MP calls for regional hospital commitment

New South Wales Far South Coast MP Andrew Constance says the State Government is falling short of its promise to build the Bega Valley Regional Hospital.

Mr Constance says it is the fourth anniversary of the government promising to build the hospital by 2011, but the construction process has not started.

He says he is worried the government will use Federal health reforms as a reason to delay the $100m project.

And he says he is pressuring the Premier, Kristina Keneally, to include the hospital in this year’s budget.

“People want to see it in black and white in the budget papers,” he said.

“It gives it the certainty in terms of the funding allocation.

“Given that the project is yet to be signed off by New South Wales treasury, it is vital that the Premier give this commitment in the budget papers.

“I have written to her requesting that this happen.”

For more, go to the South East News blog at http://bit.ly/dgL1SN

Biden drops the F-bomb after Obama signs historic health reforms

London, March 24 (ANI): US Vice President Joe Biden let out an over zealous reaction as President Barack Obama signed historic health reform into law.

The gaffe-prone vice president was said to have remarked aside to his boss, “This is a big f—— deal,” meant for Obama”s ears only.

But the expletive was picked up on television microphones and later went on to become a “a big deal” in cable news and channels, The Telegraph reported.

White House press secretary Robert Gibbs apparently scaled down the latest faux pas by the vice president.

“And yes, Mr Vice President, you”re right,” he wrote on his Twitter page. (ANI)

State Libs seek more info on health reforms

The Tasmanian Liberal Leader Will Hodgman says he cannot assess the Federal Health Plan until he sees more details.

Mr Hodgman says he may be Premier when COAG discusses the plan next month.

He has called on Treasury to hand over any details it may have.

“David Bartlett instantly ascribed his support whilst every other Premier around the country said let’s have a look at the detail, the implications on their states,” he said.

“Well why wouldn’t we do such a thing here?”

“But I am not going to instantly ascribe our party’s support nor indeed suggest opposition to the Rudd package.”

The Treasurer Michael Aird says he has offered written briefings to both the Liberal and Greens leaders on the impact of the health changes.

In a statement, he said the Treasury Secretary Don Challen will attend a meeting on Friday of the Ministerial Council for Federal Financial Relations, on behalf of the state government.

Kennett slams Rudd’s health proposal

As Kevin Rudd and Tony Abbott got suited up for today’s health debate, they probably didn’t need any extra needling on their health care and hospital policies from a former political leader. Neither do the state premiers and chief ministers, several of whom are still trying to work out whether they are in or out of office.

But then Jeff Kennett was never one for subtle interventions.

The Prime Minister would hardly have expected the former Liberal premier to back his hospital plan publicly. But Mr Kennett was the political leader who pushed through exactly the sort of hospital funding model in Victoria that Kevin Rudd is proposing nationally. And Mr Rudd might have hoped that the Victorian reformer would be a private supporter. Far from it. While Mr Kennett still supports casemix funding and says he would like to see it adopted nationally, he is scathing about the deal the Prime Minister is trying to strike with the states.

“I think there are huge flaws in the concept of funding 60 per cent of hospital costs,” he said.

“It cannot work based on what we know of the details … I have worked very closely with the Prime Minister on other areas of health reforms such as mental health … I have got to say to the Prime Minister with due respect, your model cannot work.”

Speaking to The World Today on Monday, Mr Kennett said not only would Mr Rudd’s plan not get rid of the buck-passing between the states and the Federal Government, but that the Commonwealth could not be trusted to hold to the 60 per cent funding promise.

He dismissed Mr Rudd’s threat to hold a referendum to force his plan on reluctant states as “a foolish political threat”.

And he warned that any state premier who accepted the Prime Minister’s proposal “would be negligent, I think you would be wilfully negligent if you allowed a Commonwealth promise to remove 30 per cent of your GST income flow.”

Not that his own proposal will give the state leaders any comfort. Mr Kennett says the Prime Minister should force through casemix funding in the states in return for – well nothing – just in order to keep the current 30 per cent of funding that the Commonwealth already provides.

“If I was the Prime Minister I would be using my current authority, financial authority, to insist that casemix and [hospital] networking were put into place by the states in return for the funding that the Commonwealth currently provides.”

In other words Mr Kennett is saying the Federal Government should wield its already substantial financial power with the states to drive through its plan, rather than pussy-footing around with the offer to increase the Commonwealth funding commitment to 60 per cent. He says the Commonwealth does “contribute a large amount of money to the states for the delivery of the hospital systems at the moment” and the Prime Minister should use it.

