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, January 20, 2022

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

January 20 2022 Edition

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In the US President Biden has reached one year in office and I think it would be fair to say has agenda is unravelling badly. This is increasing the risks posed by Russia and China and of failure of many needed domestic activities like fighting COVID19 effectively.

In the UK Borins seems to be in considerable trouble and in Europe we have COVID running amok!

In OZ it looks much like the PM has lost the public’s confidence in managing COVID as per the most recent poll. It seems to me to be pretty messy right now in terms of hospitalisations and deaths sadly and the impact on the economy is starting to look very real and large.Late in the week we have some early signs that we might be seeing the Omicron peak in NSW.

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Major Issues.

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https://www.afr.com/property/residential/housing-crash-will-last-for-years-20220107-p59mjt

Housing crash, when it comes, will last for years

Nila Sweeney Reporter

Jan 9, 2022 – 12.48pm

After notching the fastest annual price growth in decades last year, Australia’s biggest housing markets now face the prospect of falling prices that could last for years, if past downturns are any indication.

With many economists and property experts predicting house prices to peak later this year, there are worries the downturn could be more severe and longer this time around.

“Once a market peaks, the typical trend is that values will experience a period of decline. But it’s impossible to know the timing, duration or magnitude of the housing downturn as it depends on so many factors, especially at the moment with so much uncertainty,” said Tim Lawless, CoreLogic research director.

“It’s likely that interest rates will normalise over several years rather than a rapid return to average levels which should help to cushion the size of any housing downturn, but if credit policies become overly restrictive, it could amplify the downside.

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https://www.smh.com.au/politics/federal/australia-commits-to-3-5-billion-tank-purchase-from-the-us-20220109-p59mub.html

Australia commits to $3.5 billion tank purchase from the US

By Anthony Galloway

January 10, 2022 — 5.00am

Australia has locked in its purchase of more than 120 tanks and other armoured vehicles from the United States, at a cost of $3.5 billion, as part of a major upgrade of the army’s fleet.

The commitment to buy 75 M1A2 main battle tanks indicates the government is committed to an advanced fleet of armoured vehicles despite the focus in recent years being on other major acquisitions such as submarines, jet fighters and long-range missiles amid the rise of China.

Defence Minister Peter Dutton will confirm the upgrade on Monday after the US government approved the potential purchase last year.

The tanks will replace the army’s 59 abrams M1A1s, which were bought in 2007 but have not seen combat.

Australia will also commit to 29 assault breacher vehicles, which are used to clear mines and explosives, as well as 17 joint assault bridge vehicles and an additional six armoured recovery vehicles.

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https://www.afr.com/policy/economy/deflation-is-dead-but-inflation-is-very-much-alive-20220109-p59mx8

Deflation is dead, but inflation is very much alive

Leaving interest rates at ultra-low levels risks guarding against the wrong danger as global labour dynamics begin to shift.

Warren Hogan Columnist

Jan 10, 2022 – 6.20pm

Sam Wylie wrote on these pages on Monday that the Reserve Bank should resolve to keep the cash rate on hold at 0.10 per cent right through 2022.

Wylie’s argument is based on two propositions: that inflation expectations need to “re-anchor well above their pre-COVID-19 levels”, and that the long-standing fight against debt deflation will be lost if we raise rates too early.

The RBA’s 2 per cent to 3 per cent inflation target attempts to anchor inflation expectations so that when inflation inevitably moves away from the target, the expectations only drift a little and readily come back again once the tide turns.

The whole point of an anchor is that it operates over the medium term; it is not a target.

There is little evidence to suggest that inflation expectations “de-anchored” at any stage in the past decade. Sure, inflation expectations fell in line with actual inflation ahead of the pandemic. But that doesn’t mean they de-anchored.

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https://www.smh.com.au/business/markets/markets-have-made-a-turbulent-start-to-2022-there-may-be-worse-to-come-20220110-p59n17.html

Markets have made a turbulent start to 2022 - there may be worse to come

Stephen Bartholomeusz

Senior business columnist

It has been an inauspicious start to 2022 for financial markets, with a sharp sell-off in sharemarkets and an equally abrupt spike in bond yields creating an ominous tone for markets that have generally had a very, very good pandemic.

The explanation for last week’s sudden turbulence is straightforward and lies, as it often does, within the US Federal Reserve Board.

It was the release last week of the minutes of the Fed’s December Open Market Committee meeting that shook the markets, sending equities tumbling and bond yields surging to pre-pandemic highs.

It wasn’t so much the confirmation that most of the members of the committee (which sets monetary policy for the world’s most powerful and influential central bank) anticipate three 25 basis point rate rises in the federal funds rate this year. That’s in line with market expectations.

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https://www.theaustralian.com.au/commentary/we-must-make-more-of-renewed-uk-alliance/news-story/91c1fd347131a16ccc95f52924c0eb87

We must make more of renewed UK alliance

Rory Medcalf

11:00PM January 12, 2022

It is a truth universally acknowledged that two nations in possession of shared values and convergent interests must be in want of closer security co-operation. Australia and the United Kingdom are renewing their partnership for a competitive era, especially the authoritarian assault by China and Russia on a liberal international order.

It is easy to caricature this engagement as a passing fiction of Anglosphere nostalgia and the political closeness of current leaders in Canberra and London.

So the challenge for both governments, as they prepare for high-level talks anticipated next week, is to affirm their seriousness by plotting for the long term. This means setting a practical agenda that balances ambition and realism, following through on September’s announcement of the AUKUS technology agreement, which also crucially involved the US.

Early work is needed on an infrastructure to future-proof Australia-UK relations – across government agencies and parliamentary aisles – against shifting political fancies on either side. It will take decades for geopolitical threats and capability responses to fully play out, notably Australia’s nuclear-powered submarines to be built under AUKUS.

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https://www.theaustralian.com.au/business/financial-services/macquarie-group-knocks-off-westpac-to-be-australias-third-largest-bank/news-story/132b93be82b8cce15ff2cca89951d789

Macquarie Group knocks off Westpac to be Australia’s third largest bank

Joyce Moullakis

6:30PM January 12, 2022

Macquarie Group has taken the mantle as the nation’s third-largest bank, after its market capitalisation surpassed that of embattled Westpac.

Shares in the asset management giant and investment bank, dubbed the Millionaires’ Factory, have rallied 1.5 per cent to $208.39 so far this year. In 2021, its performance was underpinned by a more than doubling in first-half profit, and Macquarie also raised $2.8bn to fund acquisitions and other growth opportunities.

Macquarie’s market capitalisation – which now stands just shy of $80bn – overtook that of ANZ in November and more recently it has pipped Westpac.

At Wednesday’s closing price, ANZ’s market valuation was $78.9bn, while Westpac’s stood at $79.5bn. National Australia Bank has a market capitalisation of $95.4bn, while market leader Commonwealth Bank is well out in front at $173.3bn.

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https://www.theaustralian.com.au/business/wealth/etfs-industry-set-to-offer-new-theme-based-products-in-the-year-ahead/news-story/f1d64c108f37632464fd40d67d457c94

ETFs industry set to offer new ‘theme’ based products in the year ahead

James Kirby

10:00PM January 13, 2022

The flourishing exchange traded fund sector – beloved by conservative investors and their advisers – is going to change in 2022 with inflows based on copying major indices now regularly flanked by riskier themed products designed to deliver strong growth.

Analysts at investment bank Citi have done a deep dive on the global ETF market – where funds either follow existing indices such as the S&P 500 or increasingly create products off the back of ‘themes’ such as electric cars or crypto activity. And, as the bank’s 2022 outlook report explains, “most widely-followed indices have been replicated by ETFs with the implications that issuers have been motivated to expand towards more novel product approaches”.

The Australian market has clearly reflected the overseas experience as a range of new thematic ETFs join traditional products based on established indices such as the ASX 200. Among the most successful of newer style theme products last year were ETFs linked with environmental investing.

In contrast some of the early ETF experiments in crypto-themed investments have lost money in tandem with the recent drop in cryptocurrency values.

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https://www.afr.com/world/asia/china-imports-a-danger-sign-for-australian-exporters-20220114-p59oc0

China’s trade data a danger sign for Australian exporters

Michael Smith North Asia correspondent

Jan 14, 2022 – 4.06pm

Tokyo/Beijing | China’s imports from Australia jumped 40 per cent last year to $US164.8 billion ($226.4 billion) because of rising commodity prices, but are expected to slow this year.

The increasing value of Australia’s exports to China was largely driven by rising commodity prices, offsetting Beijing’s restrictions on wine, beef, barley, coal, seafood and other products as part of an unofficial campaign of economic coercion.

The China trade data released on Friday also showed sharp increases in its imports from other countries, including the United States and Canada.

It shows exports and imports grew more slowly in December as the world’s second-largest economy showed signs of slowing, although exports were just above expectations.

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https://www.smh.com.au/national/nothing-off-limits-scott-morrison-on-his-bruising-years-as-prime-minister-20220112-p59nr1.html

Nothing off limits: Scott Morrison on his bruising years as Prime Minister

By Deborah Snow

January 15, 2022

On a Friday afternoon eight days before Christmas, I’m ushered into Scott Morrison’s private office at Kirribilli House, the official Sydney residence, to talk about the three tumultuous years of his prime ministership.

Morrison is seated behind a large desk, suit jacket off. He’s winding down after a hot and humid morning on the hustings in western Sydney where every vote will count come the looming election.

Through the window, across rolling lawns, sunlight glints off a shimmering harbour.

The interview opportunity has come with a promise: nothing will be off-limits.

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https://www.smh.com.au/money/borrowing/four-financial-priorities-for-2022-20220113-p59o0l.html

Four financial priorities for 2022

Nicole Pedersen-McKinnon

Money contributor

January 15, 2022 — 10.01pm

As we feel our way through the beginning of what’s shaping up as another difficult coronavirus year, there are some things you can do to make it a little safer… at least financially.

Here are some top priorities to consider when you divide up your take-home pay to help you to get ahead in 2022. Defensive money moves are now, more than ever, crucial.

Build an emergency fund

If there is one thing we have learned through the pandemic is that in life, anything can happen.

