Life at 7: discussion thread

This article originally appeared on Hoyden About Town.

In February last year, the ABC screened Life at 5, the third edition in Life, an Australian documentary series following children born in 2004/2005 through their childhood. It’s associated with Growing Up in Australia: The Longitudinal Study of Australian Children.

Almost all of the children we first met at age 1, and then at ages 3 and 5, are returning from tonight in Life at 7, with only Loulou not appearing. This time, the two documentaries are Tackling Temperament (now on iView) and Finding Your Tribe (now on iView), screening a week apart.

People with Australian IP addresses can also catch up on the earlier documentaries for a limited time:

Are you watching Life at 7? Please play along in comments, I enjoyed (and was frustrated by) the previous documentaries, and I’m looking forward to seeing the new series.

Sunday spam: porridge and honey

What is cultural appropriation?

The problem isn’t that cultures intermingle, it’s the terms on which they do so and the part that plays in the power relations between cultures. The problem isn’t “taking” or “borrowing”, the problem is racism, imperialism, white supremacy, and colonialism. The problem is how elements of culture get taken up in disempowering, unequal ways that deny oppressed people autonomy and dignity. Cultural appropriation only occurs in the context of the domination of one society over another, otherwise known as imperialism. Cultural appropriation is an act of domination, which is distinct from ‘borrowing’, syncretism, hybrid cultures, the cultures of assimilated/integrated populations, and the reappropriation of dominant cultures by oppressed peoples.

Aircraft Carriers in Space

An article about naval metaphors in fictional space warfare. Sometimes I suspect that I like science fiction meta way more than I like science fiction.

“I’m not like the other girls.”

A quote I saw making the Tumblr rounds, which said, “I’m not like other girls!” It went on to avow wearing Converse instead of heels, preferring computer games to shopping, so on and so forth. When I saw it, about 41,000 girls had said they weren’t like “the others.”

Is Australia in Danger of Becoming Greece? Austerity and Blackmail Down Under

It is not enough to respond to this ongoing rhetoric about Australia’s supposed calamitous future by pointing out, as Ms Gillard correctly did, that these comparisons are ridiculous given the state of European periphery countries. Yet the ideological blackmail is strangely telling, precisely because the financial sector in the form of the troika (the International Monetary Fund, the European Commission and the European Central Bank) has held Greece’s politicians hostage, forcing a slashing of the government in exchange for “bail-out” loans.

The Start-to-Hate Review System

The concept is simple: Rate media based on how long it takes to encounter something bigoted. The longer it takes, the better the media.

An Investigation Into Xinjiang’s Growing Swarm of Great Gerbils

I am subscribed to two “long form” websites: the picks of Long Reads, which focuses on newer pieces, and the editor’s picks of Longform, which tend to skew a little older. Hence, this, from McSweeny’s in January 2005. I always like a piece that clearly ended up not being about what the original pitch was about. In this case, the writer wanted (or supposedly wanted, I guess) to investigate a gerbil plague, and ended up writing an article about gerbil social structures, text messaging on Chinese phone networks, and, several times, the Black Death. Which is how I ended up reading Wikipedia articles about pandemics the same night I was getting sick with the first illness I’ve had since I got out of hospital.

Mariana Trench Explosion

I think of Randall Munroe as a science writer who happens to be funded by merchandise sales from a comic. I don’t regularly look at the comic any more but I follow his blag and his What If? Answering your hypothetical questions with physics, every Tuesday writing more closely. This What If? is one of my favourites to date, although it’s hard to beat the first one. However, this one features an excursion into unpublished work by Freeman Dyson. SO HARD TO CHOOSE.

Do bicycle helmets reduce head injuries?

It’s impossible to follow Liam Hogan on Twitter without becoming interested in urban transport issues. At the moment the big conversation is helmet laws in Australia, which are arguably interfering with take-up of bike share schemes (if you’re going to have to get hold of a helmet, you don’t just jump on the bike, hence, scheme falls apart), although see Why is Brisbane CityCycle an unmitigated flop? for several other reasons that scheme may be failing.

Anyway, this one: A new study reports the rate of hospitalisations for cycling-related head injuries in NSW has fallen markedly and consistently since 1990. The authors say it’s due to helmets and infrastructure.
The drugs don’t work: a modern medical scandal and Ben Goldacre: ‘It’s appalling … like phone hacking or MPs’ expenses’

Reboxetine is a drug I have prescribed. Other drugs had done nothing for my patient, so we wanted to try something new. I’d read the trial data before I wrote the prescription, and found only well-designed, fair tests, with overwhelmingly positive results. Reboxetine was better than a placebo, and as good as any other antidepressant in head-to-head comparisons… In October 2010, a group of researchers was finally able to bring together all the data that had ever been collected on reboxetine, both from trials that were published and from those that had never appeared in academic papers. When all this trial data was put together, it produced a shocking picture. Seven trials had been conducted comparing reboxetine against a placebo. Only one, conducted in 254 patients, had a neat, positive result, and that one was published in an academic journal, for doctors and researchers to read. But six more trials were conducted, in almost 10 times as many patients. All of them showed that reboxetine was no better than a dummy sugar pill. None of these trials was published. I had no idea they existed.

Given that I favourited two separate articles about this, I’m going to buy the book. Now you know.

Going blind? DRM will dim your world

[I]t turned out I needed Adobe Digital Editions to ‘manage my content’… It tried, of course, to force me to give Adobe my email and other details for the ‘Adobe ID’ that it assured me I needed to get full functionality. I demurred… and was confronted by a user interface that was tiny white text on a black background. Unreadable. Options to change this? If they exist, I couldn’t find them.

Getting this far had taken me half an hour fighting my way through a nest of misery and frustration with broken eyes and a sinking heart. Along the way, I’d been bombarded by marketing messages telling me to “enjoy the experience” and “enjoy your book”.

Reader, I wept. Marketing departments, here’s a top tip: if your customer is reduced to actual, hot, stinging tears, you may wish to fine-tune your messaging.

