Quote Of The Year

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

or

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

Thursday, September 19, 2019

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

September 19, 2019 Edition.
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As I type the Iranians seem to have attacked some major oil facilities in Saudi Arabia and we await the US response. I suspect Trump will not be happy! Otherwise US foreign policy is now in the hands of one man so we have to wait and see what he decides to suggest Trump does and to see what other changes now happen over all the other issues – North Korea, Middle East etc. As of Thursday we still don't know what the Trump will do in response...
The Brexit fiasco drags on…too confusing for words and now totally unpredictable. The UK Supreme Court presently is considering what was legal with closing down Parliament - and what he has done means for Boris.
In Australia the issue of the week is Chinese influence in Australian Politics – and the issue has a very long way to run. Racism and xenophobia are rearing their ugly heads in spades! ScoMo is off to have a meal with Trump - we will see too much of that I suspect on the tele on the weekend!
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Major Issues.

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Labor's existential nightmare

The revelations emerging from the ICAC hearings in Sydney suggest Australia’s oldest political party has been coarsened by a group of spivs, time servers and mendacious mediocrities.
Andrew Clark Senior Writer
Sep 7, 2019 — 12.00am
To understand the dimensions of the Australian Labor Party’s post-election slump, there would have been no better place to be an observer than at a quiet family gathering held in Brisbane last month.
Far from ICAC revelations of Tammany Hall-style corruption at the NSW ALP, the gathering was held to mourn the passing of Graham Freudenberg, speech writer to ALP figures like former Labor prime ministers Gough Whitlam and Bob Hawke, former federal ALP leader Arthur Calwell, and former NSW Labor premiers Neville Wran and Bob Carr.
Freudenberg was an unusual figure. A late riser, his day began and ended in a cloud of smoke, and late-in-the-evening, liquid reinforcement. But Freudenberg was also incredibly well-read, had an almost unparalleled mastery of Australian, European and American politics; was a brilliant writer and author of three books; generous and considerate to a fault; and had a rare thespian turn of phrase.
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Is it time to start considering Plan B: lower rates forever?

Katrina King
Sep 9, 2019 — 12.00am
There is no doubt that yields and returns are extremely low right now. It’s not hard to see why.
The world’s economists, commentators and central banks are debating the timing of an impending recession, there is a worsening Sino-American trade and currency war, and oil prices are falling.
Bloomberg gave the odds of a US recession before election day next year a less than a 50-50 chance. They also surveyed US economists about the likelihood of a recession within the next year – the result came in at 35 per cent.
All classic late cycle concerns.
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Morrison taunts Labor with values tests

Scott Morrison wants the return of parliament this week to put a harsh spotlight on the contrast between a troubled Labor party and a "predictable" Coalition with policies based on values and beliefs.
Jennifer Hewett Columnist
Sep 9, 2019 — 12.00am
A memorial day is always to be revered but a date just ahead of the return of parliament this week was always going to be a little awkward for Anthony Albanese to finesse.
The Opposition leader spent Sunday in Cessnock at an annual service held by the Construction, Forestry, Maritime, Mining and Energy Union, commemorating the deaths of miners.
And although the CFMEU mining division has little to do with a lawless, thuggish building division, the association is not only a reminder of the Labor leader’s difficulties pursuing his plan to expel John Setka, secretary of the Victorian branch, from the party.
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Labor clings to its policy vanity

The line pushed by Labor's federal president is that Labor – read Bill Shorten – simply didn't sell its big government policies well enough.
Sep 9, 2019 — 12.00am
Nuts, absolutely nuts. The Australian Financial Review doesn’t always agree with Kevin Rudd. But it is difficult to demur from his description of Labor’s election manifesto. When Anthony Albanese was elected Labor leader days after its devastating election defeat in May, he talked about the importance of aspiration, wealth creation and jobs. Yet the line now pushed by Wayne Swan, the former Treasurer foisted on Mr Rudd by the Labor factions, turned Labor federal president, is that Labor should be proud of its losing big-taxing and big-spending election manifesto. The supposed problem was that Labor – read Bill Shorten – didn’t sell it well enough. Mr Swan, who had surrendered any pretence of budget responsibility by the time he finished as Treasurer in 2013, says Labor “won’t let the conservative trickle-downers from the Coalition and elsewhere rewrite history”. That would be the broad set of economic settings that helped generate 28 years of unbroken economic growth. He also repeated the furphies – now seemingly taken as gospel in Labor -– that Australia is becoming more unequal, workers are going backwards and fewer are in secure work.
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The $3 billion opportunity that will change the Aussie BBQ forever

Jennifer Duke
Media and telecommunications journalist
September 9, 2019 — 12.00am
In the next decade the great Australian barbecue is going to get a drastic makeover. Instead of beef, pork and chicken on the menu, it's increasingly going to be plants - in the form of plant-based proteins made to look like typical meat - that make it onto your plate.
This might seem hard to believe five months after animal rights protesters were criticised by Prime Minister Scott Morrison as "green-collared criminals" after bringing Melbourne's CBD to a standstill protesting against farms and abattoirs, or when considering fines were recently increased to up to $400,000 for activist groups trespassing farming properties.
Vegan products are becoming increasingly available in mainstream supermarkets.
However, there are signs the plant-based movement might be a sector of the economy ready to surge at a time when long-term opportunities to create jobs and boost productivity are sorely needed.
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Why fixing Australia's embarrassing energy market is so hard

Aaron Patrick Senior Correspondent
Sep 9, 2019 — 12.05pm
Never say Australia doesn't punch above its weight.
Among the major economic failures of our time, including the recent US Great Recession, ongoing Japanese stagnation and the Dutch disease of the 1970s, Australia is working on its own contribution: a small-population continent with abundant gas, coal, oil, sunshine, wind and uranium has gone from producing cheap electricity to some of the world's most expensive.
The problem is man made. With political parties looking for differentiation from their opponents, energy policy has become a useful vehicle to leaden up with cultural baggage. The loss is Austalia's reputation for good governance.
The fight over wind and solar power has been a culture war touchstone for over a decade. Now, a nascent attempt to break through the policy inertia is being blocked by politics, once again.
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How low inflation explains everything

If your frame of reference for valuations is the last, say, 40 years, you’re comparing a time of radically different inflation rates and bond yields – and therefore valuation metrics.
James Weir
Sep 9, 2019 — 10.51am
Low inflation is a global phenomenon that has central bankers tearing their hair out – nobody can tell you exactly what’s causing it and, so far, nothing seems to be able to stop it.
Its effects on financial markets – and every investor’s portfolio – are profound. In fact, this very low inflation environment can explain an awful lot of what seems to be peculiar in markets at the moment.
Just how low is inflation? Australia’s "core CPI", which excludes the more volatile prices like food and energy, has averaged 3.7 per cent since 1983, compared with the June reading of 1.6 per cent. That’s not far off one-third of the average.
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Why we're set for global rally, not recession

Recessions hit when people aren’t talking about them, they’ve never struck when pundits call them ahead of time.
Stirling Larkin Columnist
Sep 9, 2019 — 9.48am
While wisdom can be found in crowds, the consensus is not always correct. That's certainly the case with the current consensus that the global economy, led by the US, is about to dip into recession.
Not only is a global or US recession unlikely, the inverse is probable, which will cause US and leading global equity bourses to rip higher – in other words, a sharemarket rally.
Quantitatively difficult to demonstrate but empirically easy to evidence, no recession or subsequent markets retracement has ever begun when the consensus has rung recessionary alarm bells. Recessions hit when people aren’t talking about them - they’ve never struck when pundits call them early.
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$200 trillion in global debt at risk if trust falters: OECD

