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."

Wednesday, June 04, 2025

Surely China Is Not Going To Blow Up The World Order And Invade Taiwan?

This appeared lst week:

How the US plans to fight off Chinese invasion of Taiwan

US Defence Secretary Pete Hegseth warned that any attempt by China to conquer Taiwan “would result in devastating consequences for the Indo-Pacific and the world”.

Memphis Barker and Julian Simmonds

Updated Jun 1, 2025 – 8.50am, first published at 8.29am

A soldier careens into the briefing tent of Cross Functional Team (CFT) Taiwan, barely able to catch his breath.

“Attention on the floor!” he shouts. “Sorry to barge in, sir, but you’ll want to hear this.”

Chinese ships have begun to cross the Taiwan Strait “with full intention to invade”.

Chaos breaks out in the command centre, where specialists have been outlining recent operations. Sirens blare, soldiers pick up rucksacks, plastic chairs are pushed aside.

Over the tree line, hostile drones whirr into view. As troops hustle a visiting congressional delegation to an evacuation point, they swoop overhead and drop munitions. Ear-splitting explosions send plumes of smoke into the air. People fall by the side of the road, screaming.

So begins the long-feared war between the world’s two largest militaries – or at least, a drill simulating the event at the 25th capability exercise of the US Special Forces at Fort Bragg army base.

A hint of slapstick lingers in the air. Called upon to help the wounded, visitors fiddle with their lanyards, while fake blood soaks the clothes of gurgling actors.

The scenario, however, is head-poundingly serious.

Xi Jinping, the Chinese president, has ordered his military to be ready to “reunify” the self-governing island of Taiwan with the mainland by 2027.

An extraordinary build-up is under way. The People’s Liberation Army (PLA) now boasts 1 million troops more than the US, as well as the world’s largest navy, vast supplies of ground-based long-range missiles and a galloping nuclear arsenal set to hit 1000 warheads by 2030.

In satellite imagery, a mock-up of central Taipei, including the president’s office, can be seen near a desert PLA base.

Beijing also has home advantage: its resources are all closer to Taiwan than the US bases in the Philippines, Japan and Guam. Any movement of US forces would immediately be spotted by China’s extensive sensor network.

Pete Hegseth, the US defence secretary, warned on Saturday that the threat from China was real and a Chinese invasion of Taiwan could be imminent. He added that any attempt by China to conquer Taiwan “would result in devastating consequences for the Indo-Pacific and the world”.

“Beijing is credibly preparing potentially to use military force to alter the balance of power in the Indo-Pacific,” Hegseth said in a speech to the Shangri-La Dialogue, Asia’s premier defence forum, in Singapore.

In March, Hegseth issued a classified memo that prioritised efforts to deter a Chinese invasion of Taiwan, leaving Europe to “assume risk” in facing down Russia.

“China is the Department’s sole pacing threat, and denial of a Chinese fait accompli seizure of Taiwan – while simultaneously defending the US homeland is the Department’s sole pacing scenario,” he wrote.

The memo lifted sections almost word-for-word from a report by the Heritage Foundation, a conservative Washington-based think tank.

“If I had to bet they are laying the groundwork now to begin large swings of forces out of lesser-priority theatres to the Indo-Pacific in around six months,” says Rob Peters, a senior research fellow at the Heritage Foundation, who co-authored the report.

In Fort Bragg headquarters, a briefing video opens with the sound of a clock ticking ominously. Chinese lettering fills the screen.

Three red stars mark the years 2014 (Russia’s seizure of Ukraine), 2022 (the invasion of Ukraine) and 2027 – the year China could strike Taiwan.

The impact of a Chinese invasion on the lives of ordinary people would make that of the COVID-19 pandemic “pale in comparison”, says Lieutenant General Jonathan Braga, the commander of the US Army Special Operations Command.

It would disrupt the supply of the microchips that power crucial technologies, “from I can’t buy a car, a refrigerator, a cell phone… all that stuff”.

“We need people … to think about this because it is by exponential means the greatest threat we have,” Lieutenant General Braga says.

Battles will be fought in the skies and at sea

What role ground troops would play is open to question. About 500 US military trainers are currently based in Taiwan, teaching the local forces how to operate advanced weaponry. The first test with the long-range HIMARS was carried out last month.

Special forces would likely enter Taiwan surreptitiously in the weeks before an invasion; army units might join, but public deployments could inflame the situation.

The defenders’ goal would be to “turn the Taiwan beaches into the beaches of Normandy”, says Peters. Failing that: “box them in like Anzio”.

But the fiercest battles will be fought in the skies and at sea. The US is preparing a “hellscape” of drones, mines and unmanned ships to slow down China’s crossing of the 160-kilometre Taiwan Strait.

The PLA Navy will form a blockade around the eastern flank of the island, preventing the US from reaching or resupplying the Taiwanese.

Spectacular dogfights would erupt: US F-35s, bombers and stealth B-21 raiders attempting to sink the warships, as China’s 3000 aircraft fight back.

To stand a chance, the US will need “a metric s--- ton” of long-range anti-ship missiles, in particular the new Tomahawk, which has a range of 1500 miles, says Peters. “I cannot stress this enough,” he says, the arsenal is currently “way, way [too] low”.

One goal of the special forces – however many they number – would be to try to open up air corridors onto the island.

Out on a Fort Bragg training range, a dozen camouflaged soldiers creep through the trees towards a Russian-made Scud missile and nearby command-and-control centre, which form part of China’s Integrated Air Defence System (IADS).

To the south of their position, a drone operator, robot dog and two armoured vehicles mounted with M240b machine guns wait for the signal. Snipers watch from behind camouflage.

“Open fire,” the commander orders over the radio. A drone whizzes overhead, dropping a bomb near the Scud. The M240b gunners spray the guards, providing cover for the soldiers to race out of the trees and eliminate those left alive.

The Scud is disabled with a flamethrower (its unique fuel makes explosive detonation tricky).

Then comes the most novel element of the exercise: as Chinese drones launch a counter-attack, an Anduril electronic warfare system breaks the link between the Unmanned Aerial Vehicles (UAVs) and their pilots. The special forces team survives and a “temporary air corridor” is opened.

Whether Beijing’s real drones would be so simply overcome is another question.

“There is an assumption that China has been observing [the war in Ukraine, where Chinese drones have been used en masse] and that their ability to ramp up capacity now appears to be better than the US and Nato’s ability to produce these systems,” says Colin Smith, a Rand Corporation researcher and Marine veteran.

It can be difficult even to train with the systems on US soil. Electronic warfare systems interfere with nearby residents’ garages. On Camp Pendleton, in California, Smith’s team was unable to practise with the jammers they used in Afghanistan “because of the electromagnetic spectrum limitations”.

“Those are things that the Department of Defence is trying to work through on certain bases,” he says.

Golden dome

Homeland defence is the most pressing problem. China’s intercontinental ballistic missiles can now strike the US mainland. In May, US Air Force Brigadier General Dough Wickert warned locals around Edwards Air Force Base that a Pearl Harbour-like scenario could hit their Californian homes.

