Should the Government Pay for Ipilimumab?

How can the state pay for drugs that are shown to be effective against disease but cost far too much? Regularly, someone will be on a current affairs television program and point their finger at the government for not continuing to supply their needed medication. In the long term a government must balance the books. There is simply not enough revenue to provide new expensive drugs.

A new treatment for melanoma called Ipilimumab is very effective, but it costs $120,000 for a three month course. It stops the cancer from spreading beyond the skin. Ipilimumab can also be used to treat some types of lung cancer.

Should the government subsidize this drug? Like all medications there are side effects that can be severe in some patients. Symptoms include constipation, diarrhea, urination complications, bloating, stomach pain, fever and breathing difficulties.

The drug usually extends life by several months. In some cases patients survive for a year. A value judgement is needed to decide whether this treatment is added to the pharmaceutical benefits list. Obviously, there are many new drugs that prolong life for a relatively short period. Personally, if I was to get melanoma I would not worry about extending my life for maybe a year. I would be looking at the quality of my final days of life.
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Health
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Water Scooter Dog

"Faster, faster."
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Internet Puts Pressure on Jobs for Older Workers

The Internet is putting more people out of work and this is only the beginning. As more advanced algorithms are being developed established jobs are under threat. It will not only be lawyers and professional photographers employed by newspapers who get the chop. Unless you are in work that involves human problem solving like plumbers, mechanics and vehicle body repairers your job will face "extinction".

Most of the burden will fall on older workers. Retail, for example, only wants teenagers who can be paid a pittance while "training". Open discrimination occurs against people over 45. They are simply not wanted. This barrier age has fallen in recent years. Computerized job selection processes cuts them off at the beginning. Their resumes are not even looked at. If they go personally to apply for a position they face insulting comments and bad jokes.

Employers are no longer afraid of telling them directly that they are too old. Many have simply given up on seriously looking for work and they just do the minimum to justify payments from Centrelink.
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Economics
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Massage Animals

"This massage will make you feel better."
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Gender Equality in Australia Is Not on Mate!

The main problem with our Prime Minister is her gender. Australia still remains an "ocker" society where males see themselves as superior. Just how John Howard would have behaved in opposition to Julia Gillard is anyone's guess, because he epitomizes the Aussie male. Most lie in the center politically.

Australia's cultural heritage has left us with a very odd political system. There is a Coalition of a so called centrist party and a right wing party derived from pastoralists. Even in the centrist Liberal Party there are ultra-conservatives, mainly as they have nowhere else to go.

Labor is accused of being splintered into factions, but the Coalition is truly split between centrists and rightists. To put it bluntly they hate each other just as much as Labor factions. Some parliamentarians have left the National Party claiming that their rightist and in some cases center (tariff protection) policies are totally ignored by members of the Liberal Party. This is the main reason we have a Labor government. Two disaffected Nationals, now independents, joined with Labor to create the governing temporary coalition.

Getting back to gender problems, Joe Hockey, shadow treasurer, recently said about Julia Gillard that she “has never deserved respect and will never receive it.” This is arrogant. Even when John Howard ruled with an iron fist, he was respected by Labor politicians. Unfortunately, the present leader of the Coalition, Tony Abbott, tends to blatantly ignore Julia Gillard in parliament, sometimes not even responding.

Of course, he knows that he can behave this way. He has the next election in the bag. As a Labor politician said years ago: even a drover's dog could win.

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Conservation
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Laugh a Monkey

 
"That's so funny."
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We Have Never Had It So Good - Maybe

According to the Household, Income and Labour Dynamics in Australia survey we have never been able to buy so much with our income. Over the last decade income inequality has hardly changed, Wages have risen faster than inflation. Of course, we know that announced inflation is lower than real price rises.

Although Australia's debt is low compared to other developed countries, less than half of Australians believe this. Despite the good times, many are feeling down and depressed feeling that the country is not doing well economically. This is probably due to the negative political arena at the moment with any bad news being blown out of proportion, with political blame and counter denials being kept uppermost in people's minds.

We should be happy but the minority, politicians, are pulling us down. Things are certainly changing now with Chinese demand for primary products falling as well as prices producers receive. The new government, in September, will have to deal with rising unemployment. There isn't much doubt about this. Pressure to reign in national debt will mean job cuts in the public sector, and reduced government spending will push up unemployment.

