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, April 21, 2022

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

April 21 2022 Edition

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The horror of the war in Ukraine just worsens with violence and horror continuing at seemingly an increasing pace. The structure of a bipolar world becomes clearer and sadder by the day.

It can’t be too long before the Western world loses patience and has to somehow bring the conflict to an end, but many thousands may die in the meantime, and ending this war will not be pain free by any means....

In the UK Boris seems to be hanging on while there is a lot of pressure for him to go.

The Federal election is now well into week 2 and soon we will start to see some clarity on what will happen. Both sides are struggling as far as I can see! The debate showed neither were on top to any degree. Only 4 and a bit weeks to go!

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Major Issues.

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https://www.smh.com.au/politics/federal/scott-morrison-set-to-arrived-in-canberra-to-call-federal-election-20220408-p5ac4d.html

‘This election is about you and no one else’: Scott Morrison calls federal election for May 21

By David Crowe and Lisa Visentin

Updated April 10, 2022 — 12.08pmfirst published at 9.28am

Talking points

·         Prime Minister Scott Morrison has called a federal election for May 21.

·         Morrison visited the Governor-General at Yarralumla on Sunday morning.

·         The PM released a video on Saturday night about his record in responding to natural disasters and the pandemic.

Prime Minister Scott Morrison has called the federal election for May 21 with a message to Australians to back him because of his performance in the pandemic, telling voters his government is not perfect but is better than the risk of a switch to Labor.

Mr Morrison launched the six-week election campaign after visiting Governor-General David Hurley at Government House in Yarralumla to ask him to dissolve Parliament and set the date for Australians to cast their ballots.

The Prime Minister’s plan takes the election to the last possible day for votes to be cast, a strategy that extends the campaign in the hope of placing more pressure on Labor leader Anthony Albanese.

Mr Morrison held a press conference in Parliament House late on Sunday morning to outline his pitch to voters after he released a video on Saturday night about his record in responding to natural disasters and the pandemic.

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https://www.afr.com/policy/health-and-education/why-universities-need-to-fully-engage-with-the-economy-20220408-p5abwv

Why universities need to fully engage with the economy

Universities cannot stand back from skill shortages as if it is someone else’s business. To do so would be to let their communities and the Australian economy down.

Ian Anderson and Robert Griew

Apr 10, 2022 – 1.18pm

Australia is at the start of a fundamentally challenging decade. We face uncertainty about the course of the pandemic, the aftermath of international disruption and economic recovery without confidence in the functioning of the domestic labour market.

Over the last summer we undertook a series of interviews with leaders from across the university sector, business and government. Our purpose was to identify policy options for universities as we emerge from the pandemic. Those we interviewed expressed disappointment that the sector had not been effectively engaged by the federal government in policy conversations on how universities could contribute to addressing the challenges that make this decade so confronting.

We concluded that the university sector should rebuild its covenant with Australian communities, strengthening its alignment with societal aspirations and focusing on its contribution to economic recovery. This should focus the attention of government, and also create a path for better teaching and impactful research.

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https://thenewdaily.com.au/finance/finance-news/2022/04/11/alan-kohler-the-three-challenges-for-whoever-wins-the-election/

6:00am, Apr 11, 2022 Updated: 9:20pm, Apr 10

Alan Kohler: The three challenges for whoever wins the election

Alan Kohler

Up to now the election campaign has been focusing on the top centimetre of issues while ignoring the depths.

And it will probably stay focused on cash handouts, Scott Morrison’s character, Anthony Albanese’s absence of it, and the lies both sides choose to tell about each other.

But the next Australian Parliament will actually be dominated by three things: Climate change, inequality and China.

Neither major party will campaign on these things because they don’t have any solutions for them, in turn because the solutions are complicated and unpopular. These things are to be discussed after an election, not before.

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https://www.afr.com/companies/financial-services/why-this-time-is-different-for-investors-20220410-p5acbs

Why this time is different for investors

Shareholders are becoming increasingly fearful that the glorious period of rising asset prices they’ve enjoyed over the past four decades is coming to an end.

Karen Maley Columnist

Apr 10, 2022 – 6.09pm

Investors’ complacency was rudely shaken last week as two key events forced them to recognise that the developed world now stands on the threshhold of a new – and much less benign – financial epoch.

The first tremor came when Lael Brainard – who has long been seen as the leader of the dovish faction on the US Federal Reserve – signalled that she now fully endorsed tighter monetary policy, saying that reducing inflation was “of paramount importance”.

Brainard, a Fed governor who is awaiting the US Senate’s confirmation to become the Fed’s next vice-chair – also argued that the US central bank needed to reduce its $US9 trillion balance sheet “at a rapid pace”.

Investors were further rattled when the minutes of the Fed’s March meeting revealed there was general support for shrinking the US central bank’s balance sheet by about $US95 billion a month.

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https://www.afr.com/politics/federal/albanese-stumbles-in-an-election-that-s-his-to-lose-20220411-p5acll

Albanese stumbles in an election that’s his to lose

The Labor leader showed himself ignorant of the most important, discretionary economic setting that determines Australians’ prosperity.

Aaron Patrick Senior correspondent

Apr 11, 2022 – 1.48pm

Anthony Albanese memorised the wrong prices.

“I’m happy to know that the last time I filled up, petrol was $2.20,” he said at a news conference in Launceston on Monday.

Anthony Albanese was unable to say what the unemployment rate or official interest rate was on day one of the campaign

“I know how much the price of bread is. I know how much a litre of milk is. I know about those things that affect ordinary people.”

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https://www.afr.com/politics/federal/albanese-s-insecure-work-scare-just-doesn-t-add-up-20220410-p5acgp

Albanese’s ‘insecure’ work scare just doesn’t add up

By playing along with the ACTU’s misleading ‘insecure’ work scare, Anthony Albanese has created a genuine policy difference with the Coalition.

Apr 12, 2022 – 5.00am

The Australian Financial Review has exposed the first big policy lie of the 2022 federal election campaign.

In the lead-up to the election, Anthony Albanese has repeatedly echoed the Australian Council of Trade Unions’ campaign against “insecure” work by claiming an increasingly casualised workforce has festered under nine years of Coalition rule. Yet the image conjured up of an uncontrolled expansion of workers toiling on some modern day “hungry mile” at the whim of capricious bosses is not matched by the facts.

As economics editor John Kehoe reports today, the Australian Bureau of Statistics time series that has tracked working arrangements since 1988 shows that the share of workers in casual employment has remained flat or declined slightly over the past 20 years at about one-quarter of the workforce. The ABS defines a casual worker as someone without access to paid holiday or sick leave who typically receives an additional hourly payment or leave loading as compensation.

Astonishingly, Mr Albanese yesterday was unable to correctly nominate Australia’s 4 per cent jobless rate, close to the lowest in 50 years, or the Reserve Bank of Australia’s record low 0.1 per cent cash rate. It’s a disturbing indicator of political priorities when the alternative prime minister – who has never held an economic management portfolio during his quarter of a century in parliament – is not across the basic details of the economy that is supposed to finance Labor’s big spending promises.

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https://www.smh.com.au/politics/federal/albanese-could-pay-a-staggering-cost-for-a-stupid-mistake-20220411-p5acpc.html

Albanese could pay a staggering cost for a stupid mistake

David Crowe

Chief political correspondent

April 11, 2022 — 10.30pm

The way Anthony Albanese tried to control the damage from his jobs blunder on Monday said everything about the staggering cost of a stupid mistake.

There was no excuse for not knowing the unemployment rate and the Labor leader knew it.

The Labor leader didn't know the national unemployment rate or the official cash rate but says he's accepted responsibility and people make mistakes.

Scott Morrison knew it, too, and will be campaigning on Tuesday on jobs policy to keep attention on the issue – and the blunder – through to the release of the next employment figures on Thursday.

Albanese and his campaign team moved as fast as they could to explain the mistake after he was asked in Launceston to name the national unemployment rate and had to admit – “sorry, I’m not sure what it is” – that he did not know.

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https://www.afr.com/wealth/personal-finance/go-to-the-core-to-handle-market-volatility-20220408-p5ac37

How the ‘core-satellite’ approach can help handle market volatility

A well-diversified core and satellite portfolio, aligned to your risk appetite, can help you diversify.

Duncan Burns Contributor

Apr 11, 2022 – 5.00am

The first quarter of 2022 has challenged investors with plenty of market volatility, and it would be foolish to expect the rest of the year to be a smooth ride.

If recent fluctuations in the share market are giving you heartburn, your risk appetite and your portfolio’s asset allocation are probably misaligned and in need of attention.

Most financial headlines focus on the here and now. But for investors, attempting to make decisions based on daily developments, making frequent portfolio adjustments and trying to time the market does not help accumulate wealth over the long run. It typically has the opposite effect.

Rather, it is the asset allocation decisions you make and stick with year on year that will drive solid long-term investment outcomes.

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https://www.afr.com/wealth/personal-finance/how-to-stop-inflation-getting-away-with-your-wealth-20220410-p5acdf

How to stop inflation getting away with your wealth

Market experts recommend a carefully targeted portfolio including commodities and companies with pricing power to help avoid negative returns and loss of purchasing power.

Tony Featherstone Contributor

Apr 13, 2022 – 5.00am

For central banks, raising interest rates is like opening a parachute. Pull the cord too early and the economy drifts. Pull too late and there’s a thud.

For investors, a hard landing means rapid rate rises and sharemarket losses. Or worse, inflation getting away from policymakers and recession.

Few experts believe Australia faces stagflation: high inflation and low economic growth. But investors must ensure their portfolio can withstand rising inflation and the big investment risk this decade – loss of purchasing power.

“The risks of forecasting error with inflation have never been higher,” says Christian Baylis, chief investment officer of Fortlake Asset Management, a fixed-income manager. “Australia could easily have 5 per cent inflation or more within 12-24 months.”

Headline inflation in Australia was 3.5 per cent through 2021. That’s nothing compared to the United States, where inflation over the year to March hit a 41-year high of 8.5 per cent. That has prompted talk that US inflation is hurtling towards double-digit rates, if not there already.

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https://www.afr.com/politics/federal/too-early-to-call-but-demographics-are-trending-labor-s-way-20220411-p5acqg

Too early to call, but demographics are trending Labor’s way

You would be mad to bet against Morrison six weeks out. But a significant number of aspirational voters are sticking with Labor at the ages they normally begin to vote for the Coalition.

John Black

Apr 12, 2022 – 12.53pm

We’re now almost six weeks out from a May 21 election or four weeks out if you’re voting early. That’s a hint, folks, if you want the pain in your head to stop.

While the demographic and political cards are still stacked in support of Labor, Prime Minister Scott Morrison has already started to whittle away Labor’s early lead; from 55/45 a month ago, to 54/46 a week ago, to 53/47 on Monday. It happened in 2019 and, as I warned last column, it’s way too early to organise the sympathy cards for Morrison.

Opposition Leader Anthony Albanese is looking a little passive-aggressive on the campaign trail. Like it’s his turn to be PM because, as his Deputy Richard Marles keeps telling us, the other bloke is a shocking fibber.

Well, we all twigged to that a while back Dick. But it kind of comes with the job, and now it’s Albanese’s net satisfaction scores which are sliding back into negative territory. So, plan B may be called for some time soon here Albo, starting with learning the current economic stats.

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https://www.theage.com.au/property/news/what-happened-last-time-house-prices-fell-and-is-this-time-different-20220412-p5acv3.html

What happened last time house prices fell, and is this time different?

