Modest Expectations – Southern Sudan

In 2006, my younger son and I went to Munich to see Australia play Brazil at football. It was World Cup time.  I still have the scarf. As I remarked to the chap sitting next to me in the stadium, it would probably be the first and only time that I would be watching Australia play Brazil in anything. Australia was in a navy blue strip; the Brazilians the traditional yellow and blue. The similarity of our colours threw a golden ring around the field. Brazil was too good for us (2-0), but it was a competitive match just in the same way the recent encounter with Argentina was. Soccer or football (as it’s more universally called) was to us Australians very much a fringe sport, basically imported after the war to Australia, initially clubs being formed around particular migrant groups.

Australia had imported rugby and cricket from England and was playing test matches against them in the nineteenth and early twentieth century. But not football. Football was a working class sport; a winter niche filled in Australia by Australian Rules football and Rugby League. The latter was also a sport of the coal mining areas in Northern England. Then there was Rugby Union, the sport of the public schools in England and predominantly NSW and Queensland. Not much room for football in schools.

In 1956, at the Melbourne Olympic Games, Australia fielded a team when there were only eleven teams. Australia reached the quarter finals after beating Japan, only to be comprehensively beaten by India in the quarter final. The Soviet Union won the gold medal. On either side of the Olympic Games in 1954 and 1958 saw West Germany and Brazil win the World Cup; neither bothered to send teams to Australia. In 2000, as host nation for the Olympics, Australia received a free pass, but this was a genuine test among modified national sides. The Cameroons won; Australia came 15th.

I was in a taxi in New York when I learnt that Australia had qualified for the round of 16 for the 2006 Cup, when Australia later lost unluckily to Italy which then went on to win the title. However, this was a “golden” team with plenty of players in the top flight European leagues and their coach was one of the acclaimed Dutch coaches, Guus Hiddink – a very talented gun for hire but not in any way close to being an Australian by adoption, despite the media hype.

Graham Arnold, the current Australian coach is a knock-about Australian, who fits within the description of a typical “Aussie bloke”.   His zone? An abusive father; mother who dies of cancer when he’s 20; lives in straitened circumstances as a teenager, soccer journeyman who has pushed his innate abilities to its limits; underestimated; a chip on his shoulder compounded by his rumpled appearance. Moreover, he drinks at the Sackville Hotel in Rozelle (renamed for the Cup Sacky-roos), which I know well also. Rozelle – now gentrified – a long way from his childhood yet with identifiable parts to which he could relate, like  his Sackville patron mates.

He has been around a long time, spent a lot of time playing second violin. Where does the Australian Football team go from here, after this run of magic – does Arnold know when the trail of gossamer ends? Next year, when the Woman’s World Cup will be played out in the Antipodes it may go a long way towards answering that question.

Pity about Argentina.

Chenozem, indeed

I sent an e-mail to a friend in Sweden after Australia beat Denmark, commenting this win was like Sweden beating Australia at cricket.

In response, after congratulating the Australian achievement, he mused over the state of Northern Europe – “Weather impacts will be great, we suffer high energy bills and Ukranians freeze and buy simple wood ovens to compensate. Last week a full foot of heavy snow fell here, resulting in fallen trees and much shovelling. The area is littered with fallen fir branches.”

I sent him a poem entitled Black Soil, which I have written about the Russian Invasion of Ukraine and which will be published as part of an anthology in the New Year.

BLACK SOIL


Saffron the sun emergent

Caerulean a sky beginning to dawn

Trees wintry tracery on the light

A flag limp in a flowerpot

Blood dripping in the terracotta


Black soil 


A footprint; a lonely shoe

A carved track; a burnt out tank

A sunflower once tall; now bent 

Sap dripping from its torn stem

But still life lives in this sap
 

Black soil
 

Once a feathery highway

Of fun and laughter

Where children ran 

Where parents chided 

Where bicycles slowed and 

Everyone as sunflowers were waving in the gentle breeze.


Black soil


Now mud 

Where chilled men and women lie

Twisted and burnt

In tatters and shreds

In graves 

In plastic body bags

Alone with company
 

Black soil

 
A way beside a church

Where once Putin prayed 

Where Oligarchs prayed

Where a Muscovite Prayed

A Patriarch with heavy braid

Prayed

To God


Black soiled.

My friend’s response was brief:

“Chenozem” indeed.

Chernozem

Well, here was an unfamiliar word, which I found out is derived from the Russian word for “black soil”. Nearly a quarter of the world’s most fertile soil, known as chernozem, is located in Ukraine.Chernozem is black soil -rich in organic matter made up of decomposed plants – “humus” in fact. I live and try to learn.

Who suggested this?

Under the Higher Education Loans Program, commonly known as HECS, the government covers the cost of students’ contributions until such a time as they earn a minimum salary of $48,361 and repayments of one per cent a year kick in. Repayments are staggered to $141,848, at which point graduates repay at a rate of ten per cent through the Australian Tax Office.

While the loans are indexed to CPI, no interest is paid on them. Legislation passed in the Federal Parliament this month will wipe more than $70,000 from university debt accrued by doctors and nurse practitioners who spend three years working and living in a rural or remote area after they graduate. The policy will apply to students enrolled from January 1 this year and is designed to attract an estimated 850 additional doctors and nurse practitioners to hard-to-staff areas. In the AFR, the education editor stated this initiative to encourage graduate medicos to go bush is unlikely to achieve its aims. She went on to say experts believe is unlikely to succeed. Dozens of attempts over the past 40 years to influence student course choice by lowering tuition fees have largely failed.

I would agree.

I was involved directly in the national establishment of university departments of rural health, rural clinical schools, regional university medical schools (James Cook University and later Deakin) and in Victoria the Murray to Mountains Program directed at training interns totally in rural areas of Victoria. All were successful, at the time I retired to join the ranks of the aged and infirm. So, what the hell is going on.

Money is one incentive, but not in isolation.

The problem with attracting doctors to rural practice is that it is not about money, it is about providing the right non-monetary incentives and from the latest initiatives, it looks as though the Government has learnt nothing.

I have seen what does not work. It is somewhat depressing when you devise policies that have been shown to work and you see in your retirement 20 years later the policy jesters and theory purveyors without field experience write their formulaic repetition of what does not work, and which I discarded long ago.

One of the initiatives that did not work was providing funding to retain doctors in the country, just as bursary systems don’t work if there are no linked career prospects. The idea that you dragoon recent graduates to work in the country for two years is not only bad policy it is damaging to medical practice across Australia.

My view, which was vindicated, was that if you present an opportunity for medical students to train in rural areas, not just a brief “holiday” visit, but a full-time living and learning experience with committed staff co-ordinated by a director of clinical training, good outcomes are achieved. The student is in effect being socialised into rural practice. It has been said that if one grows up in the country, one is liable to go back there for a career – as long as your memories are positive. When the rural clinical schools were first funded, there was considerable resistance until those who went through the program found they both enjoyed themselves and learnt the important skills to enable a doctor to resuscitate a patient and look after that patient until they are transferred, get better under your watch or die – all up significant clinical experience.

The problem with training in the rural areas is that it is completely foreign to most of the deans of medicine and their ilk who have grown up on a diet of research with an elitist view of teaching hospital training as the only legitimate pathway. To them, training in the country is second class. These people unfortunately have the ear of government because research laboratories are embroidered with toys to suck in the politicians who have no idea of what they are seeing but are glitzy. Medical education should be primarily about developing the majority of students to work as medical practitioners from the day they graduate, not research scientists. Rural clinical schools were funded independently from the Department of Health not Education to protect the funding from being “skimmed” by the universities for administrative costs.

As I have written extensively, certain matters must be satisfied for rural practice to succeed, and the overall assumption is that time as a rural general practitioner should be around five years. Social dislocation, professional isolation, community tolerance and over all succession planning. In explanation, social dislocation recognises that one’s partner needs to be accommodated and, in the longer term, factor in the education of the offspring. Professional isolation recognises that single person practice without a backup program is undesirable. Community tolerance means that in a rural community one sacrifices the anonymity of the big city and the level of social acceptance not only by the community at large but also by fellow professionals is essential for a good experience.

The simple fact is there is need for a system that can provide long term solution; succession planning is an integral part of the policy.

The Murray to the Mountains Intern Training Program showed clearly that by the end of the intern year, the doctors were capable of independent practice, able to handle emergencies and having had the benefit of an ongoing comprehensive professional development program – organised for maximum attendance of the interns and where feedback was actively encouraged. The appointment of a Director of Clinical Training able to co-ordinate the professional education component and provide a degree of pastoral care is important. For a successful program, dumping young doctors in rural areas of which they know little is doomed to failure. Then there will be the cohort who seek exemption or release from the program, often by way of legal action, and the program will be quietly dumped without fanfare.

This is a precis. As I have said, mine is the perspective of somebody who spent 30 years involved in rural health policy development, not flying a desk in Canberra but working in the field, and seeing what worked. Needless to say, I had my fair share of unproductive policy cul-de-sacs.

From an economist’s point of view, Richard Holden has been reported as saying “Writing off student debt for doctors who practice in the bush is an unfair and inefficient use of taxpayer dollars that amounts to bus drivers subsidising wealthy kids to get medical degrees.” Professor Holden went on to say that the decision to wipe out student debt for doctors and highly trained nurses was inefficient, unfair and would shift the cost of educating rich kids who become doctors onto the working poor.

Students from rich families tend to be over-represented in medical programs because of the established link between wealth and academic performance, particularly on the Australian Tertiary Academic Rank. They also can pay off HECS and thus exchange of compulsory rural placement is not much of an incentive.

As further reported in the AFR, Andrew Norton, a higher education policy expert from Australian National University, said the repayment of debt would turn into a bureaucratic nightmare as the Australian Taxation Office and education departments try to sort out the debts of about 850 graduates if the target is reached. The US-based think tank, The Brookings Institute, recently described student loan forgiveness as “regressive whether measured by income, education or wealth. Student debt is concentrated among high-wealth households and loan forgiveness is regressive whether measured by income, educational attainment or wealth.” That position was backed up by a recent Productivity Commission report. The October report was disdainful of free places in TAFEs and universities, saying such policies come at a huge cost to taxpayers, which is largely borne by people who don’t directly benefit from them.

Overall, dreadful policy, which will go nowhere – but who will ever say so? 

Who do you think you are?

Halima Begum, director of Runnymede, a race equality think tank, said: “The courtier in question was born in the 1930s and is the product of a time and place defined by British imperialism. However, this does not excuse racism, whether or not it occurs inside the king’s London home.”

As background, Begum has been the boss of this Trust since 2020, itself set up in 1968. She represents “the organisation across national and international forums and has led major research, development and policy programmes spanning education, equality, human rights, public health, the environment and post-conflict reconstruction”. It is best for it to wallow in its self-defined worthiness. Great Britain is the home to so many of these worthy organisations.

There is something vaguely offensive in her italicised statement heading the article. I suppose because I am nearly 83, I find some woman who runs one of those worthy organisations dismissing us as the product of own time, as though that has any particular meaning, patronising. I was born into a Commonwealth Dominion that may have been defined by British imperialism, even though we followed Great Britain into a destructive WW11. In fact, looking at her background enmeshed in Bengali heritage with a tough early life to understand, I suppose I should cut her some slack, but reading it slowly suggests some degree of the very thing she has committed herself to eliminate – racism.

HRH and Lady Susan Hussey

Yet, the object of this contumely is an easy target. Lady Susan Hussey, the aggressive confidant of the late Queen, served as her enforcer. I just imagine the late Queen asking her to deal with “those difficult hussies” and then her unappreciated way of dealing with Princess Diana and more recently the Duchess of Sussex. Once her patron was gone, then it was only a matter of time before Lady Hussey with all her hoar frost would follow. The exchange with an equally aggressive black woman with an African themed persona who took umbrage at being asked where she was from, certainly made the most of the exchange

Unfortunately, one could deduce from this report that all people born in 1930s should shut up and drink their cocoa. One of the ways I have always learnt is to ask people about themselves. After all, that is what makes you interesting. The taxi driver from Bangladesh is amazed that I even know where Bangladesh is and then tells me he comes from a hilly area there and dispels in my mind that the country is totally deltaic and floats around in the Bay of Bengal. He tells me about his family, but before he can produce the family photos, we have reached home – and I have learnt about a middle-aged man who I’ll probably never see again – but I was enriched by the conversation.

Perhaps Lady Hussey looking at the Ms Fulani expressed herself insensitively, but then if I pranced into a garden party dressed as a harlequin in a fur coat and Roman galea and an 83 year old woman asked where I was really from, then perhaps I might understand if she repeated the question, confused by my heterogeneous garb. But as reported, seven times! I think not.

In any event, the nobility knows when the execution block beckons, and this fifth daughter of the 12th Earl Waldegrave descended from the union of James 11 and his mistress, Arabella Churchill has played the game and stepped down. I’m sure the crocodile tears have been mopped up.

Ms Fulani

Ngozi Fulani, born Marlene Headley, has a scalp in Lady Hussey and publicity for her charity – for the moment.  “Ngozi” is “skin” in Swahili, the lingua franca of the East Africans, but Fulani are a West African people. As I wrote above, a heterogeneous lady. I just hope that these publicity hounds don’t use the elderly, less able to cope, as targets for confected outrage. One problem is having written the above I’m likely to find Nigel Farage on the same side as myself.

Mouse Whisper

Since it is round ball and hands off time, some majestic trivia:

King Charles is a Burnley supporter. Camilla undisclosed, possibly Plumpton Athletic.

His mother, clue is the only team she ever hosted at Buck House was Arsenal. His father – rumour hath it he supported Leeds.

Prince William very Aston Villa, whereas wife Kate supports Chelsea. Prince Harry is Arsenal.  Duchess of Sussex? Not stated.

And Princess Diana?  Philadelphia Eagles.

Philadelphia Eagles

 

 

 

Modest Expectations – Vile Bodies

If you are writing a sermon, it is good to have a text, in this case from The Gospel of The Boston Globe.

At a time when climate change and those who fight it demand that coal be treated like tobacco, as a danger everywhere it is burned, Australia is increasingly seen as the guy at the end of the bar selling cheap cigarettes and promising to bring more tomorrow.

Along with koalas, kangaroos, and beaches, the country — the world’s third-largest exporter of fossil fuels — is becoming known for refusing to clean up its act.

With just days to go before a major UN climate conference in Scotland, Australia is one of the last holdouts among developed nations in committing to net-zero emissions by 2050, and it has refused to strengthen its 2030 target or make plans for transitioning away from its deep commitment.

Coal-o-phile Dundee

The country’s prime minister, Scott Morrison, only recently agreed to attend the climate summit after criticism from Queen Elizabeth II and a crowdfunded billboard in Times Square that mocked his reluctance to address climate change, calling him “Coal-o-phile Dundee.”

