Interview

Dr Ruth: ‘Nobody has any business being naked in bed if they haven’t decided to have sex’

Sex therapist, child of the Holocaust, former sniper… Dr Ruth Westheimer has lived more than most. Now 90, she’s as busy as ever – and still has strong opinions on pornography and consentSun 12 May 2019 21.03 AEST

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Early this spring, the Smithsonian Museum in Washington DC, famous as a time capsule of American history and culture, reached out to Dr Ruth Westheimer and asked her to donate an object to its vast collection. It’s there that you can find such iconic totems of Americana as the glittery red shoes Judy Garland wore in The Wizard of Oz, or influential TV cook Julia Child’s kitchen, fully reassembled. Soon you will also be able to find the microphone that Westheimer used at WYNY, the New York radio station that helped cement her fame as a frank-talking sex therapist in 1981, in no small part thanks to her unmistakable accent.

“I’m very lucky, because it’s a combination of the German, the Hebrew, the Swiss, the French, and that accent helped because as soon as people heard it they knew it was me,” she says as she directs me around her tiny kitchen, filling the kettle for tea, retrieving a knife to cut a cheesecake. If you find yourself on TV talking about vaginas, penises and clitorises, an accent like Westheimer’s might also feel like a blessing. It’s hard to feel indignant or vexed when the person dishing advice on erectile dysfunction is a 90-year-old Jewish lady with long rolling R’s and a Munchkin giggle.

Humour and charm has long been Westheimer’s reflex for diffusing anxiety and shame. “In the Talmud, it says that a lesson taught with humour is a lesson retained,” she says. “I came from an Orthodox Jewish home so sex for us Jews was never considered a sin.” Has she never felt flummoxed by a question, or found herself blushing? Westheimer thinks for a moment. “The best answer to that is that when someone asked me a question about sex with animals, and I responded: ‘I’m not a veterinarian.’” She peers into a cupboard and frowns. “I want to find some tea, but I don’t find tea,” she muses. Not a problem, I assure her. Whatever is easiest. “Orange juice is easiest,” she says, producing a carton of Tropicana from the fridge.

Dr Ruth Westheimer and Burt Reynolds chatting and laughing, Ruth leaning towards BR, touching his wrist with one hand and her cheek with the other
Star quality: chatting with Burt Reynolds. Photograph: Getty Images

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We are in Manhattan where Westheimer has lived for 55 years in a two-bedroom apartment overlooking the Hudson River. From the window, she points to the other bank – a steep escarpment known as the Palisades. “That used to be for nuns, over there,” she says, indicating a monastery-style building. “And when it snows it’s beautiful.” In the wake of her ascent to fame, friends urged her to move to Fifth Avenue, but Westheimer always resisted. She likes the neighbourhood’s European flavour, the fact that it was settled by German Jews. And besides, in the nearby Fort Tryon Park, one of the city’s most beautiful, sits a bench named in honour of her third husband, Fred Westheimer, who died in 1997. She has added an inscription from the Bible: “My beloved has gone down to his garden to gather lilies.” Today she gets a kick whenever she sees couples kissing there. Being a widow, she says, is harder than being an orphan. Children are resilient, adults less so.

These are busy days for Westheimer, the subject of a new documentary, Ask Dr Ruth, that receives its European premiere at Sundance Film Festival London later this month. She will be visiting Japan for a screening, before hitting Oxford University to debate pornography (she’s a fan), in addition to annual trips to Switzerland, where she spent the war in an orphanage, and Israel. There are also her teaching schedules at Hunter and Columbia universities in New York, and a prodigious publishing output, including a column for Time, an upcoming children’s book, and a new edition of her bestselling guide, Sex for Dummies, that will include chapters addressing millennials and the metastasising issue of loneliness. Immediately after our interview she is due at the opening of an exhibition at the Museum of Jewish Heritage titled “Auschwitz: Not Long Ago, Not Far from Here.” Westheimer, who is on the board of the museum, is proud of the name. “It’s for the Holocaust deniers and those people who have Holocaust fatigue, who say, ‘Stop talking about it, it’s so long ago.’”

Everyone’s on the phone now, instead of concentrating on their relationship

We tour the living room, a jumble of tchotchkes and books – a copy of Michael Wolff’s Trump exposé, Fire and FuryRuth Bader Ginsburg’s autobiography. There are mementoes of Shirley Temple, Westheimer’s favourite actor, and photos of her with the Obamas, with the Clintons and one of her dancing with the conductor Zubin Mehta, a memory that provokes particular delight. She was at a fundraiser for the Israel Philharmonic Orchestra. “I was dancing with a Japanese guy, and a man came and tapped me on the shoulder and said: ‘The Maestro wants to dance with you.’ I dropped the Japanese like a hot potato and danced with Zubin.”

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Just inside the entrance, in pride of place, is a photo of David Ben-Gurion and Golda Meir, the first and fourth prime ministers of Israel. Westheimer was a member of the Jewish underground after the war, operating as a sniper (she learned to shoot by imagining Hitler was her target), and fighting the British, until she almost lost her legs in an explosion. But she would like readers to know she is grateful to Britain for organising the Kindertransport that brought 10,000 children to the UK. “Some of the children were able to save their parents, by going from house to house and asking for help in finding them work. When I was in Switzerland, I still had the fantasy I could have saved my parents and family if I’d stayed in Germany.” She shakes her head. “All nonsense. If they had not made the sacrifice to send their only child to Switzerland, I wouldn’t be alive.”

A powerful scene in Ask Dr Ruth, rendered into animation, shows young Westheimer waving goodbye to her mother and grandmother at Frankfurt station. It’s the last time she would see them. Her parents gave her life twice, she says: “Once when I was born, and once when they sent me to Switzerland.” When the war ended the children at her orphanage were gathered together while names of surviving parents were read aloud. Her parents were not among them. Put on a train, she was sent to Marseille, where she boarded a ship to Palestine. She was 17.

Sex therapist Dr. Ruth Westheimer speaks to members of the American Society of Newspaper Editors during a convention in Washington, April 9, 1986
Frank talking: addressing newspaper editors. Photograph: Scott Stewart/AP

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In the 1950s she returned to France, divorced her first husband, married a second time, and booked a passage to New York, travelling fourth class. Although she intended to return to Israel the arrival felt like a homecoming. She never left. Her marriage did not survive, although they had a daughter, Miriam. For Westheimer, the failure of marriage two was an important lesson: not having a satisfying sex life could be a problem, but intellectual boredom was insurmountable.

At this year’s New York Pride, Westheimer will ride on a carnival float to mark the 50th anniversary of Stonewall, a tribute to her outsize presence in the 1980s when her empathy cut through a miasma of bigotry. In the long, dark years of the Aids panic, she was among the few pinpricks of light. It was Dr Ruth who insisted there was no such thing as “normal” – everything was normal, as long as it involved two consenting adults in the privacy of their home. She recalls attending the Institute for Human Identity in the 1980s. “I wanted to learn how to work with homosexuals,” she says. “There were no lesbian couples coming; maybe lesbians didn’t need sex therapy. Maybe one woman knew better how to give another woman an orgasm.”

Time has finally caught up with Dr Ruth. Her attitudes no longer seem atypical. But if her approach to sex is now mainstream, anxiety around sexual desire and consent threaten to place her at odds with the very people who once welcomed her sex-positive thesis. “This idea that once you are aroused and have already started that you should then ask, ‘Can I touch your left breast, or your right breast?’ is just nonsense,” she says. “Nobody has any business being in bed, naked – two guys, two women, or a man and a woman – if they haven’t decided to have sex.”

President Barack Obama greets Dr. Ruth Westheimer on a stage
Tall tales: a hug with Barack Obama in 2013. Photograph: Pete Souza/The White House

She frets, also, that innocent compliments risk being stigmatised. “You can’t tell a woman any more that you like her blouse,” she says, and then gestures to herself. “By the way, do you like my blouse?”

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Although no technophobe – in the documentary we see her conversing with Alexa – Westheimer believes our phones may be eroding our talents for conversation. “You walk into a restaurant these days, and what you see is everyone with their phone next to them,” she says. “That is terrible. Instead of concentrating on the relationship, on the needs and activities and interests of the other person, they are constantly looking at their phone.”

And she is sceptical of the idea that millennials are too busy to form relationships. “Don’t put sexual experience on the back burner,” she says. “Make time. After all, immigrants to this country worked much harder. They had to come in on Saturdays, even if they were observant Jews, otherwise they were told, ‘Do not come in Monday.’

Westheimer has a rule about not talking politics, but she also knows sex is political. Endorsing homosexuality or championing a woman’s right to choose, puts her firmly on one side of America’s culture wars. The one issue on which she will not stay silent is the one she feels compelled to speak about from personal experience. “I do say how upset I am when I see children being separated from their parents,” she says. “I have in my bones, and in my blood, the knowledge that you have to help the people who are persecuted.”

Sex therapist Dr. Ruth Westheimer cracks up as rock singer Cyndi Lauper does her hair up in “punk” style, in New York, Jan. 17, 1985
Reaching the young: having her hair done, punk style, by Cyndi Lauper. Photograph: Nancy Kaye/AP

In spite of her curtailed childhood, Westheimer fizzes with energy. She fetches a leather frame on which is embossed in gold letters, It Can Be Done. “I love this,” she says. “It really is my motto in life.” She reads out the brand: “A-S-P-R-E-Y. I got it for free,” she says.

Does she think she’ll ever slow down? “No,” she says, then gestures to my notepad: “Write that down.” On 4 June, Westheimer turns 91. “This time I’m not going to make a big party,” she says. By not big, she means around 30 to 40 people. Last year there were more than 300.