By Elizabeth Redman

April 13, 2022 — 12.01am

Talking points

·         The property market’s last significant downturn was from 2017 to 2019.

·         Property values fell about 10 per cent across the capital cities, and about 15 per cent in Sydney.

·         Economists expect prices to turn down again, and the size of the falls could be roughly similar. 

Property listings

House prices could fall by a similar amount to their last major correction if new Reserve Bank modelling comes to pass, but interest rate rises will hit households harder than in the past, economists warn.

The central bank last week flagged that a two percentage point increase in interest rates could lower housing prices by about 15 per cent over two years.

A fall of that magnitude would be similar to what many major economists expect, as the cash rate is widely tipped to start rising as early as June, making new buyers’ mortgage repayments more expensive and reducing the amount they could borrow.

Property prices barely fell in 2020 as the coronavirus crisis hit, but their previous downturn from 2017 to 2019 came when the bank regulator made it harder to get loans for investors or interest-only borrowers.

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https://www.theaustralian.com.au/nation/politics/welfare-groups-slam-labors-lack-of-commitment-to-increase-jobseeker/news-story/36226d65700567f9e5ece31993e2e274

Welfare groups slam Labor’s lack of commitment to increase JobSeeker

Stephen Lunn

6:30AM April 13, 2022

Labor has dumped plans to independently review the rate of JobSeeker payments for out-of-work Australians and will not commit to increasing unemployment benefits if Anthony Albanese wins government next month.

The policy position, revealed by assistant Treasury spokesman ­Andrew Leigh at an Australian Council of Social Service forum on Tuesday, left welfare groups “deeply disappointed.”

Dr Leigh told the forum that, while he accepted it would be “a challenge” to live on the Jobseeker payment of $46 a day, Labor was examining a broader range of policies to ease cost-of-living pressures for poorer Australians.

The move to dump an independent unemployment benefit review – Labor’s policy since 2019 – comes after Anthony Albanese ­repeatedly denounced attempts to wind down inflated JobSeeker rates during the pandemic and said recently he would consider boosting the payment in “every budget”.

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https://www.afr.com/companies/financial-services/investors-increasingly-fear-a-debt-crisis-in-emerging-markets-20220412-p5acue

Investors increasingly fear a debt crisis in emerging markets

There are concerns that rising US interest rates with a stronger dollar, and soaring food and energy prices, could trigger trouble.

Karen Maley Columnist

Apr 13, 2022 – 5.00am

Emerging market funds are being hit with increased withdrawals as investors worry that soaring food and oil prices will fuel social and political tensions, while rising United States interest rates will make it harder for cash-strapped governments to meet hefty debt repayments.

For the past few decades, investment managers have touted the benefits of investing in emerging markets, claiming that their higher economic growth rates translate into bigger opportunities local companies, and that falling trade barriers would improve their access to developed markets.

But returns have been disappointing over the past decade. Most emerging market index-linked funds have delivered average annual returns of less than 4 per cent over the 10-year period.

But investors fear that the outlook is becoming even bleaker for emerging markets, as Russia’s invasion of Ukraine is propelling food and energy costs even higher, at a time when the US central bank is pushing up interest rates, which has caused global financing conditions to tighten.

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https://www.afr.com/politics/federal/better-the-devil-you-know-undecided-voters-lean-towards-pm-20220413-p5ad3u

‘Better the devil you know’: Undecided voters lean towards PM

Phillip Coorey Political editor

Apr 14, 2022 – 5.00am

Australia’s undecided voters are leaning towards Scott Morrison in the belief he is the least bad option come the May 21 election.

Focus group research conducted exclusively for The Australian Financial Review finds views of Mr Morrison are largely, but not entirely negative, but Labor leader Anthony Albanese is regarded as dull, disinterested, uninspiring and too negative.

He remains dangerously ill-defined just over five weeks from polling day.

The lack of understanding about who Mr Albanese is and what he stands for, has exacerbated the damage caused by his inability on Monday to nominate the unemployment rate, the Reserve Bank of Australia cash rate and the current price of petrol.

One western Sydney voter who previously voted Labor dismissed him as “gap filler”.

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https://www.afr.com/politics/federal/two-bad-eggs-why-the-election-is-too-close-to-call-20220411-p5acmp

‘Two bad eggs’: Voters undecided and underwhelmed

While undecided voters may be less than fond of Morrison, they are more than underwhelmed by the Labor leader.

Phillip Coorey and Andrew Tillett

Apr 14, 2022 – 5.00am

Early into Anthony Albanese’s ill-fated press conference on Monday, the Labor leader calmed the journalists who were yelling over each other in a bid to land a question.

“I’m not Scott Morrison,” Albanese said. “I don’t run away from press conferences. Do it in order. Everyone will get one.”

About five minutes and 10 questions after this statement of virtue, there was a mushroom cloud rising above Labor’s campaign. Albanese, under repeated questioning, was unable to nominate the Reserve Bank official cash rate, the unemployment rate, or the current price of petrol.

Two days later, he began cutting his press conference short. Only on the night of May 21 will we know how damaging the economic data blunder was. If Labor loses, it will be regarded as a seminal moment in the campaign. If Labor wins, it will be about how Albanese managed to, as he has vowed, “shake it off”.

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https://www.smh.com.au/politics/federal/labor-s-urgent-care-clinics-not-costed-by-pbo-gallagher-reveals-20220415-p5adnw.html

Labor’s urgent care clinics not costed by PBO, Gallagher reveals

By Dana Daniel

April 15, 2022 — 8.30am

Labor finance spokesperson Katy Gallagher has revealed Labor’s plan to trial Medicare urgent care clinics has not been costed by the Parliamentary Budget Office, contradicting leader Anthony Albanese.

Gallagher tweeted that, “for the avoidance of any confusion”, the policy had not been “formally costed by the PBO”, although Labor’s estimate that it would cost $135 million over four years was “based on work done by the PBO”.

Albanese said on Wednesday, responding to media questions about the urgent care plan’s $135 million price tag - which translates to $675,000 a year across 50 urgent care clinics open 14 hours a day: “This has been fully costed by the Parliamentary Budget Office.

“One of the things I’m being careful to do is all of the policies that we’ve put out are fully costed,” the opposition leader said.

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https://www.smh.com.au/politics/federal/economic-nirvana-just-0-01-per-cent-away-20220414-p5adf1.html

Economic nirvana just 0.01 per cent away, but what will it cost us?

By Shane Wright

April 14, 2022 — 4.51pm

Australian economic nirvana is within reach – 0.01 per cent to be exact.

The unemployment rate as recorded by the Australian Bureau of Statistics in March was 3.95 per cent. (Due to rounding, the official figure is 4 per cent.) If the rate had been just 0.01 per cent lower, the government and almost everyone else would be talking about the nation’s first sub-4 per cent jobless rate since the early 1970s.

The figure, the best since the bureau started collating unemployment every month, by itself is almost meaningless (although Labor leader Anthony Albanese may beg to differ).

In context, it means far more than just the 13.3 million people in work.

It represents policy success. That policy is measured in the hundreds of billions of dollars pumped into the economy by Scott Morrison’s government to deal with the COVID-19 recession.

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https://www.smh.com.au/business/the-economy/digital-revolution-is-leaving-economists-scratching-their-heads-20220414-p5adm2.html

Digital revolution is leaving economists scratching their heads

Ross Gittins

Economics Editor

April 15, 2022 — 11.30am

There should be a law against holding election campaigns while people are trying to enjoy their Easter break. So let’s forget politics and think about the strange ways the economy is changing as the old industrial era gives way to the post-industrial, digital era.

The revolution in information and communications technology is working its way through the economy, changing the way it works. The markets for digital products now work very differently from the markets for conventional products.

So, a growing part of the economy consists of markets that don’t fit the assumptions economists make in their basic model of markets, as Diane Coyle, an economics professor at Cambridge University, explains in her book, Cogs and Monsters.

And the way we measure the industrial economy – using the “national accounts” and gross domestic product – isn’t designed to capture the new range of benefits that flow from digital markets.

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https://www.afr.com/politics/morrison-recommits-coalition-to-dumped-ir-reforms-20220416-p5adwg

Morrison recommits Coalition to dumped IR reforms

Michael Read and David Marin-Guzman

Apr 16, 2022 – 1.50pm

Prime Minister Scott Morrison has set the scene for an election fight on industrial relations, after recommitting the Coalition to its dumped push to revive the enterprise bargaining system and strike-proof major resources projects.

Mr Morrison confirmed on Saturday he was still committed to reforms in the policy areas of the government’s “omnibus” industrial relations bill that it was forced to jettison last year in the face of Labor and crossbench opposition.

The dumped changes included relaxing requirements for approving collective agreements, extending workplace deals for major projects to eight years, simplifying extra hour requirements for part-time workers and criminalising underpayments.

Asked on Saturday whether the measures in the dumped bill were still government policy, Mr Morrison said “absolutely”.

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COVID 19 Information

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https://www.theage.com.au/national/nsw/australia-s-first-xe-infection-detected-in-nsw-as-virologists-keep-eye-on-sub-variants-20220414-p5adjo.html

Australia’s first XE infection detected in NSW as virologists keep eye on sub-variants

By Mary Ward

April 14, 2022 — 4.40pm

NSW health authorities have reported Australia’s first case of the XE coronavirus infection, however new sub-variants being detected in Africa and Europe may be a cause for greater concern when mandatory tests for international arrivals are scrapped next week.

The case of XE, which is a merging of Omicron’s BA.1 and BA.2 sub-variants known as a “recombinant”, was detected in a recently returned overseas traveller last week.

While the World Health Organisation has said XE may be 10 per cent more transmissible than the BA.2 variant, there is no evidence abroad that it has led to more severe disease. However, virologists were concerned by the development of Omicron’s BA.4 and BA.5 sub-variants, which have been reported in growing numbers in France and South Africa.

The bulk of XE infections have been reported in the UK, particularly in the south-east of England. Other cases have been detected around the globe, usually in international travellers.

A recombinant infection occurs when two separate virus strains merge, forming a new, single strain.

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https://www.theaustralian.com.au/world/shanghai-residents-clash-with-covid-cops/news-story/1be08066a4d7919219d73e379beeb17b

Shanghai residents clash with Covid cops

Will Glasgow

6:41PM April 15, 2022

Police have clashed with residents in Shanghai as Chinese President Xi Jinping’s hardline “Covid zero” policy pushes the country’s biggest city to near breaking point.

Hordes of police in white medical uniforms tackled screaming residents after they protested against a government plan to turn part of their apartment complex into a quarantine station.

The dramatic confrontation underlined the intensely ideological environment in China today.

In one video of the skirmish, a policeman told an arrested woman that America was to blame for the violence in Shanghai, now in its third week of a ­severe citywide lockdown.

“The international situation has led to this!” he shouted in the video, which was soon scrubbed from China’s internet. “We will soon be at war with America! Don’t you understand? We have no option! Now only the communist party can save China!”

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Climate Change.

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https://thenewdaily.com.au/finance/finance-news/2022/04/14/climate-change-election-alan-kohler/?breaking_live_scroll=1

6:00am, Apr 14, 2022 Updated: 1h ago

Alan Kohler: It’s not the economy, stupid, it’s climate change

Alan Kohler

Anthony Albanese would have spent the past three nights in his hotel rooms staring, red-eyed, at the Australian Bureau of Statistics website, memorising economic data; he will now presumably be a statistical encyclopedia, an economic savant.

