<blockquote> <p style="text-align: left;"><strong>The election is being held on the lands of Aboriginal and Torres Strait Islander people who've cared for country for tens of thousands of years. </strong></p> <p style="text-align: left;"><strong>The voices, expertise, aspirations of First Nations people should be central to debates and also on electors’ minds."</strong></p> </blockquote> Mrs Janine Mohamed, CEO of the Lowitja Institute and Chair of Croakey Health Media, sent out this tweet when launching the <a href="https://croakey.org/announcing-program-for-ausvoteshealth-twitter-festival-tune-in-on-8-may-and-beyond/">#AusVotesHealth Twitter festival</a> this morning, together with some other important messages for the 97 percent of voters who are not Indigenous. More than 40 guest tweeters are contributing to the program today; please join the conversation at <a href="https://twitter.com/hashtag/ausvoteshealth?f=tweets&vertical=news&src=hash">#AusVotesHealth</a>. The post below summarises initial discussions, with a focus on Aboriginal and Torres Strait Islander health, climate change, the social determinants of health and health policy. More posts will be published throughout the day. <hr /> <h2><strong>Launch</strong></h2> Mrs Janine Mohamed, CEO of Lowitja Institute and chair of Croakey Health Media <a href="https://twitter.com/JanineMilera?lang=en" target="_blank" rel="external noopener noreferrer" data-wpel-link="external">@JanineMilera<img class="aligncenter wp-image-117855" src="https://croakey.org/wp-content/uploads/2019/05/Janine1.jpg" alt="" width="575" height="291" /><img class="aligncenter wp-image-117856" src="https://croakey.org/wp-content/uploads/2019/05/Janine2.jpg" alt="" width="538" height="332" /><img class="aligncenter wp-image-117857" src="https://croakey.org/wp-content/uploads/2019/05/Janine3.jpg" alt="" width="497" height="427" /><img class="aligncenter wp-image-117858" src="https://croakey.org/wp-content/uploads/2019/05/Janine4.jpg" alt="" width="583" height="306" /><img class="aligncenter wp-image-117859" src="https://croakey.org/wp-content/uploads/2019/05/Janine5.jpg" alt="" width="553" height="483" /><img class="aligncenter size-full wp-image-117860" src="https://croakey.org/wp-content/uploads/2019/05/Janine6.jpg" alt="" width="641" height="225" /><img class="aligncenter size-full wp-image-117892" src="https://croakey.org/wp-content/uploads/2019/05/AddJanine.jpg" alt="" width="651" height="847" /></a> Janine Mohamed also tweeted: In my career, I’ve worked across the Aboriginal & Torres Strait Islander health sector, including time with <a href="https://twitter.com/AHCSA_"><span style="text-decoration: line-through;">@</span><strong>AHCSA_</strong></a> <a href="https://twitter.com/NACCHOAustralia"><span style="text-decoration: line-through;">@</span><strong>NACCHOAustralia</strong></a> & as CEO of <a href="https://twitter.com/CATSINaM"><span style="text-decoration: line-through;">@</span><strong>CATSINaM</strong></a>. I’ve seen firsthand the impact of Government decisions on the health & wellbeing of our Peoples & our workforce. Health Minister <a href="https://twitter.com/GregHuntMP">@GregHuntMP</a> & Shadow Minister <a href="https://twitter.com/CatherineKingMP">@CatherineKingMP</a> recently debated health at <a href="https://twitter.com/PressClubAust">@PressClubAust</a> (on iView at <a href="https://iview.abc.net.au/show/national-press-club-address/series/0/video/NC1912C003S00">https://iview.abc.net.au/show/national-press-club-address/series/0/video/NC1912C003S00</a>) Check out @CroakeyNews <a href="https://croakey.org/ausvoteshealth-a-stark-choice-is-on-offer-on-may-18/">commentary.