5 Plans to Head Off the Apophis Killer Asteroid

Friday the 13th of April 2029 could be a very unlucky day for planet Earth. At 4:36 am Greenwich Mean Time, a 25-million-ton, 820-ft.-wide asteroid called 99942 Apophis will slice across the orbit of the moon and barrel toward Earth at more than 28,000 mph. The huge pockmarked rock, two-thirds the size of Devils Tower in Wyoming, will pack the energy of 65,000 Hiroshima bombs–enough to wipe out a small country or kick up an 800-ft. tsunami.

On this day, however, Apophis is not expected to live up to its namesake, the ancient Egyptian god of darkness and destruction. Scientists are 99.7 percent certain it will pass at a distance of 18,800 to 20,800 miles… Scientists calculate that if Apophis passes at a distance of exactly 18,893 miles, it will go through a “gravitational keyhole.” This small region in space–only about a half mile wide, or twice the diameter of the asteroid itself–is where Earth’s gravity would perturb Apophis in just the wrong way, causing it to enter an orbit seven-sixths as long as Earth’s. In other words, the planet will be squarely in the crosshairs for a potentially catastrophic asteroid impact precisely seven years later, on April 13, 2036.

It turns out that with current technology we might be able to move the asteroid prior to the (potential) 2029 entry into the gravitational keyhole, but if it did so we would be unlikely to perturb the orbit sufficiently after that point to avoid a civilisation-ended impact. So it’s the question of how many resources to spend on a low-probability but enormously catastrophic event.

Book Week: Looking For Alibrandi

This article originally appeared on Hoyden About Town.

This is part of Tansy Rayner Roberts’s Blog Book Week challenge, about favourite childhood reading, how we read these books, and why we remember them.

I haven’t forgotten that I promised to do Ruth Park’s My Sister Sif and I still intend to, but while I’m tracking it down for a re-read, I’ve another Sydney novel in the interim: Melina Marchetta’s Looking For Alibrandi.

Spoilers for Looking For Alibrandi abound!

Warning: self-harm is a plot element in this novel, and it’s discussed in this entry.

Background/plot summary: Looking For Alibrandi is a 1992 young adult book by Australian author Melina Marchetta. Seventeen year old Josephine Alibrandi is in her final year of a expensive private Catholic high school, preparing for the HSC (the Higher School Certificate, which is the statewide final school exams in NSW). She is a scholarship student, the daughter of Christina Alibrandi, a single mother who had a child at sixteen and was exiled from her Italian-Australian family until her father died, in the recent past from the novel’s point of view.

Christina insists that Josie has a relationship with Christina’s mother, Josie’s Nonna Katia, but Christina’s own relationship with Katia is strained due to their long estrangement and Katia’s coolness to her throughout her childhood. At the beginning of the novel Josie is more concerned with school problems in any case: her quartet of outsider friends fight for recognition in their upper class Anglo-dominated school. Josie is school vice-captain to her mortal enemy, perfect blond Ivy, daughter of a wealthy surgeon, as captain.

But Josie’s home life suddenly undergoes another change. Josie’s father, Michael Andretti — son of Christina’s childhood next door neighbours, now a barrister — moves back to Sydney for a year to be welcomed briefly into unknowing Katia’s home as one of the family. Josie confronts him and they agree to have no contact, only to ring him from school frantically to extricate herself from a legal threat by a classmate’s father. After this they have an initially uneasy but gradually warmer relationship. In the meantime, Katia begins telling Josie stories of her immigration to Australia and her married life in rural Queensland in total social isolation, until the arrival of her sister from Sicily. Josie begins to see Katia as more of a person and less of an oppressively tradition-bound stereotypical grandmother.

Events at school also demonstrate to Josie that she’s not as much of a complete outsider as she thought, including a revelation by the principal after some irresponsibility towards younger students on Josie’s part that she was in fact voted school captain at the beginning of the year but that it was awarded to Ivy, who the principal felt was more responsible. While at the beginning of the novel Josie wants nothing more than a relationship with John Barton, her solidly upper-class debating friend, she ends up with Jacob Coote, captain of a nearby public school, as a boyfriend, and has to navigate being middle class to his working class.

It eventually becomes clear to Josie as Katia’s stories of her past continue that Katia’s Anglo-Australian friend Marcus Sandford was in love with her, and eventually Katia slips up and Josie works out her grandmother’s secret: Marcus and Katia were lovers and Marcus was in fact Christina’s biological father, which accounted both for Christina’s father’s loathing of her and of his swift condemnation of her when she became pregnant as a teenager.

Josie very briefly reaches a feeling of peace with herself and her story before her tranquillity is suddenly destroyed again: her friend John Barton commits suicide the night before the HSC exams begin, and she is told this by Ivy, who was even closer to John, crying out the front of the school. In the aftermath of this Jacob Coote breaks up with Josie, not sure what he wants from his future himself in the wake of knowing Josie’s relative class privilege and John’s death in spite of his class privilege. The novel ends with Josie about to find out her university entrance ranking, still relatively at peace with herself, but less sure of her place in the world and her ambitions.


Photograph of Martin Place in Sydney, looking west
Martin Place by Alpha, CC BY-SA

I think I read Looking For Alibrandi a couple of years after it was published: definitely when I was in high school. I recall it being a book that you had to wait some time for at the school library. (It gets assigned as an English text now, but I never read it in that context.) It has crushes and alcohol and uneasy relationships with friends and a pretty intent focus on high school academic achievement, all of which were pretty familiar to me, even if the rich competitive Sydney folk weren’t so much. (At some point John Barton despairs over his poor ranking in a mathematics competition compared to Sydney Grammar, a reference I understood better when I knew former Maths Olympians from Grammar while at uni!)

Again, it’s very evocative of Sydney: I in fact live now pretty close to where Christina and Josie lived in Sydney. There’s a speech day in Martin Place, truanting at the Sebel and a few other landmarks although it’s not quite as firmly inner west as Saving Francesca and The Piper’s Son (the latter of which is about twentysomethings, and with which I identify even more closely as someone who went to Sydney Uni).