Australia’s inertia points to a pressing challenge for the world: how to get places that profit from a dangerous product to transition before it becomes too late. With the threat of even more damaging storms and fires looming if temperatures keep rising, a combine-and-conquer approach is required — fossil fuel users and producers both need to kick the habit.

The kings of carbon are not in a rush. A UN report recently released found that coal, oil, and gas production will keep growing at least until 2040, reaching levels more than double what is needed to prevent a catastrophic rise in global temperatures.

Australia is a major contributor to the problem. In energy terms, the continent is essentially a bigger version of West Virginia: Coal is still king, natural gas is celebrated, and the conservative government has a lot in common with Senator Joe Manchin, a West Virginia Democrat, who has blocked President Biden’s sweeping plan to shift the country toward renewable energy.

In May, the International Energy Agency released a detailed overview of what it would take to cut carbon dioxide emissions to net-zero by 2050 and keep the average global temperature from increasing by 1.5 degrees Celsius over preindustrial levels — the threshold beyond which the Earth faces irreversible damage.

Near the top of the list: end investment in new sources of fossil fuels.

Australia’s response? Yeah, nah.

The federal government still revels in Australia’s role as the world’s largest coal exporter. A report from the Department of Industry, Science, Energy and Resources last month used a medal icon in denoting the country’s status as the world’s coal leader, expected to ship out 439 million tons this year, up from 400 million tons last year.

In the last month alone, three new coal mining projects have been approved. In New South Wales, a production hub for the thermal coal burned in power plants — some of the biggest contributors to global emissions — proposals for 20 new coal mines are under review. And that does not include a giant project in the state of Queensland, where the Indian industrial giant Adani is trying to build the largest coal mine in the world.

Nor does it include Australia’s expansion of natural gas. The government plans to open at least five new gas fields, including the giant Beetaloo Basin project in the Northern Territory, which has been granted subsidies of around $170 million. The tax breaks given to the fossil fuel industry last year alone were worth more than what Australia spends on its army — and the federal resources minister, Keith Pitt, said this month that the government should spend even more to protect coal and gas.

Critics argue that it is all the product of a warped political and media culture that has spent decades doing the industry’s bidding while deceiving the public, exaggerating coal employment, and understating the need to reverse course. Federal elections are often won or lost in the coal areas of Queensland, and with another contest due next year, the coalition government’s junior partner, the National Party, which represents regional areas, is playing a familiar hand.

“For at least 10 years, they’ve been telling people that climate change is rubbish, that it doesn’t exist, that we can continue digging up and burning coal forever and a day,” said Zali Steggall, an independent member of Parliament who unseated a former prime minister, Tony Abbott, in 2019 with a campaign focused on climate. “They have a difficult job now in turning around to those communities and saying we were wrong or misleading you and we need to do this.”

Until the devastating bush fires of two years ago, Australians might not have blinked at their government’s continued support for fossil fuels. The country is responsible for less than 2% of the world’s carbon dioxide emissions.

But the Australian public has become increasingly concerned. Polls show that a strong majority of Australians want climate action even if the costs are significant and want the government to stop approving new coal mines.

There is some momentum at the local level. Several states, including New South Wales, have committed to net-zero by 2050 and more immediate emission reductions that go beyond the 26%-28% cut that Australia promised with the Paris climate agreement.

Thanks also to changes in farming practices and solar panels on people’s homes, Australia’s emissions are now projected to fall by around 34% by the end of this decade compared to 2005 levels. But that decline is still weak by international standards, with the United States promising cuts of 50%-52% by 2030, Britain agreeing to a 78% decline by 2035, and Japan pledging a reduction of 46% by 2030.

I remember the first weeks of Whitlam’s reign. I also remember the treachery and traducery of McMahon’s last year where the Government refused to confront the obvious reforms needed. And with the decay, the government leaked continually rather than made a splash, with McMahon himself the master of the watering can.

When Whitlam won the 1972 election, there was no leisurely transfer of power. He brushed the inept McMahon aside and, with Lance Barnard, with the blessing of the then Governor General Paul Hasluck, set up a temporary duumvirate.

This enabled Whitlam to immediately abolish conscription, end Australian military participation in South Vietnam and release Vietnam draft resisters from prison. He recognised Communist China and warned the United States against renewed bombing in North Vietnam.

Whitlam had a degree of courage, which I have found in only one other major politician in my experience.

I only hope that when the next Government comes to power, the person who becomes the Prime Minister acknowledges the matters relating to climate, as so clearly set out above, and sets about a clear remedy.

It should be possible through those who have paid the Porter legal bills to identify the biggest polluters in this country, not only in terms of climate change but also of the social fabric of the nation …

… and stop this disgraceful persecution of people, who are universally of colour as the modern version of non-white is now called, by releasing them from the various concentration camps, if you want to be brutally frank, imprisoning these persecuted refugees who have come by sea.

And finally, let us judge those who would loot the Treasury, and release their names. Strip away the black tape of redaction and coverup.

The overriding lesson for Australia at this very difficult time for the future of not only ourselves but also the planet – those determining the nation’s policy are just not up to the challenge. Brown nosing is no substitute for policy.

An Eloquent Statement on leaving Kinross Wolaroi School, Orange

… I believe that each and every one of us in the graduating class of 2020 has something special to offer to our friends, our family and to our community so long as we persevere. After 13 years of schooling, we will finally enter into the wider world and go our separate ways. They say that smooth seas do not make skilful sailors. This year has been anything but smooth sailing and I know that wherever we end up, we will all be well equipped to face and overcome the challenges that life throws at us. I hope that you find happiness wherever you may go in life and I wish you all the best for the future. – Edward Taylor Year 12.

In explanation, I was looking for something else and came across the magazine of this hybrid Presbyterian/Methodist co-educational boarding school located in Orange New South Wales. I don’t know whether I had ever heard of the school, but casually reading it, I came upon the valedictory address given by this young man. I wished I had been able to articulate my future at his age as well he did at the end of a difficult year. He will need all that resilience while the present clowns of climate change control his generation’s destiny and will be headstones by the time this young man will fulfill his own expectations.

George Repin

George died a week ago at 3.30pm. He was 93, and thus he had a life well lived. He was a Russian émigré from Shanghai, whose family started Repin’s coffee inns in Sydney in 1930. These were very successful, and the name Repin became a household name for a place to have a cup of tea as well as coffee. During the Depression, hard-up businessmen used the coffee shops to run their ailing businesses. American servicemen during WWII, unused to tea, found access to coffee through Repin’s – a boon. Repin’s in the fifties were the places the Push literati frequented in the afternoon to discuss how many angels were on certain pinheads.

George Repin’s father died suddenly in 1949 and George, recently graduated doctor, was midway through his residency at the Royal Prince Alfred Hospital. He abandoned his medical career for the moment and took control of the family business.

Despite being a household name in Sydney, the name Repin meant nothing to me because I was born in Melbourne, and there was a large social gulf between the two cities. I cannot remember any Sydneysider who holidayed in Melbourne. We had family in Sydney, but although we were frequent visitors, my father loving Manly and my mother having a close friend who lived in Point Piper, I can never remember Repin being mentioned. It would have been easier if I had known this when I moved to Sydney in 1979.

After the family coffee business closed in 1966, George joined the AMA and after a period became Secretary General, just in time for the negotiations to commence on the shape of the health care system following the report of the Nimmo Inquiry in 1969. The Ludecke Inquiry was where George became blooded in dealing with the Federal Government. Then the Whitlam government came to power in 1972, with its stated intent of introducing a universal health scheme.

George was an avowed opponent of governmental control of medical practice. He was also very skilled in preserving the interests of doctors, including medical incomes, while ensuring that he never confused the Federal government’s constitutional power to provide a range of health patient benefits – but not doctor’s fees. The word  “fee for medical benefit” was the mantra one used when discussing medical benefits and beware the glittering eye if you strayed into saying that the Commonwealth government had the power to set doctors’ fees.

It was not riveting stuff, but the meticulous way that George controlled such syntax meant the AMA countered the Commonwealth Health Department from implying it determined doctors’ fees. Yet I believe it was a deliberate ploy to imply, falsely, that if doctors did not charge a fee equivalent to the patient benefit, they were flouting the law.

Doctors could charge what they considered to be fair and reasonable. Incomes and prices were the responsibility of the States and I was closely associated with the referendum that Whitlam initiated late in 1973 where the intent of a “yes” vote was to transfer these State powers over incomes and prices to the Commonwealth. The referendum was soundly defeated, but it meant I was well acquainted with this division in Commonwealth powers.

The disciplined Repin approach meant that, for a long period until the destructive Shepherd influence, the power of the AMA over medical incomes was due to this one man, paradoxically through the way he handled the periodic government-initiated reviews of the patient fees for medical benefits.

As such he had a major stabilising influence on the profession at a time when there was a diffusion of medical specialties into subspecialist groups. Much of this could be attributed to the adherence to the relativities which had been built into the medical benefits system but owed somewhat to the way the various existing specialties in 1970 valued themselves. This resulted in distortions of the actual value, but it was the genius of Repin that maintained acceptance of relativities – in one word some of the profession were more knowledgeable and skilled than others in the initial phase. This self-valuation created distortions.  Yet George always maintained that a doctor could do anything, given circumstances, and somehow he was able to assure the relativities in the fees for medical benefit – no mean feat.

His resilience was tested by a severe bout of Guillain-Barre syndrome, but in true Repin style he overcame this disease, which almost paralysed him for a time, and went back to full-time work..

For most of the time during the Repin stewardship, government accepted the AMA as the sole legitimate representative of the profession. George had to juggle  differences, such as between the NSW Branch, which was essentially an employer’s organisation, and the Victorian branch with very much an industrial approach negotiating terms and conditions with the Victorian State in a number of landmark cases.

For five years from 1979 I was his Deputy at the Australian Medical Association. We were two very different individuals; he did not support my appointment, but just after I commenced, George went overseas and on return he seemed satisfied with the way I handled the preparation of the AMA submission to government, where I had the opportunity to work with one of the most highly respected and able Sydney lawyers of the time, Bob Stephens.

This gave me an early insight into how organised and meticulous George Repin was. Despite his distaste for government control, his strength in negotiation and ability to coalesce the profession around the importance of medical benefits (whether Medibank or Medicare) paradoxically ensured that his legacy was woven into both schemes. In turn, this has assured the ongoing system Australia has today, despite it having become somewhat tattered over the past decades.

Not long after I started, in early 1980, he agreed that I should take the lead secretariat role in the preparation of the AMA submission to the Jamison Inquiry (the Commission of Inquiry into the Efficiency and Administration of Hospitals). This enabled me to travel around the AMA branches and receive an early valuable lesson on how organised medicine worked around Australia. The AMA agreed to the appointment of Robert Wilson, an excellent economist and cost accountant, to assist me.

The submission was highly regarded by the bulk of the AMA grandees and more importantly for myself was that I achieved an independence within the organisation, which forged the basis of our ongoing relationship.

My relationship with George was totally professional. I do not remember having any social interaction with him. I was never invited to his home; I never even had a social drink in his office or elsewhere. He only told me one thing about his boyhood. It has stuck with me. On one occasion when at Scot’s College, after being bullied, he hid behind a fence and threw rocks at his tormentors. I bet he was accurate, but I didn’t quiz him.

Always combative though our relationship was, he imposed a way of handling circumstances which proved very valuable. I wish I had had him as a tutor as a young man as he would have imposed an intellectual discipline, foreign to my instincts but I suspect very Russian. Our politics were so far apart, but only rarely did they disturb our relationship, and as someone commented if we happened to be on the one side, which occasionally happened, nobody could stop us.

At the outset I said I would work there for at least five years, as the superannuation arrangements were second best only to Qantas then. In five years and one month after beginning the job, I left to set up a consultancy business. I remember George firmly shaking my hand as his last gesture. George was to work for another three years before relinquishing the post. Having negotiated the move, understandably he himself did not want to move to Canberra.

The one thing I did wonder about was why, after 1984, the periodic reviews between the Government and the AMA were abandoned with his say-so; that was George’s source of power and authority. It may be that, after supporting their abandonment, he missed them. Maybe he just got tired of Bruce Shepherd.

As for me, I had experienced one of the most productive five year periods of my life; George taught me a lot; yet I never asked his advice.  After I left the AMA I never talked more than a dozen words to him.

It was a pity because reading his regular column in the “Pittwater News” only after his death, I realised what an underlying affinity I had for George. As with everything he did, he did not waste a word.

When I heard he was terminally ill, I sent a short message thanking him. I hope he read it. I meant what I wrote.

Monterey

The challenge came. What about canneries? You’ve spent enough time in northern Victoria to know all about them. Mentioning canneries reminded me of what has been one of my favourite places to visit in the world. Previously, in one of my earlier blogs, I had mentioned the junction of the Darling and Murray Rivers as my favourite place in Australia.

After my blog, last week, on tanneries and stannaries, she had said “What about canneries and for that matter granaries!” Monterey, an easy choice!

Lying south of San Francisco, Monterey was written about by John Steinbeck. The canneries that line the waterfront are now stylish reminders of an era long gone when the run of sardines was such down the Pacific coast that catching and canning sardines became the sustenance living of many, especially during the Depression. But like so many profitable fishing industries, it died when the fish were no more – overfished in an era where the notion of conservation did not exist.

Cannery Row

We amble down Cannery Row, made famous by Steinbeck. It retains some of the old atmosphere, if not the smells of what it was. Monterey has its own “rialto”, structures bridging the road now announcing that this is Monterey Canning Row, but yet prosaically this “rialto” was only a place for offices rather than being vibrant walkways above the street.

This was one of Steinbeck’s haunts and he was very friendly with Ed Ricketts, the pioneering marine biologist whose work, particularly on tidal flows, established his reputation. Ricketts was not unlike Steinbeck in appearance, politics and living a full life, whatever that means. He was killed on the edge of Cannery Row in 1948 when hit by a train. He was only 50.

The cannery façade thus still exists, punctuated by hotels and stores selling memorabilia, but what is the most memorable at the end of the Row is the three-storied Hewlett Packard Aquarium, with the three-storied kelp forest as the first sight of this structure.

The one area where the child in me emerged was the interactive pond where one could handle the various sea creatures, the starfish and the gooey sea anemones. I don’t remember any sea urchins, but given their spikes and the care taken to ensure kids like me still had a hand after removing my arm from the water, there probably weren’t any; yet it was a tactile experience so important in tuning the senses.

Sea otters

Staying at the Monterey Plaza Hotel enabled us to see the sea otters, frolicking in the sea in the lee of the hotel, with its deck acting as a viewing platform. The sea otter’s fur, unlike that of the seals is not waterproof. Therefore, the otters have to eat a large amount of fish and shellfish daily. One’s sleep can be disturbed by the sound of those animals cracking open the shellfish as they float on their backs in the sea. One of the reasons for them becoming an endangered series was that their voracious appetites provided competition for the fishermen – and the otter pelts could also command a good price.