</a> The <a href="https://twitter.com/GuardianAus">@GuardianAus</a> recently covered what the parties offer Indigenous voters in the election <a href="https://www.theguardian.com/australia-news/2019/apr/20/unfinished-business-what-the-parties-offer-indigenous-voters-in-the-2019-election">https://www.theguardian.com/australia-news/2019/apr/20/unfinished-business-what-the-parties-offer-indigenous-voters-in-the-2019-election</a> & a <a href="https://twitter.com/ConversationEDU">@ConversationEDU</a> piece compared the two major parties’ Indigenous health commitments <a href="https://theconversation.com/how-the-major-parties-indigenous-health-election-commitments-stack-up-115714">https://theconversation.com/how-the-major-parties-indigenous-health-election-commitments-stack-up-115714</a> As health professionals, healers, researchers & policy makers, Aboriginal & Torres Strait Islander people make an important contribution to the health of all Australians. If we want policies that work it's important that we are represented & heard in Parliament. In #AusVotes19 I’m glad to see an increasing number of Aboriginal & Torres Strait Islander candidates putting their hand up to take their voices to the national stage. Take a look at this article by <a href="https://twitter.com/1KarenWyld">@1KarenWyld</a> for <a href="https://twitter.com/IndigenousX">@IndigenousX</a> for info: <a href="https://indigenousx.com.au/indigenous-candidates-have-canberra-on-their-radars/">https://indigenousx.com.au/indigenous-candidates-have-canberra-on-their-radars/</a> In the lead-up to the poll <a href="https://twitter.com/NACCHOAustralia">@NACCHOAustralia</a> are running the #VoteACCHO campaign – highlighting the vital role of Aboriginal community controlled health orgs for our mob & sharing election coverage. <a href="https://www.naccho.org.au/media/voteaccho/">https://www.naccho.org.au/media/voteaccho/</a> <img class="aligncenter size-full wp-image-117861" src="https://croakey.org/wp-content/uploads/2019/05/ThanksJanine.jpg" alt="" width="636" height="290" /> <hr /> <h2>Introductions</h2> <strong>#AusVotesHealth moderators</strong> <strong>Melissa Sweet, <a href="https://twitter.com/croakeyblog?lang=en" target="_blank" rel="external noopener noreferrer" data-wpel-link="external">@croakeyblog</a>: <em>Our house is on fire, where is the emergency response?</em></strong> <img class="aligncenter size-full wp-image-117862" src="https://croakey.org/wp-content/uploads/2019/05/MelissaIntro.jpg" alt="" width="641" height="416" />I would like to ask everyone to imagine the possibilities for transformative change in your lives – in how you live, work, play, travel – & also in your priorities & worldviews, whether about the economy or your political choices. My topic is: Our house is on fire, where is the emergency response? I'm borrowing from that world-changing communicator, @GretaThunberg. The Q is not being properly addressed during this election, not by (most) pollies/media, not even at #AusVotesHealth. <a href="https://www.theguardian.com/environment/2019/jan/25/our-house-is-on-fire-greta-thunberg16-urges-leaders-to-act-on-climate">https://www.theguardian.com/environment/2019/jan/25/our-house-is-on-fire-greta-thunberg16-urges-leaders-to-act-on-climate</a> If your house is burning, you throw all energy & resources into the fight. Even in the health sector, where there is an understanding we are facing an emergency, climate action is too often an add-on instead of the central driving consideration. If your house is on fire, you make a superhuman effort to save your children from the flames; you don’t wait until after you’ve been to the bank or taken a holiday or finished writing that policy document or journal article. #Climate action needs to be considered as part of every decision we take, including in health and social policy/service provision. It matters for healthcare services, transport, housing, employment, for food – for everything that affects health & wellbeing. In an ideal world, all political candidates would have effective climate action policies & we could therefore base our voting decisions on a whole range of other issues that we care about. Unfortunately we are not in that place. <img class="aligncenter wp-image-117863" src="https://croakey.org/wp-content/uploads/2019/05/CLIAMTESCORECARD.jpg" alt="" width="602" height="597" />Finally, to end with a few quotes; here’s one from a new book by one of today’s guest tweeps, @baumfran – <em>Governing for Health</em>. She writes: <blockquote>The future holds only two possibilities. First ecological destruction; the second, radical, systemic, transformative, epochal change.”