Monday, June 25, 2007

blitzkreig!

mood: chilled.
state i'm in: relaxing saturday.
tune: damn "got to go".


what sort of cretin would support child abuse? even the perpetrators of it would almost invariably admit it as a wrongdoing. so there can be no argument made by john howard that those that oppose his plans are akin to supporters of child abuse. i won't buy into that sort of rubbish.

and what is to be gained by an insensitive and paternalistic approach to the issue of child abuse and neglect in indigenous communities? if the past can be used as any sort of evidence, it will not be much.

perhaps a reaffirmation of mr howard's credentials as a pragmatist who makes little exception to following through with his first intentions, regardless of how ill-informed, irrational, or briefed by ideology they might be. after the recent bumbling aberrations made to this trend in his dealing with such issues as industrial relations laws and climate change, it was high time for such an occasion. and what better way than to impose his will upon such a vulnerable and isolated community such as remote aborigines, a group rarely in favour with joe average and his suburban neighbours, and whom to deal with liberally is little short of electoral poison. ("if those silly aborigines just lived like us, everything would be ok", i hear ringing through the 'burbs.)

but first allow me to present the aboriginal community of cherbourg*, in central queensland. whilst not remote in the sense of many NT communities, cherbourg had always faced similar problems, namely substance abuse issues, and child and domestic violence. fed up with these issues, a local womens' group was established, and has gone about rectifying the problems through involvement of the whole community with health, education, housing and welfare, and through engaging local and state governments. they have had a great deal of success: the community is dry, and has had only one report of child abuse this year, which was reported and dealt with within the community; the number of children attending school has increased, and health outcomes have also improved. this town is a model of what can be done with some self-determination in a community, and with the support at different levels of government. The community has supported its men, and their behaviour and degree of community involvement has been improved immensely. a mens' group has now been established in cherbourg, housed in a hall on local council-donated land, so the men can teach the younger generation how to be effective community members.

the other community i would like to mention is mutitjulu, near uluru in NT. again, mutitjulu once harboured the problems that plague many aboriginal communities: there was considerable violence in the community, and youth high on petrol fumes would terrorise the locals. the community was unable to secure adequate street-lighting to make its streets safer, nor the funding to help with the problems of the wayward youth. coupled with the inherent remote issues of isolation from health and education, inadequate housing, and poor access to adequate and fresh food, and in spite of being so close to one of the "richest" parts of australia (uluru and the surrounding resorts), mutitjulu was in a state of blight. again, with self-determination, the use of fume-less opal fuel, rehabilitation of the youth, and some (long-in-coming) help from the NT government, these problems have been largely addressed. a report published in 2006 failed to find evidence of abuse capable of prosecution in this community, local elders claim. the question is: "why us, and why now?"

these issues were first brought up academically in the 1970s, and reiterated most recently in reports in 2002 and 2006, while health minister tony abbott applauded increases in life expectancy of indigenous people (wow, only 17 years behind now). in the past, mr howard's response to pleas from aboriginal leaders for assistance on the issue of substance abuse and the physical abuse of women and children has effectively been "i am sure the state's have the answers". so far, they haven't. action has been required at a federal, state and local government level, as well as at a community level, with much interaction. so why mutitjulu, and why now?

but the timing of such a response is not what i am concerned with. the crux of my anxieties is that such a lightning response pays no dues to the cultural and spiritual sensitivities of the aboriginal people, nor is it likely to instill any sort of faith, lost over past generations, in the current program. action has been sorely needed, but this effort makes little sense, and i fear for its outcome.

mandatory wholesale health checks of women and children was the initial order of the day, but this idea was quickly abandoned after former australian medical association (AMA) president dr bill glasson and greens senator and leader bob brown (a medical doctor also), observed that this would be entirely illegal (not to mention unethical). further to this, there exists in aboriginal communities much fear of the australian health system. many people enter it, but far fewer actually leave it. for many, hospitals themselves are seen as a place one will likely die if they enter. this sort of mistrust of the health system must be addressed with community consultation, and liaison with aboriginal health workers, before any such large scale programs are instigated. one cannot expect immediate trust, but enough to allow parents to take their children to a clinic, confident that they will leave better for the experience, must be a priority.

