Barnaby Joyce has all the tact and grace of a lumbering hippo (apologies to all hippopotamus amphibius )

Disgraced former Deputy Prime Minister & MP for New England Barnaby Joyce isn't finding many allies in the NSW Northern Rivers region.... 

The Daily Examiner, 21 August 2019, p.3: 

Chris Gulaptis has delivered a clear message to Nationals counterpart Barnaby Joyce over his controversial foray into the NSW abortion debate.

On Monday, Clarence Valley residents received anti-abortion robocalls from Mr Joyce, the Federal member for New England. 

In the pre-recorded message Mr Joyce makes a number of false statements regarding the abortion bill including that it would allow “sex selective abortions” and “abortion for any reason right up until the day of birth”. 

He then urges members of the community to contact their local member to voice their opposition to the bill. 

However, Clarence MP Chris Gulaptis said he was “disappointed” by the actions of his National Party colleague. 

“We certainly don’t interfere with federal matters and I encourage him not to interfere with NSW state parliamentary matters.” 

Mr Gulaptis re-iterated his support for the private members bill which would remove abortion from the state’s Crimes Act, which he voted for as it went through the lower house last week 59-31, after a marathon debate. 

Mr Gulaptis voted for some of the amendments to the bill and was “interested to see what amendments come down from the Upper House” but was as “happy as I can be” with it. 

“The intent of the bill is to remove abortion from the criminal code and put it into health where it should be,” he said. 

“Our primary concern is to support women who have to make these decisions which will be with them for the rest of their lives.”

And Barnaby is rather upset......

EXCLUSIVE – Barnaby Joyce's threat to quit the Nationals Party – he tells #7NEWS he WILL resign and sit on the crossbench IF at least 4 state Nationals members publicly declare they have lost support in him. Full story at 6pm. #auspol

— Jennifer Bechwati (@jenbechwati) August 22, 2019

Will the Clarence Valley see an upgrade of Grafton Base Hospital within the next three years or will it take a decade to commence?

Grafton Base Hospital is a 50-99 bed public health facility which offers health services to an est. 51,647 resident population in the Clarence Valley on the NSW North Coast and an additional annual tourist population which can reach or exceed 1 million visitors.

In the first quarter of 2019 ambulance arrivals at Grafton Hospital were up 11.5 per cent, emergency department presentations rose by 3 per cent, emergency presentations climbed by 4.2 per cent, hospital admissions increased by 14.9 per cent with acute admissions totalling 3,127 patients and the elective surgery waiting times continued to grow.

In that same quarter during the NSW state election campaign the Nationals MP for Clarence on behalf of the Berejiklian Coalition Government promised voters in the Clarence Electorate a much needed $263.8-million overhaul of Grafton Hospital.

At the time doubts were raised about the genuineness of this promise as it contained little detail.

Those doubts are now resurfacing……

The Daily Examiner, 21 June 2019, p.3:

A major hospital upgrade looks to be a while off as the Clarence Valley joins the long queue of regions promised big projects at the New South Wales election.

The $263million commitment to the Grafton Base Hospital redevelopment was made in the final weeks of the campaign in March and is just one of many major infrastructure promises outlined in the 2019-20 Budget Papers.

However, there there was no specific line item in the 2019-20 Budget and Nationals MP Chris Gulaptis was quick to point out it would take time.

“It’s not a line item as such as we are still in the very early planning stages but there is a commitment for works to commence during this term of government,” he said.

“In the meantime, consultation needs to occur between the LHD, clinicians and the community to ensure the redeveloped hospital is able to provide for the community into the future.”

Mr Gulaptis said he had received assurances from Premier Gladys Berejiklian, Treasurer Dominic Perrotet and Deputy Premier John Barilaro that all election commitments would be honoured and provided a letter from Health Minister Brad Hazzard responding to representations he made after winning the election.

In the letter, Mr Hazzard said the project was one of many promised but work would still start before the end of the current term of parliament.

“In the period prior to the March election, the NSW Government announced a significant number of upgrades to hospital and health facilities across the state,” he said.

“This requires a prioritisation of when projects will commence over the next four years and will occur in alignment with the annual budget process.

“Once funding is made available through the budget process, Health Infrastructure will work with the local health district and clinical staff to progress the project through the planning stages.”......

