THE PSYCHOLOGIST : Deficient medical care facilities in remote areas

Deficient medical care facilities in remote areas

Decisions about where to live will inevitably have consequences. I live in an inner city area and can get medical appointments very easily and promptly. But to expect that service availability out in the bush is simply unrealistic.

The government tries to provide good medical services to all but doing so has got to be difficult. And the further away from the metropolis you are the more difficult it will be.

If there were infinite funding available no-one would need to be disadvantaged but that is not the case. So priorities have to be looked at. The government is going to be able to deliver care at lower costs in urban areas. So servicing the bush to a high level would reduce care available in the State overall. To do so is obviously not an easy decision

A national crisis has been laid bare in black and white in a report from the Royal Flying Doctor Service, detailing the gross inequity of healthcare for Aussies living in the bush.

A shocking 44,000 people in this country have no access to a doctor within an hour’s drive; almost 120,000 are that far away from a dentist and 134,000 are equally distant from any mental health support.

It’s not just a matter of convenience, or simply how life is out in remote parts of the country.

This is taking years off everyday Australians’ lives. Women are dying 19 years earlier than average in very remote parts of the country, men almost 14 years. First Nations Australians are dying 14 years sooner on average and the gap is even wider in remote areas.

These are the very real consequences of a health system that is sick, and nowhere is it worse off than in our nation’s regions.

In Queensland, there are recent examples of failures in regional health, such as the Gladstone Hospital maternity unit being on bypass since July and sending expecting mothers 100km away to Rockhampton.

Unfortunately, it is just the most recent in a long line of regional maternity services shut down, or put on bypass.

Australia’s healthcare system was once the envy of the world, but now it seems close to being put on life support.

The Strengthen Medicare Taskforce report, touted as providing much-needed reform to make Medicare more sustainable, was released in February 2023, but it was largely found wanting.

At just 12 pages, some of its recommendations were motherhood statements about needing to improve access to after-hours care, or fast-tracking work to increase the supply of doctors and nurses.

Other recommendations were to have blended-model medical practices, with GPs, nurses, physios and more working together in an integrated model, or to develop funding models that are relevant for rural practices.

But these have all been proposed before, and there was little to be said for the specifics on how to do these worthy tasks.

Whatever happens, it will need federal, state and even local governments working together to achieve better outcomes for rural health. This has not always been the case, as has been seen in Queensland recently.

Meanwhile, the commonwealth is seeking ways
to encourage more doctors to bulk-bill, which would increase people’s access to healthcare.

But the Queensland government, as well as those in other states, sought to implement a new interpretation of payroll tax laws, which would have seen doctors slugged.

Medical peak bodies warned that this would hit the regions most, with many GP offices operating on slim profit margins potentially facing closure.

After much pressure, the government backed down and offered an amnesty on the tax until 2025, but only to kick the can down the road past the next election.

Action needs to be taken now; the divide between the regions and the capital cities cannot be allowed to keep widening.

It is no exaggeration to say that lives depend on it.

https://www.couriermail.com.au/news/opinion/editorial-lives-depend-on-fixing-bush-health-crisis/news-story/d1279d01ee72d0e3611e5c253c4e01c5

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Background

The essence of conservatism is caution. The essence of Leftism is anger

This blog is written solely by John Ray, who has a Ph.D. degree in psychology and 200+ papers published in the academic journals of the social sciences. It does occasionally comment on issues in psychology but is mainly aimed at giving a conservative psychologist's view on a broad range of topics. There are very few conservative psychologists.

The blog originated in Australia and many (but not most) posts discuss Australian matters. Australians have an unusually good awareness of events outside their own country. Australian newspapers feature news from Britain and the USA not as an afterthought but as a major part of their coverage. So Australians do tend to have a truly Western heart, which is the reason behind the old name for this blog. So events in Australia, Britain and the USA all feature frequently here, plus occasional coverage of other places, particularly Israel.

A primer in American politics for non-Americans:

SCOTUS is the Supreme Court of the United States, the highest court in the land

The "GOP" stands for "Grand Old Party" and refers to the Republican party. The GOP is at present center/Right, while the Democrats have been undergoing a steady drift Leftwards and now have policies similar to mainstream European Leftist parties.

The ideological identity of both parties has however been very fluid -- almost reversing itself over time. In the mid 19th century, the GOP was the party of big government and concern for minorities while the Democrats advertised themselves as "The party of the white man" -- an orientation that lasted into the mid 20th century in the South. The Democrats are still obsessed with race but have now flipped into support for discrimination AGAINST whites.

Was Pope Urban VIII the first Warmist? Below we see him refusing to look through Galileo's telescope. People tend to refuse to consider evidence— if what they might discover contradicts what they believe.