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In her chatty 2015 book, The Doctor is In, Westheimer offers a useful insight into how she lives with the trauma of her childhood. The solution, she says, is to focus on the present: “Pay attention to the people around you. Ask questions and listen to the answers. Tell everyone what happened to you during the day and make it as amusing as possible. Accentuate the positive, try to bring everyone’s spirits up; by doing that, you’ll find your own elevated.”

It’s a philosophy that has guided Westheimer through life. In the lobby of her building, the doorman pinches his fingers together, and brings them to his lips in a kiss when I mention I am coming from Dr Ruth’s. “A sweetheart,” he says. “If there were more people like that we’d never be at war. She’s nothing but a good-hearted person.”

Dr Ruth’s top 15 tips

Sex before dinner, afterplay, and fun with onion rings…

1. People are not Siamese twins. They don’t want to have sex, or the same amount of sex, at the same time. The important thing is that a couple adjusts to it.

2. I do suggest that people have sex before they go out to dinner.

3. Many people grow jealous of their partner’s fantasy lovers. That’s a big mistake. After years of being together, many people need fantasy to become sufficiently aroused for sex… with their partner!

4. If you’re always waiting for that orgasm, you won’t enjoy the rest of the lovemaking as much. You risk being goal oriented, impatiently waiting for that orgasm.

5. You don’t have to share your fantasies. If you have sex with your partner, and the woman thinks about a whole football team in bed with her, that’s OK, but keep your mouth shut about it.

6. Your sex life is not supposed to come to an end just because you’ve hit a certain age.

7. Men, want stronger sperm? Eat walnuts.

8. Make up your own events. Like an onion ring tossed on to an erect penis!

9. Put down the screen and get to know each other.

10 A good sexual experience needs time: for arousal as well as for hugging and kissing after sex. Afterplay is part of the arousal phase for the next encounter.

11. The more women engage in sex, the less severe the symptoms of menopause related to good sexual functioning will be.

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12. In nursing homes, I would like to make sure that there’s a dating room, with a sign like in a hotel that says do not disturb. There’s a need for caressing and being held at every age.

13. Parade your body in front of your partner, show it off, try to feel good about it.

14. You’re on a business trip; you go out to dinner with a coworker; you each have too much to drink… and end up having sex, even though you’re both married. You have no feelings for this person, you both regret what happened, and you promise yourself that you will never let this happen again. Do you tell your spouse? I say you don’t. No matter how well your spouse takes this news, it’ll leave a scar on your relationship.

15. Older people have to be sexually literate. No sex in the evening when they’re tired. The best way for older people to engage in sex is after a good night’s sleep.

Ask Dr Ruth has its European premiere at Sundance Film Festival: London on 2 June, at Picturehouse Central. Tickets are available at

Scott Morrison – Behind the Music

Posted Thu 17 Feb 2022, 8:24pm

Updated Thu 17 Feb 2022, 9:14pm

Expires: Friday 15 January 4760 8:24pm

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The Prime Minister surprised the nation when he whipped out a ukulele during an interview on 60 Minutes this week. Now 7.30’s resident satirists Mark Humphries and Evan Williams have the behind-the-scenes story of that unforgettable musical moment.

Transcript

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Scott Morrison – Behind the Music
Scott Morrison – Behind the Music

7.30 Report

7.30

Christopher Gerald Uhlmann

https://en.wikipedia.org/wiki/Chris_Uhlmann

Christopher Gerald Uhlmann (born 24 June 1960) is an Australian journalist and television presenter.

Contents

Career[edit]

Uhlmann was formerly a seminarian, a security guard, and a journalist with The Canberra Times before joining the Australian Broadcasting Corporation as a radio producer in 1998.[1]

From 1999 to 2004, Uhlmann co-hosted Local Radio Breakfast on 666 ABC Canberra with David Kilby. In 2005, he was Jon Faine‘s producer for the Mornings show on 774 ABC Melbourne, and in 2006 was made chief political correspondent for ABC Radio current affairs.[2]

In 2008, Uhlmann switched to television, and was political editor for The 7.30 ReportABC News, and ABC News channel. In December 2010, he was appointed as co-host of the ABC Television current affairs program, 7.30.[1] In 2012, the show was revamped again, with Uhlmann returning to the political editor role, and Leigh Sales hosting the program.[3]

In 2013, Uhlmann stepped down as 7.30‘s political editor. He announced that he would be working on a documentary about the Rudd and Gillard Governments for the ABC.[4]

In February 2014, Uhlmann became the 14th presenter of AM, the ABC Radio news and current affairs program.[5] He took over after Tony Eastley resigned to take up a senior presenter role with ABC News 24.

In January 2015, Uhlmann was appointed in a newly-created position as ABC News political editor.[6] As a result of the new position Uhlmann left his role as presenter of AM, and was replaced by Michael Brissenden.

In July 2017, Uhlmann’s 2-minute report for ABC’s Insiders on Donald Trump‘s appearance at the 2017 G20 Hamburg summit went viral, and he was interviewed extensively in the United States, on various television networks.[7]

In August 2017, Uhlmann announced that he would be leaving the ABC to join Nine News as political editor, replacing Laurie Oakes.[8]

Uhlmann is also a fill-in presenter on Today. In August 2018, amid the 2018 Liberal Party leadership spill, Uhlmann gained popularity again on social media when he appeared on Today, where he stated that the Sky News television channel, 2GB radio station and News Corp were “waging a war” against Prime Minister of Australia Malcolm Turnbull. When asked how he expected presenters on Sky or 2GB to respond, he said he “couldn’t give a rat’s arse”, adding “If you dish it out, you have to be prepared to take it”.[9]

Awards[edit]

Politics[edit]

Uhlmann unsuccessfully contested the ACT 1998 general election for the electorate of Molonglo with the Osborne Independent Group.[12] The conservative group was named after Paul Osborne, who was strongly pro-life and advocated blocking both euthanasia legislation and any attempt to decriminalise abortion.[13] Osborne and Uhlmann fell out when Osborne moved to severely restrict abortion in the ACT.[14] Six years earlier, Uhlmann had written in support of establishing an abortion clinic in the territory.[15]

Books[edit]

With Steve Lewis, Uhlmann has written a series of political novels set in Canberra: The Marmalade Files (2012), The Mandarin Code (2014) and The Shadow Game (2016).[16] These feature a political reporter, Harriet Dunkley, investigating a conspiracy involving China, the US and Australian security organisations. In 2016 the first two books were adapted as the Australian television series Secret City.

Personal life[edit]

Uhlmann is married to Gai Brodtmann who was an Australian Labor Party member of the House of Representatives for the Division of Canberra from 2010 to 2019.[17][18] Gai is also a member of the Australian Strategic Policy Institute (ASPI) council, which is a partly Defence Industry and Defence Ministry funded think tank. [19][20]

Severe Edema


  • Sudden change in mental state or coma
  • Muscle aches and pains

What Causes It?

Some of the following factors may cause edema:

  • Sitting or standing for long periods
  • Certain medications
  • Hormonal changes during menstruation and pregnancy
  • Infection or injury to a blood vessel, blood clots, or varicose veins
  • Blocked lymph channels (lymphedema)
  • Allergies to food or insect bites
  • Kidney, heart, liver, or thyroid disease
  • High or low blood pressure
  • Eating salty foods
  • Brain tumor or head injury
  • Exposure to high altitudes or heat, especially when combined with heavy physical exertion

What to Expect at Your Doctor’s Office

Your health care provider will look for varicose veins, blood clots, wounds, or infections. An x-ray, computed tomography (CT) scan, magnetic resonance imaging (MRI), urine test, or blood test may be necessary. Pulmonary edema, which occurs when fluid builds up in the lungs, can be caused by other diseases, such as cardiovascular disease or by climbing at high altitudes. It can be life threatening and may require hospitalization.

Treatment Options

Treatment may involve using compression bandages and pressure sleeves tightened over swollen limbs to help force the body to reabsorb the fluid. Other options include a salt reduction diet, daily exercise, resting with legs elevated above the heart level, wearing support hose, taking a diuretic, and massage.

Drug Therapies

  • Medication for your underlying disorder. Talk to your health care provider.
  • Diuretics. For example, loop diuretics or potassium-sparing diuretics. These medicines reduce body fluid levels, but they also deplete important vitamins and minerals, which can result in loss of bone mass. Diuretics may have several other possibly serious side effects.

Surgical Procedures

Surgery may be needed to remove fat and fluid deposits associated with a type of edema called lipedema, or to repair damaged veins or lymphatic glands to reestablish lymph and blood flow.

Complementary and Alternative Therapies

The following nutritional and herbal support guidelines may help relieve edema, but the underlying cause must be addressed. Tell your health care provider about any complementary or alternative therapies (CAM) you are considering. If you are pregnant, or thinking about becoming pregnant, do not use any CAM therapies unless directed to do so by your physician.Nutrition and Supplements

Following these nutritional tips may help reduce symptoms:

  • Eliminate suspected food allergens, such as dairy (milk, cheese, and ice cream), wheat (gluten), soy, corn, preservatives, and chemical food additives. Your provider may want to test you for food allergies.
  • Reduce salt intake. If you are taking diuretics, your doctor should give you specific instructions about salt intake.
  • Eat foods high in B-vitamins and iron, such as whole grains (if no allergy), dark leafy greens (such as spinach and kale), and sea vegetables. If you are taking certain diuretics, your provider may give you specific instructions about getting different nutrients into your diet, such as potassium and/or potassium potassium restrictions. Potassium is in many vegetables. Follow your provider’s instructions strictly.
  • Eat natural diuretic vegetables, including asparagus, parsley, beets, grapes, green beans, leafy greens, pineapple, pumpkin, onion, leeks, and garlic. Some of these foods may interact with diuretic medications.
  • Eat antioxidant foods, such as blueberries, cherries, tomatoes, squash, and bell peppers.
  • Avoid refined foods, such as white breads, pastas, and sugar.
  • Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if no allergy), or beans for protein.
  • Use healthy cooking oils, such as olive oil.
  • Reduce or eliminate trans fatty acids, found in commercially-baked goods, such as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.
  • Avoid alcohol, and tobacco.
  • Exercise lightly 5 days a week if your health care provider says you can.

