Quad bike accidents: “It’ll never happen to me”

This is the second piece I have written about quad bikes for this blogg. The first (Quad bike safety, 20 July 2016; in the Rural health section) gives background information about the issue and makes the case for a ‘mixed mode’ response to quad bike accidents and fatalities:

” – it is not sensible to rely only on technical or engineering fixes. It’s also about behaviour and attitudes to risk. Many organisations – – are urging farmers to attend training courses about safe riding, following manufacturers’ instructions”.

For that first piece a couple of practising farmer friends contributed thoughts about some of the realities of the (proper) agricultural use of all terrain vehicles – and about some of the non-farm reasons for accidents:

  • the effect of mandatory wearing of helmets on attitudes to risk;
  • the impracticability of banning children from riding them; and
  • the particular risks associated with visitors to the property.

Accidents are still occurring, some of them fatal, so the question of how much regulation is the right amount remains an issue. Somewhere on the spectrum between anarchy and ‘A Nanny State’ is the right spot for dealing with the matter.

This second piece provides a little more history, evidence of how reactive and ad hoc the approach to regulation currently is, and some links to further information.

The Mount Isa Statement

The 6th biennial Are You Remotely Interested? Remote Health Conference, held in Mount Isa in August 2012 incorporated Farmsafe Australia’s Conference. One of the outcomes was the Mount Isa Statement on Quad Bike Safety.  (https://sydney.edu.au/medicine/aghealth/uploaded/Quad%20Bike/mtisa_statement.pdf)[1]

The Statement reports that fitting crush protection devices (CPDs) could reduce the number of quad bike deaths by up to 40 per cent. It asserts that the science underpinning the manufacturers’ opposition to such devices has been demonstrated to be invalid.

The Statement proposed that CPDs be mandated for all quad bikes, with technical standards for them having been developed. New sales of child size quad bikes should be stopped and children under the age of 16 should not be allowed to ride quad bikes of any size.

That was in August 2012. Two years later a report on progress with recommendations from the Mount Isa Statement, written by Richard Franklin, Sabina Knight and Tony Lower, was published in the on-line journal Rural and Remote Health. (www.rrh.org.au/publishedarticles/article_print_2687.pdf)

That journal article reiterated the immediate steps people can undertake to keep themselves and others safe when using a quad bike: initially selecting safer vehicles to use; fitting them with crush protection devices; not carrying passengers or overloading the quads; and wearing helmets.

In the next year, 2015, 15 people were killed while using quad bikes on Australian farms (http://sydney.edu.au/medicine/aghealth/publications/reports.php).

Ad hoc regulation and incentives

In May/June 2016 there were two fatal accidents in Victoria involving quad bikes. On the last day of National Farm Safety Week that year (22 July 2016; http://www.farmsafe.org.au) the Victorian Government announced that $6 million would be available to help farmers buy roll over protection bars for quad bikes. Farmers were able to access $600 per bike for fitting operational protection devices for a maximum of two rebates per farm business, or get a rebate of $1,200 towards the cost of buying a new vehicle with safety protection already installed.

The farm lobby welcomed the announcement and again argued that manufacturers should start providing roll bars on new quad bikes as standard. Manufacturing groups continued to argue that the money and effort would be better spent elsewhere, with helmets being the number one priority and rider training also important.

WorkSafe Victoria tightened the rules around quad bikes, requiring businesses to install roll-over protection devices on such vehicles used on a work site.

Typical compensation claims from an employee injured in the agriculture sector involve one and a half weeks off work. Overall, claims by employees in agriculture require longer periods off work than those in any other industry in Australia. (http://www.safeworkaustralia.gov.au/sites/SWA/about/Publications/Documents/759/Work-related-injuries-fatalities-farms.pdf)

The focus of National Farm Safety Week in 2016 was that safe farms are more profitable farms. One of the agencies promoting this message was the Primary Industries Health and Safety Partnership, which has produced and published some useful materials on the subject. (www.rirdc.gov.au/PIHSP)

On Sunday 5 March 2017 two people died in NSW as a result of quad bike accidents: a 60-year-old man and a six-year-old girl.

On Thursday 9 March the NSW Government announced a doubling of the $500 rebate on the purchase of suitable helmets or safer side-by-side vehicles for riders.

To qualify for the rebates, farmers need to have completed an online course and attended a SafeWork NSW training day or met with an inspector.

In February 2017 the ABC reported that free quad bike safety courses run by SafeWork NSW and TAFE had been cancelled due to a lack of numbers.  (http://www.abc.net.au/news/2017-02-07/quad-bike-courses-cancelled-lack-of-interest-despite-deaths/8247216)

Quad bike riders in Queensland must now wear a helmet on public roads and are prohibited from carrying children under eight years old.

There is discussion about making motorcycle-type helmets compulsory when riding quad bikes on private property.

There is a wide range of views on the best way forward.

And everyone agrees on one thing:

“It will never happen to me.”

 

 

[1] all of the links in this piece were checked and accessed on 17 March 2017.

Comments on accepting Louis Ariotti Award for Excellence, 6 March 2001.

Note: that year there were two recipients: Sabina Knight and Gordon Gregory. Following are the comments made by the latter on receiving the award.

This is a great honour.  I would like to thank the Toowoomba Hospital Foundation and all of those associated with the award.

I want to make three points.

Everything you do affects your health.  The time you get out of bed.  What you have for breakfast.  Whether the roof leaks and whether you have a car in your garage.  Whether you have a roof, whether you have a car, whether you have a garage.  Whether you have a job to go to and if so, what sort of job it is and how well you are paid.  The ethnic and cultural group to which you belong.  Whether you smoke.  How much you drink.  Whether you can read and write, and what age you were when you left school.  Whether you exercise.  Your gender.  Your genetic make-up (it seems ironic that you may be able to understand and even control the health impact of your personal genetic make-up before you can understand and control the health impact of housing, nutrition or employment on your own community)).