By Shane Wright
September 9, 2019 — 7.00pm
The Organisation for Economic Co-operation and Development (OECD) has warned almost $200 trillion in public and private debt could be the catalyst for another global economic crisis if trust in government and financial institutions deteriorates.
In a report overseen by former Australian Securities and Investments Commission chief Greg Medcraft, the OECD also said the destruction of trust following the global financial crisis (GFC) had contributed to the rise of crypto-currencies, which themselves were exacerbating the globe's economic risks.
The week ahead in global markets will be about the ECB, Brexit developments, as well as a major meeting by OPEC. (This video was produced in commercial partnership between SMH, The Age and IG Markets)
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Don’t be so gloomy: bond market signals are far from being reliable

Most investors and commentators are taking a gloomy view on the global economic outlook.
Since mid-year, the majority sentiment in bond markets has anticipated an early worldwide recession. As a result, bond yields are now at (or close to) all-time lows and the market prices of bonds, which move inversely with yields, have soared. Share investors are highly anxious about the economic outlook; so far, though, average prices haven’t collapsed.
Has sentiment turned too negative? Could the modestly paced upswing in the US economy, now 10 years old, continue for another year or two?
In my view, investors are putting too much emphasis on the much-discussed “inversion” of the US yield curve and on the likelihood both the US (and Australia) will make early and big cuts in their cash rates. The bigger risks to the world economy come from the trade and technology wars, which are creating cyclical and structural problems easier monetary policies can’t offset.
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Scott Morrison will be asked to make an impossible choice

The price of a rare White House dinner invitation will be commitment to Washington's side against China. This is what the PM should tell the Americans.
Hugh White
Sep 11, 2019 — 12.00am
For years our leaders have told us that we do not have to choose between the United States and China. But what if that’s wrong? What should Australia do if we are forced to make a choice between our main ally and our leading economic partner?
Unfortunately the question is far from hypothetical. Last month US Secretary of State Mike Pompeo came pretty close to demanding that Australia should get off the fence and start supporting America wholeheartedly against China’s strategic challenge. He said we faced a stark choice between our security as a close US ally and our prosperity as China’s economic partner. “You can sell your soul for a pile of soybeans, or you can protect your people,” he said (mistakenly assuming that soybeans are what we sell to China).
It is a demand that Scott Morrison is bound to hear again when he turns up for his state dinner at the White House in Washington next week. In fact that is why he’s been offered this rare honour. It has nothing to do with his easy-going charm. It is all about telling him that Australia must now at last choose which side it is on between the US and China.
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Scott Morrison understands normal people want a boring government

Chris Uhlmann
Nine News Political Editor
September 11, 2019 — 12.00am
Let’s raise two cheers for boring government. For the first time in nearly a decade we are heading towards the end of the year without speculating whether the Prime Minister will survive until Christmas.
And that is a good thing.
One of the perversions of reporting is that any good day for journalism is usually a bad one for many other people. Catastrophic floods, fires, massacres, corruption, bastardry, ineptitude and high political farce or drama fill news bulletins and column inches but they aren’t something any half-sensible citizen actually desires.
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WTO on brink of crisis due to inaction over dispute-settlement reforms, Birmingham warns

By Eryk Bagshaw
September 11, 2019 — 12.00am
Trade Minister Simon Birmingham has warned inaction over reform of the World Trade Organisation's dispute-settlement system has taken the body to the brink of crisis.
But he said the $US300 billion US-China trade war was drawing other countries closer together in defence of the rules-based trading system.
Speaking after flying back from an ASEAN trade ministers' meeting in Bangkok, Thailand, Senator Birmingham said talks with Singapore, Vietnam and Indonesia had created momentum for reform of dispute handling by the WTO, which oversees the rules of international trade.
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RBA issues interest rates slapdown to rich boomers

The Reserve Bank has slapped down rich boomers complaining about the impact of low interest rates on their incomes, suggesting only a “single digit” percentage of over 60s rely significantly on interest income, and many of them were well off.
“A very small share of households earn more than 20 per cent of household income as interest,” the RBA said, pointing out that households have “around twice as much” in debt as deposits, in aggregate.
In a defence of its decision to cut the official interest rates twice in June and July – to a record low of 1 per cent – the RBA said the majority of households who depended on interest income “were in the most wealthy and second most wealthy quintiles”.
The statement, released on Wednesday, emerged as part of a series of answers to questions from MPs about the effect of lower interest rates on households, business, and the likelihood the RBA would follow central banks overseas in pursuing ‘quantitative easing’ — the creation of new money electronically to buy existing assets.
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Sinophobia creeps through Canberra cracks

Voters are increasingly worried about the extent of Chinese influence and activity in Australian politics. That provides plenty of gotcha moments as part of the political frenzy.
Jennifer Hewett Columnist
Sep 11, 2019 — 6.00pm
Politics can quickly turn into a bloody, brutal assault – now more than ever. And don’t just blame Donald Trump.
So Labor rushed to connect new Victorian Liberal MP Gladys Liu with the treatment of its own disgraced former senator, Sam Dastyari, in a fresh political frenzy over the extent of any personal links or potential loyalties to China.
Foreign affairs spokesman Penny Wong immediately compared the Prime Minister (actually Malcolm Turnbull at the time, remember him?) making Dastyari a test of Labor’s leadership to suggest Liu should be a similar test for Scott Morrison.
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Reserve Bank warns against households' 'reduced appetite for debt'

By Shane Wright
September 12, 2019 — 10.06am
The Reserve Bank has conceded its efforts to boost the economy with interest rate cuts may be undone by cautious home owners afraid to reduce their monthly repayments as it also revealed the business sector is resisting the benefits of cheap cash.
In answer to a series of questions from Liberal MP Tim Wilson at a recent House of Representatives committee hearing, the bank said it expects its recent rate cuts to eventually boost the economy by up to three quarters of a percentage point over the next two years.
Much of that depends on the cuts flowing through businesses and households into the broader economy.
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Your honeymoon is over, PM: it's time to fill the policy vacuum

John Hewson
Columnist and former Liberal opposition leader
September 12, 2019 — 12.00am
When is serious government going to start in this country? I understand that Morrison was afforded a reasonable holiday period, with minimal scrutiny, to celebrate his "miracle" win. This has included several overseas trips to press the flesh with other leaders, even though these have made little headway on major global and regional challenges.
But it is now more than six years since the Coalition came to power, during which time Australians have had to endure the disruption and distraction of three Liberal prime ministers. Scott Morrison has been Prime Minister for more than a year. By any objective assessment, you could hardly claim it has been a period of genuine, evidence-based, policy development or implementation.
Far too much has been accredited to Morrison’s miracle, in his terms, that he was able to tap the values of the so-called “quiet Australians”. From my US experience, this language has unfortunate echoes of the “silent majority” that Richard Nixon claimed swung behind him after the Kennedy/Johnson years.
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RBA eyes six QE options

John Kehoe Senior Writer
Sep 12, 2019 — 9.56am
The Reserve Bank of Australia says not all types of unconventional monetary stimulus tools used overseas – such as extending cheap funding to commercial banks – would be called on in Australia because there is no "severe financial market dislocation".
The RBA told a parliamentary committee that resorting to so-called "quantitative easing" remained unlikely at this stage, even as pessimistic economists at National Australia Bank predict QE will be deployed later next year unless the Morrison government injects a fiscal stimulus to support the soft economy.
The record-low 1 per cent cash rate is forecast by financial markets to drop near the RBA's estimated "zero lower bound" of 0.25-0.50 per cent by mid-2020, meaning QE could be plausible beyond that point if the economy is weak.
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ECB chief's warning will resonate Down Under