The former Victorian premier said he is not opposed to major reform and that if the circumstances were right he would support a full Commonwealth takeover of health funding. He said a 100 per cent model was the only sure way to end the buck-passing between the states and the Commonwealth. But he said that under the Rudd plan, “I have got to say to you, as promised at the moment, the hospital system will not be improved and ultimately, the states and the Commonwealth will be in greater disagreement than ever before.”

Eleanor Hall is the host of the ABC’s daily newshour, The World Today.

Keneally releases PM’s health plan response

New South Wales Premier Kristina Keneally has released a copy of Prime Minister Kevin Rudd’s letter assuring her the state will not be worse off under the planned health reforms.

Ms Keneally wrote to Mr Rudd after his health plan announcement, seeking clarification on a number of issues including whether there would be increased Commonwealth funding for public hospitals.

Mr Rudd’s response assures the Premier his plan will provide significant additional funding to New South Wales.

He says no hospital will be forced to close as a result of the activity-based funding model that is being proposed.

Ms Keneally says she is working through the response.

“There are still issues outstanding, particularly around rural and regional hospitals,” she said.

The Premier is hosting a telephone conference of state and territory leaders tomorrow to discuss the planned changes.

Doctors demand health shake-up details

The lack of detail about Prime Minister Kevin Rudd’s health reform plan is still concerning medical professionals on the New South Wales mid-north coast.

Port Macquarie gastroenterologist and Nationals’ candidate for Lyne, David Gillespie, says he is disturbed by media reports that Wauchope and Gloucester hospitals may not be viable under the plan.

Dr Gillespie says apparently they do not perform enough medical procedures to fund their own existence.

“What we need now is some clarification from Prime Minister Rudd as to the details,” he said.

“I think they’ve got some understanding of the problem but what has been announced so far is very broadbrush stuff.

“What we need is facts and figures and explanations for some of the quite reasonable concerns.”

He says people in the Lyne electorate need assurance.

“Everyone wants control, including me, but we need more detail and it may be a case of one size doesn’t fit everywhere,” he said.

“Some of the rural small hospitals will need a different formula to maintain their status quo, let alone catch up on shortfalls on capital funding and recurrent costs.”

Regional background

Meanwhile, the chief executive of the North Coast Area Health Service says the Rudd Government’s health reforms can be improved.

Chris Crawford attended a forum in Sydney to discuss the proposed health changes which raised questions about some of the basic foundations of the plan.

The meeting of about 60 health professionals was convened by the Premier Kristina Keneally to help formulate the state’s response.

Mr Crawford says there were concerns raised about how smaller hospitals would cope under the new system.

“The key reform suggested for rural and regional was to make sure that the price that was set for treating each patient is a fair one, recognising the medium-sized and smaller rural hospitals do not have the economies of scale of the metropolitan hospitals,” he said.

“Therefore having a member on the price-setting tribunal with a rural and regional background was regarded as very important.

“One suggestion was that this independent tribunal should have a member on it who has a rural and regional background to bring those issues very much to the fore in their discussions on price setting.”

Premier to resign if Liberals win more seats

Tasmania’s Premier has promised to resign if Labor ends up with fewer seats than the Liberals after Saturday’s state election.

The Premier made the promise at a leaders’ debate in Launceston last night, attended by about 500 people.

The topics ranged from education to the elderly, but the leaders relished the opportunity to quiz each other on minority Government.

Liberal leader Will Hodgman pressed the Premier David Bartlett on his intentions.

“Alright David, simple question, in the event of a hung parliament will you resign as Premier if you have fewer seats than us?” he asked.

“Yes,” replied the Premier.

Greens leader Nick McKim says he will try to negotiate a power sharing agreement with Labor or the Liberals if the polls are proved right.

“Mr Bartlett and Mr Hodgman are the two people saying they’re not prepared to be constructive and cooperative,” he said.

“Ultimately they’ll be judged on Saturday for that position by the voters who do want people to work together to deliver good outcomes for Tasmania.”

In the event of a minority Government, the leaders of the two major parties have confirmed they will not budge from their policies.

“The policies I’ve taken to this election are rock solid,” said Mr Hodgman.

Mr Bartlett reiterated he will not negotiate with the Greens.

“I will be prosecuting our legislative agenda on the floor of the house,” he said.

But Mr McKim says he will not act as a rubber stamp.

