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, December 05, 2019

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

December 05, 2019 Edition.
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Trump has been rolling on with false news and hysterical claims as far as I can tell. Right now his total focus is not governing but getting re-elected – and it is showing!
Only a week or two to go until the Brexit election
Australian politics seems to have descended into chaos with all sorts of unexpected outcomes as we see the economy continuing to go backwards. The Morrison gloss is fading quickly it would seem.
The country is still sadly seeming to be ablaze and summer has just started.
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Major Issues.

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Life insurers hit hard by Hayne fallout, mental health claims

Nov 22, 2019 — 4.53pm
Rising mental health claims and the fallout from the Hayne royal commission have contributed to a net loss of $86 million across all Australian life insurers in the first six months of 2019, a new report by KPMG has found.
That continued a stark downward trajectory from 2017, when life risk products generated a profit of $1.5 billion. In 2018, that fell to just $33 million.
The report's authors said there was no relief in sight, with the extension of the "unfair contracts" provisions to cover insurers and a continued rise in mental health claims further squeezing or obliterating margins.
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International security expert slams Australia's 'abysmal' fire strategy

By Anthony Galloway and Rob Harris
November 24, 2019 — 12.00am
An international security expert has described Australia’s fire strategy as ‘‘abysmal’’, warning that the nation needs to ramp up investment in fire-fighting equipment and be prepared for the possibility of terrorists starting bushfires to try and cause mass casualties.
Allan Orr, a counter-terrorism and insurgency specialist, also said a new national fire-fighting force should be established – either within the Department of Defence or preferably as a stand-alone body partially modelled on the United States National Guard.
The call comes after Defence Minister Linda Reynolds earlier this month gave approval to send hundreds of navy, army and air force reservists to join the fight against the catastrophic bushfires across NSW and Queensland.
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COAG clears the air on electricity

In the often messy and turbulent world of energy and climate policy, we end 2019 in a far better place than we began.
Tony Wood Contributor
Nov 25, 2019 — 12.00am
Federal Energy Minister Angus Taylor emerged from Friday’s long-delayed meeting of the COAG Energy Council with an unexpectedly upbeat perspective. It was at least partly justified: the apparent absence of vitriol and a positive, if underwhelming, Communique held some good news.
The last meeting of the Council in December 2018 featured verbal warfare between key states and the Commonwealth, particularly on climate policy, given it came so soon after the demise of the National Energy Guarantee. It took almost 12 months, accompanied by an ongoing war of words, for another meeting to be called.
There were three substantial outcomes. The first, and most substantial, covered reliability.
The Australian Energy Market Operator (AEMO) advised the ministers that there are enough arrangements in place to minimise supply risks over the coming summer. Yet some ministers, notably those from Victoria, NSW and the Commonwealth, have become increasingly concerned that the existing reliability standard needs to be enhanced to reflect the broad expectations of consumers. This standard is the trigger that determines how much capacity, either as more supply or less demand, should be in place ahead of time.
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Don't bet on markets rising as risks to growth escalate

There is a disconnect between rising equity values and the fundamental threats to the global economy.
Nouriel Roubini Contributor
Nov 25, 2019 — 12.00am
This past May and August, escalations in the trade and technology conflict between the United States and China rattled stockmarkets and pushed bond yields to historic lows. Since then, financial markets have once again become giddy. US and other equities are trending towards new highs, and there is even talk of a potential “melt-up” in equity values.
The financial market buzz has seized on the possibility of a “reflation trade”, in the hope that the recent global slowdown will be followed in 2020 by accelerating growth and firmer inflation (which helps profits and risky assets).
The sudden shift from risk off to risk on reflects four positive developments. First, the US and China are likely to reach a “phase one” deal that would at least temporarily halt any further escalation of their trade and technology war.
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Welcome China's rise but defend Australia's sovereignty

Striking the right balance between protecting national security and promoting a strong economy requires a strategic approach to managing the relationship with both China and the US.
Nov 25, 2019 — 12.00am
Ever since Richard Nixon’s historic 1972 visit ended China’s decades of international isolation, Sino-Western relations have dispensed with cold war strategising in favour of constructive engagement. The West has calculated that respecting the sovereign rule of the Chinese Communist Party would help contain the threat of the spread of Chinese Communism posed to the sovereignty of other nations in China’s sphere of influence.
This approach has succeeded beyond expectations. Overall, Western engagement has helped create a China that has been far easier for the West to live alongside in peaceful and interdependent coexistence.
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Coalition's attempt at rewriting history unfolding before our eyes

Eryk Bagshaw
Economics correspondent
November 24, 2019 — 11.30pm
There is a good dose of historical revisionism in our midst.
Coalition MPs, still emboldened by their unlikely election victory, are increasingly unpicking one of the few significant legacies of the former Labor government: Australia’s response to the global financial crisis.
Never mind that Australia was only one of three developed economies to avoid recession when the global economy tanked a decade ago (the others being Poland and Israel, plus the emerging economy of South Korea).
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The political classes are stuck and the consequences could be catastrophic

Sean Kelly
Columnist and former adviser to Labor prime ministers Kevin Rudd and Julia Gillard.
November 25, 2019 — 12.10am
In the odd hours following Donald Trump’s election victory, many of us traced our shock to the obvious fact the world had just changed. But soon enough we realised that this obvious fact was wrong. The world had changed some time ago. It was just that we had missed it, caught in old ways of seeing, old ways of being. We often take a while to catch up to the present.
Those memories have come back to me over the past couple of weeks, as heavy grey-smoke skies have pressed down on Sydney, and the scent of bushfire has made its way inside. Yes, there have been fires before, just as there had been election upsets before – but to many of us this year feels different. You strike up conversations with people you don’t know about the fact this is the way it’s going to be from now on. And you know, too, that really we’ve been heading this way for some time, it’s just that we are now beginning to comprehend the scale.
And yet debate in this country, as conducted by politicians and the media, remains stuck, unproductively nostalgic for what debate once was, unwilling to concede the change that many citizens feel instinctively.
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Spike in climate concerns highlights challenge for government

By David Crowe
November 26, 2019 — 12.00am
Australians' concern about climate change has almost doubled over the past year, highlighting a challenge for the Morrison government in acting on voter demands.
The annual survey of community sentiment conducted by Monash University also found a distrust of China and deep anxiety about "overcrowding" and house prices, despite strong support for immigration and multiculturalism.
Report author Andrew Markus said 19 per cent of respondents named climate as the biggest issue, up from 10 per cent last year, one of the largest increases since the surveys began, while 28 per cent nominated the economy and 8 per cent named social issues.
"I think it has emerged almost daily as an issue of significance, not only in Australia but globally," Professor Markus said of climate change. "The sense that things are getting worse, and more quickly than even the more pessimistic assessment of climate scientists – I think that also is having an impact on people's understandings."
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Hartzer's departure a necessary firebreak

Brian Hartzer's resignation was a belated recognition by the Westpac board that the rules of accountability have permanently changed.
Jennifer Hewett Columnist
Nov 26, 2019 — 9.31am
The pressure was just too great. From politicians, from investors, from public opinion.
It took chairman Lindsay Maxsted and the Westpac board several days to realise that promising action to “get to the bottom of things” and fix the problem was never going to be enough to satisfy the urge for an immediate, dramatic response.
Media revelations about Brian Hartzer’s attempt to calm his team by telling senior executives that mainstream Australia was not overly concerned about the Westpac case only compounded the sense of grievance about the bank’s tin ear. From the top down.
Allegations of child abuse and sexual exploitation will always register in the public consciousness in a way that overwhelms any detail of systemic failures of technology. In an era of all-media, all-the-time that hype-sensitivity only becomes more intense.
The politicians and big institutional investors the Westpac chairman had been seeking to reassure this week clearly understood that reality well ahead of the shell-shocked Westpac board.
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Australia’s strategic risks are changing and so must our defence thinking

Australia’s strategic outlook is deteriorating. For the first time since World War II, we face an increased prospect of threat from high-level military capabilities being introduced into our region.
This means we need to make a major change to the management of strategic risk. Strategic risk is a grey area in which governments need to make critical assessments of capability and intent. Since the 1976 defence white paper, judgments in this area have relied heavily on the conclusion that the capabilities required for a serious assault on Australia simply did not exist in our region.
In contrast, in the years ahead, the level of capability able to be brought to bear against Australia will increase. So, judgments relating to warning time will need to rely less on evidence of capability and more on assessments of motive and intent. Such judgments are inherently ambiguous and uncertain.
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No QE until interest rates hit 0.25pc

Matthew Cranston Economics correspondent
Nov 26, 2019 — 8.05pm
Reserve Bank of Australia governor Philip Lowe has hosed down the prospect of quantitative easing and asserted that the central bank would not move to such a tool until the official interest rate dropped to 0.25 per cent which was still a "fair way" off.
In a speech to the Australian Business Economists on Tuesday night Dr Lowe gave the market his strongest guidance yet on how the central bank would implement QE, saying that it would favour buying government bonds over corporate ones.
"Our current thinking is that QE becomes an option to be considered at a cash rate of 0.25 per cent, but not before that," Dr Lowe said.
Before Dr Lowe's speech markets were pricing in a 22 per cent chance of another 0.25 per cent interest rate cut in December to 0.5 per cent – the point at which some economists thought the RBA would begin some form of unconventional monetary policy.
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It's the cover-up that's killed the prince and the banker

