How outdoorsie is Melbourne/Brisbane REALLY for a family?
#91
Lost in BE Cyberspace
Joined: Dec 2010
Posts: 14,040
Re: How outdoorsie is Melbourne/Brisbane REALLY for a family?
Well, when I'm talking to the people who created NHSDirect as to what they were trying to overcome, etc. then yeah, because a large part of the problem is that the general GP would never see themselves as part of the problem, nor see how their unions acted to nobble changes.
Nope, they are just the refrain that I've heard before. Same ol' same ol'.
And from the necessary change, even if the patients would be better off with that change. Your profession, right or wrong.
Remember, it's not my agenda, I got out of that arena because it was so dysfunctional and broken. The problem that was foreseen at the time was that the baby boomers were going to retire ~65, meaning less wage earners and tax payers at the same time as those now elderly baby boomers were at the most expensive part of their lives for medical services and support.
The two thing come together in a crunch that can't be fixed. You can't pile yet more money into healthcare, because the tax revenues are going down. So, either you cut healthcare, or you change the system. And to their credit the politicians tried to do the later - to revise the system so that the same level of care COULD be delivered to more people for less money.
And it got killed by the doctors. In combination with some horrible incompetence in the specification of the systems, by the doctors (not the managers, they didn't write the requirements). About the only bit that got through was NICE.
Guess what the only option left is now ...
Nope, they are just the refrain that I've heard before. Same ol' same ol'.
And from the necessary change, even if the patients would be better off with that change. Your profession, right or wrong.
Remember, it's not my agenda, I got out of that arena because it was so dysfunctional and broken. The problem that was foreseen at the time was that the baby boomers were going to retire ~65, meaning less wage earners and tax payers at the same time as those now elderly baby boomers were at the most expensive part of their lives for medical services and support.
The two thing come together in a crunch that can't be fixed. You can't pile yet more money into healthcare, because the tax revenues are going down. So, either you cut healthcare, or you change the system. And to their credit the politicians tried to do the later - to revise the system so that the same level of care COULD be delivered to more people for less money.
And it got killed by the doctors. In combination with some horrible incompetence in the specification of the systems, by the doctors (not the managers, they didn't write the requirements). About the only bit that got through was NICE.
Guess what the only option left is now ...
#92
Re: How outdoorsie is Melbourne/Brisbane REALLY for a family?
Well, when I'm talking to the people who created NHSDirect as to what they were trying to overcome, etc. then yeah, because a large part of the problem is that the general GP would never see themselves as part of the problem, nor see how their unions acted to nobble changes.
GPs in the UK welcome anything to relieve the pressure they are under. There is a desperate shortage . They don't get paid per patient consult so there is no need to be antagonistic to NHS Direct. In theory it should have helped.
Instead it created more work, trying to limit the damage.
They gave out dangerous reassuring advice to some in need of urgent care and gave out ridiculous "needs to be seen urgently" advice to those who could have been reassured. The reason we didn't like it was because of harm to patients not ourselves. You won't believe it as you have blinkers on and likely spend your day in a basement interacting with computers rather than real life human beings.
#93
Re: How outdoorsie is Melbourne/Brisbane REALLY for a family?
Can we draw a line under the AI discussion, or start a new thread - maybe in the lounge - and get this thread back somewhere near topic pleas
Ta Muchly
Ta Muchly
#94
Re: How outdoorsie is Melbourne/Brisbane REALLY for a family?
That there kind of kills your argument, as tax revenues are going up.
https://encrypted-tbn3.gstatic.com/i...Xio2oVc-ouV-9v
https://encrypted-tbn3.gstatic.com/i...Xio2oVc-ouV-9v
Why do you think they have been trying to push up the retirement age?
#96
Re: How outdoorsie is Melbourne/Brisbane REALLY for a family?
Keep getting suckered into pigeon chess ...
Anywho, the outdoorsie thing between UK and Aus is interesting. Every part of the UK is a consequence of someone mucking around with it in some way. Even the 'wild' bits are actually cultivated and shaped by thousands of years of human attention and bending to their will.
Australia, on the other hand, has much of that looks like no one has ever given a fig. Of course you'll get the claims that the aboriginal inhabitants have been tending and shaping the land for tens of thousands of years. However, that's a stone age culture, and not one particularly up for even a stone circle or hill fort. Hence it not had much practical impact (except on megafauna).