“The Tasmanian people deserve and are demanding stability,” says Mr McKim which “will be achieved through a formal power sharing agreement.”

Policy agendas

The three leaders made the most of the final election debate to restate their policies.

In answering questions from the public, the Premier spoke of his vision for Tasmania as the nation’s food bowl and the importance of his education and health reforms.

“To end the blame game in our hospitals to end the cost shifting,” he said.

Mr Hodgman restated his promise of an accountable Liberal government.

“We will set about restoring public trust and confidence in government by being more honest,” he said.

Mr McKim emphasised the Greens policy to stop chemicals entering water supplies.

“You can not only trust the Greens to clean up our drinking water,” he said.

“You can trust the Greens to clean up our government.”

About a dozen people in the audience gave Mr McKim a standing ovation after his final speech.

Pulp mill

The three party leaders were also questioned about Gunns’ planned pulp mill.

Although there were no anti-pulp mill protests at the debate, the leaders faced questions about the mill’s assessment.

The Greens’ Nick McKim said the process was dodgy.

The Liberals’ Will Hodgman promised more open planning systems while the Premier Daivd Bartlett said the mill will meet strict guidelines, but his Government was also trying to change the planning system.

Launceston builder Steven Stearnes demanded solutions to problems in the Tamar River.

“Beyond the dredging of silt,” he said.

Lou Clark from the Launceston Chamber of Commerce asked about council amalgamations.

“Following water and sewerage reform to ensure the future sustainability of local government,” she said.

All three party leaders promised not to force council amalgamations and to fund a dredging program for the Tamar.

Outside the debate, members of the audience were divided about who the winner was, but most told ABC News they thought the Liberal and Greens leaders performed best.

The debate will be screened in a special edition of Stateline on ABC 1, tonight at 8pm (ADST)

Obama confirms 24-hour flying visit

The White House says US President Barack Obama is pushing ahead with his trip to Asia and Australia because the area is fundamental to America’s economic and security interests.

The trip will be shorter than first planned, with the president spending little more than 24 hours in Australia, and only visiting Canberra.

The White House has revealed the details and expectations for the visit, suggesting climate change, trade and terrorism will all be on the agenda.

Some were wondering if this trip would go ahead at all, after being delayed and condensed so the president could try to win support for his domestic health reforms.

But the White House says the president considers it critical that he builds on the partnerships in the Asia-Pacific region, suggesting it is an area that has been neglected.

In a phone briefing for reporters, National Security Council chief of staff Denis McDonough described Australia and Indonesia as essential partners.

“The Asia-Pacific region is fundamental to the economic and security interests of the United States in the 21st century,” he said.

“And in order to effectively advance those interests, we need to deepen and broaden our engagement in our leadership in the region, which is why we have taken a more aggressive role in engaging groups like APEC and ASEAN.”

The National Security Council’s director for Asian affairs, Jeff Bader, says China is bound to be discussed because the US and Australia share similar perceptions, describing Prime Minister Kevin Rudd as being deeply knowledgeable on the subject.

“We both see China’s emergence as a major economy, a driving economy in the world, as offering great potential to both our countries,” he said.

“Potentials for growth, potential for prosperity of our citizens, who are also looking to reshape the international regulatory system through the G20 in a way that ensures that new actors, such as China, are acting consistent with international norms.”

Mr Bader says visiting Australia will deepen the partnership on environmental and economic issues and that clean energy and trade will be key areas of discussion.

“Australia’s got great beef but we want to make sure that there are not obstacles to the import of US beef,” he said.

“But also the aviation sector is one where the US has found good customers is Australia in the past.”

Before Mr Obama arrives in Australia though, for what will be a brisk visit, he is spending time in Indonesia, home to the world’s largest Muslim population.

It will be the first visit to a Muslim country since he delivered a key address in Cairo in June 2009 and the White House has suggested the president’s return to his childhood home of Indonesia could be another opportunity to bridge the divisions with the Muslim world.

Snowdon moots cross-border hospital network

The Federal Indigenous Health Minister says a central Australian hospital network crossing the borders of South Australia, the Northern Territory and Western Australia could be possible under the Rudd Government’s national health reforms.

Warren Snowdon says a cross-border network would be much better for patients and improve health services, but says any decision needs to be discussed with state and territory health ministers.

“I think it’s a good thing to be talking about – the prospect of moving into an area where state and territory boundaries are not inhibitive to the provision of services, and that’s one possible way of doing it,” he said.