Like many of the places I have visited, I suspect Monterey has become one of those tourist destinations, and therefore I probably will never go back, if only to retain memories of a less tourist-infested age.

The Age of Confusion

The advent of vaccination has shown a course of action where there have been both positive and negative aspects, but moreover it has provided a window on what works and what does not.

One of the prime movers in vaccination, when the national levels of vaccination had started lagging in the mid 1990s, was Michael Wooldridge when he became the Federal Minister of Health in 1996. One of the most vocal advocates of the campaign was the late Gay Davidson, whose daughter, Kiri, had died of a complication of measles. Gay was both an influential Canberra journalist and a mother who had first hand experience of the horrific decline of her daughter from a beautiful vibrant child to a helpless vegetative state because of this rare late complication of measles.

The message was clear. Vaccinate! Now another campaign.  What has been encouraging, after a very hesitant start, is how vaccination against COVID-19 has progressed. The problem is that the early ambivalence, aided by the social media, allowed all the misinformation to gather momentum.  Fortunately, the momentum for universal vaccination that may have been slower at the outset has at last been far greater recently. The rare complications from the vaccine administration, which fuelled the initial hesitancy seem now to have been mostly cast aside as witness the successful introduction of vaccination in school children above the age of 11.

The other complication of the early hesitancy was the failure of the Commonwealth government to effectively lead the response, because it had not ordered enough of the mRNA vaccines , banking on both the Queensland version and the licensed AZ vaccine to do the job. The Queensland vaccine was a flop, and those academics who promoted it so vigorously should have been more roundly condemned than they were for their flagrant self-publicity. As for the AZ vaccine, once the production line was sorted it has been effective, if less popular than Pfizer and now Moderna.

What has been done in NSW and Victoria emphasises the desire of people to get out of prison – to be paroled – except each Premier has a huge number on parole, including a substantial number who should continue to be locked up because of their flagrant disregard of the rules. Separating this unvaccinated group for re-incarceration would be a challenge, and currently the appetite for any such action is not strong.

It is time to change reporting the number vaccinated to a more correct number by incorporating the 12 years plus age group. Presumably this is not being done because of the lesser level of vaccination of this age group. This number has been increasing rapidly and will soon not be different from the adult population.

This will be further complicated by the extension of vaccination to children aged five to 11. The White House announced (and since confirmed by the FDA) that they will soon be able to get a COVID-19 shot from paediatricians, the local pharmacy and potentially even from their schools. The detailed plans for the expected authorisation of the Pfizer shot for these younger children are expected shortly, after lengthy studies to test vaccine safety. The recommended dose will be about one-third of the adult dose. It will be interesting to see whether the TGA delays approval in Australia until just before the school year starts next year.

United States regulators have also signed off on extending COVID-19 boosters to Americans who received the Moderna or Johnson & Johnson vaccines and anyone eligible for an extra dose can now receive a brand different from the one they received initially.

From our point of view, there is a need to assure the same level of vaccination in every State (and that includes Western Australia); and the challenge of assuring the first double dose vaccination, monitoring the teenage vaccination, introduction into children and assuring an ordered booster regime needs to be answered – as does the need to factor in additional variants, such as the emerging new Delta AY.4.2 variant identified in the UK and USA. It would be useful to obtain details of the vaccination program – the assumption being we have enough vaccines and identification of recipients nationally is assured, and I mean assured, not waved away into some contract deal among mates.

May I suggest somebody think of Jeroen Weimar for the task, even if he doesn’t bob up in a general’s uniform (but look out for the coffee cups).

Congratulations, Minister Hunt, you seem to be adopting aphorisms from The Prince, in particular when the news is good: release it unto the multitude in small amounts deliberately and progressively. Apparently this ploy helps maintain the applause.

Mouse Whisper

I was talking the other day to my one of bandicoot cousins, Bullum, and the topic turned to this Virus, the one we are hopping to avoid.  I thought it was a good test of the efficacy for each of the Commonwealth funded Aboriginal Medical Services (AMS) to see how well they vaccinated their particular mob. Bandicoot Bullum said he was a bit nonplussed by those who seemed to speak for the various AMS complaining about the Government not vaccinating their mob.

He thought that it would be one of the key jobs for each AMS to get to as close to 100 per cent vaccination as possible, and only complain if they were not supplied with enough vaccine. He thought there was no shortage of supply; yet doses have been reported as going to waste. But maybe the bush telegraph would tell him something else.

He seemed to have a good point. This is now a time when the strength of the AMS can be tested, rather just being at the mercy of our brother rhetorical advocates.

Modest Expectations – It’s Time

Two weeks ago, it was horror stories coming from Victoria about people being locked up in tower public housing blocks, and I expressed a concern as to whether locking people up in tower blocks should not be accompanied by a warning about the risk of fires and how this would be managed if the buildings were to go into lockdown. In fact a number of residents were evacuated to hotel quarantine.

It seems that threat has abated in the public mind in the face of the rising horror stories of the private nursing homes and the circumstances whereby the residents are caught up in the rising tide of community transmission.

This involved families, staff and “persons unknown” unwittingly spreading the virus to a group of our elderly population incarcerated in a system where financial profit is paramount and the operational arrangements seem far from being able to combat a pandemic. However the problem, while systemic, is not only rampant in certain postcodes and not in others but also completely contained within the private sector.

The Premier, Daniel Andrews, tries to be measured, never raising his voice and refusing to apportion blame to any sector of the population when it is probably plain to himself when reviewing the data that certain sections of the population are more susceptible to “amoral familism”, which I have mention previously. That one of the biggest outbreaks is in an aged care facility linked to the Greek Orthodox community has not elicited as yet any finger pointing in the community is testimony to his control of the situation.

The problem with “amoral familism”, which is not limited to a Greek village upbringing, is that it promotes the mindless protection of the family unit above all – the State can go hang. It is the product of an upbringing where the education levels are low and unfortunately the society in which many of the people have grown up is male-dominated and authoritarian, and often where sanctions are not enforced by the gentle remonstrations of the reasonable man, as Andrews is. Ignorance of English does not help.

Therefore, when it seems nobody is watching this group, even when COVID-19 positive, it is unsurprising if these people do not heed warnings. If I were isolated in a foreign village with no knowledge of the language, could or would I heed any warning?

Hence not having the language would be an excuse if the individual were an isolate. However, it would be rare for this to occur. Spokespersons for particular communities bob up all the time. Instead of ensuring that these potential “purveyors of death” are quarantined, these spokespersons seem just to offer a variety of excuses; they did not understand, they did know that what they were doing was criminal and the excuses flow on and on.

Andrews has a difficult job, because if he names the miscreants then he runs the problem of stigmatising whole communities for the sins of the few. Andrews also knows that these “hotspots” are in his electoral bailiwick, but given that many of the Labor parliamentarians in these electorates have migrant backgrounds, you would think that the Premier should not have to bear the full load. Some of the political actions are somewhat like those gossamer Green parliamentarians posturing in front of the locked-down housing towers, full of sound and fury, as is common with Greens, signifying nothing.

So it is easier to implement rules that disadvantage the Victorian community, moving to the second-highest category of restrictions – Stage 4. Unlike America, most Victorians know more about the Virus than they did in March when it first came to notice and are thus better able to run relatively normal lives, while appreciating the need for social distancing, hand washing and now masks. Most people have shown that they are prepared to work within increasing limits – as shown by the imposition of masks, which has been almost universally accepted.

The percentage of self-serving exhibitionists and just plain “wackos” seem to be mercifully small, but having identified themselves they could form a nucleus of inmates of the quarantine facilities that I have advocated should be constructed where those who are invited in serve a true “quarantine” period – that is, 40 days and nights. They would be joined by those deliberately flouting the government directives. After all, each of those COVID-19 positive individuals roaming the streets in a wilful manner is a “potential murderer”. Harsh words, but think about the logic. Who actually killed grandpa and grandma in the nursing home?

The other problem with Victoria is that it has always lagged behind NSW in its investment in public health, particularly in contact tracing. Victoria has been known to have under-resourced public health training for years.

That advance goes back to the work of Dr Sue Morey who, under the Head of the NSW Department of Health the late Bernie Amos, set up a comprehensive program in the late 80’s and early 90’s. Many of the current senior cohort of the NSW public heath physicians, as does the State of NSW, benefited from the program Morey established and owes her a very great debt.

The inability to find out the source of all the cases occurring in Melbourne also relies on people telling the truth and not incriminating themselves for whatever reason. Having said that, the present inquiry presumably is expected to reveal the chain of infection from case zero.

Those three young women flaunting and flouting through three States, refusing to co-operate, destroying their mobile phones and probably denying they are Nigerian are just extreme examples.

However, as with criminal activity the more the rest of the community is law-abiding, the more time there is for policing the extreme cases. As with vaccination, there is a reliance on having a high proportion of the community vaccinated – the vaccinated group provide a buffer for the unvaccinated.

There is also another “wee” problem that may be overlooked when the pandemic is distracting attention. The Ministerial retinue has returned from America. Like those who have flouted the pandemic in Melbourne, the government has not offered any advice on their whereabouts. However, the “cat may be out of the bag” when a so-called “consular officer” returning from overseas turned up in Maroochydore and then Toowoomba yesterday with a dose of COVID-19. Coincidence?

Apparently, “not actually a Consular officer” quibbled DFAT, but he was still carrying a diplomatic passport or the equivalent. The arrogance of holders of red and green passports knows no bounds, but at least the Queensland Premier has called this exemption out; however there is no mention of the whereabouts of the two Ministers. Again, there are exemptions for the few.

Clive Palmer – The Rose of Bulgaria or a Dangerous Furbo? 

I think that this son of Bulgaria, alleged owner of property in Sofia, and expert in its national sport of Split Squat has been wrongly characterised. Here in the damask fields of the Rose Valley of northern Bulgaria they talk of nothing else – but Clive.

He is up to all his Bulgarian tricks again. He has a case before the High Court challenging the Western Australian Government’s right to the close its borders.

His arguments are based around section 102 of the Australian Constitution, which states:

On the imposition of uniform duties of customs, trade, commerce, and intercourse among the States, whether by means of internal carriage or ocean navigation, shall be absolutely free. But notwithstanding anything in this Constitution, goods imported before the imposition of uniform duties of customs into any State, or into any Colony which, whilst the goods remain therein, becomes a State, shall, on thence passing into another State within two years after the imposition of such duties, be liable to any duty chargeable on the importation of such goods into the Commonwealth, less any duty paid in respect of the goods on their importation.

Most of the words in this section relate to the immediate transitional arrangement following the enactment of the Constitution in 1901 but the key clause has centred on what States can or cannot do about imposing barriers between themselves. Legal arguments have waged about what it all means and many lawyers have had their waistcoats filigreed in gold as a result.

The Attorney-General, Christian Porter, probably as a proper lawyer had the normal reflex. Since there is a challenge to the Constitution, therefore the Australian Government must take an interest. This is such a fundamental issue. Does State border closure present a challenge to the Federation if unilateral action is taken by a State to close the borders? Does Clive Palmer provide a challenge to the Australian Constitution?

The Federal Government was emboldened by the initial encouragement of the Prime Minister to keep supporting the Palmer initiative. There, in the background, would be the normal cheer group that thinks supporting Clive’s challenge a “jolly jape”. These are parliamentarians gathered together under the standard of a skunk-like animal with adolescent behavior rituals and bearing aloft an icon of Christopher Pyne. They can’t help irritating the Australian community from their seats of privileged opulence.

The Prime Minister has had second thoughts, hopefully not only because of the backlash in Western Australia to the Palmer challenge. It should be remembered that Palmer was born in Victoria and spent most of his formative years on the Gold Coast, where he made his first fortune in real estate. So he is not a genuine Western Australian – “he just ain’t one of them”.

If Clive wants to stir up the Sandgropers over this issue of secession, of which border closure is a subsection, then they might just take it out on the Liberal party at the next Federal election. Hence, Morrison backing away may have been because he realised that Palmer was trying to “tar baby” him.

One obvious solution is to form a pro-tem barrier away from the accepted geographical boundary. Cross-border regional arrangements are everywhere. To me, working in the Victorian border town of Cobram on the Murray River, meant that I had to cross to the NSW river town of Barooga more than once a day.

One has only to live in a border area to know that indiscriminately shutting borders is group punishment, unnecessarily unfair and at times unwittingly dangerous.

These are communities of interest, which have grown up over a century or more, where the border is just irrelevant to normal social and economic intercourse.

Therefore when this Virus is eventually contained there is work to be done in this area of “communities of interest”, so that if borders have to be closed then there is a fully developed plan that minimises the disruption and can be put into immediate effect. As has been said on more than one occasion, cross-border arrangements have diverse benefits and opportunities for managing a shared resource.

In any event should the adopted son of Bulgaria win his case in the High Court, I am sure that Western Australia could move its lockdown zone един метър inside its actual border with South Australia and Northern Territory. Clive, with your solid knowledge of Bulgarian, you would know what that means.

After all, Clive you are not the only gander in the “Gooserie”.

Hafnium (Hf)

I was browsing through an old New Scientist and came across a world map, which indicated that among a series of metals, Australia had over 50 per cent of the world’s hafnium.

According to the map legend, it was estimated that Australia had the biggest deposit of hafnium in the World. Hafnium does not occur independently in nature.

Even though predicted by Mendeleev it was not discovered until 1923 by two chemists Dirk Coster, a Dane, and George Charles de Hevesy, a Hungarian. The Dane prevailed. Hafn was the mediaeval name for Copenhagen. The Hungarian just shared the glory of having isolated this last natural occurring element.

Apparently, one of the major problems is that hafnium is tightly linked to zirconium in a ratio of 1:50, and exists in a group of three naturally occurring elements with titanium the lightest and hafnium the heaviest with an atomic number of 72. Lying between is zirconium. However, as far as can be obtained, the amount of hafnium produced is small, and until recently it was a considered a waste product, removed in the purification of zirconium. Zircons are renown as jewellery substitutes for diamonds, but zirconium has a multitude of uses, and put simply it is everywhere – its industrial use is in hardening alloys and ceramics. It is also anti-corrosive.

Recently, Hafnium has been found to have a number of amazing properties and it can be used in almost any industries where the word “advanced” is the prefix.

The special properties of Hafnium oxide have recently permitted further miniaturisation of microprocessors, enhancing processing speed while eradicating overheating problems.

Resistant to corrosion, the metal its oxide forms extreme temperatures. Consequently, hafnium is used in plasma cutting tips for welding, and is essential to the advancement of the aerospace industry. 

Added to this, hafnium carbide is one of the highest temperature resistant and hardest materials with melting point of 3,900 degrees Centigrade which potentially suitable in a nuclear thermal rocket (NTR) for faster spacecraft propulsion.

So writes the hafnium enthusiast linked to the company proposing to mine a deposit south of Dubbo when extolling the element’s virtues.

Despite its global market being about 70 tonnes annually, this enthusiast predicts the demand will double by 2025, and Australia could produce 200 tonnes a year. So far I am following the trail to Hafnium.