Updated Nov 27, 2019 — 6.03am, first published at 12.00am
Westpac has, as Prince Andrew might say, acted in a “manner unbecoming”. And even more unbecomingly, it at first sought to scratch sand over the stinking little heap and sidle away.
As any communications professional will tell you, it’s not the crisis that kills you: it’s the response.
The time it took the Westpac chief executive and board to recognise that their problem could not be solved with cosmetic PR invites parallels to the tin-eared Duke of York, who could not see that it wasn’t the optics but the substance of his situation that left the world aghast.
Among other things, it seemed normal to the prince to say that he ended his friendship with Jeffrey Epstein because “it would not do” for a royal to be seen in the company of the convicted child sex abuser.
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Ratings' agency warns government against missing surplus

By Shane Wright
November 27, 2019 — 10.23am
The Morrison government has been urged to stick with its focus on strong budget surpluses with credit ratings' agency S&P Global warning too much spending could put at risk the country's triple A rating.
The agency on Wednesday said "strong fiscal outcomes" were key to Australia retaining its current rating, adding that calls for governments to spend more on infrastructure would prove difficult because of capacity constraints.
Australia is one of 11 nations that has S&P's top credit rating. It was upgraded to a stable rating from negative in September last year.
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Philip Lowe speech: two rate cuts left in Reserve Bank arsenal

Reserve Bank governor Philip Lowe has insisted that monetary policy remains effective, declaring the bank is still two rate cuts away from implementing more unorthodox ­monetary policies.
In what will be seen as a landmark speech, Dr Lowe offered the clearest outline yet on what action the RBA was prepared to take should rate cuts alone fail to set the economy on the path to reaching its 2-3 per cent inflation target over time.
“Conventional monetary policy is still working in Australia and we see the evidence of this in the exchange rate, in asset prices and in the boost to aggregate ­household disposable income,” Dr Lowe said in a speech in Sydney on Tuesday night.
But Dr Lowe identified 0.25 per cent as the “effective lower bound” for its policy rate.
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China's coal mania is alarming, yet there's a big twist

Despite Beijing ramping up plans for new coal-fired electricity plants, they will be outpriced by cheap wind and solar, says Ambrose Evans-Pritchard.
Ambrose Evans-Pritchard
Updated Nov 28, 2019 — 9.17am, first published at 9.09am
No further coal plants should be built anywhere in the world ever again. The great majority of existing plants should be phased out within 15 years.
That is the message of the Intergovernmental Panel on Climate Change (IPCC) as delegates descend on Madrid for next week's COP25. There is no chance of keeping CO2 emissions below critical thresholds and preventing runaway climate change if this does not happen.
So one might justifiably be aggrieved by news that China is engaged in a massive - if surreptitious - expansion of its coal power fleet in breach of earlier pledges, taking advantage of climate denialism in the White House to raid the global commons. Xi Jinping's industrial machine accounts for half the world's coal consumption. He is now adding a large coal plant every two weeks.
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What the government wants from business

Jennifer Hewett Columnist
Nov 27, 2019 — 8.04pm
Westpac may have just received a capital F for regulatory failure but it's not about to derail the government’s commitment to reducing the cost and impact of regulation on the business community more broadly.
Scott Morrison calls it regulation “congestion busting” and has put Ben Morton, his close ally and assistant minister, in charge of delivering it. Morton acknowledges the promise to reduce regulation has been a constant commitment from all governments – as well as a constant disappointment to businesses.
Indeed in key sectors, such as energy and banking, the Morrison government has radically increased the scope of regulation. Morton shows little patience for the criticism, saying the PM takes a long-term view of deregulation with an expectation of continuing improvement.
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Planet Earth ‘cascades’ towards a hothouse, say scientists

A “hothouse” Earth caused by the domino-style collapse of natural systems due to climate change could already be under way, according to a new call for action by scientists.
An editorial in the journal Nature, co-written by Australian National University professor Will Steffen, says more than half of the tipping points that could push the planet towards a hothouse and threaten civilisation are now “active”.
“As soon as one or two clim­ate dominoes are knocked over, they push Earth towards others,” Professor Steffen says.
 “We fear that it may become impossible to stop the whole row of dominoes from tumbling over, forming a cascade that could threaten the existence of human civilisations.”
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Australia to fight Europe on climate demands in free-trade deal

By Anthony Galloway
November 29, 2019 — 12.00am
Trade Minister Simon Birmingham has described France's push to force Australia to adopt climate change targets in a planned trade deal with European Union as "unprecedented", declaring he will only accept terms that are in the best interests of the nation.
Senator Birmingham wants to clinch a free-trade agreement (FTA) with the EU by the end of next year, followed by Britain in early 2021, after Parliament this week ticked off on deals with Indonesia, Hong Kong and Peru.
In a week when Australia-China relations soured over allegations of a plot to install a Chinese agent in federal Parliament, Senator Birmingham stressed the benefits of diversifying Australia's trading interests around the world through the new FTAs, but said China would remain a major trading partner with Australia for years to come.
He also declared he wouldn't "capitulate" to Europe's claim for exclusive use of key food names including feta, Parmesan and Gorgonzola cheeses.
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Crossbench defeat suggests trouble for Scott Morrison on other fronts

By David Crowe
November 28, 2019 — 7.43pm
Scott Morrison and his ministers have just been clobbered by the crossbench in a Senate tussle that is about much more than a single law.
The frustration with the government among crossbenchers like Pauline Hanson and Jacqui Lambie suggests there will be trouble for Morrison on other fronts before too long.
The government's Ensuring Integrity Bill is defeated in the Senate with a 34 - 34 tied vote.
The defeat of the Ensuring Integrity Bill is not just a momentary problem for the industrial relations changes, which the government badly wanted to pass this year to prove it was going ahead with economic reform.
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How ANZ has avoided an AUSTRAC disaster so far

Learning from past mistakes, a paranoid attitude towards financial crime, and wide experience in money transfers have helped it stay on the right track.
Nov 30, 2019 — 12.00am
On the same day that Westpac chief executive Brian Hartzer resigned to take responsibility for the money-laundering scandal, the Australian Federal Police in Perth praised ANZ Banking Group for helping freeze the assets of a suspected Chinese criminal.
Thanks to ANZ’s rapid-fire response to requests made by the AFP Criminal Assets Confiscation Taskforce, a total of $2.24 million in deposits suspected of being the proceeds of crime were seized.
The taskforce is a joint effort of the AFP, Australian Criminal Intelligence Commission, the Tax Office and AUSTRAC.
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As Morrison slams Westpac, anti-money laundering laws lag behind

Nov 30, 2019 — 12.00am
The Morrison government's failure to tighten anti-money laundering laws has allowed billions of dollars each year handled by lawyers, accountants and real estate agents to potentially fund terrorism, drug trafficking and child exploitation.
Prime Minister Scott Morrision and his senior ministers have spent the week excoriating Westpac for its breaches of anti-money laundering laws, criticism labelled hypocritical as the government drags its feet on implementing tougher rules.
Australia is ranked alongside Haiti and Madagascar for its lax anti-money laundering rules, a performance which led a global taskforce to suspend a review of Canberra’s performance last month
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Our fear of China is not loathing

Peter Hartcher
Political and international editor for The Sydney Morning Herald
November 30, 2019 — 12.00am
I knew Australia was worried about the Chinese Communist Party's grip on the country, but until now I didn't realise the extent of the fear. The worry shows up very clearly in opinion polls. Fear is harder for a poll to detect.
First, the worry. A year ago, most Australians trusted China to act responsibly. No longer. The proportion of people trusting in China fell from 52 per cent to 32 in a year, according to the annual Lowy survey.
More specifically, seven in 10 people say there is too much Chinese investment in Australia. That Australia is too dependent economically on China. That Australia should do more to restrict China's military activities in the region – even if it comes at an economic cost. Six in 10 say they favour Australia's navy conducting freedom-of-navigation exercises in the South China Sea.
Almost half say China will become a military threat to Australia in the next 20 years. And 49 per cent say that foreign interference in Australian politics is a "critical threat" to Australia's vital interests. And that was before this week's news.
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The left’s belief in inequality doesn’t stand up to scrutiny

Inequality is on the rise, or not, depending on who you listen to.
Even in a world of polarisation, fake news and social media, some beliefs remain universal, and central to today’s politics. None is more influential than the idea that inequality has risen in the rich world. People read about it in newspapers, hear about it from their politicians and feel it in their daily lives.
This belief motivates populists, who say selfish metropolitan elites have pulled the ladder of opportunity away from ordinary people. It has given succour to the left, who propose ever more radical ways to redistribute wealth. And it has caused alarm among businesspeople, many of whom now claim to pursue a higher social purpose lest they be seen to subscribe to a model of capitalism that everyone knows has failed.
In many ways the failure is real. Opportunities are restricted. The cost of university education in the US has spiralled beyond the reach of many families. Across the rich world, as rents and house prices have soared, it has become harder to afford to live in the successful cities that contain the most jobs.
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Morrison government wipes $500 million in dodgy debt from students

By Farrah Tomazin
December 1, 2019 — 12.00am
The Morrison government has this year wiped about $500 million in dodgy debt accumulated by unsuspecting students as part of the most disastrous education rort in Australia’s history.
Three years after the government scrapped the botched vocational loan scheme known as VET FEE-HELP, the defunct program is continuing to have an enduring impact as more people discover they were duped by shonky private providers.
The Age and The Sydney Morning Herald can reveal that between January and October 31 this year, Canberra approved the removal of more than $493 million worth of “inappropriate debt” for about 38,000 students, most of whom had loans issued without their consent when they were signed up to substandard courses.
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Fuel security woes amp up tensions around Caltex bid