there must also be trust within the community that this program will not lead to another stolen generation. likewise, this point of contention has not been addressed - ministers have refused to make guarantees that children will not be forcibly removed from their parents. this may be wise, in that if there exists a great threat to the child's welfare, removal may be the ultimate answer, as is also carried out in non-indigenous australian society. however more assurances need to be made to the communities, with the endorsement of aboriginal health workers and law enforcement officers, that this will not be the case on a widespread basis. already we have heard reports of aboriginal women taking to the sand hills and dry gullies near mutitjulu with their children to prevent such an occurrence.

the other major problem with mr howard's program is the removal of title of the land upon which the aborigines live, for apparently five years (although no guarantees have been made that this will not be extended at a later date). living on government annexed land only further entrenches the issue of dependence in the communities, and offers no immediate future of self-determination, the likes of which has seen cherbourg stave off many of its threats from within. the opinion of the AMA, informed by reams of research, is that aboriginal communities and individuals fare far better when the direction of their community, and the ownership of their land, is held within. health outcomes have been invariably improved where this is seen. this evidence-based standpoint runs completely at odds with the howard government's program, a program claimed to be aimed at improved health outcomes and futures for children.

so, do i support the howard government's current initiative to improve the health outcomes and futures of indigenous children? well, not really. there exists some decent ideas, but employed with half-baked methodologies, i see them making little long-term impact; more black history, likely.


*i hope to visit cherbourg later this year in order to gain more knowledge about the health issues and faced by aborigines in communities and some of their solutions, at which time i will likely report back.

---

image: public domain

Tuesday, June 19, 2007

kodak moments

mood: fuckin' great, i'm on holidays.
state i'm in: it's amazing what you can do with spare time.
tune: the brand new heavies "you are the universe" (curtis and moore's universal summer groove).


before christmas of last year, australia had no effective federal opposition since the ascendancy of the current government; the country was being ruled almost as if it were a one party state. john howard had a lot to stand up and cheer about.


the howard government was able to pass some pretty nasty and ideologically-driven legislation. the pinnacle of this came with workchoices (now re-branded as 'just-change-the-name-and-hope australian- apathy-and-complacency-means-people- won't-notice-we're-stilling-pissing-in-their-
pockets' or something like that). championed by industrial relations minister joe hockey, the legislation saw fit to cut up into fine pieces most australian's basic workplace rights. the argument that 'no good employer' would mistreat and mishandle his worker's rights and impose conditions that would make them worse off is entirely laughable. if an employer wasn't going to be given an opportunity to strip wages and conditions from its employees, the likes of which offer the employer nothing other than more satisfied and secure workers, why would the new laws even be needed. in short, the legislation sanctions systematic violation of human rights, the likes of which have been hard fought for since before this country was even conceived. if they aren't rescinded in the near futures, they will only compound the suffering and poor health of this nation's people when the next downward global economic cycle hits... oh, that's right, that's never going to happen again.

and while we're on the subject of the basic human rights that all australians ought be afforded, let's not forget the wonderful acts of decency our foreign affairs and immigration departments have being busying themselves doing for us. but first, the australian passort:




the excerpt closes with the request upon all nations to "afford him or her every assistance and protection of which he or she may stand in need," where "him or her" is a citizen of australia. i wouldn't suspect it could be even worth mentioning, but i presume that most basic of all legal rights, the writ of habeas corpus, ordering that a prisoner be brought before the court with expedience so that the court can determine whether that person is serving a lawful sentence, and if not, ought be released from custody, would be one of those requested elements of "every assistance and protection". clearly, other nations have not upheld our most basic of diplomatic requests, made implicit in the passport of every australian citizen travelling overseas, and i for one have not been satisfied with my own country's efforts to persuade other nations to make good on these requests.

but then, is it too much to ask of another nation, when australia reneges on its obligations as laid out in the united nations universal declaration of human rights, such as the "right to ...security of person"? john howard declared that those refugees that arrive in australia by their own means, not selected from specific refugee camps as one might choose a puppy from the RSPCA, and not chosen on the basis of their future ability to contribute to this nation's economy, to be "queue jumpers". in line with this view, his government enacted legislation, while refugees waited offshore on a foreign cargo vessel, to ensure that this vessel and others carrying refugees in the future could be turned away by military force, rather than by legal and evidence-based means, and that should a vessel land on an island of australia, regardless of how close to mainland, that they shall not have been deemed to have landed on australia for legal purposes. quite criminal really.

