Will the influx of 200,000 people fix this chronic problem, page-45

if you want to make it simpler in australia you need to change the way states and federal systems work.

during covid there is no doubt that the federal government intervened with policies and direct control of vaccines etc. when Morrison decided to instal an ex army man -(and apparently himself as a minister of health ) directions were were given, plans changed and messes made that public health networks (federal) and state health departments and local clinics were left scrambling to catch up and look like tte knew what wa ex happening. This is fact whether you like it or not. They still haven’t recovered and most running health businesses are exhausted

but federal governments don’t control staffing on the way health is delivered and states still make funding decisions as well. The practices in respect of vaccinations were not federal directions but state decisions.based on collective cross state consultation. In most health systems now health professionals are exhausted and frustrated and it’s a combination of factors many of which are caused directly by state policies.

yes it’s decades in the making and is influenced heavily by a belief system that out there in the community that public servants are useless and private sector provision of anything is always going to be better. That has driven federal and state practices and funding. It is a deeply flawed doctrine however as the disaster in aged care demonstrates so aptly

staff shortages are also influenced heavily by the attractiveness of any job type. Nurses and hospital doctors are public servants. When you screw down funding from state and federal levels, cut staffing to the bone and persist in a view that nursing is an inferior profession not worthy of decent pay (a hang over from tte belief that as a primarily female “vocation”) you’ll have difficulty attracting decent and sufficient people or keep them. Increasingly people will decide it’s just not worth it. Funding levels reflect a view that public health is a drain on the taxpayer.

we live in a world where what you get paid matters - both in terms of psychological and economic comfort and the perspective of one’s inherent worth.

sure you can get rid of paperwork and then be even worse off with a litigious community sick of poor health care. I don’t disagree with your proposition that bureaucracy has gone mad but I do disagree tgaf it is tte fundamental cause of the problems with the sector.