Nov 30, 2019 — 12.00am
Caltex Australia's Canadian suitor, Alimentation Couche-Tard, looks set to face mounting pressure to guarantee the future of the target's Brisbane oil refinery as the Labor Opposition, strategic risk and transportation experts underscore the importance of the plant to fuel security.
While Couche-Tard - French-Canadian slang for "night owl" - has yet to secure any agreement from Caltex on its proposed $8.6 billion cash takeover offer, the refinery's fate is shaping up to be a potential key factor in regulatory approval for a deal.
"Australia’s fuel security is an extremely important issue, especially at a time of heightened security risks," said Labor's energy spokesman, Mark Butler, accusing the federal government of being "asleep at the wheel" on the issue for six years.
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The price of banks becoming crime fighters

The genesis behind the latest AUSTRAC scandal can be traced back to the decision to transform banks into de facto law enforcement and counter-terrorism agencies.
Christopher Joye Columnist
Nov 29, 2019 — 3.39pm
After dismissing quantitative easing as “very unlikely” for most of 2019, Reserve Bank of Australia governor Phil Lowe this week revealed we are just two rate cuts away from the government bond-based QE anticipated by this column back in May.
Indeed, Lowe painted an astonishingly detailed picture of the decision-making rules his board will apply when navigating down this path.
While Lowe slammed Westpac’s anti-money laundering (AML) failures as “appalling” and “completely unacceptable”, they could end up defining how quickly the RBA embarks on QE through their non-trivial impact on bank funding costs.
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Religious discrimination bill due for 2020

Prime Minister Scott Morrison says his government is issuing revised draft religious discrimination laws before the end of the year.
Colin Brinsden
Australian Associated Press November 30, 20198:21pm
Religious freedom laws will not be introduced to federal parliament until 2020 after hundreds of submissions were made to the draft bill.
The government will also be issuing a revised draft of the Religious Discrimination Act before the end the year to take into account issues that have been raised during the consultation process.
Prime Minister Scott Morrison said the decision was made earlier this week and will allow further engagement opportunities for concerned parties.
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Capital capers, bonus bonanzas and more: How banks and debt are changing society

A friend’s mother is in a quilting group of women of a certain age who meet every few weeks, and on Monday she reported that all her friends were exhausted. That’s ­because all of them are constantly minding grandchildren for working daughters who can’t afford full-time childcare.
In a speech on Tuesday, the deputy governor of the Reserve Bank, Guy Debelle, fleshed out that little slice of suburban reality with some data: “Over recent decades, the participation rate of mothers with dependent children has trended higher, rising by 10 percentage points since the early 2000s to 73 per cent. Over the past decade, the rise in participation has been most pronounced for mothers with children aged between 0 and 4.”
This is a huge, quiet change in our society. Why is it happening? Because of debt, says Debelle. “The rise in debt levels has broadly coincided with the increase in the participation rate of females.”
He rather spoils the clarity of the moment by wondering which way the causality goes. Are debt levels higher because more households have two incomes and can afford to borrow more? Or is it (as I suspect) that more women with young kids are working because of the amount of debt the family has had to take on to buy a house?
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Migrant drain on economy a myth

The “pervasive myth” that mig­rants are a drain on the economy has been busted by new Australian Bureau of Statistics data showing migrant employees’ median income is no different than for other taxpayers.
The ABS data, which reveals the nation’s 1.9 million migrant taxpayers generated more than $112bn in total personal income in 2016-17, prompted Migration Council Australia to call for a fresh look at increasing Australia’s permanent migration program, after the annual intake was reduced from 190,000 to 160,000 during the term of the last Coalition government.
The median employee income of all migrant taxpayers in 2016-17 was $49,438, the data reveals, slightly higher than the median employee income for all Australian taxpayers at $49,412.
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Royal Commissions And The Like.

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'Pretty confronting': Up to a third of aged care services may be substandard

By Judith Ireland
November 23, 2019 — 12.00am
Aged Care Services Minister Richard Colbeck has revealed up to a third of aged care services may not be "up to scratch" as he warned government spending alone won't fix the quality issues plaguing the sector.
With the aged care royal commission planning to confirm the level of substandard aged care in its final report next year, Senator Colbeck said initial indications from commissioner Lynelle Briggs were that at least 12 to 15 per cent of services were below par and the figure could be as high as 20 to 30 per cent.
"That's going to be pretty confronting for us all, if that's what comes back in 12 months' time," Senator Colbeck told an aged care conference this week.
As the Morrison government prepares to respond to the royal commission's initial findings, Senator Colbeck put the sector on notice that the quality of aged care would not simply be fixed through higher government spending.
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National Budget Issues.

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Why Boomer retirement time bomb could trigger youth backlash

John Kehoe Senior Writer
Nov 24, 2019 — 12.15pm
The federal government’s retirement income review is investigating whether an unfair tax burden will fall on younger workers to pay for superannuation tax breaks and the age pension.
The review, commissioned by Treasurer Josh Frydenberg, is looking at the budget sustainability of the retirement income system, as the large Baby Boomer generation retire and there are fewer working-age people to support the elderly.
The inquiry is exploring the sustainability of super tax concessions worth $37 billion a year that is "expected to continue to grow" and $48 billion in age pension payments.
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'The new normal': RBA tells people to get used to low wages growth

By Shane Wright
November 26, 2019 — 10.50am
Lower wage rises are "the new normal" with most workers likely to see increases of between 2 and 3 per cent for the foreseeable future, the Reserve Bank has conceded even as it tries to get them growing faster.
Deputy governor Guy Debelle, in a speech to the Australian Council of Social Service in Canberra on Tuesday, said the bank's business liaison program suggested 80 per cent of all businesses expect "stable" wages growth in the coming year. Just ten per cent are tipping stronger growth while the remaining ten per cent believe it may slow.
The bank has taken official interest rates down to 0.75 per cent in a bid to tighten the jobs market and lift wages. Wages growth has slowed to a 15 month low of 2.2 per cent over the past year.
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New sub fleet blows out to $225 billion

Australian taxpayers will fork out $225 billion over the lifetime of the nation's new submarine fleet, an estimates committee was told.
Finbar O'Mallon
Australian Associated Press November 29, 20194:13pm
Australia's new 12-strong submarine fleet will cost taxpayers $225 billion, an estimates committee has been told.
Rear Admiral Greg Sammut said there was an $80 billion build cost, which was originally touted by defence to be $50 billion.
There would also be an $145 billion support and maintenance cost over the lifetime of the attack subs until 2080.
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Health Issues.

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Health insurers hit back after minister rejects premium rise

By Dana McCauley
November 24, 2019 — 3.18pm
Health insurers are appealing to federal Health Minister Greg Hunt to fast-track reforms aimed at helping lower their costs.
Mr Hunt has written to insurers demanding they resubmit their applications for premium increases for next year, which are understood to be an average 3.5 per cent, more than double the rate of inflation and higher than this year's 3.25 per cent rise.
Private Healthcare Australia chief executive Rachel David said the industry was battling rising costs that were squeezing profit margins - with some funds in "negative territory" - making the minister's request for a 3 per cent rise "incredibly challenging".
Dr David said for-profit health funds were battling rising costs on several fronts, with ageing members putting in more claims, hospital costs increasing and suppliers of medical devices using sales tactics to drive up overall expenditure.
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Public dental treatment waiting list grows to almost 90,000

By Rachel Clun
November 25, 2019 — 12.00am
The waiting list for public dental treatment has grown to almost 90,000 adults, prompting dentists to plead for more funding.
President of the Australian Dental Association NSW Kathleen Matthews said the demand for public dentistry was there "but the funds aren't".
"It's a health service that, for the majority of Australians, doesn't receive any governmental funding," she said.
The number of adults waiting for public treatment in NSW has risen to a high of 88,433, data from NSW Health shows. The previous high was 87,542 in late 2016.
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Codeine poisonings halve at Brisbane hospital

By Lucy Stone
November 25, 2019 — 1.01am
Codeine-related overdoses have more than halved at one of Brisbane's busiest hospitals since the drug was made prescription-only in February last year.
Before then, drugs containing less than 30 milligrams of codeine did not require a prescription, but responding to a spike in the number of poisonings, the Therapeutic Goods Administration added all codeine-containing drugs to the prescription-only register.
New research by the Princess Alexandra Hospital in Brisbane's southside on the number of poisonings presented there shows that in the 12 months before the ban, the hospital's toxicology unit saw 163 presentations for codeine poisoning. This compared with just 77 in the 12 months after the ban – a 53 per cent decrease.
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Greedy doctors blamed for spiralling health costs

Nov 25, 2019 — 9.00pm
Greedy doctors, rocketing hospital bills and overpriced prosthetic devices have been blamed for the "death spiral" facing the private health insurance industry, in a damning new report by the Grattan Institute.
The report, which comes seven months after the think tank ignited a fierce debate when it declared the industry to be in "death spiral", calls for sweeping changes to the healthcare industry to counter rising premium costs.
The Grattan Institute laid very little of the blame for these cost increases – which have seen many younger people abandon private insurance – at the door of the health funds themselves.
Instead, it blamed a mixture of poor government policy and overcharging by doctors and hospitals, and recommended strict controls to keep costs down.
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'Bubble' in biotech stocks troubles investors

Luke Housego Reporter
Nov 25, 2019 — 11.59pm
The search for the next CSL and excessive valuations in local tech stocks have seen investors pouring into biotech, but elevated prices may be putting capital at risk.
Last week Regal Funds Management co-founder Phil King called the biotech sector "the biggest bubble in the Australian stock market" at the Sohn Hearts and Minds investor conference in Sydney, driven partly by a lack of expertise with biotech.
"We don't have the big pharmaceutical companies that North America and Europe have, and as a result Australians aren't that good at valuing drug companies," Mr King said.
Tribeca Investment Partners portfolio manager Jun Bei Liu has also cautioned investors about valuations in the sector
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'Hospital-in-the-home revolution': Hunt's plan to shake up private health insurance