To be honest, as a result of this book I even have a sneaking fascination with Stanmore Maccas, where Josie gets a part-time job briefly, and I felt rather betrayed when the movie version changed it to Oporto!

John Barton’s death was “that bit” in the book, as in “have you got to that bit yet? Oh, you’ll know what I mean when you get to it.” It was my main frame of reference in the aftermath of the actual suicide of someone I knew at school, while of course not fitting exactly.


Again with the fanon style questions: this is the twentieth anniversary of Looking For Alibrandi‘s publication. If we took 1992 as the year Josie was seventeen, she is now thirty-seven. Did she end up doing a law degree like her father, but which she had begun to doubt she was as interested in as she’d thought? Did Christina and Michael reunite, as the novel implies they are considering? Did Josie and Ivy end up with an unexpected friendship, as they are stumbling towards? Did Josie, who would have won Least Likely To Leave Well Enough Alone if Australian schools did yearbooks, attempt to track down Marcus Sandford?

I don’t have as strong a fanon in my head for this as for Playing Beatie Bow but if I had to guess, Josie did Arts/Law and dropped out after the Arts component (quite a lot of people in combined law degrees do this). I have no idea what she’d do instead though. I think there’s too much hurt between Christina and Michael to reunite, although probably Josie and Katia both pushed strongly for it. I don’t know what to make of Josie and Ivy! And I would put money on Josie telling herself that she doesn’t mean anything by nosing around in the S section of the phonebook and so on, and of course meaning something by it, finding out that, as always, people’s lives aren’t as simple as she thought.

Book Week: Playing Beatie Bow

This article originally appeared on Hoyden About Town.

This is part of Tansy Rayner Roberts’s Blog Book Week challenge, about favourite childhood reading, how we read these books, and why we remember them.

I’m going to write about two Ruth Park books this week, Playing Beatie Bow and My Sister Sif.

Spoilers for Playing Beatie Bow ahoy!

Background/plot summary: Playing Beatie Bow is a 1980 older children’s book by New Zealand/Australian author Ruth Park. In it, fourteen year old Abigail sees a strange young girl (thin, wearing odd clothes, “furry” shorn head) watching her babysitting charges play, especially when they play “Beatie Bow”, a ghost game. One day she gives chase to the girl and finds herself in Sydney in the same area, only in 1873. She quickly incurs a head injury after being knocked down in the street by Samuel Bow, a war veteran who himself has a brain injury and “takes spells” (flashbacks) as a result. It emerges that the strange girl is his daughter, Beatie, who had found herself several times in the twentieth century watching a game featuring her own ghost.

Photograph of a street in The Rocks, Sydney, circa 1900
The Rocks, circa 1900, State Records NSW, CC BY

While both parties hide their knowledge from each other for a while, the Bow and Tallisker (Beatie’s mother’s name) families who share a house in the Rocks know that Abigail is from a different time and will not help her return to the twentieth century. It emerges that some of the women in their family have a psychic Gift as a result of their Orkney heritage, and that every fifth generation it is imperiled, with a prophecy that of the adults in that generation, one is to be barren and one to die, risking there not being another generation. When this happens, the family is visited across time by The Stranger, in this case Abigail, who is destined to save enough of them to continue the Gift. The family has recently had scarlet fever and only a few members of the fifth generation survive: Beatie; her older brother Jonah; and her younger brother, Gilbert, yet to recover his health after the fever; and their cousin Dorcas (“Dovey”). Abigail is initially desperate to return home, but falls in love with Jonah, a sailor, when he has shore leave, and is more conflicted, especially since Jonah is betrothed to Dovey.

Eventually Samuel Bow causes a house fire, from which Abigail saves Dovey and Gilbert. She returns to the twentieth century that same day, under the care of Beatie, still cross with Abigail for pursuing Jonah. Shortly after returning she researches the family history in the newspapers, which suggests that Jonah probably died at sea shortly after she left. She then has a vision which shows that Beatie became a scholar, and that Jonah married Dovey but indeed died young at sea. She tries and fails to warn the family across time. Abigail is overwhelmed with grief that she cannot speak of.

Before long her own parents reunite after years of separation and move with her to Norway. In the final pages of the novel, she returns to Sydney five years later to discover by chance that the Crowns, her former babysitting charges, are descendants of Gilbert Bow through their mother, and (it is heavily implied) Abigail begins a relationship with their uncle Robert Bow after the novel ends. She realises that instead of her role as The Stranger being to save Dovey from the fire for Jonah as the family had believed, it was to save Gilbert.


I think I received Playing Beatie Bow as a gift from a book-loving relative. I wasn’t born when it was written, and probably read it in about 1992 or a bit later, when I was slightly younger than Abigail is for most of the novel. I remember finding the twentieth century portions rather strange for a while: this relative was in the habit of giving me high quality very recent books, and I didn’t realise for a while that the book was more than a decade old and the portrayals of Abigail’s high school experience (secondhand, as she thinks of them with contempt over summer) were using slang and events from the late 1970s! At the time I knew almost nothing about the 1970s, so it sounded rather as if Park had made up a bunch of plausible sounding teenage slang.

Photograph of George Street, The Rocks, at night, showing mostly well-kept pubs and restaurants
The Rocks in 2009, by Richard Taylor, CC BY

Abigail’s teenage alienation was a bit of a foreign country to me at the time. The novel begins with her spending the summer being angry about all sorts of things: her father leaving her mother for another woman, which has alienated Abigail so much she has changed her given name to one that isn’t connected with her father’s affection; her peers at school and their teenage crushes; her mother’s decision to re-partner with her father after his long-lived relationship with another woman. Interestingly, a big part of the novel is Abigail, via falling in love with someone else’s fiancé, coming to a realisation that there’s more going on with love than people falling in love to spite her. The coda at the end in which Abigail has demonstrably grown up emotionally in her nine-odd months in 1873 and then her five years in Norway was also important to me: the Norway part of the arc, being realism, maybe more important than the time-travelling.

