Showing posts with label funding. Show all posts
Showing posts with label funding. Show all posts

Tuesday 7 June 2016

Meanwhile at state level in New South Wales.....


The gloves are off over Tweed Hospital funding…..

THEN



THE NSW Government has promised $48 million in funding for stages one and two of the $211 million Tweed Hospital redevelopment if re-elected next month.
NSW deputy premier Troy Grant, health minister Jillian Skinner and Tweed MP Geoff Provest made the announcement at Tweed Hospital this morning.
The Tweed Hospital has struggled to cope under the pressure of a growing population and a lack of beds with emergency department attendances up by nearly 10 per cent last year alone.
Plans for a redevelopment of the Tweed Hospital were approved in late 2013, however the Northern Rivers Health Board has made the redevelopment of both the Lismore and Byron Hospitals a priority before works start at Tweed.
Mrs Skinner said despite the issues facing the hospital, Tweed redevelopment remained the third priority in the region.
“This $48 million will redevelop the emergency department, increase the ward space and bed capacity as well as a new carpark,” she said.

NOW

Tweed Daily News:


TWEED MP Geoff Provest is calling for greater Tweed representation on the Northern NSW Local Health District Board, saying this area is losing out to its counterparts in Lismore and Byron when it comes to hospital funding.
Mr Provest said "questions needed to be asked" over the NNSWLHD's handling of the Tweed Hospital upgrade, following revelations estimated costs of Stage One of the works had almost doubled from $48 million to $80m.
NSW Health Minister Jillian Skinner declined to comment on the blow-out but her office confirmed estimates for the 2016-2017 Budget would not be increased to meet the shortfall, despite pleas by the Tweed Medical Staff Council to fully fund the actual costings…..

TWEED Hospital surgeons have been backed by the Australian Medical Association as the doctors brace themselves for the reality of another funding campaign.
Dr Stephen White said the Tweed Hospital urgently needed a redevelopment because patients were "pressured" to leave early after procedures for new admissions, a technique known in the industry as 'hot-bedding'.
"It wouldn't be unusual to have three people admitted into the same bed, on the same day, and I think that's extreme," Dr White said.
"People get told the day after surgery they have to go home and the reality is they can't."
Dr White criticised Northern NSW Health District's latest upgrade budgeting blunder, saying up to 30% of surgeons' work "was not recognised" or factored into their forward estimates because the patients were Queenslanders…..


Shadow Health Minister and North Coast MP Walt Secord has challenged Tweed MP Geoff Provest to provide a timeline on the Tweed Hospital upgrade from NSW Health Minister Jillian Skinner.
Only $48 million is due to be released for stage one of the hospital’s upgrade in the June Budget, even through the figure is understood to be closer to $140m.
Mrs Skinner told ABC Radio on May 10 it was unfortunate the Northern Rivers Local Health District board had underestimated the funds required for stage one of the redevelopment but lessons had been learnt.
Mr Secord said the North Coast needed a statement from Mr Provest or Mrs Skinner “stating they are going to fully fund Tweed Hospital, with dates and deadlines”.
“Too often, the community has been tricked by weasel words from the Liberals and Nationals,” he said.
“We need these dates so we can track the progress and ensure that the upgrade is on track.”

FIRST it was a weasel, now it’s a dim sim: a war of words has erupted between Tweed MP Geoff Provest and Shadow Health Minister Walt Secord over funding for the Tweed Hospital.
Mr Provest today quipped back at Mr Secord, also Labor’s MP for the North Coast, over his call for a definitive timeline on the Tweed Hospital upgrade, saying the request was just part of a dirty “smear campaign”.
Yesterday the shadow health minister said Mr Provest had used “weasel words” in dodging a formal commitment to fund the full cost of the hospital’s redevelopment, following a blow out in costs from $48m to an estimated $140m for Stage One of the project.
But Mr Provest retaliated, accusing Mr Secord of mounting a personal attack against him.
“I think he’s the king of smear,” Mr Provest retorted, referring to Mr Secord.
“He has no idea of what is actually happening at the Tweed Hospital.
“I can’t even remember the last time he visited here. He’s not met with the Tweed doctors and not had any communication with them.
“He went to Beijing and fell over on a dim sim, and now he’s back in parliament at Sydney, and just full of the smear that Labor is renowned for.”
But Mr Secord hit back, saying in fact, during the last parliamentary recess, he had been 1600km west of Shanghai in rural China when he tripped and broke his ankle and fibula.
“I am in a wheelchair, but this will not stop me from ensuring Tweed MP Geoff Provest delivers a full upgrade of Tweed Hospital,” he said

Sunday 1 May 2016

Australian Federal Election 2016: Turnbull's federal plan for your pearly whites


Excerpt from Australian Dept. of Health statement, 23 April 2016:

Through the 2016–17 Budget, the Government is introducing the new national Child and Adult Public Dental Scheme from 1 July 2016. This Scheme will replace the Child Dental Benefits Schedule and the National Partnership Agreement on Adult Dental Services.

Under the Child and Adult Public Dental Scheme, over 10 million Australians will have access to Federal Government subsidised public dental care. We expect that an extra 600,000 public dental patients will be treated each year through this Scheme.

The Government will spend $2.1 billion in the five year National Partnership Agreement for the new Scheme. This represents the largest-ever Commonwealth investment in public dental coverage –– which, for the first time, will be enshrined in legislation to provide long-term certainty.