This is a small amount given that the Dubbo mine is proposed to be an open cut operation that will extract 19.5Mt of ore a year from a 32m-deep open cut mine.

The extracted ore is crushed and further reduced in size by grinding circuit. Sulphuric acid will be used to convert the material into sulphated ore, will be leached in water and sent for solvent extraction and precipitation, and onwards the final product.

Extraction of these elements and the associated pollution is increasingly being factored into political considerations when the mining spruikers are abroad. However, there are further chemical processes to separate the hafnium from zirconium.

The technological description states it is “a liquid–liquid extractive separation between hafnium and zirconium from thiocyanic acid medium using the mixtures of diisobutyl ketone (DIBK) and di (2-ethylhexyl) phosphoric acid (P204) as the extractant was developed.”

A metallurgist could answer the question of how much this extraction method damages the environment. 

It is almost as an afterthought, that process residues are treated before dumping them into storage facilities. The disposal of residue when there is a potentially such a big hole in the Dubbo landscape is far from a throwaway line.

Water will be taken from the Macquarie River, but the amount proposed is nowhere stated. In the description of the extraction of ore no amount of water is mentioned and the description hurries onto the marvels of the proposed mine.

OPAL’s lightwater pool

There is another problem with zirconium mining – the deposits often exist with radioactive elements – thorium and uranium. Small problem with an open cut mine only a few kilometres from a regional city! I find it interesting that there has been an experimental extraction plant at Australia’s Nuclear Science and Technology Organisation (ANSTO) since 2009. Hafnium is used in control rods in the nuclear reactor core.

Currently, China produces 75% of the world’s zirconium supply and hence hafnium. “China’s stranglehold on the supply chain of this material essential for advanced technology weakens the economic and political security of other nations”.

Metallurgy is one of the professions that, from the outside, smells of alchemy – there is a magical aspect to the extraction of these uncommon elements and their increasing relevance with advancing technology demanding these metallic elements with their special qualities. Then it is promoted to an essential component of our lives. Lithium has been one such metal.

However, the “green lobby” faces the whole “strategic development” lobby, where self sufficiency is increasingly important, and moving rare elements around the political game board are important chips in being able to game, with more strategic element chips than other nations. At present, China seems to have the greatest variety of these chips in the greatest quantity.

Australia has quantity in two particular chips – iron ore and coal. But that is a different game board. Given the amount of these being mined, then the impact on climate change is a constant.

However, too often the question from the local politicians when confronted with the prospect of a mine in their electorate is concern about how many jobs will be created. The Dubbo project bosses does not explicitly answer that question.

As far as one can gauge prices, the price of hafnium is in the region of USD6million a tonne; whereas zirconium is priced at USD10,000 a tonne.

To get a comparison, Australia produces 900 million tons of iron ore at about USD110 a tonne.

What progress has been made on the Dubbo mine project? In February 2020: Alkane noted that Export Finance Agency’s (EFA’s) financial support would be subject to finalisation of due diligence, acceptable financing structure and eligibility and credit requirements. As Australia’s export credit agency, EFA is mandated to support businesses, which are seeking to develop new export market. 

I have been one of those converted to the climate change lobby and I am particularly worried about the wasteful use of water in what, apart from Antarctica, is the driest continent.

I read about hafnium; the notion of there being the greatest percentage of the world’s supply in Australia has intrigued me. I have searched to find out what is its proper place in the Australian economy. Political leaders are often confronted with such decisions when they have little intrinsic knowledge of the subject.

The giraffes are watching …

However, if I were in a position to make a decision, I would be immediately worried by the massive water requirement and the fact that there would be an open cut mine where radioactive minerals are being mined close to a major regional city, the Western Plains Zoo and the Dubbo Observatory. However the dilemma is, as with all mineral extraction, how can the metal be purified with the least pollution. Unfortunately, when in doubt the large powers with a monopoly of the chips kick the game board over – and everybody loses.

Paraphrasing Einstein, who never said a truer word when he said the fourth world war will be fought with rocks, some of which may contain hafnium.

All Souls

All Souls, Oxford

I suppose being invited to dinner by Max Beloff with the academic Fellows at All Souls was an honour. Great Britain that year was sunny, and when that occurs the summer is always beautiful. Off to Oxford the three of us went one evening to have dinner.

Max Beloff was an eminent modern historian who, at that stage of his life, was tramping from one side of the political spectrum to the other. The young socialist Beloff, now in middle-age having marked time as a Liberal, was moving determinedly to the right at the time, when he invited us to dinner.

Beloff had been a Fellow since 1957, ensconced as he was in this group “at the pinnacle of British academic hierarchy”. He had attained this position much earlier than when he had pursued this neo-liberal journey, in the process setting up a private university and then later absorbing imperial honours that were piled on him by Thatcher.

When we arrived we were ushered into a reception room where pre-dinner drinks were served; I had the obligatory dry sherry as the clever repartee started. The problem with clever repartee is that it is essentially hierarchial; if the young man (it was not until 1979 that women were admitted as Fellows of All Souls) wanted to announce his presence in such exchanges, it seems dressing flamboyantly helps. The “look at me” mien serves as an entrée card.

I was well versed in the social rules of these establishments, having been an undergraduate in a residential College, which replicated much of its social mores from those of Oxford. Therefore, I shut up and only replied when spoken to by some Fellow who had not the slightest interest in whom I was.

However, the call to dinner came and there is nothing like a College refectory – long high table, paneled walls, high-backed mahogany chairs. Beloff welcomed us – the Boss thanked him. It was all so polite, but it was an experience – probably once in a lifetime. Although for them not; just three Australians to be humoured in exchange for a meal.

I was seated next to Michael Howard, the military historian and we chatted about his topic. My contribution when the Franco-Prussian War was mentioned was that I had inherited a full set of skeletal bones from my father. It was widely thought that many of the skeletons used by aspiring doctors pre-war had come from soldiers who had died in that War. They were highly prized for the muscle markings, which were very distinct on these bones. However, apart from that I cannot remember the other Fellows beside and across the table. The talk was just that – inconsequential chatter as the Fellows on either side of the table carefully updated themselves on one another, given that there was a young foreigner in their midst.

Dinner was traditional English fare, which was better than the College roast to which I been subject every night more than a decade earlier.

Once dinner was finished it was off to another room for fruit, nuts, digestive biscuits and the central cheese. The obligatory Stilton round had pride of place, and the port was passed. Then it was off to the terrace for coffee and brandy.

The night was absolutely still and balmy, the sky a curious lavender grey. Across the terrace was the impressive Codrington Library building, built in the early 18th century on the back of slavery and a sugar cane fortune amassed by a Christopher Codrington.

It highlights the problem of applying 21st century values to the funding of a building like that. The Christopher Wren sundial installed over the entrance is a spectacular reminder of the versatility of the man, and Wren himself was a Fellow.

Oh, so different from the environment of the All Souls College of Christopher Wren, outwardly becoming more sensitive to its survival after the radicalism of 1968 which threatened its existence, when it was sneered at as “a weekend home for port-drinking members of the London Establishment, grown fat on the rent of farms it owned since the Middle Ages”.

Had we had dinner in an Anachronism?

Then it was back to London. I still remember the golden glow drenching the car, and my thoughts drifted to the recently-released Joe Losey film “The Go-between” and I, projecting myself as the young man in search of a romantic interlude in the same rural saffron softness of the film.

I have often visited Oxford since, but never again had a brandy with the 42 Fellows outside on the terrace.

But then again I would have preferred to meet Julie Christie. 

Mouse whisper

A scrap of paper plastered against my mousehole. That is the problem about my mausmeister. He is always cutting out what he considers wise sayings and leaving them on sticky pieces of paper. When I scraped the piece off my “hole way”, it read:

There is nothing more difficult to take in hand or more perilous to conduct or more uncertain in its success than to take the lead in the introduction of a new order of things.

Very sage advice; but I was thinking of putting in a new entrance to my mousehaus to make a closer access to the pantry. I’ll have to think about it now.

Modest Expectations – Giuseppe Conte

Kristina Keneally last Sunday was almost hysterically defensive in trying to shield the NSW Department of Health from blame for the Ruby Princess affair. It is noted that she, among others, enjoyed the largesse of Carnival, as reported in The Australian Financial Review in 2009. And the media does not report all her contacts; therefore it is inconceivable that this dinner was the only contact she has had with what are described as the “queens of the sea”.

They were dubbed the queens of the sea and the seaboard triumvirate as Carnival Australia chief Ann Sherry and chairman Katie Lahey and Governor-General Quentin Bryce put on a massive party for the launch of P&O Cruises’ new liner, the Pacific Jewel, at Sydney’s overseas passenger terminal on Saturday night.

More than 900 diplomatic, tourism and naval brass plus some serious business heavies hit the deck in the balmy summer weather to watch Bryce do the honours in the traditional naming ceremony.

Among the guests were GPT Group chief Michael Cameron, Deutsche Bank chief Chum Darvall, NSW Premier Kristina Keneally, UBS chief Matthew Grounds, Unicef Australia chief Carolyn Hardy, Telstra chairman Catherine Livingstone, David Jones chairman Bob Savage and head of apparel Colette Garnsey, Garvan Research Foundation director Lyn Gearing and navy fleet commander Rear Admiral Steve Gilmore. Also on board were the liner’s celebrity chef Luke Mangan and designer Alex Perry, who dressed Sherry (unfortunate juxtaposition -ed) and R.M. Williams’ chief Hamish Turner.

From all accounts it was a big night, with an on-deck circus and Australian Idols Stan Walker and Wes Carr. Funds raised went to the Leukaemia Foundation and Special Olympics Australia. And this time – unlike in May, when Sherry and her posse were quarantined on board – there was no swine flu to worry about.

Quite a quarantine force above, Ms Sherry! And this time in 2020 you made sure you were not on board when the virus hit.

Dear Chattie

This is a very personal note which others may find eye glazing. One of my cousins, Carol, put together the letters between the soldier and his sweetheart. They were her grandparents; Charlotte Egan was my aunt.

Andy Campbell, a young farmer, went into battle at Armentières almost as soon as he arrived in France in 1917. The family soon received the news “missing in action, believed killed”.

However,

                                                  Military Hospital

                                                  Tankerton

                                                  29/3/1917

My loving girl,

I suppose you will be wondering how I am getting along. I sent a cable home so they would let you know I’m progressing slowly … I wrote to you from Boulogne in France. I came over here on the 26th and it is a pleasure to see the good old English soil again. France is a rotten hole of a place.

I was in Armentières in the trenches.
Miss C. Egan

Austin Hospital Heidelberg

Dear Madam

Re: Pte A Campbell No 2033 38th Battalion

… He is stated to have been admitted on the 12th March to the 13th to the General Hospital suffering multiple gunshot wounds and dangerously ill.

… admitted to Military Hospital Tankerton in Kent.

… suffering from a shrapnel wound of back, left arm, right hip and buttock. He has a compound fracture of the left ulna and radius. He has an injury to his left lung. General condition is severe but is progressing satisfactorily.

Well my darling I hope you are not worrying. I know you will be anxious. I haven’t lost any limbs thank goodness. But I’ve got some shrapnel in my chest somewhere. It went in my back. The other wounds are healing fast.

…This a great place for oysters. The boats go out every morning and the boys here call them the Australian fleet

…I often dream of my loving girl and home
                                                                              Goodbye lovely.

Andy Campbell was returned to Australia, hospitalised in Caulfield Hospital and was discharged from the hospital and the Army in 1918, a year after being wounded.

Andy married Charlotte Egan in 1920 in Redbank in Central Victoria.

In the end, they had four children. They moved around country Victoria, he working for the State Government in the Soldiers Settlement Scheme, finally ending up in the small town of Beaufort.

Charlotte Egan became one of the earliest members of the CWA and as well as raising a family worked as a volunteer for the Red Cross and other charities for all her married life. She was known for her cottage garden. “Stalwart” she was in every sense of the word.

Andy, who never regained the use of his left arm, died suddenly in 1953 and Aunt Chattie, as I knew her, outlived Andy by almost 50 years, dying at 101.

As my cousin wrote about her father and his sisters growing up during the Great Depression “They lived the country life-style with wood burning stoves, home baked bread, roast dinner, a cow to milk and butter to churn.”

In 1992, I was asked by the Victorian Department of Health to review a number of small country hospitals including the one where my Aunt Chattie resided; one where she had spent a considerable time on its Auxiliary. When I was there I went to see her; she was then 100. She turned to me and with these direct words of quiet reproach, said: “You have not come here to close the hospital I hope, Johnnie.”

It was the same Aunt Chattie, who reproached little Johnnie for throwing a scone 45 years before at Great Aunt Mildred.

The hospital remains open today.

Edenhope War Memorial

Andy Campbell’s name is on the War Memorial in Edenhope as it is with those of his brothers also on the one in Harrow. These are small towns near the South Australian border where Andy Campbell grew up and later worked.

One Anzac morning I happened to be in Edenhope. I was alone standing in front of the War Memorial. It was a cold morning with clear skies streaked with red. It was a strange sensation that I, a person who abhors war and thinks Anzac Day commemoration is overblown, should be standing at dawn to honour Uncle Andy on that day in April.

But then Uncle Andy did not think war was much chop either. 

The Day My Belt Broke – an Australian at the Antiques Roadshow 

The hardy BBC perennial show has been yet another casualty of the Covid-19 pandemic. It has been cancelled in 2020.

I am an antique Antiques Roadshow tragic. Fiona Bruce has been the presenter since 2008. She exudes charm; how she handles the gormless, how she handles tragic situations – all are confronted with a degree of appropriate equanimity and sympathy.

Antiques Roadshow, Benedictine Abbey, Buckfast, Devon

The TV show has been brilliantly devised because so many of the long time presenters are so idiosyncratic and of course the locations for the shows are carefully selected. I happened to be looking at the program early in 2018, and saw that the last Antiques Roadshow would be at Buckfast in Devon in the grounds of the Benedictine Abbey. Buckfastleigh, the adjoining “ancient woollen town” was where I could trace my maternal line back seven generations.

Too good an opportunity to pass up! Since I was going to be in the town for the Roadshow I decided I would pose two modest questions about my submitted items: was that New Zealand silver on the 19th century greenstone boot hook and was that Australian gold decorating the carnelian brooch?

However, the program organisers seemed not interested.

On impulse I decided to present a spurtle to Fiona Bruce – something Australian. So, given her Scottish name, I bought it, a Scottish porridge stirrer, made on the west Coast of Tasmania from Huon pine – a quirky gesture.

We arrived around 10 in the morning – there were already long queues. We were assigned to the “Miscellaneous” queue. For TV, queues are shown as an interactive experience, with Fiona often moving along the line. The reality is that you just shuffle along for three hours, although it must be said that the Poms are unfailingly cheerful at this event.