You may address nutritional deficiencies with the following supplements:

  • A multivitamin daily, containing the antioxidant vitamins A, C, E, the B-complex vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium. Many multivitamins contain calcium and potassium, two minerals your doctor may want you to avoid in large quantities if you are taking certain types of medications. Talk to your provider.
  • Vitamin C, as an antioxidant.
  • If you use diuretics, your doctor may have you take potassium aspartate (20 mg per day), since diuretics flush out potassium from the body and cause a deficiency. DO NOT take extra potassium without informing your doctor. Some diuretics do the opposite and cause potassium to accumulate in the body.

Herbs

Herbs are generally a safe way to strengthen and tone the body’s systems although they can interact with many medications and have certain side effects. As with any therapy, you should work with your doctor to determine the best and safest herbal therapies for your case before starting treatment, and always tell your provider about any herbs you may be taking. If you are pregnant or nursing, do not use herbs except under the supervision of a provider knowledgeable in herbal therapies. Your doctor may need to strictly monitor your potassium levels if you take certain types of diuretics, and some herbs may be naturally high in potassium. You should not use herbal remedies without first consulting your physician. You may use herbs as dried extracts (capsules, powders, or teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, make teas with 1 tsp. herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. You may use tinctures alone or in combination as noted.

  • Bilberry ( Vaccinium myrtillus ) standardized extract, for antioxidant support. DO NOT use bilberry if you are on blood-thinning medications.
  • Dandelion ( Taraxacum officinale ). Dandelion leaf is itself a diuretic, so it should not be used while taking diuretic medications. Speak with your doctor. DO NOT use dandelion if you have gall bladder disease, take blood-thinning medications, or have allergies to many plants. Dandelion can interact with many medications, including antibiotics and lithium. Talk to your provider.
  • Grape seed extract ( Vitis vinifera ), standardized extract, for antioxidant support. Evidence suggests that using grape seed extract may improve chronic venous insufficiency, which causes swelling when blood pools in the legs. Grape seed can interact with some medicines, including blood-thinning medications such as warfarin (Coumadin).

Physical Medicine

  • Dry skin brushing. Before bathing, briskly brush the surface of the skin with a rough washcloth, loofa, or soft brush. Begin at your feet and work up. Always stroke in the direction of your heart.
  • Cold made with yarrow tea.
  • Contrast hydrotherapy involves alternating hot and cold applications. Alternate 3 minutes hot with 1 minute cold. Repeat 3 times to complete one set. Do 2 to 3 sets per day for a short term only. Check with your provider to make sure your heart is strong enough for this therapy.
  • Put a pillow under your legs when you’re lying down.
  • Wear support stockings, which you can buy at most drugstores.

Acupuncture

Acupuncture may improve fluid balance.Massage

Therapeutic massage can help lymph nodes drain.

Special Considerations

Excessive fluid retention during pregnancy (toxemia) is potentially dangerous to both you and your baby.

Supporting Research

Adeva MM, Souto G, Donapetry C, et al. Brain edema in diseases of different etiology. Neurochem Int . 2012;61(2):166-74.

Clement DL. Management of venous edema: insights from an international task force. Angiology . 2000;51:13-17.

Hansell DM, Armstrong P, Lynch DA, et al. Imaging of Diseases of the Chest . 4th ed. Philadelphia, PA: Elsevier Mosby; 2005.

Haritoglou C, Gerss J, Hammes HP, et al. Alpha-lipoic acid for the prevention of diabetic macular edema. Ophthalmologica . 2011;226(3):127-37.

Kiesewetter H, Koscielny J, Kalus U, et al. Efficacy of orally administered extract of red vine leaf AS 195 (folia vitis viniferae) in chronic venous insufficiency (stages I-II). A randomized, double-blind, placebo-controlled trial. Arzneimittelforschung . 2000;50:109-17.

Ma L, Lin S, Chen R, et al. Treatment of moderate to severe premenstrual syndrome with Vitex agnus castus (BNO 1095) in Chinese women. Gynecol Endocrinol . 2010;26(8):612-6.

Maggiorini M. Prevention and treatment of high-altitude pulmonary edema. Prog Cardiovasc Dis . 2010;52(6):500-6.

Makri OE, Georgalas I, Georgakopoulos CD. Drug-induced macular edema. Drugs . 2013;73(8):789-802.

Meissner MH, Eklof B, Smith PC, et al. Secondary chronic venous disorders. J Vasc Surg . 2007;46 Suppl S:68S-83S.

Rathnasamy G, Ling EA, Kaur C. Therapeutic implications of melatonin in cerebral edema. Histol Histopathol . 2014; 29912):1525-38.

Schütz K, Carle R, Schieber A. Taraxacum — a review on its phytochemical and pharmacological profile. J Ethnopharmacol . 2006;107(3):313-23.

Shapiro S, Pollock DM, Gillies H, et al. Frequency of edema in patients with pulmonary arterial hypertension receiving ambrisentan. Am J Cardiol . 2012;110(9):1373-7.

Shi J, Yu J, Pohorly JE, Kakuda Y. Polyphenolics in grape seeds-biochemistry and functionality. J Med Food . 2003;6(4):291-9.

Szczesny G, Olszewski WL. Post-traumatic edema: pathomechanism, diagnosis and treatment. Ortop Traumatol Rehabil . 2001;3(3):385-94.

Tickle J. Managing venous leg ulcers and oedema using compression hosiery. Nurs Stand . 2015;30(8):57-63.

Trayes KP, Studdiford JS, Pickle S, et al. Edema: diagnosis and management. Am Fam Physician . 2013;88(2):102-10.

Villeco JP. Edema: a silent but important factor. J Hand Ther . 2012;25(2):153-61.

Zafra-Stone S, Yasmin T, Bagchi M, et al. Berry anthocyanins as novel antioxidants in human health and disease prevention. Mol Nutr Food Res . 2007;51(6):675-83.

Advanced Study

 

 

Sex therapist Esther Perel on what bored couples could learn from her Holocaust surviving parents

as told to Conversations with Sarah Kanowski, edited by Michael Dulaney

A woman with blonde hair and a beige jacket wearing headphones and speaking into a microphone.
Couples therapist Esther Perel has helmed a therapy practice in New York City for more than 35 years.(ABC News: Edwina Storie)

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Esther Perel is a world-renowned sex and relationship therapist who works with couples reeling from infidelity and the loss of passion. She told Conversations’ Sarah Kanowski what her parents’ experience of the Holocaust taught her about finding the erotic in everyday life.

My parents are people who would never have married if it wasn’t for World War II. My mother came from an educated, ultra-orthodox Hasidic background. My father was rather illiterate. He had been to school for three years. They were not of the same class, but they met at the end of the war after they both spent five years in concentration camps.Listen to the episodeConversations draws you deeper into the life story of someone you may, or may not, have heard about.Read more

It happened that my parents had a very good relationship. My father adored my mother. He looked up to her and my mother loved being adored. So it worked really well.

“How did you fall in love,” I asked my father, “in the middle of the concentration camp?”

My entire community in Antwerp in Belgium — about 15,000 Jews — all of them were refugees, all of them were concentration camp survivors or hidden children. And my parents, in addition to that, spent five years as illegal refugees in Belgium before they were given permission to stay.

They were the only survivors of their entire family, and many families were created at that time. But many of these families, after they were done surviving and rebuilding, looked at each other and said: “We have nothing in common.” So they were not, by definition, good relationships, but they also didn’t allow divorce because they had already experienced the utmost of loss and they were not prepared to do that once more.

And I always noticed that the houses of my friends were dark, there was no energy in the house. You felt like people were on lockout — they were surviving, but they were not living. They couldn’t allow themselves to experience joy, because when you experience joy or pleasure, you’re not vigilant, you’re not on guard, and if you’re not on guard some bad stuff may happen that you were not prepared for. So they lived in an utter state of disaster-preparedness.

And then you had the other side. People who, for me, understood the erotic as an antidote to death: how do you stay alive in the face of adversity? You know, how do you maintain a sense of aliveness?

So my parents, they were bon vivant, as we say in French. They were not just there for no reason.

They have survived, and they were going to make the best of life. And that got passed on to me.

It involved music and dancing and gathering people and just really savouring the beauties of life.

But I don’t know why they were able to do that while others were much more drawn to the bottom and unable to mourn and feeling survivor guilt and lots of other things that people experience. That is not a unique experience. I describe this in the context of the Holocaust, but I really think that this is available for any other community that has experienced massive psychic trauma like that.

And I think it’s the same for a couple. When couples complain about the listlessness of their lives. They sometimes may want more sex, but they always want better. And that better is to connect with the quality of aliveness, of pleasure, of fun, of vibrancy.

I’m not [just] talking about the act of sex. Many people have done the act of sex for centuries and felt nothing. Women are experts at that. What we’re looking for is an experience of aliveness, of vitality, of renewal, connection, mystery… allowing our mind to subvert the limits we live with in reality, to bring us into a space that is boundless, where you can be playful.

That’s the difference between sex and eroticism, is that [it is] sexuality transformed by our imagination.

That’s what makes it erotic.Posted 29 Dec 201929 Dec 2019, updated 29 Dec 2019

Diary: What I like to watch on Television

I used to like reading a lot of books. To my regret, with deteriorating eyesight this has become less and less. Recently I lost my strong reading glasses, However, I do get some new even stronger ones. I can pick them up tomorrow. Hopefully, having new glasses is going to encourage me, to take up some book reading again.

So, instead of reading books, I seem to have been watching quite a bit additional TV. During the week I like to watch Afternoon Briefing on the ABC News Channel, and then I switch over to ABC TV and watch Grand Designs and The DRUM.