Overall, we will spend a total of about $5 billion over the next four years in improving dental outcomes, including through the Child and Adult Public Dental Scheme, private health insurance rebate, the Commonwealth's contribution to in-hospital dental services, and dental infrastructure in rural and remote Australia.

Public dental services will be improved with better funding. Over time, people's dental health issues will be tackled earlier, with the focus shifting from restorative to preventive dental care, avoiding tooth decay, and alleviating more significant health problems and expense.

The new Child and Adult Public Dental Scheme lays the foundations for a fair and equitable national scheme for children and adults that Australia can afford now and into the future. This reflects the Government's broader integrated approach to health reform, improving oral health, and contributing to better overall health.

Sky News, 23 April 2016:

As part of the $5 billion plan, $2.1 billion will go to the states and territories, who can use the money to pay for private dentists "where service gaps arise" Ms Ley said.

The Australian Dental Association (ADA) has described the new scheme as "smoke and mirrors".

Axing the children's dental scheme is the wrong approach to a serious problem, and money is being taken out of dental care, dentists say.

"Let's see this for what it is. This is a 'budget saving' that results in a reduction of about $200m per annum for dental care," ADA president Rick Olive said in a statement.

"Let's not be fooled. This is a measure that just won't deliver."

The Turnbull Government announcement reveals that the new dental health scheme is directly funding public dental health to the tune of $2.9 million over five years, with approx. $415 million available in 2016-17 or an average of around $51.8 million for each state and territory.

In its 2014-15 Budget the Abbott Government deferred the National Partnership Agreement for adult public dental services and ceased the Dental Flexible Grants Programme – saving $609 million over four years. In that budget government also expected to achieve savings of up to $35.7 million over four years by deferring indexation of Department of Veterans' Affairs (DVA) dental and allied health provider payments to 1 July 2016.

In its 2015-16 Budget the Abbott Government expected to save $125.6 million over four years from 2015‑16 by broadly aligning indexation arrangements for both the benefits payable and the benefits cap under the Child Dental Benefits Schedule with indexation arrangements for other health benefits programmes. In that budget government stated it would provide $155.0 million in 2015-16 for a one year agreement to replace the existing National Partnership Agreement on Adult Public Dental Services and that the agreement would support the provision of dental health services to adults who rely on the public dental system.

Public dental health schemes across the country have been under intense strain since at least July 2014 even when eligibility for these schemes was targeting low-income households. Now the Turnbull Government has decided to open the floodgates by removing means-tested eligibility.

There is a subsidy cap per eligible individual of $1,000 every two years in the existing federal scheme and I presume that this cap will remain in the new scheme.

With the $2.1 billion divided between eight states and territories over a five year period only 1.74% of the Australian population, or a total of est. 52,500 people in each state/territory, will potentially be able to access this scheme every two years via a participating private dentist before the money runs out.

The remaining 40% of adults and children the Turnbull Government calculates may wish to access this national public dental scheme will be obliged to seek treatment from the public dental heath schemes in their respective states or territories.

However, if the Turnbull Government subsidises dental treatment at a lower rate that the existing scheme then the number of individuals who receive adequate treatment by way of state and territory public dental health schemes may drop dramatically.

All those accessing state public dental schemes will be faced with waiting lists.

At the end of December 2015 there were 9,203 children and 104,156 adults who were waiting for public general dental care in NSW – 11% of the children and 32% of adults had been waiting for periods exceeding clinically acceptable benchmark times.

An est. 15,507 individuals on the waiting list were in the Mid-North Coast and Northern NSW regions.

Given past reports of waiting times, it is not outside the realms of possibility that approximately 25% of those who have been waiting for public general dental care in NSW have been waiting for up to one to two years.

In September 2015 the population of NSW was 7.64 million people. All of these people are now potentially eligible for public general dental care under the Turnbull Government's Child and Adult Public Dental Scheme once they reach two years of age and over.

Does Prime Minister Turnbull seriously believe that his est. $5 billion cut eight ways will stretch that far?

Wednesday 27 April 2016

Australian Government asks Adelaide businessman to show the money


A look at one rocky road to Anzac Day 2016………..
Meet Chris Fox.


Chris has a strong background in corporate finance and advisory services. He has advised on numerous business restructuring projects over the past 25 years including one of the country’s largest banks, health group organisations and logistics companies. In addition, he has substantial experience in marketing, media, advertising and event management at a National level. Chris was also the youngest Chairman of Anglicare, Australia’s largest non-for-profit organisation. Chris is the passionate leader behind the Camp Gallipoli concept and model.

Add to this sparse online biography, these past positions held by Chris Fox:

CHIEF EXECUTIVE OFFICER (CEO) Central Bayside Community Health Services Limited, Kingston, Victoria, 2012
Managing Director and Founder Fox Finance Group of Companies, April 1994 – November 2011 which included positions as:
MANAGING DIRECTOR of Fox Finance Corporation Pty Limited (merged in 2007 with National Merchant Bank). South Australian focussed, boutique Finance Company with over 3000 business clients.
CONSULTING to Chartered Accounting firm.
MANAGING DIRECTOR of Fox Partners Pty Limited (Management buy-out 2005) Integrated Financial Services Business.
EXECUTIVE CHAIRMAN of H Muecke & Co Pty Limited and Muecke Carrying Company Pty Limited (sold to P&O Ports Corp. United Kingdom in 2005)
Established in 1875, States oldest transport company.
EXECUTIVE CHAIRMAN of Cartonics (SA) Pty Limited (sold to National retailer Nextbyte in 2005)
Original Telco
.