Most intriguing of the things that affect your health is whether you know the names of your neighbours – and whether you are a member of the local bowls club or its equivalent.

What all of this means is that we have to be working with interest groups and professional organisations across the board: in education, transport, economic development, taxation, community services, housing, arts and recreation.  It must be our goal as people interested in health outcomes to think, act and work on a broad front.  We must get architects, economists and sociologists to attend health conferences.  We must get shire clerks, sports organisers and regional development officers to attend conferences like this.

Second, health professionals might consider the impact of their professional self-interest on their own work and on the people they serve.  One does not see economists, physicists or sociologists banding together to promote their own profession at the potential expense of the field of endeavour in which they work, or at the potential expense of those affected by their work.  The health sector is characterised by an extraordinary level of professional fragmentation, by a mess of public service and private profit arrangements, and by direct conflict between the interests of professional groups and of the people they serve.  All of these are holding back the contribution that health professions could make to health gain.

Third, imagine what we could do if every individual and every organisation represented in this room agreed jointly on two or three demands of themselves, of their organisations and of governments, which were related to improved health for people in rural and remote Australia.  There is still much more to be gained from talking together, meeting together and working together in collaborative alliances for better health.

Thank you.

Health advocacy needs to be more specific, less ‘motherhood’

This piece was published in Croakey on 6 March 2017. My thanks to Marie McInerney.

On Friday, 3 March, the Australian Labor Party held a National Health Policy Summit in Canberra. Thanks to the endeavours of Croakey, and in particular to Marie McInerney, we were able to hear the views of some of the 150 experts there through Twitter, Periscope and Marie’s videoed online interviews.

This is not a piece about the relative value or effectiveness of the health policies of Government and Opposition. It concerns the difficulty health advocates seem continually to have in framing and agreeing proposals of the sort which might be adopted by the Government of the day or included by the Opposition of the day in its health policy platform for a coming election.

Everyone knows that advocacy should focus on answers, not problems. For the most part, politicians do not need to be reminded of what the issues are. But certain types of ‘answer’ are much more likely than others to be practicable and to improve health outcomes in the short term.

In meetings of health advocates, too much time is often spent on matters that are related to organisational principles, strategy, governance and (frankly) motherhood.

With the best will in the world, a Health Minister and their Department cannot operationalise generic principles. Nor are they what will really matter in an Opposition’s policy platform.

We can do much better.

Where the National Health Policy Summit was concerned, I read in Croakey that “there were benefits in having a big crowd of people committed to improving health in the same room, sharing an agenda with people outside their own ‘silos’ and reiterating key issues and messages with politicians and advisors that they often don’t get to reach”.

But how much more useful might it have been if there had been more focus on new policy proposals for this year’s and next year’s budget, and less on principles and strategic approaches!

This (untested!) observation led me to speculate about the type of initiatives on which health advocates currently spend their time, and what a more desirable mix would be.

Best use of an hour with the Health Minister

It is my belief that there are four classes of issue on which health advocates can work. They can be described as:

  • grand principles;
  • new national plans;
  • redistribution of existing program expenditures; and
  • evidence-based new policy proposals.

Such a classification could be applied to policies and programs which affect health but which are not within the health sector itself. That, then, would see it applied to the social determinants of health, including not just health risk factors but also, for example, proposals about taxation. However, for the purposes of this piece, I have restricted the analysis to matters that lie wholly or largely within the health sector and thus within the purview of Health Ministers and their Departments.

Table: Best use of an advocate’s one hour with the Minister of the day

 

Class of proposal or issue

Proportion of time/effort (%): Best: mins/hr. w. Health Minister of the day
Currently Desirably
1 ‘Grand principles’ 55 10 6
2 New national plans 30 25 15
3 Re-jig existing program expenditure 10 40 24
4 New Policy Proposals 5 25 15

‘Grand principles’

In the first class are what might be called strategic or organisational approaches to health. including such things as:

  • the aspirational importance of universal and equal access to health care;
  • the benefits of a primary health care approach to health and wellbeing – which includes many things outside the health sector itself;
  • the desirability of (but major challenge posed by) a whole-of-government or Health in All Policies (HiAP) approach;
  • the value of a strong primary care service;
  • the importance of continuity of care for individual patients of the system (through better integration of services);
  • the desirability of spending a significant proportion of the health budget on illness prevention and health promotion;
  • “regarding expenditure on health promotion as an investment not a cost” (rhetoric; motherhood);
  • “focussing on workforce retention as well as recruitment” (ditto);
  • “supporting Primary Health Networks to make a real impact on rural and remote health outcomes” (ditto); and
  • the desirability of consumer/patient involvement in the planning, management and evaluation of health services.

When lobbying politicians or engaging with the media, health advocates should, for two reasons, allocate very little time to such matters. For one thing, there is precious little disagreement, in Australia or anywhere else, about their importance. For another, such matters can and do inform ongoing political decisions but are not the stuff of short-term change or new policy proposals.

New national plans

The second class of issue consists of strategies or plans (probably national) which are not currently in place but which, if adopted by government, would be the frame within which specific programs would operate and on which new health budget allocations would be made.

Different advocates will have different views on such potential new plans or program frameworks; some will argue that a particular plan should not be introduced.