Not knowing the unemployment rate on Monday was a genuine shocker, from which it will be hard to recover, and should be.

Moreover, by saying unemployment is 5 point um, er, 4, instead of the 4 per cent that it is, the Opposition Leader was showing that he’s been paying too much attention to the popular media, because he seems to think things are worse than they are.

The government can’t decide either, telling us how good things are while compensating us with cash and cheaper petrol for how bad things are. No wonder there’s confusion about.

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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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https://www.smh.com.au/politics/federal/the-economy-s-in-astonishing-shape-but-not-all-voters-feel-it-and-neither-party-is-confronting-the-deeper-questions-20220410-p5acdm.html

The economy’s in astonishing shape but not all voters feel it - and neither party is confronting the deeper questions

Jo Masters

Contributor

April 11, 2022 — 5.00am

Australians will go to the polls on May 21 with the economy in astonishingly good shape. Despite what may feel to voters like a long period of crisis and challenge, the past couple of years have left minimal economic scarring.

Growth is nearly double what it was in the three years before the pandemic, at 4.2 per cent across 2021. When pens last struck federal ballot papers in May 2019 economic growth was at 1.7 per cent. This time, the economy is roaring with a jobs-led recovery pushing unemployment to a 14-year low.

In fact, leading indicators suggest we’re about to see the lowest unemployment rate since the early 1970s, which means the healthiest job market ever for the 8.8 million voters under the age of 50.

Importantly, it is a more inclusive labour market – female unemployment is at record lows and participation rate at record highs. Youth unemployment is at the lowest level since March 2008.

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https://www.smh.com.au/business/the-economy/going-ahead-with-stage-3-tax-cuts-would-be-irresponsible-20220410-p5acc4.html

Going ahead with stage 3 tax cuts would be irresponsible

Ross Gittins

Economics Editor

April 10, 2022 — 10.00pm

Whichever side wins the election will inherit a serious budget problem, one caused to a large extent by a single, irresponsible decision: to legislate years ahead of time for hugely expensive tax cuts in July 2024. Turns out they will be “unfunded”.

No one who professes to be terribly worried about the federal government’s huge and still-growing debt is genuine in their concern unless they’re prepared to pay a price for it: forgoing the tax cut that can no longer be afforded. Allowing the cut to happen will add significantly to the budget deficit and the further growth in our debt.

People who own a business that’s running at a loss, so to speak, shouldn’t be awarding themselves a pay rise that adds to the annual loss.

Putting it more formally, it was fully justified for the Rudd government to borrow heavily to cover the temporary measures that kept us out of the global financial crisis, just as it was fully justified for the Morrison government to borrow heavily to cover the temporary measures that saved life and limb during the worst of the pandemic.

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Health Issues.

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https://www.theaustralian.com.au/nation/reform-is-a-must-for-health-system-ama/news-story/9034c3f96a37185473f035a0cd057c75

Reform is a must for health system: AMA

Stephen Rice

12:40AM April 11, 2022

In a move aimed at pushing health issues to the forefront of the election, the Australian Medical ­Association has delivered a list of urgent policy demands to Scott Morrison and Anthony Albanese, warning both that their promises will be “score-carded” at the end of the campaign.

In a blueprint sent to both leaders on Friday, the AMA sets out the areas of the health system it says must be reformed “for Australia to maintain its standing as a provider of world-class healthcare”.

AMA president Omar Khorshid said he was effectively giving notice to the Prime Minister and the Opposition Leader of what the AMA would be campaigning for throughout the term of the new government.

“What’s different this year is we’ve just been through a pandemic where Australians have ­become very aware of the state of our public health system and just how precarious it is. But we’re in this very strange situation where neither party wants to talk about health, despite it being very high in the minds of average Australians,” he said.

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https://www.theaustralian.com.au/world/the-times/mushrooms-magic-compound-latest-hope-to-relieve-depression/news-story/ecbb8acd494e4be8df01190e3d6e2218

Mushrooms’ magic compound latest hope to relieve depression

By Rhys Blakely

The Times

April 12, 2022

A psychedelic compound found in mushrooms could “rewire” the brain to treat depression more effectively than conventional drugs, a study has suggested.

Its results show how psilocybin, a hallucinogen largely shunned by mainstream researchers since the 1960s, creates new connections between brain regions. This appears to allow patients to snap out of a pattern of brain activity associated with negative thoughts.

Increases in connectivity, revealed by MRI scans, were seen in people who underwent therapy sessions that included doses of synthetic psilocybin that caused intense but carefully monitored “trips”.

While each trip lasted for a matter of hours, changes in brain configuration endured for weeks and psilocybin was found to be significantly more effective in reducing depressive symptoms than escitalopram, a widely used antidepressant.

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https://www.theaustralian.com.au/nation/politics/election-2022-doctors-slam-health-plan-as-super-clinics-lite/news-story/e5c43aaed6077fe3629ba55ca19ecd94

Election 2022: Doctors slam health plan as super clinics lite

Sarah Ison

7:46PM April 13, 2022

Labor’s first major health announcement of the campaign has been slammed by the peak medical body and other experts, who want more “broad reform” rather than a policy reminiscent of Kevin Rudd’s failed “super clinics”.

Anthony Albanese in Melbourne said Labor would trial 50 urgent care clinics that would run seven days a week from 8am to 10pm and offer bulk-billed treatments for non-life threatening conditions at a cost of $135m over four years.

Just over 67.6 per cent of patients had all GP visits bulk-billed in 2020-21, according to the Productivity Commission’s Report on Government Services 2022.

It follows Mr Rudd taking a similar policy to the 2007 election for 32 General Practice Super Clinics, with another 33 clinics announced over the next three years, aiming to bring together GPs, nurses, psychologists and other specialists into one location.

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https://www.smh.com.au/national/queensland/the-true-toll-on-australia-s-stroke-sufferers-revealed-20220414-p5adfx.html

The true toll on Australia’s stroke sufferers revealed

By Stuart Layt

April 15, 2022 — 1.01am

More needs to be done to support people in the wake of a stroke, experts say, as new research reveals two-thirds of acute stroke patients don’t live for more than a decade after their first occurrence.

Researchers from the University of Queensland analysed the data of every stroke patient admitted to hospital in Australia and New Zealand between 2008 and 2017, a cohort of more than 300,000 patients.

A disturbing trend emerged – study leader, UQ epidemiologist Dr Yang Peng, said only 36.4 per cent of patients survived beyond 10 years of their initial stroke.

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https://www.afr.com/politics/federal/pm-locks-in-post-election-team-puts-anne-ruston-in-health-20220417-p5adyx

PM locks in post-election team, puts Anne Ruston in Health

Phillip Coorey Political editor

Apr 17, 2022 – 8.48am

Scott Morrison has locked in his key post-election ministerial positions by announcing South Australian Senator Anne Ruston will replace Greg Hunt as the Minister for Aged Care and Health.

Senator Ruston, who has been the Minister for Families and Social Services since 2019, will be the first senator to hold the Health portfolio since Kay Patterson 20 years ago during the Howard government.

Her appointment enables Mr Morrison to continue the remaining five weeks of the election campaign without having to deal with questions about Mr Hunt’s replacement when the country is yet to emerge fully from the coronavirus pandemic.

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International Issues.

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https://www.afr.com/world/asia/fallout-from-ukraine-threatens-the-g20-s-future-20220410-p5acea

Fallout from Ukraine threatens the G20’s future

If the group becomes impotent, Washington urgently needs to find other ways to engage with emerging market players.

Gillian Tett Contributor

Apr 10, 2022 – 1.46pm

In the last decade, the geopolitical club known as the Group of 20 (G20) has seemed like an idea that is worthy — but dull.

During the 2008 financial crisis, the doughty group (which represents 80 per cent of the global economy) briefly found fame and relevance by forging a collective response to quell the crisis. Since then, it has championed sensible reforms in areas such as financial regulation.

But the club is so big and consensus-driven that it has become unwieldy. And its meetings — and communiqués — tend to be achingly bland, particularly when the finance ministers get involved.

This is no longer the case, though. Later this month, on April 20, G20 finance ministers are supposed to meet in Washington. However, a spicy drama is currently erupting of the type that might more normally be found in a high school canteen.

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https://www.afr.com/policy/foreign-affairs/globalisation-is-over-the-global-culture-wars-have-begun-20220410-p5acca

Globalisation is over. The global culture wars have begun

Instead of the world converging around Western democratic values, it’s now diverging as more nations seek to make their countries great again in their own way.

David Brooks

Apr 10, 2022 – 2.05pm

I’m from a fortunate generation. I can remember a time – about a quarter-century ago – when the world seemed to be coming together. The great Cold War contest between communism and capitalism appeared to be over. Democracy was still spreading. Nations were becoming more economically interdependent. The internet seemed ready to foster worldwide communications.

It seemed as if there would be a global convergence around a set of universal values – freedom, equality, personal dignity, pluralism, human rights.

We called this process of convergence globalisation. It was, first of all, an economic and technological process – about growing trade and investment between nations and the spread of technologies that put, say, Wikipedia instantly at our fingertips. But globalisation was also a political, social and moral process.

In the 1990s, British sociologist Anthony Giddens argued that globalisation is “a shift in our very life circumstances. It is the way we now live.” It involves “the intensification of worldwide social relations”. Globalisation was about the integration of world views, products, ideas and culture.

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https://www.afr.com/world/europe/russia-masses-force-for-new-attack-civilians-flee-20220411-p5acit

Putin names ‘brutal’ new general to lead the war

Andrew Hobbs

Updated Apr 11, 2022 – 10.01am, first published at 8.44am

Russia has tapped a new Ukraine war commander to take centralised control of the next phase of battle after its costly failures in the opening campaign and carnage for Ukrainian civilians. US officials don’t see one man making a difference in Moscow’s prospects.

President Vladimir Putin turned to General Alexander Dvornikov, 60, one of Russia’s most experienced military officers and – according to US officials – a general with a record of brutality against civilians in Syria and other war theatres. Up to now, Russia had no central war commander on the ground.

The general’s appointment was confirmed by a senior US official who was not authorised to be identified and spoke on condition of anonymity.

But White House national security adviser Jake Sullivan said, “no appointment of any general can erase the fact that Russia has already faced a strategic failure in Ukraine”.

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https://www.afr.com/world/europe/russia-masses-force-for-new-attack-civilians-flee-20220411-p5acit

Ukraine’s economy to halve, Russia’s to shrink, thanks to war

Bloomberg

President Vladimir Putin’s invasion of Ukraine will cause that country’s economy to contract by almost half -- or 45.1% -- this year, while Russia’s will shrink by 11.2%, according to the World Bank.

Emerging market and developing economies in Europe and Central Asia are projected to decline by a combined 4.1% this year, twice the drop triggered by the onset of the Covid-19 pandemic in 2020, the World Bank said in its spring forecasts published on Sunday. It said the estimates are subject to considerable uncertainty.

“This is the second major shock to hit the regional economy in two years and comes at a very precarious time for the region, as many economies were still struggling to recover from the pandemic,” World Bank Regional Vice President Anna Bjerde said on a conference call.

Aside from emerging Europe, the war is reverberating through commodity and financial markets, as well as trade and migration links, adding to concerns of a sharp global economic slowdown, spiralling inflation, and growing debt, the World Bank said.

