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, July 08, 2021

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

July 08, 2021 Edition

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In the US we see relative calm on the surface with the deep partisan divide just below the surface and not improving at all. The competition between autocracy and democracy is becoming more and more real and fraught after the CCP Centenary celebrations and clear demonstration of global ambitions.

In the UK the delta variant continues to rampage but the level of death and severe illness has been really modified by vaccinations. Frankly a scientific triumph!

In OZ ScoMo is back out in public and sadly we still all seem to be in a COVID mess and feeling somewhat battle fatigued!

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Major Issues.

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https://www.afr.com/world/asia/chinese-defector-issues-warning-on-eve-of-communist-party-anniversary-20210627-p584ll

Chinese defector issues warning on eve of Communist Party anniversary

Michael Smith China correspondent

Jun 27, 2021 – 3.22pm

A former Chinese diplomat who defected to Australia has warned that China’s Communist Party is intent on bolstering its influence in Australia and around the world and that Xi Jinping’s next move will be to take over Taiwan.

Chen Yonglin, who sought asylum in Australia in 2005 and now lives in Sydney, said China had retained a strong network of informants in the country despite the introduction of foreign interference laws and the Morrison government’s pushback against Beijing.

“Right now I believe there are still 1000 [informants] on the payroll. Several thousand maybe. Many of these are casual … they can be recruited any time,” Mr Chen told The Australian Financial Review.

“Chinese descendants [living in Australia] are the main targets. Australia should be aware of this. Their connection with China, their families, can be used as pressure.”

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https://www.theage.com.au/business/banking-and-finance/the-future-of-money-might-be-closer-than-we-think-20210628-p584vz.html

The future of money might be closer than we think

Stephen Bartholomeusz

Senior business columnist

June 28, 2021 — 12.01pm

While there’s been a lot of focus on the language the Bank for International Settlements used to describe cryptocurrencies and stablecoins in a pre-released chapter of its annual report last week the more substantial take away from its paper lies not in that language but in the overall tone of its discussion of central bank-issued digital currencies.

The major central banks have generally adopted an ultra-cautious and quite leisurely approach to their investigations of the potential of central bank digital currencies (CBDCs) and have been dismissive of the implications of cryptocurrencies and other private-sector digital currency initiatives.

The BIS paper underscores how rapidly that stance is evolving as the Basel institution, sometimes dubbed the central bank for central bankers, takes stock of the acceleration in the real-world development of digital currencies.

While it remains dismissive of their potential threat to conventional monetary systems – cryptocurrencies are purely speculative assets used for nefarious purposes and stablecoins are just “an appendage to the conventional monetary system and not a game-changer” – the BIS has shifted from analyst to promoter of CBDCs.

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https://www.afr.com/policy/tax-and-super/a-disruptive-reform-of-super-that-has-left-members-better-off-20210627-p584oz

Why the disruptive super reforms will leave members better off

The crackdown on superfluous accounts and underperforming funds and products is already producing tangible improvements.

Deborah Ralston

Jun 28, 2021 – 1.34pm

Compulsory superannuation has been a key pillar of our retirement system. It allows people to achieve a retirement income that reflects their pre-retirement income, and as the system matures, people will increasingly fund more of their own retirement to the benefit of both individuals and Australian taxpayers.

The current system has two main problems, however. First, the focus of superannuation has often been on building larger balances through increased contributions without sufficient regard for lower fees and higher investment returns. And second, while compulsory contributions ensure a better retirement outcome, members are often disengaged and don’t make the right choices to maximise retirement savings.

Making better use of compulsory savings is a key thrust of the super reforms – the Your Future, Your Super bill which passed through Parliament this month. The bill proposes amendments to the regulation of superannuation in line with key recommendations from the 2018 Productivity Commission superannuation review and the 2019 Hayne royal commission.

While this legislation is not without flaws, it will have very direct and significant benefits for Australian workers.

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https://www.afr.com/politics/federal/freed-from-quarantine-pm-enters-the-zombie-apocalypse-20210630-p585pv

Freed from quarantine, PM enters the zombie apocalypse

Amid Barnaby Joyce’s rising from grave and the state premiers’ takeover of the country, Scott Morrison’s return is like one of those movies in which the coma victim awakes.

Phillip Coorey Political editor

Jul 1, 2021 – 8.00pm

When Scott Morrison is released from quarantine at 12.01am on Friday, it will be like one of those movies in which a coma victim awakens to a zombie apocalypse.

The world the Prime Minister knew when he returned from Europe two weeks ago and was locked in The Lodge is no more.

Barnaby Joyce has risen from the ranks of the undead to resume control of the Nationals and, in the process, instil fear and trepidation among the Liberals who still can’t work out whether, on a net basis, his return will be good or bad for the Coalition electorally.

Just when we thought decades of political division over climate change were behind us, given the Coalition was no longer questioning the science and had begun embracing clean energy, the Nationals, right at the end of the movie, reached out like a hand from the grave.

All the while, of course, the state leaders pretty much took over running the country to the extent the vaccine rollout has become a bare-knuckle political fight.

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https://www.smh.com.au/business/markets/sharemarkets-face-a-big-shock-if-the-fed-is-wrong-on-inflation-20210702-p58651.html

Sharemarkets face a big shock if the Fed is wrong on inflation

By Ambrose Evans-Pritchard

July 2, 2021 — 8.00am

The global reflation trade is alive and well. House prices in the US are rising faster than at the peak of the subprime bubble 15 years ago.

Bond markets interpreted the first rhetorical tap on the brakes by the Federal Reserve in June as if it were actual monetary tightening. Yields on 30-year US treasuries have dropped almost 40 basis points in short order. Perennial doves are already accusing the Fed of a “policy mistake” for signalling any change at all.

Yet, by any historical or scientific measure, monetary policy remains shockingly loose, and untenable for much longer. Interest rates are still zero and the Fed is still soaking up $US120 billion ($161 billion) of bonds each month, even though the Biden administration is running a $US3 trillion wartime deficit (15.5 per cent of GDP), and even though the output gap has already closed and firms cannot find workers. The budgetary expansion is an order of magnitude greater as a share of GDP than Lyndon Johnson’s Great Society in the 1960s.

The US housing index (FHFA) is rising at a record pace of 15.7 per cent. This will feed through into the “shelter” component of consumer price inflation with a lag of several months. Housing makes up 42 per cent of the CPI index. “Inflation panic, is, you know, so last week,” says Nobel laureate Paul Krugman. It depends what you mean by inflation and what you mean by “transitory”, the motif of the New Keynesian establishment.

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Coronavirus And Impacts.

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https://www.smh.com.au/national/stop-this-human-sacrifice-the-case-against-lockdowns-20210627-p584o7.html

Stop this human sacrifice: the case against lockdowns

Gigi Foster

Contributor

June 28, 2021 — 5.00am

Sydney has now plunged into the darkness that Victoria has known on and off for months. The word “lockdown” seems to have gone out of favour, perhaps a signal that counter-narratives are gaining traction, but the policies enacted by NSW’s political leadership quack and walk just like the shelter-in-place orders colloquially termed “lockdowns” that have been issued around the world for over a year.

These policies have enormous human costs, and NSW has had more than a year to realise that fact and factor it into decision-making.

Last August, I produced a draft cost-benefit analysis for the Victorian Parliament as a demonstration of how such an exercise should be conducted. Costs of locking down must be weighed against the projected benefits, with nothing ever known for certain but best guesses made in the wide range of areas directly affected by lockdown policies.

These costs include the loss of happiness due to loneliness from social isolation, the crowded-out healthcare for problems other than COVID, the long-term costs to our children and university students of disrupting their education, and the economic losses that have shuttered businesses, damaged whole sectors, increased inequality, and will depress our spending on everything from roads to hospitals for years to come. Deaths from causes other than COVID may well result.

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https://www.smh.com.au/national/singapore-s-covid-plan-offers-pathway-out-of-lockdowns-20210627-p584lx.html

Singapore’s COVID plan offers pathway out of lockdowns

Anthony Bergin

Senior fellow at the Australian Strategic Policy Institute.

June 28, 2021 — 11.30am

With more than a million people in Sydney’s central and eastern suburbs locked down, other states implementing new restrictions, and Melburnians battle-weary after their fourth lockdown, people are asking when their lives will get back to normal.

Many understand that COVID-19 will likely never go away but simply mutate and live on in a different form, much as the flu does from year to year. Most people recover from the flu without needing to be hospitalised. Some sadly die. Our society accepts this risk and people carry on with their lives during the flu season.

What we need now is a national understanding of the COVID-19 risks and a national plan that outlines the risks, educates the public and unites communities across the country. It should resist politics and scope creep. Our endeavours at the start of the pandemic were focused on a low death rate. This has now transformed to an elimination strategy rather than simple containment and mitigation of risk: suppression at a low level should be the new normal.

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https://www.smh.com.au/politics/federal/the-jobkeeper-cliff-we-never-fell-off-how-the-experts-misjudged-the-recovery-20210622-p5832q.html

The JobKeeper cliff we never fell off: How the experts misjudged the recovery

By Jennifer Duke

June 28, 2021 — 5.00am

For the first three months of the year, the nation braced for a calamity. Treasury, academics and a grab bag of top economists had been warning that up to 250,000 workers would lose their jobs after March 28.

The historic $90 billion JobKeeper wage subsidy scheme was scheduled to end but the international border remained shut, the world was (and continues to be) in the midst of a pandemic, and coronavirus outbreaks threaten to force communities into lockdowns at any moment. About 1 million workers were relying on these federal government payments and some industries had been ringing the alarm bell about how stripping away the subsidy would mean mass closures in their sector, such as tourism or events.

University of Melbourne Professor Jeff Borland estimated as many as 250,000 people might lose work. Treasury predicted 100,000 to 150,000 people would have their jobs cut and Treasurer Josh Frydenberg warned it would be “bumpy” as JobKeeper came to an end. Those who were on zero hours or limited work while receiving the payment were considered most at risk.

The Commonwealth Bank of Australia, ANZ and Westpac all estimated job losses in the range of 100,000 to 150,000. But April and May have come and gone without huge queues outside Centrelink offices, so where was this employment cliff we were all warned about? It simply never happened.

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https://www.afr.com/companies/healthcare-and-fitness/delta-variant-adds-urgency-to-nations-vaccination-programs-20210628-p584wm

Delta variant adds urgency to nations’ vaccination programs

The health consequences of the delta variant in advanced countries appear less severe so far. This is due in part to a better understanding of COVID-19 some 18 months into the pandemic. But most important is vaccination.

Mohamed El-Erian Contributor

Jun 28, 2021 – 12.44pm

Over the weekend, Sydney was put under a mandatory stay-at-home order for two weeks in response to the risk posed by the delta variant of COVID-19. This came as a surprise to many, especially those who rightly view Australia as having been among the best in managing COVID-19, with its very low infections, hospitalisations and deaths.

Australia was not the only recent COVID-19 surprise in advanced countries. Israel, long a vaccination leader, reimposed an indoor-mask requirement last Friday. Once again, the catalyst was the delta variant.

Then there was the UK, which, other than India, has been battling longest against delta. According to government reports, the number of delta infections rose 46 per cent in just one week.

Indeed, whether it is the evidence from there or the reactions of Australia and Israel, four issues should be front and centre for many more countries, including the US, which need to realise that new COVID-19 risks are likely and do not respect borders.

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https://www.afr.com/policy/health-and-education/it-s-time-to-be-honest-about-the-astrazeneca-vaccine-20210628-p584vh

It’s time to be honest about the AstraZeneca vaccine

Uncertainties need to be openly acknowledged because lack of communication creates a vacuum where misinformation can flourish.

Jill Margo Health editor

Jun 28, 2021 – 12.16pm

Messages urging older Australians to have AstraZeneca vaccines have become muddy.

In effect, older Australians are being asked to have vaccines that are good, but not as good as the Pfizer vaccines, so that younger generations can have them instead.

There’s nothing wrong with this, except that it’s not being frankly acknowledged and the messaging has missed the mark.