An emergency cash stash helps put you out of financial harm’s way. Ideally, it should be equal to six months’ salary, to give you half a year to recover if the income on which you live dries up through job loss, accident or illness. That’s a lot of money to accumulate, so just focus on building your cash buffer slowly over time.

If you have a home loan, park your emergency cash pile in a mortgage offset account, so that it saves you significant loan interest too.

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COVID 19 Information

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https://www.afr.com/work-and-careers/workplace/cases-to-escalate-as-worker-isolation-rules-relaxed-20220109-p59mv9

Cases to escalate as worker isolation rules relaxed

Tess Bennett Work & Careers reporter

Jan 9, 2022 – 3.55pm

The decision to allow asymptomatic close contacts to leave isolation and return to work in critical sectors such as food, logistics and manufacturing will likely increase case numbers, health experts said.

The NSW and Queensland governments scrapped mandatory isolation rules on Sunday that previously required close contacts of a positive case to stay home for seven days.

The new rules, effective immediately, are designed to ease the critical workforce shortages which have been particularly acute for food and grocery manufacturers, warehouses and truck drivers.

“We want to ensure our hospitals are staffed, food continues to be delivered to our supermarkets, and we can still fill our cars at the petrol station,” Queensland Premier Annastacia Palaszczuk said.

Leading epidemiologist Professor Tony Blakely said the changes in rules made sense at a time when social disruption was severe and the aim of public policy was not to eliminate or suppress the virus, but to mitigate its impact on the healthcare system.

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https://www.afr.com/world/africa/south-africa-offers-clues-to-life-after-omicron-20220109-p59mui

South Africa offers clues to life after omicron

Joseph Cotterill

Jan 9, 2022 – 9.16am

Just weeks ago, South Africa was the focus of the world’s anxieties over omicron as infections rocketed in one of the first countries to detect the highly contagious coronavirus variant.

But with the variant now prevalent worldwide, South Africa is providing clues to life after omicron. President Cyril Ramaphosa’s government has said the country’s fourth COVID-19 wave has peaked. The total excess deaths attributed to omicron are about 10,000, compared with about 110,000 excess deaths during the previous, delta-driven wave.

Even though three-quarters of all South Africans are still not double jabbed, vaccinations, immunity after previous infections and signs that omicron is a milder disease appear to have kept the pressure off hospitals.

“The most important issue is that there was a clear decoupling between community spread, which has been very rapid, and the level of hospital admissions,” said Richard Friedland, chief executive of Netcare, South Africa’s biggest provider of private healthcare. “We have not suspended elective surgeries, and there is no pressure on beds ... We have had no capacity constraints at all in the fourth wave.”

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https://www.smh.com.au/politics/federal/welcome-to-the-wild-west-where-covid-chaos-reigns-20220109-p59mur.html

Welcome to the wild west, where COVID chaos reigns

Sean Kelly

Columnist

January 10, 2022 — 5.00am

A few days ago a friend sent me a tweet dividing the world into two camps: those who respond to every bit of news about the latest variant of COVID with a shrug of the shoulders – “we’ll all get it, so we can’t worry about it” – and those who react with caution, determined to avoid illness.

The chart featured in the tweet, my friend suggested, was not quite right. For him, it was less a matter of two camps and more the daily cycle of his own views.

Increasingly, I find this is the position of most people. In the morning, say, when the stats come out and our hospitals seem threatened, we believe in doing everything that can be done to slow the virus. By late afternoon when pleasant memories of drinks with friends call out to us, we begin to wonder out loud what choice there is, other than getting on with our lives?

This, it seems to me, is the dominant fact of this particular period of the pandemic: widespread confusion. Society feels a little like the wild west. We come up with our own rules. Those rules chop and change depending not just on circumstances, but also on more fickle factors, like what mood we happen to be in.

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https://www.theaustralian.com.au/nation/coronavirus-staff-crisis-crashes-nations-food-supply/news-story/5a228e76e426202a9fcba21b20b07370

Coronavirus: Staff crisis crashes nation’s food supply

Simon Benson

11:57PM January 9, 2022

Major retailers including Coles and Woolworths are reporting staff shortages of up to 35 per cent at their distribution centres due to state-imposed Covid-19 isolation requirements forcing the nation into a deepening supply chain crisis for essential goods including food and pharmaceuticals.

The Australian understands several of the nation’s top ­retail chief executives have reported to Treasury that their furloughed workforces had reached critical levels, with more than a third of workers off sick with Covid-19 or classified as close contacts.

Retailers and the shop workers’ union on Sunday called on workers to be allowed out of isolation the moment they test negative for the virus, as the nation’s ports warn the economy must sort out the supply chain crisis in days instead of weeks.

It comes as Scott Morrison on Sunday called a meeting of cabinet’s national security committee to address the crisis, as supermarket and retail outlets moved to apologise to customers for shortages on shelves.

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https://www.afr.com/policy/health-and-education/lessons-on-how-to-live-with-covid-19-are-still-to-be-learnt-20220110-p59n5z

Lessons on how to live with COVID-19 are still to be learnt

Countries with unchecked spread risk storing up uncertain future health burdens, including long COVID-19, nurturing new variants and being red-listed as no-go areas.

Anjana Ahuja

Jan 10, 2022 – 4.00pm

Saturday marks exactly two years since I first wrote about an unexplained viral pneumonia affecting 59 people in a Chinese city I had never heard of.

The apparent link to a live animal market, echoing the origins of SARS-1, gave me a vague sense of foreboding but no idea of what was to come. The World Health Organisation has since recorded 300 million infections and 5.46 million deaths.

Two years on, the beginning of this year is redolent of winters past: UK hospitals are filled with COVID-19 patients; coronavirus briefings, in which advisers Patrick Vallance and Chris Whitty play stony-faced Cassandras to Boris Johnson’s Pangloss, are back on British screens; the reopening of schools amid rampant spread feels as much on a knife-edge this year as it did last January.

Still, this is 2022, not 2020 or 2021. Vaccines and antiviral medicines have changed the pandemic game in high-income countries. It is now largely the unvaccinated occupying intensive care beds. Science has delivered what has been asked of it.

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https://www.afr.com/policy/health-and-education/sadly-the-unjabbed-have-become-the-new-deplorables-20220106-p59m8t

Sadly, the unjabbed have become the new deplorables

There are dangers in creating a stigmatised minority out of vaccine refusers in the name of medical virtue signalling.

Tanveer Ahmed Contributor

Jan 10, 2022 – 2.43pm

From French President Emmanuel Macron announcing that he wished to “annoy” those unvaccinated against COVID-19 to local doctors wanting to exclude them from the public health system, the war against the unvaxxed is most pronounced on the Left.

This is despite them being disproportionately from low socio-economic groups, including newly arrived immigrants.

When revered figures of the Australian Labor Party such as Bob Carr suggest that the unvaccinated should be excluded from receiving public healthcare, he shows a lack of compassion for the same people progressives have traditionally hoped to represent.

As a student of American history, if Carr applied his analysis of the unvaccinated being “simpletons who believe rubbish on the web” to America, he shouldn’t be surprised to see that this disproportionately targets some ethnic minorities with lower educational achievements.

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https://www.afr.com/world/europe/europe-s-healthcare-systems-creak-under-omicron-s-rapid-spread-20220110-p59n7j

Europe’s healthcare systems creak under omicron’s rapid spread

Clara-Laeila Laudette and Alistair Smout

Jan 10, 2022 – 6.16pm

Madrid/London | Europe’s healthcare systems are being strained once again by the rapid spread of the omicron variant of the coronavirus over the holiday period, with large numbers of key staff ill or self-isolating and experts predicting the peak of infections is yet to come.

Despite early studies showing a lower risk of severe disease or hospitalisation from omicron compared to the previously dominant delta variant, healthcare networks across Spain, Britain, Italy and beyond have found themselves in increasingly desperate circumstances.

On Friday, Britain began deploying military personnel to support hospitals experiencing staff shortages and extreme pressures due to record COVID-19 cases in the country.

“Omicron means more patients to treat and fewer staff to treat them,” National Health Service (NHS) Medical Director Professor Stephen Powis said in a statement.

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https://www.afr.com/life-and-luxury/health-and-wellness/top-doctors-academics-living-in-an-alternative-reality-20220110-p59n73

Top doctors, academics living in an ‘alternative reality’

Prominent medical experts are taking an unnecessarily fearful approach to the omicron virus, the former health adviser Nick Coatsworth says.

Aaron Patrick Senior correspondent

Jan 12, 2022 – 5.00am

A year ago, when he was Australia’s deputy chief medical officer, Nick Coatsworth told colleagues to watch out for a group of doctors and academics who, he felt, were so concerned by SARS-CoV-2 they would advocate for excessive measures against the virus.

Coatsworth, an infectious diseases physician, is still critical of the group. But on long-term leave from the ACT health system, he has no direct influence over policy any more, while his opponents have formed OzSage, a lobby group that pushes politicians and health bureaucrats towards the strongest actions against the COVID-19 pandemic.

On January 1, in a newspaper opinion article, Coatsworth predicted the group would advocate for control of the disease “above all else” during the federal election campaign to tilt health policy.

The following day, former Australian Medical Association president Kerryn Phelps emailed fellow OzSage members.

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https://www.afr.com/companies/agriculture/unprecedented-covid-problems-roast-inghams-sales-20220111-p59nbb

KFC is running out of chicken as omicron hits Inghams

Lucas Baird Reporter

Updated Jan 11, 2022 – 6.03pm, first published at 9.49am

Shoppers are facing shortages of pre-breaded schnitzel slices, chicken nuggets and Kievs on store shelves and KFC restaurant trays thanks to supply bottlenecks at major poultry supplier Inghams Group, sparked by the latest wave of COVID-19 cases.

Inghams said on Tuesday it had suspended deliveries of these poultry products amid critical staff shortages and supply chain disruptions caused by the soaring rate of COVID-19 cases and enforced isolations on the east coast.

The suspensions will affect fast food outlets that depend on Inghams supplies. Collins Foods, which operates 240 franchised KFC outlets nationwide, is understood to be considering whether it needs to update the market as Inghams is a major supplier of its chicken products.

