Healthcare

RACGP alarmism should be driving the AMA not climate

AMA.pngThe Royal Australian College of General Practitioners logo

Now it all makes sense. The Australian Medical Association’s (AMA) latest push on climate change doesn’t appear to be about saving the planet but looking to safeguard its own survival. AMA’s main rival association, the Royal Australian College of General Practitioners (RACGP) seems to be on the right prescription medication as far as membership growth and revenue goes. 

The AMA’s climate push seems to be a concerted effort to lock in future revenues by appealing to students. AMA ‘Associate Medical Student Members‘ have ballooned in the last two years from 8,664 to 15,311 to offset the (pardon the pun) flatline in regular members which have hovered a shade under 30,000 members since 2016. Previous AMA annual reports (AR) make no mention of hard membership numbers. The 2015 AR made reference to 30,000+ members which suggest it wasn’t 31,000+. Students, who now represent over 1/3rd of members, can join for free. Undoubtedly the strategy lies in the hope those students roll over to become fully paid members when they start to practice.

Last year, Dr Bill Coote, former Secretary-General of the AMA (1992-98) wrote in Medical Republic,

In 1962, more than 95% of doctors belonged to the AMA. By 1987 it was 50%. AHPRA reports that in 2016 there were 107,179 registered medical practitioners. The 2016 AMA annual report notes a membership of 29,425. That is 27% of doctors.

Since 2012, AMA annual membership collections have shown relatively anaemic growth from around $11m in 2012 to $12.4m in 2018 from its 29,659 full paying members. Revenues have shown similarly slow growth. Revenues (ex any asset sales) have grown from $20.29m in 2012 to $22.35m in 2018. 10% growth over 6 years.

What of the RACGP?

The RACGP has 35,385 full members and 5,493 student members. Moreover, the group collected $34.6m in membership fees in 2018, near as makes no difference three times the AMA.

Isn’t this just a classic case of customers appreciating what they pay for? Will those AMA student members work out – when forced to shell out hard dollars on membership – as they embark on their medical career that the RACGP is the go-to organisation? Any manner of conference cocktail parties will undoubtedly whisper the realities of membership benefits of both organisations. Surely the more seasoned doctors will make their preferences known. After all, students are more likely to pin their formative years to guru practitioners in the profession rather than lean on the musings of an association that provides cheaper hire car tariffs and frequent flyer club perks.

Revenues for the RACGP have more than doubled from $38.6m in 2012 to $83.1m in 2018.

Maybe Dr. Coote has found the problem when he wrote, ”

AMA members’ fees fund the Medical Journal of Australia. The MJA is uniquely positioned to promote serious commentary on the policy, regulatory and economic changes reshaping Australian medical practice, but now seems to prioritise the interests of academic doctors...The decline in AMA membership penetration from 95% to 50% to 27% of doctors is a significant historical trend.  A US management guru once suggested, organisations are at risk if they respond to a changing environment by redoubling their efforts to do things the way they have always done them…Let’s hope the AMA does not become the Kodak of Australian medical history.”

Climate change might seem to be a woke avenue to do things differently at the AMA, but surely it stands to learn a lot more by studying why the RACGP is surgically keeping it in the ICU rather than pursue fields it has no expertise in an attempt to revive itself. If the AMA board pursues such amputated strategies it is bound to find itself running out of bandages before its members realise that cauterizing membership cash flow is the only viable long term option.

Thank the progressive left for this

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Top marks to the progressive left for generating so much horsesh*t that allows this type of behaviour. If you need an emotional support anything outside of a blanket, you probably shouldn’t be flying. What if CM wanted to bring an emotional support elephant? Why are my rights not equally respected? Supporting mental health is one thing. Caving to the preposterous is another.

One has to wonder whether this violates FAA rules as regards airline safety in an emergency. Will airlines have to retrofit all fleets with horse-sized life jackets?

109 minutes NSW politicians should spend before voting on abortion

As the NSW Gov’t seeks to rush through amendments to legislation on abortion today, this is a movie that people who hold strong opinions (on either side) and parliamentarians would do well to spare 109 minutes for.

It depicts Abby Johnson, the main character and director of an abortion clinic, Planned Parenthood. It shows how she came full circle when she actually got to witness an abortion live from the procedural end. Despite having two abortions that she admitted were sacrificed  “on the altar of convenience,” this event caused her to quit. 

A rather damning insight into the ‘industry’. It is really well worth watching and perhaps better education and support might be an amendment Berijiklian considers. Why not enforce child support to ensure potential deadbeat father’s to be can’t escape responsibility? Why should the state be forced to pick up the whole tab for single mothers? Maybe couples should be made to watch this movie to better educate themselves on the procedure.

Making it safe is one thing. Making people aware of the pros and cons is another. The latter seems to be woefully catered for.

Remember the stats folks. 56 million abortions every year worldwide. 50 million died in the 6 years of WWII. 20% of fetuses in Europe never make it out of the womb. To think the population crisis it faces?