Eventually, we were diverted to Hillary Kay with our 1912 diorama of Canberra because as a naturalised Australian she knows “us colonials”. The less charming expert to whom we were initially sent was very offhand and uninterested in our offerings, but at least she did send us over to Hillary.

The first thing Hillary said was that I looked “reasonably respectable” and could I mind her handbag. Then she disappeared for 20 minutes. When she came back, she was just as she appears on screen – charming, frank, informative, with a sharp-edged smile.

She admitted she had no clue about either the value of this long scroll or its purpose, but believed it was a significant piece of Australiana. Australiana mostly had little market in the United Kingdom. We had a pleasant conversation even though probably I could have met her in Sydney if I had bothered to work out where or if she consulted there.

As for Fiona Bruce, just after we had arrived in the morning we had been directed to the producer for a possible spurtle handover. “Yes Fiona would be delighted to meet and receive the spurtle”, with the addendum that it would be “off camera”. But drat – the spurtle was left in the car – and the moment was lost. “Yes we could come back later” – “yes around 1 to 2- Fiona tends to leave about 4”, but as the day wears on then everybody becomes consumed with the unexpected and then your request becomes an irritation … when I later enquired of the producer I was told “no time soon”. The moment passed and I penned a note and left the spurtle with the BBC.

However, at that point any lingering thought of staying on the off chance of meeting Ms Bruce was dashed when my belt broke – and now I was truly disabled. Trying to keep one’s trousers up when one is walking uphill with two canes takes one to new level of disability.

So there we were – missed out on meeting Fiona Bruce – but then one of the great disappointments of my life was not meeting Zhou-En-lai either in Beijing in 1973, but that is another story.

Give me Land, lots of Land…

Hundreds of cases are believed to have emanated from an après-ski restaurant and bar in Ischgl, a resort town in Austria. You can see a video of the carousing at the alleged establishment, where there’s nothing but close quarters boisterousness and singing. 

Why is singing significant? One 2019 study published in Nature’s Scientific Reports found that “the rate of particle emission during normal human speech is positively correlated with the loudness (amplitude) of vocalization.” It also found that “a small fraction of individuals behaves as ‘speech superemitters,’ consistently releasing an order of magnitude more particles than their peers.” In its review of the literature, it also offered wild facts like this: Saying “aah” for 30 seconds releases more micron-scale particles than does 30 seconds of coughing. That may be why weddings and funerals and birthday parties and church services of all sorts have been central to outbreak anecdotes. As for drinking establishments, a quiet pub with a bit of space between customers probably isn’t going to see a lot of people infected at once. But a rowdy spot in the Alps? A lot of infections. Shared vocalization is a magical thing in normal times, but these are coronavirus times. Even a cough-along is looking safer than a sing-along. 

Aspen après ski

This quote is comes from a recent issue of Vanity Fair, and is timely for proponents of opening up the snow fields.

What the virus has taught us is that space is important, but is this not an absolute. Snowfields provide space, but not the lodges, which are not necessarily built for spacious relaxation.

While the upper crust ski set might enjoy spacious accommodation, much of the rest of the skiing experience is crowded bars, lift lines and chairs. Combine that with close contact with the ski slopes workers who live in very close quarters, and a highly contagious virus has an ideal setting in which to spread.

In Victoria Mr Virus No 13 was one of the early ones to be infected by the virus on his way through the United States. He infected his wife who was a teacher, and in turn one of her colleagues who shared an office with her contracted the virus. There was one other case at the school, a boy who had recently returned from China, with whom she had no contact. The school online chatroom was full of thrashing about – no one knowing what to do. Their three children were not positive on testing – two being pupils where she taught.

The instinctive reaction is to flee home, lock the doors and turn it into a fortress to defend Olivia and Christian from the risk of contracting the disease. Home schooling is rapidly constructed. Then TV arrives and we have pictures of the domestic Elysian Fields where Olivia and Christian are seen hard at work on their own personal laptops carefully spaced around the island bench in the kitchen, and home is portrayed as a uniformly happy environment.

If long-term home schooling were the answer why have schools? What is emerging in Australia is a frayed attitude to schools.

For those whose parents have employment then the school becomes a de facto childcare centre. Is that what schooling is about? What about the family in the working class area where both parents are unemployed and the children are at home. Do they go to school as part of a welfare system to escape the threat of domestic violence, ever present at home?

The problem with selective schooling is the loss of the objective –universal education. Because as shown in those parts of USA where education is rudimentary, one of the pillars of civilisation is severely loosened.

In Australia the school situation provides the basis of an observational trial. Inevitably political fingers cannot be kept to themselves and thus any data collected will be contaminated.

Three States are opening the schools up; two are opening up cautiously; and three are favouring keeping children away except for exceptional circumstances.

Given that the major factor in spreading the virus in schools is probably the teacher staff room, I can understand why the health authorities are cautiously supporting fully opening the school. Children seemingly develop a mild form of the disease, but it was not so when I lived through a polio epidemic. So educational strategies where widespread disease threatens must be robust but flexible.

Shroud-waving teachers stigmatise their profession by saying that they cannot convert the current situation into a new routine. Dream on, the world and everyone in it will have to live with the virus, a vaccine is not coming soon, and thus society must develop the ability to work in a different space with scrupulous hand hygiene and regularly cleaning of the classrooms and making sure the school toilets are maintained and not pig sties covered in disgusting graffiti.

The toilet is literally the seat of good hygiene, where it is imperative to maintain the soap/sanitiser and have a working drier. The traditional paper hand towel should be banished. Schools will need to employ people to ensure that an even standard of hygiene is maintained as well as the cleanliness of the ablution block, whether it be the poshest or the most working class of schools.

This approach to hygiene has to be embedded in the school culture and in the teaching profession, rather than complaining that the virus is not one’s personal responsibility. Nobody should be allowed in the school with any signs of respiratory disease. If by chance they are, all school should have a school nurse, someone able to be kitted up and quarantine both the sick child and teachers until they are able to go home or to a health care centre.

When it is expressed in this way, it means not letting children go back to school and leave it that – it means a wholesale change in the physical school arrangements over time. There would be nothing more worthwhile in the life of a medical or nursing student than to spend a few weeks in a school assuring cleanliness even if it meant that they had to clean out and maintain the cleanliness of the latrine. This would provide some useful understanding of basic practical public health.

This pandemic is not a casual event; the World has been fortunate to have dodged the contagion for so long, given how many epidemics have threatened.

A country that trashes education, a country that trashes health and hygiene is a barbaric State. Just ask Donald Trump.

Mouse whisper

An H5N1 strain of bird flu influenza virus emerged in Southern China in 2006 (where else?). While it appeared in chickens, the super-spreaders were shown to be ducks. The one that initiated it all was Donald, the greatest super-spreader the world has ever known. It was seen quacking all over Southern China – rose gardens, high golden towers – everywhere, its distinctive vermillion tail twitching – a sight to see.

And then it vanished. Nobody knew where it went. But they say it was a dangerous virus Donald carried, capable of doing anything, even being able to convert its carrier into a different species. The most powerful and destructive virus ever isolated in modern civilisation it is said, but then nothing as a result has ever been greater than Donald the Quack.

Modest expectations – The Invincibles

Ah, the delightful Matthew James Canavan saying that Malcolm Bligh Turnbull should come to Collinsville and face the people there, with or without a caravan. It is one of those “what are you?” moments that are part of the Australian psyche when you know you have the mob behind you, especially if the mob is composed of guys you would expect to be unionists with eureka flags on their working clothes.

What a statement. I may as well respond and issue a similar invitation, “Mr Canavan, please come to the electorate of Kooyong, where I have a property and talk to my fellow constituents about the need for more coal-fired power stations. I am sure Minister Frydenberg would be overjoyed to see you and then direct you to the electorate of Higgins and then perhaps on to Chisholm and Goldstein. Don’t forget to bring a lump of coal to remind us what it looks like.”

Ever been to Victoria, Mr Canavan – you know Northern and Eastern Victoria to shore up the seats of Mallee, Nicholls and Gippsland. I am sure your fellow Nationals there would be anxious to pass around your lump of coal with the media in attendance, and your Queensland persona rampant?

Lozzo di Cadore

Now, Mr Canavan, I note your ancestors come from a place called Lozzo di Cadore – a beautiful area in the Italian Alps near to the Austrian border. Ever been asked to be on the show who do you think you are?” But perhaps you already know that Lozzo di Cadore translates as the Stench of Cadore. There are 28 commune, as you probably know, in the province of Belluno, and for whatever reason your ancestors came from that one named Lozzo di Cadore. Perhaps a coal-fired power station there would enhance its meaning.

In fact, there are a few of us who are thinking of targeting some of these Victorian seats with an anti-coal message and you wouldn’t mind us using pictures of you and Mr Joyce – you know big overpowering photos of you beside a cart load of coal personally handled by you or Mr Joyce – alongside the photo of the local member. We shall make sure your photos will show you both grinning just to show the sunny if somewhat smoky side of your nature. After all, it would give full meaning to the term “Coalition”.

Tom Reeve

Collinsville is in the Bowen Basin. Even though I have been to many coal mining towns in Outback Queensland, I don’t remember ever going to Collinsville. But the name has stuck in my memory. Why? Because one of Australia’s greatest thyroid and parathyroid surgeons, Tom Reeve, did a stint at Collinsville 18 months after graduation. It would have been around 1949. After that he moved to surgery and never looked back, as they say in the classics.

However, his reminiscence of his stint on Collinsville below in an article he wrote in 2004 for the Medical Journal of Australia showed the value of career development in rural Australia. Tom was a University of Sydney graduate and I remember him saying to me that it was somewhat of an experience getting off the train in Collinsville unknown to the locals and yet knowing you were there for at least a year. In fact, he stayed for 18 months. I have always used his experience to illustrate that time as a rural doctor can lead anywhere.

As the only doctor in town, I enjoyed 18 months of rich clinical experience. Post-term obstetric deliveries, head injuries, critically ill children, motor vehicle accidents and accidents involving horses all hastened my clinical maturity. I remember a young jackeroo with a perinephric abscess after a nasty horse-related accident. As we were stranded by floods at the time, a surgeon in Mackay took me through the operative steps by phone. All ended well.

The community was full of reliable, loyal Aussies with enormous hearts. They were openly friendly and had a great bank of skills, and gave their local doctor the comfort often absent today.

An outbreak of croup in some young children was the most formidable of my experiences. They desperately needed steam inhalation, but I was a little nonplussed as to how to supply it. One father spoke with his boss at the mine workshop, who rapidly produced a large galvanised watering can with four arms, each capped with a watering-can rose. Placed on a primus stove, this device effectively dispensed steam to four mosquito-netted cots simultaneously. Problem solved!

Tom Reeve AC CBE became a giant in surgery. I once asked him to review surgery at Broken Hill Hospital when the late Ross Webster, himself the Foundation Professor of Community Medicine at the University of Melbourne, was Medical Superintendent of the Hospital. There are days indelibly remembered, and one of these days was when we three lunched at the old Menindee hotel, south of Broken Hill. This was the actual building that Burke and Wills stayed in on their way North. The hotel has since burnt down, but the one unusual and unexpected thing I remember was the solitary red hibiscus flowering in the corner of courtyard.

 

No symbolism – just a dash of colour on a courtyard to be remembered.

Parasite is not only a Korean film

Should the people working in a minister’s office hidden from public scrutiny given their integral public purpose? Public records note the cost and number of ministerial office staff, but the government guidelines don’t require publication of appointments, as has to occur with the public service. With the Prime Minister’s 58 staff averaging $233,000 in 2017 and the Opposition Leader’s 39 staff averaging $193,000, is there a need for more scrutiny?

Silly question. When I was Principal Private Secretary to the Leader of Opposition, his advisers numbered six. Add three assistant secretaries, who could write shorthand at 120 words a minute and type at least 80 word perfect a minute and put up with us males; and that was the office, plus of course the electorate secretary. Ten all up.

We worked very hard, but then it was by choice. The long hours and the need to become an essential part of the policy process rather than just political games were complemented by the fact we all lived cheek by jowl.

Why has the Leader of the Opposition’s office grown to 39? In the old Parliament House there would not have been enough room for that many in the cramped quarters. I have always thought the new Parliament House was an example of Mussolini brutalism. Compared to old Parliament House, there is so much space. Whereas in the old Parliament House, King’s Hall was accessible to the public and politicians and the people mixed together. However, with this mania for security and the extravagant amount of space so that you could run a Formula one around the corridors means that the public gets excluded from consideration except at election time; and the party branch structure for politicians is a “tiresome” token of connectivity with the electorate.

Added to this is the claque of advisers without any experience except in the brutality of factional politics and a taste for authority – if not authoritarianism. Some advisers are very good, and there was no doubt that Arthur Sinodinos as adviser to Howard was one who was essential dampening down the negative side of the Prime Minister’s personality.

However, having had to deal with advisers and having seen how others deal with them, the environment which they inhabit gives them a sense that in the name of their boss they can imitate the same bad behavior – the obscenities, the verbal assaults, documents thrown, the demeaning treatment of experienced experts, the endless bad temper, the sexual harassment, the cynical misuse of entitlements, all in various degrees of toxicity depending on the office. Worst of all is the time waiting, because there is a cohort of politicians who are perennially late. This is a topic for a separate blog.

The extent as with the number of advisers has grown – let us not say “exponentially” because though I may hypothesise that the contents of the Trough are increasing in this manner, there needs to be someone to present the evidence. In all, Parliaments are rubbish cultures, not the least because they are divorced from the world in which their electors live.

Parliamentary Courtiers

The problem is when there is an explosion of entitlements, then Opposition is nowhere in the Parliament – nobody is going to blow the whistle and not take the money. All the politicians on this issue are on the one side of the House.

The problem of course is that the amount and nature of expenses come out, and then there may be an outcry if someone has been too greedy, but the lid snaps shut on the Trough. Feeding time is over, and we mug punters do not have any further knowledge – it is asymmetric information par excellence further obscured by the piety of politicians invoking confidentiality measures and security reasons not to be frank with the people who elected them.

The current unfolding behaviour of some elements of the National Party and the Prime Minister’s office in relation to the grants may have vented some aroma from a hole in the Trough, but the government has Gaetjens and Associates, expert Lid Repairers by Appointment on the job, brought in to seal the leak.

In the past I have identified the three elements of this political toxicity, but no-one takes any notice because it is inconvenient: sleep deprivation, isolation and boredom. However, it is probably time to revise what I wrote an age ago from personal observation.

Boredom is still an important factor. Let me quote from a definition of the Mafia consigliere – 95 per cent hanging out and five per cent ultimate brutality.

Here in Parliamentary Australia the brutality may be just factional brutality – consigliere credentials honed sharp by the advisers from their student politics days. Never had a real job, just hanging around the particular Party of their persuasion slicing their way to the top.

Boredom? I always remember the implication at the heart of beauty was evil. Baudelaire may have said something like that because he was a master at pitting unlikely scenarios together: “As a small child, I felt in my heart two contradictory feelings, the horror of life and the ecstasy of life.”