How the media reports the activities of Chris Fox.

News.com.au, 10 October 2014:

AT first flush it is a smart idea for thousands to share the essence of the iconic Gallipoli swag experience — a vigil under the stars, followed by a dawn service — much closer to home.
But to the man behind Camp Gallipoli it is much, much more — a chance for Australians to actively rediscover a positive national identity.
“Australia has lost its identity,” says founder Chris Fox. He adds: “We have gone backwards, we are everything we hated.”

Bandt.com.au, 19 February 2015:

Outdoor media provider APN Outdoor has thrown its support behind Camp Gallipoli, a not for profit organisation that is commemorating 100 years of ANZAC spirit with sleep out events to be held across Australia and New Zealand on April 24….
All Camp Gallipoli events will have spaces set aside for camping and there will be entertainment, guests, movies, documentaries and a special Dawn Service on Anzac day, so people can immerse themselves in the ANZAC legacy. All funds raised will go to Legacy and the Returned Services League (RSL).
A Camp Gallipoli event was held in Canberra on Saturday February 14 with a service at the Australian War Memorial. The RSL ANZAC Flame was passed on for it final journey to towns and cities representing the Camp Gallipoli Foundation.  The RSL ANZAC Flame travelled to Canberra last October, after it was lit in Albany, Western Australia, the city from where troops departed a century ago.
Chris Fox, chief executive, Camp Gallipoli Foundation said, “We recognise the uniqueness of the Australian and New Zealand spirit of unconditional mateship. We feel this was forged at Gallipoli in 1915 where race, background and status meant little and mateship, trust and honour meant everything. We are pleased to have corporate sponsors like APN Outdoor onboard to promote awareness of Camp Gallipoli across Australia and New Zealand.”

2GB Radio, 23 April 2015:

Steve Price is joined by Camp Gallipoli CEO Chris Fox to discuss how the cancelled Camp Gallipoli commemoration in Sydney is now back on.

The Australian, 10 November 215:

Tomorrow, students across Australia will donate a gold coin to restore a dilapidated school in the nearby village of Pozieres where almost 7000 Australians died during a six-week campaign in 1916 — the bloodiest battle in Australian history.
Historian Charles Bean described the site as “more densely sown with Australian sacrifice than any other spot on earth’’.
Camp Gallipoli Foundation chief executive Chris Fox said: “Billy Hughes once said that Australia was born on the shores of Gallipoli. Well, if that’s the case, then its baptism was Pozieres.”
The foundation is organising the fundraiser to provide a living memorial to the Anzac forces and encourage Australian children to learn about the great sacrifice the village represents, Mr Fox said.

The Sydney Morning Herald, 17 April 2016:

The chief executive of a charity responsible for controversial Anzac-branded merchandise that has been banned from sale has hit back at social media "snipers", saying the centenary commemorations of the Gallipoli landings are being "bogged down in negativity".   
In the face of the backlash over merchandising, Chris Fox, the chief executive of Camp Gallipoli, has defended his not-for-profit organisation as one that is educating young Australians about mateship and the legacy of Anzac Day at a series of camps.
Three Anzac branded items from a range developed by Camp Gallipoli have been pulled from shelves at Target after Minister for Veterans Affairs Michael Ronaldson deemed they had breached conditions of a permit the organisation has to sell the merchandise.
Mr Fox said all profits from the merchandise were being donated to the Returned Services League of Australia and Legacy.

The investigation is announced.

The Sydney Morning Herald, 23 April 2016:

An Anzac charity that received millions of dollars from government grants and ticketed events is now being investigated over fears it did not pass on the money raised to veterans associations.
The federal government has ordered an investigation into the Camp Gallipoli Foundation and has stripped it of its permit to use the protected word "Anzac" just days before the foundation stages a series of educational and fundraising events around the country on Anzac Day.
The move by the Department of Veterans Affairs comes after Fairfax Media revealed the foundation's chief executive, Chris Fox, may have personally profited from the foundation by charging "management fees" worth up to $1.5 million a year through commercial companies owned by his family and an associate.
The Camp Gallipoli Foundation, which last year received $2.5 million federal grant, has been unwilling to substantiate its claims that it donated money raised on behalf of veterans' charities despite collecting millions of dollars in ticketing revenue, donations and sponsorships from corporate Australia.
The national leadership of the RSL and Legacy report they have received no financial donations from Camp Gallipoli.
The revelations raise questions about how taxpayers funds were spent on the 2015 Anzac commemorations and the regulation of groups that fund raise on behalf of charities…..
The government did not comment on whether it was aware Mr Fox was a bankrupt as recently as 2013 when it issued the grant and official permission to use "Anzac" for the foundation's activities.
The Camp Gallipoli Foundation ran nationwide events on the eve of the Anzac centenary in 2015, hosting an estimated 40,000 people who paid up to $120 each to camp out "just like the Diggers did".
Events are also scheduled for most capital cities this Anzac Day.
The Department of Veterans' Affairs – through the Anzac Centenary Fund – backed the original program with a one-off grant of $2.5 million.
Another $1 million was contributed by corporate partners such as Target and Woolworths through merchandising deals and sponsorship arrangements.
Promotional materials said any surplus generated by the events – and its membership-based "Camp Gallipoli Club" – would be donated to veterans' groups, Legacy and the RSL.
In the days before the 2015 centenary events, Mr Fox announced Camp Gallipoli was expecting to generate a "surplus" of $900,000. Fairfax Media understands that severe weather at the Sydney event did hurt the finances of the foundation but it is unknown to what extent.
A dispute has erupted between Camp Gallipoli and the veterans' charities about the funds.
"Legacy has not received any money from Camp Gallipoli," national chairman Tony Ralph said.
RSL national chief Samantha Jackman said the organisation had also not received any donation after the 2015 events.
Both veterans' groups say they have no official relationship with Camp Gallipoli for 2016.
But the foundation's deputy chair Graham Ingerson maintains the foundation has "significantly supported" the RSL and Legacy. "The Foundation has invested significantly in many projects to aid and assist these charities."
Despite committing to release a list of these contributions, none was provided by the foundation.
A Fairfax Media investigation has also found that chief executive Chris Fox is apparently trying to turn the event into a commercial venture by charging percentage-based "management fees" through companies owned by his family and an associate.
The companies are entitled to receive fees equivalent to up to 20 per cent of the fixed cost of staging the events.
Mr Fox, who is also employed on a $150,000 annual salary as the CEO, has refused to disclose how much money the for-profit companies have actually made via Camp Gallipoli.
While eventually acknowledging they qualified for a fee worth up to $1.5 million in 2015, Mr Fox said no management fees have been charged because the Camp Gallipoli events did not generate enough revenue.
He later said his company did receive a payment of $100,000 to cover staff costs, as well as received "loans" from the foundation and a $215,000 gift from an unnamed benefactor to cover expenses in lieu of the fee payments. 
Mr Fox, who said he also had not received a salary in six months, eventually claimed he "did not know" what had been received by the companies in fees.
"We're living on scraps, metaphorically. We've run it on an oily rag. No one is trying to profit from it – we're just honestly trying to do something good," he said…..
Camp Gallipoli says Mr Fox's bankruptcy is "historic and finalised" and "unrelated to the work of the foundation".

Thursday 14 April 2016

With rates of domestic violence & sexual assault higher than the NSW average, the Northern Rivers region remains a target for federal funding cuts


The geographic area of the Northern NSW Local Health District extends from the Tweed Local Government Area (LGA) on the Queensland/NSW border in the north to the Clarence Valley LGA in the south, the Great Dividing Range in the west and the Pacific Ocean coastline in the east. The Northern NSW LHD covers a geographic region of 21,470 square kilometres with a total population in 2011 of 288,241 persons and is made up of seven LGAs and one smaller State Suburb (SSC). [Northern NSW LHD, Fact Sheet 1, July 2015]

This health district population was projected to reach over 300,000 in 2016.

One of the health issues it deals with is domestic and family violence, as do the local courts.

Between October 2014 to September 2015 in NSW the rate of domestic assault incidents per 100,000 head of population was 398.7.

For the corresponding period in the Northern NSW LHD the domestic assault rate was:

Richmond Valley Local Government Area550.6
Lismore Local Government Area478.8
Clarence Valley Local Government Area426.5
Tweed Local Government Area401.7
Kyogle Local Government Area399.0
Byron Local Government Area – 313.3
Ballina Local Government Area – 246.3

All but two local government areas were above the state average – four were significantly higher.

Five out of seven of these local government areas also exceeded the NSW rate for sexual offence incidents – Richmond Valley, Lismore, Clarence Valley, Byron and Ballina.

Yet this region remains a target for Abbott-Turnbull Government cuts to services used by victims of domestic violence and sexual assault.

The Northern Star reported on 8 April 2016:

SHADOW Attorney General Mark Dreyfus and Labor candidate for Page Janelle have backed the Northern Rivers Community Legal Centre's plea to have funding cuts to programs aimed at preventing domestic violence reversed.

They said the Federal Government had announced a third, or $30 million, of commonwealth funding would be cut to the 39 Community Legal Centres around the state as well as the scrapping of $100,000 per year in funding to the Lismore centre, introduced by Mr Dreyfus in 2013.

Mr Dreyfus said the cuts could mean the end of the Lismore-based centre's outreach service in Casino, as well as the possible closure of the Tweed office and the loss of a specialised family violence solicitor.

Northern Rivers Community Legal Centre acting centre manager Fia Norton said it was the biggest challenge in the centre's 20-year history.

"They're (the cuts) going to affect the most vulnerable people in our community," she said……

Ms Saffin said she was concerned the federal funding cuts would impact complimentary services to the State Government's Safer Pathways domestic violence program, a service NRCLS was selected to coordinate in Tweed in 2015.

"Last year the Northern Rivers CLC was selected by the NSW Government as one of five sites to roll out the Safer Pathways reforms for Domestic Violence, an integrated response service to prevent domestic violence deaths and serious injury to women and children," she said.

"But how will the program be impacted when cuts come into effect next year?.....

The cuts are set to come into effect in mid-2017.

Saturday 23 January 2016

Live in the Tweed Valley? Want to help save a vital local women's service? Then read on....


Federal Labor MP for Richmond Justine Elliot on Facebook, Wednesday 20 January 2016, calling for people in the Tweed Valley to door knock a petition to save Tweed Valley Women’s Service and thirteen local jobs:

Here’s the link to my Petition http://bit.ly/1njNOu8 calling for the Nationals to restore NSW Government funding for the Tweed Valley Women’s Service. Please return the completed originals to my office at:
PO Box 6996
Tweed Heads South
NSW 2486

For these Petitions to be submitted the NSW Parliament requires the following:
• the person signing must be a Resident/Citizen of NSW
• NO FAXES of signed petition
• NO PHOTOCOPIES of signed petition
• ONLY ORIGINALS will be accepted
• Every signature must be original hand-writing, and signatures must not be pasted on, photocopied or transferred in any other way.