It was probably also one of the first encounters I had with a critique of the idea that history is a uniform progression from worse conditions to better conditions (yeah I know, a pretty obvious misconception in hindsight): this critique is put into the mouth of Jonah who is utterly uninterested in the magic that awaits his world in the twentieth century.

Sydney always makes novels memorable for me, too. I didn’t grow up in Sydney, but rather in regional NSW, and as a teenager it tended to signify freedom to me. I was always very excited to have a book with a strong Sydney-centric sense of place: besides Playing Beatie Bow I think only Melina Marchetta’s novels were as evocative for me. (Only Looking For Alibrandi was actually published when I was a child, I was 22 and already lived in Sydney when she published Saving Francesca, and a new mother in my late twenties when The Piper’s Son came out.) Playing Beatie Bow is very thoroughly set in The Rocks around Argyle Street, and grounded in the local geography to the point where I believe it’s possible to identify the set of stairs that led Beatie into the twentieth century and Abigail into 1873.


Fan service insight for other dedicated Beatie Bow readers: there’s very brief speculation by Robert Bow at the end of the novel that his niece Natalie Crown, Abigail’s former babysitting charge and the only other person who could see Beatie watching them play, has the Gift, but otherwise the form the Gift takes in Gilbert’s descendants and what it means to have it with very little cultural connection to the Orkneys and its supernatural origins there, is totally unexplored.

I worked this over several times when I was younger: if I was counting the generations correctly, the fifth generation of Talliskers/Bows/Crowns after Gilbert ought to be Natalie and her brother Vincent, which should make them subject to the “one to be barren, one to die” curse (by the way, the inevitable “cursedness” of being childless is called out in the novel, by Beatie who deeply wants to be, and ends up being, the childfree one). If Abigail and Robert had children, the fifth generation would contain their children also. This last is of course a stretch given that about the first week of Abigail and Robert’s relationship is shown in the novel, but hey, fanon calling.

In addition, in the novel, Granny Tallisker, who had the strongest Gift, spends some time trying and failing to work out why on earth Abigail is their Stranger, since they expected someone with a family relationship. Neither of them at that point knows about the relationship with the Crown children, or for that matter that Gilbert is to live. But if a family relationship is required, Abigail doesn’t have this it unless she goes on to partner with Robert Bow.

In any event, whatever happens to Robert and Abigail, it seems that the Crowns are due a Stranger at some point in their lives. I was always surprised that Park didn’t write a sequel, given this (although as an adult, I can see why it would be difficult to preserve the tone with one novel set in 1873 and the other in the late twentieth century). In my fanon, a somewhat older Beatie ends up being their Stranger, in a reciprocal relationship to that Abigail had with her family.

Getting a passport in Australia

See Lindsey Kuper on a expedited US passport, here we have another “life in Australia” comparison piece.

Step 1: obtain passport form. If you are an adult renewing an existing adult passport that has been expired for less than 24 months, you can do this online. Otherwise, obtain form from nearest post office.

Step 2: track down someone — usually just another passport holder — to be your photo referee (ie, to agree that it is you in the picture). Gather relevant documentation, that is, proof of identity and of citizenship. If you were born in Australia on or after 20 August 1986, see below.

Step 3: ring up local post office for passport interview, usually granted within the week. If you need it sooner, call several post offices in turn or go to the Passport Office (in a capital city).

Step 4: attend post office. Have them take your photo, these days, because if they don’t approve it, they can take it again. Have interview, which in fact largely consists of having your documentation and photo checked for validity.

Step 5: pay fee ($233), extra $103 for priority.

Priority passports are printed to be mailed within 2 business days, other applications within 10. They arrive registered post (ie, signature required). If you require one within 2 days, it seems you need to attend a Passport Office in person and hope they can help.

Given that I understand it takes weeks and weeks to get a USA passport if not expedited, 10 days is not too bad.

Born in Australia on or after 20 August 1986? Tricky! This is when Australia stopped granting citizenship by right of birth alone. So you need proof of citizenship, which can include:

  • evidence that you were born in Australia and that one of your parents was either a citizen or permanent resident at the time of your birth
  • evidence that you were born in Australia and that you were still a resident of Australia on your 10th birthday (school records and so on)
  • evidence that you were born in Australia and were not eligible for any other citizenship
  • see also

This diversion has been known to be lengthy. 🙁 It’s also just about impossible to get one as a minor if your guardians don’t agree to you travelling.

Have a small child with you?

Good luck with that, because the photo standards require straight on face shot with open eyes and neutral facial expression. Try getting your pre- or semi-verbal child to do that.

The practical reality of contraception, Australian edition

Background the first: The practical reality of contraception: A guide for men, by Valerie Aurora, about contraception in the US

Background the second: A layperson’s intro to paying for healthcare in Australia which I wrote as specific background to this post.

Things that are the same in Australia

Contraception works the same way! The side-effect risks are the same:

Let’s start with estrogen-based hormonal birth control and health. I know women who get life-threatening blood clots on estrogen birth control (if the clot gets lodged in a blood vessel, effects range from loss of a limb to death). Others have mood swings so bad that their partners threaten to break up with them and their boss calls them into their office to ask why they’re so mean and bitchy all of a sudden. Don’t laugh – losing your partner or your job is serious shit, and many women decide to risk pregnancy and an abortion rather than the certainty of being abandoned and broke. Another side effect is feeling like you’re going to barf, which usually goes away after a few weeks, but not for everyone. More side effects and health problems abound, but those are the ones I know about offhand.

The mechanism is the same:

Now let’s talk failure rates. You have to take the birth control pill every single day, within a few hours of the same time, to get that 98% or 99% effective rate. Big whoop, you may think. I take my blood pressure medicine every day. Usually. Actually, it’s pretty hard, even with those little day-of-the-week labels on the pills.