The job market has structurally changed over the last 10 years. More people are in part-time and casual employment, good for business bad for job security. Welfare is being cut and will fall further as politicians take larger income rises for themselves and a "couldn't care less" attitude to the poor. Charities are feeding more of the less well off than they ever did before.

While incomes have remained the same, wealth inequality has risen. This continues as wealth is solidly held and increased by a few. The top 1 per cent have assets of $5 million. The bottom 10 per cent enjoy less that $10,000. Some of these have no assets at all.

Good times are not for everyone apparently.  We should be laughing or at least smiling.  If you are poor and without a job or assets you have to grin or grimace and bear it.  No help for you mate either today or in the future.
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Conservation
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Dog-Cat Helicopter Chase

"You keep driving.  I've got a gun."
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Banks Under Threat From the Internet

The Internet has disrupted the security of ordinary money. The economic system controlled by the banks for centuries is now under threat. Bitcoin is an example of new money. Its mere presence in feared by the banks. Money, or at least its value, depends on people having faith that it can easily be exchanged for different goods.

In Germany before WWII security in money was severely challenged. There was rampant inflation, so much so that people had to push barrow loads of  cash to a shop to get a loaf of bread.

New money is everywhere: PayPal has taken the banking world by storm. These bank-like services are being offered by Google, Apple and eBay. To get Followers on Twitter, many sites are offering seeds. Though the websites deny trading for followers, this is exactly what it is.

Google's Wallet is really a bank service. Smartphones can be swiped in store terminals to buy goods. The problem is most money does not really exist it is just recorded in books as they used to say. Now it is data stored on computers. The money supply is no longer controlled by central banks.

The question is - Will banks go the same way as traditional shopping centers and newspapers? It is possible!
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Conservation
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Sunglasses Cat

 
"Are they coming out, or not?"
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Unfamiliar Species Are Endangered

Endangered species in Australia tend to be those that do not fair well in human affection. Plenty is spent on koalas because they are seen as cuddly. In reality though they are not. Indeed, if one attempts to pick up a wild koala it goes on an all out attack if it cannot get away.

Some endangered animals are not exactly ugly. The grey-headed flying fox, a bat, is quite cute as shown in the photo.  It is just not in the mainline thinking of people. The average person knows very little about it.

Many cringe when the word "bat" is mentioned. They do carry some diseases, but cases where bats pass these on to humans are quite rare. The grey-headed bat is Australia's largest and is responsible for pollination of many plants, mostly trees.

There are more than 19,000 threatened species in Australia, 1,000 of them mammals. Some species that could be saved with a small amount of money are not helped, while others such as koalas get too much money. Koalas are being pampered to death if that is possible. Too much human intervention can do more harm than good.
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Conservation
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Bully Gorilla

"Just playing with my yo yo."
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Reserves Are Not Working: Extinctions Continue

Australia's slaughter of wildlife continues despite warnings from CSIRO. Nearly half of Australian mammals will end their existence very soon. Zoologist Fred Ford said 11 extinctions have occurred in recent years in the south-eastern forests of Australia. The reserve system is not working. They are just for show. Plants are doing well because they are surviving outside and inside reserves. Nothing is being done to protect small native mammals.

Reserves are havens for introduced feral animals and invasive weeds. Rangers are not being trained to look after the endangered species. Money should be allocated more efficiently. With all the money put into reserves there must be more positive outcomes.

Native animal need to be researched and the data must be analyzed. Records should be kept to formulate action. An astounding 65 per cent of reptiles in Australia have been discovered in the last 35 years. The public has not been adequately informed of this.
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Conservation
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Yo yo Pup

 
"Just playing with my yo yo."
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New Laws to Restrict the Leniency of Judges

There is not much doubt that the majority of Australians believe judges to be too lenient in sentencing. Drivers have been convicted of dangerous driving and homicide and have been given suspended sentences. Premeditated murderers have had to serve only five years in jail.

It seems once judges get their positions they favor convicted criminals. No wonder state governments are looking at legislation to force courts into tougher sentencing. The South Australian government is planning new laws to limit the use of suspended sentencing. Chief justice Chris Kourakis claims this is interfering with the independence of the legal system vis-a-vis government and the executive. But if judges do not sentence and meet public expectations intervention is necessary.

Serial offenders are given a slap on the wrist and are released to continue their illegal behavior. Some even laugh their way out of court. Intervention is also needed to have the criminal history of suspected offenders known at trial. Why shouldn't past behavior be used against criminals?