Yesterday, Sunday, November 14, I watched a bit of Insiders and Songs of Praise and Landline and Gardening Australia, as well as Rick Stein’s Secret France.

In the evening I caught a bit of Death in Paradise and then I wanted to watch Total Control. But unfortunately I was so tired that I soon went to sleep saw not much of that program yet. I have to catch up on it sometime on IView.

I would like to read up a lot on the following items about the COP 26 Summit on Climate Change:

COP26 & Climate Change

Stories from ABC News

New tier 1 COVID-19 exposure sites listed in Victoria

https://www.abc.net.au/news/2021-10-24/victoria-covid-exposure-sites-sunday-october-24/100563498

Posted 10h ago10 hours ago

A blue sign shows a hand with a phone and the words 'HAVE YOU CHECKED IN?'.
Fully vaccinated Victorians need to quarantine for a week after visiting an exposure site, but unvaccinated people must spend a fortnight.(ABC News: Danielle Bonica)

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Health authorities have listed new tier 1 COVID-19 exposure sites in Victoria.

The new tier 1 sites are:

  • Fobia Industires in Benalla for seven days from October 11
  • The Deck restaurant and bar in Shepparton on October 19
  • 9 Grams cafe in Torquay on October 20

The government has stopped listing all exposure sites, instead only publishing the most high-risk venues publicly. Others are managed by contact tracers privately and through the Service Victoria check-in app.

Anyone who has been to a tier 1 exposure site at the specified time must get tested and isolate for 14 days if unvaccinated, or for seven days if fully vaccinated. 

Check the list below for all of the exposure sites and times.

You can find information on testing site hours and your nearest site on the Department of Health website.https://www.abc.net.au/res/sites/news-projects/covid-vic-exposure-sites/5.3.0/?state=vic&collapsed=true&abcnewsembedheight=1600Space to play or pause, M to mute, left and right arrows to seek, up and down arrows for volume.Volume 100%01:3902:1602:53 Recycling the waste COVID-19 has created(Emilia Terzon)

What you need to know about coronavirus:

What do you want to know about COVID-19? How has the pandemic impacted you? Let us know

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Traffic light plans on minimum wages, taxes, climate protectionThe SPD, the Greens and the FDP have agreed on this paper

https://www.spiegel.de/politik/deutschland/sondierungspapier-was-die-parteispitzen-in-den-koalitionsverhandlungen-umsetzen-wollen-a-34250b7f-1045-4171-9eea-3500fe385f31

October 15, 2021

Climate protection and socio-ecological market economy

The leaders of the SPD , Greens and FDP have agreed on a joint exploratory paper – and thus recommend entering into the negotiations on a traffic light coalition. In their agreement, which SPIEGEL has before them, they insist on a “comprehensive renewal of our country.” The explorers emphasize that it is not about »profiling individual actors«. The following points have been defined by the SPD, Greens and FDP:more on the subject

Modern state and digitization

As a first point, the party leaders formulate a modern state and a “digital awakening”. The speeding up of bureaucratic procedures was an important campaign topic for almost all parties – now the SPD, Greens and FDP want to implement these plans. They set themselves an ambitious goal: »In the first year of government (should) be made and implemented all the necessary decisions in order to be able to implement private and state investments quickly, efficiently and purposefully. Our goal is to cut the duration of the proceedings at least in half. «Laws should be subjected to a» digitization check «.ANZEIGE

Climate protection and socio-ecological market economy

SPD Chancellor candidate Olaf Scholz emphasized climate protection as the most important point in his statement after the talks. The exploratory paper states that the traffic light coalition wants to launch “an immediate climate protection program with all the necessary laws, ordinances and measures” in 2022.

  • An accelerated phase-out of coal-fired power generation is also mentioned under this point. “Ideally, this will be achieved by 2030,” is the cautious formulation.
  • Germany is to be developed into “the lead market for electromobility”. There will be no general speed limit. Apparently the FDP has prevailed here. The Greens had already announced before the talks that the speed limit on German autobahns was negotiable for them .

We’re paying companies millions to roll out COVID vaccines. But we’re not getting enough bang for our buck

The Conversation

July 22, 2021 6.13am AEST

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  1. Lesley RussellAdjunct Associate Professor, Menzies Centre for Health Policy, University of Sydney

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How we roll out vaccines is recognised as more important to the success of vaccination programs than how well a vaccine works. And the “last mile” of distribution to get vaccine into people’s arms is the most difficult.

The Morrison government, confronted with a public service ill-prepared for big challenges and with no expertise in rolling out vaccines nationally, has contracted out many aspects of the COVID vaccine rollout to a range of for-profit companies. These include strategies and planning, vaccine distribution, delivery of vaccination programs in aged care, and systems meant to monitor these activities.

To date, vaccine rollout efforts have been clearly inadequate. Government planning has not involved all the possible players and there was no attempt to involve the states and territories in a concerted national effort. Companies have been contracted to give overlapping advice and to provide services where that expertise already exists.

The lack of transparency about how some of these contracts were awarded is also an issue, along with whether the expenditure of taxpayers’ dollars is delivering value and the needed outcomes.

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Calling in the consultants

From late 2020, the federal government engaged a raft of consultancies to provide advice on the vaccine rollout. Companies PwC and Accenture were contracted as lead consultants.

PwC was described as a “program delivery partner”. It was engaged to oversee “the operation, and coordinate activities of several actors working on specific functional areas, including — for instance — logistics partners DHL and Linfox”. In other words, PwC was contracted to oversee other contractors.

Accenture was engaged as the primary digital and data contractor to develop a software solution to track and monitor vaccine doses. This included receipt of vaccines by health services, vaccination of patients and monitoring adverse reactions. It received at least A$7.8 million for this work. It is not known if any of these products were delivered or are in use.


Read more: Is the COVID vaccine rollout the greatest public policy failure in recent Australian history?


McKinsey received a two-month contract worth A$3 million to work with the health department on vaccine issues; EY was contracted for A$557,000 last November to deliver a “2020 Influenza Evaluation and Covid Vaccine System Readiness Review”. Later there was a A$1 million contract to assess vaccine system readiness and provide advice on on-shore manufacturing.

Despite all this “expert” — and expensive — advice, the vaccination rollout has become a shambles and is far behind schedule. So the military (Lieutenant General John Frewen) has been called in to take “operational control of the rollout and the messaging around the rollout”.

Let’s look at distribution and logistics

Last December health minister Greg Hunt announced the government had signed contracts with DHL and Linfox for vaccine distribution and logistics.

The value of the contracts remains undisclosed. However, the 2021-22 federal budget provides almost A$234 million for vaccine distribution, cold storage and purchase of consumables.


Read more: Australia has not learned the lessons of its bungled COVID vaccine rollout


The decision for these companies to be involved in vaccine distribution shocked many in the pharmaceutical supply industry. The government already has a well-established mechanism to supply pharmaceutical products to the most remote areas. It already does this via pharmacies and other outlets as part of the community service obligation funded under the Community Pharmacy Agreement.

This supply network, for which the government pays A$200 million per year, involves a small number of pharmaceutical wholesalers with decades of experience in delivering to pharmacies. In remote areas, the network also delivers to medical services and doctors’ offices. It’s the same network used every year to deliver flu vaccines.

Pharmaceutical wholesalers offered their expertise. But the government did not approach them to undertake this work. The federal government also ignored the capabilities of state hospital systems, which routinely deliver time-sensitive items such as radioisotopes and blood products.


Read more: Vaccines are here, but how will we get them to billions of people?


More contracts, this time for vaccination programs

The federal government took on responsibility for vaccinating people in aged and disability care, and GP respiratory clinics. It has contracts totalling A$155.9 million with Aspen Medical, Healthcare Australia, Sonic Healthcare and International SOS to deliver these services.

Despite the fact these companies were selected in January, planning has been abysmal.

Only now have most residents in aged care facilities been fully vaccinated. Meanwhile many workers in these facilities and people receiving and delivering care in the community are yet to receive a jab.https://platform.twitter.com/embed/Tweet.html?dnt=false&embedId=twitter-widget-0&features=eyJ0ZndfZXhwZXJpbWVudHNfY29va2llX2V4cGlyYXRpb24iOnsiYnVja2V0IjoxMjA5NjAwLCJ2ZXJzaW9uIjpudWxsfSwidGZ3X2hvcml6b25fdHdlZXRfZW1iZWRfOTU1NSI6eyJidWNrZXQiOiJodGUiLCJ2ZXJzaW9uIjpudWxsfSwidGZ3X3NwYWNlX2NhcmQiOnsiYnVja2V0Ijoib2ZmIiwidmVyc2lvbiI6bnVsbH19&frame=false&hideCard=false&hideThread=false&id=1417356103340355592&lang=en&origin=https%3A%2F%2Ftheconversation.com%2Fwere-paying-companies-millions-to-roll-out-covid-vaccines-but-were-not-getting-enough-bang-for-our-buck-164550&sessionId=74cbc0f0f11b0ec9a7be66bb93321b1960e2b907&siteScreenName=ConversationEDU&theme=light&widgetsVersion=fcb1942%3A1632982954711&width=550px

The health department has not made these contracts public, citing “commercial-in-confidence” issues. There has been confusion about what the contracts covered and concern the firms involved are significant Liberal Party donors.

There have been widespread logistical problems with juggling vaccine deliveries, having the workforce available to do vaccinations, and demand. Poor planning has led to cancelled vaccinations in aged care and thousands of doses thrown away in one clinic after problems with temperature-controlled storage.


Read more: The government is spending almost A$24m to convince us to accept a COVID vaccine. But will its new campaign actually work?


Where to next?

The key task now is to get all Australians vaccinated.

This will require a competent, reliable and integrated system operating at full efficiency. Those aspects of the system that are the responsibility of the federal government (or its contractors) must be better coordinated with the efforts of the states and territories, GPs and others involved in the vaccination rollout. That should be a key responsibility of Lieutenant General Frewen.