Those are specific to the combined pill, but there is no special magical Australian version of contraception. Same risks, same side-effects, same administration, same failure rate.

Valerie’s description of providers withholding prescriptions to force a patient to have a pelvic exams is also true here, although they usually aren’t called pelvic exams: they’re called Pap smears, even though the bimanual exam is often performed too. However, they’re done slightly less often: every 2 years in Australia for low-risk women.

I believe doctors and pharmacists in Australia can refuse the prescription and the supply based on personal moral considerations, and that really sucks. However, it doesn’t seem as common except for the (sometimes publicly-funded!) Catholic hospitals, ew. (See Lauredhel’s “Pro-life” Archbishop Hart’s murderous misogyny and Catholic Church says “Thalidomide-analogue cancer trial? No contraceptive advice for you!”)

Things that are different

Cost

Very important! Many many many brands of the pill are PBS medications, and cost about $30 for 4 months’ supply, so, getting close to Valerie’s mythical $8 a month mark.

Moreover, other contraceptive mechanisms (except condoms, which probably cost about the same) are cheaper too. For example, in the US I understand that I would be out of pocket at least $500 to have a Mirena IUD. In Australia, I had the insertion performed in a public hospital (being elective, I had to wait about 10 weeks), and bought the device from a pharmacy for $35 as it is a PBS medication. Total cost: $35! Length of contraceptive effectiveness: 5 years! (Downside: needs to be shoved into uterus. However, this is easier to do if you’ve shoved a baby the other way.)

Trouble at the doctor

As in Valerie’s entry, scripts for regular hormonal contraception do need to be re-done once a year or so, and given the side-effect profile of the Pill, I can see why. (If your blood pressure is up, you probably won’t notice, but you should be off the Pill.) At least in major metro areas, getting a non-essential appointment to get a script re-issued seems less of a pain though: a few days notice and your clinic will get you in for the required 15 minutes. Also, most doctors will prescribe the Pill to a brand-new patient after a short verbal medical history (at least, if you mention a Pap smear within the last two years) and a blood pressure check, so you can pop into a bulk billing clinic if you have one handy.

In addition, very recent law changes apparently will allow pharmacists to directly supply a small amount of contraceptives (and blood pressure meds) to patients to tide them over to their next doctor’s appointment. (I heard this on the radio, so, sadly, no citation.)

Trouble at the pharmacy

Like other meds in Australia, this just isn’t as much of a pain. The PBS contribution, if any (Nuvaring isn’t covered, say), goes on before you ever go anywhere near the pharmacy, you pay the remainder yourself usually. So the fighting with one’s insurer step is gone. Moreover, while pharmacies do only fill scripts towards the end of the previous supply, the “towards the end” test is more generous: you have two to three weeks at least.

Summary

I think Australia really wins here, especially on cost.

A layperson's intro to paying for healthcare in Australia

I wanted to write a comparison post to Valerie’s The practical reality of contraception: A guide for men about the Australian equivalents. However, I realised a background in the Australian healthcare system might be needed. Hence this post.

Caution: I am not a medical professional or health administrator. There are plenty of details of healthcare payment in Australia I am blissfully unaware of. This is a guide to what it is like to pay for healthcare in Australia as a relatively healthy younger woman.

Summary

In Australia, many people in cities can see doctors mostly for free, and get free hospital treatment and pretty cheap pharmaceuticals. Yay. It isn’t the magical land of totally free though. Boo.

Medicare

Australia has government funded healthcare, called Medicare. Medicare is available to all Australian citizens and permanent residents living in the country. It is funded through the Medicare levy, a federal tax applied to people on moderate incomes and up.

To prove your eligibility for Medicare you have a Medicare card listing your name (often families are combined onto one card of which each adult gets a copy). In the absense of this card Medicare can verify coverage directly to health care services, I believe, but that’s more hassle. Most people carry their Medicare card in their wallet.

Further reading: overview of Medicare, tax guide to the Medicare levy.

Medicare pays for medical services: that is, (a fixed amount of) doctors’ fees and, for public hospitals, other costs associated with hospitalisation. That is, in Australia, you can for most conditions go to a public hospital, be admitted, and be operated on, x-rayed, diagnosed, etc, for free. Hooray!

The Pharmaceutical Benefits Scheme (PBS)

The PBS provides government subsidised pharmaceuticals to Medicare card holders. Basically, almost all common drugs are bought in huge numbers by the government at agreed prices and then sold in pharmacies to patients. No matter what the government paid, the patient will pay something in the order of $20 to $50 for PBS medication. Low income people can obtain a health care card entitling them to medication prices on the order of $5 or so.

Private health insurers (see below) may provide partial reimbursements for some non-PBS drugs.

People who have unusual drug needs (for example, some types of chemotherapy and painkillers, or a drug for which there are several PBS alternatives that for some reason you personally can’t take) can still end up paying huge amounts for medications.

Further reading: About the PBS, Health Care Card

Bulk billing, private billing, and gaps

Doctors’ fees are an important thing to understand here. A doctor in a public hosptial will bill the government for their fixed fee only (or rather, the hospital will bill the government, and pay the doctor a salary). A doctor working outside a public hospital has a choice, they can bulk bill, which is the jargon for billing the government directly, and which from the point of view of the patient is a free consultation. Or they can privately bill, and they can bill any fee they like. The patient can claim the fixed government contribution from Medicare. The difference between the doctor’s bill and the government scheduled fee is called a gap (not a “co-pay”, that’s American jargon) and it is often paid by the patient themselves, especially if the doctor was seen in their own clinic rather than in a private hospital.

The same can be true of other medical services like X-Rays and scans, or blood tests. There are some practitioners or clinics that bulk bill and some that don’t.

There are also some procedures that Medicare flat-out doesn’t cover. I mostly encounter this with unusual blood tests.