“KFC is currently experiencing intermittent supply chain disruptions nationally due to COVID-19 related absenteeism at our chicken suppliers,” a spokesman for the chain said.

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https://www.theaustralian.com.au/news/latest-news/half-of-europe-on-track-to-catch-omicron-as-china-locks-down-millions/news-story/13eb39a3caf9ffb691ed0ebc6fbdb767

Half of Europe on track to catch Omicron, world economy at risk

AFP

January 12, 2022

More than half of people in Europe will likely catch Omicron by March, the World Health Organization said Tuesday, as the World Bank warned the contagious variant could hamper global economic recovery.

Millions in China were locked down again, exactly two years after Beijing reported the first death from what was later confirmed to be coronavirus.

But the WHO on Tuesday warned that repeating booster doses of the original Covid jabs was not a viable strategy against emerging variants.

"A vaccination strategy based on repeated booster doses of the original vaccine composition is unlikely to be appropriate or sustainable," a WHO vaccine advisory group said.

Europe is at the epicentre of alarming new outbreaks and the WHO said Tuesday Omicron could infect half of all people in the region at current rates.

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https://www.theaustralian.com.au/nation/politics/losing-the-rat-race-was-totally-avoidable-says-doctor/news-story/d5af96d41ed93d80ed861ab5a8e82f1a

Coronavirus: Losing RAT race was totally avoidable, physician Ian Norton says

Stephen Rice

January 12, 2022

The fallout from the catastrophic shortage of rapid antigen tests reaches far beyond frustrated consumers trawling empty pharmacy shelves to find out whether that scratchy throat is Covid-19.

In the space of a few days, the nation has pivoted from the “gold standard” PCR to the “good enough” RAT – before any viable system was put in place to record results or act on them.

And before there were remotely enough RAT kits available to become the national testing workhorse.

And it was all entirely preventable.

For one of the emergency health chiefs now working to help the industries most affected – the distribution centres and supply chains, where desperate workers struggle to prove they have tested negative so they can return to their jobs – it didn’t have to be this way.

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https://www.smh.com.au/national/nsw/emergency-departments-are-the-overwhelmed-frontline-of-the-pandemic-20220111-p59nid.html

Emergency departments are the overwhelmed frontline of the pandemic

By Anonymous

January 13, 2022 — 5.00am

NSW emergency departments are struggling to cope with surging patient numbers and staff shortages and they need assistance now. I am a NSW doctor, close to those who work in emergency, and over the past three weeks messages from friends have captured the deteriorating situation in NSW hospitals.

On December 22, a hurried text from one friend was emblematic of the pressure on staffing levels: “One nurse, one doctor infected, several staff in isolation, four to five positive patients in ED ... Only one available space to see patients. All just trying to stay safe ... worried about being sent into iso more than getting COVID.”

By January 10, patient numbers were clearly soaring: “Horrific today. It’s all COVID-19. Too many patients to manage. Some are very ill. Most are SOB [short of breath] &/or [have] chest pain.”

In just three weeks, in one suburban emergency department, presentations have increased by 10 to 20 per cent on weekdays and by 40-plus per cent on holidays and weekends. There were 2242 people in NSW hospitals with COVID-19 on Wednesday, but that number does not count the people who were assessed and discharged without admission, so it does not give a true picture of the workload in emergency.

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https://www.smh.com.au/politics/federal/emojis-not-good-enough-we-need-a-real-inquiry-into-covid-policies-20220106-p59m9c.html

Emojis not good enough: We need a real inquiry into COVID policies

By Shane Wright

January 14, 2022 — 11.30am

February 1 marks two years since Scott Morrison announced the Australian border was effectively being closed to Chinese nationals or non-citizens who happened to have spent time in China.

Promising this “temporary measure” would be reviewed in a fortnight’s time, the PM also revealed Australia’s official travel advice for China had changed to “do not travel”.

While there were fears over the spread of coronavirus, Morrison was keen to assure all that everything was under control. “There is no basis for alarm,” he said.

It feels a lifetime ago. For those who have lost family or friends either to the pandemic or to the mental toll of lockdowns, it must be even worse.

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https://www.smh.com.au/national/how-scott-morrison-lost-the-rat-race-20220113-p59nwh.html

How Scott Morrison lost the RAT race

David Crowe

Chief political correspondent

January 14, 2022 — 5.00am

The warning to Scott Morrison about a crisis in virus testing was made very clear last year after the Prime Minister told Australians to prepare for a world where they would emerge from lockdowns and live with the coronavirus.

The warning was so loud it was almost impossible to ignore. Almost. Now, only a few months later, voters can see the way Morrison has lost the race to bring in huge supplies of rapid antigen tests when people needed them most.

The government’s twin talents, arrogance and complacency, have been at work again in an astonishing repeat of the slow supply of vaccines last year.

Yet Morrison is not the only one who bears responsibility for the RAT shortage. There was nothing to stop premiers and chief ministers ordering more kits sooner to ease the load on state and territory testing centres.

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https://www.smh.com.au/national/nsw/long-covid-hit-to-immune-system-lingers-for-months-after-infection-20220113-p59nww.html

Long COVID: Hit to immune system lingers for months after infection

By Lucy Carroll

January 14, 2022 — 3.00am

Unvaccinated people are at much higher risk of experiencing the debilitating effects of long COVID, with a major study revealing the hit to the immune system lingers months after infection even with mild illness.

Researchers from St Vincent’s Hospital and University of NSW’s Kirby Institute have for the first time found elevated inflammation levels in unvaccinated people who caught the virus during the state’s first wave, indicating abnormalities in the immune system persist at least eight months after recovery.

“Symptoms of long COVID, from fatigue to headache, are a real phenomenon,” Professor Gail Matthews said, the head of infectious diseases at St Vincent’s and one of the study’s senior authors. “What has really been lacking - until now - is hard biological evidence of something being wrong.”

“Many long COVID sufferers have felt disbelieved. And, so far, there has been a lack of good evidence to dispute that.”

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know more about Omicron’s impact on long in COVID in the next three months.”

https://www.ausdoc.com.au/opinion/were-witnessing-one-worst-public-policy-failures-australias-history

We’re witnessing one of the worst public policy failures in Australia's history

Dr Jim Stanford (PhD)

Dr Stanford is an economist and director at Australia Institute and an honorary professor of political economy at the University of Sydney

14th January 2022

Australians are getting a stark reminder about how value is actually created in an economy, and how supply chains truly work.

Ask chief executives where value comes from and they will credit their own smart decisions that inflate shareholder wealth. Ask logistics experts how supply chains work and they will wax eloquent about ports, terminals and trucks.

Politicians, meanwhile, highlight nebulous intangibles like “investor confidence” – enhanced, presumably, by their own steady hands on the tiller.

The reality of value-added production and supply is much more human than all of this. It is people who are the driving force behind production, distribution and supply.

Labour – human beings getting out of bed and going to work, using their brains and brawn to produce actual goods and services – is the only thing that adds value to the “free gifts” we harvest from nature.

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https://www.ausdoc.com.au/opinion/scott-morrisons-response-omicron-spectacular-stuffup

Scott Morrison's response to Omicron is a spectacular stuff-up

He's taken Australia on a bus tour from hell

Michelle Grattan AO

Ms Grattan is a Professorial Fellow at the University of Canberra and has been a member of the Canberra press gallery for more than 40 years.

14th January 2022

Australia’s journey through Omicron is like the bus tour from hell. Steering awry, seat belts forgotten or not working, and the driver’s patter wearing thin with stressed passengers.

Eventually, we’ll see the back of the boggy ground on this outback track — but in worse shape and at higher cost than the Morrison Government was suggesting only weeks ago.

“Omicron is a gear change, and we have to push through,” Prime Minister Scott Morrison said on Monday.

“You have two choices here: you can push through or you can lock down. We’re for pushing through.”

Surveying the present shambles, you’d have to conclude the gearbox is shot.

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https://www.afr.com/politics/federal/rapid-antigen-tests-finally-begin-to-arrive-20220114-p59oa7

Rapid antigen tests finally begin to arrive

Hannah Wootton Reporter

Jan 14, 2022 – 5.14pm

Rapid antigen tests will be delivered to Victoria on Saturday and are due to land in NSW on Sunday as government supplier AM Diagnostics unloads flights packed with tests daily.

Free RATs were also offered at a state testing site in the Australian Capital Territory for the first time on Friday and South Australia is opening three RAT collection sites in the state’s regions within days.

Queensland Premier Annastacia Palaszczuk is holding a doorstop and providing a COVID-19 update.

The positive news comes as a crippling lack of rapid tests stymies business’ efforts to keep running through the omicron wave, with causes including hold-ups to their importation by Chinese customs officials, a shortage of the membranes needed to produce the tests, and staff shortages in the logistics sector hampering their distribution.

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https://www.afr.com/policy/economy/government-caught-in-a-rat-trap-of-its-own-making-20220113-p59o0y

Government caught in a RAT trap of its own making

Scott Morrison’s promise to ‘get government out of people’s faces’ seems to mean nobody was around to ensure the essential tests were available.

Laura Tingle Columnist

Jan 14, 2022 – 4.33pm

The announcement came over the plane PA system as the flight from London – carrying a friend returning from a funeral –taxied to the terminal at Sydney Airport. In line with current NSW rules, passengers were told to do a rapid antigen test within 24 hours, and to isolate until they got a result.

But – as is the case almost everywhere in Australia – there were no RATs available at the airport.

She had brought some tests with her, “but there must be people coming in who don’t have them”, my friend messaged. “Seems pretty crazy. I thought they would be handing them out to everyone disembarking.”

Welcome to Straya.

There are plenty of stories of the seeming idiocy of the conflicts created by unravelling public health policies just now – pronouncements of obligations to meet various testing requirements, or rules that just don’t make sense any more – but we’ll start with this one, because it has strands that go in to so many other shambles just now.

Consider this: if my friend had landed in Queensland, she would have had to go into home quarantine for 14 days. In Western Australia, into 14 days of hotel quarantine at her own expense. Every state and territory now has its own rules.

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Climate Change.