Text of petition:

Wednesday 22 April 2015

Tony Abbott and his attempts to degrade scientific research in Australia


It is well known that Australian Prime Minister Tony Abbott believes that climate change science is absolute crap, but even he has exceeded expectations of what his passive-aggressive brand of climate change denialism will bring forth when he appointed self-described climate policy sceptic, Bjørn Lomborg*, as an adviser to federal government on foreign aid delivery and arranged for the Australian taxpayer to fund Lomborg to the tune of $4 million now that the Danish Government has defunded his pseudo-scientific approach to research and American donors are not enthusiastically supporting this 'homeless' think tank the Copenhagen Consensus Center Inc.

BRIEF BACKGROUND

Excerpt from one of the Lomborg Errors documents:


"The Skeptical Environmentalist" has given rise to extensive public discussion and debate, both in Denmark and internationally. There have been enthusiastic reviews in some of the world's top newspapers such as the Washington Post and the New York Times, and in The Economist.

The magazine Scientific American asked four leading experts to assess Bjørn Lomborg's treatment of their own fields: global warming, energy, population and biodiversity, devoting 11 pages to this in January 2002.

Stephen Schneider: "Global Warming, Neglecting the Complexities"

Schneider is a particularly respected researcher who has been discussing these problems for 30 years with thousands of fellow scientists and policy analysts in myriad articles and formal meetings.

Most of Bjørn Lomborg's quotes allude to secondary literature and media articles. Bjørn Lomborg uses peer-reviewed articles only when they support his rose-coloured point of view. By contrast, the authors on the Intergovernmental Panel on Climate Change (IPCC) were subjected to three rounds of audits by hundreds of external experts.

Bjørn Lomborg employs no clear and discrete distinction between various forms of probabilities. He makes frequent use of the word "plausible" but, strangely for a statistician, he never attaches any probability to what is "plausible". IPCC gives a large "range" for the majority of projections, but Bjørn Lomborg selects the least serious outcomes.

Stephen Schneider then provides a specific criticism of Bjørn Lomborg's four main arguments:

1. Climate Science: Bjørn Lomborg quotes an article in Nature (from the Hadley Center, 1989), uncritically and without the authors' caveats. BL quotes Lindzen's controversial "iris effect" as evidence that IPCC's climate range needs to be reduced by a factor of almost three. BL either fails to understand this mechanism or else omits to state that the data stem from only a few years' data in a small part of a single ocean. Extrapolating this sample to the entire globe is wrong. Similarly, he quotes a controversial Danish paper claiming that solar magnetic events can modulate cosmic radiation and produce a clear connection between global low-level cloud cover and incoming cosmic rays as an alternative to CO2 in order to explain climate change. The reason IPCC discounts this theory is "that its advocates have not demonstrated any radiative forcing sufficient to match that of much more parsimonious theories, such as anthropogenic forcing."

2. Emissions scenarios: Bjørn Lomborg assumes that over the next several decades, improved solar machines and other new technologies will crowd fossil fuels off the market, which will be done so efficiently that the IPCC scenarios vastly overestimate the chance of major increases in CO2. This is not so much analysis as wishful thinking contingent on policies capable of reinforcing the incentives for such development, and BL is opposed to such policies. No credible analyst can just assert that a fossil-fuel-intensive scenario is not "plausible" and, typically, BL gives no probability that this might occur.

3. Cost-benefit calculations: Bjørn Lomborg's most egregious distortions and feeblest analyses are his citations of cost-benefit calculations. First, he chides the governments that modified the penultimate draft of the IPCC report. But there was a reason for that modification, which downgraded aggregate cost-benefit studies: these studies fail to consider so many categories of damage held to be important by political leaders, and it is therefore not the "total cost-benefit" analysis that Bjørn Lomborg wants. Again, BL cites only a single value for climate damage - 5 trillion dollars - although the same articles indicate that climate change can vary from benefits to catastrophic losses. It is precisely because the responsible scientific community cannot rule out catastrophic outcomes at a high level of confidence that climate mitigation policies are seriously proposed. For some inexplicable reasons, BL fails to provide a range of climate damage avoided, only a range for climate policy costs. This estimate is based solely on the economics literature but ignores the findings of engineers and does not take into account pre-existing market imperfections such as energy-inefficient machinery, houses and processes. Thus, five US Dept. of Energy laboratories have suggested that such a substitution can actually reduce some emissions at below-zero costs.

4. The Kyoto Protocol: Bjørn Lomborg's invention of a 100-year regime for the Kyoto Protocol is a distortion of the climate policy process. Most analysts know that "an extended" Kyoto Protocol cannot deliver the 50% reduction in CO2 emissions needed to prevent large increases at the end of the 21st century and during the 22nd century, and that developed and developing countries alike will have to cooperate to fashion cost-effective solutions over time. Kyoto is a starting point, and yet with his 100-year projection BL would squash even this first stage.

Bjørn Lomborg's book is published by the social sciences side of Cambridge University Press. It is no wonder, then, that the reviewers failed to spot BL's unbalanced presentation of the natural science. It is a serious omission on the part of an otherwise respected publishing house that natural-science researchers were not taken on board. "Lomborg admits, 'I am not myself an expert as regards ENVIRONMENTAL PROBLEMS' - truer words are not found in the rest of the book".

