn’t seem that way because everyone has become numb to the disruptive and unconventional ways of this President.
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Why Boris Johnson must succeed

Love or loathe Boris and Brexit, the consequences of both of them failing would flow far beyond the British Isles.
Bret Stephens
Jul 26, 2019 — 9.36am
Boris Johnson has been Britain's prime minister for not quite a day, and the reviews are in. He's a disaster! A fraud! A Trumpy toff and shameless showman whose ego is inversely correlated to his merit and whose tenure of office won't just be bad for the United Kingdom, but very possibly the death of it.
Johnson might be half-inclined to agree. As he once said of himself: "You can't rule out the possibility that beneath the elaborately constructed veneer of a blithering idiot, there lurks a blithering idiot."
I've always had a vague distaste for Johnson, based mainly on his history as a journalistic fabulist, as well as the unflattering testimony of friends who've dealt with him personally. Also, I opposed Brexit, which Johnson recklessly championed in 2016 and which he now promises to see through, one way or another, by the end of October.
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Boris Johnson's first few days as PM: seductive with a hint of menace

Camilla Cavendish
Jul 28, 2019 — 3.46pm
Boris Johnson’s first few days as prime minister have been an onslaught of sunshine: seductive, yet with a hint of menace. His shock-and-awe cabinet reshuffle echoed Margaret Thatcher’s 1981 purge of the “wets”. Back then, she asked, “Are you one of us?” Tory moderates now face the same question — with the sweetener that if they stick together, Mr Johnson argues, he can beat Jeremy Corbyn.
The UK now has a foreign secretary and home secretary more consistently hardline in their views on the EU than Mr Johnson has been. Those of us with misgivings about the coming death-dance worry that this is so clearly a government for the October 31 deadline. Yet it was right to shake up a stale cabinet. It is also logical to bring in ministers and advisers who will drive through the prime minister’s central priority. Mr Johnson knows how difficult it is to deliver in government — let alone at speed.
How will he operate? The prime minister’s power derives from four main sources. First, the power of patronage. Second, executive powers over defence and intelligence. Third, the ability to pass laws and command parliament, and finally the power of the bully pulpit — which even prime ministers with big majorities find they need. Tony Blair used a broadcast interview to outwit his chancellor and announce an increase in health spending; David Cameron used speeches to enforce a definition of Islamist extremism that his home secretary and her mandarins were resisting.
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Ireland warns hard brexit could break up the UK

Jul 28, 2019 — 3.16pm
Irish prime minister Leo Varadkar has warned that a hard Brexit could threaten the place of Northern Ireland and Scotland in the UK as Boris Johnson told EU leaders that Britain will leave the bloc without a deal unless they drop the so-called Irish backstop.
In a highly unusual intervention on internal British politics, Mr Varadkar said that if there were a no-deal Brexit on October 31, “more and more people in Northern Ireland will come to question the union”.
He added: “One of the things that ironically could really undermine the union of the UK is a hard Brexit, both for Northern Ireland and for Scotland, and that is a problem they are going to have to face.”
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West must play it cool until Moscow’s love for China starts to fade

The Economist
  • 12:00AM July 29, 2019
It is the love triangle of global politics. Since World War II, China, Russia and the US have repeatedly swapped partners. The collapse of the Sino-Soviet pact after the death of Joseph Stalin was followed by Richard Nixon’s visit to China in 1972 and Mikhail Gorbachev’s detente with China 30 years ago. Today’s pairing, between Vladimir Putin and Xi Jinping, was cemented in 2014 after Russia annexed Crimea. In each case the country that was left on its own has always seemed to pay a price, by being stretched militarily and diplomatically.
This time is different. Though the US is out in the cold, the price is falling chiefly on Russia. China dominates every aspect of the two countries’ partnership. Its economy is six times larger and its power is growing, even as Russia’s fades. What seemed a brilliant way for Putin to turn his back on the West and magnify Russia’s influence is looking like a trap that his country will find hard to escape. Far from being an equal partner, Russia is evolving into a Chinese tributary.
That may seem a harsh judgment. Russia is still a nuclear-weapons state with a permanent seat on the UN Security Council. It has modernised its armed forces and, as in Syria, is not afraid to use them. Last week, Russian and Chinese warplanes conducted what appeared to be a joint air patrol for the first time, causing alarm when South Korea said a Russian plane had intruded into its airspace.
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Trump's top spy resigns after clashing on Iran, North Korea

Zeke Miller and Eric Tucker
Jul 29, 2019 — 8.23am
Washington | Director of National Intelligence Dan Coats is leaving his job next month, ending a two-year tenure marked by President Donald Trump's clashes with intelligence officials.
Trump announced the departure on August 15 in a tweet that thanked Coats for his service. He said he would nominate Representative John Ratcliffe of Texas to the post and name an acting official in the coming days. Ratcliffe is a frequent Trump defender who fiercely questioned former special counsel Robert Mueller last week during a House Judiciary Committee hearing.
Coats often appeared out of step with Trump and disclosed to prosecutors how he was urged by the president to publicly deny any link between Russia and the Trump campaign. The frayed relationship reflected broader divisions between the president and the government's intelligence agencies.
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The home of ultra-low rates has a warning for the world