Hans van Leeuwen Europe correspondent
Sep 13, 2019 — 7.48am
Paris | European Central Bank president Mario Draghi isn't leaving office quietly. The question is whether any politicians are listening.
At his second-last monetary policy meeting, after eight hard-scrabble years at the helm, he fired off every monetary policy weapon in his arsenal, riding roughshod over the naysayers on his governing council. He's desperate to kick start the 19-member eurozone's sputtering economies and to punt the pallid inflation rate somewhere even close to the 2 per cent ballpark.
But he didn't leave it there. He also took the fight to the governments of Germany, the Netherlands and other fiscal disciplinarians, with a few simple words that should reverberate in Australia.
"Now it is high time for the fiscal policy to take charge,” he declared. "Fiscal policy should become the main policy instrument."
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ECB pushes RBA one step closer to QE

Martin Place would like to see the Aussie dollar lower, and governor Phil Lowe appears increasingly comfortable with the idea that the RBA may have to launch its own QE initiative.
Christopher Joye Columnist
Sep 13, 2019 — 10.00am
Our central case has been that both the European Central Bank (ECB) and the US Federal Reserve would cut rates in September, which was a consensus view, and, more controversially, that ECB president Mario Draghi would re-start quantitative easing (QE), or buying bonds.
It was clear that a lot of smart money did not agree with our September QE thesis with repeated reports that a QE package had been canvassed and rejected by key ECB governors.
Following Draghi’s announcement on Thursday of a package of stimulatory measures – including a cash rate cut, extended direct loans to banks and a new €20 billion ($31.8 billion) per month bond-buying program that surprised with no terminal date (it is completely open-ended) – Bloomberg claimed there was an “unprecedented revolt” during the meeting with representatives from France, Germany and the Netherlands pushing back against Draghi’s desire to re-start QE.
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'Motivating the crooks': researchers vulnerable to criminals, warns chief scientist

By Jordan Baker
September 12, 2019 — 5.58pm
Rewarding scientists for pumping out research papers encourages them to cut corners and creates a market for criminals to exploit scholars by creating fake journals, Australia's chief scientist Alan Finkel has warned.
While most research was of high quality, "there are a significant number of papers that are poor quality and should never have made it through to publication", Dr Finkel told an annual research day event in Melbourne on Thursday.
As publications were the principal criteria for career advancement, scientists were driven to divide findings into different journals, selectively publish their results, or "[torture] the data until it screams", Dr Finkel said.
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Which crisis of trust?

18 July 2019
Are concerns about Australians’ faith in politics and democracy being exaggerated by poorly presented research?
We have lost faith in our leaders… Members of Parliament and Civil Servants… live like Lords — while we have to cadge for food — to Hell with you all.
— Anonymous, Collingwood
Australian politics is in the midst of a crisis of trust. Australians are rapidly losing faith in politicians; young voters are increasingly disillusioned with politics; older voters are sick and tired of the endless cycle of new prime ministers. This has been the growing consensus since academics began routinely conducting public attitude surveys in the 1980s.
And the situation seems to be getting worse. Surveys by the Scanlon Foundation and the Democracy 2025 project — a collaboration between the University of Canberra’s Institute for Governance and Policy Analysis and the Museum of Australian Democracy — show steep falls in political trust. So does the longest-running, best-known and most influential large-scale survey, the Australian Election Study, or AES, which began in 1987.
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Plating up: Why Trump is going all out for Morrison

A state dinner at the White House speaks volumes about the robust health of the US-Australia relationship.
Jacob Greber United States Correspondent
Sep 14, 2019 — 12.00am
Washington | Ever since Billy Hughes travelled to the United States in May 1918 to meet Woodrow Wilson, becoming the first Australian prime minister to visit an American president, leaders from both countries have indulged in the pleasures of a hefty meal, a la grande bouffe.
All in the service of mutual national interest. Naturally.
Scott Morrison, in what will be one of the highlights of his young prime ministership, is headed to Washington next week to continue a century-old tradition.
But it’s in the small details of this long series of tête-à-têtes – whether they were classified by the White House as lunches, private dinners, “working” dinners, or the top-tier state dinners – that the rest of us can glean a sense of the waxing and waning of the relationship and its key players.
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Stop bashing business

Chief executives of top-100 Australian companies head to Canberra next week to press the flesh with politicians from both sides of parliament. So why did the Prime Minister's attack dog bash business just days before the meeting?
Sep 13, 2019 — 6.07pm
Prime Minister Scott Morrison picked an unusual time to send out one of his strongest supporters in the Liberal party to attack business in a speech that had echoes of former opposition leader Bill Shorten’s losing election strategy.
Four months after winning office on the back of Shorten’s damaging and ultimately futile attacks on the big end of town, Ben Morton, assistant minister to the Prime Minister and Cabinet, had a red-hot go at business.
His timing was appalling. He smacked business around the head just days before the biggest gathering of top-100 chief executives in Canberra since the federal budget in April.
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PM plays the race card ... into China's hands

Peter Hartcher
Political and international editor for The Sydney Morning Herald
September 14, 2019 — 12.00am
With an apparent truce in America's trade war with China in the last couple of days, hopes rose. Markets ticked up. Are the two big gladiators of the world economy sheathing their swords?
Few thought the hostilities would ever progress this far. Donald Trump's former campaign strategist, Steve Bannon, has been consistently correct in predicting Trump's ever-rising aggression over the last couple of years, however.
So I asked him whether we're at the beginning, middle or end of the trade war? He answered in two parts. "We are at the beginning of the beginning," was the first. This may be a tactical pause, but it is not the precursor to peace in our time.
And the second: "It's not a trade war. It's an economic war that has a trade part, a technology part, a currency part, etc."
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Moving into black swan territory

The great Chicago economist Frank Knight carved the world of the unknown into risk and uncertainty a century ago. Risks, such as losing at poker or becoming ill, had measurable probabilities attached to them, based on experience.
Uncertainties, war, economic crises, breakouts of disease, didn’t. Modern computing power has made calculation of risks easy, but uncertainties loom larger than ever as the world becomes more integrated.
A century ago, world leaders couldn’t get out of the wrong side of the bed and escalate a trade war. They can now. There are no probability tables to consult to see whether the Sino-US trade war will resolve itself peacefully, or the global experiment with money creation to boost growth will end well.
 “Black swans”, events unknowable in advance, abound. The price of gold, long a barometer of economic fear, is back at the highest level in a decade (and highest ever in Australian dollars).
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Fraught times for our relationship with China

Australia’s exporters must be watching with some alarm what’s going on in Canberra on the subject of China, much like America’s corporate sector had been viewing what the Trump administration was up to before they became glumly resigned to it and started shifting their supply chains.
The difference is that Australian companies sell to China, whereas American companies buy from it.
There are other suppliers of cheap labour for US firms, but there are no markets like China for Australian iron ore and milk powder or full-fee-paying students.
So the cost to Australia of decoupling from China is far greater than it is for the US. And it’s beginning to feel like Australia’s relationship with its largest export market is reaching some kind of crescendo, where something has to give.
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Royal Commissions And The Like.