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https://www.afr.com/world/europe/macron-faces-the-fight-of-his-life-to-win-french-election-20220411-p5acjs

Macron faces the fight of his life to win French election

A Le Pen victory would plunge the 27-nation EU into turmoil just when the US and its allies are locked in a struggle over Ukraine.

Tony Barber Contributor

Apr 11, 2022 – 9.44am

In Révolution, a book he published six months before winning France’s 2017 presidential election, Emmanuel Macron wrote that if the French people did not pull themselves together, the far right would be in power in five or 10 years’ time.

This alarming prospect, though not the most likely outcome of the 2022 election, now appears closer to becoming reality than at any point in the Fifth Republic’s 64-year history.

After the election’s first round on Sunday, Macron and the far-right Marine Le Pen will meet in the April 24 knockout contest. The same pair fought it out in 2017. But all opinion polls point to a much closer contest than the crushing 66 to 34 per cent triumph that Macron achieved five years ago.

A victory for Le Pen would have repercussions far beyond France. It would be a shattering blow to liberal democracy in the Western world and plunge the 27-nation EU into turmoil just when the US and its allies are locked in a struggle over Ukraine with President Vladimir Putin’s nationalist, authoritarian Russia.

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https://www.theaustralian.com.au/commentary/ukraine-invasion-china-make-new-cold-war-a-far-more-chilling-nuclear-scenario/news-story/0ea0d04035c6c89a7113afb7c1165852

Ukraine invasion, China make new Cold War a far more chilling nuclear scenario

Paul Dibb

12:00AM April 11, 2022

Since the end of the Cold War 30 years ago, we have become used to the idea that nuclear war is no longer a credible risk. Now, because of Russia’s outright war on Ukraine and Beijing’s rapid development of its military capabilities to be the second-strongest military force in the world, many commentators are talking about the onset of a second Cold War.

But the current era promises to be less predictable even than the Cold War. This is because – unlike in the Cold War – the Americans and the Russians have almost completely stopped talking to each other about nuclear arms control agreements and nuclear confidence-building measures.

These days, America and Russia do not have the same web of highly detailed arms control agreements, the use of hotlines by the leaders to respond to emergencies, frequent meetings at the highest levels of their military and intelligence experts, as well as a set of comprehensive ways of signalling dangerous no-go zones to each other.

In my experience, Pine Gap played a critical role in providing Washington with highly classified intelligence about the Soviet Union’s nuclear forces and their compliance with US-Russia arms control agreements.

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https://www.theaustralian.com.au/world/nato-rises-to-australias-asiapacific-challenge-with-more-cooperation/news-story/52d8cab5c0b22de3f0dc01edfcde538f

NATO rises to Australia’s Asia-Pacific challenge with more co-operation

Jacquelin Magnay

5:38PM April 8, 2022

NATO has agreed to an Australian request to step up co-operation in the Asia-Pacific region, including in areas of maritime ­security, noting that China’s unwillingness to condemn Russia’s aggression in Ukraine poses “a ­serious challenge”.

NATO Secretary-General Jens Stoltenberg said the alliance would provide further support to its partners Australia, Japan, New Zealand and South Korea in critical areas such as cyber and new technology, as well as countering dis­information.

“We will also work more closely together in other areas such as maritime security, climate change, and resilience,’’ he said.

Mr Stoltenberg included the Asia-Pacific concerns high in his closing remarks after two days of meetings at NATO headquarters in Brussels, which included a ­bilateral meeting with Australian Foreign Minister Marise Payne on Wednesday and a NATO foreign ministers meeting on Thursday attended by Ukrainian For­eign Minister Dmytro Kuleba.

Mr Stoltenberg also said that the increasing co-operation in the Asia-Pacific was needed because what is happening in Ukraine is being closely watched around the world.

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https://www.afr.com/world/europe/not-a-friendly-meeting-austrian-chancellor-s-shock-visit-to-putin-20220412-p5acrj

Putin jails spy chief for leaking war plans

The Telegraph UK

Moscow | Vladimir Putin has thrown a top spy chief in prison amid concern over apparent leaks to the US about Russia’s plans in Ukraine, according to reports.

A report on Monday suggested that Colonel General Sergei Beseda, head of the FSB’s foreign intelligence unit, has been taken to Moscow’s high-security Lefortovo prison, typically used for those suspected of treason.

In the weeks preceding the invasion, US media repeatedly quoted intelligence sources that seemed to have particular insights into the Kremlin’s preparations for the upcoming war.

Andrei Soldatov, a well-respected journalist and author known for his work covering Russian intelligence, quoted several unnamed sources who said Mr Beseda, 68, had been transferred to Lefortovo after he was detained and placed under house arrest last month on suspicion of embezzlement.

While the charges against Mr Beseda are unknown, Mr Soldatov quoted sources in Russian intelligence as saying that the case was initially handled by the internal security service before it was taken over by Russia’s military counter-intelligence. “The only thing they deal with is looking for spies,” Mr Soldatov said yesterday.

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https://www.afr.com/world/europe/not-a-friendly-meeting-austrian-chancellor-s-shock-visit-to-putin-20220412-p5acrj

Ukraine war marks start of battle for world order: Ray Dalio

Timothy Moore

In a new LinkedIn post, billionaire hedge fund manager Ray Dalio said he views the battle for control of Ukraine as “the first battle in what will be a long war for control of the world order”.

Dalio earlier wrote a book - Principles for Dealing with the Changing World Order - to argue his view of what’s happening globally.

It’s not yet clear what the outcome of Russia’s invasion of Ukraine will be, however, Dalio details what a win and a loss would look like, potentially, for Vladimir Putin and Russia.

“If Putin and Russia a) get tangible assurances that Ukraine is incapable of being a threat to Russia along with the de facto independence of or Russian control over the eastern provinces of Luhansk and Donetsk, with b) sanctions on Russia that are tolerable, and c) Putin remains in power, then he will have gotten what he wanted at an acceptable cost, and hence it should be scored as his win.

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https://www.smh.com.au/business/markets/money-mirage-russia-s-rouble-rebound-is-not-quite-what-it-seems-20220411-p5achs.html

Money mirage: Russia’s rouble rebound is not quite what it seems

By Reuters

April 12, 2022 — 5.00am

Six weeks after Russia sent troops into Ukraine, the rouble has staged an apparently extraordinary recovery, but all is not what it seems and the exchange rate used in everyday transactions is sometimes very different to the official one.

The rouble’s swift rebound on the Moscow Exchange to levels seen before February 24 is being touted in state media and by some government officials as evidence that authorities have got a firm grip on the country’s finances despite being battered by the toughest Western sanctions ever.

“Our economy appears to be resilient to Western sanctions, the rouble is firming visibly,” a state TV presenter said on Friday.

The rouble rallied past 72 to the dollar on Friday , its strongest level so far this year, heading away from a record low of 121.52 it hit on March 10. Analysts polled by Reuters in late March expected the rouble to trade at 97.50 to the greenback in 12 months’ time.

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https://www.smh.com.au/world/europe/putin-fan-club-ascendant-in-three-european-elections-why-the-west-should-worry-20220411-p5acn3.html

Putin fan club ascendant in three European elections: why the West should worry

Peter Hartcher

Political and international editor

April 12, 2022 — 5.00am

What do the prominent far-right politicians Marine Le Pen of France, Viktor Orban of Hungary and Aleksandar Vucic of Serbia have in common? All three have fought elections this month, and all three have done better than they did in their previous election contests.

Two of them, the incumbent leaders Orban and Vucic, were returned to power with increased shares of the vote. The third, Le Pen, won an enlarged share of the vote in the first round of the French presidential election on the weekend compared with her first-round performance five years earlier, and now confronts Emmanuel Macron in the run-off for the presidency on April 24.

One of the world’s most notorious xenophobes, Le Pen now is closer to the presidency than she ever has been. With 96 per cent of the votes counted, she had 24 per cent and Macron 27.4. The run-off is projected to be tight. Note that this is now a contest between the French right and the far right.

One other striking factor that the trio have in common: all are long-standing admirers of Russian President Vladimir Putin. And the feeling is mutual.

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https://www.theaustralian.com.au/world/the-times/putin-sacks-spies-and-jails-head-of-ukraine-agents/news-story/225a8ee2dff174ab9df8ef0c5762fed5

Putin sacks spies and jails head of Ukraine agents

By Tom Ball

The Times

April 12, 2022

A Stalinist purge of Russian secret intelligence is under way after more than 100 agents were sacked and the head of the department responsible for Ukraine was jailed.

In a sign of President Putin’s fury over the failures of the invasion, about 150 Federal Security Bureau (FSB) officers have been dismissed and some have been arrested.

All of those ousted were employees of the Fifth Service, a division set up in 1998, when Putin was director of the FSB, to carry out operations in countries of the former Soviet Union to keep them within Russia’s orbit.

Sergei Beseda, 68, the service’s former chief, has been sent to Lefortovo prison in Moscow, having been placed under house arrest last month. The prison was used by the NKVD, the KGB’s predecessor, for torture during Stalin’s Great Purge of the 1930s.

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https://www.theaustralian.com.au/world/the-times/nordic-states-set-to-join-nato-as-soon-as-june/news-story/1973d1daa16a672e7efc6432eeddc14b

Nordic states set to join NATO as soon as June

By Bruno Waterfield And Charlie Parker

The Times

12:32PM April 11, 2022

Russia has made a “massive strategic blunder” as Finland and Sweden look poised to join NATO as early as June, according to officials.

Washington is banking on the move that will stretch Russia’s military and enlarge the western alliance from 30 to 32 members as a direct consequence of President Vladimir Putin’s invasion of Ukraine.

US officials said NATO membership for both Nordic countries was “a topic of conversation and multiple sessions” during talks between the alliance’s foreign ministers last week attended by Sweden and Finland. “How can this be anything but a massive strategic blunder for Putin?,” one senior American official said.

Finland’s application is expected in June, with Sweden expected to follow.

Finish Prime Minister Sanna Marin said it was time for Finland seriously to reconsider its stance on NATO. “Russia is not the neighbour we thought it was,” she said at the weekend, urging the decision to be taken “thoroughly but quickly”.

She added: “I think we will have very careful discussions, but we are also not taking any more time than we have to in this process, because the situation is, of course, very severe.”

Sweden is carrying out a security policy review that will finish by the end of next month, mirroring the Finnish timetable. “I do not exclude NATO membership in any way,” Magdalena Andersson, the Swedish Prime Minister, said two weeks ago.

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https://www.afr.com/world/europe/peace-talks-with-ukraine-are-at-a-dead-end-putin-20220413-p5ad2g

Peace talks with Ukraine are at ‘a dead end’: Putin

Anton Troianovski

Apr 13, 2022 – 3.15am

President Vladimir Putin said peace talks with Ukraine had reached a “dead end” and called the evidence of Russian atrocities in the Kyiv suburb of Bucha “fake”, using his first extended remarks about the war in nearly a month to insist that Russia would persist with its invasion.

Speaking at a news conference at a spaceport in Russia’s Far East, Putin said that Ukraine had changed its position after the round of peace talks held in Istanbul on March 29 to one that was no longer acceptable to the Kremlin.

While there were indications that Ukraine had this week again adopted a more constructive stance, Putin said, Russia’s “military operation will continue until its full completion” and its goals are met.

Those goals, he said, centred on the Donbas region in eastern Ukraine, where Ukrainian and Western officials expect that Russia will soon mount an intense offensive.