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https://www.afr.com/companies/energy/aemo-told-to-reassess-death-of-coal-power-20220109-p59mvd

AEMO told to reassess death of coal power

Kanika Sood Reporter

Jan 10, 2022 – 5.00am

The energy regulator has challenged the Australian Energy Market Operator’s prediction of the rapid retirement of coal power plants, asking AEMO if it had considered whether plants could be operated more flexibly, which may extend their life span.

A strongly worded Australian Energy Regulator (AER) statement reviewed AEMO’s draft energy markets road map, released on December 10, which projects that nearly two-thirds of Australia’s coal generation capacity is likely to be gone by 2030, with the last such plants to close by 2043.

While the AER’s review did not specifically question the AEMO’s coal power retirement timeline, it is requiring the market operator to clarify the inputs and assumptions that it used in assessing the viable lifetimes of existing coal plants.

A key point of contention was why the AEMO had assumed that thermal coal plants cannot operate flexibly enough to ramp their generation up and down in the course of a day as the balance of demand and renewable energy supply varies.

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https://www.theaustralian.com.au/science/toxic-seas-wiped-out-most-life-on-earth/news-story/d53c143de00f4ecf839279b3f3f8ec15

Toxic seas wiped out most life on earth

Paul Garvey

7:14PM January 11, 2022

Two Western Australia-based researchers have shed new light on the mass extinction event that wiped out much of the life on earth more than 200 million years ago, identifying how oceans turned to poison as ­massive volcanoes opened up through the middle of the Atlantic Ocean.

Calum Peter Fox and Kliti Grace studied microscopic fossils from England’s southwest to show how ocean acidification and a rise in hydrogen sulphide levels combined to wipe out most marine life.

Professor Grace, from Curtin University’s School of Earth and Planetary Sciences in Perth, and Dr Fox were able to identify the molecular fossil of a bacteria that thrived in hydrogen sulphide, which in turn showed how acidification and hydrogen sulphide levels rose during that period as the spread of the Atlantic opened up enormous undersea volcanoes.

“It tells us that 200 million years ago we had this really toxic hydrogen sulphide, which would kill me or you, extending through a lot more of the water column than we had originally thought,” Dr Fox said.

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Royal Commissions And The Like.

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No entries in this category.

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National Budget Issues.

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No entries in this category.

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Health Issues.

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https://www.theaustralian.com.au/news/latest-news/us-surgeons-successfully-implant-pig-heart-in-human/news-story/55807a14c8b10e8815be1e298478d11b

'Historic': US surgeons successfully implant pig heart in human

AFP

January 11, 2022

The "historic" procedure took place Friday, the University of Maryland Medical School said in a statement on Monday. While the patient's prognosis is far from certain, it represents a major milestone for animal to human transplantation.

He is now recovering and being carefully monitored to determine how the new organ performs.

Bennett, who has spent the last several months bedridden on a heart-lung bypass machine, added: "I look forward to getting out of bed after I recover."

"This was a breakthrough surgery and brings us one step closer to solving the organ shortage crisis," said Bartley Griffith, who surgically transplanted the pig heart.

Muhammad Mohiuddin, who co-founded the university's cardiac xenotransplantation program, added the surgery was the culmination of years or research, involving pig-to-baboon transplants, with survival times that exceeded nine months.

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https://www.theaustralian.com.au/business/companies/health-funds-windfall-spurs-cashback-call-18bn-gain-from-elective-surgery-ban/news-story/0ad12a87a4b0953aa0de0fde2b0360a3

Health funds’ windfall spurs cashback call: $1.8bn gain from elective surgery ban

Jared Lynch

8:30PM January 10, 2022

The nation’s private hospital body has resuscitated its long-running feud with health insurers after recent bans on elective surgery sent their shares soaring, demanding the federal government formalise a mechanism to return a profit windfall to policyholders.

A jump in margins for the largest private health insurers – including the ASX-listed Medibank and NIB – has already left the sector with a 212 per cent rise in profit compared to 2021, and prompted the competition regulator to put the industry on notice.

The Australian Competition & Consumer Commission, in late December, told private health insurers not to underestimate savings made from the cancellation of elective procedures due to the pandemic – and therefore cut the amount of cash they had to refund to their policyholders.

Suspending elective surgery in Australia’s two biggest states is expected to bolster the profitability of health funds, given the amount of benefits paid is expected to fall as Omicron rages.

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https://www.afr.com/policy/health-and-education/rapid-antigen-tests-were-talked-down-until-pcr-system-was-overwhelmed-20220111-p59ncm

Rapid tests were talked down until the system was overwhelmed

Jill Margo Health editor

Jan 11, 2022 – 6.02pm

For more than a year, the peak body that oversees the quality of diagnostic testing for Australia advocated strongly against the widespread use of rapid antigen tests for COVID-19.

Between October 1, 2020, and December 29, 2021, the Royal College of Pathologists of Australasia released five media statements to caution the public about RATs.

Now, with PCR testing in crisis, thousands of Australians are searching for RAT kits, which are in short supply.

By being energetic in its promotion of PCR testing, the college was doing what was scientifically correct to control the virus in a country with a low prevalence of cases.

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https://www.afr.com/policy/economy/medical-establishment-must-learn-lessons-from-rat-shortage-20220111-p59nhy

Medical establishment must learn lessons from RAT shortage

The risk-aversion of the medical establishment that has led to the shortage of rapid tests is now making it riskier to live with the virus and keep society functioning.

Jan 12, 2022 – 5.17pm

Australia’s ability to ride out the omicron wave is being challenged by the lack of availability of rapid antigen tests. This is preventing businesses from alleviating essential worker shortages and critical supply chain bottlenecks, despite the easing of close contact isolation rules.

What’s become a de facto lockdown raises obvious questions about the failure by federal and state governments to pre-order and stockpile RAT kits ahead of the nation’s reopening. Yes, policymakers have been caught out again by the great uncertainty of the global pandemic, as the arrival of a more transmissible but milder strain has collided with the vaccination-led move to living with the virus.

Yet, while recognising the overall success of Australia’s response to the virus, an open debate about what’s gone right and wrong is essential to learn the lessons for next time. But that shouldn’t default to a superficial and simplistic partisan blame game targeting the Prime Minister or premiers for the RAT shortage.

A deeper dive requires looking at the advice given to policymakers by the medical establishment. As health editor Jill Margo reported on Wednesday, the Royal College of Pathologists of Australasia has consistently advised against the widespread use of rapid tests for COVID-19 detection.

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https://www.afr.com/companies/healthcare-and-fitness/it-s-time-to-make-our-own-supply-of-lifesaving-drugs-20220111-p59ni0

It’s time to make our own supply of lifesaving drugs

The country has already done the hard yards on life sciences R&D. We just need the policies to create a manufacturing powerhouse too.

Chris Nave

Jan 12, 2022 – 3.21pm

COVID-19 has exposed a sovereign vulnerability that Australia must urgently fix. We don’t have the manufacturing capability to make lifesaving drugs relied upon by millions of Australians every day, including the mass production of vaccines.

The recent announcement of a partnership between Moderna and the Australian and Victorian governments, is an important step in ensuring sovereign capability in manufacturing a COVID-19 vaccine in Australia. It will also create mRNA vaccine facilities that can be applied to other health challenges. The total cost of the new facility is rumoured to be around $2 billion.

While there has been a growing consensus, and moves towards, boosting our national biotech manufacturing capability in recent years, movement to date has been slow. Building capability is not an immediate fix, but in a decade from now, with the right focus, it can be achieved.

It needs a co-ordinated approach, led by the federal government in close consultation and collaboration with pharmaceutical companies, research and clinical organisations, and the biotech industry overall.

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International Issues.

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https://www.afr.com/markets/equity-markets/risk-bubbles-are-deflating-everywhere-some-market-watchers-say-20220109-p59mv5

Risk bubbles are deflating everywhere, some market watchers say

Emily Graffeo

Jan 9, 2022 – 12.01pm

For those concerned that the decade-long super-easy monetary policy has created asset bubbles around the world, the first signs of trouble may be in the making for inflated markets.

To Bank of America strategists including Michael Hartnett, a bubble is “simultaneously popping” in assets including cryptocurrencies, palladium, long-duration technology stocks, and other historically risky areas of the market. The winding down in speculative areas comes as investors brace for the US Federal Reserve to pick up the pace of policy tightening.

“The reduction in liquidity from the Fed will cause both the equity risk premium and interest rates to rise, which will continue to disproportionately impact the riskiest assets in the market including momentum-driven investments in money-losing technology stocks, meme stocks, and particularly cryptocurrencies, which have no intrinsic value,” according to Jay Hatfield, portfolio manager at Infrastructure Capital Advisors.

Ark Investment Management’s flagship Innovation ETF has fallen roughly 46 per cent from its record high in February 2021. The hawkish signal from the Fed has hit expensively valued technology names hard, and many of those, including Tesla and Roku, dominate Ark’s funds.

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https://www.afr.com/world/europe/is-there-an-end-in-sight-to-supply-chain-disruption-20220110-p59n0z

Is there an end in sight to supply chain disruption?

The spread of the Omicron coronavirus variant has the shipping industry on edge, waiting for the next hitch that could derail operations.

Harry Dempsey

Jan 10, 2022 – 9.46am

Bob Biesterfeld knows the depths of the global supply chain crisis first hand - he has hauliers still unloading Halloween costumes from containers at the Los Angeles and Long Beach port complex.

For the boss of CH Robinson, North America’s largest freight broker, the delayed shipments of vampire, ghost and witch outfits provides the perfect illustration of the turmoil in ocean shipping for the past 18 months. About 90 per cent of world trade moves by sea, and these logistical woes have tormented businesses across the globe from Argentine winemakers to Sri Lankan clothing producers.

Record vessel delays have clogged ports and crammed warehouses, adding to the supply ruptures caused by the semiconductor crunch and petrochemical shortages. Smaller companies have had to fight tooth and nail to secure space on container ships to keep production and sales moving while facing cash flow pressure as they soak up rocketing freight rates - up seven times on average pre-pandemic levels - and mounting stockpiles. Consumers have experienced it via empty shelves, limited product availability and rising prices.

Jens Bjorn Andersen, chief executive of DSV, one of the world’s largest logistics groups currently squeezed between frustrated shipping lines and angry customers, describes the situation as “the worst I’ve seen” after more than three decades in the industry.