Quote of the Week

“First Nations children account for almost 90 per cent of the suicides of children aged 14 and younger. The nation should weep.”  [National Critical Response Trauma Recovery Project Co-Ordinator Gerry Georgatos writing in The Sydney Morning Herald, 3 June 2019]

Northern NSW residents are still over-represented when it comes to smoking cigarettes

The Daily Examiner, 4 June 2019, p.7:

Northern NSW residents are still over-represented when it comes to smoking cigarettes.

Despite years of warnings and anti-smoking campaigns, statistics taken in 2016 reveal 20.3 per cent of population in the North Coast Local Health District is smoking.

The rate has remained largely unchanged for years as a report released by the Cancer Institute showed the number of smokers in 2011 stood at 20.4 per cent

This contrasted with statewide smoking trends which showed the number of smokers had dropped considerably over the past decade, down from almost 20 percent to just 15.2 per cent in 2017.

There was a clear difference between metropolitan and regional areas, with city health districts recording bigger falls and one regional health district, Western NSW, recording an increase of four per cent since 2012.

Males aged 25-34 were the most likely to be lighting up as 25.9 per cent of the group were smokers compared to 11.8 per cent of women the same age.

In fact, the only age group in which women out-smoked men was in the 55-64 and 65-74 categories and in both cases it was only a one per cent difference.

A higher proportion of women reported smoking while pregnant, with Northern NSW recording a rate five per cent above the state average of 8.3 per cent......

The 2019 federal election is over - so now the Morrison Government cuts are on again

Patient to GP Ratio [RACGP, General Practice: Health of the Nation,  2018]

Having waited until the 18 May 2019 federal election was over, Prime Minister 'Liar from the Shire' Morrison 7 his cronies are rolling out the funding pennypinching once more - and it's no surprise that it's the very young, very old and the poor who are the targets again.

ABC News, 22 May 2019:

Bulk billing of children and pensioners, as well as home visits to elderly and dying patients, could be scrapped in outer metro areas across Australia because of cuts which doctors say they will not be able to afford.

An incoming change to bulk-billing incentives has pushed GPs to breaking point, medical groups have warned, requiring them to provide crucial primary health services for less than the cost of a barber's cut.

The Federal Government has changed a key geographical classification, scrapping some outer suburban zones of incentives intended for rural areas.

From January 2020, the bulk-billing incentive in outer metro areas will be reduced from about $10 to $6 per patient, per visit.

The changes will affect GP practices in as many as 13 outer metro regions, including in Canberra, Adelaide's south, the New South Wales Central Coast, Geelong and the Mornington Peninsula.

The Australian Medical Association SA president, Dr Chris Moy, said many of the affected regions are low socio-economic areas.

He said the changes could put more pressure on already costly hospital systems, because patients could no longer afford to visit their GPs regularly.

"This is an example of a just a small change. It's not a huge change, but it's enough to break the camel's back," he said.

"It's more difficult for individuals to pay a gap in those situations so it's unfortunate this has happened."

Royal Australian College of General Practitioners president Harry Nespolon said general practitioners in the city and in the country were effectively being asked to work for free.

"The Medicare rebates are insufficient to provide the care that patients need," Dr Nespolon said.

"I don't think people want their GPs to do work for nothing but that's effectively what we're being asked to do.

"If the services become marginal in the sense they don't cover their costs, then they've got a choice — they can either go out of business or charge a fee.

"GPs in practices everywhere, rural or otherwise, are considering whether or not the current amount of rebate if they do bulk bill a patient is able to keep them in business."…….

Quick explanation of rebates:

·       The Medicare Benefits Schedule (MBS) is a list of medical services for which the Australian Government provides a Medicare rebate.

·        Each MBS item has its own scheduled fee — this is the amount the Government considers appropriate for a particular service (e.g. getting a blood test or seeing a psychologist).

·        Rebates are typically paid as a percentage of the Medicare scheduled fee. In the case of GP consultations, the rebate is 100 per cent of the schedule fee.

·       This means that bulk-billing GPs agree to charge patients the Medicare schedule fee ($37.60 for a standard appointment) and are directly reimbursed by the Government, and there is no cost to the patient.

·        GPs who don't bulk bill charge a fee higher than the Medicare schedule fee, meaning patients must pay the difference between the schedule fee and the doctor's fee — out of their own pocket.

·       For example, if your doctor charges $75 for a standard consultation, you'll pay $75 and receive a rebate of $37.60 — leaving you $37.40 worse off.