Donald Trump’s solution is the Golden Dome, a network of space-based interceptors he claims – unrealistically – could be finished within three years for a cost of “just” $US175 billion ($272 billion).

In war games on Taiwan, China does often hit the US mainland, says Smith. “What if they want to hit the West Coast and get the American population thinking, ‘why are we doing this again’?”

Mark Cancian, a retired Marine colonel and senior advisor at the Centre for Strategic and International Studies (CSIS), ran a 2023 war game on an amphibious invasion. Over 24 run-throughs, the US managed to prevent China capturing the island most times, but at the cost of dozens of ships, hundreds of aircraft and tens of thousands of service members.

The US still needs to decide its position on how and when ground troops will enter the fray, Cancian says. “When you talk to the services, to the Marine corps, they say ‘well of course we’re going to be on Taiwan when the war begins’. But the state department says ‘there’s no f---ing way’, as that will precipitate the conflict we’re trying to avoid.”

In one round of the war game, a player tried to fly a US brigade into Taiwan. But they turned back after they lost a battalion to air defences. “After four, five weeks of combat, when the Chinese fleet has been chewed up, [perhaps] then you can start doing things,” he says. Sometimes, nuclear war erupts.

Such hypotheticals are above the pay grade of the soldiers who will be called upon to fight in Taiwan’s jungles, cities and beaches should war break out.

On an urban training village in Fort Bragg, two Chinook MH47 helicopters fly a platoon of elite Rangers into battle. The soldiers rappel down ropes onto the roofs, while the helicopters rattle out machine gun rounds.

Doors are stormed through, flash-bang grenades thrown as the unit rapidly clears the buildings.

High above their heads, a single Himars missile streaks through the sky. Here, it will land safely on a patch of Fort Bragg, guided to within one metre of the intended target.

The US hopes it will never come to war with China. Xi may well think twice, wary of a long and costly conflict.

If he does gamble, however, the Green Berets will no longer be practising on the fields of North Carolina – and those HIMARS missiles will be raining down on an army tasting its first real combat.

The Telegraph London

Here is the link:

https://www.afr.com/world/asia/how-the-us-plans-to-fight-off-chinese-invasion-of-taiwan-20250601-p5m3v4

Can I say I really don’t think the Chinese have an invasion of Taiwan on their list! I am probably naïve but it would be such a horrible and violent war that it is had to imaging any winners of any sort from it!

If China wants Taiwan (without awful bloodshed) it will have to earn it by becoming a free and non-repressive  country Taiwan’s people would like to join up with. It would be awful to see 25 million or so people just forced into a merger that do not want!

Anything other than a peaceful merger is really too awful to contemplate, but I do fear China may become impatient!

What do others think?

David.

Tuesday, June 03, 2025

The Old Adage Of Being Forced To Repeat Forgotten History Seems Pretty Prescient Just Now!

This appeared last week and is worth a careful read!

Australia’s safety in the 1930s depended on the global project. It’s no different now

Once war breaks out, the adversary is in the open; until then, hopes, fears and hesitations blur the sight, cloud the understanding, muddy and obfuscate the debate. That is the situation today.

Henry Ergas and Alex McDermott

12:00 AM May 31, 2025.

The 80th anniversary of Allied victory in Europe has recently passed with much commemoration. Less discussed was the decade that led up to World War II – the years WH Auden memorably described as a “low dishonest decade” when “Waves of anger and fear/Circulate over the bright/And darkened lands of the earth”.

Fraught with uncertainties, overshadowed by the seemingly inexorable rise of aggressive, brutally authoritarian regimes, that decade forced the democracies to confront entirely new problems. Their successes were paltry, their failures many. But what is striking is the force with which the dilemmas they faced resonate today.

The difficulties Australian governments grappled with were no exception. At their heart lay the fracturing of the British imperial system.

Whatever the gains from having an empire might have been for Britain, tight integration into “Greater Britain” provided Australia with far-reaching benefits. The country had long relied on free markets for key export industries and ready access to capital from the world’s biggest financial centre. The confusion and rockiness of Britain in the years after the Great War, its shift away from the gold standard in 1931, and the waning of its expansive, free-trade outlook, couldn’t help but impact Australia.

The 1932 Ottawa Agreement had introduced “Imperial Preference”, giving the dominions privileged access to the British market; but it had become increasingly clear that growth opportunities in Britain were extremely limited.

Japan, Australia’s second largest trading partner in the first half of the 1930s, therefore assumed growing importance – raising mounting strategic concerns.

Compounding those issues, Australia’s access to international capital had dwindled. That was not simply because of the global financial crisis; its reputation as a trustworthy borrower had been pummelled. Australian governments, federal but especially state, amassed huge long-term debts during the 20s.

In 1930, as the global crisis was taking its toll, Jim Scullin’s ALP government briefly flirted with delaying debt repayment; soon after, NSW ALP premier Jack Lang announced that interest payments to British bondholders would be suspended. Although the resulting crisis led to Lang’s dismissal by NSW governor Sir Philip Game, Australian governments’ ability to raise new loans virtually disappeared.

Australia’s position would have been even worse had it not been for Labor renegade Joe Lyons who, filling in as ALP prime minister during Scullin’s absence in late 1930, defied caucus’s demand to effectively repudiate the federal loan repayment. Instead, he led a public campaign to raise the funds by subscription.

Lyons subsequently left the government and the ALP, and formed a new party, the United Australia Party, at the head of the enormous grassroots campaigns that had sprung up in response to Lyons’s privileging of the national interest over party loyalty.

“Honest Joe” deployed his reputation for absolute probity and everyday decency to restore, as best he could, Australia’s creditworthiness, in an ever more fearful, ever more inward-looking world.

But Lyons was particularly ill-equipped to deal with the dangers of a disintegrating world order where predatory authoritarian powers (Imperial Japan, Fascist Italy, Nazi Germany) sought to completely reconstitute the global system. He exhibited in advanced degree both the horror of war that all his generation shared and the pacificism born from the two anti-conscription campaigns.

The mass war graves on the Western Front – which Lyons repeatedly visited on successive trips to Britain – dominated, indeed haunted, his imagination.

He wasn’t alone. Anti-conscription’s legacy of pacificism and antimilitarism permeated the ALP. For the bulk of the interwar period the party opposed close links to Britain for defence.

It also opposed the development of any weapons with offensive capabilities (such as cruisers), insisting that only short-range defence capacity – such as submarines and air force – be developed.

The contradictions at the heart of this attitude were apparent at the time. The ALP’s approach mingled vehement hostility to Britain, the capitalist imperial hegemon, with a naive assumption that Britain’s navy would always ensure that the sea routes on which Australia depended would remain secure. Australia would be protected from invasion by focusing almost entirely on aircraft.

Yet even this policy could be articulated only from opposition. Had the ALP been in government, any increase in defence expenditure would undoubtedly have precipitated a backbench revolt.

It is, as a result, ironic that the nation’s work in rebuilding its defences through the 1930s was driven by two Labor renegades, George Pearce and Billy Hughes, who had left the ALP during the 1916 conscription crisis. While Lyons’s pacifist, anti-militarist instincts ran deep, Pearce and Hughes were hard-headed geo-strategic realists.