By Min Jeong Lee and Masaki Kondo
July 30, 2019 — 8.31am
As the world sinks into an era of ever-lower interest rates and a chasm of negative-yielding bonds, Japan's experience offers investors an invaluable precedent.
It's two decades since the nation pioneered zero rates and more than six years into central bank chief Haruhiko Kuroda's record stimulus. The money managers who've witnessed it all provide unique insights into strategies to survive such a regime.
One legacy of Japan's ultra-low interest-rate regime is that it has spurred massive investment into overseas assets. But even more telling is the extremes that Japanese investors have gone to in the hunt for yield. They've pushed deeper into stocks and real estate, amassed bonds from Europe's periphery to emerging markets, and loaded up on opaque securities that bundle together hundreds of loans.
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Boris Johnson's Brexit strategy is 'doomed to fail', says Scottish leader

By Nick Miller
July 30, 2019 — 6.19am
British Prime Minister Boris Johnson has insisted he is “very confident” he can strike a fresh Brexit deal with Brussels before the end of October, as he spent a day north of Hadrian’s Wall trying to quell a potential Brexit rebellion.
Johnson headed to Scotland on Monday as a new report from a respected Whitehall think tank predicted the Union would come under “unprecedented pressure” in the months following a no-deal Brexit.
The Institute for Government report anticipated a fresh, heightened campaign for Scottish independence in 2020.
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Hong Kong is a flashpoint in the new cold war

Gideon Rachman Columnist
Updated Jul 30, 2019 — 10.24am, first published at 10.20am
Hong Kong has played a central role in the two great stories of our era — the rise of China and the globalisation of the world economy. More than 30 years ago, China’s emergence as the workshop of the world began just across the border from Hong Kong, powered by the territory’s money, expertise and international connections.
Today, Hong Kong continues to serve as a crucial gateway between China and the West.
But the world is now entering a post-globalisation era characterised by populist unrest and rising tensions between the US and China. And once again Hong Kong is central to the story.
For almost two months, the territory of 7.4 million people has been hit by a wave of demonstrations. This began as a protest against a proposal to allow suspects to be extradited to mainland China. But it has now spiralled into broader complaints against police violence and demands for fully democratic elections.
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An emboldened Donald Trump's guardrails fall away

By Jonathan Lemire and Zeke Miller
July 30, 2019 — 12.59pm
Washington: An unrepentant President Donald Trump has been testing the limits of the nation's tolerance from the day he took office. Now he has cast off one of the few remaining voices trying to curtail his at times mercurial impulses.
Trump nudged out national intelligence director Dan Coats, a rare cautionary influence in his foreign policy apparatus, while he escalated his attacks on minority members of Congress and went so far as to call a majority-black US city of 600,000 a "disgusting, rat and rodent infested mess" on Twitter. Both moves underscored Trump's longstanding belief that he is his own best political strategist.
The president's volatile management style has shocked the nation before. But the drumbeat of provocation emanating from the White House has grown undeniably louder in recent months. Trump aides such as economic adviser Gary Cohn, who blocked impulsive actions by going so far as to remove rogue paperwork from the Resolute Desk, are gone.
The president has rid himself of many of the aides who once challenged him, either by attrition or replacement, and in doing so illustrated his preference for loyalty over know-how. He's inflamed racial tensions, betting that such divisions will help ease his path to victory in 2020. And he's replaced gut instinct and tweets for the sober analysis of professionals on matters of war and peace.
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North Korea again fires projectiles offshore, South Korea says

Eric Beech and Davdi Brunnstrom
Jul 31, 2019 — 7.56am
Seoul | North Korea fired multiple unidentified projectiles early on Wednesday, less than a week after firing two new short-range ballistic missiles, the South Korean military's Joint Chiefs of Staff (JCS) said.
The latest launches were from the Hodo peninsula on North Korea's east coast, the same area from where last week's were conducted, the JCS said in a statement. It said it was monitoring the situation in case of additional launches and maintaining a readiness posture.
North Korea test-fired two new short-range ballistic missiles on July 25, its first missile tests since President Donald Trump and North Korean dictator Kim Jong-un met in late June and agreed to revive stalled denuclearisation talks.
The White House, the Pentagon and the US State Department did not immediately respond to requests for comment.
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Irish PM clashes with Boris Johnson, intent on no-deal Brexit

