Defiant Brumby refuses to toe the line

Victorian Premier John Brumby has no real respect for Prime Minister Kevin Rudd or the way that he practices politics.

That is not limited to the handling of the health reform issue. It applies across the board.

So when he told the National Press Club in Canberra today that he won’t be bullied by his Labor colleagues, or anybody else, you had better believe it.

His resolute opposition to the Federal Government’s hospital package is deep-seated and genuine, and cannot be placed in the same category as the usual pre-COAG positioning that has gone on for years.

The media reporting of Brumby’s 3AW interview this week focussed on the Joh Bjelke-Petersen reference; that you would have to go back to the Bjelke-Petersen period to identify another time when the states were held to ransom in this way.

But a transcript of that interview reveals the full extent to which Brumby was prepared to attack Rudd’s jugular.

He said, quoting Rudd: “… if you don’t do things the way I tell you, I am going to take money off you.”

Neil Mitchell: “What are the implications of that? Sick people suffer?”

Brumby: “Well the implications of that is that Victorians won’t be signing up to a deal because it would be bad for our state; and because we haven’t signed up, he would make things even worse.”

Mitchell: “Wouldn’t that mean sick people would suffer?”

Brumby: “Yeah, and I…”

Mitchell: “Sorry, is that yes?”

Brumby: “Yes it would.”

Mitchell: “But that’s obscene.”

Brumby: “Yeah … I would be very surprised if that’s what the PM really meant and there are a lot of things said in the bluster of debate.”

But not any of that. It was calculated and considered. The Victorian Premier was suggesting that Kevin Rudd plays his politics so hard, that he is prepared to make conditions for sick people even worse to get his own way.

A fascinating subtext to all of this is that both Rudd and Brumby have elections this year. They lead separate divisions of the same party. They will need to cooperate and campaign together. Unless there is a circuit breaker, how can they do that with any sincerity?

Furthermore, if Monday’s talks fail, and if Rudd takes the issue to a referendum, they will take opposite sides on that important and divisive debate.

Brumby will have no choice but to run the line that given Rudd’s form on insulation you could not possibly trust him to run the hospitals.

Those around him already argue that Rudd’s devotion to hospital reform is partly a latter-day cover for policy failings in other areas. Poke him with a big enough stick, and Brumby could well say that, or something similar, on the record.

In short, this is developing into a serious rift in an important political relationship. Yet Brumby can manage it and maybe even turn it to his advantage. On the other hand, the downside for Rudd is obvious.

He desperately needs a policy breakthrough – not a fresh debate – not a process – an outcome. The last thing he needs is for health reform to be stacked up against climate change as another unrealised ambition.

Rudd’s position will be strengthened, and Brumby’s weakened, if Victoria stands alone against the reforms.

But Brumby is convinced that won’t happen. He sees the objection of the West Australian Premier, Colin Barnett, to the GST changes as fundamental and non-negotiable. The fact that Barnett is overseas until the eve of the talks partly supports that view.

And even allowing for Rudd’s belated charm offensive with NSW Premier Kristina Keneally, the Victorians judge that the biggest state is no better than a 50-50 chance to sign up.

So Rudd needs a result, and to get that, he will need to deliver a revised and compelling plan. Not merely a concept to “end the blame game”. The plan will have to involve more money, and it will have to allow the states to go away satisfied that more beds will open up, and more patients will be treated … now. Not sometime in the never never.

Brumby ‘won’t be bullied’ into health deal

Victorian Premier John Brumby has ramped up his opposition to the Federal Government’s hospital takeover proposal, saying he will not be bullied into signing up to a deal that is “wrong” for patients.

Mr Brumby used a speech at the National Press Club in Canberra today to state his case against Prime Minister Kevin Rudd’s move to take back 30 per cent of GST revenue from the states to directly fund 60 per cent of hospital costs.

Mr Rudd only has five days left to get all the states on side before next Monday’s COAG meeting, but Mr Brumby says he would be a “mug” to sign up to the deal, saying Victoria “cannot and will not” support the Commonwealth deal.

And he accused Mr Rudd of never signalling that a GST clawback was on the cards.

“At no time, ever, ever, formally, informally, on the record, off the record, in meetings, out of meetings, has there ever been any suggestion from the Prime Minister that they would steal the GST from the states,” he said.

“That just came out of the blue.”

The Federal Government has put $3 billion of sweeteners on the table if the states agree to the plan, but Mr Brumby says it is holding patients to ransom and the money should be handed out now.