Chief Justice Chris Kourakis says "In general, the greater the discretion that a judge has the more the judge can fit the penalty to the particular crime." However, most believe that judges are not doing this. He admits though that governments have always set the parameters used in the legal system.
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Law
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Raccoon Mom

"Stay still.  You're my little baby."
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No-Car Future Is the Only Sustainable Option

The National Sustainability Council presented its long awaited report called the Sustainable Australia 2013: Conversations with the Future. This is the first of a series of biennial papers to advise the government about the state of the economy vis-a-vis the environment.

Full of optimism, the newly founded council said the future looked bright if we changed to building sustainable communities. However, the type of community needed is far more radical than envisaged by the council. Despite Australia having many of the most livable cities in the world we need to start planning immediately for the kind of balanced society of the future.

Oil will not be around forever and coal is too polluting to be used at such high rates. This means individuals driving around in five seater cars will not be possible. Electricity use is skyrocketing with Internet cloud servers and hungry mobiles gobbling up tonnes of coal and oil in power stations. Future cities will have to be designed with houses laid out in a manner that allows public transport to easily be used to get to work. Little is said about this now, but it will be in the future.

Somehow workers will have to be able to get from side roads to main roads where buses or vehicles on rails can travel. This will involve many more stops than at present and it will take longer to get to places of employment. We could see the return of bicycles or low-powered slow speed electric vehicles.

A place without car ownership will be an odd place to people of the current era. Nonetheless, it will have to happen eventually. Modern cities are car dependent. If an economic crisis stops the flow of oil these cities will die.
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History
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Water Ski Cat

"This is cool man."
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High Wage Rate a Problem for Australia

The overseas economic crisis is changing the perception of wage rates in Australia. Over recent months the Aussie dollar has fallen in value.  It helps exporters. The retail sector has also been calling for the dollar to be intentionally weakened. This is odd considering Australian consumers are heavily "addicted' to imports, so prices will probably rise in the shops.

There will be an election in September. Any color of government will have to cut back on spending. This will mean higher unemployment. Therefore, despite inflation steadily rising there will be downward pressure on wages. There is already a glut of people seeking employment in the vegetable and fruit picking industry.

When you go shopping a distinct feel of recession is in the air. With many buying online, the shops are almost devoid of shoppers. The lowest income earners have just been given a 2.6 per cent pay rise. This was done to redistribute income. Higher unemployment will prevent future artificial tinkering with the economy.

Australian wages are already too high when compared internationally. We have the highest rates of any developed country. The minimum wage is more than twice that of the US. Within Australia things have been much worse. The minimum wage today is 44 per cent of average full-time earnings. This compares to 50 per cent a decade ago. However, it is still very high.

It has been claimed that letting wages fall and redistributing wealth via welfare payments is a better idea. This of course depends on whether government can collect enough in taxes to have the money to do this. Even this though has been "damned" by some saying welfare reduces the drive to find work.
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History
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Dancing Bear

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"Swing it Man."
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The US No Longer Diagnoses Narcism

The decision by the American Psychological Association to strike narcissism out as a mental disease is a mistake. Physicians in others countries continue to see it has a disorder many people suffer from. Even the lay person can identify those in society with the malady. The most blatant characteristic is an exaggerated love of self, particularly the continual preening of one's body and dress.

Just why the association has made such a drastic decision is not clear. Perhaps those in authority in the psychological body have been offended because they have been identified with the complaint. This would be a logical conclusion.

Some see those who moved West to new lives with new ways as having been unfairly marked as being narcissistic. This interpretation is quite without foundation. Rockefeller, Jefferson, Edison and even Bill Clinton have had narcissistic claims made against them. A little thought will give the reason why, but it is drawing a very long bow to say all migrants are and were narcissistic.

This unusual identification with early US settlers is odd.  It does show, however, show that Victorian people did believe it to be present in society.  Underneath the self love the narcissist believes he/she is in some way unacceptable to others and must fight back. This can result in intolerance toward others to outright verbal attack.

The most common trait is a lack of empathy with others. There is a connection with autism here. Many dictators are seen as narcissistic. They rule with an iron glove and live off the fat of the land while those they rule are treated badly and starve.

The entertainment industry is rife with people who really love themselves. Pop stars have to be pulled from the stage as they return to be applauded again and again. Furthermore, there is not much doubt many movie stars are narcissistic as they bathe in public admiration.
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