Siobhán O'Grady
Jul 31, 2019 — 7.48am
Dublin | In his first address to lawmakers as the newly appointed prime minister of Britain last week, Boris Johnson made one thing clear: He does not support the idea of an Irish backstop, a measure that would maintain a soft border between Ireland and Northern Ireland, as part of the Brexit deal.
"No country that values its independence and indeed its self-respect could agree to a treaty which signed away our economic independence and self-government as this backstop does," Johnson said.
"If an agreement is to be reached, it must be clearly understood that the way to the deal goes by way of the abolition of the backstop."
The comments provoked disbelief in Ireland and elsewhere in the European Union, where leaders see maintaining the backstop as nonnegotiable.
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Fed cuts interest rates for first time since GFC

Jacob Greber United States Correspondent
Updated Aug 1, 2019 — 8.04am, first published at 4.07am
Washington | The US Federal Reserve has cut its official cash rate for the first time since 2008, citing mounting concerns about the global economy and trade disputes, but it left investors on tenterhooks over whether there would be follow-up reductions.
After a sustained period of demands by President Donald Trump for looser monetary policy, the central bank delivered one of the most divisive decisions in its recent history by lowering the benchmark rate by 0.25 of a percentage point to a range of 2 per cent to 2.25 per cent.
It's an "insurance" cut, according to Jerome Powell. Bloomberg
There were two dissenting members of the policy board who voted for no change.
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Powell in knots trying to explain the inexplicable

Jacob Greber United States Correspondent
Aug 1, 2019 — 9.24am
Washington | Well that didn't really go according plan.
When Jerome Powell took over as Fed chairman early last year, he was lauded for bringing a refreshing style to the central bank's communications. It was noted for its openness and clarity.
The US Federal Reserve delivers its first rate cut in over a decade, but Fed Chief Jerome Powell declined whether to say the cut is one and done or if there are more cuts to come.
After Wednesday's press conference, some of that gloss has worn off.
The reason? Powell had to justify a rate cut that by its very nature defies open and clear explanation.
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Markets reconsider the 'Fed Put' after underwhelming cut

Jonathan Shapiro Senior Reporter
Aug 1, 2019 — 9.29am
The US share market was clearly underwhelmed with Federal Reserve’s 25 basis point reduction in policy rates, its justification that it was a mid-cycle adjustment and the lack of assurance that this was the first of more to come.
The Dow Jones took a 300 point plunge the US dollar rose to near three-year highs while credit spreads widened – effectively tightening financial conditions.
The Fed is not prepared to give the market its full assurance that it has its back. Bloomberg
But the Fed’s stance and the market’s reaction is a reminder of the conundrum long term investors face in a world where "good is bad and bad is good."
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Boris envoy heads to Brussels with a 'We're out of here' message

Jill Lawless and Elizabeth Piper
Aug 1, 2019 — 8.36am
London | Prime Minister Boris Johnson's Europe adviser travelled to Brussels to pass on his message that the country is going to leave the European Union on Oct. 31 "whatever the circumstances", a government spokesman said.
David Frost was having introductory meetings on Wednesday (Thursday AEST) with key officials and to relay the Johnson's message in person that "the UK is leaving the EU on Oct. 31 whatever the circumstances", the spokesman said.
"We will work energetically for a deal but the backstop must be abolished. If we are not able to reach an agreement then we will of course have to leave the EU without a deal," the spokesman said.
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Confusion reigns as the Fed cuts rates for the first time in a decade

Stephen Bartholomeusz
Senior business columnist
August 1, 2019 — 10.50am
Jerome Powell seemed confused in discussing the US Federal Reserve Board’s first rate cut in more than a decade. Financial markets were confused, too - and disappointed.
The markets expected the cut, but also anticipated that it would be the first of several more to come, rather than a one-off.
After all, why would the Fed cut rates – and end its balance sheet shrinkage program two months ahead of schedule – unless it was in response to a material threat to US economic growth that required a cycle of rate cuts, not what has been described as an "insurance" cut?
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Welcome to the latest round of global currency wars

It's the competition no self-respecting central banker wants, but which not one feels is avoidable. Welcome to the latest round in the global currency wars.
Karen Maley Columnist
Aug 1, 2019 — 12.45pm
US Federal Reserve bank chairman Jerome Powell faced a devilishly tricky decision on Thursday.
He could either gratify financial markets and appease President Donald Trump with an aggressive half-percentage-point cut in US interest rates and an indication that further monetary easing lay ahead.
Or he could try to ease tensions in the global currency war by opting for a more modest quarter-percentage-point rate cut, and dampen investor hopes for future rate cuts.
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South Korea warns Japan trade move could hurt security ties