By Dana McCauley
November 26, 2019 — 12.00am
Health Minister Greg Hunt has outlined his plan for a major shake-up of rules governing private health insurance in a bid to arrest an exodus of customers as premiums rise.
Mr Hunt is working on changes that would enable health funds to cover specialist treatment delivered outside hospitals at a lower cost, starting with mental health and orthopaedics. He hopes to roll out the proposed regime by mid-2020 so insurers can factor in cost savings and keep a lid on premium increases in 2021.
Currently, Australians can only claim on their hospital cover for treatment received in hospital, a rule Mr Hunt said created "perverse outcomes and perverse incentives".
"These are old rules [that] were put in place 20 years ago for a different medical system and a different time," Mr Hunt told The Sydney Morning Herald and The Age.
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‘Wasteful’ hospital spending a $2bn burden on private health

Costs to health insurers could be cut by $2bn every year if “wasteful” spending on long hospital stays and high specialist fees were reined in, reducing premiums paid by consumers by up to 10 per cent.
They are the findings of a ­report by the Grattan Institute, which recommends an overhaul of the way patients are billed for private hospital costs and doctors’ fees. “Private health ­insurance will continue its death spiral unless excessive private hospital costs and specialist bills are reined in,” the report says.
Grattan’s health program ­director, Stephen Duckett, analysed differences in the length of stay by patients in public and private hospitals, and found that for a host of procedures those having operations in the private system spent longer in hospital.
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'New normal': Deaths by acute conditions dropping in public hospitals

By Rachel Clun
November 27, 2019 — 12.00am
The chance of dying within a month of presenting to emergency with a stroke, heart attack or pneumonia is shrinking, but that risk can vary widely between Sydney hospitals.
A report published on Wednesday by the Bureau of Health Information (BHI) looked at mortality rates 30 days after patients were admitted to a NSW public hospital for heart attack, ischaemic stroke, haemorrhagic stroke, congestive heart failure, pneumonia, chronic obstructive pulmonary disease (COPD) and hip fracture surgery.
These seven life-threatening conditions make up 11 per cent of acute emergency hospitalisations (about 180,000 patients), but account for 28 per cent (almost 18,000) of all hospital deaths.
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Air pollution particles responsible for spike in UTIs, sepsis hospitalisations

By Kate Aubusson
November 28, 2019 — 10.30am
Tiny air pollution particles - like the very ones in bushfire smoke swathing NSW - are doing more than aggravating the lungs of asthmatics. Even short term exposure to the particulate PM2.5 is sending people to hospital for a multitude of newly identified reasons including sepsis and urinary tract infections.
Every 0.001 part-per-million of PM2.5 in the air is linked to 2050 extra hospital admissions, 12,216 days in hospital and almost $46 million in healthcare costs for conditions including lung diseases, diabetes, parkison's disease and diabetes, a US study published on Thursday in the BMJ found.
PM2.5 was also linked to rises in hospitalisations for illnesses not previously associated with the particulate, such as septicaemia, kidney failure, UTIs and skin and subcutaneous tissue infections.
These newly identified PM2.5-linked diseases accounted for roughly one-third of all hospitalisations associated with the particulate (31 to 38 per cent), suggesting we may be considerably underestimating its health burden, an accompanying editorial warned.
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Young, healthy and bled dry: look who gets the rawest deal from private health insurance

Jessica Irvine
Economics writer
November 28, 2019 — 12.00am
In the Spielberg epic Saving Private Ryan, a crack team sets out on a mission to retrieve a young lost soldier from the blood-drenched fields of Normandy during World War II. It’s a daring mission, one beset with danger and examples of tragic waste.
As narrative arcs go, it’s not entirely dissimilar to the one detailed in Saving Private Health, a report released this week by the Grattan Institute.
In it, the institute’s health program director, Stephen Duckett, details the daunting task confronting the federal government as it seeks to pull the nation’s private health insurers out of their self-described “death spiral” of rising costs and declining membership among young Australians.
In the first of two reports – the next is due next week – Duckett sensationally describes how a minority of “greedy” medical specialists charge inflated fees to private patients in hospital.
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Suicide rates among ex-servicemen 18pc higher

The suicide rate for ex-servicemen is 18 per cent higher than for all Australian men since 2002, new Australian Institute of Health and Welfare data shows.
The difference is mainly caused by suicide of ex-servicemen under the age of 30, who in recent years have died at rates up to twice that of all men their age. Overall, there were 419 suicides among serving, reserve and ex-serving ADF personnel since 2001, the report reveals.
Commissioned by the Department of Veterans’ Affairs to ­collate data on suicide among serving and ex-serving ADF ­personnel to inform prevention measures, the institute found that between 2002 and 2017, after adjusting for age, the suicide rate was 18 per cent higher for ex-serving men compared with the civilian male population. But for current serving men and men in the ­reserves it was 48 per cent lower.
Since 2007 the institute has made a study that enables a comparison of suicide rates specifically by age.
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Are men struggling through a feminised health system?

Whether or not men are being let down in their interactions with GPs is proving to be a point of contention among health experts.
Jill Margo Health Editor
Nov 30, 2019 — 12.15am
Novel research that goes beyond conventional thinking has put forward a new reason why men in Australia have poorer health than women. It suggests the health system is feminised.
This is not about the number of female doctors at work. Rather, it is about how the standard model of interaction between doctor and patient favours the female form of communication.
In gender-sensitive Australia, this is a bold suggestion, but Professor Gary Wittert, director of the Freemasons Foundation Centre for Men's Health at the University of Adelaide, says his research supports this notion.
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Private health system in a 'death spiral', says expert, but what can be done to save it?

By Patrick Hatch and Dana McCauley
November 30, 2019 — 12.00am
George Savvides, who ran Medibank for 14 years until 2016, describes the exodus of young people from private health insurance as akin to “a climate change event in the health system".
The Grattan Institute health economist Stephen Duckett is more blunt, saying the trend has put the private system into a "death spiral" and that urgent surgery is required to save it.
Whatever the turn of phrase, the symptoms are clear: the rising cost of hospital treatments is leading to higher health insurance premiums which people - particularly young ones facing anemic wage growth - can't afford to pay.
As they cancel their membership (the number of people aged 20 to 34 with cover is down 11 per cent over the past five years) they take the premiums that subsidise older and sicker members with them, which Duckett says forces premiums higher again.
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Alcohol lobby says new pregnancy warning labels 'too expensive'

By Dana McCauley
November 29, 2019 — 7.45pm
The alcohol lobby has launched a fresh offensive against the regulator's mandatory pregnancy warning labels, claiming it will cost manufacturers $600 million to redesign their products.
Food Standards Australia and New Zealand (FSANZ) has proposed a new warning for alcohol bottles, supported by public health advocates, with a graphic showing a silhouette of a pregnant woman drinking and red text that says: "Health warning: any amount of alcohol can harm your baby."
Alcohol Beverages Australia (ABA) chief executive Andrew Wilsmore said the new label had "all the hallmarks of looking for a fix to a problem that's not really there" and the cost of changing the labels would have to be passed on to drinkers through higher prices.
He said manufacturers should be able to keep using the DrinkWise label, which has the silhouette but no written warning, instead directing consumers to a website funded by the alcohol industry.
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Measles cases spike around the world as anti-vax campaigns take hold

By Abdi Latif Dahir
November 28, 2019 — 3.11pm
New York: There has been a rapid increase in the global measles outbreak, with reported cases jumping 300 per cent in the first three months of 2019 compared with the same period last year, according to the World Health Organisation.
As reasons for the increase, the organisation has cited a deep mistrust of vaccines, gaps in immunisation coverage and lack of access to healthcare facilities or routine check-ups.
WHO said multiple large outbreaks are being reported across Africa, Europe, Latin America and the Middle East.
As of November 5, there were more than 440,200 measles cases worldwide reported to WHO.
The highly contagious disease is caused by a virus and typically begins with a high fever and rash that can lead to complications of deafness, pneumonia, diarrhoea and encephalitis, according to the Centres for Disease Control and Prevention in the US. And although measles can be prevented with two doses of vaccine administered during childhood, the WHO estimated that 110,000 people, most of them children younger than 5 and living in developing countries in Africa and Asia, succumbed to it in 2017.
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Australia a 'treasure island' for medical device giants: ex-hospital boss

By Patrick Hatch and Dana McCauley
November 30, 2019 — 1.00am
The former chief executive of Australia's second largest private hospital operator has backed health insurers' claims they are being gouged by medical device manufacturers, saying the country is referred to as a "treasure island" for the industry.
Robert Cooke, who has 40 years of experience in the health industry including six as chief executive of hospital group Healthscope, said it was clear Australia "pays too much" for prostheses, which range from replacement hips through to medical sponges.
Australia's private health insurers have been pushing federal Health Minister Greg Hunt to overhaul the government's "prostheses list", which mandates how much they pay for more than 10,000 prosthetic and implanted medical devices.
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A hospital at home would help us all. It certainly helped my dying husband

Helen Pitt
December 1, 2019 — 12.00am
Federal Health Minister Greg Hunt has outlined his plan for a major shake-up of rules governing private health insurance which would include a "hospital in the home" option.
The Royal Australian College of General Practitioners seconded his idea to treat patients at home, especially those with mental health issues, recovering from orthopaedic or heart issues, or undergoing cancer treatment.
Labor health spokesman Chris Bowen, however, opposed the plan. And he was "implacably opposed" to health funds being able to cover GP services.
"Universal healthcare is a fundamental pillar of Medicare and we will not stand for the Americanisation of the Australian health system, which that would amount to," Bowen said.
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International Issues.