Availability of bulk billing

As above, public hospitals do it, and there are a lot of public hospitals. For non-emergency treatment or care for which there is contention, such as childbirth, the hospital usually has a defined catchment area, and will only treat in-area patients. So you have an assigned hospital, essentially, that will admit you and treat you under Medicare.

Outside hospitals, in major metropolitan areas it is often possible to find bulk-billing general practitioners, and, in some specialties, even bulk-billing specialists with their own practice. (This can have downsides such as shorter appointments or high practitioner turnover, but some private billing clinics have these problems too!) In smaller cities and regional and rural areas on the other hand, there is usually a shortage of medical practitioners and private billing can be near-universal. And underserved specialties often have near-universal enormous gap fees for out-of-hospital consultations.

There is some protection against enormous gaps. Some private insurers (below) have some coverage, and the Medicare Safety Net starts paying part of many gaps after you spend about $500 in a year on gaps.

Private insurance

Now, there is private health insurance, which you take out in addition to (not instead of) Medicare. What this gets you is:

  1. coverage of many expenses associated with choosing a private hospital (accommodation, operating theatre fees) and so on, and on some policies partial coverage of the gap amount on the doctors who treated you at the hospital
  2. coverage of some non- or partly-Medicare covered expenses, like dental, optical and physiotherapy fees (for example, Medicare covers eye exams to prescribe glasses, but not the actual glasses themselves), the jargon for that here is extras cover
  3. coverage of ambulance expenses in states where the state government doesn’t pay for them (NSW is one of the states where you pay for your own ambulance)
  4. coverage of a (usually pretty limited) range of non-PBS drugs

You can usually buy pieces of this too: eg, just hospital, or just ambulance.

As an indication as regards cost, private premiums presently start at about $150 for a family for a month, and a super-kickarse policy with huge yearly limits on extras and private obstetric care (this, psychiatric care and dialysis are often excluded from cheap policies) included starts around $350 a month for a family with adults my age. They actually have to get the federal government to approve their rate of premium rises.

Employers sometimes, but by no means always, offer private health cover. It’s usually a benefit associated with US-owned companies. (Google presently pays for my family’s private cover.) It’s not a tax-exempt benefit.

Why use the private system?

Here, the private system is anything where the patient may be billed. This includes:

  1. being admitted to a public hospital as a private patient, which is a choice they offer you, and the hospital bills you/your private insurer rather than Medicare
  2. being admitted to a privately funded hospital
  3. seeing a doctor or visiting a clinic that does not bulk bill

One major reason is that, as above, out of a hospital you simply may not have a local bulk billing practitioner. Or, if you are wealthy, you might, but you may have a personal preference for a particular practitioner who doesn’t bulk bill.

The other is to avoid the downsides of the public system:

  1. for some treatments, especially elective surgery (tangent, in Australian medical jargon, that means all surgery that isn’t urgent, it does not only mean “surgery for which there isn’t a medical need”) public hospitals may have long waiting lists, whereas you could get your treatment more swiftly in the private system, which may be considerably more pleasant for you!
  2. in the public system, you are not entitled to a choice of doctor. You get treated by the rostered doctor (often a registrar, ie, specialist-in-training in the appropriate specialty). In the private system (including a privately-paying patient in a public hospital) you appoint your doctor.
  3. public hospitals tend to have a lower standard of accommodation than private ones, ie, shared rooms, less light in rooms and similar. So, a class thing.
  4. quite a number of public hosptials are actually Catholic, and refuse proscribed services like abortion, tubal ligation, and prescribing or supplying contraception (whether publicly funded hospitals should be allowed to do this is an interesting question, but not really live, politically). Mind you, so are a lot of private ones, but since you can go to a private hospital of your choice, you can choose a non-Catholic one, and you may not be able to in the public system.

Nevertheless, as you can imagine, Medicare coverage suffices for many Australians even if they can afford private premiums. There are a couple of financial carrots and sticks used to encourage taking it up and, in theory, reduce the cost burden on Medicare.

Further reading: the Medicare levy surcharge tax on wealthy people who don’t take up private insurance, and lifetime health cover premiums in which your premium is locked to the age that you first bought private insurance at.

Comparisons with the US system

Improvements on the US system, based on my (very imperfect!) understanding of that system:

  1. the most obvious one is that when you lose your job you do not lose Medicare coverage if you are unemployed, or earn too much money, or earn it the wrong way, or are too old, too young, too healthy or too sick.
  2. likewise, you cannot end up with a health history that makes it impossible for you to be insured: private insurers cannot, by law, discriminate on anything other than age (higher age is higher premiums) or medical history, and the only permissable medical history discrimination is that they can (and always do) refuse to pay for treatment related to a “pre-existing condition” for the first 12 months of cover. Medicare does not discriminate other than on nationality and visa status.
  3. insurers don’t get involved in the details of your medical decisions. It’s fairly plain when something is covered and when it isn’t. There seems to be far fewer problems with “and then I presented my script in a month with a blue moon and it turns out that clause 197c2 subsection b means that I now pay for my medication myself this year”. Generally you and your treating professional make a decision, stuff happens, and Medicare, PBS and you collectively pay the same amount for it no matter who billed what when and who sacrificed which mammal to the gods.
  4. even privately billed stuff seems cheaper, probably because the giant single-payer forces all the prices down, and the fact that for things that Medicare doesn’t cover, you tend to see the entire bill, which seems to be more price transparency than the US has.

    As a price difference example, Valerie states that she had a USD 40 co-pay on Nuvaring. Nuvaring is not a PBS medication here and my private insurer didn’t cover it either. But I paid AUD 30 a month for it and that was the entire cost, not just a portion of it.

The 44th Down Under Feminists Carnival

This article originally appeared on Hoyden About Town.

Apologies for not getting this done on time everyone, December and January turned out to be a major time crunch for me. However, I won’t keep you, on with the show!

In blue on a white background, the DUFC logo: in a square with rounded corners, there is the female/feminine symbol; with the Southern Cross inside, above which it says 'Down Under' and below 'Feminists Carnival'.