John P. Holdren: "Energy: Asking the Wrong Questions"

Bjørn Lomborg's chapter on energy covers a scant 19 pages and is devoted almost entirely to attacking the belief that the world is running out of energy, a belief that BL appears to regard as part of the "environmental litany". But only a handful of environmental researchers, if any at all, believe this today. Conversely, what they do say about this topic is that we are not running out of energy, but out of environment, i.e. the capacity of air, water, soil and biota to absorb, without intolerable consequences for human well-being, the effects of energy extraction, transport, energy transformation and energy use. They also say that we are running out of the ability to manage other risks of the energy supply, such as overdependence on Middle East oil and the risk of nuclear energy systems leaking weapons materials and expertise into the hands of proliferation-prone nations or terrorists. This has been the position of the environmental researchers for decades (e.g. from 1971, 74, 76 and 77).

So whom is BL so resoundingly refuting with his treatise on the abundance of world energy resources? The professional analysts have not been arguing that the world is running out of energy, only that the world could run out of cheap oil. BL's dismissive rhetoric notwithstanding, this is not a silly question, nor one with an easy answer.

Oil is currently the most valuable of the conventional fossil fuels that have long provided the bulk of the world's energy, including almost all energy for transport. The quantity of recoverable oil resources is thought to be far less than coal and natural gas, and those reserves are located in the politically volatile Middle East. Much of the rest is located offshore and in other difficult and environmentally fragile areas. There is, accordingly, a serious technical literature, produced mainly by geologists and economists, exploring the questions of when world oil production will peak and begin to decline, and what the price might be in 2010, 2030 or 2050 - with considerable disagreement among informed professionals.

BL seems not to recognize that the transition from oil to other sources will not necessarily be a smooth one or occur at prices as low as the price of oil today. BL shows no sign of understanding why there is real debate about this among serious-minded people.

BL offers no explanation of the distinction between "proved reserves" and "remaining ultimately recoverable resources", nor of the fact that the majority of the latter category is located in the Middle East, but placidly informs us that it is "imperative for our future energy supply that this region remains reasonably peaceful" - as if that observation does not undermine any basis for complacency.

BL is right in his basic proposition that the resources of oil, oil shale, nuclear fuels and renewable energy are immense. But that is disputed by only few environmental researchers-and no well-informed ones. But his handling of the technical, economic and environmental factors that will govern the circumstances and quantities in which these resources might actually be used is superficial, muddled and often plain wrong. His mistakes include apparent misreadings and misunderstandings of statistical data, the very kinds of errors he claims are pervasive in the writings of environmentalists. By the same token, there are other elementary blunders of a type that should not be committed by any self-respecting statistician. Thus, it is wrong that measures in the developed countries have eliminated the vast majority of SO2 and NO2 from smoke from coal-burning facilities: it is only a minor proportion. Other examples are given, and when it comes to nuclear energy, plutonium is such a great security problem as regards the potential production of nuclear weapons that it may preclude use of the "breeding" approach unless a new technology is invented that is just as cheap.

BL uses precise figures, where there is no basis for such, and he produces assertions based on single citations and without detailed elaborations, which is far from representative of the literature.

Most of what is problematic about the global energy picture is not covered by BL in the chapter on energy but in the chapters dealing with air pollution, acid rain, water pollution and global warming. The latter has been devastatingly critiqued by Schneider.

There is no space to deal with the other energy-related chapters, but their level of superficiality, selectivity and misunderstandings is roughly consistent with what has been reviewed here.

"Lomborg is giving skepticism - and statisticians - a bad name."

John Bongaarts: "Population: Ignoring Its Impact"

Bjørn Lomborg's view that the number of people is not the problem is simply wrong. The global population growth rate has declined slowly, but absolute growth remains close to the very high levels observed in past decades. Any discussion of global trends is misleading without taking account of the enormous contrasts between world regions, where the poorest nations of Africa, Asia and Latin America have rapidly growing and young populations, whereas Europe, North America and Japan have virtually zero, and in some cases even negative, growth. As a consequence, all future growth will be concentrated in the developing countries, where four-fifths of the world's population lives: from 4.87 to 6.72 billion between 2000 and 2025, or just as large as the record-breaking increase in the past quarter of the (21st) century. This growth in the poorest parts of the world continues virtually unabated. The growth has led to high population density in many countries, but BL dismisses concerns about this issue, based on a simplistic and misleading calculation of density as the ratio of people to land. In Egypt this would make 88/km2, but deducting the uncultivated and unirrigated part of Egypt, it makes 2,000/km2 - no wonder Egypt has to import foodstuffs! Measured correctly, population densities have reached extremely high levels, particularly in large countries in Asia and the Middle East. This makes demands in terms of agricultural expansion on more difficult, hitherto untilled terrain, increased water consumption and a struggle for the scarce water resources between households, industry and farming. The upshot will be to make growth in food production more expensive to achieve. BL's view that increased food production is a non-issue rests heavily on the fact that foodstuffs are cheap; but BL overlooks the fact that it is large-scale subsidies to farmers, particularly in the developed countries, that keep prices artificially low.

Appreciably expanding farming will result in a reduction of woodland areas, loss of species, soil erosion, and pesticide and fertilizer run-offs. Reducing this impact is possible but costly, and would be easier if the growth in population were slower.