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Court looms for funeral insurer flamed at royal commission

By Sarah Danckert
September 9, 2019 — 5.37pm
An insurance company which offered its staff trips to Las Vegas for flogging funeral insurance policies to vulnerable customers, including people in remote Indigenous communities, faces a lawsuit from the corporate regulator over its coercive sales tactics.
The Australian Securities and Investments Commission (ASIC) on Monday commenced civil action against funeral and accident insurance company Select AFSL and its director Russell Howden.
Managing director of Select AFSL and Let's Insure branded funeral insurance Russell Howden agrees that the company's risk compliance manual was not reiterated to its sales staff when they were offered incentives.
Select AFSL's owner BlueInc and related entity Insurance Marketing Services have also been named in the civil action filed in the federal court.
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Graeme Samuel takes shots at Gonski, Byres

James Frost Financial Services Writer
Sep 11, 2019 — 1.05pm
Graeme Samuel has called on financial institutions including ANZ to publish prudential reviews ordered by the Australian Prudential Regulation Association or face a snap inquiry.
Appearing at a parliamentary hearing on Wednesday, Mr Samuel also criticised the regulator's co-operative approach and said he was disappointed APRA tried to push back against some of the key recommendations from his comprehensive review.
The chairman of APRA's capability review and panel member of the landmark CBA prudential inquiry said it was to time to give institutions that refused to release the self-assessments a "reality check".
The decision by ANZ chairman David Gonski to release a short summary of the self-assessment was "strange", Mr Samuel said, adding that the reviews "really ought to be made public".
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AFCA hit by 40 per cent more finance complaints than expected

By Clancy Yeates
September 12, 2019 — 2.16am
The government's financial dispute authority is pushing banks to go beyond merely complying with the law and consider "fairness" when dealing with customer disagreements after it was swamped by complaints in its first 10 months.
The Australian Financial Complaints Authority (AFCA), which launched late last year following a merger of several ombudsman schemes, has signalled it will be asking firms to explicitly consider whether they had done "the right thing" by customers when assessing disputes.
AFCA deputy chief ombudsman June Smith expects a change in banks' behaviour when handling complaints.
As the authority launches a roadshow offering "financial fairness checks" to consumers later this month, AFCA deputy chief ombudsman June Smith said that in its first 10 months, the authority had received more than 60,687 complaints from consumers.
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ASIC says banks to blame for credit squeeze

James Frost Financial Services Writer
Sep 14, 2019 — 12.00am
The corporate regulator has defended its responsible lending approach in the wake of a disastrous court case and speculation it is to blame for a tightening of credit.
ASIC chairman James Shipton said there was absolutely no proof the regulator’s approach was behind delays in credit approvals, and in some cases the banks had created the problem themselves.
“There has not been any evidence, put to me at least, recently or over the 10 years this particular law has been in effect, that there has been any impediment to the provision of credit,” Mr Shipton said.
“What has been proffered to me is that [bank] processes have needed to be changed and have been changed, and that systems have needed to be updated and integrated.”
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Govt must not delay aged reforms: industry

Industry groups and Labor say the federal government must not delay aged care reforms, after it agreed to give the royal commission a six-month extension.
Australian Associated Press September 14, 201910:15am
The extension of the aged care royal commission must not delay action to improve the system, industry groups say.
The federal government has given the inquiry an extra six months to complete its work, as well as appointing former Federal Court judge Tony Pagone QC as the third royal commissioner.
Provider association Leading Age Care Services CEO Sean Rooney said the extra time would allow for a deeper investigation of the many complex issues in aged care and their solutions, but critical issues facing the sector must be addressed now.
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‘No leadership’ on young people in aged care, royal commission hears

The Morrison government’s “Claytons action plan” for younger people in residential aged care was symptomatic of a “distinct lack of leadership” on the issue, the Aged Care Royal Commission has heard.
Counsel assisting the Commission Richard Knowles on Friday delivered a scathing assessment of efforts to address what he said was a “fundamental issue of human rights”.
“There has been a distinct lack of leadership on this issue despite the Commonwealth having clear ownership of the policy and the funding mechanisms that underpin it,” he told the Commission.
Wrapping up a week long hearing in Melbourne into how to improve the lives of people under the age of 65 currently living in residential aged care, Mr Knowles tore into the government’s action plan.
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APRA warns bank stability should not be taken for granted

The banking regulator has warned that ultra-low interest rates are hurting industry profit and making it tougher for smaller lenders to compete in the mortgage market.
With the central bank tipped to push cash rates below 1 per cent later this year to spur the economy, Australian Prudential Regulation Authority chairman Wayne Byres also cautioned about speculative activity returning to the housing market, which would put further stress on the banking system.
Mr Byres said now was not the time for complacency about financial stability, with both big and small banks grappling with the low rate environment. Indeed, smaller lenders were likely to be hit harder than the big four given their different funding profiles and lower credit ratings.
 “To be clear, neither group will welcome further rate reductions,” Mr Byres told a European Australian Business Council lunch in Melbourne on Friday. The APRA chief’s appeal for an “unwavering focus on financial stability” comes at a time of intensifying macro­economic challenges and vulnerabilities, rapid technological change and political tensions.
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National Budget Issues.

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RBA's Philip Lowe calls for increase in infrastructure spending

By Peter Hartcher
September 7, 2019 — 5.00am
Reserve Bank governor Philip Lowe is calling for a major spending program on infrastructure including rail, bridges and roads across Australia in direct opposition to the views of Prime Minister Scott Morrison.
Mr Morrison said this week that the federal government was "starting to hit our head on the ceiling in terms of how much infrastructure work you can get under way at any one time".
But Dr Lowe said, "I think we can do more" in an interview with The Sydney Morning Herald and The Age.
The economy this week was revealed to be at its weakest in a decade. Amid calls to stimulate growth by stepping up infrastructure investment, Mr Morrison said the government was doing everything it could. That included asking the states to bring projects forward, he said.
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Low interest rates to be with us for some time

The existence of $25 trillion worth of bonds that are priced to yield less than zero is the big hairy economic fact of our time that no one wants to talk about – the classic elephant in the room.
The headlines are full of US-China trade war, Brexit, and the arguments about recession - will we or won’t we have one - but the presence of negative interest rates is a bit like Uncle Bob’s flies being undone: everyone is averting their eyes.
It’s because nobody quite knows what to make of it, why it’s happening or what it means. The notion that money has a time value, and even that capital has a cost and must make a return - two foundations of capitalism - are being up-ended.
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Home lending surges in July

Michael Bleby Senior Reporter
Sep 9, 2019 — 12.26pm
Home lending jumped 5.1 per cent in July, marking its biggest monthly gain in four years, as owner occupiers and investors roared back into action as sentiment changed and credit curbs eased.
The monthly increase picked up on June's 3.2 per cent gain and lifted the total of monthly new loan commitments to $17.9 billion in seasonally adjusted terms, Australian Bureau of Statistics figures on Monday showed.
Investor lending gained 4.7 per cent - the biggest monthly increase since the 9.9 per cent chalked up in September 2016 at the peak of the boom - to $4.6 billion, while owner-occupier loans rose 5.3 per cent, the fastest gain in almost four years, to $13.3 billion.
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Tax cuts to almost double economic growth in September: UBS

Matthew Cranston Economics correspondent
Sep 9, 2019 — 12.58pm
A strong rebound in consumption due to faster roll out of the government's $7.8 billion in tax relief will almost double economic growth in the September quarter, according to global bank UBS.
UBS analysts George Tharenou and Carlos Cacho said they expect the tax cuts will boost retail and other consumption and this will help GDP jump to 0.8 per cent in the September quarter and 0.6 per cent in December quarter - up from 0.5 per cent in the June quarter, and deliver overall economic growth of 2.4 per cent for the 2019 calendar year.
The tax cuts alone will boost retail sales in the 2020 financial year by about 1 per cent, with a temporary spike in September and October to 5 per cent growth in annual terms.
The analysts expect the tax cuts to lift overall real consumption growth in the first half of financial year 2020 to above 2 per cent after having slumped to 1.4 per cent.
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Australia's weak economy has been 'deliberately engineered'

Yahoo Finance 9 September 2019
When as Treasurer Scott Morrison handed down the budget in May 2016, he was projecting GDP growth to be 3 per cent in 2018-19, having risen 3 per cent in 2017-18; inflation was expected to lift to 2.5 per cent in 2018-19 from 2.25 per cent the year before and wages growth was set to reach a healthy 3.25 per cent having picked up from a reasonable 2.75 per cent the year before.
In 2016, Mr Morrison was also of the view that the budget in 2019-20 would be in deficit to the tune of $6 billion, from $15.4 billion in 2018-19.