First, most older Australians would be willing to step back to give their children, grandchildren or young relatives an advantage. It’s a natural impulse.

So, why not appeal to this instinct and ask older people, in the national interest, to step up and have their AstraZeneca shots which are in abundant supply, rather than waiting for Pfizer which is in short supply and saves younger people the risk of rare blood clots.

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https://www.smh.com.au/world/europe/the-truth-about-what-vaccines-are-achieving-from-a-country-getting-it-right-20210628-p5852n.html

The truth about what vaccines are achieving, from a country getting it right

By Bevan Shields

June 29, 2021 — 8.37am

London: By now you’ve probably heard Scott Morrison’s argument, which goes something like this: Australia can’t yet talk about a post-pandemic future because we still don’t know whether vaccines guarantee a return to normality.

To illustrate the point, the Prime Minister regularly notes COVID-19 cases are climbing in Britain even though 85 per cent of all adults have been given one dose of a vaccine and 62 per cent the full two.

Prime Minister Scott Morrison has called on Australians to ‘hang in there’ amid the frustrations of the latest coronavirus outbreak across the country.

It is true cases are rising: the 23,000 new infections reported on Monday make up the highest figure in four months. Nearly all new cases are the same highly transmissible Delta variant causing panic in Australia.

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https://www.theaustralian.com.au/business/the-wall-street-journal/vaccine-mix-study-suggests-combinations-safe-and-effective/news-story/3462545d04900fba65fb03fd195fe71c

Vaccine mix study suggests combinations safe and effective

Used vaccine vials that contained (L-R) Pfizer-BioNTech, Moderna and AstraZeneca Covid-19 vaccines at the Skane University Hospital vaccination centre in Malmo, Sweden.

By Jenny Strasburg and Denise Roland

Dow Jones

6:44AM June 29, 2021

Alternating a dose of Covid-19 vaccine made by Pfizer Inc. with one from AstraZeneca PLC is safe and provides a strong immune response against the disease, a new study shows.

Researchers said the findings support the practice of mixing vaccines in certain circumstances. The U.K.-funded study found that mixing the Pfizer and AstraZeneca doses improved on the immune response provided by a two-dose regimen of the AstraZeneca shot. Alternating the shots provided less of a key immune response, however, than that provided by two doses of the Pfizer shot.

The interim findings, led by the University of Oxford but not yet reviewed by independent scientists, support the practice under way in several countries, including Canada and parts of Europe, of mixing vaccine types, researchers said. In some cases, health officials have supplemented one kind of shot with a different one because of supply issues.

In other instances, revised health advice related to vaccine side effects has called for a different second shot. For instance, in parts of Europe, health officials have recommended against younger adults getting the AstraZeneca shot because of very rare but sometimes deadly blood clotting linked to the vaccine. That guidance came out after many younger adults had already gotten a first injection of the AstraZeneca shot. They are now being offered a Pfizer shot or one by Moderna Inc.

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https://www.theaustralian.com.au/breaking-news/pm-morrison-unveils-covid19-pathway-confirms-international-arrivals-will-be-cut-by-half-temporarily/news-story/d456c2fd4d21b8f593168b2367a5800f

PM Morrison unveils Covid-19 pathway, confirms international arrivals will be cut by half temporarily

Finn McHugh

NCA NewsWire

July 2, 2021

Lockdowns will only be implemented as a “last resort” from now on after the Prime Minister unveiled Australia’s path out of Covid-19.

Scott Morrison on Friday confirmed national cabinet had agreed to a four-phase reopening plan, to take Australia from its current approach to a complete return to normality, with details to be finalised by the end of July.

But stranded Australians have been dealt another blow, after Mr Morrison warned a 50 per cent reduction in international arrivals also agreed to could extend into next year.

Australia was in phase one, focused on suppressing the virus and upping vaccination rates, during which home quarantine for fully vaccinated travellers would be trialled.

Progression from each phase will be triggered by reaching new vaccination thresholds.

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https://www.afr.com/politics/federal/national-plan-only-underlines-the-confusion-over-vaccine-supply-20210701-p58601

National cabinet goes backward to go forward

There are no magic numbers, and no plan to ‘get to the next level’. Only spectacular lack of transparency on vaccine supply.

Laura Tingle Columnist

Jul 2, 2021 – 5.07pm

Finally freed from quarantine at The Lodge and heading off for a (virtual) meeting of national cabinet, Scott Morrison told The Australian on Friday morning it was important to consider the “magic numbers” at which vaccine thresholds could be set.

In the prime ministerial pandemic lexicon – which has included “proportionate measures”, “escalating threats”, “flattening the curve”, “targeted, measured and scalable plans”, “the other side” , “the road out”, “uncharted territory”, “fighting the virus and winning”, “getting Australians home by Christmas” and, of course, “national vaccination allocation horizons” – the idea of “magic numbers” did seem to reflect the zeitgeist of where the Prime Minister, if not the rest of us, finds himself now.

The PM went on to tell the public via his favourite mouthpiece that it was important to sketch out the benefits of having a vaccinated population: “what does it mean and what can people expect in terms of restrictions and movement,” he was quoted as saying.

“Australians have been patient and that has helped us achieve what we have achieved to protect lives and livelihoods. We now need to get to the next level. The package the public deserves needs a consolidated agreement from all of us.”

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https://www.smh.com.au/politics/federal/when-47-car-parks-660-million-and-one-election-collide-20210630-p585h9.html

When 47 car parks, $660 million and one election collide

A battle to provide suburban railway station car parks has left taxpayers with a $660 million bill and precious little extra parking.

By Shane Wright

July 3, 2021

On Monday morning, Treasurer Josh Frydenberg used the new intergenerational report to warn of the spending pressures facing the country over the next 40 years.

Deficits over the next four decades, increasing government debt and an older, smaller Australia meant his key message was the need for ongoing expenditure control and making sure every taxpayer dollar is put to good use.

A few hours later, the Auditor-General’s office released its report into the administration of commuter car park projects within the Urban Congestion Fund, revealing huge problems in the $660 million program.

A nationwide program to reduce “congestion” across suburban Australia managed to channel most of its cash into a handful of Liberal Party seats that were more at risk of being won by Labor than overwhelmed by parked cars.

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https://www.smh.com.au/national/why-the-premiers-have-pm-pincered-on-covid-20210701-p5863f.html

Why the premiers have PM pincered on COVID

George Megalogenis

Columnist

July 3, 2021 — 5.00am

There is a power shift under way in Australia, from the Commonwealth to the states. No matter how hard Scott Morrison tries to resist it, the pandemic keeps forcing him to collaborate with the premiers – on their increasingly assertive terms.

On Friday we saw the clearest expression yet of this dynamic as the Labor states, led by Victoria, pulled rank on the Prime Minister and his most prominent state ally, NSW, to slash the number of international travellers to Australia.

The irony of the states deciding who comes to this country, and the circumstances in which they come, would not have been lost on the Prime Minister. They have had this right in a theoretical sense since March 2020, when the hotel quarantine system was first improvised in haste. But they only sought to exercise it on a national level this week, and only after they had lost control of the new, more infectious Delta strain of the coronavirus.

This is an important point to bear in mind before considering the Prime Minister’s own failures this week. The virus stalks us now because NSW and Queensland – two of the most successful states in managing the pandemic last year – let it out into the community, not because the PM has bungled the vaccination rollout.

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Climate Change.

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https://www.smh.com.au/politics/federal/failure-to-model-costs-of-climate-change-to-coal-gas-beggars-belief-20210628-p584x3.html

Failure to model costs of climate change to coal, gas ‘beggars belief’

By Mike Foley and Nick Toscano

June 29, 2021 — 5.00am

Australia’s 40-year economic outlook is forecasting dwindling demand for some of the nation’s most valuable exports including coal and natural gas after China, Japan and South Korea unveiled targets to achieve net-zero emissions.

But prominent think tank the Grattan Institute on Monday said it “beggars belief” that the Morrison government’s modelling failed to make projections about the scale of loss of export earnings or the impacts from global warming such as drought and natural disasters.

Australia’s mining and energy exports are expected to have hit a record-high of $310 billion this financial year. The nation’s top export, iron ore, accounted for an all-time-high $149 billion, while fossil fuel exports of coal and liquefied natural gas (LNG) together accounted for $71 billion, helping to underpin the economy amid a worsening trade spat with China and a global pandemic.

However, the Treasury’s 2021 Intergenerational Report on Monday warned the emissions-intensive commodities’ export earnings would fall as global efforts to combat climate change accelerated. It noted that countries had committed to net-zero emissions by 2050 including key trading partners Japan and South Korea, while China has committed to carbon neutrality by 2060.

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https://www.afr.com/politics/federal/what-the-igr-didn-t-say-about-the-cost-of-climate-change-20210630-p585h8

Climate could clip 1.75pc off economy by 2060

Ronald Mizen Economics correspondent

Jun 30, 2021 – 7.00pm

Climate change will clip less than 1 per cent off the size of the Australian economy over this decade and up to 1.75 per by 2060, according to leading economist Warwick McKibbin and researchers from the Australian National University.

The widespread global adoption of carbon taxes could also slice more than 2 per cent off Australia’s gross domestic product by the early 2030s, though this could be offset by investing in green infrastructure and technologies.

“The worldwide commitment and action on decarbonisation will significantly change the global economy in many ways,” the researchers from the ANU’s Centre for Applied Macroeconomic Analysis said.

The report, which assesses the economic cost from physical climate risks as well as transition risks to net zero by 2050, was released ahead of Treasurer Josh Frydenberg long-awaited five-yearly Intergenerational Report.

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https://www.smh.com.au/national/thousands-enter-australia-for-holidays-and-business-as-wait-drags-for-stranded-locals-20210630-p585pd.html

Thousands enter Australia for ‘holidays and business’ as wait drags for stranded locals

By Carrie Fellner and Nigel Gladstone

July 1, 2021 — 5.00am

More than 10,000 travellers entered Australia to visit friends, go on holiday or for business trips in April, putting pressure on the country’s hotel quarantine system while 34,000 citizens remain stranded overseas wanting to come home.

As hostilities between the states and the federal government over pandemic border closures escalated on Wednesday, The Sydney Morning Herald and The Age obtained arrivals data from the Department of Home Affairs, revealing thousands of people are entering the country each month for non-essential purposes.

The data does not include travellers entering under the travel bubble with New Zealand.

The Queensland and Western Australia premiers sheeted home blame for the outbreaks to the federal government for its border policy.

“The borders are not genuinely closed and these travellers are displacing Australians who are genuinely stranded overseas,” Queensland Deputy Premier Steven Miles said.

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https://www.smh.com.au/politics/federal/falling-cost-of-renewables-creates-coal-test-for-federal-government-20210701-p585xq.html

Falling cost of renewables creates coal test for federal government

By Mike Foley and Nick Toscano

July 2, 2021 — 12.00am

Output of wind and solar power is at record levels as renewables continue to squeeze fossil fuels from the energy market, new figures reveal, setting up a test for the federal government as re-elected Nationals leader Barnaby Joyce continues to push to prolong coal use.

More than 3700 megawatts of new wind and solar farms and 2500 megawatts of rooftop solar entered the main electricity grid in 2020, according to the Australian Energy Regulator, boosting wind and solar’s combined output to record levels now surpassing 19 per cent of the mix.

The regulator’s latest figures, to be released on Friday, reveal the flood of renewables and accelerating clean energy revolution have contributed to wholesale power price falls of up to 58 per cent, with the average prices falling below $70 a megawatt-hour for the first time since 2015.

These price falls will add to the financial pain facing coal generators, which are more expensive to run than new wind and solar plants, and raise the risk of more coal-fired generators bringing forward their closure dates due to falling profitability.

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Royal Commissions And The Like.

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No Entries This Week.

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National Budget Issues.

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https://theconversation.com/intergenerational-report-to-show-australia-older-smaller-and-more-in-debt-163474

Intergenerational report to show Australia older, smaller and more in debt

June 27, 2021 10.30pm AEST

Author

Peter Martin

Visiting Fellow, Crawford School of Public Policy, Australian National University

Australia will be smaller and older than previously expected in 40 years time after the first downward revision of official projections in an intergenerational report in 20 years.