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Give Beijing an inch, it will take a mile: Obama's former UN envoy

Australia must draw a line in the sand when it comes to what is acceptable behaviour by President Xi's China, Obama-era diplomat Samantha Powell says. But Donald Trump is not helping.
Jacob Greber United States Correspondent
Nov 24, 2019 — 2.53pm
Washington | One of America's most senior former diplomats has warned Australia against succumbing to Chinese bullying and intimidation but admitted Canberra's ability to raise its voice against Beijing would be stronger if the West's democratic alliances "weren't so fractured by President Trump's behaviour".
Samantha Power, who frequently tangled with China as the Obama administration's ambassador to the UN Security Council during the rise of President Xi Jinping's assertive foreign policy pivot, says she has seen first-hand how American interests can be hurt by Beijing.
"If you give China an inch, they will take a mile," she told The Australian Financial Review in Washington ahead of what will be her first visit to Australia this week.
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China will overtake the US by 2030

Andrew Clark Senior Writer
Nov 25, 2019 — 12.00am
Australia should prepare for China to overtake the US as the world’s biggest economy by 2030, according to a group of influential Australian foreign policy figures.
Former foreign minister Gareth Evans said he agreed with forecasts that China will have a bigger economy than the US by 2030, although “not in per capita terms”.
However, he said the number one status wouldn't mean that China had dominant world power.
Mr Evans, foreign minister in the Hawke and Keating governments, said becoming a dominant world power “is a function of many factors like reserve currency status, dominance across multiple technological sectors, number of allies and partners, total military firepower, soft power, and general; global – as distinct from regional – reach and influence”.
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Hong Kong voters deliver pro-democracy message in 'de facto referendum'

By Kirsty Needham
November 25, 2019 — 6.46am
Hong Kong: A record voter turnout for district council elections has delivered a strong message to chief executive Carrie Lam as young democracy activists won a swathe of seats while the most combative pro-Beijing figure, Junius Ho, lost in early results.
Almost 3 million people in a city of 7 million queued to vote in the election held every four years, or 71.2 per cent of registered voters.
By 3am, 177 pro-democracy candidates had picked up seats, out of a total 452 seats, compared to 17 pro-establishment candidates.
Jimmy Sham, the organiser of June's million-strong peaceful marches, who was later attacked by thugs and hospitalised, won the seat of Lek Yuen in Shatin. Sham is still walking with crutches, the wounds to his head still visible, after being beaten with hammers by a group of men in a laneway.
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Billionaire businessman Bloomberg joins the race for the White House

November 25, 2019 — 2.56am
Washington: Billionaire Michael Bloomberg has jumped into the US presidential race, ending months of speculation over whether he would join the Democratic contenders looking to unseat Republican President Donald Trump in the November 2020 election.
Billionaire businessman Michael Bloomberg, the former mayor of New York City, jumped into the US presidential race, becoming the 18th candidate to join a crowded field of Democratic contenders seeking to face Republican President Donald Trump in the
"I'm running for president to defeat Donald Trump and rebuild America," the former mayor of New York said on Sunday. "We cannot afford four more years of President Trump's reckless and unethical actions."
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What happens when the language of democracy is hijacked?

Chris Zappone
Digital Foreign Editor
Updated November 25, 2019 — 5.51amfirst published November 24, 2019 — 11.47pm
When Twitter said it would no longer accept political ads on its platform this month, two voices loudly complained. Donald Trump's campaign manager said it was “yet another attempt by the left to silence Trump and conservatives”. Kremlin-funded RT said Twitter had "caved in" to "election-meddling fearmongers".
It was a telling duo of critics – but not a surprising one. Casting the issue of political disinformation as one of an assault on free speech is a common error. A figure no less than Facebook chief Mark Zuckerberg has conflated the issue of political lying with free expression. Yet the threat posed to democracy by an organised war on facts is clear to most critically minded journalists.
The invocation of the language of liberalism to damage our precious democracies is not new. But four years after Trump began his run for office, the use of “freedom” as a wrecking ball for democracy is approaching critical mass.
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HK democrats score big local elections win

Pro-democracy candidates in Hong Kong have romped to a landslide and symbolic majority in district council elections after residents turned out in record numbers to vote following six months of anti-government protests in the embattled city.
In a rare weekend lull in the unrest that has embroiled the financial hub, democratic candidates across the city of 7.4 million secured more than half the 452 district council seats for the first time against a strongly resourced and mobilised pro-establishment opposition.
Hong Kong's district councils control some spending and decide a range of local livelihood issues such as transport and they also serve as an important grassroots platform to radiate political influence in the city ruled by communist China.
Some winning candidates said the result was akin to a vote of support for the protest movement and could raise the pressure on Hong Kong's pro-Beijing chief executive, Carrie Lam, amid the city's worst political crisis in decades.
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Gold is looking more and more attractive

You have to really believe the sky is falling in order to hoard physical gold bars in a digital age. So, it’s rather worrying that some investors and central bankers are talking up gold, says the FT's Rana Foroohar.
Rana Foroohar Columnist
Nov 25, 2019 — 10.16am
Gold bugs have always struck me as paranoid. You have to really believe the sky is falling in order to hoard physical bars in a digital age. So, it’s rather worrying that some investors and central bankers are talking up gold.
The Dutch Central Bank recently argued in an article that if there were to be a major monetary reset, “gold stock can serve as a basis” to rebuild the global monetary system. “Gold bolsters confidence in the stability of the central bank’s balance sheet and creates a sense of security.”
Talk of gold, however, does not. Investor Ray Dalio recently spooked attendees at the Institute for International Finance conference when he mentioned the possibility of a flight to gold because of his concerns about America’s fiscal position.
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Scepticism or not, the Chinese threat is real

It's high time certain people stopped worrying so much about hurting Beijing's feelings.  
Phillip Coorey Political Editor
Nov 25, 2019 — 6.06pm
The case of Wang Liqiang, the Chinese man seeking asylum on the basis he is a former spy wishing to defect, poses yet another diplomatic challenge for the Morrison government. Potentially.
Prima facie, his case is compelling enough for many, including Liberal MP Andrew Hastie, to urge the government to grant him protection. Internally, the mood is more sceptical.
Why? Because as a rule of thumb, a defector does not try to force the hand of a desired protector by defecting through a media interview.
ASIO and the Department of Home Affairs will consider the protection claims seriously but will also "attempt to separate fact from fiction'', The Australian Financial Review has been told.
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China's overreach is testing Australia in four key ways

Peter Hartcher
Political and international editor for The Sydney Morning Herald
November 26, 2019 — 12.00am
The emphatic weekend verdict by the people of Hong Kong is a pronouncement much bigger than that city. It is a vote of "no confidence" in Beijing from some of the people who know it best. Twice as many people turned out to vote in the local district elections than at the last ones four years ago.
And it wasn't the weightiness of local district affairs – rubbish collection and public parks, for instance – that brought more than 71 per cent of eligible voters to the ballot box, compared with the previous record high turnout of under 50 per cent.
The people of Hong Kong voted to at least treble the number of pro-democracy district councillors, pending final results. While they won 100 seats last time around, this time it'll be at least 333 of the 452 seats contested, according to local media estimates. On Saturday, pro-government and pro-Beijing parties controlled all 18 of the city's district councils. By Monday morning they had just one.
Amid angry calls for greater democracy, record numbers have voted in district elections in Hong Kong with some suggesting the high turnout will likely boost those aligned with the city's protest movement.
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Carrie Lam will make no concessions after local election landslide

By John Ruwitch
November 26, 2019 — 3.55pm
Hong Kong: Hong Kong's embattled leader Carrie Lam has refused to offer any concessions to anti-government protesters despite a local election setback.
The chief executive says she will accelerate dialogue and plans to set up a committee to review deep-seated social issues that contributed to grievances.
Hong Kong's most unpopular post-colonial leader acknowledged voters wanted to express their views on many issues, including "deficiencies in governance", but also wanted an end to the six-month-old unrest gripping the city.
"Everybody wants to go back to their normal life and this requires the concerted efforts of every one of us," Lam said.
"So, as I have said repeatedly, resorting to violence will not give us that way forward. So please, please help us to maintain the relative calm and peace ... and provide a good basis for Hong Kong to move forward."
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Unsettling precedents for today’s world

Events evoke not the 1930s but the period before the first world war
Martin Wolf
History does not repeat itself, but it often rhymes. This remark is often incorrectly attributed to Mark Twain. But it is a good one. History is the most powerful guide to the present, because it speaks to what is permanent in our humanity, especially the forces that drive us towards conflict. Since the biggest current geopolitical event, by far, is the burgeoning friction between the US and China, it is illuminating to look back to similar events in the past. In a thought-provoking book, Destined for War, Harvard’s Graham Allison started with the account of the Peloponnesian war by Thucydides, the great Athenian historian of the 5th century BC. However, I will focus on the three eras of conflict of the past 120 years. From them much is to be learnt.
The most recent conflict was the cold war (1948-1989) between a liberal democratic west, led by the US, and the communist Soviet Union, a transformed version of the pre-first world war Russian empire. This was a great power conflict between the chief victors of the second world war. But it was also an ideological conflict over the nature of modernity. The west ultimately won. It did so because the scale of western economies and the speed of western technological advances vastly outmatched those of the Soviet Union. The subjects of the Soviet empire also became disenchanted with their corrupt and despotic rulers and the Soviet leadership itself concluded its system had failed. Despite moments of danger, notably the Cuban missile crisis of 1962, the cold war also ended peacefully.
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China overtakes US as no 1 in diplomatic posts