According to the federal Dept. of Health areas which will be losing the higher bulkbilling incentives (for treatment of patients with concession cards and children under 16 years) include:

Mandurah (WA)

Mornington Peninsula (Vic)

Canberra (ACT)

Newcastle (NSW)

Central Coast (NSW)

Queanbeyan (NSW)

Maitland (NSW)

Sunshine Coast (Qld)

Gawler (SA)

Geelong (Vic)

Melton (Vic)

Pakenham (Vic)

Ellenbrook (WA)

Baldivis (WA).

However the existing patient to GP ratio in an area is not necessarily the primary factor in determining who is on or off this list.

It seems you only have to live in an area where the local town/city has grown to over 20,000 residents since 1991 to find GPs being deprived of the full incentive payment per concession card/child patient seen.

Anyone living in the regions mentioned will know that what can appear to be a comfortable patient to GP ratio is not always evenly spread and in some areas certain GPs have already closed their books and are not taking new patients or are having difficulty attracting new GPs to established practices to fill unmet needs.

Just to make matters clear. some of the named places which will see GP incentive payments reduced on 1 July fall into the categories of regional or peri-urban area and, as at 30 June 2018 Australia-wide there were only 6,994 GPs in Inner Regional areas and 3,285 GPs in Outer Regional areas, according the the federal Dept. of Health statistics.

Even as it devours itself the Morrison Coalition Government is determined to impose its warped 1950s ideology on women and girls

On 8 March 2019 the United Nations Human Rights Council of which Australia is a member began its general debate on the promotion and protection of all human rights, civil, political, economic, social and cultural rights, including the right to development.

On that day the Australian Human Rights Law Centre said that the [UN] High Commissioner highlighted the importance of the right to social security and of recognising the value of unpaid care work in addressing women’s inequality.  Yet the Australian Government was steadily undermining its social security system and making life harder for many women.  Currently it was imposing its punitive ParentsNext programme on single mothers accessing social security.

And Mexico and Finland, speaking on behalf of a group of countries, stated that human rights bodies’ remedies must fulfil the rights of victims, and include adequate, effective and prompt reparation.  Women and girls in humanitarian settings were particularly vulnerable to human rights violations such as sexual and gender based violence, human trafficking and forced abortions. 

After a motion was put forward in relation to Mexico and Finland’s concerns 57 countries including the United Kingdom signed the subsequent statement.

According to SBS News on 11 March 2019  the motion broadly called for greater accountability for human rights violations against women and girls and the statement proposed greater implementation of 'policies and legislation that respect women and girls' right to bodily autonomy'. This included guaranteed universal protection of women's sexual and reproductive health, comprehensive sexuality education and access to safe abortion.

Australia refused to be a signatory to this official UN statement.

BuzzFeed was given to understand by a departmental spokesperson that the Australian delegation, coordinated by the Department of Foreign Affairs and Trade, did not join the statement because it called for access to safe abortion without referencing that this access should be consistent with the law.

Why was reference to existing law so important to Australia?

The highlighted section in the Human Rights Law Centre news release below gives the answer.

The Morrison Government - dominated as it is by middle-aged far-right men - refuses to open the door to debate on decriminalising abortion in the last three states which still retain a prohibition of abortion in their criminal codes.

Apparently Scott Morrison is averse to any debate on this issue, as in his own high-handed, paternalistic words “I don’t think it is good for our country”.

Human Rights Law Centre, Morrison Government missing in action at UN on International Women's Day, 9 March 2019:

The Morrison Government has failed to sign on to an International Women’s Day statement at the United Nations calling for access to safe abortions, comprehensive sexuality education and sexual reproductive health.

As recently as last week, in a speech to the UN Human Rights Council, the Australian Foreign Minister, Marise Payne, said the number one guiding principle for the Government's time on the Council was "gender equality". Yet when 57 countries came together on International Women's Day to support a motion proposed by Finland and Mexico, the Morrison Government chose not to back it.

Edwina MacDonald, a Legal Director at the Human Rights Law Centre, who is attending the session in Geneva, said it was extremely disappointing to see the Australian Government once again fail to live up to its promises at the UN.

“Being able to make choices about our own bodies and access reproductive health are absolutely essential to achieving gender equality. No government can truly support gender equality and human rights without supporting access to safe abortions and reproductive rights," said Ms MacDonald.

In Australia, abortion is still in the criminal statute books in New South Wales, South Australia and Western Australia. This is a recognised form of sex discrimination in international human rights law. The criminalisation of abortion harms women by making it harder to access safe and compassionate reproductive healthcare.