The much lower projections in Monday’s fifth five-yearly intergenerational report will mean indefinite budget deficits with no surplus projected for 40 years, only 2.7 Australians of traditional working age for each Australian over 65 (down from four) and average annual economic growth of 2.6%, down from 3%.

“Intergenerational reports always deliver sobering news, that is their role,” Treasurer Josh Frydenberg will say launching the report Monday morning. “The economic impact of COVID-19 is not short lived.”

The report says the pandemic has slowed both Australia’s birth rate and inflow of migrants.

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The 2015 intergenerational report projected an Australian population of almost 40 million by 2054-55. The 2021 update projects 38.8 million by 2060-61.

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https://www.news.com.au/world/coronavirus/economy/intergenerational-report-tips-australia-to-be-smaller-older-as-deficits-predicted-for-40-years/news-story/5dcea90858ca660786d155f9ba35e1d0

Intergenerational Report tips Australia to be smaller, older as deficits predicted for 40 years

A 40-year projection unveiled by Treasurer Josh Frydenberg has provided a grim view of what post-Covid Australia could look like.

Finn McHugh

NCA NewsWire

June 28, 202112:14pm

Australia will be smaller and older than previously predicted, and the aftershocks of Covid-19 will reverberate through the economy into the 2060s, the Treasurer predicts.

Unveiling Australia’s Intergenerational Report (IGR) on Monday, Treasurer Josh Frydenberg predicted budget deficits for at least the next 40 years and warned the impacts of the pandemic would not be short-lived.

Mr Frydenberg argued “hard and contested” economic reform was necessary to mitigate the effects of the crisis, which he described as the “most severe global economic shock since the Great Depression”.

“(It) means that the economy will be smaller and Australia’s population will be older than it otherwise would have been, with flow-on implications for our economic and fiscal outcomes,” Mr Frydenberg told the Committee for the Economic Development of Australia.

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https://www.theaustralian.com.au/nation/australias-population-to-shrink-over-next-40-years-budget-deficit-for-decades/news-story/c5d3ea11f67c44625f232a304b75b477

Australia’s population to shrink over next 40 years, budget deficit for decades

Simon Benson

Patrick Commins

10:30PM June 27, 2021

Australia’s fertility rate is expected to fall dramatically over the next 40 years leading to a long-term population problem without a return to strong migration, while the nation’s finances are expected to remain in the red for decades to come as the country struggles to recover from the “profound” and long-term impacts of Covid-19.

The fifth Intergenerational Report paints a bleak and deteriorating picture of Australia into the second half of the century with the legacy of the pandemic delivering a fiscal crunch courtesy of a smaller and older population that will undercut the size of the economy amid ballooning health and aged-care costs.

The Australian can confirm that new forecasts predict a falling birthrate that will remain well below the replacement rate required to keep the population stable into the second half of the century when a generational clash is set to hit the economy.

The report forecasts declining fertility will be driven by women having children later in life and “having fewer children than women before them at the same age”. The long-term fertility rate is expected to decline to 1.62 babies per woman by 2031, where it will remain until 2060-61, a fall from the 2015 forecast of 1.9 babies over a 35-year average.

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https://www.theaustralian.com.au/commentary/intergenerational-report-productivity-and-population-keys-to-future-prosperity/news-story/5a0c14262709a26e910e9de602f4b780

Productivity, population crucial

Josh Frydenberg

12:00AM June 28, 2021

On Monday we are releasing the fifth Intergenerational Report, a document that comes out every five years and that projects 40 years forward. It’s not a guarantee of what will be but an insight into what could be.

The report highlights economic and demographic trends: the age and size of our population, the long-term impact on the budget of our revenue and expenditure settings. Coming in the wake of the Covid-19 recession, our first recession in nearly 30 years, it foreshadows the longer-term consequences the pandemic will have on our economy. In this sense the report provides a guide for future policy decisions.

There are three key insights from this year’s IGR:

● Our population is growing slower and ageing faster than expected. This affects economic growth and workforce participation. In the past, IGRs have underestimated population growth. In 2002 it was forecast Australia would reach 25 million people in 2040. We got there 20 years earlier. However, this is the first IGR in which population size is being revised downward, a result of Covid.

Closed borders have seen more peopleleave than have come to our shores during the past 12 months. Population growth is 0.1 per cent, the lowest in 100 years. Migration levels are forecast to get back to where they were by 2024-25 but do not recover ground lost during Covid. As a result, Australia’s population is expected to reach 38.8 million in 2060-61. This is six years later than forecast in the previous IGR.

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https://www.afr.com/policy/economy/big-bang-reforms-are-the-only-answer-to-igr-challenge-20210627-p584oy

Big bang reforms are the only answer to IGR challenge

The true picture is worse than the Intergenerational Report has revealed. That’s why the Treasurer is wrong to rule out ambitious attempts to change course now.

Craig Emerson Columnist

Jun 28, 2021 – 3.23pm

Now that the intergenerational report is out, painting a landscape of Australia’s economic future for the next four decades featuring a sea of red ink, we are entitled to ask of the major political parties: “What’s the plan?”

Using optimistic assumptions about productivity growth, the intergenerational report envisages persistent government deficits over the coming four decades.

But the true story is even worse.

The intergenerational report assumes labour productivity will converge to its 30-year average of 1.5 per cent per annum. That 30-year period includes the productivity boom years of the 1990s, built on the Hawke-Keating economic reform program and the dawning of the digital age.

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https://www.afr.com/policy/economy/glass-half-full-says-frydenberg-s-intergenerational-report-20210628-p584wu

Frydenberg’s account of the future is a whitewash

With an election around the corner, nobody in government wants a genuine debate about difficult things.

Jacob Greber Senior correspondent

Jun 28, 2021 – 5.14pm

The Intergenerational Report (IGR) – delayed more than a year by the pandemic and a low ambition policy reform government – reads like a horror movie script devoid of anything actually scary.

Like replacing The Texas Chainsaw Massacre’s weapon with a butterknife, Josh Frydenberg’s account of the future challenges facing Australia as it climbs out of the pandemic is numbing in its flatness. What’s the point, you might ask.

Which is exactly the kind of response the Coalition seems to be looking for.

If this year’s report vanishes without trace – with none of the Sturm and Drang of Joe Hockey’s 2015 version, which was attacked as a political hatchet job against the recently departed Labor government – it will have achieved its purpose: indifference.

Almost eight years in office, the Coalition owns this document. And it wants to make it go away. Which makes sense: an election is around the corner and nobody in government wants a genuine debate about difficult things such as spending priorities, who should pay the necessary taxes, or structural reform.

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https://www.smh.com.au/politics/federal/submarines-or-ndis-no-choice-whole-budget-needs-to-change-20210628-p584x2.html

Submarines or NDIS? No choice - whole budget needs to change

By Shane Wright

June 28, 2021 — 5.19pm

Budgets reflect a government’s choices – what they think is important for the country, for their constituencies, and what might get them re-elected at the next poll.

Intergenerational reports magnify those choices over 40 years.

Peer into the latest intergenerational report from Josh Frydenberg and two distinct areas of spending give you an insight into this government’s priorities.

For weeks, the government has been quietly raising doubts about the “sustainability” of the National Disability Insurance Scheme. The scheme, created by the Gillard government but under the control of the Abbott, Turnbull and now Morrison governments for the past seven years, aims to support those with permanent and significant disabilities under the age of 65.

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https://www.theaustralian.com.au/nation/intergenerational-report-warns-of-economic-disaster-if-we-dont-act/news-story/760092f1ddd33427b7ce2caf334d3256

Intergenerational Report warns of economic disaster if we don’t act

Patrick Commins

11:40PM June 28, 2021

Australians’ average incomes will be $32,000 lower than projected and the federal deficit twice as large by 2061 if the country fails to reverse a decade of slumping productivity growth, the latest Intergenerational Report warns.

Josh Frydenberg has used the report to call on business leaders and all sides of politics to work together and respond to the challenges posed in the IGR.

The Treasurer on Monday said Australia had “received an urgent message: we need to pursue microeconomic reform, and it’s best done when it’s bipartisan”.

But business groups warned that tackling the task of lifting national productivity was impossible when borders were closed, industries were suffering severe labour shortages and the country was being hit by rolling lockdowns.

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https://www.theaustralian.com.au/nation/politics/intergenerational-report-australia-sleeping-through-its-alarm/news-story/ad19697b0adbd53fac92b1eac90de00d

Intergenerational Report: Australia sleeping through its alarm

Paul Kelly

6:27AM June 29, 2021

Don’t be fooled by Australia’s startling V-shaped economic recovery. There is another bigger story coming – the grim and mounting long-run trends pointing to a nation of slower economic growth, higher spending, chronic deficits and debt, slower population growth and a political system almost certainly incapable of meeting the national challenge.

The fifth Intergenerational Report (IGR) released on Monday by Treasurer Josh Frydenberg – looking at the trends in demography, productivity and spending – suggests Australia will stay a caring society but experience a declining social and economic trajectory in its future compared with its past.

The rate of increase in our living standards will fall, perhaps sharply. The anti-reform gridlock in our political system, now more than a decade old with no sign of respite, is going to punish this country and its people on a mammoth scale. That’s obvious from the IGR.

For those who see Australia as a young, growing, dynamic, competitive country, this IGR report should arrive with a thunderclap. In his cautious but frank assessment on Monday Frydenberg recalled Peter Costello telling him last month that IGRs “always deliver sober news”. The Treasurer said the 2021 version “is no exception.”

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https://www.afr.com/policy/economy/intergenerational-report-s-rosy-crystal-ball-portends-budget-carnage-20210628-p5851o

Intergenerational Report’s rosy crystal ball portends budget carnage

It would take a reform miracle like in the 1990s, or another bout of luck like the mining boom, to achieve the optimistic productivity assumptions the report is banking on to prevent a future fiscal mess.

Steven Hamilton Contributor

Jun 29, 2021 – 2.21pm

Intergenerational reports – released every five years to offer a glimpse into the long-run health of the economy and budget – are very strange beasts. Predicting anything 40 years out is a challenge. But predicting what will happen to something as unpredictable as our economy, and the budget settings it generates, requires the most adept of crystal balls.

Contrary to most media reporting, the only reasonable way to view an intergenerational report is as a hypothetical “what if” modelling exercise. And as with any such exercise, the predictions are completely meaningless without understanding the assumptions upon which they are based.

And the 2021 report, delayed a year by the pandemic but finally released on Monday, doesn’t make that easy. In some instances, things aren’t assumed when they probably should be. And in others, they are assumed when they probably shouldn’t be. That makes it hard to form a clear view about the implications of current policy for our future, and about how emergent risks might threaten it.

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https://www.afr.com/companies/financial-services/why-fixing-childcare-is-important-for-future-economic-growth-20210629-p5858u

Why fixing childcare is important for future economic growth

To encourage the trend towards stronger female workforce participation, governments need to work on improving the cost, and availability, of good-quality childcare.

Karen Maley Columnist

Jun 29, 2021 – 5.03pm

One doesn’t generally pick up the Intergenerational Report looking for a declaration of feminist public policy.

So it came as something of a surprise to find that Treasury’s latest five-yearly Intergenerational Report provides a compelling argument both for improved access to high-quality childcare – for pre-schoolers and after-hours care for school-age children – and increasing government subsidies to help working parents cover the cost.

improving the availability and affordability of high-quality childcare would likely encourage even more women to join the workforce. 

The issue appears when Treasury discusses one of the key determinants of long-term economic growth – the share of the population that is either working or actively looking for work (what economists call the participation rate).

Now, economists were astounded when they realised that after pandemic lockdowns were lifted the participation rate climbed to a record 66.3 per cent in March this year.

But, as Treasury notes, what was interesting was that this increase was “driven by a significant increase in participation by women aged 24 to 54, and older Australians”.