Welcome! This post is the 44th monthly Down Under Feminists Carnival. This edition of the carnival gathers together December 2011 feminist posts from writers living in Australia and New Zealand. Thanks to all the writers and submitters for making this carnival carnilicious.

Highlighted new(er) Down Under voices

I’ve decided to highlight inline posts that come from people who began been blogging at their current home in January 2011 or later, such posts are marked with (2011 blog) after the link. I know this is a very imperfect guide to new writers, since some may have simply started new blogs or switched URLs, or be well-known as writers in other media, but hopefully this may be a quick guide to feeds you may not be following yet.

Also, this carnival observes the new rule that each writer may feature at most twice (full disclosure: I used the “three if the host really really wants to!” exemption once). Apologies to the many fine submissions that were dropped under this system, but I hope it results in a more manageable carnival size and representation of different writers.

Feminist spaces

Maia wrote On Change and Accountability: A response to Clarisse Thorn (cross-posted at Feministe and Alas! A Blog) in response to Feministe’s interview with Hugo Schwyzer and ensuing critical discussion of Schwyzer’s reception as a leading ally.

Politics and social justice

anthea encourages consideration of a charity’s ethical framework and agenda before donating.

stargazer doesn’t think identity politics and inequality politics are in conflict.

Disability

anthea deconstructs judgments about fat, laziness, energy expenditure, priorities and disability.

Maia is troubled by the presentation of the sexuality of people with disabilities in The Scarlet Road‘s trailer, and notes the conflation of the sexuality of people with disabilities and the sexuality of men with disabilities.

Ethnicity, race and racism

Chally is not happy with racially coded beauty standards about her hair.

Chrys Stevenson reflects on Aboriginal health, Meryl Dorey’s promotion of non-vaccination and that Aboriginal people have every reason not to listen to white people like Stevenson. (Later, Stevenson/Gladly writes about working with the media to publicise Dorey’s involvement in the Woodford folk festival.)

Workplace

Mentally Sexy Dad introduces Lisa Coffa and Bronwyn Sutton, co-winners of the Pam Keating Award given by the Waste Management Association of Australia. (2011 blog)

Kaylia Payne explores internalised stereotypes about women’s and men’s jobs.

Blue Milk recalls staging an office coup for the corner office.

Penelope Robinson considers the academic workforce, including workloads and casualisation.

Environment

Steph is skeptical about wind farm noise complaints being genuine, rather than a lobbying technique.

Feminist life

tallulahspankhead discusses consent issues and ethics outside the context of sex acts. (2011 blog)

Sonya Krzywoszyja rolls her eyes at feminism 101 questions sent through dating sites.

Deborah writes about the feminism of raising daughters as independent thinkers.

Sex work

Anita condemns the focus on Nuttidar Vaikaew’s sex work in the media coverage of her murder by her spouse.

Blue Milk explains how she, as an outsider, views sex worker experiences by analogy with drug culture experiences ranging from very negative to very positive. (This post is a followup to a late November post on her blog.)

LGBTQIA

Jo writes about personal explorations of asexuality. (2011 blog)

bluebec is suspicious of any claim that “It has always been that way since the dawn of humanity” and gives Joe de Bruyn of the Shop, Distributive and Allied Employees Association a lesson to that effect.

LudditeJourno thinks that the mythos of New Zealand egalitarianism is causing police to prematurely determine that Phillip Cottrell’s murder wasn’t a hate crime.

Gladly, the Cross-Eyed Bear makes sure the bigotry of politicians gets exposure beyond Hansard.

Religion

stargazer is pleased with a review of mosques as women’s spaces in Turkey and thinks New Zealand could benefit from the same.

Media, literature and culture

brownflotsam has a mixed review of Albert Nobbs and is keen to talk with other people who’ve seen it. (2011 blog)

IsBambi celebrates the work and thoughts of Abigail E. Disney, who makes films about women’s roles in peace processes. (2011 blog)

Jo is critical of the conflation of motherhood with womanhood in the Doctor Who Christmas special. (2011 blog)

PharaohKatt pushes back on privileged criticisms of The Australian Women Writers Challenge.

bluebec reflects on choosing to and being allowed to play female (and non-white) characters in computer games.

Anita demonstrates how an NZ Herald article unnecessarily emphasises the gender of a police officer who was assaulted.

Penelope Robinson is bothered by media talk of Nicola, Tanya and Julie instead of Roxon, Plibersek and Collins.

sleepydumpling takes Mia Freedman to task on fashion judgments as classist, ableist and sizeist, and newswithnipples examines Freedman’s denial that there’s any problem.

Violence

Jshoep got some very unhelpful “report him” and “hit him” advice after being assaulted at an Opeth gig.

ColeyTangerina explains that the prevalence of triggers and people who can be triggered is why the feminist blogosphere tends to warn for them.

Deborah observes another case of victim-blaming when police talk about sexual assault.

Mindy considers whether the fundamentals of the perception of women prisoners have changed since the Victorian era.

LudditeJourno calls on the New Zealand government to adequately fund the Auckland Sexual Abuse Help line.

Reproductive rights and justice

Alison McCulloch details the history and consequences of creating a moral hierarchy of abortions in New Zealand. (2011 blog)

Megan Clayton writes about prenatal testing and the assumptions made that terminating the pregnancy is the only choice if atypical chromosomes are found.

Beauty and body image

The End is Naenae! discovers a doozy of a comment thread about pubic hair and removal thereof in, of course, a Life and Style section. (2011 blog)

The End is Naenae! also considers the continued assumption that beauty is a woman’s or girl’s foremost aim and accomplishment. (2011 blog)

Rachel Hills writes about the special shame of trying hard and still failing to look 100% officially beautiful.

Chally analyses the telling of stories about women who lose their beauty, particularly the case of Lauren Scruggs, injured in an accident. (Cross-posted at HAT.)

