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» Nurturing the public health system   2004-10-30 18:07 Strawman
Prognosis - poor

Outsourcing offshore is something that many of us struggle with. Getting baby toys and sports shoes made by someone earning twenty cents an hour in an Asian sweatshop clearly helps the family budgeting in both countries - so this normally gets a big tick. IT outsourcing to India makes some of the intellectual elites (okay, nerds) nervous, but this is more that outweighed by the satisfaction of seeing Telstra employees lose their jobs. But when the outsourcing becomes insourcing it can hit us at a very personal level.

In particular, something seems to have gone wrong in Canberra Hospital if witnesses in the current Coroners Court are to be believed. The Communist Times reports that doctor Prafulla Samant would not allow senior colleague Anne Leditschke to help him as he struggled to get oxygen to critical patient Norman Ritchie for ten minutes. The two doctors literally jostled over the patient as he turned blue, and later died.

In his defense Doctor Samant stated that he had 15 years experience as a doctor and anesthetist in India before coming to Canberra. Glad we cleared that up - clearly he was actually better qualified for the job. Anyway, we wouldn't want to hand over to a mere woman would we? She might have had seniority, but they were both equally qualified for affirmative action, and that's what counts.

'Doctors who don't speak English' is one of the most common complaints from rural Australians, but city slickers are generally spared the worst communication problems with their doctors. Cities are more desirable places of work for doctors, and the urban hospitals tend to employ those with an acceptable understanding of the Queen's English, and this tends to keep out the Bombay blow-ins. Little 'mishaps' like the one in Canberra Hospital can be inflicted on our country cousins and then blamed on long distances, lack of resourcing or plain old country ignorance.

One of the much touted achievements of Australia's social democracy is its comprehensive public health system - a system in which government, not patients, choose the doctors in the public hospitals, and which has little accountability to the public. Most people would be prepared to change their doctor if they weren't satisfied with that doctor, but few would be willing to change their vote if they weren't satisfied with their doctor.

And the solution will be obvious to the statists - we have to spend more and more money on a failing system. When private enterprise fails to deliver it goes broke. When government enterprise fails, it gets more money. And the system of 'universal' health care will be heralded as a triumph of a compassionate progressive society.

The operation was a success, but the patient died.