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The key to combatting increasing levels of loneliness and social isolation will likely start in the way we think about cities, public spaces and social care to enable meaningful connections between people, and help to guard against harms caused by habitual loneliness. But we'll need to get creative.
Who wields the most power in the world? If one follows the money trail, it becomes clear that Western societies have become ruled by a new type of aristocracy: a management aristocracy.
Calling healthcare a business was always logically flawed. Money is involved, but it is unlike any consumer product businesses. For one thing, the ‘customer’ in health does not decide what represents value, the provider (the doctor or equivalent) does. Patients may have a say, but usually only on the margin.
The latest underspend of the NDIS budget has reached the eye-popping amount of $4.6 billion. Every single one of these dollars is a dollar not getting to disabled people. Every single dollar represents change not being delivered. It's a door being closed, a phone call not being answered. This is getting worse, not better.
When I found myself facing the prospect of thyroid surgery, I had two options: either I could get it done for free through Medicare or privately at a cost of $11,000. I've been reflecting again on that choice in light of the recent criticism of 'celebrity' brain surgeon Charlie Teo. Australia's healthcare system is not as egalitarian as we think it is.
When One Nation puts forward a policy to DNA test Aboriginal people, DNA databases are solving crimes abroad, and commercial ancestry kits are as popular as ever, it's important to ask what we're giving away when we get our DNA sequenced. You'll only ever have one set of genes and once that data is out there it's very hard to get it back.
'We can do this better by breaking down the silos and binding together our concern for nature, justice for the poor, commitment to society, and interior peace.' Opening Keynote Address by Fr Frank Brennan SJ at the Catholic Social Services Australia National Conference, Port Macquarie 19 February 2019.
Singapore has one of the world's lowest mortality rates, with a general life expectancy of above 80. Singapore's women outlive men by about five years, making the country second in the world for how long its women live. It seems the Singapore state has decided to punish women for it.
A disabled man is in prison because the justice system fails people with disability. Advocacy organisations highlight his case. The proposed de-funding of NSW and Qld advocacy systems will leave those states with reduced advocacy programs, just as more people with disability will be coming into contact with mainstream services.
Medicare-for-all is best seen as aspirational: it is shorthand for policy ideals and papers over political realities. With Republicans in control of Congress, there is obviously no immediate chance of Sanders's bill becoming law any time soon. But with Republicans and the President viewed as ineffectual in implementing their healthcare commitments and uncaring about voters' concerns, it is advantageous for Democrats to be seen to have solutions to the problems that confront their constituents.
Obamacare, although imperfect, was soundly constructed and thoughtfully implemented. It has withstood constitutional challenges and survived endless Congressional votes to repeal and amend it. Republicans talk only about its problems and the Trump Administration has worked hard to sabotage it further, but the fact is that Obamacare is not in a 'death spiral'. It is working surprisingly well.
Universal health care is an ostensibly bipartisan prerogative, but what it actually means and how it's achieved is a somewhat moveable feast. Spending, we are told, is unsustainable as the population ages and we move toward ever-more personalised and technologically-advanced treatment paradigms. The objective of this rhetoric is to rationalise the privatisation of our health system by stealth. The latest wages figures are something of an inconvenient truth in this 'unsustainable spending' fiction.
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