Hence, although Parliament House may give the impression of a hive of activity, at the heart of this inactivity is boredom – doing the same thing over and over again, leaking, evening up all scores and new ones also, pettiness cloaked as activity.

As I asked rhetorically earlier: why does the leader of the Opposition need 39 advisers. Perhaps someone could volunteer to tell us publicly what they all do. How do they evade boredom for instance?

The problem is when courtier expansion has no brake, and when each incumbent has his or her own idiosyncrasy translated as a need for a new specific post such that when the incumbent changes the post is not necessarily abolished. Why? There is nobody to ask what that position was doing there in the first place.

It is the same with any dynastic institution – it’s called tradition. Not that it is all expansion. For instance, until the coronation of Queen Victoria at each Coronation there was apparently a Royal Gruel carrier, presumably because one of her predecessors became peckish during the ceremony and needed a bowl of porridge.

I once floated the idea that there should be cohort of ministerial advisers who would go out and live with the community and learn what were the pressing problems on the job. I had learnt from experience that living close to a problem helped to solve that problem. For instance when we wanted child care for our infant children we started a co-operative (still running today) where the parents ran the show employing the staff and making sure it was properly resourced. Problem alleviated. I came to being a ministerial adviser with a large amount of outside work experience.

Put another way, how many of the Ministerial Advisers were seen helping out during the bushfires in the early part of the year – on deck or there in the aftermath? It would have been useful for an adviser to suggest to their boss, the Prime Minister to take hampers of “loaves and fishes” to Cobargo, for instance. I heard though that they were allegedly too busy undermining the Premier of NSW, while the State burned. Sorry, that does not count. 

The Patron Saint of Blackbirds

I always remember the headmaster announcing to the school that several lads in dark blue suits had been seen trashing a theatrette in the city.

Now Melbourne Grammar School boys in those days wore blue suits, but there was also another school, where the students also wore dark suits. The words “St Kevin’s” rippled through the audience. The headmaster droned on telling us that he told the owners of the theatrette and perhaps the police that it could not possibly be Melbourne Grammar School boys. They always wore their caps. Such was our headmaster’s presence that they went away and did not bother us again.

The point of the story was that essential identifying component of our uniform was the school cap, which we kept on everywhere we went in public. OK, pull the other leg, but that was uttered as school dogma in those halycon days.

At the time, St Kevin’s was firmly ensconced on the second rung of Melbourne private schools, but because it existed in the nether end of Toorak, we Grammar boys used to run into them from time to time emerging from their Gardiner Creek base.

Private schools in my time reflected the sectarian divide of Melbourne, and Roman Catholic schools in heart of Protestant Melbourne breached this divide. Thus running into them did not mean co-habitation, especially because of their status we never played sport against them. However, how unfair it may have been, St Kevin’s already had a stigma as so tellingly portrayed on Monday night.

What I noted in the Four Corners program was the almost subliminal reference to Scotch College and Xavier College, two of original Melbourne private schools, which are still single sex. Each of these schools has had its problems, but not to the same extent as St Kevin’s. Hmmm?

Thus, if the Victorian premier is ordering the review of one, why stop there with St Kevin’s and not have a review of all these supposed premier schools. It would be interesting to see how the culture compares between the single-sex and co-educational schools.

As is becoming clear, it is not a question of boy versus girl and the interaction between the two, which was how the debate was set in my years of school for co-education denial. The debate is now about whether single sex schools act as a magnet for paedophiles.

There was a degree of prescience in the chant we Melburnians had to endure when I was at school: “if you can’t get a girl, get a Grammar boy”. That is Melbourne Grammar – I’d hate to implicate Geelong Grammar as a butt for such mockery.

Mouse whisper

My mausmeister told me of a couple of his supposed bon mots. He said them first in an interview he did when he had his brief period of Warhol glow.

One he said was that once 50 years ago what was accepted as God’s will is now described as medical negligence.

The second: when two or more doctors are gathered together you have a new medical specialty.

Damien Hirst’s M. Mouse

Modest Expectations – Qin Shi Huang

So Donald had gone to the Walter Reed Hospital, the betting given his track record is that he may have been stented and sent back to the White House where there is probably the equivalent of a coronary care unit on site; but not in sight. It was recorded that a year ago his coronary artery calcium had been rising and was indexed at 133, which puts him the range of risking a heart attack within 3-5 years. But with a man who is so addicted to the sunny side of his street, we can only speculate about this particular episode. But from afar he does not appear well, a point I mentioned in my blog on 17 May this year.

Ironic that this news would come in the same week that that the Kooyong Papillon has been fluttering about retraining us elderly to avoid the poubelle of old age.

More about that next week, but really are we surprised?

An Apologia of Academics

In response to my comment on the creation of exotic names for senior positions, a former academic drew my attention to another university, which has gone for the Latin dictionary.

This particular university has appointed scientia professors, presumably on the basis that scientia being the Latin word for knowledge, those without that appellation are sine scientia – or in the vulgate of the Quad, dumbo professors.

Earlier in the year, the Royal Australasian College of Physicians wasted everybody’s time with a series of motions put to an Extraordinary General Meeting to form a cohort of what were to be called ‘Respected Fellows”.

One young female Fellow stood up and asked whether passage of this motion to set up this exclusive group would mean that all those who did not gain entry to the RF club were not respected. Same logic as the above comment about “scientia”.

Although this was a unsubtle way of interfering with the democratic processes by setting up a junta, it was soundly defeated. At least the College gave its Fellows the choice of whether they wanted this nonsense.

What is it all about? Is it only vanity? As I indicated in my comment in the last blog, I think this title escalation is a ridiculous affectation, and affectation is always a perfect subject for satire.

At the heart of all this titular mumbo-jumbo, it is probably about privilege – and privilege in this world of ours is one getting somewhere because one has been inducted into such an elite. It is very seductive to be enticed onto a ladder of privilege where ultimately the reward is the laurel accolade of smugness. Probably in about 400 CE, one would have found that there were a number of laurel wreaths strewn among the ruins of Rome.

Impartiality – the silent partner in Democracy

I have never met the Speaker of the House of Representatives, Tony Smith. When you read his curriculum vitae, he has all the characteristics of the modern politician growing up through a variety of politicians’ offices before being rewarded with a safe seat, which he plodded through in his initial years. However, he became Speaker of the House of Representatives after the demise of the unfortunate Bronwyn Bishop.

I knew Bill Snedden very well and one of his wishes was that after his speakership, which lasted from 1976 to 1983, the speaker, once elected to the role, would be immune from challenge in the House and generally challenge at the election. Snedden was concerned that the Speaker role be seen as even-handed, and having witnessed one of Whitlam’s crueller acts – the public humiliation of Jim Cope, which led to his resignation as Speaker, Snedden was determined to advocate some protection for the position.

When he resigned after the defeat of Fraser Government in 1983, he regretted that he had not another term to pursue the reform, yet he followed his own dictum that the Speaker on resignation as Speaker should exit Parliament immediately. He said inter alia “…under the Westminster convention, when the Speaker leaves the chair he leaves the House. I think this is right. This Westminster practice has been firmly in place all this century and considerations of which I have spoken have led to its acceptance. I have weighed this principle against other considerations, both political and personal. I have concluded that the Westminster practice is correct and, pursuant to it, I intend to leave the Parliament and will resign forthwith.”

Needless to say his wish did not come to pass and the Speakers have come and gone until Tony Smith was elected in the wake of Bronwyn Bishop’s disastrous stewardship. The Speaker’s standing as an impartial chair was severely compromised by her antics, and only compounded by Gillard’s previous ill-advised manipulation to have Peter Slipper installed as Speaker.

The Speaker’s role needs a person with a firm grip on the rules, but also common sense and a sense of humour and above all a person who exhibits impartiality.

One of Whitlam’s less desirable acts was his lack of defence of the then Speaker, Jim Cope. Cope’s “crime” was naming a Minister, Clyde Cameron. Whitlam failed to support him and Cope immediately resigned, barely holding back his tears. Later Cameron realized the gravity of what he had instigated and apologised to Jim Cope.

However, although Cope was visibly distressed, when the time came to elect his replacement and Giles, a Liberal party member was selected by the Opposition to contest the ballot against Labor’s choice, Gordon Scholes, a voice was heard clearly calling out in the House “How do you spell Giles?” It was Jim Cope. His sense of humour never deserted him.

Jim Cope was a good Speaker with only a hint of partiality.

Moving onwards to Tony Smith, Smith’s conduct in the House has been so impeccable that at the last election, he was elected unopposed, and in fact his nomination was seconded by the Member for Caldwell, a Labor MP who glowed as she seconded his nomination.

That is an important first step, but although it would be impossible to know definitely, his performance as Speaker has kept control of the proceedings so that mostly the feet are out of the gutter and if not he has ensured that they are lifted back onto the pavement. That is his immense value to Australia at a time when there is much partisan hatred in the air.

He does not attend the Liberal Party Room, which even Snedden did on occasions. That is another step towards achieving what Snedden fervently wished. Smith is loathe to use his casting vote. I have not read whether he subscribes to Denison’s rule laid down by that Speaker of the House of Commons.

Then he does not seem to flaunt the not inconsiderable perks of office, and while Snedden was the last speaker to dress in full regalia, Smith’s gravitas proceeds without having to dress up to emphasise this.

The main drawback to an independent speaker underneath all the constitutional bluster is that, unlike the British situation where one seat more or less doesn’t matter generally, in Australia each seat is at a premium. However, having looked at Smith’s seat of Casey, it is buffered by two Liberal-held seats where the suburbs bordering on his electorate if redistributed into his electorate (as probably will happen eventually )would be unlikely to change it from being a Liberal seat. Therefore, Smith is in a safe seat and unlikely to be defeated any time soon, which buys time if the notion of an impartial Speaker immune from political challenge is seen as a necessity for Australian democracy to be maintained.

I fear that installing a partisan clown in the Chair may be one tipping point for civil unrest.

I may overstate the point, but one cannot underestimate Tony Smith’s role in sustaining our democracy.

Yet the resulting conundrum of the unchallenged member is that it would effectively disenfranchise the voters in his electorate. It would be interesting to ask them whether they would pay the price for having such a person as the Speaker as their Member.

The Media & Private Health Insurance 

Guest blogger:  Terry Stubberfield FRACP*

Sometimes you just have to say something and not just grumble into your breakfast cereal about the latest media commentary.

Thus this response was prompted by Ross Gittin’s recent article in the Sydney Morning Herald (30.10.19) – “Funds cling on for dear half-life” – complete with image of grasping skeletal X-ray hand. This article made a number of claims without any supporting data.  

Gittins stated that patients are experiencing “huge out of pocket costs that they were not expecting”. Yet at the same time it is interesting to note that in the June 2019 quarter report from the Australian Prudential Regulatory Agency (APRA) the average out of pocket cost per service/episode for private hospital care for the quarter was reported as $314.51, compared with the cost for the June 2018 quarter of $308.73.

For consultant physicians 86.8% of medical services in the Private Hospitals attracted no Private Health Insurance (PHI) payment; by comparison, if you look back three years to June 2016, it was 85.3%. In other words more patients are paying no gap.  Furthermore, that payment for a consultant physician/specialist service was no more than $25, irrespective of how funded. Consultant physicians indeed having the lowest gap payment, of any medical group, if calculated as a percentage of the service cost, i.e. 1%.

In discussing the cost of the private health insurance industry Ross Gittins has concentrated on medical services. Reviewing the June 2019 quarter data provided by APRA the total funds paid by PHI during that quarter for selected areas were:

  • Medical Services $603m  
  • Accommodation and Nursing $2,789m
  • Prosthesis $543m#
  • Dental $697m
  • Optical $204m 
  • Physiotherapy $112m 
  • Chiropractic $77m.

The summary of the June 2019 quarter data presented by APRA states: “medical benefits paid per service … does not mean medical services overall decreased or increased in cost”. 

So medical services are just one piece of the puzzle.

Ross Gittins’ article simply jumps on the populist wagon where over-paid specialist doctors are the cause of the PHI sector’s woes when the data above raises serious questions about escalating costs elsewhere in the health system.

Mr Gittins also falls victim to the common error of lumping all medical specialists under one umbrella when there are multiple specialist groups: consultant physicians and consultant paediatricians for instance are those medical specialists whose expertise is predominantly cognitive; they manage the most complex conditions often for the life of the patient – adult and paediatric – on referral from general practitioners and other specialists. This referral system is one of the strengths of Australia’s health care system.

The APRA report doesn’t comment on “medical specialists” as if they are homogenous group, but appropriately deals with the different medical specialties separately.

In a speech given by Peter Kolhagen, APRA’s Senior Manager, Policy Development, to the Health Insurance Summit 2019, he questioned the health insurance funds for their tardy response to the impact of a range of issues and changes the delivery of health care in Australia – including regulatory and health demands. APRA appears to not single out medical specialists as the root cause of all the problems for private health insurance in Australia.

Gittins however uses surgery as a proxy for all medical specialists, which reflects his basic lack of understanding. Hence his final thought bubble in the Sydney Morning Herald article claims medical specialists are promoting private over public hospital care in order to line their pockets and that if there was not a private hospital system, “…they’d (specialists) do far more of their operations in the public system, probably doing more operations in total than they did before (to counter the huge drop in their incomes)”.

This is disturbing, simplistic and displays little understanding of the delivery of hospital care in Australia. The resources required to provide additional inpatient services to replace the current private hospital services, would be considerable,

Just add the annual recurring expenditure currently provided to private hospital care, (according to PHI data, of around $15 billion),

Then add the cost of infrastructure required and additional nursing and hospital medical staff required to provide much of the day to day health assessment, organisation and implementation of care.

Analysis of health care in Australia is a useful exercise, given that health care represents a significant proportion of government expenditure. However, Australians should not be inflicted with simplistic commentary that can only result in misleading the readers who rely on commentators like Gittins to give them useful and accurate information.

# A real growth increase of >10% in the past decade and I thank Stephen Duckett from the Grattan Institute for this information – and a matter which is obviously concerning enough for the Government to launch a separate inquiry into this increase in the cost of prostheses.

*Dr Terry Stubberfield is a consultant paediatrician practising in a regional Victorian city. He is President-elect of the Australian Association of Consultant Physicians.

A Royal Wave through a Crack in the Door

The door ajar; the recognisable face; the smile; the object of the smile a young lady with long hair, her face concealed; the furtive but practised royal wave; the door shuts; the young lady gone. New York wakes for another day.

I wondered where Prince Andrew Albert Christian Edward had been. I cannot remember in fact seeing him on television, except during his matrimonial tussles and briefly as a Falkland War hero.

In discussing his relationship with the “unbecoming” Mr Epstein, HRH made mention of the fact that he does not sweat.

Of course, he does not, HRH perspire. Would anybody question that fact?

However that is trivialising the seriousness of the claim.