BL overlooks the fact that population growth contributes to poverty. First, children have to be fed, housed, clothed and educated - while economically non-productive - then jobs have to be created once they reach adulthood. Unemployment lowers wages to subsistence level. Counteracting population growth has fuelled "economic miracles" in a number of East Asian countries.

BL overlooks the fact that the favourable trend in life expectancy is due to intensive efforts on the part of governments and the international community, but despite this, 800 million are still malnourished and 1.2 billion are living in abject poverty. Population is not the main cause of the world's social, economic and environmental problems, but it is a substantial contributory factor. If future growth can be slowed down, future generations would be better off.

Thomas Lovejoy: "Biodiversity: Dismissing Scientific Progress"

In less than a page, Bjørn Lomborg discounts the value of biodiversity both as a library for the life sciences and as a provider of ecosystem services (partly due to the general absence of markets for these services). When he does get round to extinction, he confounds the process by which a species is judged to have been made extinct with estimates and projections of extinction rates. In contrast to BL's claim, the loss of species from habitat remnants is a widely documented phenomenon. A number of factual errors are highlighted. BL takes particular exception to Norman Myer's 1979 estimate that 40,000 species are being lost every year, failing to acknowledge that Myer deserves credit for being the first to point out that the number was large and at a time when it was difficult to do so accurately. Current estimates are given in terms of the increases over normal extinction rates. BL cynically spurns this method, because such estimates sound more ominous. Instead, he ought to acknowledge that this method is an improvement in the science. These rates are currently 100 to 1,000 times' the normal, and are certain to rise as natural habitats continue to dwindle.

The chapter on acid rain is equally poorly researched and presented. BL establishes that acid rain has nothing to do with urban pollution, though it is a fact that nitrogen compounds (NOx) from traffic are a major source. Errors are pointed out in BL's view of acid rain on forests.

The chapter on forests suffers from BL not knowing that FAO's data are marred by the weight of so many different definitions and methods that any statistician should know they are not valid in terms of a time series. There are errors in the figures from Indonesia in 1997. BL confuses forests with tree plantations, and asserts that the only value of forests is harvestable trees. That is analogous to valuing computer chips for their silicon content only.

It is important to know that while deforestation and acid rain are reversible, extinction of species is not.

BL entirely overlooks the fact that environmental scientists identify a problem, posit hypotheses, test them and, having reached their conclusions, suggest remedial policies. By focusing on the first and last stages in this process, BL implies incorrectly that all environmentalists do is exaggerate.


Dr Peter Raven, President of the American Association for the Advancement of Science in 2002 said of Lomborg: "...he's not an environmental scientist and he doesn't understand the fields that he's talking about so in that case, if you have a point to make and you want to get to that point, which is: everything's fine, everybody's wrong, there is no environmental problem, you just keep making that point. It's like a school exercise or a debating society, which really doesn't take into account the facts". 
"Raven said that the success of Lomborg's book 'demonstrates the vulnerability of the scientific process -- which is deliberative and hypothesis driven -- to outright misrepresentation and distortion.'"

Newsweek 21 February 2010:

Lomborg opens Cool It with a long discussion on polar bears, arguing that no more than two (of 20) groups are declining in population, that their numbers are not falling overall, and, in places where they are, that it is not a result of global (or Arctic) warming. In fact, polar-bear populations in warming regions are rising, he argues, suggesting that a warmer world will be beneficial to the bears. As Friel shows, Lomborg sourced that to a blog post and to a study that never mentioned polar bears. But he ignored the clear message of the most authoritative assessment of the bears' population trends, namely, research by the International Union for Conservation of Nature. It found that bear populations are indeed declining where the Arctic is warming. In fact, concluded the IUCN, polar-bear populations "have declined significantly" where spring temperatures have risen dramatically. It also offered an explanation for Lomborg's claim that numbers are falling most where temps are getting colder: that area happens to be where there is unregulated hunting.
For his claim that the polar-bear population "has soared," Lomborg cited a 1999 study (scroll down to the paper by Ian Stirling). But that study described declining birthrates and other threats to the bears, blaming warmer spring temperatures that cause the sea ice to break up. Overall, since the mid-1980s polar-bear numbers have fallen, which experts attribute to global warming. The source is thus not exactly the solid endorsement of Lomborg's claim about thriving polar bears that one might assume.

Climate Council 14 April 2015:

The Australian Government today announced they would contribute $4m for Danish climate contrarian Bjorn Lomborg to establish a new “consensus centre” at the University of Western Australia.

In the face of deep cuts to the CSIRO and other scientific research organisations, it's an insult to Australia’s scientific community.

As the Climate Commission, we were abolished by the Abbott Government in 2013 on the basis that our $1.5 million annual operating costs were too expensive. We relaunched as the Climate Council after thousands of Australians chipped in to the nation’s biggest crowd-funding campaign…

It seems extraordinary that the Climate Commission, which was composed of Australia’s best climate scientists, economists and energy experts, was abolished on the basis of a lack of funding and yet here we are three years later and the money has become available to import a politically-motivated think tank to work in the same space.

This is why the work of the Climate Council is so important - to counter this continuing ideological attempt at deceiving the Australian public.

Mr Lomborg’s views have no credibility in the scientific community. His message hasn’t varied at all in the last decade and he still believes we shouldn't take any steps to mitigate climate change. When someone is unwilling to adapt their view on the basis of new science or information, it's usually a sign those views are politically motivated. 