on the economy, very little has changed. expenses have been cut (not necessarily a good thing when one considers from where they have been cut) and revenues have increased (through frequently unpopular means read GST and oil excise). our superannuation system has been improved, which is more than welcome, however the tax system has not been streamlined as it ought to have been. the means of creating workplace flexibility have been carried out with ideological zeal, as aforementioned, rather than with a fair approach of making the workplace mobile through training and education, able to adapt to a changing global economy. a state government initiative is one of the few recently put into practice that is actively seeking to address skill shortages in target demographics, in this instance, older workers.

this government continues to remove and reduce tariffs from developing countries, a measure which i wholeheartedly support, although this is not being offset with measures to ensure our workforce can easily move into other trades and professions, as the ones which once made up our core move offshore. in fact, it is not being offset at all, as funding to training and education decreases, forcing tertiary institutions to seek more and more full-fee international and domestic places, educating professionals for other economies. there is no harm in having our cities playing host to the youth of other nations, for this enriches all through social contact, a safer more populated CBD environment, and some bloody good cheap food. designated schools for international students, such as those specialising in english language education should be allowed to flourish and expand as they see fit. however, caps need to be in place for our tertiary institutions, ensuring that domestic need for educated professionals is met, and domestic full-fee paying students ought not exist at all, or one must question a university education's worth. adequate funding could address this.

and let's not even mention issues of the environment - we can leave the CSIRO and sir howard stern to adequately explain a due course of action. but can we leave it to mr howard now that he claims to believe that climate change is indeed a phenomenon worth investigating? his awareness of the importance of such an issue cannot be judged to be acute. one also wonders whether or not any response will be genuine and not just a cloak concealing motivations of short-term electoral gain and ideology.

so mr howard has had his cakewalk for the past ten years. and then in rides kevin rudd. how refreshing it is to have someone who is willing and able to hold the government, at least publicly, accountable. all of a sudden, there are a range of issues on the public agenda, and for a moment it seems the public is even engaged. we may now get a broadband network across almost 100% of the australian population some time in the next few years thanks to badgering from mr rudd. there has been a focus on education and training. for the first time in eleven years, the federal budget saw fit to increase funding for universities and technical colleges, and reforms and a national curriculum for primary and secondary schools is firmly on the agenda, rather than just being a couple of terms that have been bandied around for the last few years.

more than any other issue, industrial relations may polarise the decision of many voters on polling day, as workchoices legislation may actually make a difference to the hip pocket of many australians and their families. with the aid of deputy julia gillard (who's hair and clothes seem to get a disproportionate amount of media attention, compared with say, any other politicians'), mr rudd is taking this issue and placing it fairly in the centre of the public arena and has already pressed the government to reverse some elements of the laws, making them a little fairer, but more cumbersome and worthless. it would be nice if these laws were rescinded entirely, and i am quite sure a change of government would see this happen.

for the first time since the 1990s, concerns of the environment are now on the agenda. there are councils and round-table meetings reporting all the time on the economic outcomes of action or no action, and real practical measures such as carbon trading schemes have been proposed (although will business benefit primarily as has happened in europe). again, this must be attributed to having an opposition willing to take an issue that is of genuine concern to the future of the people and have it debated in the public arena. having someone credible in the post of pursuing this aim, such as peter garrett, is certainly beneficial, however i believe it likely that mr garrett may become something of a liability later in the year when issues surrounding uranium mining and utilisation come to the fore.

so what will happen in the coming months before the election. i have no firm predictions, although at least the australian political landscape is now worth observing, and is likely to become increasingly engaging of the australian people throughout the year. at this point, i still suspect a coalition victory come election time, at least this time round. polling is good for the ALP right now, but if one scratches beneath the surface of the polls, one finds that the actual questions within the poll that tend to polarise a voters mind, and send them in one or another direction toward a vote, mr rudd is lagging. these include the public impression of him as not having a firm handle on skills in economic management, and strong leadership. mr howard however is lagging in the fundamental area that he is no longer open to ideas. so, for now, the jury is still out.

we'll see what time brings, but at the moment, things are looking at least a few degrees up.


what only makes things sweeter is that it looks as though paul keating may decide to throw himself back into the fray a little more often. aside from being the greatest economic reformer, and attempts at being the greatest social reformer, this country has ever seen, he's a bloody colourful character. the australian public arena is invariably richer for his comments, regardless of who is on the pointy end.



fun times with dr john hewson




singing show tunes to bob downe

Wednesday, June 13, 2007

KABOOM!!!

mood: rather agitated.
state i'm in: just imagine what cat looks like when a big growling dog is in the same room.
tune: alison limerick "where love lives" (david morales and frankie knuckles remix) - goin' waaay back in the day.


this is operation crossroads baker, come in j, do you copy this?