“We’re not going to be bullied into a position that’s wrong for the states and wrong for Australia,” he said.

“The GST part of this is not a good deal. I know what our own modelling shows.”

Mr Brumby singled out the Government’s pledge to spend $500 million to keep waiting times for patients at emergency departments to under four hours.

“It’ll encourage emergency departments to look after the more well patients who are presenting for treatment, to make sure that they keep the four-hour average,” he said.

South Australian Premier Mike Rann has accused Mr Brumby of attempting to scuttle the deal by proposing an alternative which he knows the Prime Minister will not accept.

But Mr Brumby says this is not the case.

“I’ve always been a great believer in cooperative federalism,” he said.

Speaking at a hospital in Gosford in New South Wales today, Mr Rudd said Mr Brumby was arguing for no change.

“No reform at COAG means the same old hospital system and the same old problems we’ve had in the past,” he said.

“People are sick and tired of excuses for delay.”

While Mr Brumby has hardened his stance, New South Wales appears to be signalling it is more receptive to a deal.

NSW Premier Kristina Keneally says the states agree there must be system reform.

“There is no first minister out there claiming that change is not required,” she said.

“What we as first ministers want to ensure is the change that we adopt is the right change.”

Opposition Leader Tony Abbott has accused Mr Rudd of rushing the overhaul ahead of this year’s federal election.

“He’s threatening people, he’s hectoring people, he is proving himself to be the man who is a master of the blame game,” he said.

WA could benefit from extra health funds

The WA Health Minister Kim Hames says the State’s hospitals are well placed to benefit from Federal Government moves to cut waiting times at hospital emergency departments.

The Prime Minister Kevin Rudd yesterday announced plans to inject half a billion dollars for emergency departments who treat, admit or refer patients within four hours.

WA is currently the only state to have implemented a four hour rule program.

Dr Hames says the proposed funding recognises WA’s innovative approach to health care, but he didn’t comment on whether the funds would be enough to entice him to accept the Prime Minister’s health policy.

Mr Rudd wants the states and territories to approve the health plan when they meet at next week’s COAG meeting.

Rudd’s emergency ward funds welcomed

Prime Minister Kevin Rudd has put another sweetener on the table to help get the states and territories to agree to his health reform package.

He has offered $500 million in funding to help cut waiting times in public hospital emergency wards.

Under the plan, hospitals will be given $150 million to help improve services in emergency departments from July this year.

Federal Health Minister Nicola Roxon says another $350 million will be allocated to hospitals that meet targets to cut waiting times.

“This is providing extra resources to our hard-working doctors and nurses in our emergency departments to ensure they can meet a new four hour target for people to be admitted to hospital, referred to follow-up treatment or treated and discharged,” she said.

“So that families over time can get better and quicker access – not be waiting all night – to be admitted to hospital or treated or referred elsewhere.”

Ms Roxon says she is keen to get the states and territories on board.

“We think this is an important piece of the puzzle between now and next week’s COAG meeting,” she said.

“There’s going to be more negotiations and other announcements, some behind closed doors and some publicly, but we think this is an important piece of the puzzle.

“It’s an extra investment of money right now and a change which will deliver benefits to families immediately.”

Mr Rudd says the extra funding is another reason for state leaders to sign up to the national health plan.

“With 600,000 Australians each year presenting to emergency departments having to wait more than 8 hours is not good enough for 2010 – that’s one in three Australians presenting in emergency departments, I’m advised, who are not being seen within clinically recomended times,” he said.

“I would say to any premier and chief minister who thinks that is good enough, I think it’s time we embraced instead national reform.”

Opposition Health spokesman Peter Dutton says the money might not be enough.

“It would seem that $500 million may go only a small way to helping, but nonetheless it is a significant amount of money,” he said.

So far, state governments have welcomed the funding but say they are not yet ready to sign up to the Government’s health and hospitals plan when they meet in a week.

Abbott slams ‘bribe’ announcement

Ms Roxon says Government figures show that about one in three patients wait for more than eight hours in emergency wards for treatment.

The plan is due to be phased in over four years and will start with the patients who have the most urgent cases.

But the Federal Opposition leader, Tony Abbott, says the announcement is nothing more than a bribe.

The money will only flow if the States agree to Mr Rudd’s plan to overhaul the health system. Mr Abbott says it should not be linked.