</blockquote> And this, from an author of a <a href="https://www.ipbes.net/news/Media-Release-Global-Assessment">new UN report</a> documenting catastrophic loss of biodiversity, Robert Watson: <blockquote>The health of the ecosystems on which we and other species depend is deteriorating more rapidly than ever. We are eroding the very foundations of economies, livelihoods, food security, health and quality of life worldwide.”</blockquote> As another of the report’s authors, Josef Settele, an entomologist at the Helmholtz Centre for Environmental Research in Germany, said: “Business as usual with small adjustments won’t be enough.” The schoolkids are right - this has to be <a href="https://www.ourclimate-ourhealth.org.au/climate_election?utm_campaign=call_to_action_election_email&utm_medium=email&utm_source=caha">a #ClimateElection</a>. But the choices facing us are about more than how we vote, they are also about the choices we make each day about how we live, and what we prioritise. <hr /> <strong>Marie McInerney, <a href="https://twitter.com/mariemcinerney?lang=en" target="_blank" rel="external noopener noreferrer" data-wpel-link="external">@mariemcinerney</a>: <em>Fantasyland – a place I want to be</em></strong> <img class="aligncenter wp-image-117872" src="https://croakey.org/wp-content/uploads/2019/05/Marie1.jpg" alt="" width="480" height="407" />According to <a href="https://twitter.com/WHO"><span style="text-decoration: line-through;">@</span><strong>WHO</strong></a>, the social conditions in which people are born, live and work is the single most important determinant of good health or ill health. <a href="https://t.co/DNXxkJJDWR">https://www.who.int/social_determinants/sdh_definition/en/ …</a> "Why treat people and send them back to the conditions that made them sick." That's how <a href="https://twitter.com/MichaelMarmot"><span style="text-decoration: line-through;">@</span><strong>MichaelMarmot</strong></a> opens his book:<em> The Health Gap: The challenge of an unequal world.</em> .<a href="https://twitter.com/MichaelMarmot"><span style="text-decoration: line-through;">@</span><strong>michaelmarmot</strong></a> grew up in Australia, and delivered the 2016 Boyer Lectures - titled Fair Australia: Social Justice and the Health Gap - they're worth <a href="https://www.abc.net.au/radionational/programs/boyerlectures/series/2016-boyer-lectures/7802472">a listen</a> anytime but especially in the leadup to #AusVotesHealth. <img class="aligncenter size-full wp-image-117871" src="https://croakey.org/wp-content/uploads/2019/05/Marie2.jpg" alt="" width="629" height="687" /> The National Aboriginal & Torres Strait Islander Health plan says between 1/3 & 1/2 the life expectancy gap experienced by Indigenous people may be explained by differences in <a href="https://twitter.com/hashtag/SDOH?src=hash"><span style="text-decoration: line-through;">#</span><strong>SDOH</strong></a> including impacts of <a href="https://twitter.com/hashtag/racism?src=hash"><span style="text-decoration: line-through;">#</span><strong>racism</strong></a>. <a href="https://t.co/wiyq4PaXVp">http://www.health.gov.au/internet/main/publishing.nsf/content/B92E980680486C3BCA257BF0001BAF01/$File/health-plan.pdf …</a> To mark <a href="https://twitter.com/MichaelMarmot"><span style="text-decoration: line-through;">@</span><strong>michaelmarmot</strong></a>’s visit to Australia, Croakey released an e-publication featuring 25 key <a href="https://twitter.com/hashtag/SDOH?src=hash"><span style="text-decoration: line-through;">#</span><strong>SDOH</strong></a> articles, out of more than 1,000 published over previous years (download it <a href="https://croakey.org/croakey-publications/">here)</a>. .