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https://www.afr.com/policy/economy/imf-must-stop-playing-santa-to-emerging-markets-on-the-brink-20220109-p59mu9

IMF must stop playing Santa to emerging markets on the brink

By morphing into an aid agency during the pandemic, the IMF’s no strings loans have created a financial mess that needs cleaning up.

Kenneth Rogoff Columnist

Jan 9, 2022 – 12.30pm

Who is going to clean up the inevitable financial mess in emerging markets if persistent inflation forces the US Federal Reserve to start raising interest rates significantly? The International Monetary Fund, normally tasked with pulling countries back from the brink, seems disenchanted with the job. Rather than embracing its traditional role of helping troubled debtor countries help themselves, the IMF has been attempting to morph into an aid agency.

Of course, it is more fun to be Santa than Scrooge, and rich countries give far too little in foreign aid. I have long advocated establishing a world carbon bank to channel grants and technology. Likewise, the case for funding a restructured World Health Organisation to fight pandemics is compelling. But in a world where private capital flows far outweigh official lending, traditional IMF programs still have a critical role to play in mitigating and managing financial crises.

That role has been abandoned during the pandemic, and re-establishing it will be difficult. Handing out funding with few strings attached made sense in the initial phase of the COVID-19 crisis. But because the IMF is still very much structured as a lending agency, it eventually will have to be repaid or go bankrupt itself. To get a sense of what that might look like, consider the tensions with Argentina, which received a massive $US57 billion loan in 2018 with uncharacteristically weak IMF conditions attached and is now baulking at repaying.

The lack of conditionality in some recent cases has been appalling. Should the IMF really furnish virtually unconditional loans to a government that restricts food imports to an under-nourished population, thereby exacerbating the problems caused by the government’s own exchange rate controls? It has done so in Nigeria in 2020. In other cases, the fund has been extraordinarily generous in its normally cautious surveillance assessments, giving its gold seal of approval to countries with exploding debt-to-GDP ratios that stabilise only under very optimistic assumptions.

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https://www.afr.com/world/asia/security-not-economics-likely-to-drive-us-trade-engagement-in-asia-20220109-p59mw3

Security, not economics, likely to drive US trade engagement in Asia

Perhaps after the November 2022 midterm elections, Joe Biden will take a fresh look at his languishing trade agenda. Or he may decide that the Indo-Pacific initiative is really about confronting China in the security domain.

Gary Clyde Hufbauer and Megan Hogan

Jan 10, 2022 – 2.21pm

US President Joe Biden last year found himself consumed by the congressional challenge of enacting his domestic agenda and the military challenge of withdrawing from Afghanistan.

As a result, leadership of Asian trade policy, traditionally under the Office of the United States Trade Representative (USTR), was shared with the State Department and the Commerce Department.

The consequence of presidential neglect was that rather than push a single framework, Secretary of State Antony Blinken, Secretary of Commerce Gina Raimondo, and Trade Representative Katherine Tai each supported different and somewhat competing angles on Indo-Pacific engagement.

Competition between the Blinken, Raimondo and Tai agendas may result in lots of talk and little action, requiring presidential resolution. As Tai is expected to co-lead development of the Indo-Pacific economic framework with Raimondo, differences over the proper focal points of digital trade could be the first issue needing reconciliation.

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https://www.smh.com.au/world/north-america/russia-dials-down-ukraine-invasion-threats-as-us-talks-begin-20220111-p59n9m.html

Russia dials down Ukraine invasion threats as US talks begin

By Farrah Tomazin

January 11, 2022 — 7.47am

Russia has told the US it has no intention of invading Ukraine, as the two nations met for high-stakes talks designed to de-escalate military action against the Eastern European nation.

After a day-long meeting Geneva, Russian deputy foreign minister Sergei Ryabkov insisted that the US had nothing to fear, despite his country deploying more than 100,000 troops near the Ukraine border - a move than many in Washington view as a precursor to war.

“There is no reason to fear some kind of escalatory scenario,” he told reporters after the meeting with US Deputy Secretary of State Wendy Sherman on Monday (AEDT).

However, Sherman remained sceptical, saying in a separate news conference that while the discussion was “frank and forthright” it was too soon to know whether Russia was genuine about scaling back.

https://www.afr.com/policy/economy/fed-forced-to-run-triple-option-with-time-running-out-20220111-p59nbo

Fed forced to run triple option with time running out

The US central bank’s persistence with a gross mischaracterisation of inflation means that it has fallen significantly behind developments on the ground.

Mohamed A. El-Erian

Jan 11, 2022 – 9.29am

The final weekend of the regular National Football League season was full of close games, including some with memorable comebacks involving the so-called two-minute drill — that is, the necessity for teams to pivot to a hurry-up offence that holds the promise of winning the game but comes with heightened risk of loss.

A similar pivot is in the future of the Federal Reserve — a view that is consistent with what has been a sharp move in analysts’ forecasts of central bank policy actions.

In the last few days, a number of widely followed Wall Street analysts have revised their 2022 expectations for US monetary policy to include the end of large-scale asset purchases, four rate increases and the beginning of balance-sheet contraction.

This revised outlook — which, notably, still means policy would probably remain accommodative overall — is consistent not only with high and persistent inflation but also a labour market that is near maximum employment as measured by Friday’s jobs report — that is, an unemployment rate below 4 per cent, a 0.6 per cent monthly increase in wages and an unchanged labor force participation rate at 61.9 per cent.

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https://www.afr.com/world/north-america/us-needs-to-step-up-more-for-pacific-allies-kurt-campbell-20220111-p59n9n

US needs to step up more for Pacific allies: Kurt Campbell

Matthew Cranston United States correspondent

Jan 11, 2022 – 3.29pm

Washington | Time is running out in the Indo-Pacific to strengthen Western alliances and reinforce military legacies, particularly between Australia and the United States, according to a top White House official.

Kurt Campbell, the “Asia tsar” who sat with President Joe Biden during the four-hour virtual meeting with Chinese President Xi Jinping in November, said he was looking to Australia for leadership, and admitted that the US had probably not done enough in what is a strategic region for both countries.

His comments came at the launch of the inaugural Australia chair at the Washington-based Centre for Strategic and International Studies.

The chair, the first of its kind by any Washington-based think tank according to the CSIS, is sponsored by packaging magnate Anthony Pratt with a $US1.5 million ($2 million) donation.

“If you look at the arena on the planet where we have enormous moral, strategic, historical interests, where we have not done enough, [but] where Australia and New Zealand have done plenty, but [where] we’ve got to substantially step up our game, it is in the Pacific,” Mr Campbell said.

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https://www.afr.com/world/north-america/severe-threat-high-inflation-could-lead-to-recession-powell-says-20220112-p59njz

‘Severe threat’: high Inflation could lead to recession, Powell says

Matthew Cranston United States correspondent

Jan 12, 2022 – 10.02am

Washington| A recession is possible in the US if the Federal Reserve has to lift interest rates, while the path of government debt is already at unsustainable levels and needs to be reined in, the central bank’s boss has told Congress.

In what many will see as Fed chair Jerome Powell overstepping the line, the world’s most powerful central banker ventured into commenting on fiscal policy actions on debt – a key debate in the Biden Administration’s Build Back Better agenda.

Mr Powell stunned politicians at his confirmation hearing in front of Congress on Tuesday (Wednesday AEDT) by stating that a recession was something people should prepare for if inflation continued to stay high.

Headline inflation rate is expected to reach 7 per cent when official figures are released on Wednesday, the highest annual recording since 1982.

“If these high levels of inflation get entrenched in our economy and people’s thinking, then inevitably, that will lead to much tighter monetary policy from us, and it could lead to a recession,” Mr Powell said.

https://www.afr.com/companies/financial-services/richest-in-for-bumpy-ride-as-us-fed-unwinds-easy-money-20220110-p59n6s

Richest in for bumpy ride as US Fed unwinds easy money

Earlier quantitative easing programs were an inflation-free bonus for the wealthiest Americans, but that’s about to end.

Adrian Blundell-Wignall Columnist

Jan 12, 2022 – 5.00am

According to The New York Times, some Federal Reserve officials bought market securities just before the announcement of the huge COVID-19 quantitative easing monetary expansion.

It has always been clear which way markets run when QE is announced after a period of market stress. United States QE has always been about rescuing markets. While the direction of markets following the COVID-19 QE announcement was no surprise to Fed officials, the recent inflation outcome certainly was.

The source of their surprise was that earlier QE policies had little impact on nominal demand and inflation, so why not this one too? The market-friendly focus of the Fed, and a sort of global crisis mentality after the events of 2008, seem to have influenced Fed judgment unduly, culminating in unexpected inflation.

Once the 2008 liquidity crisis was averted, it was surprising that QE1 was not unwound, forcing the interbank market to get on with their normal job. If that were not surprising enough, the subsequent QE policies (to 2014) doubled down on the approach, and later they were forced to give up on raising interest rates and “tapering”.

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https://www.smh.com.au/world/asia/china-s-year-of-living-less-dangerously-20220112-p59nl5.html

China’s year of living less dangerously

Stephen Bartholomeusz

Senior business columnist

January 12, 2022 — 11.34am

Last year, amid a period of frenetic and dislocating policy changes, China’s authorities were determined to deleverage an over-leveraged economy. As this year gets under way, they are now responding to the unintended consequences of those policies with some urgency.

With a property crisis, energy crisis, food shortages and a significant slowdown in economic growth, Beijing is seeking to stabilise and consolidate in what is, with the twice-a-decade Communist Party’s national congress looming later this year, a sensitive year for Xi Jinping as he seeks an unprecedented third term as the party’s leader.

In December the People’s Bank of China reduced the reserves China’s banks are required to hold by 50 basis points and its benchmark one-year lending rate by 5 basis points for the first time since the onset of the pandemic.

There is now a widespread expectation, supported by reports in China’s state media, that the PBOC will loosen monetary policy further, with more reductions in the reserve requirements to pump more liquidity in the financial system and more cuts to lending rates.