This class includes such things as:

  • a proposal to provide new money to fund actions under the National Aboriginal and Torres Strait Islander Health Plan (at the moment all actions in the Implementation Plan are to be funded from existing program allocations);
  • the introduction of specific tax regimes for sugary drinks or alcohol which would be premised on their impact on population health through influencing levels of consumption;
  • the regulation of the marketing of certain foods, especially to children;
  • a Senate Inquiry into food security;
  • an integrated strategy to Closing the Gap for Vision, which would include a subsidised spectacle scheme for rural and remote areas and Aboriginal and Torres Strait Islander communities; and/or
  • development and funding of a National Child Health Action Plan (NCHAP).

Proposals for the redistribution of existing program expenditures

The third class comprises proposals relating to existing policies or programs, suggesting ways in which the effectiveness of expenditures already on budget could be improved. This would include, for example, suggestions about how existing mental health programs should be altered, extended or terminated; or revised regulations to be applied to incentives for general practitioners who work in rural and remote areas.

Such proposals would legitimise the redirection of funding or even the termination of particular health expenditures. Such changes are of great interest to governments, particularly in fiscally-challenging times when any new program expenditures must be offset by savings from within the portfolio.

This class would include things such as:

  • proposals to take a particular medicine off the Pharmaceutical Benefits Scheme or to add a new one;
  • a proposal to take a particular procedure off the Medicare Benefits Scheme or to change the schedule fee for it;
  • a proposal to switch some investment from, say, headspace to Mental Health Services in Rural and Remote Areas (MHSRRA);
  • a proposal to increase the difference in rates of payment to general practitioners who work in the major cities and rural/remote areas;
  • a proposal to switch health scholarship expenditure from, say, medicine to, say, allied health; and/or
  • a proposal to change the allocation of funds within the Tackling Indigenous Smoking program.

Evidence-based new policy proposals

These are potential new programs which are justified on the basis of evidence about particular aspects of health service need, and about the efficacy of particular approaches to its management and/or treatment.

Such programs are in effect ‘shovel-ready’, with the evidence collected and the case made – in all probability by one or more advocacy body with a vested interest in the plan (not necessarily to support it). With the evidence in, there will in effect be a contest of ideas between them all, with the question of which are adopted by government answered through normal political processes.

In this class might be:

  • a program to fund clinical pharmacy positions in Aboriginal Community Controlled Health Organisations to oversee the delivery of the S100 Remote Area Aboriginal Health Service Program;
  • a program to fund a specialist Parkinson’s nurse (or Neurological Nurse Educator) in the 40 electorates with the highest proportion of people with the condition;
  • work on a national, longitudinal health workforce data set that can inform workforce planning and incentive programs;
  • a program to expand access to Nurse Practitioner and allied health services under the MBS in rural and remote settings where there are demonstrated workforce shortages;
  • a program to grow and support local activity related to social approaches to end of life by a Compassionate Communities Network in Australia; and
  • a program for recruiting more allied health professionals to care of the elderly and , under the NDIS, to people with a disability.

There is a place for general principles and approaches in what might be regarded as the Foreword to a set of programs for improving health outcomes on the ground. But for the most part there is only furious agreement about these principles, and what really matters are specific new policy proposals.

We have to get over the situation in which, in a room of 150 health experts, each one feels a sense of duty towards their own job or profession – as if they are in attendance with a representational duty.

What this means is that it will be easy for them to agree with others about the importance of, for example, continuity of care, but much harder to agree that scarce health dollars should be spent on anything but their own interest. When advocates for each special interest area bring their Number 1 proposal to the table, a contest of specific ideas can take place. Evidence will be scrutinised, assumptions challenged.

And at the end of the day there will hopefully be sufficient collegiality in the sector as a whole for the most effective proposals to be unanimously supported.

 

The Art of Professional House Cleaning

Our regular cleaner, ‘Cheryl’, is out of commission expecting her second child. We have a comfortable, relaxed relationship with Cheryl that includes a cup of tea and a chat during an extended stay. This week, in Cheryl’s absence, we began a relationship with ‘Dan’ and his dad. Naturally they wanted to make a good impression, which they did – whirlwind-like. It occurred to me that it might be useful to generalise from the experiences with Cheryl and D + D to produce an instruction manual for the industry they represent so well.

Introduction

Professional house cleaners face a tough challenge.

Time and time again they will enter a new host’s premises with no prior knowledge of the type of home it is or of the characteristics of the host family. Each time, they have one hour in which to make that home a cleaner place and, more importantly, to leave a good impression.

Every time this happens there is only one sign of success, one KPI to be met: to be invited back next week.

This How to manual provides invaluable advice for house cleaners young and old, and for experienced practitioners as well as for beginners. Using the approaches outlined here can take much of the care out of your scared.

Two strategies

Experienced house cleaners understand the importance of using every minute in a new premises to their best effect. Each time you work with a new host you have the opportunity to convert your lean time to profitable cleaning time. Remember that if you fail to impress, you will be less of a rooster and more of a feather duster.

The approach we recommend is based on two strategies: Optimising the Common Senses; and recognising the importance of Continuity of Stimuli.

Optimising Common Senses

Whatever the other characteristics of your host, they are almost certain to be endowed with the five human senses or methods of perception: taste, sight, touch, smell, and hearing. You need to make every one of these a winner so that their sixth sense tells them that, with you as their cleaner, they are onto a good thing!