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https://www.smh.com.au/business/the-economy/new-report-s-big-news-on-population-will-worry-pollies-and-business-but-not-me-20210629-p5854y.html

New report’s big news on population will worry pollies and business but not me

Ross Gittins

Economics Editor

June 30, 2021 — 5.30am

If ever there was an exercise that, since its inception, has overpromised and under-delivered, it’s the alleged Intergenerational Report. A report on relations between the generations, on the legacy the present generation is leaving for the coming generation?

No, not really. If it was, it would be mainly about the need for us and the other rich countries to be acting a lot more seriously and urgently to limit climate change. The document Treasurer Josh Frydenberg unveiled on Monday is our fifth five-yearly Intergenerational Report.

Initially, the report made no mention of climate change. These days, following the obvious criticism, it always includes a brief chapter on the topic, before moving on to matters considered more pertinent.

This year the chapter runs to nine of the report’s almost 200 pages, in which the seriousness of the problem is acknowledged, along with the assurance “but don’t worry, I’m on it”. On every admitted dimension of the issue, we’re assured that reports have been commissioned, committees established and the government is spending $100 million on this and $67 million on that.

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https://www.smh.com.au/money/borrowing/inflation-and-the-problem-with-supply-and-demand-20210629-p585bc.html

Inflation and the problem with supply and demand

By Alex Joiner

June 29, 2021 — 10.00pm

Australian inflation figures for the June quarter – due in late July – are likely to show something they have not done in more than a decade – overshoot the Reserve Bank of Australia’s 2-3 per cent annual target.

Is this really something to worry about? Will it prompt the RBA to raise official interest rates any time soon? Unlikely.

Our inflation pressures are largely being driven by short-term transitory factors.

For the RBA, this time horizon is short enough to “look through” these phenomena. However, it is worth considering the root cause of this inflation scare.

First, there is volatility in the inflation data that dissipates over time. Secondly, strong global demand, largely from fiscal stimulus, has outstripped pandemic-interrupted global supply. So, goods and inputs for producing goods are difficult to obtain and more expensive than usual.

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https://www.afr.com/politics/federal/australia-s-great-debt-gamble-20210625-p5847d

Australia’s great debt gamble

The Intergenerational Report shows the scale of Australia’s post-pandemic debt challenge as big reforms remain a difficult and distant proposition.

Ronald Mizen Economics correspondent

Jul 2, 2021 – 2.02pm

Tony Abbott and Joe Hockey’s infamous 2014 budget became so toxic it ultimately destroyed its makers; the task facing Prime Minister Scott Morrison and Treasurer Josh Frydenberg is orders of magnitude bigger.

Abbott and Hockey won an election on a platform of fixing Labor’s “debt and deficit disaster”, but in the end, the job of selling fiscal repair was overwhelming for the former prime minister and his treasurer.

Not even the release of the 2015 Intergenerational Report (IGR) that outlined an economic renaissance over the four decades hence if people embraced the duo’s policies, helped and the fall from grace was swift.

Throw forward a little more than half a decade, and Morrison and Frydenberg face a more complex set of challenges.

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Health Issues.

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International Issues.

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https://www.afr.com/world/north-america/trump-s-return-to-the-political-stage-has-republicans-jostling-20210628-p584ua

Trump’s return to the political stage has Republicans jostling

The former president is set to play an important role in a party that is divided in response to the Biden administration.

Lauren Fedor

Jun 28, 2021 – 10.24am

Cleveland, Ohio | Donald Trump made his return to the national political stage on Saturday night (Sunday AEST) at a county fairground in the small town of Wellington in Ohio, where residents had lined the streets and decorated their homes in red, white and blue to celebrate the former US president’s arrival.

“Lorain county is absolutely in Donald Trump’s wheelhouse. That is a place where they love him,” said Doug Deeken, chair of the Republican party in nearby Wayne county. “Whether they are historical Dems or historical Republicans or historical people that did not give a crap and never voted hardly before, they like him.”

Political operatives said Trump’s decision to hold his first post-White House rally in Lorain county — a region west of Cleveland that includes both old steel mill towns and vast expanses of rural farmland — was an obvious choice given local white working class voters’ affinity for the former president.

Despite losing the national election, Trump won the Midwestern state of Ohio in November by eight points over Joe Biden; he was the first Republican to win Lorain county since Ronald Reagan in 1984.

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https://www.theaustralian.com.au/business/the-wall-street-journal/us-conducts-air-strikes-in-syria-and-iraq-against-iranianbacked-militias/news-story/1e527b7a391fbaddea5e900b669f68a5

US conducts air strikes in Syria and Iraq against Iranian-backed militias

By Michael R Gordon

Dow Jones

June 28, 2021

The U.S. conducted air strikes Sunday in Syria and Iraq against two Iranian-backed militias that the Pentagon said were mounting drone attacks against U.S. troops.

The Pentagon said operational and weapons storage facilities had been struck near the Syria-Iraq border at three locations that it said had been used by the Kataib Hezbollah and Kata’ib Sayyid al-Shuhada militia groups.

“The United States took necessary, appropriate, and deliberate action designed to limit the risk of escalation — but also to send a clear and unambiguous deterrent message,” Pentagon spokesman John Kirby said.

There were no immediate reports of casualties.

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https://www.afr.com/markets/currencies/fed-digital-dollar-poses-risks-with-unclear-benefit-20210629-p5853d

Fed digital dollar poses risks with unclear benefit

Craig Torres

Jun 29, 2021 – 5.29am

US Federal Reserve vice chairman of supervision Randal Quarles expressed caution about rushing to issue a central bank digital currency, saying the benefits are “unclear” while the risks could be high.

“Federal Reserve CBDC could pose significant and concrete risks,” Quarles told the Utah Bankers Association on Monday (Tuesday AEST), according to his prepared remarks.

“An arrangement where the Federal Reserve replaces commercial banks as the dominant provider of money to the general public could constrict the availability of credit, fundamentally alter the economy, and expose the public to a host of unanticipated, and undesirable, consequences.”

Central banks around the world are testing digital currencies as a parallel payment system, while private cryptocurrencies grow in popularity.

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https://www.theaustralian.com.au/inquirer/as-ccp-gears-up-centenary-celebration-its-xis-party-now/news-story/a77cc6b41a1e9882fe7f1a47a07dc5f8

As CCP gears up, it’s Xi’s party now

Much of the world is in Covid agony. But China’s Communist Party is celebrating as never before.

By Rowan Callick

June 26, 2021

Much of the world is in Covid agony. But China’s Communist Party is celebrating as never before. Next Thursday, July 1, its regimented version of ecstasy will hit a new high as it vaunts its centenary from a position of unchallengeable power within China and of growing global influence that it intends to underline with a meticulously organised Winter Olympics in six months.

At the CCP’s secretive birth in Shanghai in 1921, its 13 inaugural members aimed for a second revolution, following the dethroning of the last emperor a decade earlier, by establishing “a militant and disciplined party of the proletariat”. Today, more of the party’s 92 million members are managers, professionals and officials than are proletariat, half now holding degrees.

Urban workers, farmers and fishermen comprise a third. Only a quarter are women, and no woman has ever reached the top echelon, the Politburo Standing Committee.

Revolutionary thoughts are dangerous today. The CCP instead aims to tighten control over every detail of the Chinese world – the thoughts and the behaviour of individuals and families, and the leadership and plans of every organisation, firm and club, each required to host a party branch.

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https://www.afr.com/world/asia/why-china-s-communist-party-is-stronger-than-ever-20210629-p5859w

Why China’s Communist Party is stronger than ever

The contrast between how China’s Communist Party is perceived inside China compared with the rest of the world has never been greater.

Michael Smith China correspondent

Jun 29, 2021 – 4.13pm

The perception of China’s Communist Party on the eve of its 100th anniversary varies dramatically depending on where you are sitting.

Inside China, the flames of nationalist fervour that emerged from the coronavirus pandemic are being stoked even higher by the historic birthday of what is now arguably the most powerful organisation on the planet.

Images of hundreds of school children enthusiastically waving red party flags outside the Great Hall of the People were beamed onto television screens around the country on Tuesday as the Chinese government’s propaganda apparatus went into overdrive.

China’s new “heroes” – or their relatives if deceased – were paraded up the red carpet one by one to receive the July 1 Medal from president Xi Jinping for their absolute loyalty to the party and the country.

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https://www.afr.com/work-and-careers/education/unis-turn-blind-eye-to-surveillance-attacks-by-beijing-report-20210629-p585bw

Universities ignore Beijing’s threats to Chinese students

Julie Hare Education editor

Jun 30, 2021 – 9.11am

Beijing’s increasingly bold attempts to shape global perceptions has seen Chinese students and staff on university campuses frequently targeted, harassed and intimidated for holding pro-democracy views, a new report says.

At the same time, with their eye firmly on their bottom lines, Australian universities have failed to protect those who are intimidated or harassed victims of such attacks, with Chinese students making up for 10 per cent of all university enrolments, the report from Human Rights Watch says.

“In 2020, nearly 160,000 students from China were enrolled in Australian universities. Despite the Chinese government in Beijing being thousands of kilometres away, many Chinese pro-democracy students in Australia say they alter their behaviour and self-censor to avoid threats and harassment from fellow classmates and being ‘reported on’ by them to authorities back home,” the report says.

Students and academics whose research interests are on China told the report’s authors that the atmosphere of intimidation has worsened in recent years.

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https://www.smh.com.au/world/asia/if-the-us-went-to-war-with-china-who-would-win-it-depends-how-it-starts-20210617-p581s2.html

If the US went to war with China, who would win? It depends how it starts

China and the United States are the great rivals in the competition to win the 21st century. But which one would have military superiority in outright conflict?

By Chris Zappone and Eryk Bagshaw

June 30, 2021

If China chooses to attack the island of Taiwan, the United States could be helpless to stop it.

By the time the People’s Liberation Army launches its third volley of missiles at the island Beijing considers a breakaway province, the US could be just learning of the attack.

In a matter of minutes, Beijing’s Rocket Force could cripple Taiwan’s military, infrastructure and ports.

Yet if China wanted to conquer Taiwan, the outcome could be different. Possibly completely different.

China would have to launch an amphibious invasion, deploying troops along its beaches as the first step in a march towards the capital Taipei. Despite its 1.9 million-strong army, compared to Taiwan’s cohort of 150,000, the task of taking its island neighbour and holding it is a mammoth military challenge.

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https://www.afr.com/policy/economy/100-years-on-communist-party-must-explain-china-s-role-in-the-world-20210629-p585da

100 years on, Communist Party must explain China’s role in the world

The world has opened up to China and helped it grow rich. Xi Jinping now owes the world an explanation of the terms of Beijing’s future engagement with the global system.

Jun 30, 2021 – 7.33pm

A decade before Gough Whitlam’s groundbreaking July 1971 visit to what was then called Peking, the Menzies government began selling wheat to communist China. The country desperately needed to relieve the famine wrought by the disastrous forced collectivisation of peasant farming in the Great Leap Forward.

The account in the features section by this newspaper’s former Canberra bureau chief John Short, of a remarkable and little-known trade and foreign policy initiative which saved millions, underlines Australia’s long history of independent involvement with China.

Setting aside the domestic politics and international tensions of the Cold War, the Menzies government’s wheat sales were at odds with official US policy not to allow trade with Maoist China. As the diplomatic cables show, they generated unease inside the Kennedy administration.

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https://www.afr.com/world/asia/us-and-japan-conduct-war-games-amid-rising-china-taiwan-tensions-20210701-p585tn

US and Japan conduct war games amid rising China-Taiwan tensions

Demetri Sevastopulo and Kathrin Hille

Updated Jul 1, 2021 – 9.44am, first published at 9.24am

Washington/Taipei | The US and Japan have been conducting war games and joint military exercises in the event of a conflict with China over Taiwan, amid escalating concerns over the Chinese military’s assertive activity.

US and Japanese military officials began serious planning for a possible conflict in the final year of the Trump administration, according to six people who requested anonymity. The activity includes top-secret tabletop war games and joint exercises in the South China and East China seas.