The effort to get more Australians vaccinated requires the public having trust in the system that will get us there and the communications that accompany that.

We have no way of knowing what advice the government has received and indeed, whether that advice was implemented. For-profit companies have been contracted to perform vital services, but we do not know at what cost to taxpayers and whether key performance indicators are being met — or even if they exist.

Openness and transparency are the pillars on which trust in government is built. Currently they are sadly lacking.

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Comments are open for 72 hours but may be closed early if there is a high risk of comments breaching our standards.

  1. J BaldwinConsidering there are already in place systems to deliver vaccines it would appear there was no need to reinvent the wheel.More importantly I feel vaccines should have been ordered in early 2020.Without supply it is impossible to vaccinate the adult population.No doubt there will be a royal commission into the handling of the Covid19 situation.Report
    1. Glenda BunningIn reply to J BaldwinAnother waste of public money. When has a royal commission fixed a problem?How could a destroyed public service deliver anything much and the contractors and government are more interested in the deal and getting at the money than in actually providing anything.They do it because we let them.Report
      1. J BaldwinIn reply to Glenda BunningI think the Bank and Age Care inquiries have highlighted problems.In the main a Royal Commission is only as good as it’s terms of reference.In this case it would appear companies with no expertise in the distribution of medical supplies perhaps has to be questioned.As to the role of PwC i have no idea.Report
        1. Amkh Jogrlogged in via GoogleIn reply to J BaldwinThe wheel was “re-invented” bin order to divert control from the states.Each state is more than capable of utilising it’s resources to set up clinics administer the vaccines.It was the Federal decision to by-pass the states and put the responsibilities to local GP’s (who are NOT “set up” to handle such a programme).The correct practice would have been the feds simply source the vaccine and then pass it on for the states to administer it (using their own systems).Most GP’s will have little or no more knowledge of this that the average punter – and will have far less experience in administering “injections” than many nurse practitioners.The whole dog’s breakfast was set up (yet again) on ideological lines….. playing politics with the lives of the vulnerable.(ironic – as most of the dead are from the demographic that was easily fooled by the “franked credits” scam – and put these criminals in power)Report
          1. Jen NortonIn reply to Amkh JogrNot to mention the time constraints. In most regions there would already be a waiting period to see a GP.Adding the work of administering vaccines to GP clinics was surely a bad idea from the start.Report
            1. J BaldwinIn reply to Jen NortonGood morning Jen.For instance considering the GP’s have to manually enter each notice on vaccination into the Medicare system it is a large waste of time and should have used a swipe of the Medicare card to do this.Doing a manual typing in details will result in mistakes.It took weeks to get my proof of vaccination details done because of the 1900 method instead of just swiping the card.Report
              1. Maggie Robertslogged in via FacebookIn reply to Glenda BunningGood reply Glenda🤓. There have been numerous Royal Commissions recently, most notably the one into Age Care. But what has eventuated? Nothing! Since Abbott got rid of 6000 public servants Australia has been left unsupported. We urgently need an honest unbiased efficient ICAC.Report
                1. Glenda BunningIn reply to Maggie RobertsI agree. A federal ICAC is long overdue.Report
                  1. Colin MacGillivrayIn reply to Amkh Jogr“It was the Federal decision to by-pass the states and put the responsibilities to local GP’s (who are NOT “set up” to handle such a programme).“That was exactly the wrong thing to do.Sarawak has done the job with no consultants I think, 77% one dose 43% both doses – it’s in the paper every day. The target is 70,000 shots a day. Our population is 3 million and we are the size of England. A few long houses are only accessible by river.You can get a jab everywhere – the big shopping centres now have them. The main places are stadiums and the Convention Centre. Thiose with comorbidities go to the Genral Hospital or a few nominated GPsFree jabs for all, unregistered foreign workers (who walk in from Kalimantan included and over 70s retirees like me.Report
                    1. Jock WebbAspen are certainly beloved of the government for reasons that are certainly not related to skill. They botched their first gig in Qld. DHL I have had personal experience of at a local level and useless would be my word. PWC have cost us a fortune by advising companies on tax dodging and we pay them more? I would say 10 years ago there would have been health bureaucrats well able to take this on, but the public servants with high skills have been replaced by flunkies or let go.Report
                      1. Phil DavidsonWhen I first learned of the nature of these vaccines I understood they had to be transported at -80C A fellow commentator set me right and shared the information that -80C was the long term storage temperature. Pfizer had also developed transport cases that could be topped up with dry ice to maintain -80 for days. They could then be defrosted and stored at a much higher temperature similar to a standard pharmacy/clinic fridge used for other temperature sensitive pharmaceuticals and in that state had a shelf life of 5 days. But -80 became a big drama and specialists were needed to transport the vaccines…..when in fact existing mechanisms would have worked just as well. For example I believe 15 million of so flu vaccines are delivered to pharmacies, clinics etc most years in quite a short timeframe without too much drama.Report
                        1. Sandra Cochranelogged in via GoogleIn reply to Phil DavidsonVery interesting and contradicts Hunt’s claim (last week I think) that Pfizer has only very recently developed the capacity to provide the storage you have outlined. Thanks Phil.Report
                          1. Luke WilliamsIn reply to Sandra CochraneThis storage solution is nothing new, unless I am missing something? The same can be achieved by throwing a case of vaccine filled syringes into an esky and covering them with dry ice. This is routinely done in labs. Maybe Hunt is trying to find excuses for his inability to handle the roll out?Also, since May the shelf life of the Pfizer vaccine has been extended from 5 days to 31 days: https://www.tga.gov.au/behind-news/tga-approves-more-flexible-storage-conditions-pfizer-biontech-covid-19-vaccineReport
                            1. Luke WilliamsIn reply to Luke Williams** case of vaccine filled vials, not syringes.Report
                              1. Wal MuhlederIn reply to Phil DavidsonWhat we are talking about her is an experimental mRNA vaccine authorised for emergency use. Out of caution the Pfizer vaccine was recommended to be stored at a very low temperature. That made storage and distribution of it difficult. Places like doctors surgeries and pharmacies and remote locations didn’t have the cold storage facilities required. Usual distribution channels to them could not transport it. It was necessary to employ people who could.But as more testing was done, and knowledge was built up from its use, that very low temperature requirement was revised upwards.Report
                                1. Phil DavidsonIn reply to Wal MuhlederWal – my information comes from when Pfizer was originally rolled out in the US – so before we started. It’s interesting how this myth of how tricky low temperature distribution and storage has taken hold and was used to justify the complexity of the distribution. Certainly we needed ultra low temperature storage at distribution hubs – probably at a State level. But the requirements once released into the system were not that onerous.I validated the information on the Pfizer web site that had a very detailed technical description of how vaccines would be packed, distributed, stored (they can be stored for 30 days in the shipping packs with added dry ice), defrosted, then kept fresh for use in clinic fridges (2-8 degrees) for 5 days. So in total they can be stored for 35 days without a super cold deep freezeThe system included special packages to ship vaccine at -70C, packages which were designed to be topped up with dry ice to maintain their temperature (these are the same ones you see unloaded from DHL aircraft in Australia – they are made by DHL and branded). Each pack has GPS enabled thermal probes, data loggers and trackers which report the temperature profile of each container as they are shipped to ensure QC. Australia did revise its guidelines in early April to allow storage for 2 weeks at -15 to -25.Here is the link to Pfizer guidelines – it’s the one I originally read.https://www.pfizer.com/news/hot-topics/covid_19_vaccine_u_s_distribution_fact_sheetRead moreReport
                                  1. Phil DavidsonIn reply to Sandra CochraneSandra – as Luke says it’s nothing new – the link I provided to Wal is from Pfizer dated November last year.Report
                                  2. Cormac Ó Síocháinlogged in via Facebook“Openness and transparency are the pillars on which trust in government is built. Currently they are sadly lacking.”Lesley, how do we change the system so that transparency and accountability become part of it?Report
                                    1. Stephen LakeIn reply to Cormac Ó SíocháinPerhaps the first problem would be finding people in public office who both themselves want to be transparent and accountable, whose power does not corrupt or lend them a sense of entitlement, and who will then use the powers of office entrusted to them to ensure that the entire business community should likewise be compelled to be transparent and accountable? Do we even know anymore what transparency and accountability are, or are we only defining them in terms of what is missing?Report
                                      1. Maureen McInroyIn reply to Cormac Ó SíocháinI think a good place to start would be with those commercial-in-confidence agreements as they simply provide a shield for governments paying absurd amounts of money to mates.Report
                                        1. Watashi-wa SugoiIn reply to Cormac Ó SíocháinLesley, how do we change the system so that transparency and accountability become part of it?Ask your grandparents, Cormac.Report
                                        2. Stephen LakeThis is part of a much larger and long-standing problem, and the ostensible rationales that underpin the concept of privatisation per se, as well as what amounts to a questioning of expertise and, if it exists, who has it and who doesn’t. The reality of privatisation is that it does not function even according to its own principles, insofar as it still depends upon, or is anxious to screw, billions out of the public purse instead of fully funding itself and ensuring through the notion of competition that it both keeps things affordable and maintains excellence – neither of which are true. Properly understood, privatisation should not cost the taxpayer a penny. So why does it? The notion of consultancies looked good on paper, but they essentially did what companies themselves did previously, and at a fraction of the cost. Consultancies often have no expertise in the sectors they are invited to consult on, which means that they – and many business managers – do not properly understand what they are advising on, miss essential aspects of enterprises, and do not at the end of the day make anything better – and all for the modest sum of millions of dollars that could be better spent elsewhere. It appears to be inherent in neoliberalism that the entire principle of expertise is being thrown out the window, which may help to explain the growing under-valuing of expertise, mistrust in it, anti-intellectualism and many other phenomena of culture and society today. And besides all of that, we are no longer really educating experts anymore anyway, insofar as the corporatisation of our universities has so drastically reduced our quality and standards, in order to divert more money away from the business at hand and into private pockets. No service delivery that operates for profit manages to combine a limited and acceptable profit margin while delivering best possible service. It was arguably the most advantageous element of the lot that government, or public, service delivery was not operating to make a profit but to provide a service, and in many instances they did a far better job than anything this country has known for the past 30 years. Operating for profit means that you invest the minimum amount of money possible to create an illusion of efficiency while guaranteeing inefficiency – as has also occurred in numerous other areas in this country, including in our universities – because you don’t spend what it takes to employ and maintain the best possible and most qualified workforce. You operate on the pink batts model, or the NBN model, or the age discrimination model that excludes anybody too old and with too much experience in favour of the young and dumb (no offence intended), or our energy sector, or infrastructure projects that drag things out as long as possible so that you have an indefinite guaranteed piggy bank while doing things so badly that they have to be done all over again, which keeps you in work for even longer. There is simply no case to justify the conduct of any outsourcing, privatisation or waste of taxpayer money on service delivery for anything in Australia, and there never has been. Added to this comes the government’s self-interest of keeping the business community happy so that it will support the government, rather than government actually governing in the best interests of the people and then standing for election on the basis of a solid track record, instead of corrupting democracy. And that, also at a high cost to the taxpayer.Read moreReport