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https://www.afr.com/markets/debt-markets/libor-long-the-most-important-number-in-finance-dies-at-52-20220113-p59nwn

Libor, long the most important number in finance, dies at 52

The London Interbank Offered Rate was once “on top of the world” but became a “disreputable, tottering old geezer at the end”.

Lananh Nguyen and Jeanna Smialek

Jan 13, 2022 – 10.17am

The London Interbank Offered Rate, a number that spent decades as a central force of international finance and was used in setting interest rates on everything from mortgages to student loans, has died after a long battle with regulators. It was 52.

Known as Libor, the interest rate benchmark once underpinned more than $US300 trillion ($417 trillion) in financial contracts but was undone after a years-long market-rigging scandal came to light in 2008. It turned out that bankers had been co-ordinating with one another to manipulate the rate by skewing the number higher or lower for their banks’ gain.

Libor could no longer be used to calculate new deals as of December 31 – more than six years after a former UBS trader was jailed for his efforts to manipulate it and others were fired, charged or acquitted. Global banks including Barclays, UBS and Royal Bank of Scotland ultimately paid more than $US9 billion in fines for fixing the rate for their own profit.

Randal Quarles, then the Federal Reserve’s vice chairman for supervision, offered a scathing early eulogy in October, saying Libor “was not what it purported to be”.

“It claimed to be a measure of the cost of bank funding in the London money markets, but over time it became more of an arbitrary and sometimes self-interested announcement of what banks simply wished to charge,” Quarles said.

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https://www.afr.com/policy/economy/us-inflation-surge-sets-stage-for-march-rate-increase-20220113-p59nua

US inflation surged to 7pc, sets stage for March rate increase

Matthew Cranston United States correspondent

Jan 13, 2022 – 2.38am

Washington | US inflation has hit a 40-year high and is expected to continue to stay well above the Federal Reserve target this year leading to interest-rate hikes as soon as March.

The consumer price index climbed 0.5 per cent in December, ahead of forecasts, leaving the annual rate of inflation at 7 per cent, the largest 12-month gain since June 1982, according to Labor Department data released on Wednesday (Thursday AEDT).

While the cost of energy dipped in December, overall higher prices were driven by rent, used vehicles, food and apparel.

President Joe Biden issued a two paragraph statement on what is now the highest rate of inflation in a generation.

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https://www.afr.com/policy/foreign-affairs/it-s-about-much-more-than-ukraine-20220111-p59nhz

It’s about much more than Ukraine

Vladimir Putin’s pressure on Ukraine is a test of the West in the broadest possible sense. Australia must draw lessons from it too.

Elizabeth Buchanan Contributor

Jan 12, 2022 – 1.51pm

Russia’s strategy right now has very little to do with Ukraine itself. Sure, keeping its neighbour destabilised maintains Ukraine’s value to Moscow as a buffer zone. But Moscow could have conducted a full military invasion of Ukraine long ago had it wanted to; if it hasn’t, it’s probably because Russia’s economy would not stand the strains of occupying a nation of 43 million people.

Instead, Ukraine has been an important test-site for Russia for other reasons. It is Moscow’s laboratory for what the liberal rules-based order (read: the West) deems permissible. And apparently, we can stomach quite a bit.

Eight years of annexation in Crimea, the fanning of civil conflict in eastern Ukraine, and the downing of innocent passenger flight MH17 seem to have only resulted in sanctions and press releases. For now, current efforts to manage tensions between Russia and NATO via diplomatic summits are geared at halting further conflict spilling over between Russia and the West.

An imperfect international system

At least both sides are showing up to talk. They will involve political theatrics and playing for the domestic audience. And both sides have demands of each other that will probably never be resolved. But the bottom line is that Russia and the West both exist in an imperfect international system which creates discomfort and demands trade-offs and, ultimately, dialogue.

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https://www.afr.com/policy/economy/monetary-policy-widens-the-gulf-between-poor-and-rich-economies-20220112-p59nnv

Monetary policy widens the gulf between poor and rich economies

Tighter US monetary policy is likely to exacerbate an already difficult outlook for emerging and developing economies.

Chris Giles

Jan 12, 2022 – 12.39pm

The start of this year is an eerie echo of 2021. A new variant of coronavirus has sent infections rocketing in all parts of the world, threatening economic prospects for the year ahead.

But rather than a rerun of the severe downturns we saw in 2020, the outlook is one of high global inflation and rising interest rates, with severe risks for the more vulnerable emerging and developing economies.

Last year showed that advanced economies were more resilient to COVID-19 waves than expected, even without effective vaccines. The alpha wave was appalling for people’s health, but hardly dented the global recovery. With more monetary and fiscal stimulus than proved necessary, the result was excess demand and inflation.

Getting through omicron should be easier. Global case numbers are at record levels, but numbers of deaths are still subdued. Vaccines have proved effective at preventing serious disease, and the community also has greater immunity from prior infection, so advanced economies should be better able to adapt.

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https://www.afr.com/world/europe/nato-chief-warns-of-real-risk-of-armed-conflict-over-ukraine-20220113-p59nuh

NATO chief warns of ‘real risk of armed conflict’ over Ukraine

Hans van Leeuwen Europe correspondent

Jan 13, 2022 – 6.15am

London | NATO boss Jens Stoltenberg has warned of “a real risk for new armed conflict in Europe”, after four hours of talks on Ukraine between the 30-member Western alliance and Russian ministers broke up without progress.

But he welcomed the prospect of further dialogue with Russia, and US deputy secretary of state Wendy Sherman said it was now “on Russia to de-escalate tensions and give diplomacy the chance to succeed”.

By contrast, Russian deputy foreign minister Alexander Grushko sounded downbeat: he told the press it was hard to see how progress could be made, and the situation remained “very dangerous”.

Russia has amassed more than 100,000 troops on the Ukrainian border in recent months, and Ms Sherman said the Russians conducted live-fire exercises on Wednesday morning.

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https://www.afr.com/policy/foreign-affairs/putin-wants-to-break-nato-s-spine-20220112-p59nq0

Putin wants to break NATO’s spine

The White House should break off talks with Russia now: No country ought to expect diplomatic rewards from Washington while it threatens the destruction of friends.

Bret Stephens

Jan 13, 2022 – 1.49pm

Grave may have been the mistakes of Donald Rumsfeld, but George W. Bush’s first defence secretary did have a gift for memorable phrases. One of them — “weakness is provocative” — explains the predicament the US finds itself in with Russia’s belligerence against Ukraine and NATO.

Let’s recap how it came to this point.

— In August 2008, Russia invaded Georgia and took control of two of its provinces. The Bush administration protested but did almost nothing. After Barack Obama won the White House that year, he pursued a “reset” with Russia. In 2012, he cut US military numbers in Europe to their lowest level in post-war history, and mocked Mitt Romney for calling out Russia as America’s principal geopolitical threat.

— In September 2013, Obama famously retreated from his red line against Bashar Assad’s use of nerve gas in Syria, accepting instead a Russian offer of mediation that was supposed to have eliminated Assad’s chemical arsenal. That arsenal was never fully destroyed, but Vladimir Putin took note of Obama’s palpable reluctance to get involved.

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https://www.afr.com/policy/foreign-affairs/russian-gains-in-ukraine-would-be-ominous-for-australia-20220112-p59nrk

Russian gains in Ukraine would be ominous for Australia

Letting Vladimir Putin’s giant gambit on restoring the pre-1991 European borders would hollow out Western solidarity and embolden Xi Jinping’s China.

Jan 13, 2022 – 7.31pm

With the most threatening display of hard power seen in Europe since the Cold War, Vladimir Putin has opened a giant gambit on restoring the pre-1991 order on his European borders.

Russia’s President believes that Washington is now wholly focused on an existential contest with its great economic, technological and military rival in China, and that the US has no appetite for confrontations in Europe. But Mr Putin is now overplaying his hand, trying to reverse major outcomes of the Cold War.

Vladimir Putin is overplaying his hand by trying to reverse major outcomes of the Cold War. 

Ahead of this week’s inconclusive summits with the US, NATO, and the Organisation for Security and Co-operation in Europe, he set out a string of fantasy demands that NATO forces leave eastern European countries that have been members of the alliance for decades. And he is backing that up with very real military brinkmanship against non-NATO member Ukraine, holding a gun at the head of a third-party hostage.

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https://www.afr.com/world/europe/drumbeat-of-war-louder-as-russia-talks-on-ukraine-stall-20220114-p59o73

‘Drumbeat of war’ louder as Russia talks on Ukraine stall

Anton Troianovski

Jan 14, 2022 – 8.57am

Vienna | Russian officials signalled they could abandon diplomatic efforts to resolve the security crisis in Ukraine, bringing a whirlwind week of European diplomacy to an ominous end and deflating hopes negotiators could forge a path toward easing tensions in eastern Europe.

One senior Russian diplomat said that talks with the West were approaching a “dead end”, while another said the Kremlin would wait until it receives written responses next week to its demands from Washington and from NATO before deciding how to proceed.

It was clear that Russia’s next move would be up to President Vladimir Putin.

“The United States and its allies are actually saying ‘no’ to key elements of these texts,” Russia’s deputy foreign minister, Sergei Ryabkov, said, referring to the draft agreements with NATO and Washington that Russia published last month. “This is what we call a dead end or a different approach.”

The United States representative to Thursday’s meeting (Friday AEDT), Michael Carpenter, also depicted the two sides as engaged in a standoff with no clear resolution.

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https://www.afr.com/world/north-america/seditious-conspiracy-11-oath-keepers-charged-in-january-6-riot-20220114-p59o6k

Seditious conspiracy: 11 Oath Keepers charged over January 6 riot

Michael Balsamo, Collen Long and Alanna Durkin Richer

Jan 14, 2022 – 8.03am

Washington | Stewart Rhodes, the founder and leader of the far-right Oath Keepers militia group, and 10 other members or associates have been charged with seditious conspiracy in the violent attack on the US Capitol, authorities said on Thursday (Friday AEDT).

Despite hundreds of charges already brought in the year since pro-Trump rioters stormed the Capitol in an effort to stop the certification of President Joe Biden’s 2020 election victory, these were the first seditious conspiracy charges levied in connection with the attack on January 6, 2021.