Too optimistic

Fast forward to today and you can see how wrong Mr Morrison has been, how misguided his policy settings are and how it is absurd it is he keeps pretending the economy is doing well.
With his policies, the budget balance has been fast tracked towards lower deficits and then surplus at the expense of the economy sliding into the doldrums.
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NAB forecasts 0.25pc cash rate unless there is ‘meaningful stimulus’

The Reserve Bank will be forced to cut rates to ultra-low levels of 0.25 per cent “unless the government delivers a meaningful fiscal stimulus”, after official figures revealed the slowest economic growth since the global financial crisis, according to a National Australia Bank chief economist Alan Oster.
Mr Oster, a former Treasury veteran of 15 years who specialises in monetary policy, has revised his previous rate forecasts in which the RBA was expected to bottom out at 0.75 per cent, down from the current record-low cash rate of 1 per cent.
Last week, the Australian Bureau of Statistics said the economy grew at 1.4 per cent over the year through June – the worst growth since the GFC.
However, Treasurer Josh Frydenberg said the government would be introducing no further stimulus until at next year’s May budget, and that the raft of tax cuts which passed parliament this year and Scott Morrison’s increased infrastructure spend would help boost growth.
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Health Issues.

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Opioid crisis is not just an American problem

Health experts worry that without urgent action, Australia is on track for an even steeper spike in deaths like those seen in America, where the epidemic has left 400,000 dead.
Kristen Gelineau
Sep 7, 2019 — 12.33am
The coroner's sense of futility was clear, as he investigated the death of yet another Australian killed by prescription opioids. "For what it is worth, I add my voice to the chorus pleading for urgency," Western Australia coroner Barry King wrote in his report, delivered in May.
Coroners nationwide have long urged officials to address Australia's ballooning opioid addiction and to create a tracking system to stop people from collecting multiple prescriptions from multiple doctors. Yet even as thousands died, the coroners' pleas were met largely with silence.
Australia has failed to heed the lessons of the United States, and is now facing skyrocketing rates of opioid prescriptions and related deaths. Drug companies facing scrutiny for their aggressive marketing of opioids in America have turned their focus abroad, working around marketing regulations to push the painkillers in other countries. And as with the US, Australia's government has also been slow to respond to years of warnings from worried health experts.
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“Please do not give me CPR”: ‘Do Not Resuscitate’ requests in retirement living

Retirement village operators are receiving an increasing number of ‘Do Not Resuscitate’ (‘DNR’) requests from their residents. This introduces the uncomfortable prospect of counter-intuitively withholding CPR (cardio-pulmonary resuscitation) in the event a resident is found unresponsive.
With an ageing population and continued growth of retirement living, it is important that retirement village operators understand their obligations and potential liabilities in relation to DNR requests when considering how to manage them.
What is a DNR Request or Advance Directive?
A specific request not to have CPR, otherwise known as a ‘DNR request’, is a form of advance directive. As its name suggests, an advance directive is a decision made in advance, at a time when a person is still competent to decide. Advance directives specifically refer to anticipatory decisions pertaining to future healthcare, and in particular refusal of treatment. They aim to convey a person’s wishes in the event they lose the ability to decide, or to communicate their decision. Since, unlike non-emergency medical treatment, a person is unable to refuse consent to CPR at the time it is needed, an advance directive in the form of a DNR request enables a competent adult to refuse it in advance.
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Death by sugar-free soft drink?

By Andrew Jacobs
September 10, 2019 — 7.06am
New York: Does guzzling diet soda lead to an early demise?
There was a collective gasp among Coke Zero and Diet Pepsi drinkers this week after media reports highlighted a new study that found prodigious consumers of artificially sweetened drinks were 26 per cent more likely to die prematurely than those who rarely drank sugar-free beverages.
The study, published in the journal JAMA Internal Medicine, followed 450,000 Europeans over 16 years and tracked mortality among soft-drink consumers of all persuasions — both those with a fondness for sugary beverages and those who favoured sugar-free drinks.
Given the well-documented health effects of consuming too much sugar, it was little surprise the authors found that people who drank two or more glasses of sugar-sweetened beverages a day were 8 per cent more likely to die young compared to those who consumed less than one glass a month.
But what grabbed headlines, and prompted widespread angst, was the suggestion that drinking Diet Coke could be even more deadly than drinking Coca-Cola Classic.
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Drinking decline stalls as Aussies hit the hard stuff

Australians are drinking more spirits and premixed beverages amid signs the long-running ­decline in alcohol consumption may have plateaued.
The Australian Bureau of Statistics has released alcohol consumption figures for 2017-18 which equate to 9.51 litres for everyone 15 and over, close to the 9.48 litres the previous year.
“In average daily consumption, this equates to 2.08 standard drinks per person and is unchanged from 2016-17,” ABS acting director of health statistics Robert Long said. “What is interesting is we are seeing a rise in spirit consumption, which was on a downward trend.”
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Greg Hunt's medical deals come back to bite him

Chanticleer is Australia's pre-eminent business column.
Sep 11, 2019 — 12.00am
Health minister Greg Hunt’s efforts to rein in growth in private health insurance premiums looks like collapsing in a heap after a surge in the volume of medical devices sold in Australia in 2019 wiped out a promised $250 million in cost savings for insurers.
Insurers will be pushing for a higher percentage growth in insurance premiums for 2020 in negotiations with Hunt over the next few months. This carries some significance for investors in Medibank Private and NIB Holdings.
Both stocks have been sold off in the past few months because of concerns about the squeeze on profit margins from lower premium rate rises and only incremental benefits from prostheses reform.
The insurers are angry that Hunt has not delivered his side of a compact which led to the lowest increase in premiums in 17 years in 2019 of 3.25 per cent.
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OxyContin maker Purdue Pharma faces bankruptcy as $17.5b settlement nears

By Jef Feeley
September 12, 2019 — 5.15am
Purdue Pharma  won the backing of about half of US states and territories for a proposed settlement of claims it illegally marketed opioid painkillers, in a deal that could provide about $US12 billion ($17.5 billion) to help communities deal with the public-health crisis tied to the medicines, according to people familiar with the negotiations.
Twenty-three states and three territories told a judge Wednesday they'd support a plan under which the billionaire Sackler family - which owns Purdue - would file for bankruptcy, hand itself over to a trust controlled by the states, cities and counties that have sued, and sell its UK-based drugmaker Mundipharma, the people said. They spoke on the condition of anonymity since they weren't authorized to speak publicly about the talks.
Under the current proposal, the Sacklers would guarantee to pay $US3 billion as part of the settlement, with most of that generated by the Mundipharma sale, the people said. The family has rejected calls by some state attorneys general to hike their guarantee to $US4.5 billion, they added.
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Government backs radical plan for prostate cancer

Jill Margo Health Editor
Sep 14, 2019 — 12.34am
The power behind prostate cancer was revealed in Canberra this week. Prime Minister Scott Morrison talked about being tested and how his father had survived more than a decade since his diagnosis.
Federal health minister Greg Hunt disclosed he had a family history of the disease, too, and Opposition Leader Anthony Albanese said because he’d had a high reading on a test he was now being tested every three months.
All were talking before the annual Parliamentary Big Aussie Barbie, run by the Prostate Cancer Foundation of Australia (PCFA).
Given that one in seven Australian men will be diagnosed with this cancer, many more politicians could have joined them.
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Anaphylaxis inquiry 'must probe hospital food', victim's father says



They Really Are Determined To Grab A Much Data As They Can About You And Exploit It To Within An Inch Of Its Life.