                                          1. Brandon YoungIn reply to Stephen LakeThere is simply no case to justify the conduct of any outsourcing, privatisation or waste of taxpayer money on service delivery for anything in Australia, and there never has been.Private sector debt. The one and only goal of the federal LNP government is to maximise the growth of private sector debt.The financial system becomes unstable if there is not enough new demand for private debt. It sounds insane, that we would allow a banking system that absolutely depends on perpetual exponential growth of debt just to prevent a catastrophic collapse of the financial system and the broader economy, but that is exactly what we have done.The federal LNP government is not interested in any public policy unless it serves the goal of driving up demand for private debt.If there are real needs for public policy to change, undeniable needs, then the federal LNP government will ask itself (or paid advisors) “How do we get the private sector to take on enormous amounts of new debt in the process of pretending to serve these needs?”The vaccine rollout has not so much been bungled, it has been coopted, to serve instead the goal of maximising the volume of money and debt that the banking system creates out of thin air. This is the only lens through which the public policy of the federal LNP government makes any sense at all, and which explains why we are being hoodwinked as the article concludes:We have no way of knowing what advice the government has received and indeed, whether that advice was implemented. For-profit companies have been contracted to perform vital services, but we do not know at what cost to taxpayers and whether key performance indicators are being met — or even if they exist.Openness and transparency are the pillars on which trust in government is built. Currently they are sadly lacking.Openness and transparency might lead the public to the truth, the shocking truth, that government is now merely a scam, a puppet show, to distract the punters from the underlying reality that the federal LNP government is an agent of the global financial-corporate system.The federal LNP government only wants to throw lots of public money at the private sector and address the pandemic enough so that the economy can get back to business-as-usual as quickly as possible. The resumption of the growth of private sector debt (at the expense of the real world) is the only thing that really matters here.Read moreReport
                                            1. Mike McEnaneylogged in via GoogleIn reply to Stephen LakeExcellent overview of the privatisation scourge.Report
                                            2. Trevor Kerrlogged in via TwitterNo surprises here, it’s just the way global capitalism operates. Most, or all, of those transactions & contracts are locked up behind the usual disclaimers. Sure, ministerial assent would have been given, but on advice, and those giving that advice will never be interrogated under pain of severe penalty. Look at how a previous director in Health walks large as life, dispensing opinion (and, likely, advice on vaccine contracts behind closed doors) while proudly extolling her virtues as director of a casino where black cash was laundered. We live in strange times. Darkness of deliberate obscurity nurtures secretive collusion that feeds conspiratorial mutterings. Never mind all that, though, 👍👍 is the response from our media overlords. All made to measure for a grateful herd of circus-lovers. Ask no questions, bring on the sport.As for trust, we already know how Govt responds – “You voted for us, trusted us, here we are. If you don’t like it, blame yourselves.” That attitude is corrosive to the core of democratic principles, but the USA with all its checks & balances and legalistic infrastructure couldn’t protect itself from the likes of Trump. We are in the grip of an enlarging crisis.Read moreReport
                                              1. Ron BowdenIn reply to Trevor KerrAll too true, Mr Kerr. Bring on the apocalypse!Report
                                              2. Stephen Saunderslogged in via GoogleI would just like to clarify, none of this is down to Scott Morrison, he was home with an upset tummy that day, and it certainly isn’t his fault.Surely he must have an “Independent In-Confidence Commercial Advisory Board for Vaccine Consultancy Horizons” that can be blamed?Report
                                                1. Watashi-wa SugoiIn reply to Stephen SaundersBelittling your leader like that would get you executed in most parts of the world. You should be grateful you’re in a country led by someone like him.Report
                                                  1. Sandra Cochranelogged in via GoogleIn reply to Watashi-wa SugoiThe PM reminded protesting Australian women of that very recently. Unfortunately for our politicians, in a democracy they have to put it up with it. The alternative is to govern competently and accept bouquets instead.Report
                                                  2. Joy RingroseIf anything ever screamed to the Australian public the need fo an effective, retrospective Federal ICAC, it is this shamozzle. It also illustrates the desperate need for Australia to de-politicise the public service and return it to a meritocracy. We are way too far down the path of political corruption, and urgently need to return to transparent, accountable federal governance.Report
                                                    1. Sandra Cochranelogged in via GoogleIn reply to Joy RingroseMore and more it appears that the govt does service delivery by rort. We should never have expected it to deliver a vaccination program where and when it was actually needed.Report
                                                      1. Anita SpinksIn reply to Sandra CochraneMore and more it appears that the govt does service delivery by rort.Exactly, Sandra. By rights it should not get one vote and it’s to our shame that voters have had their attention drawn away by divisive issues that have little relevance to our day to day lives. I’d like to lift the voter IQ myself but that’s a hard ask when most gain information through the govt’s propaganda arm.Report
                                                        1. Maureen McInroyIn reply to Sandra CochraneThe problem is, Sandra, that services are not delivered. One of the articles linked to in yesterday’s CT article on the parking station rorts contained this comment:Of the 47 commuter car park sites, construction has been completed on just two sites and started in three more. Just $76.5m of the program’s funding, 12% of the amount committed, has been spent so far.Two projects were cancelled in December 2019 just months after they were announced, one project was later found to be ineligible and four other were cancelled in May 2021.Some 11 projects worth $175m have had no assessment work – meaning “a project proposal had not yet been received from the identified proponent”, the report said.So, of the 47 projects approved prior to the May 2019 election, only two have been completed and three more have been commenced.Report
                                                          1. Enzo FableIn reply to Maureen McInroyIt would be fascinating for a spreadsheet to be created recording $ committed/promised and how much spent – if the information can be extracted from the Government. It seems easy to promise $100s for this and that knowing there is massive underspend planned so that more promises can be made on the back of underspend. It is a form of telling lies perhaps?Report
                                                          2. Jonathan StraussThe government saw a great opportunity to come to the rescue of Australians. However by ignoring the established, well organised and seemingly relatively efficient systems that have delivered a multitude of vaccines for decades, it ignored the risk of failure in developing a new system with an inexperienced workforce. Unfortunately, for us and at the cost to bottom line, it fell flat on it’s face.The cloak and dagger secrecy that has become government modus operandi for all things just keeps growing. It’s origins sheeted home to “operation sovereign borders” the gabble of then minister Morrison,Report
                                                            1. Sandra Cochranelogged in via GoogleDespite all this “expert” — and expensive — advice. It’s plain there’s been no expert advice. I want my money back.Fascinating that the pharmacists, generally so powerful and influential, have been locked out of this particular process when they have so much to offer.No wonder we need a bloke with a loud voice, gun, uniform and chest of medals to pull this lot into line! Maybe we should appoint Frewen Speaker of the Reps once he’s clean up this mess.Report
                                                              1. Enzo FableIn reply to Sandra CochraneUnfortunately the image presenting the same messages and language the Minister and Prime Minister want to put out to us all doesn’t change the performance and outcomes required. We are being played. The uniform is supposed to make us feel more confident and trustful of the message because we have lost that all with the Minister and PM. Frewen is doing his job dutifully, he must as a Military man.Report
                                                              2. Scott SmithThe “bang for your buck” argument could apply to the entire federal government. They’ve spent so long outsourcing any responsibilities to either the states or consultants that one really has to ask why they exist at all.The vaccine rollout is just the latest failure – while the states did the heavy lifting Scomo spent most of his time ducking and weaving to avoid any responsibility.Report
                                                                1. Sandra Cochranelogged in via GoogleThank-you for such a concise and clear summary, Leslie.Report
                                                                  1. Nell Crowe Ryan“commercial-in-confidence” says it all. This is the wrong government in a pandemic – vax rorts!Report
                                                                    1. janeen harrislogged in via GoogleIn reply to Nell Crowe RyanThe government are forgetting who’s actually employing these consultants. It’s tax payers who are paying them, and they have a right to know how much it’s costing. This roll out has been such a mess, and now I understand why. There’s too many snouts in the trough. A competent public service would do the job, but they’ve been turned into flunkies.Report
                                                                    2. Tiffany MeekLet’s face it, most private sector contractors rub their hands together at the idea of getting a government contract. I think the basic maths behind the tendering process is: Work out how much it will cost to produce, times that amount by 10, add a 20% cushion in case it rains, then times all that by 2 for good luck. After all, the government is made of money yeah? When it comes to timeframes I think the same math applies. The government seems to have been blissfully unaware of this for decades. I’m not sure if this is because they have no idea how much it costs to deliver in the real world, or whether they’re so inefficient that they think these prices sound reasonable.Report
                                                                      1. Peter WestCasual Academic, University of Technology SydneyIn reply to Tiffany MeekI agree. Shocking waste of money like that a idiotic, useless ap that was supposed to be life-saving.It’s a bit like the roadworks going on now in Bondi Junction and Bronte. Making a bike lane we’ve not really seen used except once or twice. And expanding a walk. Employ a large construction team we know well who are “sound” as Sir Humphrey used to say. Give them 6 weeks and let them expand that -again and again…and don’t worry too much if work stops by about 230 or 330 every day, maybe by 2 on Fridays….Four backpackers could do the job in a few weeks.PSWho said Morrison was good at looking after money? How on earth did they get that rep? Scomo is great at sliding away from the facts, avoiding critics, not appearing on any decent talk show, talking to his sly mates, etcReport
                                                                        1. Glenda BunningIn reply to Tiffany MeekWithout transparency or accountability who knows where the money went. Into political party coffers and private tax haven accounts most likely. We’ll never know.Pity is half of Australians now think this is how things are done never realising Australia was a great place simply because it wasn’t how things were done here in the past at all.A strong, stable, fair, welfare state does not happen by chance.Report