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https://www.smh.com.au/world/europe/what-china-is-learning-from-the-russo-ukraine-war-and-what-it-means-for-the-west-20220412-p5acv6.html

What China is learning from the Russo-Ukraine war and what it means for the West

Mick Ryan

Military leader and strategist

April 13, 2022 — 5.00am

The reunification of Taiwan with mainland China has been a feature of many speeches made by President Xi Jinping of China. Indeed, in his 2022 New Year speech he noted “the complete reunification of our motherland is an aspiration shared by people on both sides of the Taiwan Strait. I sincerely hope that all the sons and daughters of the Chinese nation will join forces to create a brighter future for our nation.”

The past 47 days will have been a profound learning opportunity for Xi and the People’s Liberation Army in their quest to return what they view as a rebellious province. It is important to understand the nature of the lesson that the Chinese Communist Party leadership might take from Russia’s invasion of Ukraine.

Of course, caveats apply to such observations. Our Western orientation often means we project our own thoughts and preferences onto those we don’t understand. Noting that danger, we should at least attempt to divine what lessons Xi might take from Ukraine. Because in appreciating where the Chinese may learn and adapt, we also inform our national security strategies and military modernisation programs.

While there are many military lessons from Ukraine, the key ones for Xi will be political.

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https://www.theaustralian.com.au/business/us-inflation-at-its-highest-since-1981/news-story/22a2f7f8c23c365bee2ea95687adb39e

US inflation at its highest since 1981

Adam Creighton

6:46AM April 13, 2022

US inflation has climbed to 8.5 per cent, the highest level since 1981, worsening an already major political problem for Joe Biden and paving the way for a double whammy interest rate increase by the Federal Reserve within weeks.

A near 20 per cent jump in the price of petrol in March, as Russia’s invasion of Ukraine pushed the global oil price well above $US130 a barrel, saw consumer prices rise 1.2 per cent in March, among the sharpest monthly rates of increase in decades.

“The Russia-Ukraine war has added further fuel to the blazing rate of inflation via higher energy, food, and commodity prices that are turbo charged by a worsening in supply chain problems,” said Kathy Bostjancic, chief US economist for Oxford Economics.

The annual rate of US inflation has been above 5 per cent every month since May last year, rising to a peak of 7.9 per cent in February, ahead of the latest March record, as price increases spread across a greater range of goods and services, creating a political and economic crisis.

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https://www.theaustralian.com.au/world/west-failing-in-its-bid-to-stop-vladimir-putins-ukraine-savagery/news-story/294892b4d71bda9d43213a17ee8a3bd5

West failing in its bid to stop Vladimir Putin’s Ukraine savagery

GREG SHERIDAN

6:20PM April 12, 2022

If it is confirmed that Russian forces have used chemical weapons in Ukraine, this represents a radical new threshold for Vladimir Putin.

It is a complete defiance of basic international norms.

It means the West has failed again to deter Putin.

More than a month of escalating Western sanctions against Russia, plus humiliation for Russian forces in Ukraine, enabled in part by increasing flows of Western weaponry, has not deterred Putin from escalating violence in eastern Ukraine, even as Russian forces pull back from Kyiv.

It may well be the worst is yet to come in this vicious war.

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https://www.thetimes.co.uk/article/russia-black-sea-flagship-burns-ukraine-missile-strike-xp5lfxk6c

Russia’s Black Sea flagship burns ‘after missile strike’

Charlie Parker

Thursday April 14 2022, 12.01am BST, The Times

The flagship of Russia’s Black Sea fleet was hit and seriously damaged by two Ukrainian missiles, officials in Odesa claimed last night.

The Moskva, a Slava-class cruiser with approximately 510 crew, was said to be on fire and in danger of sinking.

It was understood to have been hit by two Neptune anti-ship missiles launched by Ukrainian naval forces. The battery was hidden in or around the Ukrainian port city.

Stormy conditions apparently prevented Russian rescue boats from helping it as it burnt.

Maksym Marchenko, the regional governor in Odesa, said in a statement on the Telegram messaging service: “It has been confirmed that the missile cruiser Moskva today went exactly where it was sent by our border guards on Snake Island! Neptune missiles guarding the Black Sea caused very serious damage to the Russian ship. Glory to Ukraine!”

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https://www.economist.com/europe/2022/04/14/ukraine-claims-to-have-sunk-a-russian-warship

Ukraine claims to have sunk a Russian warship

It is the biggest naval loss since the second world war


Apr 14th 2022

KYIV AND LONDON

THREE YEARS ago The Economist’s defence correspondent was sailing back to Odessa on the Hetman Sahaidachny, then the flagship of Ukraine’s navy. A plaque in its wardroom honoured its former captains. Two names were scratched out—they had defected to Russia when it seized Crimea in 2014. In late February this year, as Russian forces approached once more, the Hetman Sahaidachny was scuttled in Mykolaiv, complete with its 1943-vintage gun.

Now Ukraine seems to have had its revenge. On April 14th Ukrainian officials said they had used Neptune anti-ship missiles to hit the Moskva, a 10,000-tonne Slava-class cruiser which was 60-65 nautical miles (111-120km) south of Odessa. The Moskva, commissioned in 1982, is—or, perhaps, was—the flagship of Russia’s Black Sea Fleet, which has its headquarters in occupied Crimea. It was a “venerable, battle hardened, major surface combatant” which participated in Russian wars in Georgia in 2008 and Syria in 2015, notes Alessio Patalano, a naval expert at King’s College London. “This is one of the most severe naval losses since the Falklands war” of 1982, he adds.

Russia’s defence ministry first acknowledged that the Moskva was “seriously damaged”, claiming that a fire had caused ammunition to detonate, but that the ship stayed afloat—a fact corroborated by the Pentagon. But magazine explosions tend to be devastating. Later it admitted that the Moskva had sunk. A Western official was unable to corroborate Ukraine’s claim, but described it as credible: “I am not aware previously of a fire on board a capital warship, which would lead to the ammunition magazine exploding.”

The strike is rich with symbolism. The ship was built in Mykolaiv, then a Soviet city but now a Ukrainian one which has repelled Russian ground assaults over the past month. It was also one of two warships that attacked Snake Island, west of Crimea, on February 24th, the first day of the war. When it ordered the tiny garrison there to surrender, the alleged reply—“Russian warship, go fuck yourself”—became an icon of national resistance, emblazoned on everything from T-shirts to postage stamps. The Moskva’s apparent loss was “a massively important military event”, said Oleksiy Arestovych, an adviser to Volodymyr Zelensky, Ukraine’s president, on social media. He cast it as the Russian navy’s biggest defeat since the second world war.
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https://www.smh.com.au/world/europe/flagship-missile-cruiser-moskva-has-sunk-russia-confirms-20220415-p5adnr.html

Flagship missile cruiser Moskva has sunk, Russia confirms

By Adam Schreck

April 15, 2022 — 6.13am

Kyiv: Russia’s Defence Ministry says the flagship of its Black Sea fleet sank while being towed to a port after being badly damaged.

Russian news agencies reported that the Moskva sank on Thursday, Moscow time, in a storm after being gutted by fire. The ministry previously said that the fire on the warship set off some of its weapons and forced the crew to evacuate.

Ukrainian officials said that the warship was hit by Ukrainian missiles late Wednesday off the Black Sea port of Odessa.

The warship named for the Russian capital was 60 to 65 nautical miles (110 to 120 km) south of the Ukrainian port when the fire ignited, and the vessel was still battling flames hours later while heading east, according to a Pentagon official.

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https://www.smh.com.au/business/the-economy/germany-s-addiction-to-russian-gas-could-make-it-a-global-pariah-20220414-p5addz.html

Germany’s addiction to Russian gas could make it a global pariah

By Ben Wright

April 15, 2022 — 8.05am

The German president is not welcome in Kyiv. Frank-Walter Steinmeier had been due to travel to the war-torn city yesterday but Volodymyr Zelensky, the Ukrainian president, told him not to bother.

This is partly personal. Steinmeier, who used to be his country’s foreign minister, has long advocated for Western rapprochement with Russia and was one of the main champions of the Nord Stream 2 gas pipeline project. He’s also a friend of Sergei Lavrov, the Russian foreign minister. Enough said.

But it’s partly political. Germany is coming under increasing pressure from both Ukraine and the global community to go further in its sanctions against Russia. Zelensky has repeatedly singled out Berlin as one of his least reliable allies. Perhaps fear of a frosty reception is one reason why Olaf Scholz, the German chancellor, has not yet travelled to Ukraine. The EU’s largest economy is fast losing moral authority.

Germany has come up with a flurry of reasons why an embargo of Russian oil and gas is a bad idea. Very few of them hold much water. The first is that it won’t end the war (no one is saying it will; the possibility of shortening it would be reason enough). The second is that Russia will simply sell its hydrocarbons to other willing customers (which is actually much harder than it sounds).

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https://www.theaustralian.com.au/commentary/putin-has-breathed-new-life-into-the-western-alliance/news-story/76f2eff76e105b0eb6c1e887f5899699

Putin has breathed new life into the Western alliance

Stephen Loosley

12:00AM April 14, 2022

Traditional Russian humour is a very effective means of dealing with adversity, particularly the abuses and absurdities inherent in what passes for governments in that benighted country.

One classic joke from the Soviet era tells a tale requiring no elabor­ation. Two dedicated communists are having an earnest discussion. One is worried about the future and asks his colleague, “Comrade, is it true we are standing in an abyss?” His colleague tries to be reassuring. “No, comrade. We were standing on the edge of an abyss, but then we took a great step forward.”

There are no jokes about the war in Ukraine. The Russian dead are already many and the horror of the war crimes committed by Vladimir Putin’s troops – orcs, as the Ukrainians call them – is only slowly emerging.

Australia is absolutely right to stand firmly and openly with Ukraine, and Bushmaster vehicles are impressive capability. Twenty Bushmasters have been specified to date and some have been dispatched, but a better and more symbolic place to start would be 38, representing a protected vehicle for every Australian citizen and resident murdered by the Kremlin’s drunken thugs when they shot down Malaysia Airlines flight MH17 in 2014. This would not only be appropriate but it also would serve to bind more closely the Ukrainian people with Australians.

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https://www.smh.com.au/world/europe/sinking-of-moskva-leaves-the-russian-navy-far-more-exposed-20220415-p5adp4.html

Sinking of Moskva leaves the Russian navy far more exposed

By Dr Sidharth Kaushal

April 15, 2022 — 11.41am

London: The sinking of the Moskva, which is the Russian navy Black Sea fleet’s flagship, has both symbolic and operational significance.

The ship sank on Thursday, Moscow time, while being towed after being badly damaged. Russia claims a fire onboard caused some weapons to fire and damaged the vessel, Ukraine says it hit it with missiles off the port of Odesa on Wednesday.

Beyond its symbolic role as the biggest naval combat loss in 40 years, the Moskva was the sole vessel in the fleet equipped with wide-area air defences.

These defences have allowed the Moskva, which was built in Ukraine during the Soviet era, to provide air cover to Russian other vessels during their operations, such as coastal bombardments and amphibious landings.

Without the Moskva, the fleet lacks vessels with a comparable air defence suite, and will find it riskier to conduct similar operations.

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https://www.afr.com/markets/equity-markets/us-stocks-lower-bond-yields-surge-on-rising-rate-bets-20220415-p5adnh

US stocks lower, bond yields surge on rising rate bets

Timothy Moore Online editor

Apr 15, 2022 – 5.23am

Information technology and communication services paced broad losses in the S&P 500, as bond yields soared, amid an ever widening consensus among policymakers for a 50-basis-point rate increase in May.