Pearce and Hughes were crucial in driving the Lyons government’s commitment to begin rearming, as it did in its 1933-34 estimates. That was before any substantial economic recovery and before Britain belatedly began lifting its defence spending in March 1935. By then, Australian defence expenditure was approaching pre-Depression levels and by 1936 it represented a higher percentage of national income and of federal outlays than in the pre-Depression decade.

Senator Pearce, a carpenter from Western Australia who left school aged 11, served as defence minister under practically every prime minister from Andrew Fisher in 1908 to Lyons in the 1930s. Described by high Tory British prime minister Arthur Balfour as “the greatest natural statesman” he had ever met, Pearce oversaw every major initiative of those decades: establishing Australia’s navy, implementing mass citizen military training before World War I, the Great War itself, the ambitious post-conflict demobilisation scheme in co-ordination with General John Monash, designing the nation’s post-war defence scheme in the 20s and then engineering defence renewal in the 30s.

As for Hughes, Australia’s pocket rocket prime minister in the Great War, the role he played in the period was similar to Winston Churchill’s: completely immune to the allure of disarmament that gripped the political classes and general population, he repeatedly warned of the rapidly worsening military risks. Claims that he was a warmonger past his use-by-date did nothing to deter him from what he saw as his duty.

Hughes, Pearce and (after the latter’s 1934 political exit) his replacement as defence minister, Archdale Parkhill, were continuing a basic geostrategic awareness that traced back to the global strategic vision of Alfred Deakin.

Deakin returned from the first Imperial Conference in 1887, which had focused largely on defence and Pacific security questions, describing the “armed camps” that European nations had become. Faced with the threats that posed, he argued that school students should be given compulsory military training – a measure introduced shortly after Federation.

It was Deakin, too, who initiated the Royal Australian Navy as an independent national fleet. In 1907 he made the fundamental observation that still captures the totality of Australia’s strategic existence: “Shut off access by sea to Australia and the whole nation stops.”

Pearce echoed this in 1933 when he pointed out: “If Australian markets were closed and her imports and exports stopped by enemy action, she could be forced to sue for peace without a single enemy soldier coming within sight of her shores.”

What Deakin, Pearce and Parkhill understood was that Australia’s safety and independence depended on the success of a wider global project: a globalism, built out of free passage across the open seas of the world, which Australia had enjoyed for the entirety of its post-1788 existence thanks solely to the Pax Britannica.

The sense of vulnerability that dependence created took on new focus when Japan invaded Chinese Manchuria in 1931. Despite crippling fiscal constraints, Japan’s renewed aggressiveness helped convince the Lyons government to seriously shift the dial on defence spending so far in advance of Britain itself. As for the Admiralty’s assurances about the solidity of the new Singapore fortress that the British had built slowly and reluctantly, they didn’t persuade successive Australian leaders.

At the 1937 Imperial Conference Australia was the only dominion to actively probe the question of imperial defence systems and insist on more detailed planning. But the irreducible problem remained. Although Britain still had the largest and most powerful navy in the world in every class of ship, the days when it could comfortably outmatch the next two largest navies in the world combined had gone forever.

Rather, Britain’s one great fleet now had a two-ocean dilemma. As the First Sea Lord had warned in April 1931: “The number of (our) capital ships is so reduced that should the protection of our interests render it necessary to move our Fleet to the East, insufficient vessels of this type could be left in Home waters to insure the security of our trade and territory in the event of any dispute arising with a European Power.”

The security predicament was exacerbated by a dilemma with which today’s readers will be all too familiar. Britain, the country’s security guarantor, was increasingly estranged from Australia’s second largest (and still growing) trading partner, Japan – which was also our greatest military threat in the Asia-Pacific region.

The Lyons government’s Trade Diversion Policy of 1936, which sought to redirect trade elsewhere, prioritised security over immediate economic gain; but it was loudly criticised by the Australian stakeholders most directly affected, notably the graziers, and in any event seemed ineffective.

In short, Australian governments faced a perfect storm. The global system from which Australia had derived such immense benefits was visibly collapsing. Taking its place was a fragmented world in which the ability of our most powerful friend to protect this country’s vital interests was being seriously challenged. And a terrible choice had to be made between trade and security, between immediate and deeply unpopular economic pain on the one hand and strengthening Australia’s most formidable adversary on the other.

All this was entirely novel, depriving the nation’s leaders of any usable past on which to draw. As Churchill described it when reflecting on the dilemmas with which Britain was then grappling: “The compass has been damaged; the charts are out of date.”

An important part of the answer was thought to lie in appeasement, which was not yet a pejorative term. It was, on the contrary, well within what we could now call the playbook of the Anglosphere’s elites: since at least the middle of the 19th century, British leaders had relied on coming to terms with adversaries they could not afford to fight.

As Paul Kennedy concluded in his study of British foreign policy, those elites had a long-established preference for “settling international quarrels by admitting and satisfying grievances through rational negotiation and compromise”. They had, for example, neutralised threats from France and Russia before World War I by making deals over colonial territory. Now they were trying to apply the same conciliatory approach to Adolf Hitler’s Germany.

In the lead-up to the 1937 Imperial Conference Australia was therefore cabling Britain urging more be done to better relations with Japan, perhaps along the lines of the recent Anglo-Italian Pact. The nearly 20 papers issued to Australian conference participants by External Affairs, recently established as a stand-alone department, described the public campaign in Japan for a “southward advance” policy of imperial expansion, with all the dangers that created for Australia. But mindful of the fiscal constraints on Australian rearmament and noting that the US remained “at heart isolationist”, the department advocated rapprochement with Japan, if only to buy time before a seemingly inevitable conflict.

That was paralleled by an effort to extend Australia’s alliances. The dispatch in 1939 by the new Menzies government of Richard Casey to represent for the first time distinctively Australian interests in Washington was especially important. Accompanying it was a broad range of initiatives aimed at eliciting a firm American commitment to Asia-Pacific security.

Those initiatives bore fruit at the end of November 1941 when the Roosevelt administration indicated it would commit armed forces to defend the Asia-Pacific beyond its own immediate territorial interests. Franklin Roosevelt’s chief foreign policy adviser, Under Secretary of State Sumner Welles, confided to Casey that “we cannot allow ourselves to be cut off from essential defence needs”, nor could the US let itself be reduced to “the position of asking Japanese permission to trade in the Pacific”.

The significance of this commitment didn’t take long to become apparent – a few days later, Japan launched the Pacific War, pre-emptively attacking, among other strategic positions, Pearl Harbor in Hawaii.

That hard-won American pledge is the essential context for understanding John Curtin’s actions as prime minister. Despite his own claims and Labor’s never-ending hagiography, the reality is that Curtin benefited enormously from the fact his party had been nowhere near power nor forced to take the critical decisions in the lead-up to war. Crucial heavy lifting on Australia’s war-waging capacity and global alliance-building was done by his predecessors; largely eliminated from subsequent political narratives, they provided the basis for what Curtin achieved.