  • Taste: this is the trickiest of the senses to optimise. Your host is probably aware of the saying that there are more germs on their kitchen cutting board than on their toilet seat, but you cannot be assured that they will be willing to subject this to a taste test. But you can perform your duties in such a way as to guarantee that they have a good taste in their mouth when they reflect on the work you do and the money they pay for it.
  • Sight: with practice, you will soon become adept at observing the particular spots in a home that are most frequently used by your host and their family – likely to include the kitchen, living room and bedrooms. Once this is done it will be obvious to you that small things like vases, unopened mail, hairbrushes, car keys, make-up bags and TV remotes each have their special accustomed place. You should move as many of these as possible so that they are still visible to the host when they get home but just relocated enough from normality to evoke the response “That’s funny: I don’t remember shifting it there.” (As you are making these adjustments you should consider the Continuity of Stimuli strategy discussed below.)
  • Touch: when it comes to the sense of touch, the most important things to remember are not what you should do but what you should not Never help the host with the dirty dishes left over from breakfast or, worse still, from last night’s evening meal. If dirty dishes are cluttering up the sink and draining board you should lift them off temporarily, wipe down the sink and draining board surfaces and then return the dirty dishes to their pre-existing place. Other things not to touch include the iron, washing machine, dishwasher and bedding.
  • Smell: the strength and evocativeness of the olfactory system is often understated, perhaps because it represents one of the oldest sensory modalities in the phylogenetic history of mammals. Be sure not to make

the mistake yourself of underestimating its potency. When you first arrive on site, and again immediately before you leave, be sure to spray the toilet and bathroom with an instantly recognisable cleaning agent. In a larger house, we recommend you use industrial strength agents. A good trick is to leave the extractor fans running in the kitchen and bathroom, which has two beneficial effects: first it spreads the cleaning odour throughout the house and, secondly, it requires the host to touch the off switch on these devices when they get home.

  • Hearing: mention has already been made of the benefit of leaving extractor fans running. Other possibilities include leaving the radio on, broadcasting a station not normally used by the host family. But the simplest audio stimulus which is too often forgotten by even the most experienced practitioner is the vacuum cleaner. Be sure that each time you gain access to a premises you run the vacuum cleaner for at least 5 minutes, during which time you or your partner (see below) should carry the device, moving with the noise from room to room. There is a direct correlation between the effectiveness of this tactic and the decibels of the vacuum, so be sure to have one in your arsenal capable of creating a noise suitable to the size of the property in which you are working.

Continuity of Stumuli

The purpose of this second strategy is to ensure that the signs of your having been present in your host’s home last for as long as possible. You will be underplaying your hand if, when your host returns home, they notice the smell of the cleaning agent (see above) and that the envelope with the cash has gone, but then think nothing more of the matter until next week.

A useful trick is for you to put yourself in the place of your host and think chronologically through their activities upon returning home. First, they will place their car keys in the usual place. See if you can change the nature or location of this ‘usual place’; if it’s a hook on the wall, it can easily be relocated with a screwdriver and hammer; if it’s a small plastic container on the table in the front hall, it can be placed purposefully on the floor beneath the table. Next, your host may well look for today’s mail and place it with the unopened mail from previous days: make sure the pile of unopened mail is relocated just sufficiently to evoke the required response, without placing it completely out of sight. Next they may switch on the television, only to find that the remote has been moved from its usual spot. When they move to the kitchen to prepare their dinner, they might find that the chopping board which usually sits on the surface next to the stovetop has been put away in a cupboard. And the toilet seat might be up.

When planning these tactics it is important not to be too ambitious. Moving the fridge will be a health risk to yourself, if working alone, and is likely to assume more of your 60 minutes than is justified. Switching the position of paintings or pictures on the walls is also not a valuable use of time, as evidence shows that many of the hosts on whom you are working will not notice for several weeks and then may fail to attribute the switch to your activity.

Final Hints

If you bear in mind the two strategies discussed above, we are confident that you will develop a profitable and ongoing relationship with the majority of your hosts.

Finally, there are a couple of ‘tricks of the trade’ that will add to your repertoire.

You know how important it is to make a good first impression. If, on your first visit to your host’s premises, they are expecting just one of you, arriving with two creates a lasting and positive impression – that’s assuming that someone from the family is at home or that the neighbours observe the onslaught and report it when the hosts get home.

Each time you arrive on the host’s doorstep, be sure to be seen to be well-equipped. This can be particularly impressive if there are two of you and both are weighed down with a variety of buckets, mops, vacuum cleaners, bottles, dusters and several unspecified pieces of electronic gadgetry. The whole collection should be placed in a strategic part of the home’s passageway so as to be optimally visible.

As we said above, the key sign of success is that you are invited back again next week. If you follow the advice provided in this manual we are confident you will reach that situation in the majority of cases. And in some, the relationship will go a step further to one in which you become a friend and confidante of the host and enjoy a weekly chat and cup of tea with them.

Always assuming you can remember where you put their tea caddy.

parkrun: healthy movement

When Yvonne and Paul visited us from Harrogate three years ago, they took me down to Tuggeranong on the Saturday morning to introduce me to the parkrun phenomenon. That morning over 300 people of all shapes and sizes set off at eight o’clock on a 5 km run or walk along the edge of the lake and back.

I recall it as a relaxed event which, thanks to quite evident effective community organisation, accommodated a few babies in prams and dogs as well as keen-looking athletes in cutaway shorts.

Imagine my surprise, though, on picking them up from the airport two weeks ago to hear that it wasn’t the National Museum of Australia or the National Arboretum that was at the top of their to-do list in Canberra, but the parkrun at that place with far too many syllables for Yvonne and Paul to manage.

The first parkrun was held in Bushy Park, Teddington, in the UK, in October 2004. There were 13 starters and four volunteers. There are now parkrun organisations in 14 countries, including Canada, New Zealand and Russia.