In an interview with Bloomberg, New York Fed boss John Williams said a half-point move “a reasonable option for us because the federal funds rate is very low. We do need to move policy back to more neutral levels”.

·         On Wall St: Dow -0.3% S&P 500 -1.2% Nasdaq -2.1%

·         In New York: BHP +0.03% Rio +0.1% Atlassian -5.3%

·         Tesla -3.7% Apple -3% Amazon -2.5% Microsoft -2.7%

The yield on the US 10-year note leapt 13 basis points to 2.83 per cent at 1.59pm in New York. The two year was at 2.45 per cent and the five year at 2.79 per cent. The US bond market closed early for the Easter break.

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https://www.afr.com/world/europe/moskva-sinking-is-strategically-important-former-us-general-20220416-p5adur

Moskva sinking is ‘strategically important’: former US general

Timothy Moore Online editor

Apr 16, 2022 – 8.06am

The sinking of Russia’s Black Sea flagship, the Moskva, is “strategically important” and adds to the widening Russian military failures within Ukraine, according to Mark Hertling.

Hertling, a retired US Army Lieutenant General and former commanding general of the US Army in Europe, said Russia was planning on having the Moskva play a key role in its pivot to southern and eastern Ukraine after having abandoned its effort to capture Kyiv.

It will be more difficult for Russia to move forward given the Moskva was “tasked to provide overall Fleet C2 (command and control), Air Defence (it is filled with different ADA systems), and it would have discharged Naval Infantry (Marines) during a planned amphib assault on the shores near Odesa”, Hertling said in a series of 14 tweets.

The loss of the ship, Hertling said, follows the destruction of the Russian Parachute Regiment (the famed “palace guard” VDV/Spetznaz) north of Kyiv during the first week of the war, and the loss of at least seven generals and an unlimited number of other senior officers.

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https://www.afr.com/world/europe/russia-warns-us-to-stop-sending-arms-to-ukraine-20220416-p5aduj

Russia warns US to stop sending arms to Ukraine

David E. Sanger

Apr 16, 2022 – 5.10am

Washington | Russia has sent a series of warnings to the Biden administration, including a formal diplomatic protest this week, demanding that it halt shipment of advanced weapons to Ukraine that could strike into Russian territory, or risk unspecified “unpredictable consequences”.

The diplomatic note, called a démarche, was sent through normal channels, two administration officials said, and was not signed by President Vladimir Putin or other senior Russian officials. But it was an indicator, one administration official said, that the weapons sent by the United States so far were having an effect.

It also suggested that the Russians were concerned about the new tranche of more sophisticated offensive weaponry, part of an $US800 million ($1.1 billion) package that President Joe Biden announced the day after the démarche was delivered by the Russian Embassy in Washington.

US officials said the tone of the note was consistent with a series of public Russian threats, including to target deliveries of weapons as they moved across Ukrainian territory.

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https://www.afr.com/world/europe/russia-may-be-in-default-says-moody-s-20220415-p5adti

Russia may be in default, says Moody’s

Guy Faulconbridge

Apr 15, 2022 – 7.36pm

London | Moody’s said Russia may be in default because it tried to service its dollar bonds in roubles, which would be one of the starkest consequences to date of Moscow’s exclusion from the Western financial system since President Vladimir Putin’s invasion of Ukraine.

If Moscow is declared in default, it would mark Russia’s first major default on foreign bonds since the years following the 1917 Bolshevik revolution, though the Kremlin says the West is forcing a default by imposing crippling sanctions.

Russia made a payment due on April 4 on two sovereign bonds - maturing in 2022 and 2042 - in roubles rather than the dollars it was mandated to pay under the terms of the securities.

Russia “therefore may be considered a default under Moody’s definition if not cured by 4 May, which is the end of the grace period,” Moody’s said in a statement on Thursday.

“The bond contracts have no provision for repayment in any other currency other than dollars.”

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https://www.smh.com.au/world/africa/south-africans-search-for-survivors-in-ruins-of-floods-that-killed-hundreds-20220416-p5adua.html

South Africans search for survivors in ruins of floods that killed hundreds

By Rogan Ward

April 16, 2022 — 3.10am

Durban: South Africans were searching for survivors on Friday of floods that killed almost 400 people, according to the latest tally, washing away homes and roads and leaving thousands without shelter, water and power.

The floods in Kwazulu-Natal Province have knocked out power lines, shut down water services and disrupted operations at one of Africa’s busiest ports. The death toll rose to 395 on Friday from an earlier estimate of 341.

Finance Minister Enoch Godongwana told TV station Newsroom Afrika that an initial 1 billion rand ($92.3 million) for emergency relief was available for immediate use, after the province was declared a disaster area.

Local authorities have estimated the damage at several billion rand and reported sporadic looting - in a city still recovering from a catastrophic outbreak of rioting and looting last July. Many of the worst-affected are in poor, unplanned, informal settlements vulnerable to flooding.

Authorities said about 13,600 people had been made homeless by the floods.

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https://www.news.com.au/world/europe/kremlin-supporters-claim-wwiii-has-been-triggered-by-the-sinking-warship-as-brutal-revenge-is-launched/news-story/3c0bfc1572ca355304d68c2cebb10974

Kremlin supporters claim WWIII has been triggered by the sinking warship as brutal revenge is launched

Russians have claimed World War III has been triggered by the sinking of its Black Sea warship as it launches brutal revenge for the Ukrainian victory.

Will Stewart and Jerome Starkey and The Sun

April 16, 2022 - 11:17AM

Russian state TV propagandists outrageously claimed World War III had begun as they ranted at the West after the sinking of prized warship Moskva.

Hundreds of sailors were believed to have died after 12,500-ton Moskva was hit by a devastating missile strike, The Sun reported.

There were rumours the missiles were provided by NATO supporters of Ukraine, and Britain has sent anti-ship weapons.

But sources insisted the Slava-class cruiser was sunk by Ukraine-made Neptune missiles after its radar was distracted by a Turkish-made Byraktar drone.

A Pentagon official briefing reporters said Ukraine had hit the Moskva with two Neptunes — contradicting Russia’s claim that the ship lost balance in rough seas as it was towed to port after ammunition exploded.

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https://www.theaustralian.com.au/inquirer/putins-hateful-war-has-revitalised-the-global-liberal-order/news-story/e05fca3065454dd9bca145c350480e6b

Putin’s hateful war has revitalised the global liberal order

Amid reports of Russian preparations for a renewed offensive under the command of the butcher of Aleppo, the West has shown it is still able to hold the line against totalitarianism.

By Paul Monk

April 16, 2022

The horrors of what Putin’s invasion is inflicting on Ukraine, including mass atrocities around Kyiv and in the assault on Mariupol, are the daily fare of news updates and satellite imagery. Now there are reports of Russian use of chemical weapons and preparations for a renewed offensive, under the command of the butcher of Aleppo, Aleksandr Dvornikov.

After seven weeks, the war has yet, it seems, to peak and Putin is not for turning.

We should not, however, lose sight of the fact that the reaction of the liberal democracies to these unfolding events has been in many ways exemplary. It is vital that they dig in now and see this through to the defeat of Putin. But the initial response has been reassuring and has a number of important strategic implications.

To begin with, Joe Biden has exhibited a quality of leadership that his critics would not have expected. He has listened to expert advisers, co-ordinated quietly and effectively with key allies, made clear that, because of the existence of massive American and Russian nuclear arsenals, there will not be a war over Ukraine between the United States and Russia; and yet has brought to bear on the Putin regime massive economic, diplomatic and soft power pressure. It must be sustained and deepened.

Secondly, the NATO states have responded with both grave concern for a non-NATO neighbour wantonly and brutally invaded, but have reacted in a measured and consultative manner, not by mobilising for war, 1914-style. Germany, whose military capabilities were seriously run down under long-time chancellor Angela Merkel, have now been declared an urgent priority – by a green/left government, no less. German arms are being funnelled to the resistance fighters in Ukraine.

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https://www.theaustralian.com.au/inquirer/christianitys-power-lights-way-in-wartorn-ukraine/news-story/7067015f552b9c06d5750451bddddc8f

Christianity’s power lights way in war-torn Ukraine

In a time of darkness, the teachings of Jesus still offer a vision of hope amid the despair.

By Greg Sheridan

April 16, 2022

This may be a wicked age, but your lives should redeem it.

– Paul, in his Letter to the Ephesians

At this Easter time, we cannot get the images of Ukraine out of our minds. One in particular stays with me. A big man, strong, lean, tall, is led to the passenger seat of a car. He sits there and weeps uncontrollably, unable to stop the tears, left alone as his friends presumably must attend some other urgent need.

I don’t know what grief the man was trying to absorb. Perhaps his family had been killed. Who knows, but for that moment, with the camera intrusively recording his distress, that man, accustomed perhaps to providing for his family, to protecting them, had lost all agency. There is nothing now for him to do but weep.

The lessons of Ukraine are many and terrible. They demonstrate the changeless essence of human nature – people are called to glory and yet every one of us is capable of monstrous evil. The Russian government is behaving exactly as the Roman Empire did in the time of Jesus, seeking conquest and subjugation with methods of remorseless brutality. We thought we had abolished that, in Europe at least.

If you want to see what Christian hope looks like, google Ukrainians singing hymns. See the solace and courage and inspiration there. Christianity is also evident in Poland’s generosity to Ukrainians fleeing the terror of the Russian military. Poles and Ukrainians don’t have an untroubled past, or an untroubled relationship generally. They are not, typically, best friends. Yet Poland, even today not an especially rich country, has taken in more than two million Ukrainians so far and the efforts of individual Poles in this crisis are magnificent.

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I look forward to comments on all this!

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David.

It Is About Time We Saw Just How Much The ADHA Has Cleaned Up Its Game.

This appeared last week:

Govt’s $1.3 billion manufacturing grants shortlisted for audit

Joseph Brookes
Senior Reporter

11 April 2022

The administration of $1.3 billion in grants from the Coalition’s flagship manufacturing program could come under the audit office’s microscope after being listed as a potential investigation next year, alongside several government technology projects.

Other programs shortlisted on the ANAO’s work program include the $450 million Digital ID scheme, the Tax Office’s business register modernisation, and the panel arrangements that help consultants land lucrative government contracts, as have areas of privacy and data protections in government digital services, cybersecurity, and digital health.

----- Lots omitted.

Stakeholders have been asked to provide feedback on the Australian National Audit Office (ANAO) draft work program by 19 April.

The Australian Digital Health Agency’s “delivery of a safe, secure and reliable digital health system” also faces an audit after a challenging roll out of its major patient record system My Health Record, which was controversially swapped to opt out.

The audit office has already investigated the roll out in 2019 and made several recommendations. A second audit would examine the progress of the agency’s response as part of a wider probe on a the Australian Digital Health Agency’s “management of controls contributing to the delivery of a safe, secure and reliable digital health system”.

Management of cybersecurity, privacy protection in digital service delivery, and the management of customer information and data have also been added to the draft work program.

Here is the link:

https://www.innovationaus.com/govts-1-3-billion-manufacturing-grants-shortlisted-for-audit-office-probe/

I have to say it looks to me that this new audit may be able to poke about widely and really ask just how well the ADHA is doing with its core function of “contributing to the delivery of a safe, secure and reliable digital health system”.