"The Morrison Government holds a really important role on the Human Rights Council, it should be using its voice at the UN to stand up for the rights of women all around the world. Instead we get hollow words here in Geneva and a failure to lift its game back home. It's so disappointing," said Ms MacDonald.

Australia was elected for a three-year term on the UN Human Rights Council in October 2017.  [my yellow highlighting]

Tweets of the Week

Gold. Treasury ticks off the government for verballing it over the effect of Labor's negative gearing policy on house prices.

From tonight's Treasury FOI dump. #ausecon #auspol pic.twitter.com/kfPSmgNjKR

— Peter Martin (@1petermartin) March 1, 2019

Remember when Scott Morrison said he'd change this? Well, he didn't. Children can be expelled and teachers sacked #MardiGras19 https://t.co/5ThKkkxwyU

— Sally McManus (@sallymcmanus) March 2, 2019

Today they posted this notice in Manus #auspol #Manus pic.twitter.com/x11gR6z9Jl

— Behrouz Boochani (@BehrouzBoochani) March 2, 2019

Baby power appears to be a ticking time bomb for consumers

Reuters Investigates, 14 December 2018:

Facing thousands of lawsuits alleging that its talc caused cancer, J&J insists on the safety and purity of its iconic product. But internal documents examined by Reuters show that the company's powder was sometimes tainted with carcinogenic asbestos and that J&J kept that information from regulators and the public….

J&J didn’t tell the FDA that at least three tests by three different labs from 1972 to 1975 had found asbestos in its talc – in one case at levels reported as “rather high.”……

…J&J has been compelled to share thousands of pages of company memos, internal reports and other confidential documents with lawyers for some of the 11,700 plaintiffs now claiming that the company’s talc caused their cancers — including thousands of women with ovarian cancer.

A Reuters examination of many of those documents, as well as deposition and trial testimony, shows that from at least 1971 to the early 2000s, the company’s raw talc and finished powders sometimes tested positive for small amounts of asbestos, and that company executives, mine managers, scientists, doctors and lawyers fretted over the problem and how to address it while failing to disclose it to regulators or the public.

The documents also depict successful efforts to influence U.S. regulators’ plans to limit asbestos in cosmetic talc products and scientific research on the health effects of talc.

A small portion of the documents have been produced at trial and cited in media reports. Many were shielded from public view by court orders that allowed J&J to turn over thousands of documents it designated as confidential. Much of their contents is reported here for the first time……

The World Health Organization and other authorities recognize no safe level of exposure to asbestos. While most people exposed never develop cancer, for some, even small amounts of asbestos are enough to trigger the disease years later…..

What J&J produced in response to those demands has allowed plaintiffs’ lawyers to refine their argument: The culprit wasn’t necessarily talc itself, but also asbestos in the talc. That assertion, backed by decades of solid science showing that asbestos causes mesothelioma and is associated with ovarian and other cancers, has had mixed success in court.

In two cases earlier this year – in New Jersey and California – juries awarded big sums to plaintiffs who, like Coker, blamed asbestos-tainted J&J talc products for their mesothelioma.

A third verdict, in St. Louis, was a watershed, broadening J&J’s potential liability: The 22 plaintiffs were the first to succeed with a claim that asbestos-tainted Baby Powder and Shower to Shower talc, a longtime brand the company sold in 2012, caused ovarian cancer, which is much more common than mesothelioma. The jury awarded them $4.69 billion in damages. Most of the talc cases have been brought by women with ovarian cancer who say they regularly used J&J talc products as a perineal antiperspirant and deodorant.

At the same time, at least three juries have rejected claims that Baby Powder was tainted with asbestos or caused plaintiffs’ mesothelioma. Others have failed to reach verdicts, resulting in mistrials.

J&J has said it will appeal the recent verdicts against it. It has maintained in public statements that its talc is safe, as shown for years by the best tests available, and that the information it has been required to divulge in recent litigation shows the care the company takes to ensure its products are asbestos-free. It has blamed its losses on juror confusion, “junk” science, unfair court rules and overzealous lawyers looking for a fresh pool of asbestos plaintiffs…..

Read the full article here.

Australia 2018: Is long-term rental destroying the wellbeing of low income households?

Choice 2018, DISRUPTED The consumer experience of renting in Australia:

Across the nation, people who rent are living on insecure tenancies. Almost 9 in 10 Australians who rent (88%) are on leases of a year or less, and are not certain of where they will be living in a year’s time. This impacts a person’s ability to feel part of the local community and establish roots.