                                                                          1. Tiffany MeekIn reply to Peter WestReminds me of a certain 300m stretch of road close to where I live that was ‘under construction’ for such a long time that it became a standing joke around town. Contractors are setting themselves up for life (ie. paying off their homes etc) with one government contract and laughing all the way to the bank. The whole tendering process really needs to be totally overhauled. People who tender amounts that are realistic are not taken seriously because those who quote astronomical sums are perceived as ‘the pros’. Where is the oversight of these projects by people who actually know what they’re doing?Report
                                                                            1. Glenda BunningIn reply to Tiffany MeekThey sacked the people who knew what they were doing.Much easier to cream the top off if nobody knows what is going on.Report
                                                                            2. Mike PulestonThere’s no surer way to push up the cost of public services than to outsource them to the private sector. Everyone knows this. Yet, come election times, voters repeatedly fall for the line “private is better than public”.Report
                                                                              1. Sandra Cochranelogged in via GoogleIn reply to Mike PulestonHi Mike, This is fascinating phenomenon. The QLD Neumann govt came to power on the promise of sacking a large number of public servants. I knew public servants who actually voted for him with the certainty that they wouldn’t lose their jobs it was the most astonishing thing (and of course terrible thing for them).Report
                                                                                1. Tiffany MeekIn reply to Mike PulestonDepends on the circumstances. I’ve worked for government and been absolutely gobsmacked by the waste of money that goes on. On the other hand, I’ve also been gobsmacked the tenders submitted by private sector for government contracts – prices that FAR exceed the actual real world costs to deliver. I think it’s more about government employees having no motivation to be efficient because the money just arrives by magic. And private sector taking advantage of governments acceptance of unrealistic, inflated tenders.Report
                                                                                2. Michael AffleckThis is just the Morrison government doing the only thing its good at – making sure its corporate mates make big profits and to hell with any accountability for what they are actually producing of benefit to the Australian people.Report
                                                                                  1. Peter WestCasual Academic, University of Technology SydneyIn reply to Michael AffleckYes indeedReport
                                                                                    1. Jen NortonIn reply to Michael AffleckWhy is this not clearly labelled “Corruption”?Report
                                                                                    2. James CoburgAs on old leftie the superficial tendencies of The Conversation to shoot from the mouth without a thought to the mind stands out. The artticle is quite clear that there are existing effective private sector based means to distrubute vaccines – pharmacies and their distributors are private sector, heavily dependent on public underwriting.Hence the heading ought to be about using the ‘wrong companies’ not the use of companies.Report
                                                                                      1. Enzo FableIn reply to James CoburgIt is more about wrong process than wrong companies James – that’s a red herring.Last year the existing process delivered some 17M flu vaccines without any fuss, all voluntary. This Morrison failure is massive. There can be little doubt Morrison has sought to differentiate Federal and State. If he had succeeded with his venture started at ground zero he would be crowing every day on ABC etc how great he is. It has backfired big time and once again heavily resisting ownership and pointing fingers elsewhere.On top of that he has lost control over timing of the next election for political advantage. The longer the farce goes on the worse it gets for him and the Liberal Party. I’d suggest Sept/Oct was first preference to capitalise on Jobseeker/Jobkeeper before the honeymoon ended – that has bypassed him now with all the fumbling with NSW and Victoria taking the cream off the cake and exposing reality.Will the Liberal Party act on these failures before the next election? I’d suggest it is increasingly possible….Dutton may well be interested?Read moreReport
                                                                                      2. John SneddonOver many years, governments have reduced and emasculated their public services so that expertise (in such things as logistics for example) has been reduced to such a level that they can no longer provide “frank & fearless” advice to the government. This, in turn, means that governments, composed of self-interested ideologues, are susceptible to the influences of equally uninformed and self-interested private interest persons (eg some consultants) who will often not provide relevant advice or support. Governments often need internal advice from public servants who know enough about particular topics to know what they and any external consultants don’t know and can thus advise caution.Report
                                                                                        1. Mike PulestonIn reply to John SneddonAn excellent summation, John. Let us not forget that this has been happening for nigh on 40 years, at federal and state levels, under both Coalition and Labor governments. In fact, it was the Hawke-Keating Labor government that started the rot, through its enthusiastic support for privatisation and deregulation.Report
                                                                                          1. Glenda BunningIn reply to Mike PulestonYes indeed.However both Hawke or Whitlam could have made a speech , even with beer in hand, and had Australians queueing in droves for the jab knowing the vaccine was available. They would have made sure there was enough vaccine.We owned CSL and CSIRO was really something before the Libs destruction.Report
                                                                                            1. Enzo FableIn reply to Mike PulestonAnd today we read that the Morrison Government is likely to not appoint another Human Rights Commissioner – see what is going on here now…? Remove any obstacle by any means to achieve the ideological/political agenda.This can only be a journey down the gurgler….Report
                                                                                              1. James CoburgIn reply to Mike PulestonRemind me when chemists were public officials?Report
                                                                                              2. Chris SaundersThanks Lesley some nice detail on what was already suspected. Existing supply lines tend to work quite smoothly in Australia. One had to assume they were not being used by this government and why the government wasn’t became more and more inexplicable as time and delay went on.Report
                                                                                                1. Tony Simonslogged in via TwitterScotty wanted all the glory and so bypassed the states who have the experise.Report
                                                                                                  1. Enzo FableIn reply to Tony SimonsIt may well be as simple as that Tony. Consider this though – how many jobs have been created? At first glance one might expect a lot however one might also expect not that many and much of this money just hived off into bank accounts of companies/consultants created to ‘do the work’. With the Great Barrier Reef $440M apparently some $80M was drawn quite quickly for Administration costs….Problem is we simply do not know and can’t know. Morrison and Co have determined we don’t need to know even though it is our taxpayer money. Only an election to kick them out can get their snouts out of the trough. They are otherwise unaccountable.One wonders if the Governor General has sent a letter to PM Morrison expressing concern at the rorts uncovered to date?Report
                                                                                                  2. Les JohnstonIt is apparent that the Federal Government was demonstrably incompetent in its management of vaccine delivery. The cost to all Australians for this incompetence is long lasting. It would be good to have the critical analysis of mismanagement and its cost towards lockdowns due to unvaccinated Australians.Report
                                                                                                    1. Enzo FableIn reply to Les JohnstonLets just start at “It is apparent that the Federal Government was demonstrably incompetent …” and leave it at that. No need to get too complex. One might add, however, corrupt?We have already seen a couple of Auditor General reports that provide critical and unbiased analysis of the level of mismanagement. I vote for an open cheque or whatever is needed to be handed over to the Auditor General’s Office to continue their great work asap on behalf of taxpayers who are funding all this corporate welfare.Report
                                                                                                      1. Maggie Robertslogged in via FacebookIn reply to Les JohnstonTo say nothing about the illness and deaths experienced and the virus is now attackingyounger and younger people.Report
                                                                                                      2. Nayland Aldridgelogged in via LinkedInUnlike the State Public Services, by and large the Commonwealth Public Service is not business of service delivery, instead it is geared towards the administration of the buckets of money doles out to the States. The Commonwealth Department of Health is a perfect example of this. Their website states that they “work in awareness and education, consultation and engagement, initiatives and programs, grants and tenders, policy, regulation, compliance and research.” It doesn’t actually own or run any hospitals. Instead of attempting to roll out the Vaccine, the Commonwealth should have procured the Vaccine and then stood back and let the States deliver it.Report
                                                                                                        1. Albert HaranDoes this look familiar?Which brings us to America’s idiocracy in 2021. Our most important public functions are handed over to corporate sponsors. Our entire political system is designed to let corporate money speak, through campaign contributions and corporate lobbying.https://johnmenadue.com/the-idiocracy-of-america/Privatization is greed on speed.Report
                                                                                                          1. Amkh Jogrlogged in via GoogleI propose that an “efficient rollout” was not the aim of the awarded contracts.I suggest that the intention was to funnel public monies into the bank accounts of various firms that would then divert some of those funds to the lib/nat parties as “political donations” or to various third parties (who then use the funds for electoral adverts and the like).… would it be possible that Palmer woudl receive such donations to run another fraudulent scare campaign in Qld?Report
                                                                                                            1. Bas DolkensScoMo likes keeping his mates on side, hence the transfer of public funds into his mates’ accounts. Just another rort to add to the growing list of rorts.Report
                                                                                                              1. Scott PickfordThe fact that the Coalition Government decided to ignore existing supply channels and arrangements is the biggest concern. The changing nature of the COVID virus and the already identified need for future booster vaccines and/or vaccination programs with yet to be developed vaccines mean that this is not once only effort. Therefore Australia needs to build capability and capacity in systems and processes that can be called upon in a repeatable manner. The mechanisms that the Government are using with once-off, secret contracts, private sector profiteering, unknown objectives and questionable outcomes will not deliver the capacity and capability that we need. As with many of the Coalition Government programs, home care, aged care, Barrier Reef, energy, etc, their vision ends at writing a big cheque and grabbing a “record spending” headline.Report
                                                                                                                1. Simon Coxlogged in via GoogleWhat is this ‘commercial-in-confidence’ bullshit? Any expenditure of public funds should be publicly accountable. It should be a condition of doing business with the government that it is not ‘in-confidence’. If you don’t like that, then you can’t take our money.Report