There are about 200 parkrun locations in Australia, including four in the ACT.[1] Stats about the number of runners each week and other information is available on the website at www.parkrun.com.au/

Back home Paul and Yvonne are enthusiastic members of the Nidd Valley Road Runners, who support the Harrogate parkrun event. (I think they value the Nidd’s single syllable.)

All you have to do to take part in a parkrun anywhere in the world is to register online by the night before the event. Once you do that, you’ll be part of the recording system which sees everyone’s time and position published on the website within a couple of hours of its finish.

Participation is free, the only expectation being that everyone will volunteer at one of the events a few times a year.

At Tuggle-eerie-lingto-gong on that recent Saturday morning I took part without having registered, and enjoyed a well-organised and non-threatening event.

Next time I will register so that, as I walk the course, there will be absolutely no sense of being free a free loader! I have, after all, an impressive pedigree for a 5K course: I have two legs with relatively little knee and hip dysfunction, and my daughter-in-law is training for a half marathon. It’s just a nuisance that some of my other attributes seem to preclude the action of actually running.

But it will do me good to keep physically active and the parkrun movement provides another option. Perhaps I will see you there – or just compare notes with you online.

parkrun Australia’s sponsors are Medibank, Suncorp Bank and Stockland.

The link again is www.parkrun.com.au/

  • [1] Paul says the four are at Girly- biff-grin, Gin-and-dare-her, Gorn-gargling and Tuggle-eerie-lington-gong.

A jogger’s diary

Thursday:
away; drove to Sydney.

Friday:
returned to Canberra via Wollongong.

Saturday:
played cricket.

Sunday:
recovering from 7 (all singles).

Monday:
forgot until too late.

Tuesday:
wet.

Wednesday:
couldn’t find running shoes.

Thursday:
hot.

Friday:
very hot; best to save energy for cricket.

Saturday:
rained off; went to the pub.

To market, to market, to buy a fat pig…two case studies of economic change

Reprinted from Croakey.

To market, to market, to buy a fat pig…two case studies of economic change
Editor: Marie McInerney. Author: Gordon Gregory: December 6 2016.

Much has been written and said about the reasons behind Brexit, the Trump ascendancy and the move away from the traditional major parties at this year’s Australian election. A common theme has been a failure to recognise how economic change in the context of globalisation has left many people behind.

In this post, Gordon Gregory discusses two quite distinct Australian case studies of a link between structural economic change and income inequality: the proposed closure of the Hazelwood coal mine in Victoria and the attempted shutdown of the greyhound industry in New South Wales.

Gregory, the former CEO of the National Rural Health Alliance and an economist, says that historically such industry changes as these have been left largely to the free market to sort out – triggering a wave of social, economic, regional and political implications.

Arguing that governments, the private sector and regional communities can collaborate and work proactively to generate new jobs and industries for towns and regions that will otherwise be centres of poor health and of political alienation, he says Hazelwood provides a highly-visible opportunity for properly managing the shift.

Gordon Gregory writes:
The Brexit vote, the 2016 federal election in Australia and Donald Trump’s ascendancy are all seen as evidence of increasing disillusionment of ‘the middle people’ of a nation with its established political elites.

One of the more popular explanations of this phenomenon is essentially economic: that at a time of economic globalisation and industrial change, many people have not experienced improvements in their material wellbeing.

For many decades there has been a free market or hands-off approach by governments in Australia to industrial change. But with mounting evidence that structural change in the economy is a significant driver of income inequality, which in turn lays the basis for political disaffection, governments are well advised to take a closer interest.

Agencies as diverse as the Reserve Bank of Australia (RBA), the Productivity Commission and the Australian Council of Social Service (ACOSS) have published data showing that inequality in the distribution of income and assets in Australia is increasing. That is not news. But what may be is the fact that, as the RBA demonstrates, this has less to do with household characteristics (for example age, years of completed education or family status) than with what it calls ‘income shocks’, such as being laid off and being unemployed for a long period.

The transformation of Australia’s industry on a grand scale is seen in the loss of our motor vehicle manufacturing, with up to 200,000 jobs set to go in the next 12 months, adding to the number of Australians who, despite record economic growth, are on the margins. And there are daily losses on a smaller scale.

If alternative jobs are not found, this becomes fertile ground for the growth of popular demand for trade protectionism. Both Brexit and Trump owe their success in part to a naive belief that, where trade policy is concerned, ‘charity begins at home’. That sentiment is finding increasing expression in Australia, as evidenced by the views of some on the Senate cross benches and by the less public expression of opinion by some in the major party blocs.

Greater trade protectionism will harm everyone, especially weaker and smaller trading nations whose people can least afford it. This makes it even more important to find alternatives which can work within individual nation states to deliver economic benefits – better full-time work, stronger and more sustainable incomes – to families and regions that have been missing out. And the benefits of such alternatives will include better population health and lower healthcare costs.

To do nothing risks bequeathing to our children a society in which there are fewer economic opportunities than we have had – and one in which wellbeing is partly determined by the place in which someone lives. Unavailability of work is already one of the strongest of the social determinants of health – and one that helps define the difference between rural and metropolitan areas.

Industrial change is a social issue

Australia has numerous towns which have lost one or more of their main economic functions and, as a result, have experienced population decline. Small timber mills, abattoirs and flour mills have closed and, where there is little alternative use for the land on which they stand, they remain as sad and ironic monuments to Australia’s economic progress.

City areas have experienced such economic change in equal measure. But because of the high value of land and infrastructure and the relative ease with which they can be redeployed, there are fewer visible reminders of it in the cities.

The economist’s dismal prescription in these circumstances has usually been along the following lines.