Shinzo Abe, then Japanese prime minister, in 2019 decided to significantly expand military planning because of the Chinese threat to Taiwan and the Senkaku Islands in the East China Sea. This work has continued under the administrations of Joe Biden and Japanese prime minister Yoshihide Suga, according to three of the people with knowledge of the matter.

The US and Japan have become alarmed as China has flown more fighter jets and bombers into Taiwan’s air defence identification zone, including a record 28 fighters on June 15. The Chinese navy, air force and coast guard have also become increasingly active around the Senkaku, which are administered by Japan but claimed by China and Taiwan.

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https://www.afr.com/world/asia/china-is-building-more-than-100-new-missile-silos-20210701-p585s0

China is building more than 100 new missile silos

Joby Warrick

Jul 1, 2021 – 6.36am

China has begun construction of what independent experts say are more than 100 new silos for intercontinental ballistic missiles in a desert near the northwestern city of Yumen, a building spree that could a signal a major expansion of Beijing’s nuclear capabilities.

Commercial satellite images obtained by researchers at the James Martin Centre for Nonproliferation Studies in Monterey, California, show work underway at scores of sites across a grid covering hundreds of square miles of arid terrain in China’s Gansu province.

The 119 nearly identical construction sites contain features that mirror those seen at existing launch facilities for China’s arsenal of nuclear-tipped ballistic missiles.

The acquisition of more than 100 new missile silos, if completed, would represent a historic shift for China, a country that is believed to possess a relatively modest stockpile of between 250 and 350 nuclear weapons. The actual number of new missiles intended for those silos is unknown but could be much smaller. China has deployed decoy silos in the past.

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https://www.smh.com.au/business/the-economy/robots-electric-cars-and-face-scanners-china-and-the-us-vie-to-build-the-future-20210603-p57xso.html

Robots, electric cars and face-scanners: China and the US vie to build the future

By Stephen Bartholomeusz

July 1, 2021

When Chinese Premier Li Keqiang unveiled the “Made in China 2025” 10-year strategic plan in 2015, he laid the foundations for an escalating competition between China and the US to dominate the fourth industrial revolution.

The announcement of China’s plans triggered alarm in the US because it confirmed publicly, for the first time, the scope of its ambitions and the detail of its strategies for achieving them.

Friction between the US and China that started as an attempt by Donald Trump to reduce America’s trade deficit with China has since morphed into an attempt to stymie those technology-driven ambitions.

US president Donald Trump signing a memorandum targeting China’s economic aggression, on Thursday, March 22, 2018.

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https://www.smh.com.au/world/asia/communist-party-has-altered-the-world-s-development-xi-jinping-20210701-p585tj.html

Communist Party has altered the world: Xi Jinping

By Eryk Bagshaw

Updated July 1, 2021 — 11.20amfirst published at 10.47am

Singapore: China’s President Xi Jinping has told thousands gathered in Beijing’s Tiananmen Square that the Chinese Communist Party has altered the development of the world.

Celebrating 100 years since the founding of the CCP, Xi on Thursday said the Chinese people had stood up under the leadership of the Party.

“This great transformation of China from a poor and backwards country laid down the fundamental conditions necessary for realising national rejuvenation,” he said.

“Only socialism could save China and only socialism with Chinese characteristics could develop China.”

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https://www.theaustralian.com.au/news/latest-news/xi-hails-irreversible-rise-of-china-at-100th-birthday-of-communist-party/news-story/c2239d84c7ec543369fbe9c721cd6528

Xi hails 'irreversible' rise of China at 100th birthday of Communist Party

AFP

July 1, 2021

President Xi Jinping hailed China's "irreversible" course from humiliated colony to great power at the centenary celebrations for the Chinese Communist Party on Thursday, in a speech reaching deep into history to remind patriots at home and rivals abroad of his nation's -- and his own -- ascendancy.

Speaking above the giant portrait of Mao Zedong, which dominates Tiananmen Square, from the podium where the famous chairman proclaimed the People's Republic of China in 1949, Xi said the "era of China being bullied is gone forever" praising the party for uplifting incomes and restoring national pride.

Xi, wearing a 'Mao-style' jacket, added the "great rejuvenation of the Chinese nation has entered an irreversible historical course" and vowed to continue to build a "world-class" military to defend national interests.

It now counts around 95 million members, garnered over a century of war, famine and turmoil, and more recently a surge to superpower status butting up against western rivals, led by the US.

A fly-by of helicopters in formation spelling '100' -- a giant hammer and sickle flag trailing -- and a 100-gun salute followed, while young communists in unison pledged allegiance to the party.

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https://www.afr.com/world/asia/china-celebrates-centenary-of-communist-party-in-tiananmen-square-20210701-p585vy

‘Resolute action’: Xi warns Taiwan on independence

Michael Smith China correspondent

Updated Jul 1, 2021 – 12.48pm, first published at 11.23am

Xi Jinping has warned China will take “resolute action” to defeat any push for Taiwan’s independence, and warned that foreign countries seeking to bully Beijing will find themselves on a “collision course” with the country’s 1.4 billion people.

In a hardline speech to mark the 100th anniversary of the founding of the Chinese Communist Party on Thursday, Mr Xi also said China must step up the modernisation of its defence forces and said the country would not tolerate criticism from other countries.

“Through tenacious struggle, the party and the people showed the world that the Chinese people had stood up and the time when the Chinese nation could be bullied and abused by others was gone forever,” Mr Xi said at a ceremony televised from Beijing’s Tiananmen Square.

“We will never allow any foreign force to bully or subjugate. Anyone who intends to do will find themselves on a collision course with a wall of steel forged by 1.4 billion people.”

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https://www.afr.com/world/asia/no-signs-of-softening-in-xi-s-strident-anniversary-speech-20210701-p585yt

No signs of softening in Xi’s strident anniversary speech

Xi Jinping has made it clear that China is in no mood to tolerate Western criticism or relax its position on Taiwan.

Michael Smith China correspondent

Jul 1, 2021 – 4.57pm

Addressing thousands of Communist Party faithful from a podium in Tiananmen Square on Thursday, Xi Jinping made it clear where he stood on criticism from Australia and other foreign countries.

“The Chinese people will absolutely not allow any foreign force to bully, oppress or enslave us, and anyone who attempts to do so will face broken heads and bloodshed in front of the iron Great Wall of the 1.4 billion Chinese people,” the 68-year-old leader said to thunderous applause.

Xi’s rousing speech to commemorate the 100th anniversary of the Chinese Communist Party was designed primarily for a domestic audience. It accompanied an impressive display of pageantry, propaganda and pomp, all broadcast online and on television screens around the country.

However, Xi’s one-hour sermon also delivered a chilling message to the rest of the world. Strident and unforgiving, Xi signalled there was no room for compromise with the United States and its allies, including Australia, and no tolerance for criticism.

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https://www.afr.com/world/asia/why-it-s-difficult-to-be-pragmatic-about-relations-with-beijing-20210629-p585de

Why it’s hard to be pragmatic about relations with Beijing

The Chinese Communist Party has lasted for a 100 years by shaping the world to its own survival. That makes it hard to deal with it on the basis of reason and compromise.

John Lee Contributor

Jun 30, 2021 – 2.16pm

The Chinese Communist Party’s celebrations are not just about marking 100 years of existence as an organisation. It’s a none-too-subtle way of telling the world that longevity grants it not only political and moral legitimacy, but superiority.

The message to the world is that it is wiser to work with this fact, and make the best of it.

This is the kind of reasoning that many outsiders find compelling, even if they remain uncomfortable with Xi Jinping’s ruthlessness. In this view, the world is filled with political parties we don’t agree with, and the CCP happens to rule over a country that is far too important.

It’s best to be pragmatic, and Australia is behind the rest of the world in this regard.

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https://www.afr.com/policy/economy/don-t-blame-central-banks-for-wealth-inequality-20210630-p585ht

Don’t blame central banks for wealth inequality

The BIS is right that monetary policy cannot solve inequality. It can only aim at broad macroeconomic stability. It’s also correct to call for radical structural reforms.

Martin Wolf Columnist

Jun 30, 2021 – 10.47am

Should central banks do something about inequality and, if so, what? This has become a hot topic, which has persuaded the Bank for International Settlements to focus on it in its latest annual report. Its conclusions are what one would expect: monetary policy is neither the main cause of inequality nor a cure for it. Broadly speaking, this is correct. But in a world in which central bankers have become such aggressive actors, it may not be enough.

A striking fact noted by the BIS is that since what it calls the “Great Financial Crisis”, the proportion of speeches by central bankers mentioning inequality has soared. This partly reflects rising political concern about inequality.

But it also reflects a specific critique. This is, in the report’s words, that “central banks have deployed policies featuring exceptionally low interest rates and extensive use of balance sheets to support economic activity and lower unemployment. Such measures have fuelled concerns that central banks’ actions, by boosting asset prices, have benefited mostly the rich”. That critique is popular among conservatives who detest activist central banks.

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https://www.smh.com.au/world/asia/collision-course-xi-s-big-speech-at-china-s-party-puts-world-on-notice-20210701-p585xz.html

‘Collision course’: Xi’s big speech at China’s party puts world on notice

By Eryk Bagshaw

July 1, 2021 — 4.41pm

Singapore: There were only two times in Xi Jinping’s hour-long speech on Thursday when the crowd interrupted the Chinese President’s address to the nation.

Willed on by the rising rhetoric of their leader, the thousands assembled in Beijing’s Tiananmen Square to mark the centenary of the Chinese Communist Party swapped their choreographed clapping for loud cheers.

“Chinese people will never allow any foreign force to bully, oppress, or subjugate us,” Xi said to roars of assembled soldiers, teachers, students, nurses and cadres.

“Anyone who would attempt to do so will find themselves on a collision course with a great wall of steel forged by over 1.4 billion Chinese people.”

The message was clear. Nationalism is becoming the de facto ideology of Xi’s China. Having wiped out any opposition at home over a century of building power, the great struggle of his party is no longer against counter-revolutionaries; it is against those outside China’s borders who would seek to contain its rise.

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https://www.smh.com.au/world/north-america/what-fraud-trump-s-hopes-of-a-return-to-white-house-very-much-alive-20210702-p5868d.html

What fraud? Trump’s hopes of a return to White House very much alive

By Matthew Knott

July 2, 2021 — 11.39am

Washington: It’s never a good day when the company that bears your name and one of its most senior executives are indicted on charges of conspiracy, tax fraud and falsifying business records.

Allen Weisselberg, the Trump Organisation’s veteran chief financial officer, has a lot to worry about after New York prosecutors charged him with a string of financial offences including grand larceny on Friday (AEST).

Being convicted of that charge alone could lead to more than 15 years in prison for the 73-year-old who has been one of Donald Trump’s most trusted advisers for decades.

But Trump himself does not appear to be in imminent legal jeopardy.

While Weisselberg was being led into a Manhattan courtroom in handcuffs, Trump was safely ensconced in his Mar-a-Lago resort in Florida. Neither Trump nor any of his family members have been charged with wrongdoing and it’s unclear whether they ever will be.

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https://www.theaustralian.com.au/commentary/xi-jinpings-deitylike-role-in-china-makes-him-an-actor-to-be-feared/news-story/85bc87ab0ebecd6410a6f71f0d8a1586

Xi Jinping’s deity-like role in China makes him an actor to be feared

Greg Sheridan

12:00AM July 1, 2021

The Chinese Communist Party turns 100 on Thursday. It is the most powerful, and successful, political party in the world. It has something like more than 90 million members and has ruled China since it won the civil war in 1949.

Many millions more Chinese would join the party if they could, not necessarily from ideological conviction but because Communist Party membership is such a career boost. Yet we shouldn’t discount the power of communist ideology.

I had a spell as a Visiting Fellow at Kings College London in 2019. One night I attended a dinner party where everyone was an author or academic or journalist. They weren’t China specialists, but wanted to hear an Australian view of China.