 Bjørn Lomborg states he is a director of the Copenhagen Consensus Center, adjunct professor at University of Western Australia, and visiting professor at Copenhagen Business School.
He further states that he has an M.A. in political science (University of Aarhus) and a Ph.D. in political science (University of Copenhagen).
His degrees are in social science and not in any of the scientific disciplines which inform credible climate research.

Tuesday 21 April 2015

Mental health report and recommendations that the Abbott Government didn't want you to see until it had worked out how to pass the buck to the states


Australian Health Minister Sussan Ley has had the four-volume National Review of Mental Health Programmes and Services since 1 December 2014.

Despite the report being leaked to Crikey, she insisted on 15 April 2015 that; there was no sense in releasing the report before the Government had formulated a response.


On 19 April Crikey Insider sent out access links to all four volumes to its readers.

The Abbott Government has now released the full report which can be read at leisure on the Mental Health Commission website.

The report makes 25 recommendations:

Summary of recommendations

1. Set clear roles and accountabilities to shape a person-centred mental health system

Rec 1. Agree the Commonwealth’s role in mental health is through national leadership
and regional integration, including integrated primary and mental health care.

Rec 2. Develop, agree and implement a National Mental Health and Suicide Prevention
Plan with states and territories, in collaboration with people with lived
experience, their families and support people.

Rec 3. Urgently clarify the eligibility criteria for access to the National Disability
Insurance Scheme (NDIS) for people with disability arising from mental illness
and ensure the provision of current funding into the NDIS allows for a significant
Tier 2 system of community supports.

2. Agree and implement national targets and local organisational performance measures

Rec 4. Adopt a small number of important, ambitious and achievable national targets
to guide policy decisions and directions in mental health and suicide prevention.

Rec 5. Make Aboriginal and Torres Strait Islander mental health a national priority and
agree an additional COAG Closing the Gap target specifically for mental health.

Rec 6. Tie receipt of ongoing Commonwealth funding for government, NGO and
privately provided services to demonstrated performance, and use of a single
care plan and eHealth record for those with complex needs.

3. Shift funding priorities from hospitals and income support to community and primary health care services

Rec 7. Reallocate a minimum of $1 billion in Commonwealth acute hospital funding in
the forward estimates over the five years from 2017–18 into more community based
psychosocial, primary and community mental health services.

Rec 8. Extend the scope of Primary Health Networks (renamed Primary and Mental
Health Networks – PMHNs) as the key regional architecture for equitable
planning and purchasing of mental health programmes, services and integrated
care pathways.

Rec 9. Bundle-up programmes and boost the role and capacity of NGOs and other
service providers to provide more comprehensive, integrated and higher-level
mental health services and support for people, their families and supporters.

Rec 10. Improve service equity for rural and remote communities through place-based
models of care.

4. Empower and support self-care and implement a new model of stepped care across Australia

Rec 11. Promote easy access to self-help options to help people, their families and
communities to support themselves and each other, and improve ease of
navigation for stepping through the mental health system.

Rec 12. Strengthen the central role of GPs in mental health care through incentives for
use of evidence-based practice guidelines, changes to the Medicare Benefits
Schedule and staged implementation of Medical Homes for Mental Health.

Rec 13. Enhance access to the Better Access programme for those who need it most
through changed eligibility and payment arrangements and a more equitable
geographical distribution of psychological services.

Rec 14. Introduce incentives to include pharmacists as key members of the mental
health care team.

5. Promote the wellbeing and mental health of the Australian community, beginning with a healthy start to life

Rec 15. Build resilience and targeted interventions for families with children, both
collectively and with those with emerging behavioural issues, distress and
mental health difficulties.

Rec 16. Identify, develop and implement a national framework to support families and
communities in the prevention of trauma from maltreatment during infancy and
early childhood, and to support those impacted by childhood trauma.

Rec 17. Use evidence, evaluation and incentives to reduce stigma, build capacity and
respond to the diversity of needs of different population groups.

6. Expand dedicated mental health and social and emotional wellbeing teams for
Aboriginal and Torres Strait Islander people

Rec 18. Establish mental health and social and emotional wellbeing teams in Indigenous
Primary Health Care Organisations (including Aboriginal Community-Controlled
Services), linked to Aboriginal and Torres Strait Islander specialist mental health
services.

7. Reduce suicides and suicide attempts by 50 per cent over the next decade

Rec 19. Establish 12 regions across Australia as the first wave for nationwide
introduction of sustainable, comprehensive, whole-of-community approaches to
suicide prevention.

8. Build workforce and research capacity to support systems change

Rec 20. Improve research capacity and impact by doubling the share of existing and
future allocations of research funding for mental health over the next five years,
with a priority on supporting strategic research that responds to policy
directions and community needs.

Rec 21. Improve supply, productivity and access for mental health nurses and the
mental health peer workforce.

Rec 22. Improve education and training of the mental health and associated workforce
to deploy evidence-based treatment.

Rec 23. Require evidence-based approaches on mental health and wellbeing to be
adopted in early childhood worker and teacher training and continuing
professional development.

9. Improve access to services and support through innovative technologies

Rec 24. Improve emergency access to the right telephone and internet-based forms of
crisis support and link crisis support services to ongoing online and offline forms
of information/education, monitoring and clinical intervention.

Rec 25. Implement cost-effective second and third generation e-mental health solutions
that build sustained self-help, link to biometric monitoring and provide direct clinical
support strategies or enhance the effectiveness of local services.