...


come in j, DO YOU COPY!?


...


he doesn't seem to responding, i wonder if everythi... oh god, his head! it's gonna explode!




KABOOM!!!

---

image: public domain

Saturday, June 09, 2007

break on through...

mood: fatigued.
state i'm in: now, where amongst all my notes did i put that plot?
tune: miguel migs "so far" (original album version) - just love that funky bass guitar lick.


today, more than ever, i approached burn out. my fucking neighbours decided to play some sort of heavy music this morning right when i was dealing with antidysrhythmics (drugs for heart arrythmias); not a good scenario i can tell you. those things are hard enough to reason with when you're heads clear. to make matters worse, my brain decided it would get a headache shortly before hand. it remitted after a blow from mr paracetamol, but came back within an hour. and it's still there; must be my longest headache ever i think.

so the tension continued building up all day, and eventually i just lost my mind and reached for the clippers. i had to do something to relieve the tension, and it was too cold outside to take a walk.

so, is this the face of a mad man?



despite getting more study done than on any other day this semester, today has been shit. but tomorrow's a new day, and onto respiratory after just a little more cardio. almost on target. it's time to break on through to the other side... right after some pills and a sleep.

---

image: mine (obviously)

Wednesday, June 06, 2007

a utilitarian endeavour

mood: drained.
state i'm in: réflexion du vin rouge.
tune: tim buckley "buzzin' fly"... "walkin' hand in hand, all along the sand, a sea-bird knew your name..."

this time in a week, a meagre seven days, i will be winding down my studies for the semester, preparing for an exam at the all-to-evil time of 8am. mornings and i have been having a rather tepid relationship for some time now. emotion necessitates that i steal myself away from my priming for this impending juncture and have a grumble.

whenever i am forced to exile myself to my hole in the world for an extended period, the thoughts of escape, be it distant or far, become overwhelming. i crave novelty like no other time. life becomes a utilitarian endeavour towards a single objective, and it almost drives me demented!

anyone's predicament on television looks like a better state to be in than here and now... being a rock star on the ABC's 'spicks & specks', or a CPA on an advertisement set in seattle, or a well-paid producer for the oprah winfrey show. (did i mention i am seeing far too much television these last few days?)

my mind frequently casts itself back to holidays, in european cities, or on a beach not all that far away; to experiences in a small family apartment in an asian metropolis, and even a parsnip and stilton souffle on a cold christmas day. i find solace in a wine catalogue, dreaming how one day i might be wealthy enough to have a nice dusty collection somewhere in the depths of an august residence, far from my current quandary.

these are the weeks, few and far between, when i feel utter disdain for my place in medical school. urgh!!


---

images: mine

Saturday, June 02, 2007

swan song for group 24

mood: pretty content.
state i'm in: gastrointestinal stuff everywhere (study stuff that is).
tune: late night alumni "empty streets" (kaskade remix).


somewhere between hepatitis C and gallstones, i decide to take a little study break.

thought i would share some pics from friday's pbl session, the last session i shared with the late, great, pbl group 24. it was no less than an all-day drink up for some at 'caddy shack' cafe at victoria park golf course near the med school. managed to spend almost the entire day there, watching the morning tea and lunch rushes come and go, beer in hand the whole time.

no words more esteemed than tutor pat's come to mind when paying tribute to my colleagues, when she proclaimed having complete confidence in each of us as future practitioners. group 24 was certainly a remarkable bunch of med students. i will miss all of you!


on my left: scotty, fanning, claire, and resident poet blacky


lisa and pat (tutor)... get it inya pat!


on my right: jess, lisa, pat, and joe


late arrivals janet, with baby hayden, and katie






















jess and kluver on how life is


aaaaaaw... come to auntie katie


still soldiering on... blacky and joe


"i need to call on a favour"

---

images: mine