When I discussed communist ideology, the reaction was bafflement. Wasn’t modern China capitalist, and any communist gobbledegook merely an excuse to justify authoritarianism?

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https://www.theaustralian.com.au/commentary/chinese-president-xi-jinping-strikes-new-tone-of-truculence-confrontation/news-story/98e37618af306d59acadb6bd086592ce

Chinese President Xi Jinping strikes new tone of truculence, confrontation

GREG SHERIDAN

9:11AM July 2, 2021

Xi Jinping’s speech is as historic as it is disturbing, as memorable as it is menacing, as epoch-marking as it is grandiloquent.

This is a new tone for the Chinese President and Chinese Communist Party general secretary in an international context — a tone of truculence and confrontation.

In content, the speech is a contemporary mix of communist ideology and nationalist paranoia.

“Through tenacious struggle, the party and the people showed the world that the Chinese people had stood up and the time when the Chinese nation could be bullied and abused by others is gone forever.”

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https://www.afr.com/world/asia/between-chaos-and-control-china-s-communists-and-a-century-of-revolution-20210629-p5858w

China’s communists and a century of revolution

As the Chinese Communist Party turns 100, its leaders are still struggling to find the balance between growth and stability, repression and reform.

James Kynge

Jun 30, 2021 – 8.00am

In 35 years of reporting on China and its emergence as a global power, perhaps the most perceptive and certainly the most genial person I met was Cao Siyuan. He was by no means grand. His face looked as if it had been moulded by laughter. He laughed frequently, often at his own jokes and sometimes at himself. He had once, before a dramatic fall from grace, been an adviser to China’s top leader. But when asked about his time among the ruling elite, he would demur, describing himself as no more than a “seventh-grade, sesame seed-sized official”.

Cao died in 2014 at the age of 68. But his turbulent career trying to coax reform out of China’s single-party state reflected a much bigger historical struggle that has characterised the rule of the Chinese Communist party (CCP) that marks its 100th anniversary on July 1. His experiences also put into human context the knot of tensions that still reside at the heart of CCP rule and govern many aspects of China’s increasingly fractious relationship with the outside world.

Cao was known in China simply as “Mr Bankruptcy”. The name came because he was the architect in the 1980s of the country’s first bankruptcy law. This may not sound like much but at that time bankruptcy was at the ideological frontier of China’s transition from Maoist communism to the hybrid system of market authoritarianism that it adheres to today.

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https://www.theaustralian.com.au/world/the-times/the-history-china-wants-you-to-forget/news-story/dfc7815ff47d1432152ca99db027d372

The history China wants you to forget

By Didi Tang

The Times

5:19PM July 2, 2021

In a speech about history it was the omissions that were most memorable. Chinese President Xi Jingping chose to mark a century of the Chinese Communist Party by glossing over some of the country’s most painful moments.

“We must learn from history to build the future,” he said several times as he exhorted his audience on Thursday to follow the party into a new century and assemble a world-class army. Missing from his reflections were any lessons from the party’s purges, the Tiananmen Square massacre or the Great Famine. Instead, Mr Xi ­invoked a history of international humiliation, poverty and struggle to rouse the Chinese people and bolster party support.

“The victory of the new democratic revolution put an end to China’s history as a semi-colonial, semi-feudal society, to the state of total disunity that existed in old China, and to all the unequal treaties imposed on our country by foreign powers and all the privileges that imperialist powers enjoyed in China,” he said in an hour-long speech.

No political party in the world puts as much emphasis on history as the Communist Party of China, which derives its legitimacy from the past. The party keeps tight control over accounts of its rule, airbrushing out episodes of brutality in an effort to keep them ­secret. Any attempt to deviate from the official narrative is ­described as “historical nihilism” and considered an attack on the party.

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I look forward to comments on all this!

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David.

 

I Wonder How Typical This Is In Reaction To Evolving Digital Health?

This appeared last week.

I don’t have time for telehealth and e-script admin crap

Dr Craig Lilienthal

Dr Lilienthal is a GP and medicolegal adviser in Sydney, NSW.

30th June 2021

I am heartily pissed off with the ever-changing and confusing requirements for COVID-19 telehealth and e-prescribing.

Here is an example of a typical, time wasting, administrative shemozzle we GPs have to deal with. I am sure there are many other similar scenarios.

The situation:

While doing a telehealth consultation early one evening, with a young mother - non rebatable because, thanks to COVID-19, we hadn’t had a face-to-face consultation for more than 12 months – she asked me for an urgent repeat prescription for her son.

It was for a medication originally prescribed by a paediatrician to whom I had referred the young teenager.

Now, because I hadn’t seen the son for more than 12 months, I couldn’t offer the mother a rebatable consultation for this either and because neither of them had had their electronic medical records ‘enabled’ for consent to communicate electronically, I couldn’t send them e-scripts.

Oh yes, I do have the skills to do this and send e-scrips – providing the patients’ Medicare numbers are up to date – and in this case of course, they weren’t. Thank you again, Mr Covid.

And as I was working from home without a fax machine, I couldn’t fax the script to the chemist and as it was late in the day, the reception staff at my surgery had gone home so I couldn’t ask them to print off the script and fax it to the chemist.

Of course, I was taking the next day off and wouldn’t be in the practice again until after the long weekend. Too long a delay by far for this important medication? The customer is always right.

My attempt to help:

So, while discussing the situation with her, my patient’s husband went on line and miraculously found the email address of their chemist.

I printed out the prescription and using a previously acquired app called Genius Scan, photographed the prescription using my smartphone and sent it by email to the pharmacy with a cc to the mother.

My advice was that to make sure everything went smoothly she should print out the prescription on her home printer and take it with her when she went to the chemist.

This system has worked successfully many times before.

Oh yeah:

The next morning, at the beginning of what I thought was going to be a relaxing, long weekend, I receive a call from the husband who was at the chemist. There were a few problems.

Firstly, as I had been working from the mother’s electronic medical record, the name on the prescription was the mother’s and the pharmacist wanted verbal permission to change the name on the document to that of their son.

“Yes, of course”.

Next, the chemist asked me to send the hard, original, prescription to her.

“But the mother has just given you a hard copy printout of the prescription bearing my clear signature,” I reply.

“Not good enough,” says the pharmacist. “The only time we don’t need the original is when the prescription is sent as an e-script and we can work off a QR code.”

“Are you sure about that?” says me. “I thought you only needed originals for certain, mainly Schedule 4, drugs.”

“No” says the chemist. “That’s changed.”

“Has it? Surely you don’t need an original prescription for long-acting melatonin preparation, prescribed privately and for an off-licence purpose, to help an ADHD teenager on prescribed amphetamines, to get some sleep and save his parents from going mad?”

“Yes, we do”, says the chemist.

So, I authorised the prescription over the phone and made a note to myself that when I am next in the surgery, I need to find out the snail mail address of the pharmacy and send an original, hard copy of the prescription to the chemist.

I don’t need this administration crap.

The solution:

Yes, I could have insisted the patients come to the surgery for face-to-face consultations and to formally enable (aka consent), their records to allow the practice to send them e-scripts and SMSs - and be able to bulk bill them for telehealth consultations and all this time wasting and stuffing around – when they had upgraded their Medicare cards.

But they live in the burbs and again, thanks to COVID-19, I have few reasons to visit the CBD where I work and the quickest way to piss off your patients is to play hard ball with them - especially in a perceived emergency situation.

Afterall, they had run out of Circadin!

https://www.ausdoc.com.au/opinion/i-dont-have-time-telehealth-and-escript-admin-crap

Clearly a man with a lot to get off his chest.

Judging by the 20+ comments on the article he is not the only one! We clearly need to work a bit harder to smooth out the experience!

David.

 

Wednesday, July 07, 2021

The New Zealand Your Healthcare Summary Looks Like An Interesting Initiative – The #myHR Done Right?

This appeared a few days ago.

450,000 patient records uploaded to Your Health Summary

Sunday, 27 June 2021  

NEWS - eHealthNews.nz editor Rebecca McBeth

Primary care health records of close to half a million patients across Auckland have been uploaded to the shared care record system, Your Health Summary (YHS).

The solution is designed to ensure better continuity of care and safety for patients by ensuring their important health information is accessible by authorised healthcare providers that deliver care in a range of care settings, says YHS clinical director Daniel Calder. 

The summary includes information about medications, allergies, results and long-term health conditions and is supported by the Northern Region Health Co-ordination Centre and Metro Auckland PHOs. 

Nearly 150 practices have signed up since it went live in April 2020, with 450,000 patient records from across Auckland uploaded to
Your Health Summary, and 315 clinicians have submitted signed access applications. 

Currently, authorised healthcare providers in participating GP clinics, urgent care clinics and Covid-19 vaccination centres can apply for access, so existing users are GPs and nurses working in these settings. 

“The next step is to enable access to hospital colleagues and a particular priority would be Emergency Departments as this is another setting where many patients require urgent medical attention and clearly could benefit from access to this system,” Calder explains.

For the shared record system to be effective, it needs a good level of coverage within the region and he encouraged those clinics that have not joined, to urgently prioritise it. 

“It is a critical part of supporting patient and whānau care during the current Covid pandemic, when patients who are confirmed or suspected to have Covid-19 may require urgent healthcare services outside of their regular practice,” he says.

“YHS is also of significant benefit to the most vulnerable in our population who do not always receive care for health conditions from the same provider.”

More here:

https://www.hinz.org.nz/news/571328/450000-patient-records-uploaded-to-Your-Health-Summary-.htm

This report piqued my interest so I followed up to the website:

https://www.yourhealthsummary.org.nz/

Here is the ‘About Us’

Your Health Summary is a secure database that holds a summary of your primary care health record.

The purpose of Your Health Summary is to make sure that you can be provided with the very best care if you need to see a doctor outside of your usual general practice.

Information about your medication, allergies or any conditions that may affect your care when you cannot see your regular GP are included which means that if you can’t see a doctor in your regular GP clinic, or need urgent care, that tests are not repeated that are not necessary.

To see what is included in your personal health summary, you will need to check your general practice patient portal. Not all practices have a patient portal though, so you may need to call your general practice to find out how you can access your health summary.

You can choose to ‘opt off’ from having the summary of your health information shared. This could though, mean delays in your treatment as any new GP you see may have to conduct tests you have already had, and need to spend more time to find out important medical history during the consultation.

To opt off, email your contact details to contact@yourhealthsummary.org.nz and one of the team will be in touch to advise next steps.

Your Health Summary is an initiative between the Northern Region Health Co-ordination Centre (NRHCC) and all Metro-Auckland Primary Health Organisations (PHOs).

Here is the link:

https://www.yourhealthsummary.org.nz/about-1

Very worthwhile is the video introduction on this page:

https://www.yourhealthsummary.org.nz/resources

The key differences from the #myHealtthRecord as I can see are:

1. It is a regional system – Just for Auckland in this case – not national.

2. It is a health summary that is essentially live with what is in the patients Practice Management from their home practice and does not include patient notes or any admin data and is specifically not to be used for clinician and population health assessment.

3. It is clinician led and only clinicians use it – after rigorous sign-up procedures. It is intended for use with a patient that is in front of you in the surgery and is not a local in your patient management system.

4. Systems are in place to ensure data currency and relative completeness with no effort on the home clinician’s part.

5. It is not run by Government and it is voluntary on the part of clinicians who seem to like it.

6. There is a clear emphasis on patient consent and patient data protection at each encounter.

Given it has been replicated all over NZ it seems to be pretty successful!

The system seems to be commercially provided and a subset of the Indici PMS.

See here:

https://www.indici.co.nz/index.html

This looks to me to be pretty close to the #myHealthRecord done right to me.

Who will tell the ADHA?

David.

 

Tuesday, July 06, 2021

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - July 06, 2021.

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This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters.

I will also try to highlight ADHA Propaganda when I come upon it.

Just so we keep count, the latest Notes from the ADHA Board were dated 6 December, 2018 and we have seen none since! Its pretty sad!