Time will tell I guess but it would also be fun to see how close the ADHA is addressing the findings of the 2019 Audit.

Stand by!

David.

Wednesday, April 20, 2022

I Feel The Australian Medical Association Is Not Doing Australian Digital Health Any Favours By Not Being Explicit.

The AMA has re- released its Vision For Australia’s Health as part of its pre election advocacy.

11 Apr 2022 8:44 am AEST

AMA’s 2022 Federal Election Statement

Australian Medical Association

Australia’s health system is one of the best in the world, however it falls short in several areas including access to care, prevention, and coordination.

The AMA’s 2022 Federal Election Statement outlines areas of the health system in need of reform if Australia is to maintain its standing as a provider of world-class health care. Based on the AMA’s Vision for Australia’s Health, the 2022 Federal Election Statement proposes sensible and targeted initiatives across five pillars – general practice, public hospitals, private health, a health system for all, and a health system for the future.

General practice

International studies prove what general practitioners (GPs) have known for generations – a strong GP-led primary healthcare system keeps people well and saves lives. Despite this, consecutive Commonwealth Governments have failed to provide adequate funding for general practice. This election is an opportunity for both major parties to commit to modernising Medicare through reform and the provision of additional funding that will future proof general practice, keeping people healthier and out of hospital.

Public hospitals

Chronic underfunding at both state/territory and Commonwealth level has led to declining public hospital performance. The AMA is calling for a new funding agreement that funds hospitals to improve performance, expand capacity, and address avoidable admissions. This includes moving to a more equitable 50-50 funding share between the Commonwealth and states and territories, and removing the 6.5 per cent funding cap that constrains the ability of hospitals to meet community demand.

Private health

The unique balance between the public and private sectors makes the Australian health system one of the best in the world. Many Australians however are cancelling their private health insurance policies, and too many of the new members are older and more likely to make substantial claims. The AMA’s 2022 Federal Election Statement outlines several initiatives to improve the value proposition for private health insurance and create a platform for genuine reform of our private healthcare system.

A health system for all

The AMA’s vision is for a sustainable health system, which achieved via policy and funding reform, where prevention is the foundation of healthcare planning and design. This election is an opportunity for both parties to commit to identifying and filling service gaps for Aboriginal and Torres Strait Islander peoples, people with mental health needs, people living in aged care settings and other vulnerable groups.

A health system for the future

Building a health system for the future will require us to embrace new technology and innovation, consolidate the gains from COVID-19 reforms such as telehealth and e-prescribing, and build upon these gains to facilitate better access for all patients. The AMA’s 2022 Federal Election Statement outlines several initiatives to incorporate data and technology into care delivery, as well as opportunities for Australia to play a global role in the prevention of epidemics, pandemics, and other health threats.

Here is the link:

https://www.miragenews.com/amas-2022-federal-election-statement-762007/

I may have been a bit slow on picking this up that while this release does not mention the #myHR the source report does rather enthusiastically in its 5th Pillar.

Pillar 5: A Health System for the Future

Embracing new technology and innovation, consolidating the gains from COVID-19 reforms, and building upon them to facilitate better access for all patients and greater understanding and engagement between patients and practitioners. It will also require better use of data and technology to aid diagnosis, clinical audit and patient engagement, and to provide solutions to deliver care in circumstances currently not possible. Key to consideration of a future health system is the opportunities offered by new innovative models of care, integrated care at a lower cost and value-based healthcare – that is, sustainable system redesign.

GOALS

ENABLERS

OUTCOME MEASURES

5.1 Adapt private medical practice to incorporate telehealth and e-prescribing in “business as usual” without detracting from face-to-face medicine.

  • Telehealth Medicare items that fairly compensate doctors for patient and non-patient contact time, while ensuring appropriate oversight and governance to ensure continuous evaluation and evidence-based quality of care.
  • Doctors are more accessible to patients while reducing the risk of COVID-19 transmission – with access to non-GP specialists particularly important for rural and regional patients.
  • Options for telehealth between a GP and a carer or nursing home nurse on behalf of patient, where patients are non-communicative.
  • Ensure appropriate tools are available to assist practitioners in adoption of telehealth and e-prescribing, designed in a way that improves workflow.
  • Remote monitoring technology will facilitate equitable healthcare, in particular for private medical practices in rural and remote areas.
  • Number of telehealth Medicare items for GP and non-GP specialists.
  • Number of patients choosing telehealth as an option for care.
  • Conversion to 50 per cent e-prescriptions by end of 2022.
  • Government funding for innovations in rural health and technological infrastructure.

5.2 Patients empowered to track their health data and access follow-up care.

  • Secure, private health information access for doctors and their patients.
  • Seamless access to medicines through e-prescribing.
  • Widespread use and adoption of the My Health Record, with a specific focus on supporting non-GP specialists.
  • Increased uptake of the My Health Record by specialists.
  • Increased patient satisfaction in practice-based questionnaires.
  • Expanded upload into My Health Record.

5.3 Implement ehealth solutions to deliver doctors and patients health information seamlessly across different parts of the health system.

  • Each person involved in care has current information about the patient that they need for the best possible quality care.
  • Development of a standard of interoperability across the health system.
  • Patients are supported with education for, and access to, digital health and assistive technologies to receive high-quality care at home and maintain independence.
  • Decision-making and health literacy are improved.
  • A national focussed attempt to improve digital maturity through workforce training initiatives, eliminating fax use, promoting secure messaging uptake, etc. via directed improvement payments or grants.
  • Communication and coordination improved.
  • Improved access by hospitals to GP notes.
  • Increase in patients receiving high-quality, appropriate care at home instead of in acute care settings.
  • Health literacy indicators improved.
  • Measurable improvement in use of secure messaging and reduction in use of fax.

5.4 Liaison with colleges and universities to incorporate management and leadership training as well as ehealth training as a routine part of their education requirements for students and registrars.

  • Incorporation of leadership and ehealth units of study with assessment in training programs.
  • Expanded capacity for remote learning (training and educational opportunities, especially for trainees in regional/rural sites, and potential remote supervision).
  • Australian Medical Council accreditation guidelines adjusted to reflect this need, with 100 per cent conversion within 3 years.

 

Here is the link to the overall document.

https://www.ama.com.au/vision-for-australias-health

It is interesting that the enthusiasm for e-Scripts and Telehealth is included in the new release from a week ago but there is no mention of the specialist uses of the #myHR.

I have no idea why he change but is looks pretty deliberate and leads one to wonder did the AMA membership feel the #myHR was a bit of a lost cause.

Time will tell as in the last few years the AMA has seemed to be a bit guarded in #myHR promotion, suggesting it is not much loved out in ‘doctor land’. The AMA would be better of to form up its view and support the newer initiatives while suggesting the #myHR needs to either be scrubbed or radically changed to make is acceptable / useful.

David.

 

Tuesday, April 19, 2022

Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety, Social Media And Security Matters. Lots Of Interesting Perspectives - April 19, 2022.

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

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

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

Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published that I have come upon.

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https://www.innovationaus.com/govts-digital-passenger-app-gets-scathing-reviews/

Govt’s digital passenger app gets scathing reviews


Denham Sadler
National Affairs Editor

13 April 2022

Home Affairs has said it is committed to improving its digitised version of the incoming traveller declaration after receiving scathing reviews from users since it was launched last month.

The Digital Passenger Declaration replaced the Australia Travel Declaration in February, with all passengers arriving by air in Australia having to fill it out. This is done through a smartphone app, where users have to provide contact details, vaccination status confirmation and travel history.

It’s the first iteration of the government’s permissions capability, which will eventually also serve to digitise the paper-based incoming passenger card and visa processing, and will ultimately be used across a number of government services.

The Digital Passenger Declaration (DPD) has been delivered by Irish-domiciled consulting firm Accenture across a series of contracts relating to the purchasing of off-the-shelf technology and ongoing work.

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https://www.innovationaus.com/privacy-act-review-running-six-months-late/

Privacy Act review running six months late


Denham Sadler
National Affairs Editor

14 April 2022

A significant review of the Privacy Act is running six months late and will be handballed to the next government, despite being launched two and a half years ago.

The review of Australia’s privacy laws was launched in December 2019 following the competition watchdog’s landmark report on digital platforms, which made a number of recommendations for reforms to the Act.

Instead of backing these recommendations, the Coalition opted to launch another review into the wider Privacy Act.

Nearly a year after announcing the review, the government released an issues paper relating to it in October 2020 and ran a period of consultation on it.

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https://digitalhealth.org.au/blog/top-8-insights-into-better-digital-ways-in-healthcare/

Top 8 insights into better digital ways in healthcare

Apr 11, 2022 | Advocacy, AIDH news, Uncategorized

While there are many current challenges in healthcare, there are also a multitude of opportunities. On the one hand, there are constant challenges and barriers that the health system presents as a fragmented service and the difficulties of connecting care. On the other, there is so much more data and so much more digital capability to leverage and to share what works, allowing us to learn from others who are actively moving the agenda forward. The health crisis of the pandemic has highlighted the importance of digital technology in healthcare.

There are immediate ways we can move forward, with a greater consumer and health practitioner focus, to advocate and progress system change. In 2021 the Clinical Engagement and Digital Health Thought Leadership Series, a collaboration between the Australasian Institute of Digital Health (AIDH) and Cerner, deduced eight key insights with real time practical applications.

Timing is everything – never waste a crisis

The COVID-19 pandemic has highlighted the need for change to many across the healthcare ecosystem, both because of the constraints it has placed on the delivery of care and traditional models of paper records, but also because of the unique demands on healthcare workers, institutions, and consumers. Across all three events, we were highly encouraged by the breadth of the changes, experiments, research, and interventions underway to better leverage digital health to support these changes. Participants across the system are diving in and using

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https://nbmphn.com.au/Resources/Programs-Services/digitalhealth/Editorial-for-older-Australians.aspx

No Need to Remember Your Health History When Visiting Healthcare Professionals

ADHA Propaganda

The Australian Government is giving everyone in the Blue Mountains, Hawkesbury, Lithgow and Penrith areas a My Health Record - a secure, online digital health record.

Your My Health Record will be a comprehensive record of your health, so you won’t have to worry about having to remember and repeat your health history like medicines, details of chronic conditions, allergies and dates of recent tests.

A My Health Record also allows others to be involved in your care, like a carer or family member, to view and even manage the information on your My Health Record.

Healthcare providers such as doctors, specialists and hospital staff will be able to access it when they need to, like in the case of an accident or emergency.

The My Health Records will be created in mid-June and from mid-July healthcare professionals will be able to start uploading information into them. People are able to opt-out of having a My Health Record if they wish.

To find out more information about My Health Record, visit myhealthrecord.gov.au or call 1800 723 471.

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https://medicalrepublic.com.au/if-nqphn-is-this-bad-what-about-the-rest-of-them/67277

14 April 2022

If NQPHN is like this, what about the rest of them?

By Jeremy Knibbs

Why are we spending more than $1.2 billion a year on PHNs when some clearly don’t have effective governance, transparency, audit and review mechanisms in place?


If you’ve not followed the unravelling of Northern Queensland Primary Health Network over the past few months, then you can get up to speed quickly before you read this story by reading the full open letter of one of the two GP board members who resigned recently (it’s also at the end of this article). 

Dr Nicole Higgins resigned from the NQPHN board, citing what she perceived as serious possible conflicts of interest among the board and the PHN membership, in part, in dealing with the secretive Queensland pharmacy prescribing trial through the region. 