China has overtaken the US to ­establish the world’s largest diplomatic network, as Xi Jinping ­pushes to expand his country’s economic footprint through the Belt and Road Initiative.
New Lowy Institute analysis reveals China now has 276 diplomatic posts, surpassing the network of the US by three posts.
While Beijing and Washington have almost the same number of embassies, China is unmatched in the number of consulates, with 96 compared to 88 for the US.
As Donald Trump pursues his “America First” agenda, the institute’s Global Diplomacy Index finds US diplomacy “has entered a period of limbo”.
“With a hollowed-out State Department — only 73 per cent of key positions are filled — and ­attempts to cut the State Department’s budget by 23 per cent, American diplomacy is looking rudderless,” Lowy Institute ­research fellow Bonnie Bley said.
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How the Navy chief's firing illustrates Trump's most corrupt impulses

By Paul Waldman
November 26, 2019 — 12.30pm
Washington: One key reason Donald Trump's presidency has been so damaging is that he has a way of corrupting all the people and institutions he comes in contact with, infecting them with his virus. No one remains untouched.
As the sudden firing of Navy Secretary Richard Spencer shows, that includes the military. Spencer's story also bears a remarkable resemblance to the Ukraine scandal, in the way people with their own agendas played on Trump's most repugnant impulses to manipulate him.
Spencer's firing has its roots in the case of Edward Gallagher, a Navy SEAL who became a Fox News hero. Gallagher's long and complicated case began when members of his own unit accused him of a series of war crimes, including firing on civilians and murdering a wounded teenage Islamic State fighter receiving medical treatment from his unit.
Gallagher allegedly stabbed the wounded fighter multiple times, then took a picture with the corpse and texted it to friends, with the caption "Got him with my hunting knife." He was also charged with covering up his crime by threatening to kill members of his platoon if they reported it. They did anyway.
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'We're with them': Trump signs into law support for Hong Kong's pro-democracy protesters

By Anne Gearan and David J. Lynch
Updated November 28, 2019 — 4.18pmfirst published at 11.17am
Washington: China has reacted furiously to US President Donald Trump's signing of laws on Hong Kong human rights and says the US will bear the unspecified consequences.
A Foreign Ministry statement on Thursday repeated heated condemnations of the laws and said China would counteract. It said all the people of Hong Kong and China opposed the move.
Trump signed legislation designed to support pro-democracy protesters in Hong Kong after previously suggesting he might veto the measure to pave the way for a trade deal with China.
The legislation, with near-unanimous support in the House and Senate, authorises sanctions on Chinese and Hong Kong officials involved in human rights abuses and requires the State Department to perform a new annual review of the special trade status that Washington grants Hong Kong.
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Why I cannot vote for Jeremy Corbyn’s Labour Party

It's hugely expansionary and revolutionary program is likely to trigger capital flight and a currency collapse.
Martin Wolf Columnist
Nov 29, 2019 — 10.29am
At the age of 16, I joined the young socialists, the youth branch of the Labour Party. I was a supporter of the leader, Hugh Gaitskell, who opposed the party’s “Clause IV”commitment to nationalisation.
I then encountered the hard left or, as we called them, “Trots”, after Leon Trotsky, an architect of the Soviet revolution, assassinated by Joseph Stalin. I disliked them then. I dislike them now. I doubt their commitment to freedom and democracy.
With Jeremy Corbyn’s leadership, the hard left took over the Labour Party. It was a change of enormous, and probably enduring, importance. Labour remains the UK’s main opposition party. At some point, it is likely to gain power. I wish I could want it to do so. I do not.
The Tories have provided dreadful government, from post-crisis fiscal austerity at the expense of the vulnerable, to the idiocy of Brexit. The economy’s performance has been dire, above all, on productivity.
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Corporate debt nears a record $10 trillion, and borrowing binge poses new risks

November 30, 2019 at 4:27 a.m. GMT+11
Little more than a decade after consumers binged on inexpensive mortgages that helped bring on a global financial crisis, a new debt surge — this time by major corporations — threatens to unleash fresh turmoil.
A decade of historically low interest rates has allowed companies to sell record amounts of bonds to investors, sending total U.S. corporate debt to nearly $10 trillion, or a record 47 percent of the overall economy.
In recent weeks, the Federal Reserve, the International Monetary Fund and major institutional investors such as BlackRock and American Funds all have sounded the alarm about the mounting corporate obligations.
The danger isn’t immediate. But some regulators and investors say the borrowing has gone on too long and could send financial markets plunging when the next recession hits, dealing the real economy a blow at a time when it already would be wobbling.
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Disillusioned Chinese officials closely watching Wang case: analyst

By David Crowe
December 1, 2019 — 12.00am
Disaffected Chinese officials are closely watching how Australia deals with defector Wang Liqiang, with others weighing up whether to follow his path, an analyst says.
Questions are swirling about Mr Wang’s account of his life as a Chinese spy, and the federal government’s response to his plea for asylum could influence others who might bring their secrets to Australia, said Australian Strategic Policy Institute researcher Alex Joske.
"He has indirect value to Australia because the way Australia handles this case will be closely watched by others within the Chinese government who may have an interest in defecting," he said.
Security agencies have confirmed they are examining Mr Wang’s background and his request for asylum after The Age and The Sydney Morning Herald revealed his story last weekend in an investigation with 60 Minutes.
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North Korea locked and loaded with ‘super-large’ rocket launcher

North Korea has said the latest test-firing of its “super-large” multiple rocket launcher was a final review of the weapon’s combat readiness, a suggestion Pyongyang is preparing to deploy the weapon soon.
South Korea’s military had earlier said North Korea fired two projectiles, likely from the same “super-large” rocket launcher, on Thursday. It expressed “strong regret” over the launches and urged North Korea to stop escalating tensions.
On Friday, the North’s ­Korean Central News Agency confirmed the launches were made in the presence of leader Kim Jong-un — nicknamed “little rocket man” by Donald Trump. “The volley test-fire aimed to ­finally examine the combat ­application of the super-large multiple launch rocket system proved the military and technical superiority of the weapon system and its firm ­reliability,” KCNA said.
It said Kim expressed “great satisfaction” over the results.
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I look forward to comments on all this!
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David.

This Is The Funniest Story I Have Seen On The Opt-Out Rollout Of The #myHealthRecord.

It seems the ADHA staff, presumably recognizing what a poor idea they were implementing, needed extra sick leave to cope!

Sick days soared amid My Health Record flap

·         Adrian Rollins
The troubled introduction of the opt-out deadline for the $1.5 billion My Health Record may have taken a heavy toll on those tasked with its implementation.

ADHA staff recorded a spike in sick leave during the financial year of the My Health Record rollout.

Sick leave among ADHA workers reached an average of 14.2 days in 2018-19, the highest incidence among any Commonwealth agency, pushing the agency's overall rate of unscheduled absences out to an average of 17 days - well in excess of the average of 11.4 days across all agencies, and far above its absence rate of 11.5 the year before.

The full article is here:

https://www.canberratimes.com.au/story/6512595/sick-days-soared-amid-my-health-record-flap/


It’s hard to believe but there you go, or maybe there are other reasons. I am sure others could think of a few. It is a worry that what the bosses at the ADHA desired, stressed the staff so much, and is pretty sad!

Having the worst level of sick leave among all Commonwealth Agencies is not a badge of honour and suggests some fundamental malaise to me.

To also add to the very non-funny goings on at the ADHA has anyone else noticed that their Summary response to the Audit - i.e the spun version is made public while a fuller detailed response to the Audit is not provided. These guys really are transparency central - NOT! (Audit Report p58)

David.

Wednesday, December 04, 2019

Do You Think We Actually Know If The #myHealthRecord Has Already Been Used For Nefarious Purposes?

This popped up last week:

'Serious misjudgment': policeman fined for giving friend intelligence

By Georgina Mitchell
November 25, 2019 — 6.16pm
A NSW highway patrol officer has been convicted and fined $3080 after he met a long-term friend at a cafe this year and gave him restricted information from the police computer system, in an interaction witnessed by an undercover operative.
Phillip Edward Parker, 53, told his friend of 30 years that Strike Force Raptor – a police taskforce targeting bikies and criminal activity – had written two intelligence reports about him in police database COPS.
Parker told his friend the dates the reports were put into the system and said they concerned his friend's presence at an incident, as well as information about a stolen tow truck from 2008.

The details were divulged after a police officer pulled the friend over on April 8, 2019 and said to him: "Have you been in trouble before ... a couple of intels are coming up on you".
"I said 'excuse me?'" the friend told Parker, in a call intercepted by police. "He goes 'yeah'. I said 'f---ing hell, I don't know what intels are coming up on me. Mate, I've done nothing."
Parker asked for the registration number of his friend's tow truck. Later that day, the friend asked if he'd had time to look into it.
"Nah I haven't had time yet," Parker responded.
"I can't believe he said that," the man said. "I just played the tape back. He clearly said it. That blew me away, f---. Unless he was bluffing, but you can't say shit like that. Like it's f---ing upset me."
The next morning, Parker met the friend at a cafe at Penshurst in Sydney's south, bringing with him his police "Mobipol" data terminal.
According to agreed facts, "an undercover operative in the cafe" overheard Parker relay information from the police system to the man. The man then said he would speak to his solicitor and make an application to access the intelligence reports.
"The offender then put the Mobipol device away before the two left the cafe," the facts said.
More here:
What this shows that with a co-operative ‘friend’ it is possible, using legitimate access, to look up all sorts of private information, and this has to include the #myHR. Sure there may be an audit trail of the access, but how many have their account set up to alert them when unexpected access happens, or have blocked some / all access to all but a few users? Is the ADHA regularly reviewing each and every audit trail? I suspect not! The risk of getting caught seems pretty low.
From the Auditor General’s Report we have this: (p37)
“3.39 As at 30 June 2019, a Record Access Code had been set for 27,215 records – 0.1 per cent of all records – and a Limited Document Access Code had been set for 3,862 documents in the system.”
So basically no-one has secured their record – and details were not provided on the numbers who has set SMS alerts on access – but presumably it is again not many.
What we thus learn is that any properly authorised user can pretty much look at any record they know the details of and are pretty unlikely to trip any security alert about unauthorised access.
I am not sure the public would describe this as a secure and well regulated system where the users are sufficiently well informed about possible access to be properly in control of what happens to their data.
Has such access already happened and no one has noticed?
Who knows?
David.

