Informed, engaged communities for health

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#GreenHealthForum22
#Heal2022
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
@WePublicHealth2023
#CommunityMatters
#CoveringClimateNow
#CroakeyFundingDrive 2022
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HealthyCOP27
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#PHAAThinkTank 2022
#SpeakingOurMinds
#TalkingTeeth
#WorldInTurmoil
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
ICYMI
Inside Story
Journal Watch
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Donor-funded journalism
Donor-funded journalism – 2020
Donor-funded journalism – 2021
Donor-funded journalism – 2022
Donor-funded journalism – 2023
Elections and budgets
#NSWvotesHealth2023
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2022-23
Federal Budget October 2022
Federal Election 2022
SA election 2022
The Election Wrap (2022)
Victorian election 2022
Federal Budget 2021-22
Floods 2021
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
Floods 2011
Floods 2022
Floods 2023
Global health
NHS
NSW 2022
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
Aged care
Allied healthcare
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
Chronic conditions
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
Health and aged care workforces
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
Health reform
health regulation
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
Mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
Nursing and midwifery
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
Primary Health Networks
Primary healthcare
private health insurance
Rural and remote health
Safety and quality of healthcare
screening
sexual health
Social media and healthcare
Strengthening Medicare Taskforce 2022
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
Health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
Mpox
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
Public health
Public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
commercial determinants of health
discrimination
education
Housing
justice
Justice Reinvestment
NBN
Newstart/JobSeeker
poverty
Racism
social policy
Summer reading 2020-2021
Summer reading 2021-2022
Summer reading 2022-2023
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#CommunityControl Twitter Festival
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021
Support non-profit public interest journalism
Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#GreenHealthForum22
#Heal2022
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021
#NNF2022
#RANZCP2021
#RANZCP2022
#RethinkAddiction
#RTP22
#SAHeapsUnfair
#ShiftingGearsSummit
#ValueBasedCare
#WCepi2021
#YHFSummit
Choosing Wisely National Meeting 2022
Equally Well 2022 Symposium
GiantSteps22
Croakey Professional Services
#CommunityControl
#COVIDthinktank21
#KidneyCareTogether
ACSQHC series
ACSQHC series 2019
ACSQHC series 2020
ACSQHC series 2021
ACSQHC series 2022
CATSINaM 25 Years
Lowitja Indigenous knowledge translation series
NHLF series
Croakey projects
@WePublicHealth
@WePublicHealth2020
@WePublicHealth2022
@WePublicHealth2023
#CommunityMatters
#CoveringClimateNow
#CroakeyFundingDrive 2022
#CroakeyLIVE #USvotesHealth
#CroakeyREAD
#CroakeyVOICES
#CroakeyYOUTH
#HealthyCOP26
#HealthyCOP27
#HousingJusticeAus
#JusticeCOVID
#LookingLocal
#MRFFtransparency
#OutOfPocket
#PHAAThinkTank 2022
#SpeakingOurMinds
#TalkingTeeth
#WorldInTurmoil
AroundTheTraps
Caring for the Frontline
COVID SNAPS
COVIDglobalMHseries
Croakey longreads
CroakeyEXPLORE
Gavin Mooney
ICYMI
Inside Story
Journal Watch
Summer Reading 2019-2020
The Conversation
The Health Wrap
TOO MUCH of a Good Thing
CroakeyGO
#CroakeyGO #NavigatingHealth
#GamblingHarms
#HeatwaveHealth
Mapping CroakeyGo
CroakeyNews
Cultural determinants of health
Digital platforms
Donor-funded journalism
Donor-funded journalism – 2020
Donor-funded journalism – 2021
Donor-funded journalism – 2022
Donor-funded journalism – 2023
Elections and budgets
#NSWvotesHealth2023
Federal Budget 2019-20
Federal Budget 2020-21
Federal Budget 2022-23
Federal Budget October 2022
Federal Election 2022
SA election 2022
The Election Wrap (2022)
Victorian election 2022
Federal Budget 2021-22
Floods 2021
Global health and climate change
2019-20 climate bushfire emergency
asylum seeker and refugee health
Climate emergency
disasters
Ebola
extreme weather events
Floods 2011
Floods 2022
Floods 2023
Global health
NHS
NSW 2022
NZ Election 2017
WHO
health
Healthcare and health reform
abortion
adverse events
Aged care
Allied healthcare
Australian Medical Association
cancer
cardiovascular disease
child health
Choosing Wisely
Chronic conditions
co-payments
Cochrane Collaboration
complementary medicines
conflicts of interest
death and dying
diabetes
digital technology