“If it’s a good plan, the states should not need to be bribed to sign up,” he said.

Victorian Premier John Brumby says its a very small amount of money and he is not yet prepared to sign up to Mr Rudd’s plan.

“We’d certainly want to see major changes to his proposal before we could get behind any elements of it,” he said.

Mr Rudd is not giving up.

“I’ll continue to work with Premier Brumby and the other premiers as positively and constructively as I can,” he said.

His deadline is in a week’s time.

More information needed

The Australian Medical Association says it is a welcome announcement but more announcements are needed.

The association says it is struggling to keep endorsing the Government’s health plan because not all elements have been released.

AMA president Andrew Pesce says more announcements are needed on extra hospital beds that the patients can be transferred into.

He has urged the Government to release all the extra funding associated with its health plan.

“It makes it increasingly difficult for us to continue to be strongly supportive of the Government’s intention to reform the health system when we don’t have the information to allow us to be confident that they’re putting the pieces of the jigsaw puzzle together properly,” he said.

Mr Rudd says he has made announcements in the proper sequence and he says there will be more to come.

“The growth components that we’ve also spoken of have been very clear in their articulation,” he said.

“Therefore, I think for anyone out there to suggest that there is not enough information around, maybe those folk may be looking for an excuse not to be positive. I’m not sure. But the key thing is, I intend to be positive.”

Victoria still not convinced on health overhaul

Prime Minister Kevin Rudd and Victorian Premier John Brumby will hold further discussions after today failing to hammer out an agreement on a federal hospital funding takeover.

The Federal Government wants to fund 60 per cent of hospital costs by taking back a third of GST revenue from the states.

Mr Rudd has vowed to take the plan to a referendum if the states do not agree at the next COAG meeting, but Victoria is reluctant to come on board.

Mr Brumby says the plan will not end the “blame game” between the Commonwealth and states over failures in the system and he is concerned it could disadvantage Victorian patients.

The two leaders met today and Mr Rudd says while some issues have been worked through, a deal has not been reached.

“I don’t diminish the fact that areas of disagreement remain,” he said.

“I believe we are moving through the outstanding areas of disagreement one by one.

“I don’t underestimate the problems we’ve still got to work our way through.”

Mr Brumby has told Fairfax radio that while progress has been made, there is still a long way to go on specific funding details of the plan which are yet to be discussed.

“These have always been the big issues from my point of view,” he said.

“The thing that would make the single biggest difference in my view is for the Federal Government to be giving us more funds for hospitals now.”

“We’re trying to organise another meeting but it was a positive meeting and I think the public would expect the nation’s leaders to be putting a lot of time into this to make sure we get it right.”

The Federal Government’s funding proposal would not inject any new funds until at least 2014, but it is yet to detail its full health reform plan.

It has also not yet released the Henry tax review which has added to the resistance from some states.

Yesterday during a speech to the Australian Davos Connection, Mr Rudd warned the states that future economic prosperity depended on the federal health proposal.

Swan fails to win over states on health reform

Federal Treasurer Wayne Swan has failed to allay the states’ concerns at today’s meeting on the Commonwealth’s public health takeover.

Mr Swan describes the meeting as very productive and says he will have further discussions with the states ahead of next month’s COAG leaders meeting, where Prime Minister Kevin Rudd wants an agreement.

“Today’s an important step along the road to the COAG leaders meeting in April,” Mr Swan said.

“There’s an enormous amount of detail to go through and we spent a fair bit of time going through all of that detail. I think it was a productive and constructive meeting.”

But Western Australia’s Treasurer, Troy Buswell, did not see it that way.

“In relation to the key issues, there was no progress made today,” he said.

“We’re a long way from agreement. There’s a lot of detail yet to be tabled by the Commonwealth.”

Mr Buswell says he has serious concerns about handing back a third of the state’s GST revenue to the Federal Government to fund hospitals.

Victoria is also critical of the funding proposal and Premier John Brumby is holding firm in his demand for an immediate cash injection into hospitals.

“What we want in Victoria is more money from the Federal Government now,” he said.

But Mr Swan is showing no signs of obliging.

Meanwhile, Queensland Treasurer Andrew Fraser supports the plan and says others should too.

“This is best for the nation,” he said.

“I’ve said before and I’m happy to say again that I think all states and territories should get on board with it.

“I think that if we’re serious about dealing with the challenges of the health system as a nation then this is the way forward.”