This appeared last week:

Australian government's data sharing principles far from agreed upon

Getting your consent before sharing your personal data between agencies is still "an area of debate", so why is the government planning to go ahead without consent?
By Stilgherrian | September 10, 2019 -- 07:17 GMT (17:17 AEST) | Topic: Security
"If we required consent, then data would only be shared where consent was given," writes the Australian government. So it plans to go ahead without your consent.
Yes, this is the "nuanced" position on consent in the Australian government's Data Sharing and Release discussion paper [PDF] that was released last week.
"While consent is important in certain situations, the societal outcomes of fair and unbiased government policy, research, and programs can outweigh the benefits of consent, provided privacy is protected," it asserts.
But the paper fails to justify that assertion.
It acknowledges that there were "robust discussions" about consent, and that consent "remains an area of debate and requires further public discussion". But the only support for the "can outweigh" assertion to remove the need for consent is vague hand-waving and a smattering of unlikely claims.

One example is the claim that the health research consent waiver in the Privacy Act 1988 was "accepted by the public" without consent being needed. Really? I challenge you to find an Australian who even knows it exists -- apart from medical researchers and privacy professionals, that is.
There's plenty of phrases like "unlocking potential", "better evidence base", "aspire to be a market leader", and "connected and seamless user experience", and all the other snake-oil squirtings we're all sick of.
But where is the evidence that spraying this data across the whole of government, like some magical fluid, will be a good thing?
As tech analyst Justin Warren noted in a blog post, much of the push for data-sharing without consent has come from university researchers.
"In my discussions in these meetings, there are some researchers who understand the privacy and consent issues, but they are a minority, sadly," Warren wrote.
"The researchers fervently believe they can improve public policy and programs by doing more research. Can someone point to research that supports this position? I mean, you've been doing research for decades, so surely there's lots of good, systemic evidence that more data and research improves things on a public policy front, yes?"
Vastly more here:
The article builds wonderfully on the excellent blog from Justin Warren.
If you go through all this you will be both well informed and alarmed as you were mostly on last weeks poll.
This is not an issue that will go away.
David.

Wednesday, September 18, 2019

I Really Do Worry About The Naïve Optimism We See From Some Regarding Digital Health.

This appeared last week:

Toward Comprehensive Patient-Centric Care by Integrating Digital Health Technology With Direct Clinical Contact in Australia

ABSTRACT

Background: There is an escalating crisis in health care, locally and internationally. The current health care model is unable to meet the increasing health care demands.
Objective: The aim of this study was to reconceptualize the provision of health care to produce better outcomes at no greater cost, by placing individuals in the position of authority to direct their own care, in a personalized, integrated health care system.
Methods: In this study, we used the Australian health care system as a model. We reviewed the current landscape of digital health in Australia and discussed how electronic medical records (EMRs) can be further developed into a personalized, integrated health care system.
Results: Some components of an EMR and digital health system are already being used in Australia, but the systems are not linked. A personalized, integrated health care model that is responsive to consumer needs requires not just a passive repository of medical information; it would require a team approach, including the government, health care funders, industries, consumers and advocacy groups, health care professionals, community groups, and universities.
Conclusions: Implementation of a personalized, integrated health care system can result in reduced pressure on the current health care system, and it can result in the delivery of best-practice health care, regardless of location. Importantly, a personalized, integrated health care system could serve as an education platform, “upskilling” not only clinicians but also, more importantly, patients and carers by providing them with accurate information about their condition, treatment options, medications, and management strategies. By proposing personalized, integrated health care, we offer an intelligent model of health care that is ubiquitous, efficient, and continuously improving.

J Med Internet Res 2019;21(6):e12382

doi:10.2196/12382

The full paper (about 20 pages) is here:
You can also view an hour long webinar on the topic here:
What is most troubling to me about the paper and the webinar is that there is a great deal of truth provided about the complexities, difficulties and forces buffering health systems everywhere, but that then there is a suggestion EMRs and Digital Health can somehow become some sort in integrating panacea for what ails us.
To imagine that things like the #myHealthRecord be anything other than a barrier to real progress in the health system causes my head to hurt. A totally new and visionary system is maybe a part enabler of the desired future but not what we see now!
For the effective, safe, accurate, personalized, coherent health system Dr Schofield seeks the secondary, incomplete and possibly wrong #myHealthRecord is a totally wrong starting point.
What do others think?
David.

It Seems We Were All Conned Regarding What The NBN Would Deliver!

This appeared last week.

The NBN predictions made in a 2013 report that did not happen

Remember when we were told we’d save $3800 a year by 2020 thanks to the NBN? Things didn’t quite work out the way a 2013 report expected.
news.com.au September 13, 20193:28pm
Back in 2013 when Australians were grappling with whether to support the huge investment in the National Broadband Network, the deal was sweetened by the promise of $3800 a year in benefits.
A Deloitte Access Economics report, commissioned by the government and released ahead of the federal election, estimated Australian households would benefit to the tune of $3800 a year by 2020.
The report looked at six areas including communications, e-commerce, online services, employment, travel savings and quality and price changes.
Some of the savings would be financial but others were linked to time savings thanks to the ability to work from home and access to online government services.
So with the NBN due to be completed next year, did the mega project deliver on its promises?

WHAT THEY PREDICTED
The 2013 report from Deloitte Access Economics estimated there would be an annual benefit of $3800 (in 2013 dollars) to Australian households from the NBN in 2020.
It predicted households would save an average of $2400 thanks to the NBN and $1400 in other benefits such as travel time savings and the convenience of e-commerce.
One of the most significant benefits was expected to be improved communication opportunities, including better internet phone calls and video calls, which was estimated to save households about $74 a year.
Time savings from being able to buy goods online was estimated at $156 per household, while the increased competition from an increased choice and variety of goods was estimated at $453 a year.
Access to online services such as movies and games was expected to save households $269 a year. There would also be a $217 saving from people not having to travel thanks to e-education, e-health and e-government services.
The ability to work from home was expected to save households $253 in travel costs and an extra $381 benefit was generated by telework’s potential to create more jobs and to increase the number of people working.
However, the biggest boost came from increases to business productivity, with households expected to gain about $2000 a year thanks to price reductions, improvements in quality, changes in wages and earning higher profits from businesses they owned.
The report noted many of the benefits of broadband would not be visible to households but would gradually emerge as consumers found price discounts and variety online, more people started to work from home and as people got used to accessing services online.
Benefits would vary among different households, with rural and regional areas gaining value from certain changes that those in cities may not.
There is vastly more here:
What to say other than to point out what rubbish some of these business cases that Governments then spend billions of dollars on can be pretty much rubbish.
Would be nice to see the business case on the PCEHR / MyHealthRecord to see how far off the mark is was – assuming it / they ever existed!
David.

Tuesday, September 17, 2019

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - September 17, 2019.