However, on that note, HRH has suggested he does not sweat because he got an overdose of adrenalin during the Falkland War. Nearly forty years later, he says that the after effects persist. Did I hear that learned gentleman at the back of the room clear his throat and was that clang another’s jaw drop? It is known that the use of other drugs such opioids can be a cause of reduced sweating, but for how long?

It is a rare condition and because of his claim it cannot be readily attributable to a congenital affliction, especially as Dad and Brother Charles are shown often perspiring freely after a chukka or two.

However his anhydrosis claim could be tested very readily, if there was enough interest in pursuing HRH.

Otherwise, Your RH, the RAF Salmon Boars are prepared to recognise your outstanding claim with a special flyover.

In fact, the interview may be the start of another crack in the house of Windsor; it recovered from the last crisis – but then the Queen was twenty-years younger – and the potential consequences are not just airbrushing away a case of serial adultery as was the case with the Diana tragedy.

Broken is the crown …

However, this not just one indulged ageing man, who disputes whether he sweats or not on the basis of a highly unlikely reason, a figure of derision, a butt for satire, but a serious challenge to the integrity of society. If guilty, then he is a high profile child trafficker. Exploitation of children is as unacceptable as slavery. That other Elizabeth queen was deeply involved in the slave trade, but there is no record of her ever regretting it. No; she did not among her many achievements invent Teflon.

Just different times; different climes, the apologists murmur. Just poor Andrew Albert Christian Edward. This episode is mere fluff on the shoulder of humankind. No it is not!

Slavery may have been the legacy of the First Elizabethan Age; it would be a pity if trafficking in children is the legacy of the Second.

Mouse Whisper

The derivation of the term for a member of the British Conservative Party comes from the Irish “tóraidhe”, (pronounced tawra) referring to a bandit. Ultimately the root verb for “tóraidhe” implies “pursuit”, hence outlaw or bandit.

In the late 17th century Whigs were those who did not want James, Duke of York, to succeed Charles II, as he was Catholic. The Duke’s sympathisers became known as Tories, and the Duke was briefly James 11, until the powers that be did a reverse brexit – more a bradit and invited the Dutch House of Orange to juice up the monarchy.

Brexit Boris the Brigand is a real alliterative tongue-roller – but Bradit Boris has a distinctive dissonance.

In the absence of a photo of Boris the Brigand, here is Boris the pirate

Modest expectations – “JH” Taylor 326

Did you pause on the 11th hour of the 11th day of November to remember?

If you did not, perhaps a line or two from Wilfrid Owen:

What passing-bells for these who die as cattle?

— Only the monstrous anger of the guns.

Only the stuttering rifles’ rapid rattle

Can patter out their hasty orisons.

No mockeries now for them; no prayers nor bells;

Nor any voice of mourning save the choirs, —

The shrill, demented choirs of wailing shells;

And bugles calling for them from sad shires.

 

What candles may be held to speed them all?

Not in the hands of boys, but in their eyes

Shall shine the holy glimmers of goodbyes.

The pallor of girls’ brows shall be their pall;

Their flowers the tenderness of patient minds,

And each slow dusk a drawing-down of blinds. 

We have not learnt have we; just forgotten?

Another Homage

The following is an unabridged reprint in part of a NYT article. I don’t normally do this but the story is so telling:

T.J. Abraham is a block of a man with a tree-trunk neck and a lantern jaw. He played football at a top Catholic high school outside Pittsburgh and then travelled downtown to Duquesne University, where he played another three years.

He was an offensive lineman back then, and he gloried in the fraternity of hit and get hit, joyfully clanking helmets. Sometimes he saw stars, sometimes he puked and so what? Get back up and get back in. “I probably got my bell rung 70 times,” he said Sunday with a crooked smile.

He always knew he would get on with life. He was a top student, and in time he became an obstetrics & gynaecology doctor, delivering so many babies, maybe 3,000, a gregarious guy who remembered birthdays and who could make a nervous expectant mother grin. He had a beautiful home and a wife and a young daughter and a teenage son. He was a son of western Pennsylvania and life was grand.

He shakes his head: Until it wasn’t.

It was about seven years ago that the now 42-year-old Abraham said he began to notice his temper flaring without reason. His memory and judgement became flickering lamps. In a panic, he began a medical trek that ended with an inconceivable diagnosis: neurodegenerative dementia.

 When I was about the same age, I had a serious car accident, which involved a wet night, my car aquaplaning on a country road, sliding up a muddy path and hitting a pole and bouncing into a dairy, as I was afterwards told. The car subsequently burst into flames, but somehow I was able to release the seat belt and scramble out of the car. I do remember standing, laughing uproariously while the sound of the oncoming ambulance was ringing in my ears. Then everything went blank until I woke up in the operating theatre.

In relation to my head, I had a severe enough head injury without internal bleeding. However, the space between the skull bone and covering galeal aponeurosis was spongy with fluid, presumably blood although to my knowledge it was never tapped. In other words, decelerating from 100 kms per hour to zero in less than a second caused a significant head injury. In my youth I had sustained head knocks playing sport, you could not avoid it if you boxed, as I did throughout school.

However, as Dr Abraham had said, having repeated head on collisions at about 50 kilometre per hour cannot be good for the brain irrespective of whether you have a helmet or not (galea as the Romans would call it). Being medical practitioners, he and I are acutely aware of changes in our mental ability; that is until we have lost the ability to be aware.

After the accident when my various injuries had healed, I made the decision without any consultation with anybody to return to work. Needless to say it was premature; I was tolerated but many later said that I was weirder then usual and obviously I had not recovered. However, unlike Dr Abraham I was on an upward spiral and at least among my peers returned to an acceptable “normal”.

I respect him greatly for admitting to his downward spiral. I hope it is arrested. I keep looking for evidence of the mental consequences of my accident; I have the evidence of the physical legacy from the accident, but my blog is my sentinel of mental decay.

However, with these equally old men vying for public office in the United States, do they get their mental abilities tested regularly? To what extent do these old men have the honesty portrayed by Dr Abraham? If Trump’s twitters are his substitute for a blog, then the content would worry me if I was an American voter – especially if one has been unfortunate enough to be able to trace the course of fronto-temporal dementia in others as I have.

If in fact we are to countenance age in itself as not being a bar to election, it does not help on the other hand when others blinded by the allure of power are not prepared to face the fact that mental deterioration may be occurring in one of its own grandees.

Thank you, Dr Abraham for being my inspiration. I wish you all the best, and that you somehow will be able to slow the process.

Justin Trudeau lives

Justin Trudeau in a season of seeming conservative supremacy retained power in Canada in the October election, albeit with a minority government. This time, he was delayed in announcing his cabinet until 20 November. He has taken a collective deep breath. After all, he lost every riding in Alberta and Saskatchewan.

Meanwhile back at the hand-wringing barn, as reported:

It’s true that the caucus was unified behind the idea that the party’s membership, not its elected members, should hold the leader to account. But that was where consensus ended. The meeting didn’t last seven hours because MPs were lauding the leader and his team.

Always the sign that the Conservative party leader, in this case Andrew Scheer, the member for Regina Qu’Appelle in Saskatchewan, is under extreme threat. The report goes on: 

There are very real concerns among MPs from Ontario in particular, that the party will be reduced to a rump in Canada’s largest province, if major changes are not introduced…

The loss of Milton, an Ontario riding formerly held by Lisa Raitt (Deputy Opposition Leader), is seen as a harbinger by (Conservative) MPs with commuter belt constituencies who have seen their vote share dip in successive elections since 2011.

It seems that the situation is the reverse of Australia. Here the Australian Labor Party (ALP) has released a review which, despite the verbiage, seems to be an exercise of exorcising itself of Bill Shorten. The Conservatives have not yet done that in Canada.

Queensland is to Labor as Alberta and Saskatchewan are to Trudeau. At least the ALP has seats in Queensland; Trudeau does not have a riding in either of those two provinces – no seats out of 48.

Trudeau also lost out to the Bloc Québécois in Quebec. Added to his woes, Jody Wilson-Raybould, the Minister who resigned from Trudeau’s cabinet in protest against what she believed to be a cover-up engineered by Trudeau, retained her seat in Vancouver. She is a formidable native Canadian woman lawyer, with a very strong public profile.

Trudeau thus did not get it all his own way, and he literally also got a few black marks during his campaign. However despite all, his party ended up with the most seats, and he knows that the New Democratic Party (24 seats) and the Greens (possibly 4) will support him on most issues – enough for a comfortable working majority. Both these Parties have strong climate change agendas.

On the other hand the far-right party, the agenda of which would certainly have been attractive to some in the current Australian Liberal party, fared appallingly, even though the leader had held a seat in the previous Parliament, which he lost in 2019.

What is interesting is the comment about the loss of the suburban commuter vote, which is the product of a more educated electorate and which presumably will not lessen. Given there is evidence of that same shift in voting patterns occurring in the Trumpian America, this is an interesting development that the ALP should examine. For instance, the only two seats that showed a swing towards the ALP in Queensland, which virtually guaranteed Morrison’s victory, were in Brisbane and Ryan, affluent Liberal Party urban strongholds, presumably the equivalent of the “commuter vote.”

The Canadian electoral system is far different from Australia; it is non-compulsory and first past the post, traditionally thought to favour the conservative vote – but I wonder whether that would still hold true. The Canadian Senate is a far different construct from the one here in Australia. In addition, the provinces do not have the powers of the Australian States. And of course, Canada is bilingual with a strong French influence, not only in Quebec but also in parts of Ontario and the Maritime provinces.

If I were Albanese I would at least being saying “hello” to Trudeau. How Trudeau is selecting his Cabinet, due to be released on 20 November, as I noted above, would be a good topic to break the ice – which will soon be forming on the Rideau Canal in Ottawa. Come skating with me, dear Albo. 

The Expert Prophesises

I found a scrap of paper, which had drifted across my desk. Dated 26 October 2016 it was written for The Australian by Robert Gottliebsen.

It starts with a definite conclusion: “Barring some totally unforeseen event, Hilary Clinton will be the 45th President of the United States.”

Then it analyses some of her policies, which if successful “may lead her to be re-elected for a second time”. How far has the world drifted from this Gottliebsen opinion piece, some may then say.

Therefore why bother reading on. As for the journalist he has to write another piece. He may hope that 13-day lag period between the 26 October piece being published and Trump’s election will be enough time for his readership to forget. He has no time to contemplate whether there was a sliver of usefulness when his first sentence is such an almighty gaffe. He probably hopes his readership would forget it.

Yet three years on it is worth reading. Gottliebsen suggests that Clinton would have concentrated on making small business work, because that is where she saw job creation – not in big business, which should be taxed more. Her policies were directed to more prompt payment by government to assure cash flow and to make to easier to operate, unlike Australia’s “bizarre anti-small business public servants (who) go out of their way to prevent small enterprises starting by blocking them getting an ABN”.

In enhancing her agenda, Gottliebsen suggested that small business would have gained a share of what he describes as “an infrastructure bonanza”. This involvement of small business provided Gottliebsen with the opportunity to state that the “Australian Competition and Consumer Commission to recognise modern-day ‘cartels’ excluding efficient small enterprises are run by unions in collaboration with their big company mates who, in turn, pay unions big sums for favourable treatment.”

The stimulus to small business by Clinton was designed to lift the minimum wage and pay other ancillary benefits, particularly health benefits – and also increase the workforce by immigration given the pool of refugees in which to dip.

What rings so true are these comments made at a time when Turnbull was resisting the Banking Royal Commission and before bodgie building construction, with widespread flammable cladding, was revealed.

It is not that those – let us not say top of town – just say those who congregate in the spring racing carnival marquees are solely to blame, but Gottliebsen was harsh about Australian business conditions, describing the alliance of big business and the unions as “blatant job-destroying corruption”.

If this is so, then what are politicians doing mingling with this mob, and moreover taking plush jobs on retirement from the same mob when the hurdy-gurdy stops playing? You rarely see these ex-politicians wandering along the streets of their erstwhile electorates asking what they can do for these people who may run small businesses, now these ‘exes’ have time on their hands and a large pension in their bank accounts. After all, small business was always good for a photo-opportunity in the electoral cycle when the politician wanted their vote.

Now what do you call a collection of lobbyists? Perhaps a trough.

Just because the prophecy was wrong does not mean the points being made by Robert Gottliebsen an age ago are not worth a little contemplation.

In fact, Thomas Phillipon, in a recently published book confirms a great deal of what Gottliebsen foresaw – at least in America. Domination by Amazon, Apple and Microsoft; fewer airlines; consolidation of hospital and pharmacy chains – all big business conglomerates at the expense of small business. And without appropriate legislation, the conglomerates swiftly become cartels -and Australia has many examples of this.

The Citation

Nicholas Talley is a man of many parts. He was the first person I came across designated “laureate professor”. I had known about the “poet laureate” and the “Nobel laureate” designations, all derived from the ancient tradition of placing a laurel/bay leaf garland on the deserving skull. But a laureate professor, what a vision!

Universities are good at diving into the Latin dictionary and coming up with flash words like “emeritus” for those who have retired and are off the payrolls. However, the emergence of retiring women academics has meant an increasing number of “emerita”, and those of us sub salis are known as “alumnus” or “alumna” – a mixed collection of whom traditionally would take the male plural “alumni”. A neuter variety would be known as an “alumnum” but the neuter plural “alumna” could be confused with the female singular.

Now universities are bestowing “laureate’’ on their deserving staff.

In any event should, in terms of consistency, these people of high office be called “laureatus” and “laureata”?

Added to the complexity is that “trees” in Latin are generally of the second declension, where most of the words are masculine, but trees although with male suffixes have the feminine gender.

And of course we come to the word bacca – which is attached to laureate also. Everybody knows presumably that they are graduating as a “laurel berry”.

The problem is that “laureate” is getting a bit common – how about Trabea professors – no worry about gender here.

Thus, hail Laureate Professor Nicholas Talley for introducing me to this topic – especially given his expertise in citations, he would know what a Trabea is. 

Mouse Whisper 

Wikipedia summarised it as well as anybody – up to a point:

The 1894 Open Championship was the 34th Open Championship, held 11–12 June at Royal St George’s Golf Club in Sandwich, England. J.H. Taylor won the Championship by five strokes from runner-up Douglas Rolland. This was the first Open Championship held outside Scotland.

 This was the first of five championships spread over three decades that Turner won, and in line with this blog number this first was the 34th Open. His 72-round total of 326 was the highest ever recorded to win the Open – and by five strokes!

By contrast on the same course in 1993, Greg Norman won with the lowest-ever score at that time of 267, since bettered by Hendrik Stenson with a 264 at Royal Troon in 2016.

There weren’t many horseless carriages around in 1894 either, but plenty of mashies, brassies and cleeks.

Modest Expectations – October

i with my dear friend le canard trump join together in congratulating Justin Trudeau in seeing off the forces of the far right. I think that is the same as seeking the betterment of both countries, is that not correct, Mr President?