Isabel Reynolds and Jihye Lee
Aug 1, 2019 — 4.33pm
Tokyo/Seoul | Japan's plan to remove South Korea from a list of trusted export destinations would have a grave impact that could hurt security ties between the two US allies, Seoul's top diplomat said.
South Korean Foreign Minister Kang Kyung-wha spoke on Thursday after meeting her Japanese counterpart Taro Kono for their first face-to-face talks since Tokyo announced last month it was tightening monitoring of exports of three specialty materials vital to its Asian neighbour's technology sector.
Japan also soon plans to introduce stricter checks on a far wider range of exports.
"We cannot help but see this as affecting the framework of security cooperation between South Korea and Japan," Kang told reporters in Bangkok after the meeting on the sidelines of a regional forum. Kono told Kang he wanted South Korea to change its stance on a separate dispute over compensation for conscripted Korean labourers during the colonial period, Kyodo News reported.
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Trump slaps 10pc tariff on $US300b of Chinese goods

Paul Wiseman and Kevin Freking
Aug 2, 2019 — 4.17am
Washington |President Donald Trump has intensified pressure on China to reach a trade deal by saying he will impose 10 per cent tariffs Sept. 1 on the remaining $US300 billion ($441 billion) in Chinese imports he hasn't already taxed. The move immediately sent stock prices sinking.
The president has already imposed 25 per cent tariffs on $US250 billion in Chinese products, and Beijing has retaliated by taxing $US110 billion in US goods.
US consumers are likely to feel the pain if Trump proceeds with the new tariffs. Trump's earlier tariffs had been designed to minimize the impact on ordinary Americans by focusing on industrial goods. The new tariffs will hit a vast range of consumer products from cellphones to silk scarves.
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Former Trump adviser Gary Cohn says trade war hurting US economy

Aug 2, 2019 — 1.06am
Washington DC | The White House's trade war with China is hurting the US economy, President Donald Trump's former top economic adviser said.
Gary Cohn, who left the administration last year amid an internal clash over Mr Trump's protectionist trade policies, told the BBC in a video that the trade battle was having a "dramatic impact" on American manufacturing and that it offered a "convenient excuse" for China to slow down its economy. Mr Cohn said the Chinese economy "is driven by credit and credit availability," which is determined by the central government.
"They can turn credit on and they can turn credit off," Mr Cohn said. "They needed to slow down an overheated economy where prices and real estate prices and everything were getting out of hand. I think President Trump provided that excuse for the Chinese."
A former president of Goldman Sachs, Mr Cohn spent much of his time as director of the National Economic Council pushing back against Mr Trump on global trade and his influence gradually eroded. Mr Cohn embraced economic internationalism, while Mr Trump, who planned to impose tariffs on steel and aluminum imports at the time of Mr Cohn's departure, doubled down on economic nationalism.
Since leaving the White House, Mr Cohn hasn't been shy about criticising Mr Trump's policies. In January, he called the partial government shutdown "completely wrong" and said he was "confused as to what the White House's strategy is on this."
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Trump, the Fed and the case for investing in gold

Patrick Commins  Columnist
Aug 2, 2019 — 3.42pm
It was 1:26pm, Thursday, on a New York afternoon when everything went suddenly sour.
It was then – in the wee hours of Friday morning in Australia – that the leader of the free world hit Twitter to launch his latest salvos in the US-China trade dispute: a 10 per cent tariff on the remaining around $US300 billion ($440 billion) of Chinese imports which have thus far escaped higher imposts.
Stocks on Wall Street flipped from a 1 per cent gain to a 1 per cent loss. Investors snapped up bonds, pushing the yield on 10-year US bonds way down to 1.88 per cent and the Aussie dollar below US68¢, its weakest since the GFC.
Donald Trump's latest round of tariffs could hit US consumers particularly hard.
In a series of four tweets Trump said this week's trade talks had been "constructive". Alas, China "agreed to buy agricultural products from the US in large quantities but did not do so".
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Trump charts course to chaos

Buckle up for a wild ride. A capricious and campaigning US president is in the mood for a currency war.
Jacob Greber United States Correspondent
Aug 2, 2019 — 9.55pm
Washington | It look fewer than 24 hours for Donald Trump to burn through any short-term benefit that might have been gained from Jay Powell’s inexplicable interest rate cut this week.
That must be some kind of record.
Stocks began on Thursday in positive territory with the Dow Jones enjoying a healthy 300-point rise.
For investors left shaken by the post Fed rate cut slump it looked like a reasonable start. After all few were convinced the move wasn’t really about assuaging a bellicose White House rather than sound monetary policy.
But as the day wore on and as investors began to relax into the asset-market soothing benefits of Powell’s “mid-cycle adjustment”, Trump did a belly flop straight into the punchbowl.
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Does America want to be Number One?