South Australian Treasurer Kevin Foley says he expects Mr Rudd to convince the states and territories to adopt his hospital plan.

He says SA still has some questions, but he supports the idea.

“The important thing is that the Commonwealth is in the business of sharing both the financial burden and the political burden of sorting out our nation’s need for more money for health,” he said.

Mr Foley says it would still be a better deal than any offered under the previous Liberal government.

“Peter Costello wouldn’t even give us a look in when it came to a national government or a federal government’s responsibility on health,” he said.

“So I think this is a deal worth taking from the states’ point of view. Notwithstanding that, there are some certain issues we have to sort out but they shouldn’t be deal-breakers.”

Housing shortage

Also at the meeting the treasurers agreed to a series of measures to help address the housing shortage, including a timetable to release more land and strip back planning bottlenecks.

But Mr Swan says the problem will not be fixed quickly.

“The shortage of housing in this country has been a feature of our economic environment for far too long,” he said.

“Because it’s developed over a long period of time it’s going to take a some time to deal with.

“We’ve agreed on a program of work with a timetable with the states and that work is ongoing as we go through the rest of the year.”

WA Premier optimistic health reform agreement possible

The Western Australian Premier Colin Barnett is optimistic an in-principle agreement will be reached on the Federal Government’s proposed health reforms.

The Federal Treasurer Wayne Swan visited Perth today to discuss the Government’s proposal to take control of health funding by reducing GST allocations to the states by about a third.

The Premier described the meeting as constructive.

Mr Barnett says he still has concerns about how GST will be divided

But, he expects an in-principle agreement on the management and funding of the health system will be reached at next month’s COAG meeting.

“The one thing that the states and the Commonwealth do agree on, we can do better in health.”

“And, we should put the interests of health and of particularly patients in our public hospital system ahead of any interstate or Commonwealth/state rivalry.”

Mr Barnett says the commonwealth is probably the only level of government capable of keeping pace with rising health costs.

He says health costs are rising by up to 12 per cent per annum, outstripping the long term capacity of state budgets.

Mr Barnett says he and Mr Swan are in broad agreement about the need to pool funding and improve the efficiency of the public health system.

The Premier says while he concedes commonwealth funds are essential, he told the Treasurer the focus needs to be on improving health services.

“What I said to Wayne Swan, and I hope he understood, I think he did, lets deal with the health issue and then get into the argument about money.”

“Lets work out what’s right for health first.”

Details

Mr Barnett says while he expects progress on the issue when premiers gather at next month’s COAG meeting, it is unlikely concerns about the detail of the proposal will be resolved.

“The test I place on it is that any change should only occur if it improves patient care in our public health system.”

“I think we’ve got to be careful that we don’t turn a good system on its head and hope that its going to work out okay.”

The premier says that in the long term, only the commonwealth has the revenue base and funding capacity to meet the demands of rapidly rising health budgets.

“The commonwealth is saying that after four or five years they will start to pick up the extra cost as the system grows. And that’s got some sense. Probably only the commonwealth has got the revenue stream in the long term to do that. The states revenues are pretty constrained, fairly narrowly based. The commonwealth’s got income tax, company tax, that’s the big dollars.”

After the meeting, Mr Swan did not say much to allay Mr Barnett’s concerns about the state government losing policy control.

“I think the Prime Minister’s made it very clear that we want a national system that is locally controlled.”

“I think we certainly share that objective.”

State premiers will meet next month to discuss the proposal.

Australia to safeguard international students

Canberra (Australia), Sep. 14 (ANI): Australia’s Deputy Prime Minister and Education Minister Julia Gillard said every effort would be made by her government to ensure the safety of international students in the country.

She was speaking on the opening day of a two-day round table meeting in Canberra on Monday to discuss major issues of concern for international students, Sinhua reports.

The overseas student industry, worth 15.5 billion Australian dollars, has been under scrutiny following an outcry earlier this year over violence against Indian students.

“When you’re talking about these grossly objectionable, violent incidents, you’re talking about a number of less than 10 and we are talking about around 100,000 Indian students in the country,” Gillard later told reporters.

“But I can understand why, having seen even one incident — mums and dads having sent their sons and daughters far from home to study would be concerned,” she added.

Gillard told the 31 assembled students, representing every continent on the globe, their voice was deeply important.

She said their views will be fed into Council of Australian Governments (COAG) deliberations on how to boost the international student experience and a parliamentary review that is currently underway. (ANI)