No progress on Indigenous Health

While Kevin Rudd wants Western Australia to sign up to his National Health reform package, Australian citizens who are in most need of healthcare reform are still waiting for change to occur. On February 13 2008, Kevin Rudd promised to bridge the heath and life expectancy gap between Indigenous Australians and Non Indigenous Australians. At a time where a National Health reform package is on the table for discussion, with an aim to improve the health of all Australians', Indigenous health has been practically ignored. It seems the most opportune time to bridge the gap has been sacrificed, for the sake of a government concerned with being re-elected. 

It's not only the Federal Government's fault for ignoring Indigenous health and social issues, but also the fault of the Australian public. Because the general public is not directly effected by the atrocious health and social well-being of Indigenous Australian's, there is little pressure put on governments to act decisively on this matter. The geographical remoteness of these broken communities prevents wide scale media attention, further pushing Indigenous health and affairs into the dark. While these are the main factors preventing Indigenous issues from being front page news, the political and social awkwardness that comes from making policy and dealing with Indigenous affairs, muddies this process. Ultimately it is easier practically and politically, to speak in general terms about "bridging the gap", rather than taking action.

When it comes to assisting these broken communities, an overarching policy must be put in place, combined with individual, town by town specific action. Some communities suffer from high rates of crime because of a lack of jobs, others alcohol abuse, others systemic health problems. The intervention was a necessary first step, but it wasn't and isn't going to solve the entire problem. What is needed is an overarching policy from the Federal government, committing funds to rebuild communities that have been neglected of government services for decades. It's not just throwing money at the problem, it's setting out a plan of action with legislation necessary to enact it.

One of the main reasons Indigenous health is so expensive is because Indigenous Australian's are over-represented in Australian hospitals. The cost of preventing chronic and serious health problems is cheaper than treating it. Thus without local preventative health measures, such as sanitation, local clinics and local GP's, the cost of Indigenous health will always be expensive (and wasteful). It is laughable that the Federal Government is promising 80 new Indigenous health officers, and believes this will make a meaningful contribution to closing the gap. Promising every remote Indigenous community a shower would be more effective, as only 30% s have a working shower. The lack of such basic sanitation has lead to a swine flu outbreak amongst the Indigenous community in the Northern Territory, with Indigenous Australian's 12 times more likely to be hospitilised for swine flu. This figure is compounded by the fact that access to the 'free' swine flu vaccine would have almost been almost impossible for communities that don't have a doctor or a healthcare worker. 

While Indigenous Health and "the gap" can't be closed overnight, making no policy, and taking no action is not going fix the problem either. Opportunities for reform are passed up on and the political capital for action just isn't there. Will it really take another "little children are sacred" before the government and parliament open its eyes? While the Australian government has apologised on behalf of all of Australia for the'stolen generation', Kevin Rudd might as well start writing his next sorry speech, on behalf of the 'Ignorant Generation'

Links:
Swine flu hit Indigenous people hardest: study - ABC Online

'Alcohol and indigenous violence linked' - The Age Online

NT says it will sign health deal if more money is offered - The World Today

Govt promises more Indigenous health officers - ABC online