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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https://www.afr.com/technology/elon-musk-s-starlink-to-deliver-internet-nearly-worldwide-within-weeks-20210630-p585ez

Elon Musk’s Starlink to deliver internet nearly worldwide within weeks

Thomas Seal

Jun 30, 2021 – 5.02am

Elon Musk’s satellite network Starlink is on track to beam broadband internet everywhere in the world except polar regions by August, he said on Tuesday (Wednesday AEST).

Space Exploration Technologies has launched more than 1500 satellites so far and has Starlink operations in about a dozen countries, Musk said during a presentation at the Mobile World Congress conference. That’s costing a lot.

SpaceX’s total investment in the network will be between $US5 billion ($6.7 billion) and $US10 billion before cash flow is positive, he said.

“We recently passed the strategically notable number of 69,420 active users,” Musk joked. “We’re I think on our way to having a few hundred thousand users, possibly over 500,000 users within 12 months.”

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https://www.innovationaus.com/mygov-rebuild-panel-is-finally-made-public/

myGov rebuild panel is finally made public

Denham Sadler
Senior Reporter

2 July 2021

The federal government has finally revealed the private contractors working on the redevelopment of the myGov platform, with a panel of providers dominated by multinational technology firms building the new version of the government services portal.

Services Australia established the Systems Integrator Panel late last year for technical support on the myGov rebuild, but has continually refused to reveal which companies are members of it.

Big four consultancy Deloitte was the only company known to be a member of the panel, with the firm having worked on the myGov rebuild since the beginning in early 2020.

In response to questions from InnovationAus, Services Australia has now revealed that the other members of the myGov panel are Irish-based consultancy Accenture, American tech giant IBM and Australian company ARQ Group, along with the UK-based Deloitte.

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https://www.innovationaus.com/qld-police-accessed-qr-code-check-in-app-data/

Qld police accessed QR code check-in app data

Denham Sadler
Senior Reporter

29 June 2021

Police in Queensland accessed data from the state’s QR code check-in contact tracing app to investigate a theft, with legislative changes now being considered to prevent this happening again.

It was revealed this week that the Queensland Police Service (QPS) legally obtained a warrant for data from the Check in Qld app, which allows users to scan QR codes to check in to venues in the state, to find information on individuals “reported to be acting suspiciously” in a pub where a police firearm and taser were believed to have been stolen.

“The firearm was subsequently located on June 10 after a more detailed search of the hotel premises,” a QPS spokesperson said.

“The taser is yet to be located and investigations are ongoing. The data was accessed in relation to a group of people reported to be acting suspiciously in the area around the time of this incident.”

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https://www.digitalhealth.gov.au/newsroom/media-releases/new-my-health-record-pathology-training-modules-as-more-labs-are-uploading-patient-test-results

New My Health Record pathology training modules as more labs are uploading patient test results

Published 2 July 2021

The Royal College of Pathologists of Australasia (RCPA) and Australian Digital Health Agency launched new My Health Record Continuing Professional Development (CPD) at the Pathology Update 2021.

To enable healthcare providers to get maximum value from My Heath Record and increase the number of test results uploaded for viewing by GPs and their patients, RCPA and the Agency developed the CPD modules for the estimated 35,000 people employed in pathology in Australia.

Dr Michael Dray, pathologist and RCPA President said, “Pathology services range from diagnostic testing and monitoring of chronic diseases to cutting-edge genetic research and blood transfusion technologies. Pathology is integral to the diagnosis of every cancer and Australians are becoming more familiar accessing their own test results in My Health Record.”

“This new education resource will help pathologists, scientists and other laboratory team members to develop a comprehensive understanding of My Health Record.”

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https://womensagenda.com.au/latest/telstra-health-announces-2021-womens-digital-health-awards-program/

Telstra Health announces 2021 Women’s Digital Health awards program

Nominations now open for Telstra Health’s inaugural Brilliant Women in Digital Health awards

Telstra Health has announced its inaugural 2021 Brilliant Women in Digital Health awards program, designed to recognise and celebrate women working in digital health across Australia.

The initiative, driven by the Brilliant Connected Women in Digital Health network, will celebrate women for their achievements in digital health, whether it be mentoring, medical research, contributing to technology development, improving health outcomes, or introducing new digital process for the delivery of health and aged care.

Nominations for the awards program are now open until Friday 16 July, with individuals able to both self-nominate or nominate another person. The awards will recognise twenty-five women in digital health, selected by four notable judges across the health and aged care sectors.

“We have launched these awards to recognise the contributions of brilliant women working in digital health across Australia: to recognise the way they’re improving lives; and to encourage more women to take up rewarding careers in STEM,” said Professor Mary Foley AM, Managing Director of Telstra Health.

The nominees will be judged by Professor Christine Bennett AO, a Director of the Telstra Health Board and Deputy Vice Chancellor at University of Notre Dame, Dr Louse Schaper, CEO of the Australasian Institute of Digital, Jane Halton AO PSM, Chair of the Coalition for Epidemic Preparedness Innovations and Co-Chair of the COVAX initiative, and Michael Walsh, Chair of the Digital Health Cooperative Research Centre.

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www.andhealth.com.au

Have Your Say in Digital Health State of the Industry Report

There is enormous potential for the digital health sector to drive Australia’s economy and healthcare system into the future, if properly supported.

This is your opportunity as a digital health company or industry participant that supports, engages or is impacted by digital health technologies to identify the gaps, challenges and opportunities in digital health commercialisation that need to be addressed for your business to reach its potential.

We know that you are probably besieged with surveys – but we want to hear what your have to say about your goals, your challenges and what is important to you and your business. Your anonymous data* will contribute to this year’s edition of Digital Health: The Sleeping Giant of Australia’s Health Technology Industry.

Last year’s report was used extensively by industry and government stakeholders to benchmark the state of the industry and identify needed reforms. Based on comprehensive analyses of data from more than 300 emerging high growth potential digital health companies across Australia, it demonstrated Australia’s potential to become a global destination for digital health development, commercialisation, clinical trials and implementation. Importantly it also identified the reforms needed to build a robust, sustainable digital health industry in Australia.

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https://www.eventbrite.com.au/e/dental-health-and-my-health-record-tickets-161722328839?aff=ebdssbdestsearch

Dental Health and My Health Record

by Moreland City Libraries

Dental Health and My Health Record

About this event  ADHA Propaganda

Moreland City Libraries and Merri Health are providing these free health information sessions where you can learn about the importance of dental health and what your My Digital Health Record is.

Please book only for the adults attending. Please note this is an information session not a dental check up.

Thursday 15 July with Urdu interpreter

Thursday 12 August with Arabic interpreter

Thursday 26 August with Pashto interpreter

Thursday 9 September with Turkish interpreter

Due to changes in COVID-19 restrictions this event may change. Please check the library Facebook page or website for updates.

Registrations essential.

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https://wildhealth.net.au/baby-steps-towards-a-global-travel-pass-solution/

1 July 2021

Baby steps towards a global travel pass solution

COVID-19 Technology

By Ben Falkenmire

In a proof-of-concept step to becoming a digital solution for international travellers seeking to navigate border restrictions, Australian company goPassport is launching a website at the start of July to help Aussies smoothly cross state borders.

The Know Not No website brings together state government advice on travel restrictions, entry requirements and safety precautions in a one-stop location. goPassport is hoping to have the website’s URL included on 5,000 airline and hotel reservations a day by the end of July.

The Cairns-based company’s bigger ambition is an end-to-end journey app for international travel that provides the user with travel and testing requirements before departure, including the location of verified testing centres. Once a user is at the airport, they can show officials a QR code that proves details of vaccination, a negative COVID test or recovery from COVID. The vision is for travel passes such as goPassport’s to enable “green” express lanes at the airport for compliant travellers.

“Our [app] has unique guiding, monitoring, alerting and escalation capabilities,” goPassport CEO Matt McKinley told Wild Health. “[It] is built to connect to other systems such as border agencies, health departments, airlines and airports to fully support the effective operation of green lanes and to expedite traveller processing.”

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https://wildhealth.net.au/privacy-still-a-concern-but-dont-be-afraid-of-mhealth-apps/

1 July 2021

Privacy still a concern, but don’t be afraid of mHealth apps

Apps Clinical Privacy Technology

By Ben Falkenmire

The number of mental-health-care apps available has exploded in recent years but research out of Macquarie University suggests clinicians and users need to take a closer look at privacy terms before blindly recommending or downloading an app.

In a study of more than 15,000 free medical and health-and-fitness apps available on Google Play, researchers found 88% of apps had code that could potentially collect user data such as contact details, device identifiers and geolocation.

Only 4% of apps were detected to be transmitting user information, but the researchers cautioned in their BMJ paper that, because of obfuscation in app coding, the figure could be much higher.

More glaringly, privacy policies were nonexistent in 28% of apps and at least 25% of user data transmissions violated privacy policies. However, users did not seem worried, with only 1% posting reviews regarding privacy concerns.

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https://wildhealth.net.au/provider-connection-project-would-save-practices-a-bomb/

1 July 2021

Provider connection project would save practices a bomb

ADHA

By Jeremy Knibbs

When I first read about the latest iteration of Australian Digital Health Agency’s Provider Connect Australia (PCA) project, I was actually impressed.

It appeared that the agency had iterated its way out of a deep bog (the project is a reboot of a much older project with a different main goal that was probably never achievable) and onto a path that that is a practical and meaningful solution to a problem that every practice manager in the country is hugely frustrated with: all the paperwork that has to be processed, digitally and otherwise, when a new health professional starts in your practice, or one leaves.

What if you had to fill out just one digital form when a new doctor started at your practice, rather than the 15 or so you currently have to fill out and send to 15 different service providers? Even better, what if your patient management system, which captures nearly all the same information, was integrated to the PCA, so that once you’ve entered your new doctor information your PMS, you have very little left to do to finish your normally cumbersome sign-on paperwork job? And what if the system did a whole lot of validity checks on your data which helps protect your practice, and the system?

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https://wildhealth.net.au/how-choosing-ibm-during-covid-has-failed-us-big-time/

1 July 2021

How ‘choosing IBM’ during COVID has failed us big time

By Jeremy Knibbs

Choosing big global vendors over agile and experienced local players for state and federal vaccine administration contracts has proven an almost universal fail so far and has likely cost us a fortune

When one of our largest and most successful healthcare booking engines, Hotdoc, announced yesterday that it was moving into the hospital market, it confirmed the third major fail of a state government in building a suitable and robust vaccine administration system in time to serve at least the first stages of the vaccine rollout in their state. If the federal government had not bungled supply in the manner it has the failure would probably have been far more apparent.

Hotdoc expects their solution for the Austin hospital in Melbourne to be up and running within a week. It will include capacity to manage 1000 appointments per day, a complete scheduling solution, eligibility screening and stock management for AZ and Pfizer. A spokesperson for the group said that the solution would be fully transferrable for most hospital set ups, anywhere in the country and the group is already looking at delivering the solution to St Vincent’s hospital in NSW.

That Hotdoc can deliver its solution within a week which meets most of the criteria of the tender by the Victorian state government for vaccine administration in one of its major hospitals, and that the tendered solution, awarded to global provider Microsoft, is apparently still not ready, is a common story now across most of the big states.

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https://apo.org.au/node/312937

Tools for trustworthy AI: a framework to compare implementation tools for trustworthy AI systems

28 Jun 2021

OECD Publishing

Resources

Tools for trustworthy AI: a framework to compare implementation tools for trustworthy AI systems

Description

As artificial intelligence (AI) advances across economies and societies, stakeholder communities are actively exploring how best to encourage the design, development, deployment and use of AI that is human-centred and trustworthy.

This report presents a framework for comparing tools and practices to implement trustworthy AI systems as set out in the OECD AI Principles. The framework aims to help collect, structure and share information, knowledge and lessons learned to date on tools, practices and approaches for implementing trustworthy AI. As such, it provides a way to compare tools in different use contexts. The framework will serve as the basis for the development of an interactive, publicly available database on the OECD AI Policy Observatory.

This report informs ongoing OECD work towards helping policy-makers and other stakeholders implement the OECD AI Principles in practice.