Honae Cuffe is therefore right to conclude, in her impressive study of the formation of Australia’s Asia-Pacific policy, that as the global outlook darkened, trade, diplomacy and defence were all pursued in an attempt to secure and maintain Australia’s sovereignty.

Yes, there were errors of appreciation, including Robert Menzies’ excessive faith in what appeasing Germany might achieve – though Menzies was immeasurably more cautious in that respect than the leadership of the ALP. But despite those shortcomings (which were hardly Australia’s alone), the period saw, as Cuffe writes, “the emergence of a lucid and opportunistic foreign policy in which policymakers carefully assessed international developments, the strategies of the great powers and the opportunities available to project the national interest”.

All that was preparatory to an existential confrontation with the real choices of national existence, choices we had largely managed to avoid before the full onset of the Pacific War. It was this conflict, Paul Hasluck wrote in the war’s immediate aftermath, that signalled the moment Australia “came to understand in more brutal terms what its claim to nationhood meant and to meet the stark and single issue of survival”.

The bedrock problem in meeting that challenge was this: Australia did not just have to depend on its allies for their military strength. However clear-sighted or misty-eyed our perceptions of the situation might be, we were also dependent on the acuity and coherence of our allies’ strategic vision.

British prime minister Neville Chamberlain’s weaknesses in that respect are well-known, as are those of his closest advisers. Historians’ recent attempts to cast him more favourably than did the post-war consensus are not entirely groundless. But they cannot erase the fact he continued to believe, even when every illusion should have been shattered, that Hitler “was a man who could be relied upon when he had given his word”.

Concessions, Chamberlain thought, would strengthen the hands of “political moderates” in Germany. Indeed, Eric Phipps, Britain’s ambassador to Germany from 1933 to 1936, suggested that Hitler was one of them, while his successor, Nevile Henderson, was convinced Hermann Goering’s passion for hunting and fishing, which gave him some kinship with the English aristocracy, meant he would naturally tone down Hitler’s aggressiveness.

That belief, that even brutally authoritarian regimes could be tempered by “moderates”, was one of the period’s most disastrous convictions. Cabinet discussions were replete with fatuous comparisons to Louis XIV or Napoleon. Faced time and again with those claims, Ivan Maisky, the Soviet ambassador in London, could hardly be blamed for concluding that “English gentlemen” (meaning Chamberlain and his coterie) suffered from a “complete failure to grasp the psychology of such men as Hitler and Mussolini” – and even more so to grasp what was new and terrifying about them.

No matter how ill-judged Chamberlain’s views may have been, they resonated with a public that dreaded nothing more than another war. In 1933, a Labour candidate won a by-election for the eminently safe Conservative seat of Fulham East by campaigning entirely on a pacifist platform.

Four years later Chamberlain’s predecessor as British prime minister, Stanley Baldwin, who considered that defeat a political earthquake, still felt “a stronger pacifist feeling running through this country than at any time since the War” – making far-reaching rearmament politically impossible.

Roosevelt’s vision was much clearer than Chamberlain’s. He was, however, far more tightly hemmed in.

“The epidemic of world lawlessness is spreading,” he warned in 1937. Americans should not imagine that “this Western Hemisphere will not be attacked and that it will continue tranquilly and peacefully to carry on the ethics and the arts of civilisation”.

However, a Gallup poll gauging the public reaction to his speech found that 60 per cent of voters wanted congress to pass even more stringent measures barring US involvement in a new war.

Stung by the resulting congressional blowback, Roosevelt bitterly complained to his speechwriter: “It’s a terrible thing to look over your shoulder when you are trying to lead – and find no one there.”

Of course, none of that stopped Roosevelt, who redoubled his efforts after Munich: “There can be no peace,” he said, in a radio address immediately after Hitler got his way, “if the reign of law is replaced by a recurrent sanctification of sheer force.”

Equally, Hughes warned a uniformly hostile House of Representatives that Chamberlain’s Munich deal, which had been met in Australia, as elsewhere, with unanimous jubilation, actually changed nothing: “The danger is still there. In a little while the clouds will gather again.”

And more than anyone else Churchill remorselessly continued the fight against the defeatists, eventually toppling Chamberlain.

Unfortunately, by the time Churchill and Roosevelt were firmly in control the opportunity to readily stem the dictators had been squandered – and millions of lives that could have been saved were gone with it.

It would be all too easy to draw from the 30s an isolationist conclusion. After all, it was obvious that Britain’s naval predominance was waning. Given that, shouldn’t Australia have built an infinitude of aircraft to defend the immediate shoreline? But as satisfying as it might feel, then as now, to focus solely on territorial defence, that is little better than an elaborate exercise in reality denial.

The real lesson, which Menzies, Hasluck and others showed in their subsequent decades’ overview of Australian defence, is that Australia’s defence inevitably lies in the world. As Australia can be cut off and defeated without an enemy touching the coastline, so too must the defence be forward. And that defence is only feasible if it is conducted in vigorous alliance with others.

To expect those alliances to be easy to maintain or always harmonious would be foolish. Allies’ interests – and, no less ominously, their perceptions – differ and we lack the sway to impose our own. Strategists talk of the “fog of war”; but few fogs are thicker than the fog of peace, when the shape of future conflicts is wrapped in the mists, creating uncertainties about when, where and how they will unfold. Once war breaks out, the adversary is in the open; until then, hopes, fears and hesitations blur the sight, cloud the understanding, muddy and obfuscate the debate.

That is the situation today. With a recently released report decrying our “paper ADF”, we seem to be witnessing, as Auden did so many years ago, “the clever hopes expire” midway through our own “low, dishonest decade”. Whether our leaders have the vision to recognise and the courage to confront that grim reality will determine our future.

Here is the link:

https://www.theaustralian.com.au/inquirer/australias-safety-in-the-1930s-depended-on-the-global-project-its-no-different-now/news-story/2a6de650c3d6429abe44bd00b193a568

I suspect it is much too long since Australia has faced a real strategic threat but I fear that time is returning and that we are really not prepared for the changing realities

My feeling is that we need a little more actual investment and preparation for a world that may very well turn overtly hostile in the next decade. We have had it too good for too long and I fear “the times are changing” and not for the better.

I wonder what others feel about the outlook over the next decade or so. I would be surely improving our domestic drug manufacture and supply capabilities to address our worrying weaknesses! For one suggestion!

The bottom line is I feel the world is becoming more dangerous and less secure in all sorts of ways and we need to step up, as a nation, to meet the emerging threat(s).

David.

Sunday, June 01, 2025

It Is Really Difficult To Separate A Vaper And Their Addictive Vapes It Seems!

This appeared earlier today:

Vendors on food delivery app HungryPanda selling vapes

Paul Karp NSW political correspondent

Jun 1, 2025 – 12.53pm

Vendors on popular food delivery app HungryPanda appear to be selling vapes, with the illegal sale of nicotine products easily discoverable by changing the user language to Mandarin.

While the Albanese government has boasted that new penalties for supply of vapes has sent the price soaring and consumption down, illegal vapes are still readily available online.

Under the new laws that applied from October 2024, therapeutic vapes can only be legally sold at pharmacies to adults for smoking cessation or the management of nicotine dependence.