It marked a serious escalation in the largest investigation in the Justice Department’s history – more than 700 people have been arrested and charged with federal crimes – and highlighted the work that has gone into piecing together the most complicated cases.

The charges rebut, in part, the growing chorus of Republican lawmakers who have publicly challenged the seriousness of the insurrection, arguing that since no one had been charged yet with sedition or treason, it could not have been so violent.

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https://www.theaustralian.com.au/business/the-wall-street-journal/vladimir-putin-is-running-rings-around-the-west/news-story/3f5275468cb3ecac2710a1d6f425c1f0

Vladimir Putin is running rings around the west

Walter Russell Mead

1:51PM January 13, 2022

Nobody knows whether Vladimir Putin will invade Ukraine, but it is increasingly clear that a divided and confused Western alliance doesn’t know how to deal with the challenge he poses.

Lost in a narcissistic fog of grandiose pomposity, Western diplomats spent the past decade dismissing the Russian president as the knuckle-dragging relic of a discarded past. As then-Secretary of State John Kerry sniffed during Mr. Putin’s 2014 invasion of Ukraine, “You just don’t in the 21st century behave in 19th century fashion by invading another country on a completely trumped up pretext.”

Neville Chamberlain learned more from failure at Munich than the current generation of Western leaders learned from failure in Crimea. Convinced that the old rules of power politics don’t apply in our enlightened posthistorical century, Europeans nattered on about soft power only to find themselves locked out of key U.S.-Russia talks over Ukraine. As China and Russia grew more powerful and assertive, Americans enthusiastically embraced the politics of mean-spirited polarisation and domestic culture wars. Now the Biden administration is simultaneously proclaiming overseas that America is back, in all its order-building awesomeness, and maintaining at home that democracy is one voting-rights bill away from collapse.

Pathetic throwback that he is, Mr. Putin used his time differently, rebuilding the Soviet Union under the nose of a feckless and distracted West. Because Russia hasn’t annexed breakaway republics, many observers underestimate how successful Mr. Putin’s reassembly of the U.S.S.R. has been. But it is hegemony, not uniformity, that he wants. Stalin insisted on enrolling Ukraine and Belarus as founding members of the United Nations while they were part of the Soviet Union; Mr. Putin might be happy to keep them nominally independent under Russian control. In many Soviet republics, Moscow ruled through local strongmen. When the Soviet Union collapsed, leaders like Azerbaijan’s Ayaz Mutalibov, Turkmenistan’s Saparmurat Niyazov and Kazakhstan’s Nursultan Nazarbayev made a seamless transition to running the republics as personal fiefs. Mr. Putin’s goal is to re-establish ultimate control while leaving subordinate rulers in place.

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https://www.theaustralian.com.au/world/does-the-west-have-the-guts-to-stare-down-the-east/news-story/0c89c6116e930d9c5d79b284a48f82f2

Does the West have the guts to stare down the East?

Jason Thomas

4:15PM January 13, 2022

Fidel Castro once revealed to the former US defence secretary Robert McNamara that he had recommended the use of Soviet nuclear missiles against the US during the Cuban crisis. This floored the unflappable McNamara. He realised as smart as the Kennedy administration thought it was, in the end they lucked out. The world came within a whisker of nuclear war.

We assume our leaders will be rational and that freedom is cheap. Now Russia and China are seeking to advance their strategic position through military intimidation for control of Ukraine and Taiwan respectively. Yet as the rhetoric increases is the West, including Australia, really prepared to go all out to defend these two independent nations against foes who will show no constraint?

For the last 20 years our frame of reference for war has been ­Afghanistan; a low-intensity, counterinsurgency campaign. This does not represent the scale of war against the People’s Liberation Army. And it does not reflect the reality of fighting the Russian military in their backyard. US war-gaming exercises last year demonstrated its chances against the PLA are dismal. Again, in a November exercise between the US Marine Corps and British Royal Marines, the US side were forced to surrender halfway through. The team with the best and the most military hardware on the planet lost, twice. The US exit from Afghanistan revealed its military leadership is distracted.

Russian President Vladimir Putin believes Ukraine needs to be controlled by the motherland as a buffer against NATO expansion. Arguably Putin is continuing the Brezhnev Doctrine.

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https://www.afr.com/markets/debt-markets/the-fixed-income-survival-guide-to-us-rates-lift-off-20220112-p59nsc

The fixed income survival guide to US rates lift-off

Unlike last year, when the issuance of government bonds was absorbed by central banks keeping a lid on yields, 2022 will be the opposite.

Chris Dickman

Jan 16, 2022 – 5.00am

The US Federal Reserve has put the world on notice that tighter financial conditions are coming. The reality is, if that’s true, the bond market has a lot more heavy lifting to do as the task of financing governments gets much harder, here and in the US, without central banks buying.

What to make of the pain in the bond market? US 10-year Treasuries have sold-off 0.45 per cent since mid-December, generating a loss of 4 per cent. US real yields have weakened 0.22 per cent, implying half of the weakness in nominal bonds is related to rising inflation. Australian 10-year yields, only since December 29, have sold-off 0.38 per cent to 1.91 per cent.

Australian real yields, however, have risen a little more, implying that our sell-off is more to do with expectation of central bank action, and less about inflation expectations.

Four interest-rate rises are factored into the US market over 2022, yet the implied inflation rates in both markets point to the current inflation pulse passing. Longer-dated breakeven inflation yields in Australia are 2.15 per cent, barely above the lower bound target of the RBA.

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https://www.afr.com/policy/economy/the-experts-are-finally-grasping-the-real-reason-for-inflation-20220113-p59nvo

The experts are finally grasping the real reason for inflation

Demand is high because Americans have more money to spend than ever before because of excessive pandemic relief spending.

Henry Olsen

Jan 13, 2022 – 11.33am

Data released on Wednesday show that inflation for December rose 7 per cent, the highest rate since 1982. The bad news is that this is likely to continue for some time.

The good news is that at least some experts are finally grasping why inflation is so high: excessive pandemic relief spending.

Prices have spiked over the past year in virtually every major category of consumer spending. News reports have focused on large items such as gasoline (up 50 per cent) and used vehicles (up 38 per cent).

But the recent price report shows inflation is pervasive: food is up 6.3 per cent, topped by a 12.5 per cent hike in meat and poultry prices. Furniture and bedding is up 13.8 per cent while clothing has increased by 5.8 per cent.

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https://www.theaustralian.com.au/business/the-wall-street-journal/the-putin-puzzle-why-ukraine-and-why-now/news-story/41378707432a4666e6014a272ed3aea0

The Putin puzzle: why Ukraine and why now?

Kathryn Stoner

The Wall Street Journal

10:58PM January 15, 2022

For the last several months, Russia has been amassing troops, now numbering an estimated 100,000, along its extensive border with Ukraine.

Moscow’s hostile intentions toward its neighbour have been clear since the winter of 2014, when Ukraine’s “Revolution of Dignity” ousted the country’s corrupt Kremlin-backed president and turned Kiev resolutely toward democracy and the European Union. Russia’s response then was to seize and annex Ukraine’s Crimean peninsula and to invade the eastern Ukrainian region of Donbas. Today’s mobilisation has all the markings of an encore.

In talks with President Joe Biden and in a draft treaty, Russian President Vladimir Putin has issued an extraordinary list of demands as conditions for drawing down his forces. Among these are guarantees that NATO will never expand to include Ukraine and Georgia. Mr Putin has also called for “security guarantees” from NATO and for the US to declare that it will never put missiles on or near Russian borders. This past week, Russian officials met with counterparts from the US, NATO and Ukraine in discussions aimed at averting an armed conflict.

Mr Putin knows full well that his demands are excessive. They are also unnecessary to guarantee Russian security, since there is no threat to Russia in Ukraine from the US or NATO. NATO is not currently offering membership to Ukraine and hasn’t come close to doing so since 2008. The number of NATO troops in rapid reaction forces in Eastern Europe and the Baltics — deployed at the request of those countries’ leaders after Russia seized Crimea in 2014 — is so small that the Russian military could easily overwhelm them; they are largely a symbolic deterrent. As for armaments, the only country to have installed missile systems of any sort in Ukraine in the last decade is Russia, in Crimea.

All of this, to say nothing of the formidable risks involved in his brinkmanship, must be obvious to Mr Putin. So then why, over the last few months, has he manufactured an international crisis by continuing to gather troops and equipment on the border with Ukraine? What could he possibly be thinking?

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I look forward to comments on all this!

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David.

 

I Find This Use Of Children Rather Sad And Offensive Despite The Possibility For Some To Make A Buck.

This appeared last week:

Friday, 14 January 2022 11:56

Brisbane lawyer warns parents the consequences of monetising their children's social media accounts

By Kenn Anthony Mendoza

A Brisbane lawyer has warned parents that monetising their children's appearances on social media could lead to tears.

What might have begun as cutesy snaps of a baby in nappies has grown to an income stream as influencer parents promote their children through social media accounts in startup business ventures whose ownership is mired in a legal quagmire.

This legal dilemma poses a question: who legally owns those social media accounts, the parents or the children?

Brisbane intellectual property and cyber technology lawyer Nicole Murdoch says the answer to that question is actually quite complex.

“If the parent took the photos they most likely own the copyright to the images, but in terms of the child, perhaps later demanding the handover, it could depend on several factors,” she says.

If a child was unhappy that their parents had uploaded photos from pictures in nappies to Halloween costumes and photos while bathing, and used these images to generate an income stream from the account, the child could argue the photos breach a privacy law.

Murdoch, a principal with Brisbane intellectual property an technology law firm Eaglegate Lawyers, says if the child subsequently demanded the images be removed and the parents refused to take them down, that’s when an issue arises.

Kidinfluencers refers to children who have strong social media following and whose accounts can generate hundreds of thousands of dollars in advertising revenue.

In effect mum and dad could be making a fortune in a home-based entrepreneurial enterprise from social media accounts that chart the life of their children.

But what happens if the children, as they get older, demand the images be removed or the account transferred to their ownership?

An increasing number of high-profile social media Influencers are profiting from accounts that depict, some might say exploit, their children.

The Australian profiled a famous Australian in Thailand, Matthew Deane, a 43-year-old singer, actor and Thai boxing MC, who has an online following of some 6.2 million between him, his wife and two children on Instagram.