<a href="https://twitter.com/MichaelMarmot"><span style="text-decoration: line-through;">@</span><strong>michaelmarmot</strong></a>’s book ends: "If you are in a country with poorly developed social systems, do something. If your country is on the way, do more. And if you are in the Nordic countries, do it better.” A big <a href="https://twitter.com/hashtag/AusVotesHealth?src=hash"><span style="text-decoration: line-through;">#</span><strong>AusVotesHealth</strong></a> challenge for <a class="twitter-atreply pretty-link js-nav" dir="ltr" href="https://twitter.com/CatherineKingMP" data-mentioned-user-id="47273818"><s>@</s><b>CatherineKingMP</b></a> <a class="twitter-atreply pretty-link js-nav" dir="ltr" href="https://twitter.com/GregHuntMP" data-mentioned-user-id="60483082"><s>@</s><b>GregHuntMP</b></a> <img class="aligncenter size-full wp-image-117870" src="https://croakey.org/wp-content/uploads/2019/05/Marie3.jpg" alt="" width="636" height="275" /> Marie McInerney conducted a straw poll of various family members about the critical #AusVotesHealth matters on their minds - for sceptics who think "the social determinants of health" is a concept that doesn't resonate beyond a narrow bubble, here is one household where all ages get it. <img class="aligncenter size-full wp-image-117869" src="https://croakey.org/wp-content/uploads/2019/05/Marie4.jpg" alt="" width="635" height="485" /><img class="aligncenter size-full wp-image-117868" src="https://croakey.org/wp-content/uploads/2019/05/Marie5.jpg" alt="" width="633" height="627" /><img class="aligncenter size-full wp-image-117867" src="https://croakey.org/wp-content/uploads/2019/05/Marie6.jpg" alt="" width="632" height="492" /> <img class="aligncenter size-full wp-image-117866" src="https://croakey.org/wp-content/uploads/2019/05/Marie7.jpg" alt="" width="632" height="575" /><img class="aligncenter size-full wp-image-117865" src="https://croakey.org/wp-content/uploads/2019/05/Marie8.jpg" alt="" width="625" height="488" /><img class="aligncenter size-full wp-image-117864" src="https://croakey.org/wp-content/uploads/2019/05/Marie9.jpg" alt="" width="638" height="630" /> <hr /> <strong>Jennifer Doggett, <a href="https://twitter.com/JenniferDoggett?lang=en" target="_blank" rel="external noopener noreferrer" data-wpel-link="external">@JenniferDoggett</a>: <em>Highlights and holes – what do we already know about the major parties’ policies and what else do we want from them over the next 2 weeks to inform our decision on May 18th?</em></strong> <img class="aligncenter size-full wp-image-117875" src="https://croakey.org/wp-content/uploads/2019/05/Jennifer1.jpg" alt="" width="645" height="294" /><img class="aligncenter size-full wp-image-117880" src="https://croakey.org/wp-content/uploads/2019/05/Jennifer2.jpg" alt="" width="634" height="655" /> <img class="aligncenter size-full wp-image-117879" src="https://croakey.org/wp-content/uploads/2019/05/Jennifer3.jpg" alt="" width="644" height="129" /><img class="aligncenter size-full wp-image-117878" src="https://croakey.org/wp-content/uploads/2019/05/Jennifer4.jpg" alt="" width="647" height="468" /><img class="aligncenter size-full wp-image-117877" src="https://croakey.org/wp-content/uploads/2019/05/Jennifer5.jpg" alt="" width="649" height="176" /><img class="aligncenter size-full wp-image-117876" src="https://croakey.org/wp-content/uploads/2019/05/Jennifer6.jpg" alt="" width="640" height="168" /> <hr /> <h2>Wider contributions</h2> Thank you to others contributing to the discussions too.<img class="aligncenter size-full wp-image-117884" src="https://croakey.org/wp-content/uploads/2019/05/Jac1.jpg" alt="" width="670" height="463" /><img class="aligncenter size-full wp-image-117886" src="https://croakey.org/wp-content/uploads/2019/05/Jac2-1.jpg" alt="" width="656" height="689" /> <img class="aligncenter size-full wp-image-117882" src="https://croakey.org/wp-content/uploads/2019/05/Sarah2.jpg" alt="" width="593" height="218" /><img class="aligncenter size-full wp-image-117883" src="https://croakey.org/wp-content/uploads/2019/05/Sarah.jpg" alt="" width="591" height="257" />Participants had the hashtag trending in Canberra by morning tea. <img class="aligncenter size-full wp-image-117874" src="https://croakey.org/wp-content/uploads/2019/05/AusVotesHealthTrending1030am.jpg" alt="" width="639" height="633" /> More reports to follow...