A tip independently confirmed by The Australian Financial Review shows that vapes are being sold by vendors listed on the HungryPanda app, which expanded to 3.5 million Australian customers, 60,000 merchants and about 40,000 drivers/riders after the purchase of Melbourne-based app Easi.

In one example sighted on the app, a GFel vape with 6000 puffs retailed for $36 – less than the $50 to $60 now typical in retail settings.

The Financial Review is not suggesting that HungryPanda condones the sale of vapes or other illegal products on the app. Some vendors displayed a QR code to open a WeChat conversation, allowing buyers to contact sellers on a separate app.

Rohan Pike, a consultant and former Australian Federal Police officer who created and led the Australian Border Force’s tobacco strike force, said it was clear that vapes were “readily available” in online apps and forums, including HungryPanda and WeChat.

“It raises a number of concerns about the fact that criminals are anticipating enforcement and changing their methodology to suit,” he said.

“Legislation has been enhanced, but the focus has been on the retail environment of high street stores. This is an embarrassment to law enforcement, because it is still so easy to get product to market,” Pike said.

“This would seem to be an escalation from opportunism to sale online, a more organised criminal behaviour. The move online should have been anticipated.”

“For children it would be just as easy to buy a vape as to get sweet and sour pork on HungryPanda.”

Since new laws that applied from July 2024, authorities have seized 8 million illegal vapes at the border. The federal government claims the crackdown is working, citing new data in the Cancer Council’s vape report finding the rate of vaping among 18- to 24-year-olds has halved to 18 per cent from 2023 to the latest quarter.

A spokesman for the Therapeutic Goods Administration (TGA) said it was unlawful to advertise vaping goods to the public, and is punishable by penalties of up to seven years’ jail for a criminal penalty or up to $23.10 million for a civil penalty.

“The TGA is aware of vaping goods being illegally promoted for sale through different online forums and works closely with online platforms to deter and address alleged unlawful advertising,” the spokesman said.

“We also use powers under the Telecommunications Act that require internet service providers to block access to certain websites, including those that illegally advertise and supply vaping goods, if they are in breach of the act.”

From January 2024 to May 2025, the TGA has requested the removal of more than 8400 unlawful ads for vaping goods from digital platforms.

“We do not comment on individual matters including whether they may be subject to investigation or compliance and enforcement activity, or the status of any investigation.”

A spokeswoman for NSW Health said it “is concerned about the harmful health effects associated with vapes and reminds the community of the dangers associated with vaping”.

With the exception of pharmacies “the sale of all vaping goods with or without nicotine is illegal” in NSW, the spokeswoman said.

“This also includes online sales. Retailers can be penalised under both commonwealth and state legislation.”

The Financial Review contacted HungryPanda for comment.

Here is the link:

https://www.afr.com/policy/health-and-education/vendors-on-food-delivery-app-hungrypanda-selling-vapes-20250527-p5m2if

Interesting to see how creative both the sellers and users of vapes are to get hold of their fix. Honestly we all know there is really no chance of putting in place an effective ban so sensible control measures are what is needed IMVHO.

If people do not want to stop using nicotine there is zilch you can do!. Not many stop really willingly despite all the warnings!

Having given up smoking some 50 years ago now, I can still remember just how powerful the addiction was and how bloody hard it was to stop! (Took me 5-6 attempts at least  before beating it! – they won’t let you smoke in operating theatres where I worked so there was little choice in the end!)

Sadly smoking is highly addictive and not all that harmful short term – so the incentive to stop is hard to reach once you are addicted – which takes but a few days of use!!!

People I respect tell me the addiction is as powerful as heroin and I can believe it!

Best plan is to never start – if you are smart enough to do just that!

Oddly I have had all sorts of narcotics (morphine, pethidine, oxycodone et least) for operations etc. and have never found them enjoyable in the least. I wonder why?

Nicotine, on the other hand, I did enjoy, a lot. and it took a while to get off it!

We are all different I guess!

David.

AusHealthIT Poll Number 796 – Results – 01 June 2025.

Here are the results of the recent poll.

Is PM Anthony Albanese Wrong To Offer Any Real Respect Or Support To Donald Trump?

Yes                                                                     12 (38%)

No                                                                      19 (59%)

I Have No Idea                                                    1 (3%)

Total No. Of Votes: 32

Clearly majority think we should be reasonably respectful to Trump!.

Any insights on the poll are welcome, as a comment, as usual!

OK voter turnout – answer pretty clear. 

1 of 32 who answered the poll admitted to not being sure about the answer to the question!

Again, many, many thanks to all those who voted! 

David.

Friday, May 30, 2025

This Is An Apparently Common And Sadly Frustrating Story. Looks Like A Happy Ending!

This appeared last week:

‘I was alive but not living’: The chance discovery that saved Lilli chronic pelvic pain

By Kate Aubusson

May 25, 2025 — 5.00am

“What did you do to me?” is not a phrase doctors want to hear from a patient after surgery. But for vascular surgeon Laurencia Villalba, it became a welcome pattern among her female patients with varicose veins.

“I’d answer, ‘I fixed your leg’, and they would say, ‘but the pelvic pain is gone too’,” said associate professor Villalba, an honorary fellow at the University of Wollongong’s faculty of Science, Medicine and Health.

Persistent pelvic pain affects between 15 and 25 per cent of Australian women. But research into the poorly understood, complex and multifactorial causes is underfunded, leaving an estimated 50 per cent of cases undiagnosed.

“So, I started looking more closely and asking more questions, and I soon realised that a lot of my patients had chronic pelvic pain that had not been diagnosed, or treated or even investigated,” Villalba said.

Pelvic congestion syndrome (PCS) is among the chronically under-researched contributors to chronic pelvic pain. It’s characterised by damage to the major veins that run through the pelvis, restricting blood flow and causing pressure to build up. Some studies suggest this may contribute to 30 to 40 per cent of chronic pelvic pain cases where no other cause (such as endometriosis) can be identified.

One promising treatment is stenting, which involves inserting a small mesh tube to open a narrowing or blocked vein. The technique is more commonly associated with repairing the arteries of cardiovascular patients.

A recent study, led by Villalba, followed 113 women (aged 17 to 88) with a blockage in an iliac vein – major veins running from each leg through the pelvis – who underwent stenting after suffering severe pelvic pain, some for up to 25 years.

Before stenting, the women’s median pain score was seven out of 10 (10 being the most severe).

After the procedure, almost every patient (all but two) reported her pain had lessened significantly six to 12 months later; most (73 per cent) reported the pain had disappeared completely, as reported by Villalba and her co-author, associate professor Theresa Larkin, in the journal Venous and Lymphatic Disorders.

“Women who once struggled to sit, work, exercise and have intercourse, [and who] experienced immense pain, have been given back their lives and their freedom,” Villalba said.

The study also found:

  • The women’s pelvic pain had not returned at a median follow-up of five years.
  • Of the 31 women who still experienced pelvic pain after stenting, their median pain score had dropped to below three out of 10.
  • Twelve patients became pregnant and gave birth after receiving their stents (some had multiple pregnancies).
  • There were no stent-related pregnancy complications, and no recurrence or pain or worsening of pain during or after their pregnancies. 