Global warming

Calibrated in whole degrees. Larger graph here

Climate scientist Lennart Bengtsson said. “The warming we have had the last 100 years is so small that if we didn’t have meteorologists and climatologists to measure it we wouldn’t have noticed it at all.”

The term "Fascism" is mostly used by the Left as a brainless term of abuse. But when they do make a serious attempt to define it, they produce very complex and elaborate definitions -- e.g. here and here. In fact, Fascism is simply extreme socialism plus nationalism. But great gyrations are needed to avoid mentioning the first part of that recipe, of course.

Two examples of Leftist racism below (much more here and here):

Beatrice Webb, a founder of the London School of Economics and the Fabian Society, and married to a Labour MP, mused in 1922 on whether when English children were "dying from lack of milk", one should extend "the charitable impulse" to Russian and Chinese children who, if saved this year, might anyway die next. Besides, she continued, there was "the larger question of whether those races are desirable inhabitants" and "obviously" one wouldn't "spend one's available income" on "a Central African negro".

Hugh Dalton, offered the Colonial Office during Attlee's 1945-51 Labour government, turned it down because "I had a horrid vision of pullulating, poverty stricken, diseased nigger communities, for whom one can do nothing in the short run and who, the more one tries to help them, are querulous and ungrateful."

Defensible and indefensible usages of the term "racism"

The book, The authoritarian personality, authored by T.W. Adorno et al. in 1950, has been massively popular among psychologists. It claims that a set of ideas that were popular in the "Progressive"-dominated America of the prewar era were "authoritarian". Leftist regimes always are authoritarian so that claim was not a big problem. What was quite amazing however is that Adorno et al. identified such ideas as "conservative". They were in fact simply popular ideas of the day but ones that had been most heavily promoted by the Left right up until the then-recent WWII. See here for details of prewar "Progressive" thinking.

R.I.P. Augusto Pinochet. Pinochet deposed a law-defying Marxist President at the express and desperate invitation of the Chilean parliament. He pioneered the free-market reforms which Reagan and Thatcher later unleashed to world-changing effect. That he used far-Leftist methods to suppress far-Leftist violence is reasonable if not ideal. The Leftist view that they should have a monopoly of violence and that others should follow the law is a total absurdity which shows only that their hate overcomes their reason

Franklin Delano Roosevelt was a war criminal. Both British and American codebreakers had cracked the Japanese naval code so FDR knew what was coming at Pearl Harbor. But for his own political reasons he warned no-one there. So responsibility for the civilian and military deaths at Pearl Harbor lies with FDR as well as with the Japanese. The huge firepower available at Pearl Harbor, both aboard ship and on land, could have largely neutered the attack. Can you imagine 8 battleships and various lesser craft firing all their AA batteries as the Japanese came in? The Japanese naval airforce would have been annihilated and the war would have been over before it began.

FDR prolonged the Depression. He certainly didn't cure it.

WWII did NOT end the Great Depression. It just concealed it. It in fact made living standards worse

Joe McCarthy was eventually proved right after the fall of the Soviet Union. To accuse anyone of McCarthyism is to accuse them of accuracy!

The KKK was intimately associated with the Democratic party. They ATTACKED Republicans!

People who mention differences in black vs. white IQ are these days almost universally howled down and subjected to the most extreme abuse. I am a psychometrician, however, so I feel obliged to defend the scientific truth of the matter:

The average African adult has about the same IQ as an average white 11-year-old and African Americans (who are partly white in ancestry) average out at a mental age of 14. The American Psychological Association is generally Left-leaning but it is the world's most prestigious body of academic psychologists. And even they have had to concede that sort of gap (one SD) in black vs. white average IQ. 11-year olds can do a lot of things but they also have their limits and there are times when such limits need to be allowed for.

America's uncivil war was caused by trade protectionism. The slavery issue was just camouflage, as Abraham Lincoln himself admitted. See also here

Did William Zantzinger kill poor Hattie Carroll?

Did Bismarck predict where WWI would start or was it just a "free" translation by Churchill?

Leftist psychologists have an amusingly simplistic conception of military organizations and military men. They seem to base it on occasions they have seen troops marching together on parade rather than any real knowledge of military men and the military life. They think that military men are "rigid" -- automatons who are unable to adjust to new challenges or think for themselves. What is incomprehensible to them is that being kadaver gehorsam (to use the extreme Prussian term for following orders) actually requires great flexibility -- enough flexibility to put your own ideas and wishes aside and do something very difficult. Ask any soldier if all commands are easy to obey.

A good article on Leftist hate

The real history of social Darwinism

Some personal memoirs

Memoir highlights

THE PSYCHOLOGIST

Deficient medical care facilities in remote areas

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