Washington could easily decide that it neither longer wants nor needs to be the leading power in the Asia-Pacific region.
Sam Roggeveen
Aug 2, 2019 — 3.48pm
When Foreign Minister Marise Payne and Defence Minister Linda Reynolds face their American counterparts at the annual AUSMIN ministerial talks this weekend, they should look Mike Pompeo and Mark Esper in the eyes for clues that will help them answer one core question about our great ally: how badly does America want this?
With the notable exception of the President himself, America’s senior officials regularly proclaim America’s absolute commitment to Asia. We have even seen tangible evidence of it in recent weeks with reports of new investment in port facilities just outside Darwin that will reinforce the US Marine presence in northern Australia.
Yet all American assurances need to be tested against the "how badly do you want this?" question.
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'Security trumps prosperity': Australia will choose US over China

'If you take the long view, Australia has never been able to sit on the fence when there was a threat in East Asia.'
Lisa Murray Senior writer
Aug 2, 2019 — 10.32am
One of America's most provocative thinkers on geopolitics is going to deliver a strong message for Australia next week – one that some policymakers and business executives might not want to hear.
Influential realist academic John Mearsheimer – author of five books and a professor at the University of Chicago – says Australia will have no choice but to ultimately align with the United States over China.
Both the national security establishment and the high tech community are interested in working overtime to contain China.
— John Mearsheimer
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Australia ramps up pressure on China with backing of US and Japan

By Bevan Shields
August 2, 2019 — 11.59pm
The Morrison government has joined with the United States and Japan to issue a pointed condemnation of China's increasingly aggressive behaviour in waters to Australia's north.
As Australia reportedly considers a request by Washington to contribute military assets to an international effort to protect oil tankers from attacks by Iranian forces, Foreign Minister Marise Payne, US Secretary of State Mike Pompeo and Japan Foreign Minister Taro Kono ramped up pressure on China over its military build-up in South East Asia.
The ministers expressed "serious concern" over "credible reports of disruptive activities in relation to long-standing oil and gas projects" in the South China Sea - a coded reference to Chinese vessels harassing Vietnamese ships trying to access key oil rigs.
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China signals US trade war could undermine North Korea talks

By David Wainer
August 3, 2019 — 11.11am
New York: China's ambassador to the United Nations signalled that an escalating trade war with the US could undermine efforts to reach one of President Donald Trump's top foreign policy priorities: a nuclear deal with North Korea.
"We should also remind ourselves that if we want to cooperate, we have to demonstrate to your partner the spirit of cooperation," Ambassador Zhang Jun, who arrived in New York less than a week ago, told reporters at the UN on Friday.
"It will be hard to imagine that on the one hand you're seeking the cooperation from your partner but on the other hand you're hurting the interest of your partner.''
The comments came a day after Trump abruptly announced that he will impose a 10 per cent tariff on a further $US300 billion ($441 billion) in Chinese imports starting September 1. That followed a shortened visit to Beijing by US trade negotiators, with the two sides agreeing to meet again in September.
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Fed rate cut dissenters speak out

Steve Matthews
Aug 3, 2019 — 10.29am
Atlanta | Two Federal Reserve regional bank presidents said they dissented against cutting interest rates this week because US economic data remain solid and risks from a global slowdown and trade tensions hadn't yet altered that outlook.
Federal Reserve Bank of Boston President Eric Rosengren said Friday the case for cutting interest rates had not been "compelling" at the July 30-31 meeting. Kansas City Fed chief Esther George said no change was needed "with moderate growth, record low unemployment, and a benign inflation outlook,'' though she acknowledged risks from trade uncertainty.
"Should incoming data point to a weakening economy, I would be prepared to adjust policy," she said in a statement.
Mr Rosengren didn't mention the trade tensions in his statement issued earlier on Friday that also highlighted financial stability concerns "given near-record equity prices and corporate leverage."
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'Far more than a trade war': Obama's Asia adviser sounds ominous warning to Australia on China

By Michael Koziol
August 3, 2019 — 11.45pm
Former president Barack Obama's top adviser on east Asia and the Pacific says Australia should "link arms" with the US to form a united front against China's economic "sins" and combat the increasingly serious damage wrought by the rising power's bad behaviour.
But he also warned against using tariffs to compel China to act more fairly, arguing Donald Trump's efforts had failed to achieve their objectives and instead started a "dangerous downward spiral in the US-China relationship" that was "far more than a trade war".
Daniel Russel - Mr Obama's assistant secretary of state for east Asian and Pacific affairs - sounded the ominous note in an interview with The Sun-Herald and The Sunday Age ahead of US secretary of state Mike Pompeo's arrival for talks with Foreign Minister Marise Payne on Sunday.
It was in Australia's long-term interests to stand shoulder-to-shoulder with the US against "the unfair and predatory economic and commercial practices that we have seen for so long by the Chinese", such as intellectual property theft and lack of reciprocity in trade, he said.
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I look forward to comments on all this!
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David.

I Get The Feeling The New Quality Assurance PIP May Not Have Been Properly Thought Through.