Tracy Crisp writes about beauty and intercultural communication when she is diagnosed with a basal cell carcinoma (and, later, how Australian women consider that news).

sleepydumpling celebrates what the fat acceptance ideas and community have led her to.

Next carnival

The 45th carnival will follow hard on our heels at Maybe it means nothing. Submit January 2012 posts as per Chally’s instructions.

Quakers Hill nursing home fire

This article originally appeared on Hoyden About Town.

Anyone concerned about family members at the Quakers Hill Nursing Home can call 1800 227 228 for information.

I was horrified to wake up this morning to the middle of a radio news bulletin about a fire at Quakers Hill Nursing Home in Sydney. From latest bulletins it seems a fire alarm sounded at about 5am and despite fast firefighting response (6 minutes according to the radio) the fire had become massive. As of the 8:30am bulletins police are advising that 9 people have died and that 20 more people are being treated for burns injuries. The reports are still not very coherent but the firefighters do seem to be reporting that some residents were killed or hurt partly because they were not able to self-evacuate.

I’m so sorry for everyone involved, especially residents who were killed or injured, and their family members and loved ones. How utterly horrible.

Update 6:30pm: news reports this afternoon are of 3 deaths and a number of people critically ill. I am not sure whether earlier reports were higher or whether I simply misheard. Sadly, reports are also that the fire is being treated as suspicious.

Tiger Beatdown vs Australia

Tiger Beatdown is perhaps not enormously well known among the Australian poliblogs, mostly because it isn’t one, although one Australian writes for it.

But they’ve had a couple of pieces of local interest lately.

First in early October Flavia Dzodan looked into the multinational security firms that are behind a lot of immigration detention facilities and other jails:

Evidently, G4S track record of detainee safety in Australia was so poor that the government was forced to cancel the contracts. Instead, new ones were awarded to Serco, whose care of immigrants seems to follow the same sickening pattern:

At the detention center Serco runs in Villawood, immigrants spoke of long, open-ended detentions making them crazy. Alwy Fadhel, 33, an Indonesian Christian who said he needed asylum from Islamic persecution, had long black hair coming out in clumps after being held for more than three years, in and out of solitary confinement.

“We talk to ourselves,” Mr. Fadhel said. “We talk to the mirror; we talk to the wall.”

Naomi Leong, a shy 9-year-old, was born in the detention camp. For more than three years, at a cost of about $380,000, she and her mother were held behind its barbed wire. Psychiatrists said Naomi was growing up mute, banging her head against the walls while her mother, Virginia Leong, a Malaysian citizen accused of trying to use a false passport, sank into depression.

The key point for me is the question about to what extent these firms are lobbying, and successfully influencing, refugee policy. To what extent is it market maintainence?

Why ostensibly disparate nations like the US, The Netherlands, France or Australia (just to name a few), all seemed to have gotten on board with the anti immigrant sentiment at once. Why, within a short period of time, media seemed inundated with these stories of threats, fear and unrestrained menace. However, the same media that quickly exposes the threats of lawless, uncontrolled immigration rarely addresses the profiteers behind these trends. Every detainee is a point in the profit margins of these corporations. Every battered immigrant body forced to live in these conditions represents an extra income for these multi-national businesses. Nothing is gratuitous, as Mr. Buckles so poignantly said, There’s nothing like a political crisis to stimulate a bit of change. Especially if said crisis can create monstrous profits off the backs of undocumented migrants who sometimes lose their lives under the care of these corporations.

And now Emily Manuel is making the case for Occupy Australia:

I’ve lived in Australia and the U.S and I know from personal experience that the substantially lower standard of living in the U.S is something few Australians can truly understand. Things are not perfect in Australia economically – not with the astronomical housing prices – but we can’t say that the middle class has collapsed in the same way as in the U.S.

We do ourselves no favours when we uncritically mimic American models without changing them to suit local conditions. The cultural cringe is no more useful in activism than it is in other areas. The 99/1% slogan is powerful stuff indeed but doesn’t adequately address the income distribution of Australia as accurately in the United States. Activism must respond to local needs to be successful…

While we don’t have lobbyists in the same way, this is still a problem in Australia. If things have been getting so much better over the last decade, why have student fees been ballooning while full-time lecturers are replaced by casual tutors? Why is there no Medicare bulk billing? Why is the Medicare gap ever-increasing? How can the poor and working classes afford housing, in some of the most expensive markets in the world? For that matter, why do we pay student fees at all? If things have been so good, why do we deserve less as citizens than we did in the 70s and 80s? Why do we accept less?

We are blowing up the very same bubbles that have burst so dramatically in the U.S, and it is the same process of destroying the social fabric that the welfare state held together – it’s just we started off from a much better place, from a more cohesive social whole (G_d bless you, Gough Whitlam). With privatisation and economic rationalism, we have treated Australians with the same cannibalistic attitude that created the US 99%. Not citizens with rights and responsibilities any longer but consumers, markets to be exploited…

That is how well our democracy is functioning – when the top 0.02% of businesses and 10% of households won’t pay a tax for the benefit of the rest of us…

So yes: Australian apathy and irony have frequently served to protect us from U.S-style extremism, but what happens when enough people step forward to say something our political classes and media classes don’t want to hear? And what happens when we need serious changes to survive as a country and our politicians are unwilling to do anything about it? This is a problem that concerns all of us, in Australia and indeed worldwide, as we face climate change.

It is for this reason that we must have an Occupy movement in Australia that addresses the dictatorship of capital in our lives, that produces a democracy that truly centres the needs of the people. We need to protest. We need the right to protest. We need to be out in the streets to put the lie to the false consensus of the neoliberal press that there is no alternative to the status quo. And yes, we need to make sure that our needs are taken care of by our political system, even – especially – when they conflict with the needs of business. It is time that we made clear that running a “democracy” primarily for the rich is no longer a possibility in Australia.

Tiger Beatdown tends to long-form posts, so I suggest reading the originals. (And I suggest commenting there if you want to substantively engage with the arguments.)