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This weekly blog is to explore the larger issues around Digital Health, data security, data privacy and related matters.
I will also try to highlight ADHA Propaganda when I come upon it.
Just so we keep count, the latest Notes from the ADHA Board are dated 6 December, 2018! Secrecy unconstrained! This is really the behavior of a federal public agency gone rogue – and it just goes on!
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DeepMind, artificial intelligence and the future of the NHS

Health experts believe artificial intelligence could be the answer to our overwhelmed healthcare system. It isn’t the stuff of science fiction. It’s already here. David Aaronovitch meets the brains behind the technology
The Times, September 14 2019, 12:01am
One morning a few weeks ago Stephen Foot, a warehouseman from Enfield, woke up in a London hospital to discover the unlikely harbinger of a coming medical revolution. This Ghost of Healthcare to Come took the form of a nephrologist at the end of his bed. “That was the last thing I was expecting,” he tells me. “Somebody from the renal department to come and say, ‘Oh, by the way, there’s something going on that has sparked an alert on your kidney.’”
Foot had entered hospital because of his foot. He had stepped out of the bathroom at home and trodden on something. “It was a trinket off a keyring which had a glass bottle of fairy dust in it. But because I’ve got bad neuropathy in my feet, I didn’t feel any pain. And I didn’t think anything of it at the time.”
Foot went back to work but after a couple of days he began to feel “horrible. I had no energy whatsoever.” He went to the GP and was seen by the practice nurse, who looked at his foot. “‘Oh my God,’ she said. ‘It’s all green and it smells.’ So she went and got a doctor.” The doctor referred Foot to the Royal Free Hospital in Hampstead, the great 12-storey town-within-a-city that dominates the local skyline.
Foot was examined, diagnosed, surgery was indicated for the next day and he was put to bed. “Then the kidney people came round and said to me that they’d seen there was a spike in my kidney tests.” Foot was baffled at first. He had felt no pain in that area and he was peeing normally. “They explained it: ‘We’ve been alerted with this new technology we’ve got, which tells us the blood test has shown one of the major indicators of the possibility of acute kidney injury.’”
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Data retention should stretch to seven years, Queensland Police says

Currently telcos are required to retain data for 24 months
Rohan Pearce (Computerworld) 11 September, 2019 16:08
The Queensland Police Service says that there is a case for extending from 24 months to seven years the length that telcos need to retain ‘metadata’ to comply with Australia’s data retention regime.
The data retention regime is currently subject to statutory review by the Parliamentary Joint Committee on Intelligence and Security (PJCIS). In a submission to the committee’s inquiry, QPS states that in its view the current dataset that telcos must retain to comply with the data retention regime is appropriate.
That data (sometimes described by the government as ‘metadata’ or ‘historical telecommunications data’) covers a range of information about communications, but not the ‘contents’ of the communication (e.g. the words spoken during a call or the body of an email). It includes a range of subscriber and device details as well as the source, destination, timing and duration of a communication, and the location of equipment used for the communication.
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Data retention: ATO renews push to be part of ‘metadata’ regime

Agency admits it is still accessing telecommunications data
Rohan Pearce (Computerworld) 10 September, 2019 14:41
The Australian Taxation Office has reiterated its frustration at being excluded from the list of government agencies able to obtain warrant-free access to telecommunications ‘metadata’ as part of the data retention regime.
However, the ATO has acknowledged using other provisions of Australian telecommunications legislation to access the same records covered by the data retention scheme, but objects to the costs that it incurs as a result.
The legislation governing data retention authorises metadata metadata access by federal, state and territory police forces, the Australian Criminal Intelligence Commission, a number of anti-corruption and law enforcement integrity bodies, the Department of Home Affairs, the Australian Securities and Investments Commission (ASIC), and the Australian Competition and Consumer Commission (ACCC).
There are two pathways for authorising additional agencies to access data retained as part of the scheme. One is through legislation, the other is via ministerial declaration. However, authorisation via declaration expires at the end of 40 sitting days of the House of Representatives after it comes into effect.
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Australian government's data sharing principles far from agreed upon

Getting your consent before sharing your personal data between agencies is still "an area of debate", so why is the government planning to go ahead without consent?
By Stilgherrian | September 10, 2019 -- 07:17 GMT (17:17 AEST) | Topic: Security
"If we required consent, then data would only be shared where consent was given," writes the Australian government. So it plans to go ahead without your consent.
Yes, this is the "nuanced" position on consent in the Australian government's Data Sharing and Release discussion paper [PDF] that was released last week.
"While consent is important in certain situations, the societal outcomes of fair and unbiased government policy, research, and programs can outweigh the benefits of consent, provided privacy is protected," it asserts.
But the paper fails to justify that assertion.
It acknowledges that there were "robust discussions" about consent, and that consent "remains an area of debate and requires further public discussion". But the only support for the "can outweigh" assertion to remove the need for consent is vague hand-waving and a smattering of unlikely claims.
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Google to change the way it presents news

Original news reporting will get new prominence and stay at the top of searches longer as Google addresses a major concern of publishers and reporters that their work was being swamped by copycats.
Google said it wanted to “highlight articles that we identify as significant original reporting”, and give readers a better chance to find the work that sparks many follow-ups.
“This means readers interested in the latest news can find the story that started it all, and publishers can benefit from having their original reporting more widely seen,” Google vice-president of news Richard Gingras wrote in a blog post on Friday.
The changes follow sustained criticism from traditional media organisations that helped spark the Australian Competition & Consumer Commission inquiry into digital platforms.
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Global watchdogs welcome ACCC crackdown on tech giants

The world’s leading competition regulators have welcomed Australia’s global lead in cracking down on Facebook and Google over their stronghold on advertising and misuse of people’s data.
In a meeting in New York around 30 heads of competition and antitrust agencies from all parts of the world discussed the landmark report of the Australian Competition and Consumer Commission which has recommended ways to rein in the dominance of US tech giants.
The meeting came only days after Attorneys-General for all 50 US states launched an antitrust investigation of Google and the threat that its dominance poses to competition and consumers.
Australia’s competition tzar Rod Sims, the head of the ACCC, told a closed workshop of competition agency heads at New York’s Fordham University why Australia had taken the lead on challenging the dominance of US tech giants.
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Thursday, 12 September 2019 21:04

Digital group says no to code of conduct on fake news

An industry lobby group, that represents the interests of Google and Facebook among others, has told the Australian Government that it does not agree with the creation of an industry code of conduct on fake news, one of the recommendations in the final Digital Platforms Inquiry report released by the ACCC on 26 July.
The Digital Industry Group, which also counts Twitter and Verizon Media among its founders, urged the Government to consider the "unintended consequences" raised by the recommendations and undertake broader consultation before any major reforms are announced.
The Australian Competition and Consumer Commission had recommended a code of practice to regulate the digital ad industry and to govern issues around inaccurate information, with the Australia Communications and Media Authority to handle enforcement.
In a submission to the public consultation on the final report, released by the Australian Competition and Consumer Commission, DIGI said it had issues with numerous recommendations among the 23 made by ACCC chief Rod Sims in the final report.
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My Health Record: Connecting Australians with their own health information

Meredith Makeham, BMed(Hons), MPH(Hons), PhD, FRACGP
First Published September 6, 2019 Editorial
The expansion of My Health Record marks an important change in Australia’s healthcare system. In February 2019, a My Health Record was created for people, unless they chose not to have one. This opt-out participation model resulted in a large number of Australians now having access to My Health Record, with approximately 90.1% of those eligible for Medicare participating in the system at the time of record creation. While a national electronic summary record has been available since July 2012, the move to an opt-out system with the ongoing option to permanently delete their record at any time offers Australians an important choice about how they wish to interact with their personal health information.
There has been a global move to digitise health systems and data over recent years to improve the way clinicians access accurate health information at the point of care. This is hardly surprising given the critical importance of access to high-quality data in delivering safer care and better health outcomes for our patients. Some countries around the world are now developing digital services that allow people to access their own health information. The growth of these “personal health record” systems (Tang et al., 2006) – like Australia’s My Health Record – represent an important change for people, empowering them to play a more active and informed role in managing their health in partnership with their healthcare providers.
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Doctors warned about using personal phones for clinical photos

By Matt Johnston on Sep 11, 2019 7:07AM

GP college issues new guidance.