This appeared last week:

'Unacceptable risks': GPs raise concerns over tomorrow's major PIP revamp

They warn that the privacy of patient data extracted from practice software may be at risk
31st July 2019
A group of GPs have written an open letter urging caution on tomorrow’s multimillion-dollar revamp of the Practice Incentives Program, claiming there are not enough safeguards for patient data.
From 1 August, practices will be able to sign up to the PIP quality improvement (QI) incentive, which pays GP clinics to collect patient data and send it to primary health networks.
The scheme will see practices receive $5 per standardised whole patient equivalent (SWPE) per year in return for data on 10 'quality improvement measures', including patients’ smoking status and weight classification.
It will be worth up to $50,000 per practice taking part.
Primary health networks will take the de-identified information from practice computers using extraction software.
None of the data will be shared with the Department of Health, although the primary health networks will be tasked with telling the department which practices have submitted data.
The government has set rules for the primary health networks governing all other uses of the information, including a ban on selling the data to commercial entities.

But a group of GPs, led by former AMA president Dr Mukesh Haikerwal, say the department’s rules do not go far enough to protect the information, placing patients’ privacy at risk and exposing doctors to medicolegal challenges.
“The proposed use of intermediary organisations (primary health networks) and commercial extraction vendors introduces significant risk and complexity regarding data governance, privacy and confidentiality,” they wrote.
“In our view, these risks are unacceptable.”
Those issues could only be solved by creating a single national data repository and creating mechanisms to allow patients to opt-out of the initiative. 
Dr Haikerwal said the letter would be sent on Wednesday to the RACGP, AMA, RDAA and ACRRM, along with medical defence organisations and the association of practice managers to raise awareness of the issues around the scheme.
The authors of the letter also included Dr Rob Hosking, RACGP's chair of the practice technology and management expert committee; Dr Karen Price, the college's Victorian faculty deputy chair; and GPs with an interest in ehealth, Dr Trina Gregory, Dr Nathan Pinskier and Dr Oliver Frank.
There is a lot more here:
There is also RACGP commentary here:

GPs urged to show caution when joining PIP QI

The Federal Government program will inject $200 million into primary care, but what do practice owners need to be aware of before signing up?
02 Aug 2019
The Practice Incentive Program Quality Improvement (PIP QI) Incentive requires accredited general practices to share de-identified, aggregated data with local Primary Health Networks (PHNs) and participate in quality improvement activities.

In return, practices will receive financial remuneration, as well as information to help review and improve performance. It has also been designed to allow GPs to have a greater role in managing the health of their whole practice population.

Recently released guidelines finalised many details surrounding eligibility requirements and data sharing expectations for the twice-delayed program, but GPs and practices are still being urged to fully consider the arrangements before signing up.

In particular, Dr Rob Hosking, Chair of the RACGP Expert Committee – Practice Technology and Management (REC–PTM), told newsGP practice owners need to ensure appropriate data governance and risk management is followed.

‘The current model of data going to the PHN is more than is required for the PIP QI and yet some GPs are being told they have to provide all of it to receive the incentive, which is not correct,’ he said.

‘Under the rules of the PIP QI, GPs only have to provide 10 data elements. To complicate things further, issues remain with some of the main extraction tools, which seem to be unable to extract the 10 data elements only.

‘If in doubt, it’s probably best to wait at this point in time. We have until at least mid-October to sign up and provide data.’
……

More information on PIP QI can be found here. GPs with concerns around individual contracts or data collection arrangements are advised to contact their local PHN.


Here is the link:

https://www1.racgp.org.au/newsgp/professional/gps-urged-to-show-caution-when-joining-pip-qi 
Now those that are worried are not rabble rousing hot heads by any means and if they are jointly and severally concerned then they need to be listened to.
It is by no means clear to me just what patient information is going where and a clear graphic would surely help in this regard.
Despite the large amount of money on offer I reckon this is a time to hasten slowly and let others make the mistakes, and bear the consequences.
David.

Wednesday, August 07, 2019

I Really Think This Is Going Too Far In Terms Of Use Of PBS Data. What Do You Think?

This appeared last week:

Medicare data used to recruit people with bipolar for research

By Kate Aubusson
July 29, 2019 — 12.00am
A letter sent to almost 50,000 patients prescribed lithium inviting them to take part in a bipolar study has raised questions about how Medicare stores and uses private healthcare information.
UNSW psychiatrist Professor Gordon Parker first became aware of a study investigating the genetics of bipolar when a former patient sent him an angry email accusing him of breaching her privacy.
 “She was furious with me, believing that she was contacted by Medicare because I had blown her confidentiality,” he said.
But the letter had been sent by the Department of Health Services (DHS) on behalf of a research team at QIMR Berghofer Medical Research Institute inviting recipients to participate in a study exploring potential biomarkers for bipolar disorder.
“The [DHS] has sent you this letter because its records show that you may have been prescribed lithium at some time in the last five years,” the letter read.
Recipients were invited to complete an online questionnaire and, if eligible, supply a saliva sample from which the researchers would extract DNA.
The project could potentially be crucial for bipolar treatment and is reminiscent of the world-first study published last week in which an international team of researchers - including QIMR investigators - identified a number of genes linked to anorexia.
But the anorexia study's call for participants relied on a news and social media campaign.
Professor Parker said he was “gobsmacked and seriously concerned” by the recruitment method, which raised serious ethical questions.
“I had no idea [the DHS] kept such a database on people dispensed lithium, and I suspect many don’t know Medicare is holding this private, identifying data,” he said.
Fellow psychiatrist Professor Philip Boyce at the University of Sydney was also contacted by a handful of upset patients who mistakenly believed he had disclosed their private information without permission.
The letter stated in bold text that the DHS had not provided any identifying information about recipients to the researchers, and their information was protected by privacy and health legislation.
But several patients expressed anger at receiving a letter linking them to lithium and - by proxy - a psychiatric disorder they had not disclosed to anyone but their psychiatrist, GP and close family, Professor Boyce said.
Others were concerned that a housemate or their new partner could have opened the letter by mistake.
“For someone with a severe mental illness, it’s not exactly comforting to receive a letter like this,” Professor Boyce said. "It’s a fairly bold approach."
Maurice Blackburn medical negligence lawyer Tom Ballantyne said the case showed there should be greater clarity about what information is stored by government agencies and whether such recruitment methods are appropriate.
"Just because it's legal doesn't mean it's appropriate," he said.
“You can imagine that getting a letter like this could be quite confronting, and you would be very sympathetic to them,” he said, particularly in the context of recent health information data breaches, and the concerns around My Health Record.
Mr Ballantyne said the case highlighted a need for more rigorous informed consent and greater transparency from the government about the rules governing how health data is stored and used.
“But this would all need to be weighed against the really important potential benefits that can come from this type of research," he said.
The study’s lead researcher Professor Sarah Medland deeply apologised to recipients who were upset or uncomfortable about receiving the letter.
“We did not intend for there to be any upset or concern,” Professor Medland said.
More here:
There is some excellent commentary on the issue here from the Conversation.

No, it’s not OK for the government to use your prescription details to recruit you for a study

July 31, 2019 5.26pm AEST

Authors

Assistant Professor, School of Law, University of Canberra
Associate Professor of Law, Bond University
The department of human services (DHS) is under scrutiny this week after the Nine papers revealed the department sent letters to 50,000 patients who were previously prescribed lithium. DHS was seeking to recruit the recipients into a non-government study on bipolar disorder.
Psychiatrists raised concerns after receiving complaints from patients who had received the letters and accused their psychiatrists of breaching patient confidentiality.
The doctors didn’t breach confidentiality. Instead, DHS, which delivers social and health payments and services, including via Medicare, used data held by Medicare to contact patients who had previously been prescribed lithium on behalf of researchers from the QIMR Berghofer Medical Research Institute.
Patients were invited to complete an online survey, and potentially provide DNA samples, to identify genetic markers associated with bipolar disorder.
Research using big datasets is increasingly common. Big data, combined with genomics, is an extremely powerful research tool, offering tantalising opportunities to gain insight into major challenges to human health. It’s reliant on collection of data from many different individuals.
But in pursuing population-scale benefits, the risks to individual autonomy and privacy are easily overlooked – or worse, they’re disregarded.

Has the ethics framework been disregarded?

This week’s revelations highlight issues with the existing ethical and legal framework governing data access.
The National Health and Medical Research Council’s national statement governs the conduct of ethical research in Australia. It outlines the structure and approval process of human research ethics committees, and identifies issues that committees must consider when deciding whether to grant approval. That includes how researchers propose to recruit research participants.
Researchers often struggle to recruit sufficient participants to their research. Participants must agree to participate voluntarily, without coercion. For some research, recruitment may be particularly challenging. The requirements imposed on participants may be excessively onerous, inconvenient or just distasteful.

Why is DHS accessing this data?

Some people in the community are especially vulnerable to breaches of confidentiality and privacy due to social stigma. This might include people with a mental illness, sexually transmitted disease, criminal conviction or parenting order. Yet DHS may hold or access data on these vulnerable groups.
Datasets such as those overseen by DHS provide researchers with a goldmine of potential participants who can be approached more directly. In this case, they were approached by DHS itself on behalf of researchers. This decision to contact patients on behalf of the researchers is ethically and legally questionable.
While DHS does release statistical information from the various schemes it administers for research, DHS’s privacy policy states it will not release identifiable or identifying information for research unless the research has ethics committee approval, and the person consents. That restriction is fundamental to Australian privacy law and policy.
DHS hasn’t released identifiable patient data. Instead, it has used personal data collected through prescriptions to contact patients on behalf of a third party – in this case the researchers. Implicitly, its mail-out signals everyone on the list has a specific medical condition.
Problematically, DHS’s privacy policy does not indicate it will collect data for this purpose, or use collected data in this way.

