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Liberal leadership crisis – the health sector responds

With the Liberal leadership crisis lurching into a third day, even seasoned political journalists have expressed their surprise at the extent of dysfunction within government.

https://twitter.com/sophbenj/status/1032523990374313985

While the political sideshow continues, health groups and advocates are expressing their concerns about the implications of this political melt-down for our health system and the broader health and well-being of vulnerable groups in the community.

Jennifer Doggett summarises some of the main issues being raised by the sector, below.


Jennifer Doggett writes:

Concerns about Peter Dutton as potential Prime Minister top the list of concerns being raised by health advocates, given his views on issues affecting Indigenous Australians, LGTBI people and other minority groups.

If anyone needs reminding, Peter Dutton was one of a handful of Liberal MPs who boycotted the apology to the Stolen Generations in 2008 and as Home Affairs Minister has actively supported the continued detention of refugees, including children. He has also voted against same sex marriage and opposed extending government benefits to same sex couples.

Indigenous and community leaders have expressed their concern about how a Dutton Prime Ministership could hinder the progress of reconciliation efforts and threaten the mental health and well-being of Indigenous Australians and other racial minorities.

Indigenous Labor MP Linda Burney stated:

“We’ve seen him make comments about African youth down in Victoria and I cannot see him supporting the notion of constitutional reform, in terms of an Indigenous voice to the parliament,” she said.  “I think it will bear very badly for minorities and particularly for Aboriginal people.”

https://twitter.com/marcialangton/status/1032525567445221376

Having been in Federal Parliament since 2006, Dutton now has a clear record of voting against a broad range of health and social justice initiatives including tobacco plain packaging, stem cell research, decreasing the private health insurance rebate, increasing the price of subsidised medicine, increasing the age pension, increasing availability of abortion drugs and increasing restrictions on gambling.

While (as Tony Abbott discovered) there are limitations on how far a Prime Minister can push the more liberal elements of his partyroom towards his more conservative social and political agenda, it is still extremely concerning to have a potential national leader with positions on these issues at odds with most health experts and advocates.

Ongoing instability

Questions are also being asked about the implications of ongoing instability at the political level for the health system more generally.

With a revolving door approach to replacing Prime Ministers and Health Ministers it can be difficult to develop and sustain a longer term health reform agenda.

Many of the key challenges facing the health of our community, such as climate change, rising rates of chronic disease and increasing wealth inequality, require a broad and long-term focus that can outlast political cycles and changes of government.

This instability affects some central areas of the health system, such as general practice and rural health, as the departing Health Minister Greg Hunt has relied on a series of “compacts” with various health stakeholder groups to drive policy in these areas. The status of these “compacts” under a new Minister is unclear and leaves scope for unwelcome and unanticipated changes to these key programs.

Specific concerns have been raised by the Federation of AIDS Organisations about the implications of the leadership crisis for the draft National Blood-Borne Virus and Sexually Transmitted Infections Strategies, which are are yet to be approved, as well as high priority issues such as HIV self-testing.

Environmental issues

The implications of the leadership crisis for pressing environmental problems has also been a focus of comments from the Twittersphere. In particular, the difficulties facing rural communities in NSW and other parts of Australia affected by the current drought.

Political responses

On the plus side, the Liberals implosion has provided the opportunity for impressive displays of leadership from other sources, notably the Greens leader Richard Di Natale. Mention should also be made of Minister for Indigenous Health, Ken Wyatt, who called for an end to instability within the party.

Election-bound

But there’s one group who can’t help smiling about the leadership tussle.

Labor knows from bitter experience the price that political parties pay at the polls for in-fighting and disunity. The more public and messy the leadership battle gets, the greater chance Labor has of a win at the next election.

For health groups interested in influencing government policies, this will mean re-focussing lobbying strategies on Labor and the Greens, leaving the Coalition to sort out its internal issues before re-engaging with them and the new Health Minister.

And…there are always some impressive contenders for the ‘you have to laugh or you would cry’ awards…

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