                                                                                                                  1. Graeme HarrisonThe reason the Feds want zero transparency re vaccine strollout is because this would undoubtedly uncover the clear links with offices of Scovid Morrison & Ghunt as to who rebuffed Pfizer in mid-2020, and who made eventual decision to order only 5m doses, to vaccinate only 10% of population.My money is on Hunt being at epicentre of bad decisions, as he obfuscated most, claiming for months that ‘official’ negotiations with Pfizer started only in 2021. People lie most when covering up personal mistakes…Report
                                                                                                                    1. George FinlayOnly when the coverup ends and the detailed information on our vaccination program is released should we accept the recent statements of regret from the government. Without that they are empty words and just the latest example of spin. We’ve had enough spin already. Why is so much information on the vaccination program being kept secret?We know the program has failed and continues to fail. It’s crystal clear from the figures which can’t be hidden that our vaccination program has progressed at a dangerously slow pace. So much so that the Delta variant is now a far greater threat to a low immunity Australia than it is to to all the countries which have higher vaccination rates. That is every other OECD country.But what is being hidden from us is the information which would explain in detail why our vaccination program has failed. Having that in the public domain would help lead to better approaches. However releasing the detailed information currently hidden would also make it very hard for the Morrison government to continue to muddy the waters and spin. It’s wasted so much of its energy doing that rather than focusing on getting vaccination up as fast as possible. It’s outrageous or worse that all this information is not already in the public domain. If it were released it would lead to a far better approach. The Morrison government needs the help of all the experts and all the capable organizations in this country to get this failed vaccination program on the right track. It seems to be relying too much on a secretive highly paid group of private contractors. And the figures clearly show this approach hasn’t worked.Read moreReport
                                                                                                                      1. Shane Thomas O’DonohueThe public service has a culture of contracting out work even though people are in highly paid jobs to do the work eg. I previously employed a Director of marketing and communications in a large public sector super fund. When the appointed person came to me with a marketing strategy to be developed and delivered by an outside consult I told him that was his job and if I needed consultants I would sack him. The look of terror on his face was memorable.Report
                                                                                                                        1. john daviesAnother consequence of the emasculation of what used to be one of the best “public services” in the world. A comment based on 39 years in the system, including a couple of years in the UK “civil service” and visits to half a dozen other countries, including the US, to compare how things were done.Years of cutbacks, so called “efficiency dividends”, sacking staff and replacing them with contractors, putting senior executives on fixed term contracts. Governments of the past twenty years have done the country a massive disservice. Starting in the Hawke/Keating years but taken to a scandalous level by governments of the opposite persuasion, to the extent that corruption and incompetence is rampant. Our current government has no concept of what the public service could, and should, be!Report
                                                                                                                          1. Lesley RussellAdjunct Associate Professor, Menzies Centre for Health Policy, University of SydneyIn reply to john daviesAs per Thodey Review of APShttps://pmc.gov.au/resource-centre/government/independent-review-australian-public-serviceReport
                                                                                                                            1. Trevor Kerrlogged in via TwitterIn reply to Lesley RussellThat Thodey Review has many references to ‘accountability’, but not one word on the concept of penalties to back it up when breaches occur. The Review says bugger-all about management of conflicts of interest, only thisAmend the Public Service Act 1999 …ِ to … ِ include requirements to ensure agency heads and SES avoid or manage potential conflicts of interest after leaving the APS.In other words, nothing but the sound of 🦗🦗.It would help to restore the bridge of trust between citizens & Govt if just one of the agencies of APS that steer the direction of expenditure of public money would publish what it does to manage conflicts of interest.More from the Report -Accordingly, it is critical for the APS to have the capability to deliver clear value for money and better outcomes through its relationships with external providers.
                                                                                                                              ….
                                                                                                                              Finance to develop, for Secretaries Board endorsement and Government agreement, a framework for APS use of external providers. Framework to focus on better decision-making, value for money and outcomes.Read moreReport
                                                                                                                            2. Jose CroneroThe Morrison government, confronted with a public service ill-prepared for big challenges and with no expertise in rolling out vaccines nationally, has contracted out many aspects of the COVID vaccine rollout to a range of for-profit companies.Hang on….How are all other vaccines rolled out nationally? GPs? Chemists? Are these not private for profit entities?Report
                                                                                                                              1. john daviesIn reply to Jose CroneroNot really very clever Jose. I suggest you quote the rest of the para. Isn’t context so important!Report
                                                                                                                              2. George FinlayYou’d be naive to think that the massive and dangerous failure of our vaccination program was largely a problem caused by lower numbers in the public service or the use of private contractors per se.Problems raised about these issues in the comments here have validity. But the failed vaccination program has fundamentally been caused by very poor federal political leadership and poor overall federal management of the program. The failures have been exacerbated by the tendency of the government to spin, create diversions and exaggerate differences between the states rather than unite all the country and all the impressive resources this country has to get the vaccination program up to an acceptable standard. So that we don’t remain the worst performer of all OECD countries. We as a country have a very impressive public and private health system, very impressive and capable public and private organizations which should all be helping in this fight we have with the virus. But we know of two key organizations at least : the aged care industry and the organization of pharmacies which are well positioned and qualified to help and are not being fully used by the government. With the secrecy revealed in this article it’s hard to know how many more organizations offering to help have not been used to their potential by the government. And the government should not be waiting for organizations to offer help, it should be actively and creatively seeking help. Arguably there are still many untapped sources of help. Until the government comes clean and releases the information this article reveals the government has been hiding the electorate would be foolish to believe the government’s statements of regret or to have confidence in the capability of the government to turn their poor performance around.Read moreReport
                                                                                                                                1. Steve HindleSounds like there a need for an entity with oversight of the contracted consultants overseeing the contractor companies and their sub-contractors. I guess that is something the Government could contract out?Report
                                                                                                                                  1. George FinlayUntil the secrecy and coverup stops we should regard any expression of regret by the government with suspicion. The government needs to show its good faith by releasing all the information this article reveals it’s been keeping secret. If it doesn’t the expressions of regret should be regarded as just another element of its spin campaign. The secrecy and coverup revealed in this article are consistent with the spin, the muddying of the waters and the obfuscation we’ve been getting from the government. Secrecy makes it easier to spin and cover up failures and mismanagement. We know from the vaccination figures which can’t be hidden that the vaccination program overall has been a dangerously slow failure. But we don’t have all the details of why it’s been a failure. We need information this article shows is being hidden released so we can learn from the failure and turn this vaccination program around.Rather than seeking to divide, hide and obfuscate the government needs to take the community into its confidence. We are in this together. Only then will the government deserve any forgiveness for its failures. And only then will its failures be reversed.Read moreReport
                                                                                                                                    1. Dave BradleyGet real. Morrison knew exactly what he was doing. He is just so utterly incompetent and mean. Morrison is more guilty of the offence of conspiracy to commit misconduct in public office than the ObiedsMorrison’s misconduct has cost many lives and billions of dollarsHis intention was to take credit for Roll out away from the states so he alone could claim credit tor saving Australia from Covid, win an early election and blow vaccine savings on his Covid led Gas economic recovery and tax cuts.But he didn’t follow expert advice in July 2020 and buy enough vaccines like every other developed country did. The LNP conspired against Australia.https://i.imgur.com/vXwqiZf.jpgReport
                                                                                                                                      1. Andrew FisherI think there is little point in analysing this rollout as a discrete event. Our government spends billions outsourcing the provision of functions and services hitherto provided by government, to the private sector. Always with the same results. It costs more, it delivers less, it reduces the pool of skilled labour and it hobbles the government’s ability to react to changes and to control outcomes. And although the LNP are far more persistent in this, recent Labor governments have also played this game. The question is, why.Decades ago, we were sold the myth that private companies were leaner and more efficient than bloated government departments. We were told that they could be more flexible and more innovative and that we would get better value for money by letting them take over. Those claims have been belied by reality. Even in the few cases where private companies are all those things, the benefits don’t flow through to the state.Some people think that these moves by politicians and administrators are simply about enriching themselves and their friends. The proportion of MPs who become very rich during their tenure has never been higher and there are enough cases where the beneficiaries of decisions have been personal friends or acquaintances. So while this is clearly true in some cases, it probably doesn’t explain the overall thrust.My own belief that this relentless move to rid the government of its assets, capabilities and responsibilities, has more to do with a certain ideological world view. What we are seeing is an attempt to dismantle the trappings of the modern liberal democratic state. It’s a religious fight against big government that has nothing to do with social good. The point is that our government doesn’t believe it should be responsible for providing social benefit, or social reform, or social anything. This government, in particular, has never articulated a social vision. Like Thatcher in Britain decades ago, they don’t even believe in the existence of society. Looking at government decisions in this light, they make more sense and appear more consistent.The refusal to manage the vaccine rollout is as deliberate as the refusal to take action on global warming and results from the same way of thinking. They might prefer us to survive the pandemic and the coming climate catastrophe but they won’t acknowledge any collective responsibility to achieve those ends. Using the superior government infrastructure to vaccinate us would be admitting that some things can only, or best, be accomplished by collective action and they just can’t come at that.Read moreReport