Snowdon moots cross-border hospital network

The Federal Indigenous Health Minister says a central Australian hospital network crossing the borders of South Australia, the Northern Territory and Western Australia could be possible under the Rudd Government’s national health reforms.

Warren Snowdon says a cross-border network would be much better for patients and improve health services, but says any decision needs to be discussed with state and territory health ministers.

“I think it’s a good thing to be talking about – the prospect of moving into an area where state and territory boundaries are not inhibitive to the provision of services, and that’s one possible way of doing it,” he said.

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.

Touch bionics launches i-LIMB hand in India

New Delhi, June 25 (ANI/Business Wire India): Touch Bionics, Scottish developer of the world’s first commercially available bionic hand, today announced its market entry into India.

The company’s Indian distributor, Innovative Prosthetics and Orthotics Pvt Ltd., officially launched the i-LIMB Hand, the world’s most advanced upper limb prosthetic device, in India today. Representatives from Scottish Development International and Spinal Injuries Hospital attended the event to witness the unveiling of this groundbreaking device.

Innovative Prosthetics and Orthotics, leader in the prosthetics and orthotic industry in India, has pioneered several innovative services to clinics and hospitals. The bionic hand is arguably the most revolutionary of the prosthetic products it has brought to India.

Announcing the launch, Touch Bionics Director of International Sales Gaurav Mishra said: “Our market entry into India demonstrates the rapid expansion of Touch Bionics globally. Within less then two years from launch the company has sold over 700 hands and is now shipping to over 30 countries.

Besides the i-LIMB Hand, we also see great potential in India for our LIVINGSKIN products, which are used for aesthetic restoration. Early market entry into India is a strong indicator of future plans as Touch Bionics addresses emerging markets like India. With the government’s efforts towards health reforms, we hope that advanced devices like the i-LIMB Hand will become easily available to all citizens in India.”

“We receive many patient enquires from India for Touch Bionics products and are extremely pleased to have successfully concluded a partnership arrangement with Innovative Prosthetics and Orthotics to represent us and promote our products in India,” he added.

“Innovative Prosthetics and Orthotics is delighted to have secured distribution rights to such an exciting product,” said Rakesh Srivastava, President and CEO of Innovative Prosthetics and Orthotics. “This agreement is a continuation of our efforts towards providing the very newest technologies to our patients in India.” We are a company in evolution and we will continue to find newer and better ways to deliver innovative services to all our patients and partnering clinics and hospitals.

Scottish Development International Country Manager for India Mark Hallan commented: “It is excellent to see a Scottish company leading the way in this field on the global stage. Scotland is a world leader in innovation in medical devices and this latest venture into the Indian market by Touch Bionics reinforces that reputation. I look forward to more collaboration that can bring further ground-breaking technology to India.”

Since its debut, the I-LIMB Hand’s cutting-edge technology has already been recognised with numerous awards and accolades, including the MacRobert Award by the UK Royal Academy of Engineering, DaVinci Award by the U.S. National Multiple Sclerosis Society, Best Prosthetic or Orthotic Product Innovation Award by the UK Limbless Association, and an inclusion in Time Magazine’s Top 50 Inventions of 2008. (ANI)

China has long way to go on health reforms

Beijing – Chinese authorities released a long-awaited health reform action plan last week, but it is only the first step in a long march towards curing endemic problems marring the country’s medical system, analysts say. Over the next three years, 850 billion yuan (124 billion dollars) will be spent on lowering the costs of medicines, building and renovating hospitals and clinics, training medical staff, and improving and expanding the current medical insurance scheme.

Acknowledging the size of the task ahead, the government has appointed vice-premier Li Keqiang to head a taskforce comprising 16 government departments to coordinate the implementation of the proposed reforms.

This shows not only the government’s commitment, but also an understanding that only a top leader can motivate and unite all departments.

Health care topped the list of Chinese citizens’ concerns in a recent survey by the National Bureau of Statistics.

Until the 1980′s, health care costs in China were largely covered by the state. When this system was dismantled, medical fees sky-rocketed as under-funded hospitals struggled to keep up with demand.

Between 1985 and 2005, the annual disposable income of Chinese residents increased 20 times, but the amount they spent on health care increased by 133 times, according to Ministry of Health figures.

But reactions to the government’s new action plan have seen hope mixed with concern, as analysts question just how certain goals will be met.

“The release of the policy is only the first step in the march towards reform,” Peking University economics professor Liu Guo’an told the German Press Agency (dpa)