Pro-Choice will argue access to proper medical facilities is paramount. There is a good point to be made to avoid dangerous backyard abortions. Perhaps better legislation will mandate that education sessions on options for pregnant women that may dissuade abortion is no bad thing. At the moment, little seems to be done in that regard. Make people better aware before making such a literally ‘life-changing‘ decision.

Jacinda’s Way

Image result for dan andrews jacinda ardern

NZ PM Jacinda Ardern is in Australia and unsurprisingly the media is giddy with delight. Before we have Lisa Wilkinson write another open letter to ScoMo, What a surprise the NZ PM kicked off her tour in the Democratic People’s Republic of Victoria alongside Chief Commissar Dan Andrews.

While her wellness budget has been sold as a savior, remember in Australia our current commitments in wellness already outweigh NZ’s on a per capita basis. Maybe that’s why 570,000 Kiwis live here and only 39,000 Aussies in NZ.

CM’s budget comparison can be found here.

Greens leader blames Merkel’s trembling on climate change

It is amazing that the leader of the Greens, Annalena Baerbock, can link Angela Merkel’s trembling health issues to climate change. She eventually retracted the false nature of the claim and apologized.

Let’s hope that Frau Merkel finds a cure to her health issue and makes a speedy recovery without any climate emergency nonsense to be drawn.

Perhaps Baerbock might link CM’s itchy scalp to climate change too? Or is that just from the chlorine in the public swimming pool (which CM might add was pretty warm because it was so cold outside)? Maybe that hangover from CM’s 30th high school reunion two weekends ago was due to the weather? Or did CM just fatally mix the house red with pale ale?

Merkel trembles uncontrollably

German Chancellor Angela Merkel puts her shaking fit in Ukraine down to dehydration. Not sure if such a medical diagnosis would be made. Three cups of water with very strong medication would seem the more likely scenario. CM hopes she is alright. Undoubtedly under a lot of stress.

Climate change to cause more murder, rape and burglary

The only climate grief CM is dealing with is moving out of a warm bed this winter. The Extinction Rebellion (XR) is now trying to link climate change to mental health. Perhaps it should link it to education instead. “Let our grief move us to action” is the call Perhaps XR should channel Orson Welles to spread panic.

Depression and resignation about the future caused by the effects of global warming? NBC reported a mother of teenager daughters in Salt Lake City (where they held the Winter Olympics) who read a copy of an October 2018 U.N. report saying the climate catastrophe could arrive by 2040. It lead them to the following:

The emotional reaction of my kids was severe…There was a lot of crying. They told me, “We know what’s coming, and it’s going to be really rough.

The American Psychological Association (APA) need their own heads read in its report.

Some human health effects stem directly from natural disasters exacerbated by climate change, like floods, storms, wildfires, and heatwaves. Other effects surface more gradually from changing temperatures and rising sea levels that cause forced migration. Weakened infrastructure and less secure food systems are examples of indirect climate impacts on society’s physical and mental health.”

Rising sea levels? Forced migration? Weakened infrastructure? Less secure food systems? Not to worry the APA suggest the following to ease the mental burden:

1.) Physical commuting enhances a sense of well-being. Choosing to bike and/or walk (assuming it is safe and practical to do so) is one individual step that can help reduce the use of climate change–driving fossil fuels.

2.) Public transportation invigorates community mental health. Moving people from individual cars to public transit also results in lower greenhouse gas emissions. In addition, several studies have shown that using public transportation leads to an increase in community cohesion.

3.) Green spaces diminish stress. More time spent interacting with nature has been shown to significantly lower stress levels and reduce stress- related illness. Interestingly, this evidence is supported across socioeconomic status, age, and gender.

4.) Clean energy benefits lung function in children and can help prevent symptoms of anxiety and depression that are brought on by pollution.

Did you know?

The psychological impacts of warmer weather on aggression and violence have been extensively studied. The relationship between heat and violence may be due to the impacts of heat on arousal, which results in decreases in attention and self-regulation, as well as an increase in the availability of negative and hostile thoughts.

Is the APA confusing merely being hot under the collar? Rarely do we meet people who say it’s not a beautiful day when the sun shines. Conversely it is not often we see people, outside of farmers, celebrate rainy days.

It goes on,

Rising levels of frustration in society consequently lead to interpersonal aggression (such as domestic violence, assault, and rape). Ranson (2012) calculated that between 2010 and 2099, climate change would cause an estimated additional 30,000 murders, 200,000 cases of rape, and 3.2 million burglaries due to increased average temperatures.”

Will a court show leniency? Instead of claiming insanity in a murder case, why not claim climate change?

Perhaps the best way to stop the psychological impacts of climate change would be just to dial down the hysteria and indoctrination of children.

The APA shouldn’t complain. It should embrace climate change as the easiest way to fill their members’ appointment books. If they manage to convince patients onto public transport they’ll have a quicker run into work every day.