Upshot of all this is that really getting away from civilisation (or AIs) is much easier/more possible here than in the UK. There I could walk out my door and within 4-5miles being in the 'countryside'. However it was countryside that was managed, walking beside a canal, with regular pubs along the route (plus point there). Here I could walk beyond the ever expanding conurbation, to a point used for filming Mad Max (and not a decent pub to be found). Still slightly managed, but the transition away from the suburbs is much sharper, and the gaps between civilisation much greater.
I guess it helps you feel less hemmed in, in a way I doubt the OP would get from a distance. Plus the aussie seem to actively want to avoid it and stick to their inner city coffee bars, so there is that as well.
Anywho, the outdoorsie thing between UK and Aus is interesting. Every part of the UK is a consequence of someone mucking around with it in some way. Even the 'wild' bits are actually cultivated and shaped by thousands of years of human attention and bending to their will.
Australia, on the other hand, has much of that looks like no one has ever given a fig. Of course you'll get the claims that the aboriginal inhabitants have been tending and shaping the land for tens of thousands of years. However, that's a stone age culture, and not one particularly up for even a stone circle or hill fort. Hence it not had much practical impact (except on megafauna).
Upshot of all this is that really getting away from civilisation (or AIs) is much easier/more possible here than in the UK. There I could walk out my door and within 4-5miles being in the 'countryside'. However it was countryside that was managed, walking beside a canal, with regular pubs along the route (plus point there). Here I could walk beyond the ever expanding conurbation, to a point used for filming Mad Max (and not a decent pub to be found). Still slightly managed, but the transition away from the suburbs is much sharper, and the gaps between civilisation much greater.
I guess it helps you feel less hemmed in, in a way I doubt the OP would get from a distance. Plus the aussie seem to actively want to avoid it and stick to their inner city coffee bars, so there is that as well.
#97
Re: How outdoorsie is Melbourne/Brisbane REALLY for a family?
Keep getting suckered into pigeon chess ...
Anywho, the outdoorsie thing between UK and Aus is interesting. Every part of the UK is a consequence of someone mucking around with it in some way. Even the 'wild' bits are actually cultivated and shaped by thousands of years of human attention and bending to their will.
Australia, on the other hand, has much of that looks like no one has ever given a fig. Of course you'll get the claims that the aboriginal inhabitants have been tending and shaping the land for tens of thousands of years. However, that's a stone age culture, and not one particularly up for even a stone circle or hill fort. Hence it not had much practical impact (except on megafauna).
Upshot of all this is that really getting away from civilisation (or AIs) is much easier/more possible here than in the UK. There I could walk out my door and within 4-5miles being in the 'countryside'. However it was countryside that was managed, walking beside a canal, with regular pubs along the route (plus point there). Here I could walk beyond the ever expanding conurbation, to a point used for filming Mad Max (and not a decent pub to be found). Still slightly managed, but the transition away from the suburbs is much sharper, and the gaps between civilisation much greater.
I guess it helps you feel less hemmed in, in a way I doubt the OP would get from a distance. Plus the aussie seem to actively want to avoid it and stick to their inner city coffee bars, so there is that as well.
Anywho, the outdoorsie thing between UK and Aus is interesting. Every part of the UK is a consequence of someone mucking around with it in some way. Even the 'wild' bits are actually cultivated and shaped by thousands of years of human attention and bending to their will.
Australia, on the other hand, has much of that looks like no one has ever given a fig. Of course you'll get the claims that the aboriginal inhabitants have been tending and shaping the land for tens of thousands of years. However, that's a stone age culture, and not one particularly up for even a stone circle or hill fort. Hence it not had much practical impact (except on megafauna).
Upshot of all this is that really getting away from civilisation (or AIs) is much easier/more possible here than in the UK. There I could walk out my door and within 4-5miles being in the 'countryside'. However it was countryside that was managed, walking beside a canal, with regular pubs along the route (plus point there). Here I could walk beyond the ever expanding conurbation, to a point used for filming Mad Max (and not a decent pub to be found). Still slightly managed, but the transition away from the suburbs is much sharper, and the gaps between civilisation much greater.
I guess it helps you feel less hemmed in, in a way I doubt the OP would get from a distance. Plus the aussie seem to actively want to avoid it and stick to their inner city coffee bars, so there is that as well.
I've been to Melbourne briefly and it wasn't a place I thought I'd want to live in - but as said it was only a brief visit.
I've not made it to Brisbane at all yet so can't pass comment but would have thought it was likely to feel a bit less claustrophobic. Maybe next year I'll go and have a nose