⦁    They help policy makers to be prepared for the inevitable by identifying and scrutinising industries or individual entities (eg factories) experiencing rapid structural changes and which are unlikely to be economically unsustainable in the medium term without government support.

⦁    The inevitable happens. A significant industry or plant closure occurs. Jobs are lost.

⦁    The economist will remind everyone that Australia is a trade-exposed nation, and that the free market is its friend.

⦁    Led on by political action, the economist ­– dark-souled, unwilling – will offer opinions as to whether particular populations (groups in the workforce) or regions (particular towns, for example) are bearing ‘an undue proportion’ of the costs of structural change, and whether the speed of industrial change they confront is ‘unreasonable’.

⦁    This results in a decision about whether assistance or compensation of some kind should be made available to those populations and/or regions in order to ease but, critically, not to prevent the adjustment.

A complete analysis of the pros and cons of those decisions ought to include an understanding of the dynamics of employment and unemployment. We need to know what proportion of those who are unemployed were laid off from a declining industry, the proportion laid off from an industry that is still employing workers, and the proportion who have never had a job.

The best policy prescriptions for each of  these groups are likely to be quite distinct.

Greyhound industry: structural change going to the dogs?

Events over the past 18 months in New South Wales’s greyhound industry provide a fascinating case study of a radically different approach to industry change, using a paradigm based not on the market but on ethics and objective evidence.

In the early days, when it seemed to have been successful, Premier Baird’s decision shone like a beacon to show that structural change could be initiated, planned and managed by government acting on the basis of anticipation of the national interest and ethics – in this case relating to the treatment of animals. Had it been successful it might have been seen as a model for action on any sector of the economy or factory, mine or plant deemed to be inimical to the national interest or unethical.

In his announcement of the proposed greyhound racing ban, Premier Baird said:

“Over the coming months, we will consult with the industry to help minimise the pain as best we can for the innocent industry participants as we work towards an orderly industry shutdown. We will develop a strategy to work with the RSPCA to manage the welfare of existing greyhounds. And the transition arrangement for Greyhound Racing NSW assets (like greyhound racing tracks) will ensure they are used for open public space, alternative sports facilities or other community use.’

However the recent state by-election in Orange and its impact on the NSW National Party mean that the consequences of this new approach are still being played out.

This courageous approach to structural change faltered on the rock of  vested interests and a failure to garner political support for the decision early enough. The venture has ended in tears but may still prove to be instructive in terms of how economic change can be initiated by proactive government decisions rather than by The Invisible Hand.

Hazelwood: more power to the people?

Writing at Guardian Australia, Gay Alcorn has described the planned closure next year of the Hazelwood power station in Victoria’s Latrobe Valley as “a symbol of many things: the government’s wavering commitment to climate change, our reliance on coal, and now, the massive structural transformation under way in the energy market.”

More than that, it is also a classic demonstration of the roles – played and not played – of governments, the private sector and the local community in economic and industrial change that is the result of market forces.

The State and Federal Governments are both concerned and both involved. Wendy Farmer, spokeswoman for Voices of the Valley, has been quoted as asking why, when both governments knew that Hazelwood would close sooner rather than later, there was no transition plan already in place.

The closure of ‘Australia’s dirtiest power station’ will inflict further job losses on a region which is already one of the most disadvantaged parts of Victoria, with unemployment estimated to be 19.7 per cent in Morwell and 14.6 per cent in Moe.

The State Government has earmarked more than $80 million to attract new industries to the area and provide employment and training support for workers. The workers themselves are in their mid-50s on average and their union, the CFMEU, has negotiated generous conditions and redundancy packages over the years. They are likely to receive more than $300,000 on average in redundancies.

The Federal Government has established a Ministerial task group focused on three issues: helping the workers (through a financial package, support for local infrastructure and regional jobs); energy security; and energy pricing.

It says it has also committed more than $400 million to defence, road and community programs in the Latrobe region, including a $200 million upgrade to the East Sale RAAF Base.

Martin McKenzie-Murray has written on the series of mine fires that have affected people’s health so directly and on the legacy the plant leaves to the region.

The complete story of Hazelwood is yet to be told. It includes rehabilitation of the mine site and the ongoing impact of the massive pit fire. It has national implications for energy markets, particularly after South Australia blacked out on 28 September. And it has implications for climate change policy and the environment.

But of the greatest importance from the health point of view is Hazelwood as a test case of a collaborative tri-partite approach to regional economic change. The decisions taken must put the health and economic interests of members of the community first.

To win back popular support and credibility, governments need to  have a sharper eye on the health and wellbeing effects of economic change – and to demonstrate that they are guided by empathy and compassion, not merely by the dismal science.

Dreams of home: Beardy Street, Armidale

What is it that makes some experiences or imaginings the stuff of one’s dreams, while so much else – of greater importance, of longer duration – seems unknown to one’s sub-conscious?

Whatever it is certainly characterised the weatherboard cottage at 307 Beardy Street in Armidale and our time in it.

307 Beardy Street - only 50 per cent of the pencil pines I planted at the front survived
307 Beardy Street – only 50 per cent of the pencil pines I planted at the front seem to have survived

It was our family home for twelve years during which the family grew, was formed.

307 Beardy Street is on the corner with Ohio Street and across the road from The Armidale Playhouse, decked out for a long time in a colour crudely likened to something sometimes found in the nappies at our place.

We left there in the middle of 1985 and for years afterwards that house featured regularly and prominently in most of the dreams that I recalled. I also used to show off by leaping from the tops of buildings and swooping elegantly and safely across the top of the town’s main streets. I haven’t been back, on the ground or in the air, for a long time now.

