Writer
Ian Webster
Ian W Webster AO is Emeritus Professor of Public Health and Community Medicine of the University of New South Wales. He has worked as a physician in public and regional hospitals in Australia and UK and in NGOs dealing with homelessness, alcohol and drug problems and mental illness.
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The ‘ecology of attention’ in health and social care
Every single transaction expends precious time of attention; time which is even more precious amidst the escalating claims on our attention. Those needing support and treatment are hoping to have their circumstances and problems understood, they seek attention, attention to the way their lives have been affected…. Continue reading »
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Barriers to the NDIS
The planned introduction of independent assessments for the National Disability Insurance Scheme (NDIS) will further disadvantage those with complex and not obviously manifest disabilities. For marginalised people with disabilities there are questions…. Continue reading »
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The people with disabilities who regularly miss out
Disability has been co-opted by bureaucracies, professional bodies and institutions, often in a harmful way … Instead of seeing welfare as a social drain, ‘faring well’ should be an act of decency, a helping hand to a contributing life…. Continue reading »
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‘Rage against the dying of the light’ in the way we treat elderly people
The alienation of elderly people from social life is abundantly evident in the impact of coronavirus on society as it exploits the vulnerable and defenceless…. Continue reading »
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IAN WEBSTER. The UK and COVID-19; lessons for the UK and some for Australia
It is with bewilderment and concern we watch as COVID-19 overwhelms the UK’s health and social systems. There are lessons to be learnt for Australia, too…. Continue reading »
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IAN WEBSTER: Public health and the nanny state.
Behind our backs, public health became the poor cousin of biomedicine and was dismissed as ‘drains and sewerage’. How wrong we were!… Continue reading »
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IAN WEBSTER. Too many experts at a time of crisis.
This is a time when advice needs to be considered, balanced, respectful and well-founded…. Continue reading »
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IAN WEBSTER. The retreat from patients, a letter to young doctors
The idea that the pressures of patient care cause doctors to withdraw from direct clinical work has been in the background of my observations of my colleagues and their work since the 1970s…. Continue reading »
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IAN WEBSTER.- Advocacy is hard going against the alcohol lobby.
It is a loss powerfully felt,but subdued. Not by politicians or the alcohol industry, but by doctors and nurses in the clinics and rehab. centres. The highly respected Michael Thorn has departed from the Foundation for Alcohol Research and Education(FARE) as the CEO. What is the real story?… Continue reading »
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IAN WEBSTER. US opioid epidemic: a warning to Australia?
Two ABC documentaries – ‘Opioid America’, Foreign Correspondent, 19th March and on TV Tonight, Louis Theroux, April 2nd portrayed the cycle of addiction in damaged US communities with no hope or future. Both were in West Virginia where opioid deaths are 2 to 3 times higher than other US states. The people and their environments… Continue reading »
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IAN WEBSTER. Of minds imprisoned.
Beyond the image of the vagabond and the impaired bodies and minds of homeless people there are untapped veins of intellect and potential; this is where our focus should be. “The homeless are our most important dreamers, prophets and poets for they challenge our apathy….” (Sydney from Below, McCarthy F, Matthew Talbot Hostel)… Continue reading »
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IAN WEBSTER. It’s not mental illness, but despair
Aboriginal and Torres Strait Islanders have got it right when they frame the conditions we label as mental illness as issues of social and emotional well-being. They do not consider the endemic problems in their communities, as mental illnesses…. Continue reading »
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IAN WEBSTER: Preventing suicide
The 10th September is recognised as World Suicide Prevention Day. “The burden of suicide does not weigh solely on the health sector; it has multiple impacts on many sectors and on society as a whole. Thus, to start a successful journey towards the prevention of suicide, countries should employ a multisectoral approach that addresses suicide… Continue reading »
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IAN WEBSTER. Drug Reform Series- Drug policy and justice
In the final analysis, drug policy based on prohibition fails to meet the test of fairness and justice in the lives of those most directly affected…. Continue reading »
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IAN WEBSTER. Government and the medicalisation of disabilities
Each year two thirds of applications for a Disability Support Pension are rejected; a rejection rate which has doubled in 8 years (Christopher Knaus, Guardian, 8 June 2018)…. Continue reading »
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IAN WEBSTER. Welfare sanctions.