In 2020, a succession of gynaecologists told 17-year-old Lilli Staff that her debilitating pelvic pain was normal.

Two years later, and more than 80 kilometres from her home near Wollongong, a Sydney gynaecologist diagnosed her with stage 4 endometriosis (the most severe form of the condition) and polycystic ovary syndrome.

“I had lesions everywhere,” said Staff, now 22.

Surgery to remove her endometriosis lesions offered some relief, but her pain soon escalated.

“I had an excruciating pain in my pelvis, through my back and left leg. I would lose feeling in my leg and have to drag it around like a dead weight,” she said.

Staff was diagnosed via ultrasound with May-Thurner syndrome: her left iliac vein had been compressed by an artery in the pelvis.

Staff was referred to a vascular surgeon in Melbourne, who said she needed a stent, but he would not perform the procedure.

“He said I was too young, and I may want to be pregnant in the future, but I was welcome to find another vascular surgeon who would do it,” Staff said.

The evidence base for stenting to treat chronic pelvic pain is still emerging. The practice relies on small studies, such as Villalba and Larkin’s, without large randomised controlled trial data. The lack of large-scale trials and research investment is a familiar scenario for pelvic pain treatment overall.

Stenting was approved only in the 1990s for patients with coronary heart disease, who are typically decades older than these women.

“We don’t have 50 years of data on stenting, and we are giving them a permanent implant that they have to look after for the rest of their lives, so we need to do this carefully and follow up with patients forever,” Villalba said.

For Staff, the first surgeon’s refusal was heartbreaking.

“I was 20 years old and couldn’t go to university. I was at home in bed every day. I was alive but not living.”

Then her mother found Villalba.

“[Villalba] said I would be on blood thinners for the rest of my life, but I couldn’t keep living like this,” Staff said.

A normal-sized vein is 14 to 16 millimetres wide. Staff’s iliac veins had narrowed to 3.5 millimetres, with extensive scar tissue. Villalba inserted a stent 15 centimetres long and 16 millimetres wide.

“I pretty much felt better immediately,” Staff said. Roughly 18 months later, she has graduated, and her quality of life has improved immeasurably.

Villalba said it was “unbelievably disturbing that a lot of these patients have had many, many years of pain and have been completely dismissed”.

She recalled a patient whose husband left her because he didn’t believe that she experienced severe pain for hours after intercourse.

“It is not uncommon for me to hear women who have been told, ‘It is all in your head’, or ‘You need to learn to live with the pain’, when doctors can’t find a reason for the pain,” she said.

Ideally, chronic pelvic pain patients would be managed by a multidisciplinary team that may include pain, gynaecology, colorectal, gastroenterology and urology specialists, physiotherapists and psychologists.

This is not available for many, said Dr Jason Chow, a gynaecologist, pain specialist and clinical lead at the Royal Hospital for Women’s pain service.

“We’re all in these siloed specialities, and pain is often multifactorial,” Chow said. “We really need to take a holistic approach to a patient’s pain.”

Identifying the patients who may benefit from stenting was key, said Villalba, who first refers patients to explore potential gynaecological causes of the pain.

Not everyone with blocked pelvic veins experiences pain, and stenting is not always appropriate for those who do, Villalba said.

Patients were asked to keep a pain diary for six weeks and are encouraged to trigger their pain by performing certain activities such as walking up several flights of stairs, repetitive exercise for more than 30 minutes or having intercourse.

“[Pelvic pain linked to vein obstruction] is not random,” Villalba said. “It is influenced by gravity and exercise.”

Associate Professor Sarah Aitken, deputy chair of the Royal Australasian College of Surgeons’ vascular board, said the stenting study was an important step in highlighting a treatment that may relieve some symptoms, “but this is still a big area of unprioritised research”.

Aitken said patients assessed for vascular causes of pelvic pain had often endured a protracted and traumatic search for a diagnosis, in which myriad other potential causes had been ruled out.

“Or someone sees a vein and goes, ‘that must be the cause’, without considering other factors,” she said. “Villalba’s work has gone a long way in trying to provide a framework for understanding whether [a patient’s pain] could be venous or something else, but we are still very early in this process.”

Here is the link:

https://www.smh.com.au/healthcare/i-was-alive-but-not-living-the-chance-discovery-that-saved-lilli-chronic-pelvic-pain-20250512-p5lykh.html

I have nothing to add, hoping the post will increase awareness of and hope for the problem!

David.

Thursday, May 29, 2025

The NT Government Really Should Get On With Euthanasia Law Reform For The Sake Of Its Citizens!

This appeared last week:

Three decades after the NT first legalised voluntary assisted dying, Territorians are still waiting on change

25 May, 2025

The Northern Territory is the only Australian jurisdiction without voluntary assisted dying (VAD) legislation. (ABC News: Lewi Hirvela)

In short:

Sunday marks 30 years since the Northern Territory first legalised voluntary assisted dying, before the law was overturned by federal parliament in 1997.

The NT is now the only jurisdiction in Australia where the practice has not been legalised, with the Australian Capital Territory passing legislation last year.

What's next?

The matter has been referred to an NT parliamentary committee due to report back in September, as some Territorians say they have waited long enough.

Warning: This story contains graphic details of health conditions. 

After four-and-a-half years of medical treatment, the cancer that originated in his lungs is still spreading, while a tumour in his neck bleeds a half-a-litre of blood a week.

At 62 years old, with every medical avenue exhausted, his options are limited.

"I'm looking forward to an agonising number of weeks," he said.

"If I have a fall I'll possibly bleed out here at home. Otherwise I can admit myself to hospital and bleed out there."

Steve, who has asked for his surname not to be used, was in his thirties when the Northern Territory became the first Australian jurisdiction to legalise voluntary assisted dying (VAD) in 1995.

The legalisation was short-lived.

In 1997, federal parliament passed a bill, introduced by Liberal MP Kevin Andrews, that overturned the law and prevented both of Australia's territories from legalising VAD until 2022.

As of 2025, the Northern Territory is Australia's only state or territory without VAD legislation, with the ACT passing laws last year.

At his home in Weddell, a suburb in Darwin's rural area, Steve questions why the process is taking so long.

"I just want the choice to be able to go in my own time, without all the pain that I know I'm going to face. No mess, no fuss basically," he said.

With weeks to live, Steve will admit himself to hospital when the time comes and "try [to] pass as quickly as he can". 

"Without VAD that's the only option I have, except for taking my own life, which I don't really want to do," he said.

Faith the 'elephant in the room'

In 1995, then-chief minister Marshall Perron brought the Rights of the Terminally Ill Bill before the NT parliament.

He said he found his government debating two main groups in opposition — the NT Council of Churches and the Australian Medical Association (AMA).

"The AMA were simply saying that this had never been done before, that these matters should be left to doctors," he said.

Philip Nitschke, a former physician and high-profile VAD advocate who has rallied the medical community to support the practice, said he found the AMA took a "paternalistic" approach to what was a personal issue.