The Royal Australian College of General Practitioners (RACGP) has cautioned doctors to think carefully before using personal phones for taking clinical photos and how those records are stored.
RACGP president, Dr Harry Nespolon, told iTnews that new guidance from the college on using personal phones for clinical work is about making sure they’re approached in a systematic way that protects both patients and doctors.
He said the ubiquity of phones with quality cameras has meant it’s become common practice for GPs to use their own phones to take photos, which are then uploaded to a patient’s medical record or sent to colleagues for a second opinion.
Doctors have also been known to snap particularly interesting or abnormal cases for the RACGP to use in exams, Nespolon added.
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These menstrual tracking apps reportedly shared sensitive data with Facebook

Some of the apps shared things like contraception use and other personal info, according to a UK advocacy group.
September 10, 2019 5:52 AM PDT
New research from UK-based advocacy group Privacy International uncovered that some period-tracking apps were sharing sensitive data with Facebook. Tracking apps like MIA Fem and Maya shared information with the social network, including when the user logged contraception use, monthly periods and menstruation symptoms, the group said Monday. 
Privacy International's research, reported earlier by BuzzFeed News, examined apps that it said had millions of downloads. The group found that Maya by Plackal Tech and MIA by Mobapp Development, were sharing extensive amounts of sensitive user information with Facebook and other third parties. 
Plackal Tech said it has since removed both the Facebook core software development kit, or SDK, and Analytics SDK from the Maya app across all platforms. The app's CEO, John Paul, said that all data accessed by Maya is essential to the proper functioning of the product. Paul said predicting information pertaining to menstrual cycles is complex and dependent on thousands of variables
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GDPR and Digital Health: Is Your Software ‘Fit’ for Purpose?

European Union August 28 2019
Digital health technologies are a growing presence in our day-to-day lives - from the step-counter in your smartphone, to online consultations with a GP, to artificial intelligence (AI) virtual patient monitoring. The term ‘digital health’ captures technology of varying complexity, all with the similar aim of engaging with and improving an individual’s health and lifestyle, while improving efficiency. Given the evolution and rising popularity of these technologies on the consumer market, we look at some important data protection considerations that are setting the tone in this new era of digital health products.
What’s so special about health data?
As health, genetic or biometric data is particularly sensitive, its misuse poses greater risks to data subjects. The GDPR therefore designates it as a ‘special category of personal data’ that must be given additional protections. Digital health technology companies need to take care if processing this category of data.
When trying to make their app ‘fit for purpose’, our digital health technology clients often ask us questions like:
·         How do I process health data lawfully?
·         What privacy notices and pop-up messages should my app display?
·         If my digital health app uses AI, does that impose any additional restrictions?
·         Are there any restrictions around using automated decision-making?
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James Riley
September 7, 2019

Centrelink folds in Robodebt case

Wiping debts: Centrelinks is recalculating debts to nothing when the legal system gets involved
Centrelink has wiped clean the debt at the centre of a second Federal Court case challenging the controversial Robodebt data matching and debt recovery program.
Victorian Legal Aid said on Friday that its client Deanna Amato has been told her Robodebt of $2754 had been wiped, after a recalculation process found the true overpayment to be just $1.48.
The 33-year-old local government employee says Centrelink has refunded her over $1700, after it garnisheered her full tax return earlier this year. At the time, she had never spoken to anyone from Centrelink about the supposed debt.
This is the second of two test cases run by Legal Aid through the Federal Court where Centrelink had wiped the alleged debt before the cases were argued in court.
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Monday, 09 September 2019 14:25

Govt should stop misleading people over website blocks

The loud noise that the Federal Government is making over blocking websites that host videos with terrorist content is a futile attempt to show that it is doing "something" to prevent abhorrent material like the video of the Christchurch massacre from being accessible to people in Australia.
But only the uneducated would be deceived by all the talk and bluster.
For that is precisely what it is. Once a file is uploaded to the Internet, no matter where it is done, it is well-nigh impossible to get rid of it. Of course, those without a clue would be blocked by their ISPs.
But there are many people who use virtual private networks. Is the government planning to ban all use of VPNs?
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Head-spinning conspiracies: 5G technology joins the club

Authored by Jane McCredie
In the first place, nobody denies that certain harms and damages, which actually and visibly afflict men, animals, the fruits of the Earth, and which often come about by the influence of stars, may yet often be brought about by demons … Malleus Maleficarum, 1486
HUMANS have long believed in the power of evil, or harm, to be transmitted invisibly through the air.
The Malleus maleficarum, or Hammer of witches, was a medieval dummies’ guide to witches, instructing readers on how to unmask, interrogate and ultimately burn them.
While the Malleus’ intricate demonology saw the root cause of evil in supernatural creatures who seduced the all-too-willing witches, these days we are more likely to nominate government conspiracies as the source of all that is bad in the world.
Whether it’s fluoride or vaccines, vocal lobby groups accuse authorities of exposing them to terrible danger while hiding clear evidence of harm.
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Govts band together to create national disability dataset

By Justin Hendry on Sep 6, 2019 5:13PM

Pilot to cost $15 million.

Federal, state and territory IT ministers have agreed to pull together a national dataset on disabled Australians to start delivering better services.
The decision, taken at the first sitting of the newly re-badged Australian Data and Digital Council on Friday, paves the way for a federation-wide view of the disability sector.
Described as an “enduring longitudinal National Disability Data Asset”, the dataset is intended to “better understand how people with disability are supported through services, payments and programs” across the country.
It will initially begin life as a $15 million pilot funded by the federal government that will incorporate datasets from the federal, NSW, Victoria, Queensland and South Australian governments.
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Toward Comprehensive Patient-Centric Care by Integrating Digital Health Technology With Direct Clinical Contact in Australia

ABSTRACT

Background: There is an escalating crisis in health care, locally and internationally. The current health care model is unable to meet the increasing health care demands.
Objective: The aim of this study was to reconceptualize the provision of health care to produce better outcomes at no greater cost, by placing individuals in the position of authority to direct their own care, in a personalized, integrated health care system.
Methods: In this study, we used the Australian health care system as a model. We reviewed the current landscape of digital health in Australia and discussed how electronic medical records (EMRs) can be further developed into a personalized, integrated health care system.
Results: Some components of an EMR and digital health system are already being used in Australia, but the systems are not linked. A personalized, integrated health care model that is responsive to consumer needs requires not just a passive repository of medical information; it would require a team approach, including the government, health care funders, industries, consumers and advocacy groups, health care professionals, community groups, and universities.
Conclusions: Implementation of a personalized, integrated health care system can result in reduced pressure on the current health care system, and it can result in the delivery of best-practice health care, regardless of location. Importantly, a personalized, integrated health care system could serve as an education platform, “upskilling” not only clinicians but also, more importantly, patients and carers by providing them with accurate information about their condition, treatment options, medications, and management strategies. By proposing personalized, integrated health care, we offer an intelligent model of health care that is ubiquitous, efficient, and continuously improving.

J Med Internet Res 2019;21(6):e12382

doi:10.2196/12382
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Comments more than welcome!
David.