To save $204.7 million, the Government plans to impose draconian sanctions on those needing income support who miss appointments, or work interviews, or who don’t take up the jobs proposed for them. That can’t be the real reason, since the dollar savings count for nothing against the inestimable human and economic costs of these impediments…. Continue reading »
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IAN WEBSTER. Policy failures in mental health
Mental health problems arising out of modern despair have to be tackled with insights gained from the day-to-day lives of society’s outcasts and the social sciences. Matthew Fisher, (Australia’s policy failure on mental health, Pearls and Irritations, 14 December 2017) argues that Australian mental health policies have failed: “(We) are subject to a deafening silence… Continue reading »
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IAN WEBSTER. The social harm of alcohol to communities and society
The social harm of alcohol, alcohol’s ‘harm to others’, is a re-vitalised framework for national and international policies to control the marketing of alcohol…. Continue reading »
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IAN WEBSTER. Lessons from the British National Health Scheme for Australia.
Jeremy Hunt, Health Secretary in the UK, accused Stephen Hawking of a ‘pernicious lie’: “(he) is a brilliant physicist but wrong on lack of evidence.” Stephen Hawking had said his survival for 75 years with motor neurone disease was due to the care he received from the British National Health Service (NHS) and he now… Continue reading »
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IAN WEBSTER. Specialists versus generalists: A commentary on John Menadue and Peter Brooks
John Menadue and Peter Brooks have mounted powerful critiques of private specialist medical practice in a series in Pearls and Irritations. The nub of their positions is the high fee structure in (private out-patient) specialist practice is out of kilter with community expectations. … Continue reading »
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IAN WEBSTER. The need for more balanced media reporting of alcohol and illicit drug problems.
To those who work in the health system, ‘ICE’ is but one problem among many and pales into the background of the prevailing problems of addiction and misuse of alcohol and drugs. … Continue reading »
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IAN WEBSTER. A tribute to Anne Deveson – understanding the homeless mentally ill
Anne Deveson’ s media presence spearheaded the media’s involvement in public health and mental health. She contributed at so many levels – social commentaries and documentaries -which challenged our sensibilities…. Continue reading »
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IAN WEBSTER. Protecting young people from our ‘favourite drug’ – alcohol.
Marketing of alcohol is out of control. 20% of those watching major sporting events on TV are under the age of 18 years. … Continue reading »
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IAN WEBSTER. Standing up for Medicare.
Fair access to health care is in the zeitgeist of European countries and Australia. The political sensitivities of this issue were demonstrated in the last election with the angst generated by the Labor Party’s “Mediscare” campaign…. Continue reading »
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IAN WEBSTER. Amid chaos, ethics.
Speaking particularly of the treatment people in Manus and Nauru, Professor Ian Webster argues that in this secular and chaotic world, the values and principles of the professional codes of health workers could be used to frame their future contributions to a civil and humane society…. Continue reading »
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IAN WEBSTER. Malcolm Turnbull and homelessness – reaching mentally ill people
This week our PM, Malcolm Turnbull, was admonished when he gave $5 to a homeless man in Melbourne. He was sorry if people thought he should not have done this. He said, “I felt sorry for the guy”….”there but for the grace of God go I.” George Orwell wrote after being ‘down and out’… Continue reading »
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IAN WEBSTER. Health care for aged people is increasingly complex.
From his experience in intensive care in one of Australia’s busiest intensive care units at Liverpool Hospital in Southwest Sydney, Professor Ken Hillman describes the failure of specialised, super-specialised, medicine to deal appropriately and humanely with seriously ill aged persons and those whose life has run its course. (Ageing and end-of-life issues, posted 9/7/2016… Continue reading »
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IAN WEBSTER. Bulk-billing rates are not what they seem.
A categorical mistake: Is bulk-billing a reliable indicator of access to GPs? Where I work in regional NSW, patients have difficulty finding a GP who is prepared to bulk-bill them for their medical care. The phone call to the practice receptionist ends, so often, with, “The doctor’s books are full”. At the same time… Continue reading »
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Ian Webster. Is community medicine dead?
John Menadue said in the NSW Health Council Report of 2000, “Services should be based where patients and consumers live. The autonomy and dignity of each patient is best serviced by providing services wherever possible outside hospital. So a shift to community multi-disciplinary health teams is a major issue still ahead of us.” He returned… Continue reading »
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Ian Webster. Drugs and the problem of pain
At the centre of the drug problem is the problem of psychic and physical pain People with mental illness turn to alcohol and drugs to lessen their distress. When adolescents and young adults use a substance to ameliorate their social anxieties a pattern of lifelong alcohol and drug misuse can be set in train. People… Continue reading »