disabilities
e-health
emergency departments and care
Equally Well
euthanasia
evidence-based issues
general practice
genetics
health & medical marketing
Health and aged care workforces
health and medical education
health and medical research
Health Care Homes
health ethics
health financing and costs
Health reform
health regulation
HIV/AIDS
hospitals
HRT
infectious diseases
influenza
international medical graduates
journal articles
LGBTIQ
medical marijuana
Medicare Locals
men's health
Mental health
MyHospitals website
National Commission of Audit 2014
National Health Performance Authority
naturopathy
NDIS
NHMRC
non communicable diseases
Nursing and midwifery
oral health
organ transplants
out of pocket costs
pain
palliative care
paramedics
pathology
Pharmaceutical Benefits Scheme
pharmaceutical industry
pharmacy
Pregnancy and childbirth
Primary Health Networks
Primary healthcare
private health insurance
Rural and remote health
Safety and quality of healthcare
screening
sexual health
Social media and healthcare
Strengthening Medicare Taskforce 2022
suicide
surgery
swine flu
telehealth
tests
TGA
trauma
women's health
youth health
Indigenous health
#CTG10
#NTRC
Acknowledgement
cultural safety
Indigenous education
Lowitja Institute
NT Intervention
social and emotional wellbeing
Uluru Statement
WA community closures
News about Croakey
Public health and population health
#PreventiveHealthStrategy
#UnmetNeedsinPublicHealth
air pollution
alcohol
consumer health matters
COVIDwrap
environmental health
Fetal Alcohol Spectrum Disorders (FASD)
food and nutrition
gambling
Government 2.0
gun control
health communications
health impact assessment
Health in All Policies
Health inequalities
health literacy
human rights
illicit drugs
injuries
legal issues
marriage equality
Media Doctor Australia
media-related issues
Mpox
nanny state
National Preventive Health Agency
obesity
occupational health
physical activity
plain packaging
prevention
Public health
Public interest journalism
road safety
sport
sugar tax
tobacco control
transport
vaccination
violence
Web 2.0
weight loss products
Royal Commission
Social determinants of health
commercial determinants of health
discrimination
education
Housing
justice
Justice Reinvestment
NBN
Newstart/JobSeeker
poverty
Racism
social policy
Summer reading 2020-2021
Summer reading 2021-2022
Summer reading 2022-2023
Tasmanian election 2021
The Croakey Archives
#cripcroakey
#HealthEquity16
#HealthMatters
#IHMayDay (all years)
#IHMayDay 2014
#IHMayDay15
#IHMayday16
#IHMayDay17
#IHMayDay18
#LoveRural 2014
Croakey Conference News Service 2013 – 2019
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2015 conferences
#CPHCEforum
#CRANAplus15
#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2016 conferences
#AHHAsim16
#AHMRC16
#ANROWS2016
#ATSISPEP
#AusCanIndigenousWellness
#cphce2016
#CPHCEforum16
#CRANAplus2016
#IAMRA2016
#LowitjaConf2016
#PreventObesity16
#TowardsRecovery
#VMIAC16
#WearablesCEH
#WICC2016
2017 conferences
#17APCC
#ACEM17
#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
#OKtoAskAu
#OTCC2017
#ResearchTranslation17
#TheMHS2017
#VMIACConf17
#WCPH2017
Australian Palliative Care Conference
2018 conferences
#6rrhss
#ACEM18
#AHPA2018
#ATSISPC18
#CPHCE
#MHED18
#NDISMentalHealth
#Nurseforce
#OKToAsk2018
#RANZCOG18
#ResearchIntoPolicy
#VHAawards
#VMIACAwards18
#WISPC18
2019 Conferences
#ACEM19
#CPHCE19
#EquallyWellAust
#GiantSteps19
#HealthAdvocacyWIM
#KTthatWorks
#LowitjaConf2019
#MHAgeing
#NNF2019
#OKtoAsk2019
#RANZCOG19
#RANZCP2019
#ruralhealthconf
#VMIAC2019
#WHOcollabAHPRA
Croakey Professional Services archive
#CommunityControl Twitter Festival
Croakey projects archive
#IndigenousHealthSummit
#IndigenousNCDs
#JustClimate
#JustJustice
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Naked Doctor
Poems of Public Health
Summer Reading 2016-2017
Summer Reading 2017-2018
The Koori Woman
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
Elections and Budgets 2013 – 2019
#AusVotesHealth Twitter Festival 2019
#Health4NSW
#HealthElection16
Federal Budget 2009-2010
Federal Budget 2010
Federal Budget 2011
Federal Budget 2012-2013
Federal Budget 2013-14
Federal Budget 2014-15
Federal Budget 2015-16
Federal Budget 2016-17
Federal Budget 2017/18
Federal Budget 2018-19
Federal Election 2010
Federal Election 2013
Federal Election 2016
Federal Election 2019
NSW Election 2015
NSW Election 2019
NT Election 2016
Qld Election 2015
Victorian Election 2014
WA election 2021

Advocacy by health professionals is critical in these heated, risky times: senior public health expert

Introduction by Croakey: We reported last week that senior doctors have raised concerns about a Medical Board of Australia decision to impose conditions on the registration of a rural emergency doctor, Dr David Berger, because of his comments on social media about pandemic management.