Tuesday, December 03, 2019

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - December 03, 2019.

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This weekly blog is to explore the larger issues around Digital Health, data security, data privacy, AI 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! When you read this is will be near 12 months of radio silence.
Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.
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Australian Defence Force aims to integrate robotic war strategies

The Australian Defence Force is devising a strategy to develop hi-tech soldiers and weaponised ­robots under a new program to “modernise levels of protection and lethality” for frontline troops.
As China and other nations aggressively expand modern warfare technology, defence chiefs have adopted an “accelerated” plan, focusing on Human Machine Teaming to combine robotic systems and soldier ­capacity to “achieve tactical ­advantage”.
The defence strategy, outlined in AusTender documents lodged by the Defence Department, aims to integrate soldiers, robotics, artificial intelligence, sensors and data to boost frontline combat strike power.
Major General Mick Ryan, who has championed new technologies, has predicted that by the middle of the 21st century, military forces will contain tens of thousands of robots and that decisions of human commanders will be informed and shaped by artificial intelligence.
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My Health Record Guide Developed to help emergency care staff

Nathan Eddy | 28 Nov 2019 ADHA Propaganda
The Australian Commission on Safety and Quality in Health Care has partnered with the Australasian College for Emergency Medicine to provide more support for frontline emergency care staff through the use of patients' My Health Record.
The suite of clinical tools and resources includes include a guide for emergency department clinicians with practical information on accessing up-to-date My Health Record data for people requiring emergency care.
The guide explains the ins and outs of My Health Record to ED clinicians and where it can fit into their current practice, and describes the types of clinical documents that may be included in a patient's My Health Record and the origin of that information.
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Australian National Audit Office (ANAO) Report on the Implementation of the My Health Record System – Frequently asked questions

What were the main findings of the report?

ADHA Propaganda
The ANAO undertook this investigation to determine the effectiveness of the implementation of the My Health Record system under the opt-out model.
In doing so, they considered whether the risks of the system are being appropriately assessed, managed and monitored and the arrangements that are in place to monitor and evaluate My Health Record as more and more Australians begin to use and rely on the system.
The ANAO’s Implementation of the My Health Record System found that the:
  • Implementation of My Health Record has been largely effective.
  • Implementation, planning and execution of My Health Record was appropriate and was supported by appropriate governance arrangements.
  • Communication activities were appropriate to inform healthcare recipients and providers about the system.
  • My Health Record is an example of a program with many shared risks, not only between different Commonwealth agencies, but between different governments, the healthcare sector, clinical software vendors and the community at large. Good risk management is not just about managing risks for Commonwealth agencies – but also include the groups of people to whom they are delivering services.
  • The Agency has robust controls in place to manage cyber security risks to the core infrastructure of the My Health Record system, however needs to work closer with healthcare providers and software providers to ensure cybersecurity risks are appropriately managed at every stage of the healthcare system.
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Care about your privacy? Use these web services instead.

By Krishan Sharma
November 29, 2019 — 3.26pm
Google and Facebook so dominate online life that for many people it's easy to forget that their business models revolve around collecting as much personal data as possible, and using it to sell targeted ads. They are advertising companies first and foremost. We are the product they sell, and the business is very lucrative.
Out of the $US75 billion in revenue Google raked in over the first half of 2019, a staggering 84 per cent came from advertising. It made up 98 per cent of Facebook's total revenue in 2018.
More personal data means more targeted ads and ultimately more revenue. However, with some high profile revelations about how tech giants use and abuse our data, people are seeking alternatives.
With this in mind, here are some secure alternatives to popular Google and Facebook services that are just as convenient and free to use, without having to give up any of your personal data.
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OAIC Releases Health Sector Privacy Guidelines

The newly released ‘Guide to Health Privacy’ from the Office of the Australia Information Commissioner (OAIC) provides welcome clarity on a number of health data related obligations set out in the Privacy Act 1988 (Cth) (the Privacy Act), including the concept of consent, how and when health data is collected, stored and used, and of course who has access to it.
Earlier this year we reported on statistics coming out of the Notifiable Data Breach Scheme, one year on from its enactment. A key finding of the report highlighted particular vulnerabilities in the Health Services sector, ranking number one for notifiable data breaches by industry. On top of this, the health sector also ranks consistently in the top 3 sources of privacy complaints by individuals. With health data among an individual’s most sensitive personal information, the OAIC release of the Guide to Health Privacy could not be more timely.
Key takeaways
The Guide, written primarily for health professionals and practice staff, aims to provide practical and actionable advice on health information handling for those in the industry, providing industry specific examples on a number of important topics. It helpfully provides a number of examples specifics to medical practices which practitioners may find enlightening.
Of particular impact will be the recommended key steps to “embedding privacy in your health practice”, which include, amongst other things, developing and implementing a privacy management plan, developing clear lines of accountability for privacy management, and of course, developing a data breach response plan.
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Patient Data: Access, Privacy & Ownership

Perspectives from the patient and provider were shared about the complexities of access and use of patient data at a panel discussion at the HIMSS Australia Digital Health Summit.
November 28, 2019 02:39 AM
While patient data offers a trove of information that can be used for further research or population health studies from a government or policy perspective, a key concern still remains – do patients themselves know or approve of how of their health information is used? 
At the HIMSS Australia Digital Health Summit on 21 November, a patient advocate from Australia and officials from the public health sector from Singapore and Australia sat down for an extended discussion on the complexities of the ownership, access and secondary use of patient data.
Who owns the data?
The reality is that providers, patients and HIT vendors all have some justifiable proprietorship over patient information/data to a certain extent but that reality can be quite complex. A/Prof Low Cheng Ooi, Chief Medical Informatics Officer (CMIO) of Ministry of Health (MOH), Singapore, explained that it is accurate that all the data belongs to the patient - things like vital signs, imaging and laboratory results all belong to the patient.
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Sex, lies, video and elections in the fake news era

Australians need to be equipped with the tools and skills to be discerning consumers in today’s digital media environment.
Social media and artificial intelligence will derail our democratic elections in the 2020s if left unabated.
New technologies are becoming available that amplify the misinformation and confusion that social media already unleashes.
We’ve seen fake news and state-sponsored sites designed to spread misinformation. Now we are dealing with fake videos that show politicians and celebrities mouthing words they never said.
Malevolent countries soon will be able to saturate the web and ­social media with false stories written by machines. This technology is in the wings. The number of countries involved in the organised production of fake news is spreading beyond Russia and China to states such as Iran.
Back home, there’s the increasing capability of all sides of politics to finetune online misinformation campaigns that target just a few hundred voters — campaigns with lies that can damage political ­opponents who may never hear about it and therefore can’t rebut.
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The Australian PCEHR or My Health Record: The Journey Around a Large-Scale Nationwide Digital Health Solution

·         Nilmini Wickramasinghe
·         John Zelcer
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)

Abstract

This case study attempts to document key events and milestones in the development of Australia’s nationwide digital health solution the My Health Record (formerly known as the PCEHR). This is done by presenting an overview of the Australian healthcare system and in particular highlighting unique features about this system into which the My Health Record was implemented. This journey has only just begun, and in the next decades, it is expected that the My Health Record will change and evolve further; hence, the case study concludes with questions for the reader to consider rather than provide final statements. Ultimately, the success of such a solution can only be judged in the fullness of time; however, we note that this was a massive undertaking that has had far-reaching implications for healthcare delivery throughout Australia and impacts all stakeholders including patients, providers, payers, the regulator and healthcare organizations.
Discussion Point : Is the My Health Record really that relevant? (DM)
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Medicare bill ‘puts every Australian at risk’

A new Medicare anti-fraud bill would put the privacy of every Australian at risk and create a 'honey pot' for hackers, experts are warning.
The federal government has proposed laws to crack down on Medicare fraud that would see departments sharing information with Medicare.
The legislation introduces a new data matching scheme for the Department of Health to access and share health information for Medicare compliance purposes. Sensitive Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS) data would be freely available to the department, while other agencies could have some access to it in order to "assist them in performing their functions."
The bill was read a second and third time on Wednesday and will now go to the senate.
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Science & Medical | 27/11/2019 3:24:51 PM
The Pharmaceutical Society of Australia  ADHA Propaganda

My Health Record a key to medicine safety

The Pharmaceutical Society of Australia believes the My Health Record system can significantly contribute to improved medicine safety in Australia and welcomes the Commonwealth’s commitment to continually improving this important digital health program.
This week the Digital Health Agency agreed to all five recommendations made by the Australian National Audit Office in its report Implementation of the My Health Record System.
“Overall, the report found implementation has been largely effective. Its recommendations focus on privacy and security of health information and the Digital Health Agency has undertaken to work with stakeholders to raise standards in health information management,” Pharmaceutical Society of Australia National President, Associate Professor Chris Freeman said.
“Uptake and participation are vital to the success of My Health Record. Therefore, ensuring both providers and patients are confident information is safe is essential.”
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MHR effective, says report

AJP Staff27/11/2019  ADHA Propaganda

The My Health Record system can significantly contribute to improved medicine safety in Australia, says the PSA