Twelve of our first fourteen years in Australia were spent there. All four of our children were born in Armidale, with Alpha spending her brief (and mostly restful) confinements in the birthing motel units at the hospital just two blocks away.

The house dated back, I believe, to the 1880s or 1890s, at which time it stood on its own, surrounded by small paddocks. It is a weatherboard construction with bullnose verandahs on all four sides and a steep tin roof. It was of a standard layout, with the front door at the centre of the side facing Beardy Street, and with two rooms left and right off the central passageway. The room to the left at the back had been extended by a incorporating part of the veranda as a kitchen. Three little wooden steps led down from this enlarged space to the laundry and bathroom, with the toilet built into the back verandah. The walls of the room down the steps at the back were made of flattened out four-gallon fuel drums.

The first room on the right from the front door became the bedroom for the growing number of children, with half of the space divided vertically by a large platform on which there were two bunk beds. This made good use of the 11 or 12 foot ceilings in the house, made of pressed tin.  A vertical ladder provided the kids with upwards access to their ‘bedroom’  and a fireman’s pole with a rapid way down.

Being at the western end of Beardy Street, our home was within easy walking distance of the shops, and part way between ‘down town’ (‘CBD’ doesn’t quite do it) and the University of New England campus. We were nicely embedded in the town’s social, musical and sporting scenes and I have always thought that if we had been there for another couple of years it would have been our home for life. The town was small enough to be a small town – but large enough in population and cultural aspirations to host ABC concerts.

I was back there for the inter-State veterans cricket competition just a few years ago and was surprised to see what twenty years and a sort of gentrification had done to the pubs and clubs. Dingy but functional drinking spots had morphed into glass-and-piped-music entities with restaurants on the side.

So why did that home on Beardy Street subsequently feature so strongly and so long in my dream? They were certainly happy days, with minimal family and professional responsibilities compared with later years. The first panic attack was yet to occur. Professional responsibilities seemed other people’s rather than partly my own.

Perhaps it’s significant that I used to dream of re-owning the place, escaping from the public gaze and responsibility of work in Canberra, enjoying sun through glass on winter mornings, pottering in the vegetable garden. This all sounds like ‘going back’, or opting out.

At some point towards the end of our time in Armidale our suspicions about the potential use of the space above the pressed tin ceilings and beneath the sharply-rising tin roof were confirmed. Standing with the torch in the roof cavity revealed the extraordinary volume up there. The thought of dormer windows and extra rooms gave us great excitement. Kerry Hawkins produced plans for the major refurbishment and Reg White accepted the preliminary commission to do the build.

Then I got a dream job in Canberra.

Booloominbah, UNE, Armidale
Booloominbah, UNE, Armidale

 

I found images of some of Armidale’s (better) Federation houses at https://federation-house.wikispaces.com/Armidale+Federation+Heritage

Structural change in the economy: a real life and political issue

Much of my working life has been spent on matters relating to structural change in the economy. It sounds pretty dry but in fact it’s full of human interest and also important. And it is a topic of great current importance to Australia.

My first job was on the Farm Amalgamation Research Project in England. (One had to speak very clearly when using the acronym.) It was a research study on the dynamics of the way in which farms were being amalgamated and what it meant for agricultural production.

In 1971 I joined a similar study at the University of New England, focused on the impact of the dramatic fall in the price of wool on land ownership and productivity in some of the woolgrowing regions in New South Wales and Western Australia. Were woolgrowers postponing productive expenditures, such as superphosphate or flock management, or were they able to tighten their belts sufficiently by reducing personal household or family expenditures? (You can guess the answer.)

abandoned-farm-house

And was it neighbours, corporate interests or new entrants to agriculture who were buying up woolgrowing country?

These are the sorts of human decisions that drive change in one of the leading elements of agriculture’s structure: the number of farms.
Some of their results are well-known. In 1981 there were about 263,00 farmers in Australia. In 2011 there were 157,000 – a reduction of 40 per cent. The number has been falling for many decades as small farmers find it hard to make a living and sell up to larger operators, and as some family farmers don’t have a successor.

The numbers do not fall evenly through time. Events like major droughts have a major impact. For example, there was a decline of 15 per cent in just 12 months during the 2002-03 drought. And by 2011 there were 19,700 fewer farmers in Australia than there had been in 2006, a fall of 11 per cent in five years.

This structural change in agriculture has some serious implications for the economic base of country towns; for the industry’s productivity and income; and for environmental sustainability.

Agriculture has been changing shape but is still a productive industry contributing substantially to the nation’s wellbeing.

hazelwood-power-station

A number of other industries have also experienced big structural changes, including meat processing, timber milling, textiles clothing and footwear, and motor vehicle manufacturing. Many towns in Australia that used to have abattoirs, timber mills or textile manufacturing businesses – and in which these were major employers – have had to adjust and find new industries or lose population.

The economist’s (rather dismal) prescription in these circumstances has usually been along the following lines.

Identify and scrutinise sectors experiencing rapid structural change, in terms of their ability to compete with global suppliers and so to be economically sustainable without government support in the longer term.
Remind everyone that Australia’s is a trade-exposed nation, whatever it produces, and that the free market is our economic friend.

Identify populations (groups in the workforce) and regions (particular towns, for example) that are bearing ‘an undue proportion’ of the costs of such structural change, and/or situations in which the speed of change is ‘unreasonable’. Judgements are involved!

Make a balanced decision about whether compensation should be paid in some form or other to those populations and/or regions in order to ease but not prevent the transition.

If it is decided that there should be ‘intervention in the free market’ that is driving structural change, propose the best sort of compensation, which might be income support (to industries or workers), retraining, relocation assistance or special safety net provisions, and how (and for how long) such compensation should be managed.