"The argument was that doctors don't end lives, doctors save lives, [and] if you start ending lives it will destroy the so-called doctor-patient relationship," he said.

Thirty years later the AMA has shifted its stance, updating its position statement on VAD to focus on regulation rather than opposition.

The NT Council of Churches, Mr Perron said, was "a different kettle of fish".

In 1995, the group argued VAD was antithetical to foundational Christian values, a position it continues to hold.

The Australian Christian Lobby has repeatedly voiced its opposition to VAD over the years and has implored the current NT Country Liberal Party (CLP) government to consider whether there is demand for such legislation.

The NT's Catholic Bishop in Darwin, Charles Gauci, said he opposed the practice, believing that it was "not an ethical way to go", but had sympathy for people who felt the need to use it.

"We need to provide loving, palliative care for the dying person and their families," he said.

Charles Darwin University senior lecturer Devaki Monani, who in 2023 sat on the expert advisory panel tasked with consulting NT communities on potential VAD legislation, said religion remained a concern for some.

"A lot of people came up to me after the consultation and said 'look, I'm Christian and VAD is at crossroads with my belief systems'," she said.

"It was a big elephant in the room for a lot of community members."

Consultation the key word in 2025

In December 2022, a 25-year ban on the territories' rights to legislate VAD crumbled.

The Restoring Territory Rights Bill, spearheaded by Darwin-based MP Luke Gosling and Canberra MP Alicia Payne, passed the federal Senate, overturning "Andrews bill".

But change has been slow to eventuate in the NT. 

The former NT Labor government was criticised for inaction when it said in 2023 it would not progress VAD legislation until at least 2024, after the territory election.

In July 2024, an expert advisory panel commissioned by Labor handed down its final report recommending the government bring back VAD in the NT.

Progress has since stalled again, with the CLP government, elected in August, citing a lack of community consultation for not yet drafting legislation.

Chief Minister Lia Finocchiaro has emphasised the importance of including Indigenous Australians in the consultation process. 

"Aboriginal people are very important stakeholders in this conversation," she said this month.

"The original report was consulted on up and down the Stuart Highway in the main towns, it wasn't taken out to remote communities."

Lia Finocchiaro wants to consult more widely with Aboriginal people. (ABC News: Pete Garnish)

Dr Monani said the expert advisory panel's process had included remote Indigenous residents. 

"All communities across the territory were given the opportunity to contribute, and Indigenous communities did so too," she said.

According to its final report, the advisory panel held 10 consultation sessions with communities, including the remote towns of Nhulunbuy and Wadeye, and 47 consultations with health, education, community and faith organisations over an eight-month period.

It found 73 per cent of Territorians believed a person should be able to choose when they die. 

The report also made several findings on "cultural issues relevant to the NT", including the importance of cross-cultural communication and trauma-informed care.

Committee to start consultation

In May 2025, 30 years after the Rights of the Terminally Ill Bill was legislated, independent MLA Justine Davis brought forward a motion urging the NT government to implement VAD.

On the same day, the government tasked the parliament's Legal and Constitutional Affairs Committee with consulting communities across the Northern Territory on VAD and, if recommended, providing drafting instructions for a new law.

The committee will be required to report back by September 30. 

"Today marks a significant victory for people in the Northern Territory," Ms Davis said on the day.

"This decision will bring much needed relief for those who are suffering."

But for Steve, while that news is welcome, any change that comes will be too late. 

"I wish it had been available for me but that's not possible. So I just hope the baton will be carried on and people in future won't suffer," he said.

Here is the link:

https://www.abc.net.au/news/2025-05-25/nt-vad-years-on-30-years/105326852

This is a really frustrating saga that one would have hoped would have been over by now. Hard to believe there are not some anti-democratic Catholic Church inspired hold outs obstructing sensible progress!

David.

Wednesday, May 28, 2025

Vaccine Deniers Are A Total Blot On The Medical Profession’s Value And Importance, And Should All Be Struck Off!.

This appeared last week:

One pioneered vaccinations, the other attacks them. Still, they share so much

Two medical men — one lauded by their peers, the other a hugely diminished figure addressing fringe anti-vaxxer rallies around the world — played crucial roles in the history of vaccination, albeit in very different ways.

Michael Gannon

25 May, 2025

Vaccination is a triumph of medical science. Every year tens of thousands of lives are saved and millions more enriched by prevention of disability and disease.

A World Health Organisation study published in The Lancet 12 months ago estimated that poliomyelitis virus vaccinations, the variations developed separately by Albert Sabin and Jonas Salk, have saved 150 million lives.

In recent years we have seen the introduction of human papillomavirus vaccine, which sits at the heart of a global strategy to reduce the incidence of cervix cancer – a result of groundbreaking research led by Ian Frazer at the University of Queensland.

Early in 2025 maternal vaccination against respiratory syncytial virus was added to Australia’s National Immunisation Program.

This is a parable of two men and the enormous impact they have had on the world.

Norman Gregg was born in Sydney in 1892. He was an outstanding cricketer and scholar at Sydney Grammar School, winning a scholarship to the University of Sydney to study medicine.

Immediately after graduating, he left Australia for the battlefields of France, serving as a captain in the Royal Army Medical Corps where he was awarded the Military Cross for gallantry in the field.

On returning home he was employed as a resident medical officer at Royal Prince Alfred Hospital before training in ophthalmology. After completion of his specialist training, he enjoyed a distinguished career, dividing his professional time between private and public specialist practice in Sydney. He was awarded a fellowship of the Royal Australasian College of Surgeons.

In 1940 there was a major rubella (German measles) outbreak in Sydney. The following year Gregg reported in the literature the unusual occurrence of congenital cataracts in 78 babies. Most of the mothers of these babies reported rubella infection early in their pregnancies. Gregg correctly surmised that viral infection early in pregnancy had caused the congenital defects.

A year later he co-authored a paper describing congenital heart defects and deafness as other features of congenital rubella syndrome.

Gregg was knighted by Queen Elizabeth II in 1953. The award recognised his notable contribution to public health, having laid the epidemiological groundwork for the eventual development of a vaccine against the RNA virus in 1969. Tragically, this was too late to prevent 20,000 cases of congenital cataract that followed a rubella outbreak in the US in the mid-1960s.

Gregg died in Sydney in 1966, not long before the rollout of the new vaccine.

Not all careers are so inspiring.

Andrew Wakefield was born in Buckinghamshire in 1956, excelled in schoolboy rugby and trained in Medicine in London, going on to be awarded a fellowship of the Royal College of Surgeons in 1985 and being appointed to the Royal Free Hospital.

In 1998 Wakefield was the lead author of a paper in The Lancet linking the measles, mumps, rubella vaccine with a novel syndrome of autism and bowel disease. Predictably, Wakefield’s paper spiked an immediate drop in the uptake of MMR vaccination in Britain and a rise in the number of cases of measles.

The British health secretary ordered the Medical Research Council to investigate Wakefield’s claims, finding no evidence to support his work. Concerns were immediately raised about the integrity of the research. Serious allegations were made about the falsification of data.