Dr Higgins suggested that the 11 members (local health organisations that act more or less as shareholders of PHNs) of the PHN were acting like “shadow directors” and running the PHN behind the scenes by controlling the board members.  

Section 15 of the NQPHN constitution states that:  

Management of the Company: (a) Subject to this Constitution and the Corporations Act, the activities of the Company are to be managed by, or under the direction of, the Board. 

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https://itwire.com/guest-articles/guest-opinion/how-infrastructure-monitoring-can-maintain-the-connection-between-the-patient-and-the-healthcare-provider.html

How infrastructure monitoring can maintain the connection between the patient and the healthcare provider

By Sebastian Krueger, Asia Pacific vice president at Paessler

GUEST OPINION: Growing patient expectations are placing higher demands on the healthcare sector than ever before. The instant availability of patient data means X-Rays, MRI scans, ultrasound images and laboratory test results are sent directly to monitors on the wall or a doctor’s tablet.

This enables the main healthcare provider, often the general practitioner (GP), to maintain the ongoing patient connection. Even when they are referred to third party specialists, they still have access to all relevant patient information at any time.

The EHR or EMR

The digital format for recording patient information is the EHR (electronic health record) or sometimes the EMR (electronic medical record) and includes patient demographics, medical history, medical data and laboratory test results. It is a form of customer relationship management (CRM) for the healthcare sector and helps maintain the connection between the patient and their primary healthcare provider.

The EHR is crucial to diagnosing patients and treating them. It provides the patient’s history, past treatments, as well as vital signs and these things need to be assessed together when making decisions about treating a patient.

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https://www.theaustralian.com.au/business/technology/athletes-face-explosive-data-intrusions-that-could-impact-amateur-sport/news-story/d4cad6144b66ad4d4826c75ee8cce6e7

Athletes face explosive data intrusions that could impact amateur sport

Chris Griffith

7:30AM April 13, 2022

An expert panel wants to reign in the exponentially expanding personal data being collected about professional athletes. It not only includes the performance of athlete’s bodies during competition and training, but also the intimacies of mental health, sleep quality, food intake and even possibly menstruation data.

The expert working group has been convened by the Australian Academy of Science and the University of Western Australia’s Minderoo Tech and Policy lab. It wants to start a national conversation on what data is appropriate for aiding athletic performance, and what constitutes an invasion of privacy.

Its discussion paper says the growth in personal information collected about Australian professional athletes has outpaced the scientifically proven benefit to players, with the number of parties interested in this information, especially commercial parties, dramatically shifting the risk vs. reward ratio against the athletes.

Co-chair Associate Professor Julia Powles from the UWA said the trickle down of almost routine data collection practices from professional to amateur sport and schools posed an even wider privacy risk.

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https://www.ama.com.au/vision-for-australias-health

Vision for Australia's Health

11 April, 2022

The Australian Medical Association's vision for reorganising the health system to face the challenges and capitalise on the opportunities of the future.

President's Introduction

Health reform in this country is sorely needed, and long overdue.

If the Australian health system is to evolve, then it needs to be reorganised to tackle the challenges of the future. We cannot expect an underfunded system to absorb the late-stage complications of an ageing, chronically ill and obese society. Already our hospitals, especially our emergency departments, are over-stretched. We cannot keep doing things the same way.

It is realistic for Australia to become the healthiest country in the world, and that should be our collective aim.

We cannot expect to manage the increasing chronic disease burden if we do not engage earlier in prevention and appropriately fund integrated general practitioner medical homes, as the foundation for improved care co-ordination across the entire health system. Seminal in this will be the effective adoption of innovative technologies and an emphasis on quality models of care where safety and clinical appropriateness protect patients.

The beginning point of all reform should be safe, high-quality, patient-centred care.

Note – They seem to think the #myHR is  good idea.

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https://itwire.com/government-tech-news/technology-regulation/privacy-body-calls-for-changes-to-abc-iview-logins,-data-sharing.html

Tuesday, 12 April 2022 08:42

Privacy body calls for changes to ABC iview logins, data sharing

By Sam Varghese

The Australian Privacy Foundation has called for changes in the Australian Broadcasting Corporation Act of 1983 to prevent the ABC from sharing (re-)identifiable personal information with other entities or platforms.

In a statement outlining its election platform principles, the APF said the Act should also be changed to "ensure Australians are not required to provide their personal information or register for a mandatory account to access the ABC’s full digital media services".

The foundation's statement comes ahead of the federal election which is scheduled for 21 May. The ABC last month put in place mandatory registration for use of its iview service.

Researcher Dr Vanessa Teague, who runs her own cyber-security firm Thinking Cybersecurity, demonstrated the leaking of data from iview and even the ABC's news site in a video she uploaded on YouTube.

Even hashed email addresses are sent to commercial entities like Google, Facebook and Tealium.

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https://www.eurekareport.com.au/investment-news/intelicare-says-tech-integral-in-new-age-of-aged-care/151172

Intelicare Says Tech Integral in New Age of Aged Care

InteliCare's monitoring and alert system platform has just secured a contract with one of West Australia's biggest aged care providers. CEO Jason Waller tells Maria Petrakis the partnership shows how technology can be used to solve some of the structural issues facing the aged care sector.

By Maria Petrakis · 12 Apr 2022 · 

InteliCare is a Perth-based company that provides a monitoring platform for the aged care sector. It listed on the exchange in May 2020, so at the height of the COVID pandemic, and it reached as high as 43 cents a share but the price has coasted down to about 9 cents last week.

Its technology uses smart sensors to monitor and map someone’s daily routine: what time they get out of bed, they open the fridge, they turn on the kettle. If there are deviations from that routine, an alert system is triggered that starts with a text to family or a carer suggesting that they check in on the person.

So far, the products have been used in a home care environment and in disability care, but last month it announced a partnership with Bethanie, one of Western Australia’s biggest aged care providers, to give the staff at residential aged care more effective monitoring of patients and residents. This is an important development for InteliCare, even if it isn’t very lucrative, and with aged care back in the spotlight, I thought it would be useful to speak with the CEO, Jason Waller.

So, here’s Jason Waller, CEO of InteliCare.

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https://www.innovationaus.com/govts-1-3-billion-manufacturing-grants-shortlisted-for-audit-office-probe/

Govt’s $1.3 billion manufacturing grants shortlisted for audit

Joseph Brookes
Senior Reporter

11 April 2022

The administration of $1.3 billion in grants from the Coalition’s flagship manufacturing program could come under the audit office’s microscope after being listed as a potential investigation next year, alongside several government technology projects.

Other programs shortlisted on the ANAO’s work program include the $450 million Digital ID scheme, the Tax Office’s business register modernisation, and the panel arrangements that help consultants land lucrative government contracts, as have areas of privacy and data protections in government digital services, cybersecurity, and digital health.

Stakeholders have been asked to provide feedback on the Australian National Audit Office (ANAO) draft work program by 19 April.

The agency famously uncovered the “Sports Rorts” scandal and the massive overspend on land at Western Sydney airport but has warned it will need to reduce the amount of audits it conducts after successive budget cuts.

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https://www.hospitalhealth.com.au/content/technology/article/the-role-of-telehealth-in-modern-health-care-333036604

The role of telehealth in modern health care


By Jeremy Paton, team engagement solutions lead APAC at Avaya
Monday, 11 April, 2022

In recent years teleconsultations have played a growing role in the delivery of healthcare and support services across Australia.

Once reserved for rural patients or those with restricted mobility, COVID-19 has seen telehealth expand to deliver essential services when restrictions limited the number of patients allowed on-premises.

Far from a stop-gap measure, these services are set to become one of the standout legacies from the global pandemic. The government has announced it will invest AU$100 million towards making telehealth a permanent option in the healthcare system.

This comes on the back of consistent research indicating confidence in the method and a lasting appetite for its convenience. A recent white paper by Deloitte, Curtin University and the Consumers Health Forum of Australia found that seven in 10 Australians are willing and ready to use virtual health services.

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https://minerva-access.unimelb.edu.au/items/ab938178-ea04-5029-b755-73f638e10119

If Privacy is Increasing for My Health Record data, it Should Apply to all Medical Records

Authors Prictor, M ; Hemsley, B ; Taylor, M ; McCarthy, S

Date 2018

Source Title The Conversation

Publisher The Conversation Media Group

Citation

Prictor, M., Hemsley, B., Taylor, M. & McCarthy, S. (2018). If Privacy is Increasing for My Health Record data, it Should Apply to all Medical Records. The Conversation Media Group.

Abstract

In response to the public outcry against the potential for My Health Record data to be shared with police and other government agencies, Health Minister Greg Hunt recently announced moves to change the legislation. The laws underpinning the My Health Record as well as records kept by GPs and private hospitals currently allow those records to be shared with the police, Centrelink, the Tax Office and other government departments if it’s “reasonably necessary” for a criminal investigation or to protect tax revenue. If passed, the policy of the Digital Health Agency (which runs the My Health Record) not to release information without a court order will become law. This would mean the My Health Record has greater privacy protections than other medical records, which doesn’t make much sense.

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https://www.afr.com/companies/media-and-marketing/digital-to-be-key-ad-battleground-this-federal-election-20220407-p5abmo

Digital to be key ad battleground this federal election

Miranda Ward Media writer

Apr 11, 2022 – 5.00am

The 2022 federal election advertising war will be fought on television, but the rise of audiences watching free-to-air through broadcast video-on-demand (BVOD) apps like 7plus or 9Now will help political messages be more targeted at specific audiences than during the 2019 election.

As the Prime Minister has officially called the federal election, legislation now kicks in allowing more political ads on commercial free-to-air television, with free-to-air TV, radio and outdoor billboards to be used to communicate the party’s big messaging, such as broad policy ads and easy to digest grabs like Albanese’s pledge to be a leader “who shows up, who takes responsibility and who works with people” and Scott Morrison’s “that’s why I love Australia”.

“The battleground will be how they can use each medium – TV, outdoor, radio, print, online and social – to tailor a specific message to the various groups and demographics they need to talk to,” said media agency Spark Foundry Australia’s Sue-Ellen Osborn.

“TV will be the medium wherein they can establish the overarching core headline message that they want all people to believe. Social environments will be where they can become more specific and persuasive with their message – including to try to convert the undecided in a more nuanced way.”

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https://medicalrepublic.com.au/heads-in-the-cloud-how-digital-mental-health-scales-up/66699

11 April 2022

Heads in the cloud: digital mental health steps up

Mental Health Psychology Technology

By Fran Molloy

Digital psychological therapies should be a core part of the strategy – but GP referrals are still key.


Our mental wellbeing has been sorely tested by two years of a global pandemic, deadly bushfires and floods, war in Europe and ongoing climate crises, resulting in a societal cry-for-help with psychologists and counsellors now in hot demand.

Digital mental health services have stepped up to meet the call; but not only can they scale up to meet demand, strong evidence backs calls for these services to support future mental health treatment permanently.

Psychiatrist Dr Mike Millard is director at the Clinical Research Unit for Anxiety and Depression at St Vincent’s Hospital Sydney – and part of the team behind This Way Up, a non-profit organisation delivering online cognitive behaviour therapy (CBT) programs for a range of conditions including anxiety, depression, PTSD and obsessive-compulsive disorder.

“Around one in three GPs, psychologists and psychiatrists in Australia currently refer patients to This Way Up,” says Dr Millard.

The program has also been adapted to provide mental health support for stressed-out and pandemic-weary health care professionals.

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David.