For the Deane family, social media is one way they earn their income as their accounts are often linked to product contracts. Their children have huge social media followings orchestrated by their parents. However, Murdoch warns that in a situation where children become old enough to understand how they are being portrayed on social media accounts, getting their parents to close the accounts or remove images could be difficult.

Murdoch says one of the fastest ways to have photos removed would be to consider anti-bullying laws.

“Depending on the content of the material, one way to have the material removed would be to file a complaint with the eSafety Commissioner, they then may direct the service provider to take it down,” she explains. “If they won’t take it down and cannot get consent from parents, then they could proceed to court.”

If an issue over account ownership arises, “you might be able to claim for deceptive and misleading conduct as to who is really controlling the account,” Murdoch points out.

“The child may be able to establish a legal argument with a claim that they may have been exploited beyond child labour laws. Further there may be issues as to who is entitled to the income from the accounts. Where does the money go: the parent or the child?”

Children may find themselves in a similar situation to a lot of young actors, Murdoch says.

More here:

https://itwire.com/entertainment/brisbane-lawyer-warns-parents-the-consequences-of-monetising-their-children-s-social-media-accounts.html

I don’t know about you but I find this sort of use of one’s children – and all the implications raised about to be pretty distasteful. May be I am an old ‘fuddy-duddy’ and don’t understand the present zeitgeist but it does not work for me at many levels!

What do you think?

David.

 

Wednesday, January 19, 2022

It Would Be Nice If The Federal Government Could Get Its Act Together On Telehealth Rather Than Piecemeal Nonsense.

This release appeared on Sunday.

16 Jan 2022 10:43 AM AEST

RACGP welcomes telehealth announcement but warns more long-term investment needed                

The Royal Australian College of General Practitioners (RACGP) has cautiously welcomed the federal Government’s move to temporarily restore telehealth to peak COVID-19 pandemic settings.

This morning, Health Minister Greg Hunt and Regional Health Minister David Gillespie announced an additional $24 million for a range of measures to give GPs and other specialists more flexibility to support patients.

It comes after RACGP President Dr Karen Price met with Minister Hunt and Minister David Gillespie this week, along with other peak general practice and medical organisations, to discuss the challenges facing general practice and support needed to ensure GPs can stay open and deliver the essential care to Australians at this time.

The announcement outlined the following measures:

·     an additional $24 million for temporary changes to telehealth to give GPs and other specialists more flexibility to support patients, including the continued supply of personal protective equipment (PPE) and online support

·    the introduction of temporary specialist inpatient telehealth MBS items (video and phone) and initial and complex specialist telephone consultation items, including longer telephone consultations for GP’s (level C)  until 30 June 2022. These services will be available nationally, rather than targeted at Commonwealth hotspots

·    expanding the MBS item for GPs caring for COVID positive patients in the community through face-to-face consultations to include patients that have tested positive through a rapid antigen test (RAT)

·    packages of personal protective equipment (PPE) to GPs, Aboriginal Community Controlled Health Services and GP Respiratory Clinics to support GPs providing face-to-face care. Over 20 million units of PPE will be provided for primary care over the next three months, including nine million p2/n95 masks for GPs.

·   Healthdirect will develop a national assessment, triage and notification infrastructure to connect people who test positive with the care they need and advice, based on guidelines developed by the Royal Australian College of General Practitioners, (soon to be available in multiple community languages). This is expected to commence in Queensland on 17 January 2022 with other states to follow.

RACGP President Dr Karen Price said that the announcement was a step in the right direction.

“It’s positive news that the Government is listening to the Royal Australian College of GPs on telehealth and need for more support to manage the increasing number of COVID-19 positive patients in the community,” she said.

“GPs and patients have embraced telehealth during the pandemic, and it is here to stay. Video and telephone consultations have changed the way we deliver healthcare and I believe many patients will continue to utilise telehealth for years to come post-pandemic as a compliment to face-to-face care.

“We have strongly advocated for Medicare rebates to remain for longer telephone consultations and for good reason. Telehealth use in Australia is largely phone-based. Between March 2020 and March 2021, video consultations comprised only 2.4% of telehealth services. Video consultations are not suitable for many patients including older people unaccustomed to the technology or those with unreliable internet access.

“Last year, when the federal Government removed Medicare support for phone consultations lasting longer than 20 minutes, we warned that this would disadvantage vulnerable patient groups.

“The stark reality is that many of the patients who benefit the most from telehealth are also the most disadvantaged when it comes to internet connectivity and reliability.

“Discouraging longer phone consultations is particularly disadvantageous for Aboriginal and Torres Strait Islander people seeking to undertake a health assessment, patients in rural and remote areas, older people, and those with multiple chronic conditions.

“So, we called on the Government to reinstate Medicare rebates for longer phone consultations as part of the permanent telehealth model.

“A six-month restoration of these rebates is welcome; however, we must not stop there - this must be a permanent fixture of telehealth for years to come and the RACGP will continue fighting to make that happen.

“Otherwise, we risk undoing a lot of hard work that has improved care for patients including those in rural and remote areas, Aboriginal and Torres Strait Islander patients and patients with chronic disease.”

Dr Price said that telehealth was needed by patients across Australia more than ever before.

“With COVID-19 cases escalating in many communities across Australia, particularly New South Wales and my home state of Victoria, telehealth is a great solution for people at greater risk of severe illness if they contract the virus including older people, those with serious underlying health conditions and the immunocompromised,” she said.

“For many health conditions, telehealth provides the perfect avenue. So don’t hesitate to ring your GP and book an appointment, the worst thing you can do is avoid or put off care you need now.

“The Healthdirect direct triage service, which the RACGP has been consulting closely on, will also help ease the pressure on practices across the nation which have been flooded by calls from COVID-19 positive patients. This service will act as a point of contact for anyone with a positive result to receive assessment and information on what to do.

“Importantly, it will also link to community care pathways developed in different states and territories to ensure GPs have the information required to help manage COVID-19 positive patients at home.”

The RACGP President also welcomed the Government acting on RACGPs calls for additional PPE to help GPs provide face-to-face care to all patients, including those who are seeing COVID-19 positive patients.

“PPE is critical for GPs in a time of high community prevalence and in case of providing face-to-face care for COVID-19 positive people,” she said.

“It’s also welcome that this is being prioritised for rural, regional and remote areas, where we know access to PPE can be challenging. We also know that general practice is a critical workforce for public health and our members must have protection provided which is commensurate with the risks of the continuing pandemic.”  

Dr Price also urged people to continue their usual care.

“The data shows that people tend to avoid or delay care during times of high community transmission, and restrictions. This is very concerning because it leads to delayed diagnosis and worsening health conditions down the track, and puts even more pressure on our overloaded health system,” she said.

“So, if your health concern does require a face-to-face consultation, remember that practices have robust systems in place to minimise the chance of you contracting COVID-19. So please look after your health and don’t put off any consultations with your GP, we are here to help.”

~ENDS

Here is the link:

https://www.miragenews.com/racgp-welcomes-telehealth-announcement-but-707513/

The frustration with the lack of certainty and stability is reflected here a well.

Telehealth changes ‘devastating’ for psychiatry patients in regional areas

Mental health workers fear for patients’ wellbeing after the federal government removes 50% loading for some rural psychiatric services

Tory Shepherd

Tue 4 Jan 2022 03.30 AEDT

Australians in regional areas with severe mental health problems will go without help, after “devastating” changes to the telehealth system, psychiatrists warn.

Recent federal government reforms removed a 50% loading for some rural psychiatric services, meaning some types of consultations providers will no longer be able to bulk-bill. They will have to absorb the costs or pass them on to patients.

Dr Vivienne James, a psychiatrist at Sydney’s Gordon Clinic, says she is “devastated” and her patients will be “distressed” about the changes, which came into effect on 1 January.

“It is simply not financially viable for us to continue seeing these patients,” she said.

“This will leave many patients distressed and, dare I say it, suicidal, as some of these people are extremely isolated and have little support. They will not be able to pay to see us and will have to be discharged back to their GPs.

“Personally, I am devastated by these changes.”

Grahame Gee, a credentialed mental health nurse, said it was “unethical” that he and his colleagues were “blindsided” by the changes, which were announced a couple of weeks before Christmas. His patients have complex mental health needs and many also have histories of physical and sexual abuse and intimate partner violence.

“Most have limited financial means and struggle to pay gap fees,” he said.

“Their recovery depends upon access to this service … I had patients in tears … Others said they would have to cancel their appointments.”

On 13 December the federal health department announced $106m to make telehealth a permanent part of primary healthcare. On 16 December it announced changes to the Medical Benefits Scheme, including two new telehealth items, 17 amended items and the scrapping of 128 items, which included item 288 for video psychiatric consultations through GP referrals.

Guardian Australia revealed how other changes would affect patients, particularly those with cancer.

Assoc Prof Vinay Lakra, the Royal Australian and New Zealand College of Psychiatrists president, said most of the reforms were welcome, but that fixing some gaps meant others appeared.

“People living in a rural area couldn’t afford to see a psychiatrist, but [the rural loading] allowed them to see a psychiatrist without paying a gap. If you’re bulk-billing and that loading is removed, some providers will pass on the cost to the patients and patients might cancel their appointment.”

The rural loading was introduced about 10 years ago to encourage the use of telehealth in country Australia, an incentive the health department says is no longer needed.

Lakra said that before Covid, the psychiatric community wanted it phased out rather than removed and only phased out if there was another system in place to ensure affordability and accessibility. Covid “hasn’t gone”, he said, and the college wants the MBS item extended for another year.

…..

Crisis support services can be reached 24 hours a day: Lifeline 13 11 14; Suicide Call Back Service 1300 659 467; Kids Helpline 1800 55 1800; MensLine Australia 1300 78 99 78; Beyond Blue 1300 22 4636

More here:

https://www.theguardian.com/australia-news/2022/jan/04/telehealth-changes-devastating-for-psychiatry-patients-in-regional-areas

I can do little other than suggest that a Government who can waste $38Billion on a financially leaky Jobkeeper could find the funds to sort this issue out fully and permanently. Is that too much to ask?

David.