It’s about respect, not convenience

Given the significance of privacy and the government’s supposed commitment to transparency, many questions remain unanswered:
Which committee granted ethics approval for the research? Did that committee have the necessary expertise in data access and privacy law to make that determination, as required under the national statement?
How did the researchers justify their choice of a recruitment strategy which necessarily compromises the reasonable expectations of patients about how, and for what purposes, their personal information will be used by DHS?
Did DHS advise the relevant ethics committee that it was an agent for the researchers? How did DHS decide to use data in this way? Who made that determination? What process did they rely on to reach that decision? Are they accountable?
Who funded the mail-out? Did DHS fund the printing and distribution of the letters from its own budget? Did the researchers pay them to do so? What effect does any commercial relationship between the researchers and the department have on the independence of the research?
Can other researchers expect comparable support from DHS in future? If not, how will DHS decide between research it deems to be of merit, and research it deems to be unworthy of its assistance? And is that its role?

DHS shouldn’t just give out your data

If DHS continues acting for researchers in this way, Australians with data contained in DHS data holdings could be inundated with requests to participate in research, resulting in disengagement and research fatigue.
DHS’s reported response when questioned by journalists was that people could opt-out of further mail-outs by emailing the department. That shifts the burden of good data governance onto consumers, rather than beneficiaries of it, for the sake of bureaucratic convenience.
The fundamental issue here is one of trust, coercion and consent. People providing their personal information to the government, to access government services including prescribed medications, are doing so through necessity, not choice. Failure to provide the information results in denial of access to the service.
For DHS to use the information provided in a way that is outside both the reasonable expectation of those providing it, and its own privacy policy, is deeply disrespectful.
Here is the link:
There is also some lively discussion pro and con on Croakey.

Debate over release of Medicare data continues *Edited to add statement from DHS*

Editor: Jennifer Doggett Author: Jennifer Doggett, Bruce Arnold, Wendy Bonython and Tweeters on: August 01, 2019
The debate over the use of Medicare data to recruit consumers for a study on bi-polar disorder continues with both consumers and experts expressing concern about the practice and calling for greater transparency from government in its management of personal health data.
In an article published in The Conversation, Bruce Baer Arnold, Assistant Professor, School of Law, University of Canberra and Wendy Bonython, Associate Professor of Law, Bond University, argued that the use of personal medical data to recruit study participants is both “ethically and legally questionable.”
Consumers have also come forward expressing their distress at receiving a letter from the government and argued that it could be particularly harmful for people in vulnerable situations, such as violent relationships.
However, there had also been support for the researchers and acknowledgement of the importance of supporting high quality studies into serious illnesses, such as bi-polar.
The Department of Human Services (DHS) has also released a statement to clarify its policy on the management of personal data and related privacy issues.
These views are summarised below.
Here is the link to the discussion:
Frankly I am inclined to agree with those who feel this whole episode has been a violation of the individual’s privacy and that recruitment should have been conducted in a different way.
I have no reason to believe the study and research is more than ethical and proper, but using data matching to identify and then mail potentially vulnerable citizens out of the blue seems a step to far and to pose unacceptable individual risk for some.
What is your perspective?
David.

This Session Really Deserves Some Publicity Given Where We Are With Digital Health Standards in Australia Right Now.

I spotted this a day or so ago.

Interoperability and Standards Update – Sunday 11th August – Melbourne

IHE Australia in partnership with HISA are offering our annual update on healthcare interoperability and standards on the weekend prior to the HIC conference.  If you live in Melbourne don’t miss it and if joining us in Melbourne for HIC this offers additional value. The day-long session will focus on electronic health communication and standardisation relevant to health providers, managers and the IT industry. This Pre-HIC workshop will be held on Sunday 11 August and will examine local and international eHealth experience and standards to move healthcare connectivity forward. While standards involved are somewhat “hidden” from view, knowing about them is crucial for purchasers and users of healthcare technology. Registration and further information:  https://www.hisa.org.au/hic/ihe-workshop/

Program themes

Medical devices:
  • Achieving connectivity in new and existing hospitals
  • Security challenges: Are medical devices the soft underbelly of our IT system
  • Standards – IHE Patient Care Device profiles and emerging Service Orientated Device Connectivity (SDC@IHE)
Health Information Exchange:
  • Building on IHE Cross Enterprise Document Share – the foundation of MyHR
  • Connecting regional exchanges – learning from the USA experience
  • Accessing images via MyHR and bridging the hospital and community image divide
FHIR – Fast Health Interoperability Resources:
  • Unlocking data from EMRs and the evolving “App” ecosystem
  • Integrating Apps for users – same provider – same patient
  • FHIR the year in review from Grahame Grieve
Standards for health IT in Australia:
  • State of play: secure messaging, HL7, FHIR, SNOMED and ISO
  • Australian Digital Health Agency consultation insight
I realise this is rather short notice from me – but this really looks worthwhile for those who are involved or want to learn more.
David.