This has been the normal prescription for many decades now.
But is there a different medicine, a better approach?

Nick Xenophon may well be among those who thinks there is.
[ – to be continued – ]

Pounds, shillings and common sense

coins

Parri has asked me to explain pounds, shillings and pence. It’s a pleasure to do so.

It’s very straightforward. Let me explain from the bottom up, in ascending order of munificence.

There are two farthings in a hayp-nie and (obviously) two haypnies in a penny. The penny is a large, confident coin, much in circulation, so tends to feature prominently in conversation,  as in “A penny for your thoughts”, “In for a penny, in for a pound”, “When the penny drops”, and “Turning up (frequently and at inappropriate moments) like a bad penny”.

Mind you, the haypnie can justifiably claim to be important in reminding us of how some of the world became pink for a while on the school atlas through the travails of England’s sailing vessels, which were rarely “spoiled for the want of a haypnie’s worth of tar”. (I am inclined to believe that the reference to tar in a ship’s caulking pre-dated the tar hollered for in ‘Click go the shears’, in which the focus on ‘ship’ is replaced by ‘sheep’.)

The configuration of the penny-farthing bicycle becomes visibly clear once there is familiarity with those two staples of the currency.

Together, farthings, haypnies and pennies are ‘coppers’ – not to be confused with Dixon of Dock Green (Jack Warner) who is also.

There is no two-penny piece, except when coined in language, as in “I couldn’t give you tuppence for your old watchchain, old iron, old iron” (Lonnie Donegan).

Three pennies are of course thruppence, represented by the thruppeny bit. Just why the thruppeny bit has so different a shape and hue I don’t know. It’s almost as if it’s an interloper from across the seas, its twelve sides and strange colour promising the mystery and curiosity of far-off realms and climes.

There was also a silver thruppenny bit, scarce in my time – an anachronism with the very special added attraction of being seen only on one’s spoon amidst a piece of mum’s Christmas pud. But as the youngest of four boys, and as Parri will understand, I rarely got one – – (!!).

Two thruppeny bits make a tanner (6d) and two tanners a bob (1/-). With a tanner, a boy is rich, with his expectations in the sweet shop probably affected more by physical than financial limitations: perhaps his inability to see over the sweet shop counter.

As a cub scout I participated in ‘Bob a Job Week’ although, living on a farm, there were precious few doors to knock on so that the jobs done were probably remunerated at one shilling each by my mother – jobs which, in all probability, I ought to have been doing anyway if any sort of a son.

A two shilling piece (“two bob”) promises thrilling possibilities for a young boy – and is something of which one might boast to one’s peers. Great aunts might refer to it as a ‘florin’ but I would rather have been dead than to have used such an out-dated term.

Naturally there are twenty shillings in a quid – but never “twenty bob”. Ten bob is denominated in the first bank note of which I was aware. If you have ten bob it could be as a single orangey-brown note, ten separate shilling pieces, five two-shilling coins, or (most gratifying of all!) as four half crowns – or, less symmetrically, a combination of all of these.

You will now see that half-a-crown (the indefinite article is permissible with the singular only – “two half-crowns” not “two half-a-crowns”) is “two and six” (2/6) but never “two and sixpence”.

That’s odd because two shillings and four pence (“2/4”) is never spoken as “two and four”. I suppose that’s because two and six is denominated in a single coin, whereas two and anything else is not.

The half-crow is a coin of such heft and majesty that it requires a paragraph all its own. A boy could not pocket one without being impressed by its considerably greater thickness and weight than its cousin two bob piece – even though its value in the bank is only one-fifth greater. A half-crown is a saving or investing matter, quite over the top in the sweet shop! Together with its weight, something about its markings connotes grandness and seriousness.

A half-crown is seen now and then even by young boys. But never a crown. Never. Unless in a display cabinet in some museum after it has probably been ‘undenominated’ by the making of a hole in it and its presentation to an admiral of the fleet or a civil engineer of the Victorian period.

I have mentioned the 10 bob note – the most junior in the panoply of bank notes. Next in seniority is the pound note, followed (as a young boy I am led to understand – but not to palpably know) by £5 and £10 notes and then by who knows what possibilities above and beyond to dream about.

A pound is a quid – twenty shillings. But much of the serious masculine bidding and trading is done in guineas – including at the Fordgate clearance sale where the tyres on dysfunctional farm machinery were “on their own worth a guinea”. A guinea is 21 shillings (“21/-“) or one pound one shilling – and something one can speak of but not actually hold. There is no guinea coin or note of which a small boy in the 50s is aware.

The following glossary might help:

Denomination    in farthings    Shop assistant                        Schoolboy
farthing                       1             “farthing – ma’am”              farthing

haypenny                    2             “haypenny – ma’am”           haypnie

penny/pence (1d)       4              “penny/pence – ma’am”      penny/pence

thruppence (3d)         12            ” thruppence – ma’am”        thruppence

sixpence (6d)             24            “sixpence ma’am”                a tanner

one shilling (1/-)       48            “one shilling”                       a bob (pl. ‘bob’)

two shillings (2/-)     96           ” a florin, Madam”               two bob

two shillings
and sixpence or
half a crown (2/6)       120         “two and six, Madam”            half a crown

ten shilling note
(no coin)                      480         “ten shillings, Madam”          ten bob

one pound note (£1)    960        “one pound, Madam”              a quid

one guinea                   1008        “a guinea, Sir”         [bemused silence]

All clear, Paz?boy-puzzled-expression-31013

PS: I left the UK with the tanner in 1971. The bob remained, re-christened 5p.