Eventually, 10 of his 12 co-authors withdrew their support for Wakefield’s claim of a link between autism and MMR vaccination. Wakefield left the Royal Free in 2001.

After the longest investigation in its history, the General Medical Council struck Wakefield off the medical register in 2010, having found him guilty of serious professional misconduct, to have been dishonest, having acted in his own financial and personal interest, and failing to act in the best interests of children.

As observed in a subsequent appeal to the courts: “There is now no respectable body of opinion which supports the hypothesis that MMR vaccine and autism are causally linked.”

Unfortunately, the faith that a significant minority of the world’s population have in vaccination programs had been shaken. It served to add to the distress of many parents of children with autism spectrum disorder. To this day, it sits at the centre of claims made by those who, for a whole variety of reasons, oppose vaccination.

Two men, both distinguished schoolboy sportsmen, both training in prestigious medical schools, both going on to qualify as surgeons, both appointed to famed hospitals in their largest city in their country, both working in medical research. One lauded by their peers, having made a fascinating contribution to epidemiology and human health, the other a hugely diminished figure addressing fringe anti-vaxxer rallies around the world.

Researchers across Australia and the world continue work on vaccines against malaria, chikungunya, Group A streptococcus and enterotoxigenic E. coli. Their painstaking work will ultimately bear fruit.

I spend a lot of time with my vaccine-hesitant patients. It is often exhausting. But it is worth it. Sure, it could be spent addressing other areas of health anxiety or illiteracy. But it is necessary to try to overcome the harmful misinformation that spreads freely on the web and social media.

The misery and disease from those who spread anti-vaccination lies come at a cost. Doctors like me stand on the shoulders of giants such as Salk, Sabin, Frazer and Gregg. We and the populations we serve have so much to be grateful for.

Michael Gannon is a consultant obstetrician and gynaecologist with 18 years’ experience as a specialist. He has delivered more than 5000 babies. He served as president of the Australian Medical Association from 2016 to 2018 and is president of leading professional indemnity provider MDA National.


This column is published for information purposes only. It is not intended to be used as medical advice and should not be relied on as a substitute for independent professional advice about your personal health or a medical condition from your doctor or other qualified health professional.

Here is the link:

https://www.theaustralian.com.au/health/medical/one-pioneered-vaccinations-the-other-attacks-them-still-they-share-so-much/news-story/b2a25f7663466c67eb933f444c0d0863

It is hard to argue that vaccination is not the greatest single health innovation of the last few hundred years when one considers the millions of children who have been saved from all those awful diseases of childhood (and adults) – whooping cough, measles, mumps, diphtheria, tetanus, cholera and so on!

Fortunately the obvious good and positive outcomes of vaccination have convinced all of the benefits other than the true “lunatic fringe”!

We should all be grateful to those who fought the walls on ignorance and distrust those years ago to make children, and adults, so much safer!

It is really an amazing scientific success story!

David.

Tuesday, May 27, 2025

This Is A Good List Of Thinking Points To Help Make You Smarter!

This appeared last week:

7 ways to be a great thinker

Here are the daily habits of highly intelligent people.

Simon Kuper Contributor

May 25, 2025 – 8.17am

Most people are getting dumber. Largely because of the smartphone, we’re in an era of declining attention spans, reading skills, numeracy and verbal reasoning. How to buck the trend?

I’ve charted seven intellectual habits of the best thinkers. True, these people exist in a different league from the rest of us. To use an analogy from computing, their high processing power allows them to crunch vast amounts of data from multiple domains.

In other words, they have intellectual overcapacity. Still, we can learn from their methods. These can sound obvious, but few people live by them.

Read books. A book is still the best technology to convey the nuanced complexity of the world. That complexity is a check on pure ideology. People who want to simplify the world will prefer online conspiracy theories.

Don’t use screens much. That frees time for books and creates more interstitial moments when the mind is left unoccupied, has freedom to roam and makes new connections. Darwin, Nietzsche and Kant experienced these moments on walks. The biochemist Jennifer Doudna says she gets insights when “out weeding my tomato plants” or while asleep.

Do your own work, not the world’s. The best thinkers don’t waste much time maximising their income or climbing hierarchies. Doudna left Berkeley to lead discovery research at biotech company Genentech. She lasted two months there.

Needing full scientific freedom, she returned to Berkeley, where she ended up winning the chemistry Nobel Prize for co-inventing the gene-editing tool Crispr.

Be multidisciplinary. Prewar Vienna produced thinkers including Freud, Hayek, Kurt Gödel and the irreducible polymath John von Neumann. The structure of the city’s university helped.

Most subjects were taught within the faculties of either law or philosophy. That blurred boundaries between disciplines, writes Richard Cockett in Vienna: How the City of Ideas Created the Modern World. “There were no arbitrary divisions between ‘science’ and ‘humanities’ – all was ‘philosophy’, in its purest sense, the study of fundamental questions.”

Hayek, for instance, “trained at home as a botanist to a quasi-professional level; he then graduated in law, received a doctorate in political science from the university, but … spent most of his time there studying psychology, all before becoming a revered economist.”

Breaking through silos goes against the set-up of modern academia. It also requires unprecedented processing power, given how much knowledge has accumulated in each field.

But insights from one discipline can still revolutionise another. The psychologist Daniel Kahneman won the Nobel Prize for economics for his findings on human irrationality.

Be an empiricist who values ideas. During the Second World War, Isaiah Berlin was first secretary at the British embassy in Washington. His weekly reports on the American political situation were brilliant empirical accounts of the world as it was.

They mesmerised Winston Churchill, who was desperate to meet Berlin. (Due to a mix-up, Churchill invited Irving Berlin for lunch instead. The composer was baffled to be asked by Churchill himself, “When do you think the European war will end?“)

In March 1944, Isaiah Berlin returned from Washington to London on a bomber plane. He had to wear an oxygen mask all flight, wasn’t allowed to sleep for fear he would suffocate, and couldn’t read as there was no light.

“One was therefore reduced to a most terrible thing,” he recalled, “to having to think – and I had to think for about seven or eight hours in this bomber.” During this long interstitial moment, Berlin decided to become a historian of ideas. He ended up writing the classic essays The Hedgehog and the Fox and Two Concepts of Liberty.

Always assume you might be wrong. Mediocre thinkers prefer to confirm their initial assumptions. This “confirmation bias” stops them reaching new or deeper insights. By contrast, Darwin was always composing arguments against his own theories.

Keep learning from everyone. Only mediocrities boast as adults about where they went to university aged 18. They imagine that intelligence is innate and static. In fact, people become more or less intelligent through life, depending on how hard they think.

The best thinkers are always learning from others, no matter how young or low-status. I remember being at a dinner table where the two people who talked least and listened hardest were the two Nobel laureates.

Here is the link:

https://www.afr.com/world/europe/7-ways-to-be-a-great-thinker-20250525-p5m1y6

This, I find, is a very good list of approaches to improving insight and understanding although I really do find screens pretty useful in keeping up with the madness that surrounds us these days!

How important do you rate screen time in your battle for insight and understanding? I find it vital which is why I may not understand much! Who knows?

David.