The Land, 1 May 2018:

AFFORDABLE rentals on the state’s North Coast are increasingly few and far between, but the continued rise of the Airbnb-model now sees 3000-plus homes sit empty while low-income and government-assisted tenants are shut out. 

Anglicare’s latest Housing Affordability Snapshot says the region’s rental crisis has worsened as property owners in Ballina, Byron Bay, and the Tweed are incentivised to target short-term holidaymakers through web-based booking companies instead of potential long-term renters. 

The Anglicare report, released on Sunday, showed available North Coast rental properties were in steep decline (down from 795 in 2017 to 660 in 2018) with all family groups on income support, and single households on minimum wage, likely to struggle to find housing for themselves and their children.

Clair, A. et al, 24 May 2016, The impact of housing payment problems on health status during economic recession: A comparative analysis of longitudinal EU SILC data of 27 European states, 2008–2010, excerpt:

Transitioning into housing arrears was associated with a significant deterioration in the health of renters…..

Housing arrears is one of the so-called ‘soft’ ways in which housing influences health (Shaw, 2004), especially mental health, alongside the ‘hard’, physical impacts of the infrastructure itself, such as damp, mould, and cold. A growing body of scholarship indicates that people who experience housing insecurity, independent of other financial difficulties, experience declines in mental health (Gili et al., 2012, Keene et al., 2015, Meltzer et al., 2013, Meltzer et al., 2011, Nettleton and Burrows, 1998). 

In Australia, analysis of the longitudinal HILDA dataset found that those in lower income households who had moved into unaffordable housing experienced a worsening in mental health (Bentley, Baker, Mason, Subramanian, & Kavanagh, 2011), with male renters faring worse (Bentley et al., 2012, Mason et al., 2013).

One has to wonder if being a long-term renter affects quality of life to such a degree that on average renters die earlier than home-owners.

Call to protect infants from dangerous infectious disease, whooping cough

The Daily Examiner, 27 November 2018, p3:

NSW Health is urging all pregnant women and new parents to be aware of the symptoms of whooping cough and to ensure they and their children are vaccinated on time.

Despite almost 95 per cent of infants in NSW now vaccinated against the disease, outbreaks still occur every three to four years as community immunity wanes, and recent high numbers indicate an outbreak might be on the way.

Dr Vicky Sheppeard, NSW Health’s Director of Communicable Diseases, said that in October 2018 almost 800 people in NSW were notified with whooping cough (pertussis), the highest number since October 2016.

Acting director of North Coast Public Health Greg Bell said a similar situation was emerging in Northern NSW where there have been 36 cases of whooping cough reported in the past four weeks.

While these levels of whooping cough across Northern NSW are similar to the averages of the previous five years, pertussis notifications are trending upwards.

The latest Australian Immunisation Register quarterly report shows that at September 2018 90.4 per cent of five-year-olds and 88.9 per cent of 12-month-olds in Northern NSW Local Health District were fully vaccinated.

These figures represent an increase on vaccination rates in 2010 under the-then North Coast Area Health Service, when 84.9 per cent of children aged 5 and 87 per cent of 12-month-olds were fully vaccinated.

Even in highly vaccinated populations it is not possible to eliminate whooping cough…..

 “The aim of whooping cough control is to protect infants, who are at highest risk of severe disease or death if they contract whooping cough. Whooping cough vaccination is effective in preventing severe infection.”

Yet other digital privacy betrayals

The global situation......

The Guardian, 14 November 2018:

Google has been accused of breaking promises to patients, after the company announced it would be moving a healthcare-focused subsidiary, DeepMind Health, into the main arm of the organisation.

The restructure, critics argue, breaks a pledge DeepMind made when it started working with the NHS that “data will never be connected to Google accounts or services”. The change has also resulted in the dismantling of an independent review board, created to oversee the company’s work with the healthcare sector, with Google arguing that the board was too focused on Britain to provide effective oversight for a newly global body.

Google says the restructure is necessary to allow DeepMind’s flagship health app, Streams, to scale up globally. The app, which was created to help doctors and nurses monitor patients for AKI, a severe form of kidney injury, has since grown to offer a full digital dashboard for patient records.

“Our vision is for Streams to now become an AI-powered assistant for nurses and doctors everywhere – combining the best algorithms with intuitive design, all backed up by rigorous evidence,” DeepMind said, announcing the transfer. “The team working within Google, alongside brilliant colleagues from across the organisation, will help make this vision a reality.”