Since then, more than 1,600 people have signed an open letter of support for Berger. However, not everyone sees this as a freedom of speech issue, with one doctor commenting on Twitter that it is more about professional conduct online.

The reaction to our article has been mixed; some readers have been in contact to express concerns about Berger’s conduct; others have expressed support for Berger and stressed the importance of health advocacy and of health professionals being able to criticise and question government policies.

Professor Guy Marks, Scientia Professor at UNSW Sydney and the Woolcock Institute of Medical Research, writes below that the case raises fundamental questions.


Guy Marks writes:

The decision of the Australian Health Practitioner Regulation Agency (AHPRA) to sanction Dr David Berger is shocking on many levels. For me, it raises two big questions: what is the role of the doctor (and other health professionals) in society and, a related question, what should society expect from doctors?

Doctors have long recognised that the role of promoting the health of their patients and their communities does not begin and end at the surgery, clinic or hospital door.

Indeed, whether it is research, policy, public health practice or advocacy, many of the gains in health achieved by the actions of doctors have happened beyond the confines of the individual doctor-patient relationship. In our practice and in our personal experiences, we quickly learn the power of clinical interventions but also their limitations.

Some advocacy is on a small scale, for individuals: fighting for access to medicines, advocating for shorter wait times for surgery, trying to get patients into ICU, or intervening to improve housing or disability support for patients in need.

However, much of the advocacy requires action on a larger scale, sometimes for these very same issues, but on behalf of many patients not just an individual. Not infrequently this advocacy brings us into conflict with authority figures, including those who hold the purse strings and those who set the rules.

Many doctors, including this one, see this as part of their mandate. My own experience, even in recent times, includes examples of both, advocacy for individual patients and advocacy for the many, which have brought me into conflictual situations with authority figures. This comes with the territory.

There is, of course, an important role for AHPRA (or its equivalent) in regulating the behaviour of doctors and other health professionals. This regulation should reflect the expectations of society for how health professionals should behave. In particular, we expect doctors to refrain from spreading misinformation, to “first, do no harm”, and not to exploit patients or the public purse.

Regulators have much work to do on all these fronts.

However, the role of the regulator should not be to protect the interests of those with power: in the profession, in government, in the media, or elsewhere. They are all very capable of protecting their own interests, without the assistance of AHPRA!

My concern about Dr Berger’s case is that the regulatory function has been exercised inappropriately and will actually have an adverse, chilling impact on the important role of doctors as advocates for patients.

In my view our community does not expect us to be silent and compliant on matters of importance to public health. On the contrary, they expect us to speak up for scientific and evidence-based approaches to improving health.

Clearly, in the context of the COVID crisis, there has been a great deal of uncertainty about how to proceed. Informed public debate has been an important vehicle for motivating effective public health action and for countering misinformation.

The stakes and temperatures have been high in many domains: in the political sphere, in the scientific debate, and in the health system response. We need all actors, including the regulators, to act in a cool and measured manner in this context. AHPRA has let us down.

The decision to sanction should be reversed and the system that allowed this damaging decision to be taken needs to be reviewed.

Guy B. Marks AO FAHMS GAICD, Scientia Professor, UNSW Sydney and Woolcock Institute of Medical Research


AHRPA made comment in this previous Croakey article: Questions about freedom of speech in a contested, politicised pandemic environment and will be invited to respond to this article.

 

 

Leave a Reply

Your email address will not be published.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Search by: Categories or tags

Search
Generic filters
Filter by Categories
@WePublicHealth2021
#CroakeyLIVE #Budget2021Health
#health
#MHReform
#OutOfTheBox
#QldVotesHealth
#RCIADIC30Years
#RuralHealthJustice
#TRIPSwaiver
Budget2020Health
Bushfires
Co-design
community control
COVID-19
Croakey Conference News Service
#16nrhc
#2020ResearchExcellence
#21OPCC
#BackToTheFire
#FoodGovernance2021
#GiantSteps21
#Govern4Health
#GreenHealthForum21
#GreenHealthForum22
#Heal2022
#HealthClimateSolutions21
#HealthReImagined
#HearMe21
#ICEM22
#IndigenousClimateJustice21
#NAISA22
#NNF2021