The Moral Basis of Christopher Pyne

You know when you hear the words after yet another expose of a particular corporate malfeasance: “we take these matters very seriously…” by which time you have turned off because you have heard it all before.

Banfield’s work – required reading for Christopher Pyne

However, The Moral Basis of a Backward Society written by the American political scientist, Edward Banfield, should be required reading as Australian moral trajectory is directed towards the end situation described by Banfield.

In his examination of Sicilian society in the 1950s he points out that the whole basis of the society is to rob society for personal gain. “Rob” implies criminality and while Sicily is the home of the Mafia, my use of the term is broader to embrace the morally bereft rent-seekers who tip-toe on the edge of legality. You know for instance the persons who profit from “insider knowledge” to make a living, and essentially do nothing else to advance society, while they line their own pockets.

Banfield describes the person at the centre of his dysfunctional society as a male who “lives moment to moment, which governs his behaviour either because he cannot discipline himself to sacrifice a present for future satisfaction or because he has no sense of the future. He is therefore radically improvident.” However, I would not want to be sexist, and in our current era only attribute such a quality only to males.

One of the problems of Australia is that corruption is often confused with mateship, a characteristic which can be traced back to the Rum Rebellion, as the brown paper parcels are laughingly distributed. Added to this heritage, Australia is gaining the reputation as a Chinese Laundry while every aspiring politician sees his or her eventual future as a rent seeker.

You know if Banfield was alive today, he may well have undertaken writing a sequel to his book called The Moral Basis of Christopher Pyne and then, as Banfield did with Sicily, generalise his conclusions so we could benefit from his insights. But alas, where is the Edward Banfield among our political scientists today, Professor Van Onselen?

Mane Course

Some years ago, a prominent culinary scribe (he hates being called a food writer) wrote an article in the Good Food section stating inter alia the following:

“At the same time, the outrage overlooked the paradox that Australia has exported horse meat for human consumption since the 1970s. Today, we’re one of the world’s biggest exporters, with two accredited abattoirs – one in South Australia’s Peterborough and the other in Caboolture, Queensland.

Guaranteed 100% beef free

According to the Department of Agriculture, Fisheries and Forestry, we exported 6,137 tonnes in 1998-99 and 2,320 in 2006-07 to 14 countries including Russia, Switzerland, Belgium and France.

 The Department estimates between 30,000 and 40,000 horses are slaughtered each year, but this includes about 33 licensed knackeries butchering horses for the domestic pet-food market, including thoroughbreds, standard breeds and wild brumbies.”

The writer has a strong Slovenian heritage, and horsemeat is freely available in that country, but the biggest importers of horse meat are Italy and France and the biggest exporters of horse meat, which in the OECD definition includes not only “equine” but also “ass, donkey and zebra”, are Argentina followed by Mongolia and Canada. Australia is a small player in the international market.

The above article was written when certain restaurants were introducing horsemeat in various guises on the menu, and being picketed for doing so. Thus horsemeat on the menu became a short-lived exercise. But if there is a surplus of horse flesh, eating it remains an option. If a horse is slaughtered cleanly and humanely, what right has anybody to deny their fellow citizen access to a horse menu?

Nevertheless the writer very clearly set out the numbers being slaughtered and I cannot remember then any of the current breast-beating which is being drummed around the country in response to the recent ABC documentary. However, once the visual images are added to the fact, then the crescendo of breast-beating and teary humbug becomes almost too much for anyone to bear.

The fact is – and it is an inconvenient fact – that when a basically greedy industry over-producing a product to be syndicated among a gullible public means that many of the animals do not pay their keep, what do you do? Release them into the wild so they become an ecological pest or just kill and cremate them. Or use them for food.

Walla walla catsmeat

During and just after the war, horsemeat was sold in the butcher shops as pet food because sheep and beef was rationed – and there was no outcry. In fact, the distinctive cry of the street vendor of horsemeat was very distinctive: “walla walla catsmeat.”

Not all horses can be buried standing up like Mummify or have a comfortable Living Legends retirement. If Australia wants to tackle this particular problem then it should look at the supply chain, and especially at the advertisements offering yearlings that will conquer the racetracks. Shares in these horses that are available for purchase should include the rider (pardon the pun) that you – the owners with “a hundred of your best friends” – are also responsible for the horse for its whole life, including its death certificate.

Further, I would advocate that every protester be given a horse as a token of their love and devotion, together with a certificate of ownership. The certificate can be traded in, stained with tears, if the person wishes to return the animal to its equine funeral home. It used to be called an abattoir before the community outrage ensured that the name be changed and photographs were banned.

Seriously, if the community cares about the welfare of horses, it would not condone the obscene amount of money invested in a few horse races to benefit people who are already very wealthy to the detriment of unwanted horses that die an excruciating death.

Withering Foxglove

In 1785, William Withering, a Birmingham physician, wrote a treatise setting down the history of his patients where the extract of digitalis purpurea – the foxglove – was used. Many of his patients had severe oedema, which is a sign that the body is cracking up and not able to maintain the distribution of body fluids in an appropriate manner. After all, each of us is a compartmentalised bag of salt water, with a few calciferous supports called bones to distinguish us from amoeba.

Oedema has a number of authors. Where there was an underlying cardiac reason for the oedema and associated problem, Withering showed the foxglove extract worked. It just happened to be the extract that yielded a substance which aided cardiac function.

Quoting from the notes of his patient 136, Withering wrote: he was ordered to take two grains of pulv. Digitalis every morning and three every night; likewise a saline draft with syrup of squills, every day at noon. His complaints soon yielded to this treatment, but in the month of November following he relapsed, and again asked my advice. The Digitalis alone was now prescribed which proved as efficacious as in the first trial. He then took bitters twice a day and vitriolic acid night and morning, and now enjoys good health.

“Squills” – Drimia maritima

Before the Digitalis as prescribed, he had taken jallop purges, soluble tartar, salt of steel, vitriol of copper, etc.

Withering used digitalis as a blunderbuss, but this was one patient in which he seemed to get it right. However, as with everything else much of the treatment then was based on purge or emetic – and the basis of such treatment was hardly evidence based, and some of his patients with oedema for whom he prescribed digitalis did not get better and death ensued.

However, Withering was wandering in the darkness of medical ignorance; and that cannot be said of today when under the cover of Pharmacy as a learned profession, the spruikers are out selling much the same array of quackery, just different names. One pill on sale 13 ingredients – a modern day equivalent of the Withering squills:

Vitis Vinifera (grape seed), Silybum marianum (milk thistle)

Selenomethionine, Betacarotene  Thiamine nitrate (vitamin B1) Calcium pantothenate (vitamin B5), Pyridoxine hydrochloride (vitamin B6);Vitamin B6, Cyanocobalamin (vitamin B12) Ascorbic acid (vitamin C); Vitamin D-alpha-Tocopherol; Vitamin E; Zinc amino acid chelate and with a garnish of Folic acid.

A normal balanced diet obviates the need for vitamins and selenium can be toxic, especially if children swallow a few of the tablets that have been left lying around.

In one case Withering had success infusing a young grossly oedematous man with digitalis. He obviously was feeling very chuffed, as he finishes the case history (sic): I forgot to mention that this gentleman, before I saw him, had been for two months under the care of a very celebrated physician, by whose direction he had taken mercurials, bitters, squills, alkaline salts and other things, but without much advantage.

The pity that the paradox of having knowledge unlike Withering in his pioneer use of digitalis, over 200 years later, the same quackery exists but with different titles is being flogged; and in the same unregulated environment no much different from that in which Withering medicated.

I read an interview with Jack Gance, the founder of Chemist Warehouse. There was not one mention of the word “therapeutic’ in the interview. It was all about money and profit margins, and when you see its advertisements where you see these laughing, presumably satisfied, customers with shopping trolleys brimming with all types of his alchemy, then you know how deep, drug taking is rooted in our society. And as a society we have the audacity to humiliate strip-searching young teenagers. Back to the advertisements with the hysterical customers pushing their drug cornucopia to the check out desk – just money stripping here.

The Medical Board of Australia is investigating this whole area of complementary medicine currently. On a major homeopathic website there are a number of anecdotes attesting to its value. They are uniformly positive, reminiscent of the testimonials that adorned the patent medicines and remedies sold through magazines. I find it unsurprising that such a biased sample appears on the website. However, there is no end to gullibility.

Let me just add to these anecdotes a contrary view. In 2013 I went undiagnosed for a period of time, and among the remedies suggested was krill oil. It is interesting when one is very sick, the promise of a therapeutic nirvana supersedes logic.

As it turned out, it was an orthopaedic surgeon who diagnosed my condition where other doctors and apothecaries including myself did not. I had a nasty affliction with a gradually worsening triad of pain, stiffness and weakness, so much so that one night as I stood in my bathroom I knew I was dying if there was no intervention.

Fortunately I was pulled back from the brink – not by krill oil, but by prednisolone. My therapeutic response was almost instantaneous, such that I am not writing his blog from a celestial platform.

Cortisone, a naturally occurring substance in the body, was crucial, administered in a therapeutic dose to counter the autoimmune disease process; plus paracetamol for the pain- killer, a chemical, an aniline compound first manufactured in the 1880s. No oil of krill or any substance from the alchemist crucible.

Education System Fails Australia.  Will micro certification help?

Neil Baird

The retiring Secretary of the Department of Prime Minister and Cabinet, Martin Parkinson, recently joined a long list of well-qualified commentators in warning of the dangers of falling living standards arising from Australia’s declining productivity growth.

As an employer for more than 40 years, I regretfully have to agree. Parkinson partially blames political instability and policy uncertainty. He is undoubtedly correct in that assessment but I firmly believe that the major factor in our productivity decline is the general failure of our wider education system.

As I see it the problem is that the primary, secondary and tertiary education sectors have all become anti-business over the last 50 years. One of the benefits of advancing age is being able to look back on an education experience that was generally pro-business. I was fortunate to attend a school where successful business leaders were hailed almost as heroes. Even at university, at least in my undergraduate years, they were tolerated or, at worst, ignored.

Since the late sixties all that has changed. While the ageing Communist Party of Australia and its various “fellow travelling” organisations were gradually declining, they were being replaced by similarly agitprop inspired groups who began to infiltrate and eventually dominate our education system.

That movement started in the universities and quickly spread through both levels of our schools and by the early 1980s the movement had effectively been institutionalised. Unfortunately business did little or nothing to counteract this; education became widely anti-business. Our children were, and are being, taught that business is bad and sales people are crooks. Not only is this attitude destructive, it produces too few people who are productively employable which, in turn, severely handicaps our national productivity.

As a global publisher of maritime trade magazines and organiser of their accompanying trade exhibitions, I know the publishing, events and maritime industries quite well. Their problems are essentially similar and largely they are the result of the output of our schools and universities. Like many western democracies (except perhaps the USA) it is becoming impossible to find enough good and competent staff.

I see this problem as largely attitudinal and those attitudes are mostly shaped by an education system that focuses on what I call “fluffy”, easy subjects in the social sciences to the detriment of the more difficult STEM* subjects. Apart from their underlying political inspiration, universities generally favour the “fluffy” subjects because they attract more fee-paying students.

The old “Techs” – the technical colleges – have been allowed to wither on the vine. Under the Whitlam and Dawkins “education revolutions” they became TAFEs, many of which eventually were turned into universities. The Whitlam Government introduced free university education for the masses, ignoring the Commonwealth Scholarships scheme, which quickly devalued university degrees, at enormous cost, and allowed the “fluffy subjects” to gradually dominate our universities.

A couple of years ago I, and many others connected with the maritime industry, were shattered to learn of the University of New South Wales’s intention to close its globally esteemed school of naval architecture. That institution was the world leader in producing the designers of fast ferries, patrol boats and the like. However, the demand for such graduates is not high, about 15 per annum. Despite the important facts that all UNSW naval architecture graduates were quickly employed and their fees covered more than double the direct costs of their course, UNSW is terminating the course this year.

Of course, 15 graduates does not in any way compare with the fees being contributed to the university, and its counterparts throughout the country, by its hundreds of marine biology, environmental science, media studies and journalism students, for example. The fact that most of those students, upon graduation, will be lucky to find employment as baristas or, largely unnecessary, public servants is of little or no relevance to the UNSW or its other university counterparts. Meanwhile, like my company, Australia’s naval architecture firms and ship builders, which are all significant exporters, will have to employ graduates from overseas. Worse still, they now have to establish their construction activities offshore.

Much the same applies to the trades. Everyone I know in shipbuilding is having trouble filling trade positions such as welders, electricians and ship- wrights. Even the catering trade, I understand, is having similar problems. It seems strange that, with all the people in this country of Italian heritage, my local Italian restaurants have to recruit chefs from India. I understand, from a nephew in the business, that modern apprentice chefs are failing to survive long in the business because their teachers have left them unprepared for the realities of the work and discipline involved with their roles.

Anecdotally, this seems to be a problem that affects companies across the whole spectrum of business. Recruiting competent enthusiastic staff is very difficult. Meanwhile, our governments boast of keeping our unemployment levels “down” to 5.2 per cent even though, in my view, that has been achieved by overloading our Federal and state bureaucracies with “fluffy” graduates. Our more intelligent politicians are well aware this does nothing for national productivity. Unfortunately, few, if any, of them are doing anything about it.

Now, what we are effectively doing is shifting our productivity offshore. Our bright, hard working people and our vigorous businesses are being forced to develop overseas while our domestic economy slowly stifles itself into unproductive mediocrity.

The Federal Government initiated the Hayne Inquiry into the banks and finance sector. That has led to some promising reforms. It should do the same with education and examine the vital relationship between education and productivity. Then, something might be done to reverse our inexorable long-term decline in productivity.

*Science, technology, engineering and mathematics

Neil Baird PhD is non-executive Chairman of Baird Maritime, a leading global maritime trade publisher. Neil is a former chairman of the World Ocean Council and of the Australian Marine Environment Protection Association, and a long-serving director of the Australian Shipbuilders Association.

Mouse whisper

As reported in the SMH this week by James Massola:

Joko and Morrison met for about 15 minutes at the presidential palace yesterday and afterwards, Morrison said he had discussed the Indonesian-Australian free trade deal, counter terrorism co-operation, the proposed new Indonesian capital on the island of Borneo and the recent deadly riots in Papua and West Papua

Wow – Speed diplomacy. Pity they did not have another 15 minutes or Morrison would have had time to talk about the Sharkies’ prospects for 2020. The fact that he spent only 15 minutes discussing the above matters says something about Australian-Indonesian relations.

However, Morrison had nearly an hour with Vice-President of China Wang and given that the main object was to get into the good books of President Xi so that presumably he will be eventually granted an audience, an hour pleading his case may be a better use of time than worrying Indonesia about the potential re-run of Timor-Leste in West Papua – and yes, the Bali bombing was a long time ago.

Go Sharkies. Go Joko.