It said it welcomes the Commonwealth’s commitment to continually improving the digital health program.
This week the Digital Health Agency agreed to all five recommendations made by the Australian National Audit Office in its report Implementation of the My Health Record System.
“Overall, the report found implementation has been largely effective. Its recommendations focus on privacy and security of health information and the Digital Health Agency has undertaken to work with stakeholders to raise standards in health information management,” Pharmaceutical Society of Australia National President, Associate Professor Chris Freeman said.
“Uptake and participation are vital to the success of My Health Record. Therefore, ensuring both providers and patients are confident information is safe is essential.”
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27 November 2019

MHR audit clearance is a giant red herring

Posted by Jeremy Knibbs
If you’re seeing headlines about the National Office of Audit’s (NOA) review of the My Health Record (MHR) and are comforted a little by commentary that this controversial project is somehow effective and on track to save the healthcare system billions of dollars, don’t be. Not yet, anyway.
The NOA spent more than $600,000 measuring the effectiveness of the “implementation” of the MHR by the Australian Digital Health Agency (ADHA), not the actual effectiveness of the electronic record. It’s like giving NASA a tick of approval for how they built a rocket to get to the moon, but failing to check whether it had any chance of actually getting there.
The MHR is an extremely expensive, complex, fund-sucking, attention-distracting venture, and by not providing any meaningful reporting on how much traction it is actually getting in the healthcare community, and how effective it is so far and is likely to be into the future, we are wasting our time and money. What is the government thinking here?
The most misleading thing the NOA report does (perhaps not deliberately) is to claim that because it assesses the “implementation” as effective, therefore the MHR is on track to save our healthcare system $14.6 billion by 2027. That is ignoring entirely whether the MHR is actually taking hold in the manner it has been promised to.
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Australian values can shape the internet of the future

JOEL KAPLAN
The internet has reached a point of maturity. We have lived with it for long enough to understand the great, liberalising benefits it brings – the ability to communicate, share knowledge, support causes, build communities and grow successful businesses in ways that were unimaginable just a few years ago.
But we are also aware of the harm that can be done online too. From individual privacy, to the integrity of elections and the sharing of harmful content, the internet has brought new challenges. With this knowledge, it is incumbent upon internet companies like Facebook to recognise the responsibilities we have for the impact we can have on society. And we do.
Facebook has changed a great deal in recent years. We’ve tripled the number of people working to take down bad content so you don’t have to see it. We’ve removed millions of fake accounts and made political ads more transparent so you know if someone is trying to influence your vote. We now automatically detect 99 per cent of the terrorist content we take down before anyone sees it. And we’ve updated our privacy settings and built better tools so you can control your information.
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What jobs are affected by AI?

Better-paid, better-educated workers face the most exposure

20 Nov 2019
Description
Artificial intelligence (AI) has generated increasing interest in “future of work” discussions in recent years as the technology has achieved superhuman performance in a range of valuable tasks, ranging from manufacturing to radiology to legal contracts. With that said, though, it has been difficult to get a specific read on AI’s implications on the labor market.
In part because the technologies have not yet been widely adopted, previous analyses have had to rely either on case studies or subjective assessments by experts to determine which occupations might be susceptible to a takeover by AI algorithms. What’s more, most research has concentrated on an undifferentiated array of “automation” technologies including robotics, software, and AI all at once. The result has been a lot of discussion—but not a lot of clarity—about AI, with prognostications that range from the utopian to the apocalyptic.
Given that, the analysis presented here demonstrates a new way to identify the kinds of tasks and occupations likely to be affected by AI’s machine learning capabilities, rather than automation’s robotics and software impacts on the economy. By employing a novel technique developed by Stanford University Ph.D. candidate, Michael Webb, this report establishes job exposure levels by analyzing the overlap between AI-related patents and job descriptions. In this way, the following paper homes in on the impacts of AI specifically and does it by studying empirical statistical associations as opposed to expert forecasting.
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26 Nov 2019

EFA and Future Wise Urge Seriousness From Government On Health Data Security

Posted by Lyndsey Jackson
Digital rights groups Electronic Frontiers Australia and Future Wise today expressed their disappointment in the management of privacy and security of the My Health Record system, as highlighted by the Australian National Audit Office (ANAO)’s report released on Monday 25 November 2019. They called on the Australian government to engage seriously with the complex issues of data privacy and security.
The ANAO report, Implementation of the My Health Record System, validates the concerns that civil society shared during the My Health Record opt-out saga. The government had to be forced, by widespread outcry, to tighten the security of the system, yet the ANAO’s report shows that the Australian Digital Health Agency (ADHA) has been unable to take the security of Australians’ health data seriously.
In 2018, the private health service provider sector reported the most notifiable data breaches of any industry sector and yet ANAO found that ADHA’s management of shared cyber security risks “was not appropriate”. It is astounding that this should be the case after over seven years of production use of the My Health Record system. It raises serious questions about ADHA’s commitment to cyber security of the My Health Record system.
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Wednesday, 27 November 2019 11:09

Rights groups alarmed over lax security for Australians' health data

Two digital rights groups — Electronic Frontiers Australia and Future Wise — have urged the government to take the privacy and security of the My Health Record system seriously after an Australian National Audit Office report indicated that this was not happening.
A statement from the two groups said the ANAO report showed the Australian Digital Health Agency was not overly concerned about the security of health data.
The two organisations pointed out that the number of data breaches in 2018 showed the health industry was the worst offender.
"t is astounding that this should be the case after over seven years of production use of the My Health Record system. It raises serious questions about ADHA’s commitment to cyber security of the My Health Record system," they said.
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Audit of My Health Record reveals cyber failings, privacy risks

The government agency implementing My Health Record failed to appropriately manage cybersecurity risks or complete any of its four planned privacy assessments, according to a performance review by the Australian National Audit Office, which also found emergency access to patient records was routinely misused. 
While the implementation has been “largely effective” overall, the national auditor found the $1.5 billion e-health scheme which now includes 90 per cent of Australians needs better management of shared cybersecurity risks and better controls over the “emergency access” to patients’ records which was being used as intended in less than one in 10 cases.
The Australian Digital Health Agency (ADHA), responsible for My Health record, has agreed to complete an end-to-end privacy risk assessment in response to the auditor’s findings but declined to explain why the existing privacy assessments had not been completed.
Privacy advocates say they are concerned with the auditor’s findings as well as the lack of response to the review by the government and medical groups which “seems to be hoping that it will go away if they just ignore it”.
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#nationalcybersecuritymonth | Third party minimum cyber compliance for My Health Record skipped: Audit Office

The Australian National Audit Office (ANAO) has pointed out a number of security issues concerning the Australian Digital Health Agency’s (ADHA) My Health Record implementation, among a report that widely gave ADHA the tick as “largely effective”.
In its report released on Monday, ANAO pointed out that in a 2016 end-to-end security review, ADHA decided against accrediting those that provide services to healthcare providers.
“ADHA rejected this recommendation on the basis that it ‘presents several challenges’ including the additional burden to vendors and potential for reputational damage,” ANAO said.
A year later, an assessment by the Information Security Registered Assessors Programme (IRAP) said compliance with the Australian government’s Information Security Manual (ISM) should be the minimum acceptable standard for using My Health Record. This assessment applied to software used by healthcare providers, including mobile apps.
However, ADHA did not do this, despite it being required by the Australian Government Protective Security Policy Framework, and instead allowed vendors to sign a declaration form.
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Tech giants have become the new 'too big to fail'

By James Titcomb
November 26, 2019 — 10.18am
For years, the big internet companies have employed a simple argument to brush off fears that their growing influence and position in our daily lives amount to monopoly. Because their services are online and provided for free, they say, their dominant market shares cannot be compared to those enjoyed by railroad or oil giants of decades past. Unlike tycoons such as John Rockefeller or Andrew Carnegie, the new barons - Mark Zuckerberg, Jeff Bezos and Larry Page - are successful not because there are no alternatives, but merely because consumers choose them over the many alternatives.
Google's defence of its near-total control over the market for search engines has long been that "competition is just a click away". Nine in 10 searches may take place on its search engine, but there is nothing stopping consumers from using Bing, Yahoo or a number of smaller competitors.
There are no shortages of social alternatives to Facebook, or online marketplaces to rival Amazon. There is nothing stopping internet users leaving; they stay because they like it.
It is a simple argument, and one that has worked for a long time, especially in America, where competition regulators generally focus on whether monopoly positions result in consumer harm (in Europe, where watchdogs look at other factors such as how vibrant and competitive a market is, tech firms have been less successful in evading scrutiny). But even in the US, it is a line of reasoning that is starting to lose its potency.
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Implementation of the My Health Record system

25 Nov 2019
My Health Record is an online electronic summary of a person’s health information. The Australian Government invested $1.15 billion in the development of the system and other digital health infrastructure between 2012 and 2016. In the 2017–18 Budget, the government allocated a further $374.2 million to continue operating the system and expand its use by making it an opt-out model. Nine out of every ten Australians now has a My Health Record.
The Department of Health established the My Health Record system in 2012, and administers the My Health Records Act 2012 on behalf of the Minister for Health. In July 2016, the Australian Digital Health Agency (ADHA) was prescribed as the System Operator for My Health Record.
My Health Record potentially impacts all Australians as it collates electronic summaries of individuals’ health information so it can be accessed by different healthcare professionals involved in a person’s care (as well as by the individual themselves). The system is intended to generate personal benefits for individuals and economic benefits for the health system, but achieving this requires a balance between increasing access to information and managing privacy and cyber security risks. The system has also generated parliamentary and public interest in relation to privacy and cyber security risks.
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Comments more than welcome!
David.