DeepMind Health was previously part of the AI-focused research group DeepMind, which is officially a sibling to Google, with both divisions being owned by the organisation’s holding company Alphabet.

But the transfer and vision for Streams looks hard to reconcile with DeepMind’s previous comments about the app. In July 2016, following criticism that the company’s data-sharing agreement with the NHS was overly broad, co-founder Mustafa Suleyman wrote: “We’ve been clear from the outset that at no stage will patient data ever be linked or associated with Google accounts, products or services.”

Now that Streams is a Google product itself, that promise appears to have been broken, says privacy researcher Julia Powles: “Making this about semantics is a sleight of hand. DeepMind said it would never connect Streams with Google. The whole Streams app is now a Google product. That is an atrocious breach of trust, for an already beleaguered product.”......

Here in Australia......

Canberra Times, 15 November 2018, p.8:

The chairman of the agency responsible for the bungled My Health Record rollout has been privately advising a global healthcare outsourcing company. Fairfax Media discovered the relationship between the UK-based company Serco and the Australian Digital Health Agency (ADHA) chairman Jim Birch after obtaining a number of internal documents.

The revelation comes as Health Minister Greg Hunt was forced to extend the My Health Record opt- out period after a compromise deal with the Senate crossbench and a last-minute meltdown of the website left thousands of Australians struggling to meet the original deadline. 

Since April 2016, Mr Birch has been ADHA chairman with oversight of My HealthRecord, the online summary of key health information of millions of Australians. Documents from the ADHA, released under freedom of information laws, show Mr Birch registered his work for Serco in November 2017, but the relationship was never publicly declared.

After Fairfax Media submitted questions last week on whether the relationship posed a conflict of interest, Mr Birch quit the advisory role.

Serco has won a number of multibillion-dollar government contracts to privately run - and in some cases deliver healthcare in - some of Australia's prisons, hospitals and detention centres.

The ability of Serco to navigate the controversial area of digital health records would be invaluable to any future expansion plans.

A spokeswoman for federal Health Minister Greg Hunt said all board members had declared their interests.

"Board members do not have access to system operations, and board members cannot be present while a matter is being considered at a board meeting in which the member has an interest," she said.

Lisa Parker, a public health ethics expert at University of Sydney, said the public had been asked to trust the agency is acting in its best interests. She said they should make public any information relevant to that trust…..

The register also shows Mr Birch knows the chief executive of start-up Personify Care, Ken Saman, and has been giving him advice since August last year. The software company recently released "Personify Connect", a product that provides hospitals with "seamless integration" of its original patient monitoring platform with My Health Record.

Despite being scheduled to speak at a "Personify Care breakfast seminar" later this year, Mr Birch has never publicly declared this interest. Mr Birch is also chairman of another start-up called Clevertar that allows businesses to create "virtual agents" and offer "personalised healthcare support, delivered at scale". This relationship is on the public record. 

Public sector ethics expert Richard Mulgan, from Australian National University, said the chairman should submit to a higher standard than ordinary board members and distance himself from anything suggesting a conflict of interest.

He said perception was just as important as reality and the public, not the people involved, was the best judge of whether there was a problem.

"The personal interests register must be published," he said.

"The fact they haven't can only lead to the perception there are conflicts of which they are ashamed."

Mr Birch, Personify Care and Clevertar did not respond to Fairfax Media's questions.

A Serco spokesman confirmed the company met with Mr Birch "occasionally ... over the past 12 months regarding business management", but did not answer whether it paid him.......

The Courier Mail, 15 November 2018, p.4:

Your dietitian, dentist, podiatrist, occupational therapist or optometrist will be able to see if have a sexually transmitted disease or an addiction unless you set access controls to My Health ­Record.

Major new privacy concerns emerged after the Federal Government was yesterday forced into an embarrassing call to delay the rollout.

People trying to access the controversial My Health Record hotline and computer portal experienced major delays during a rush to opt out before the system was rolled out tomorrow.

Health Minister Greg Hunt was forced to delay the opt out period until January 31 after pressure from health groups and crossbench senators.

The Australian Medical Ass­ociation was the only major health group not calling for a delay.

The vast majority of groups were concerned the record would come into ­effect before key privacy and secu­rity upgrades had been passed by ­Parliament. AMA president Dr Tony Bartone denied its position was related to his need to keep the Health Minister onside while he negotiated key reforms to general practice care.