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https://medicalrepublic.com.au/telehealth-phone-items-axed-despite-lockdowns/48113

30 June 2021

Telehealth phone items axed despite lockdowns

COVID-19 MBS Medicare Telehealth

By Francine Crimmins

The Department of Health will pull the plug on subsidising longer phone-based telehealth consults this week, despite four Australian jurisdictions now facing lockdown orders.

It’s no secret that the changes to the telehealth Medicare item numbers, commencing July 1, will force doctors to consider opting for more video, rather than telephone consults, with their patients.

Under the reforms, patients will be able to receive a Medicare rebate only for level A and B telephone consults. However, video consults will continue to attract the same rebates.

Peak medical bodies including the AMA and RACGP protested the cuts to MBS telephone-only rebates.
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https://www.hospitalhealth.com.au/content/technology/article/why-the-time-for-digital-technology-in-aged-care-is-upon-us-797772993

Why the time for digital technology in aged care is upon us

By Harley Tempest, Person Centred Software Australia
Tuesday, 29 June, 2021

Having spent a week in a state of semi-lockdown, new COVID-19 rules have been applied in Greater Melbourne and regional Victoria in an attempt to control the outbreak of coronavirus.

We can only hope, following the further easing of restrictions, that this will not be as detrimental to the health and social care sectors as we have seen in previous months, which, unfortunately, brought many aged-care homes to their knees.

Care providers relying heavily on paper to evidence care have been hit particularly hard, mainly due to mounting time pressures around administering and evidencing medication, as well as stringent COVID-19 protocols. With time already invaluable in the fight against coronavirus, particularly in paper-dependent care environments, aged-care facilities have been impacted further with regular staff shortages and self-isolation. As a result, medical records are constantly changing hands, increasing the likelihood of becoming lost, misplaced or unnecessarily duplicated.

In these precarious times, such errors can vastly increase the time it takes to record the care of residents, which naturally increases the risk of severe consequences and unnecessary travesties. There is, however, a solution to simplifying administration, freeing up time and increasing communication through the innovative utilisation of technology.

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https://www.hospitalhealth.com.au/content/technology/article/reinvigorating-health-care-and-aged-care-with-telehealth-901299675

The promise of telehealth in the care digital revolution

Vocus Group

By Andrew Twining, Industry Specialist — Healthcare
Wednesday, 30 June, 2021

Telehealth represents the digital transformation that’s currently underway in Australia when it comes to providing care. Technological advancements resulting in faster internet connectivity, high-configuration smartphones and secured mobile payment systems — coupled with increasingly busy lifestyles and growing healthcare costs — have resulted in the growth of telehealth services and a shift in the market towards taking the care to the patient, rather than the patient to the care.

The COVID push

Yeo Tee Joo, Assistant Professor at the National University Heart Centre Singapore, said, “[we] most definitely will be able to see a lasting digital shift”.

In Australia, as in other markets, COVID-19 has provided telehealth a ‘kick’, said Robyn Gallagher, Professor of Nursing at the Faculty of Medicine and Health at Sydney Nursing School (University of Sydney).

She cited the example of a public hospital in Dubbo, NSW, where she recommended the adoption of fitness activity trackers and a simple goal-based health app in November 2019. Her suggestion was rejected. Now, however, with changes wrought by the pandemic, the cardiac unit at the hospital has converted completely to telehealth and its cardiac rehab staff are “absolute proponents”.

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https://medicalrepublic.com.au/the-legal-hangover-stopping-telehealth-vad/47962

28 June 2021

The legal hangover stopping telehealth VAD

Aged Care Palliative Political TheHill

By Holly Payne

Victoria’s voluntary assisted dying laws are regarded as the “safest” set of guidelines in the world, but fears are emerging that some people who qualify for the scheme will never have the chance to access it.

The laws, implemented in 2019, were the first in the country to allow terminally ill patients to apply for the right to receive a lethal dose of medication.

One of the most conservative models in the world, the Victorian system has 68 safeguards in place to ensure only eligible patients access the scheme.  

Some of these measures – most notably the requirement to conduct every interaction face-to-face – have come under scrutiny in one of the first studies to come out since the implementation of the laws.

The research, published in the MJA, is based on interviews with 32 Victorian doctors involved with voluntary assisted dying, the same data which formed the basis for a previous paper on the topic.

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https://www.theage.com.au/lifestyle/health-and-wellness/kate-blamed-stress-for-a-racing-heart-a-smartwatch-told-her-otherwise-20210622-p58363.html

Kate blamed stress for a racing heart. A smartwatch told her otherwise

By Sarah Berry

June 28, 2021 — 5.00am

It was a cold, clear night in Melbourne on May 20 as Kate Bendall lay rugged-up in bed reading her Kindle. But something felt off. She woke her husband Simon and told him she was having palpitations. “It felt like there was a horse race going on in my chest,” the 50-year-old nurse said. “It felt scary.”

Simon sat up and noticed his wife looked pale. He tried taking the pulse on her wrist, but struggled to locate it. He remembered that his Apple watch had recently been updated with an ECG app, so he gave the watch to Kate. Using the feature they were able to measure the rhythm and strength of her heart’s electrical signals.

“To be honest, I didn’t expect it to work,” said Kate. Besides, after a stressful week, she thought she was having a panic attack. “But it showed something was really wrong.”

The ECG notified her she was experiencing atrial fibrillation (AFib), the most common abnormal heart rhythm and a major cause of stroke in Australia. A second ECG five minutes later confirmed she was still in AFib.

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https://apo.org.au/node/312913

Switched on: how do we get the best out of automation and AI in health care?

24 Jun 2021

Tom Hardie, Tim Horton, Matthew Willis, Will Warburton

Publisher Health Foundation

National Health Service (NHS) Artificial Intelligence (AI) Automation Primary health care Digital health United Kingdom

Resources Switched on: how do we get the best out of automation and AI in health care?

Description

This report offers in-depth analysis into the challenges and potential presented by automation and AI in health care and highlights wider implications for the future, setting out considerations for policymakers and the NHS. As well as describing some of the most promising areas of application of automation and AI to health care, the report also explores the challenges, constraints and practical considerations for making the most of automation and AI. The report goes beyond simply considering their potential, to engaging with what it will take to realise the long-term benefits for patients, the public and NHS staff.

Key points:

  • Informed by YouGov online surveys of more than 4,000 UK adults and more than 1,000 NHS staff, the report finds that while automation and AI hold huge potential for improving care and supporting the NHS to increase its productivity, in developing and deploying them we must be careful not to squeeze out the human dimension of health care, and must support the health and care workforce to adapt to and shape technological change.
  • Health care is a service that is fundamentally co-produced between patients and clinicians, making the human, relational dimension critically important to the quality of care. Given the nature of work in health care is different to many other industries, the impact of these technologies on work will also tend to be different. In many cases, automation and AI technologies will be deployed to support rather than replace workers, potentially improving the quality of work rather than threatening it.
  • The benefits of a new technology don’t come from how it performs in isolation, but from fitting it successfully into a live health care setting and redesigning ways of working for maximum gain. Teams and organisations will need to consider the human infrastructure and processes needed to accompany the technology, and policymakers and system leaders will need to fund ‘the change’ – not just 'the tech'.

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https://www.hospitalhealth.com.au/content/technology/article/transforming-mental-health-care-with-ai-powered-telehealth-1234346309

Transforming mental health care with AI-powered telehealth

By Kath Blackham, CEO and founder of VERSA
Wednesday, 23 June, 2021

The COVID-19 pandemic saw telehealth consultations become the new normal in healthcare service delivery. Now the combination of telehealth and artificial intelligence (AI), including AI-powered chatbots, is set to transform the delivery of mental health services globally.

AI-powered telehealth is quickly disrupting the way mental health care is delivered — gathering information to facilitate diagnosis, treatment, prevention and support, especially for individuals who feel uncomfortable talking to a human about their problems.

AI: a helping hand for those in need

In a new telehealth world, AI can mimic the in-person patient–clinician experience. Conversational, AI-based remote monitoring and diagnostic tools allow patients and physicians to interact in a way that closely reflects an in-person experience, no matter where they are located.

AI has the ability to analyse and screen for mental health conditions remotely and at scale. By reading facial cues and analysing voice patterns during telehealth consultations, AI can identify distress indicators and monitor for signs of increasing anxiety, agitation and psychiatric distress. It can then provide feedback and alert care teams if it detects a worrying change or a deterioration in a patient’s mental health.

According to Mia Lander, a psychologist presently working with KPMG, diagnosing and identifying changes early is a crucial benefit of AI in mental health care.

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https://insightplus.mja.com.au/2021/23/cyberbullying-by-medical-practitioners-respect-your-peers/

Cyberbullying by medical practitioners: respect your peers

Authored by Vicki Kotsirilos

Issue 23 / 28 June 2021

THE Australian Medical Board’s Good Medical Practice guidelines clearly highlight the importance of professional, respectful and courteous behaviour among and towards medical colleagues and allied health professionals, including behaving professionally and courteously over social media and in other digital commentary.

“There is no place for discrimination (including racism), bullying and sexual harassment in the medical profession or in healthcare in Australia” Section 5.4

Harassment, bullying and discrimination are unlawful and should never be tolerated by anyone.

Yet, from my observation, negative commentary by doctors towards medical authors in response to their published articles and opinion pieces is not uncommon. Of course, diversity of views and robust debate are healthy, but derogatory personal comments attempting to undermine authors’ authority or humiliate and embarrass them are unacceptable. Unfortunately, sometimes written abuse and negative comments by doctors on the internet are available to the public, and this reflects poorly on the whole medical profession.

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https://www.afr.com/technology/health-software-ipo-taps-into-xero-growth-story-20210625-p5849y

Health software IPO taps into Xero growth story

Paul Smith Technology editor

Jun 28, 2021 – 5.00am

Aussie investors will soon have another software-as-a-service stock with rapid growth potential vying for their attention on the ASX boards, after Brisbane-based Genie Solutions began courting potential backers last week, ahead of an IPO in the second half of 2021.

Genie is the company behind medical practice management software Gentu, which says it is used by 21,000 medical practitioners around Australia, predominantly specialists.

It has been around since 1995, when it was founded by former GP Dr Paul Carr, but came under the stewardship of private equity player IFM Investors in March 2017, when it paid about $55 million for a majority stake.

As first reported by Street Talk, the company has been using investment firms RBC Capital Markets and Evans & Partners to help formulate an IPO strategy, and it kicked off a non-deal roadshow last week.

Chief executive James Scollay, who was previously a senior executive at MYOB as it shifted its software operations into the cloud computing era to compete against Xero, declined to talk about specifics of any IPO plans, but said Genie’s transition from being a desktop software provider to software as a service (SaaS) player mirrored these investors’ favourites.

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https://www.digitalhealth.gov.au/newsroom/events-and-webinars/my-health-record-a-practical-demonstration-fred-it

My Health Record: a practical demonstration (Fred IT)

Event details

When

Tuesday, 13 July 2021
4:00pm - 5:00pm (AEST)

Where Online

Hosted by Australian Digital Health Agency

Register here

Contact us

General enquiries

Phone: 1300 901 001
8am - 5pm (AEST/AEDT) Monday - Friday
Email: help@digitalhealth.gov.au

More information

Using the Agency's training environment, the instructor will demonstrate how to upload dispense records and view clinical documents including a range of medicines information, for the purposes of medicines reconciliation and also ensure effective care delivery.

Pharmacists and other staff who may access My Health Record are welcome to attend this session.

Key features covered during this session include:

  • Using filters to identify clinical documents such as Discharge Summary, Shared Health Summary etc.
  • Step through consolidated views, such as Medicines Overview & Pathology and Diagnostic Imaging Reports Overview
  • Upload dispense records and allergy information to individual’s My Health Record
  • Validating Healthcare Identifiers within the software (e.g. HP-I and IHI)
  • Input access codes for patients with protected documents/records
  • Familiarise with appropriate security and access requirements for organisations participating in My Health Record.

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Comments more than welcome!

David.