The Taxman Cometh

A letter from the taxman. I open it, urgent fingers fumbling. It’s a short letter on the official letterhead of the Deputy Commissioner. The Deputy Commish, as darkly powerful as Gina, as shapelessly feared as Rupert, as suddenly potent as Clive, has taken time to write me a letter.
The letter reads: “Returned herewith a document enclosed with your Bass payment.”

No ‘Dear Howard’, no salutation at all.

Above the name of the Deputy the letter is inked with a couple of initials preceded by the notation ’pp’.

What does the enclosure reveal of me to the Dep Commish? What does she now know about me from this item of my private correspondence?
I peer at the attached document. It is a cheque drawn on my bank account, signed by me, intended as a donation to an institution I like to support.

That institution has been accused of cultural pluralism. Rumours speak of a nasty Green streak running through it. It doesn’t hate Israel nearly enough, nor for that matter does it conflate Islam with Islamism.

With the new anti-mass-terror initiatives (which I wholeheartedly support. Honest. We really can’t let in all those RohyngianSriLankanTigerTamils), my support for the Institute will see me forfeit the presumption of innocence. And truly who can blame Mister Abbott-Shorten for trying to protect the country in all its nonasylumseeking (“a wonderful fabric”) diversity?

Once the terror police haul me in for questioning, they’ll shave my head and send me to the showers. There the CCTV cameras will home in on the (absent) foreskin. I won’t have a middleleg to stand on: circumcision will mark me as Aboriginal or as a Son of Abraham. Tantamount to rejecting Team Australia. Thank goodness ASIO will have all those extra millions to detect and arrest and question dodgy characters such as I; and laws to suppress any notice; and no need to charge me while holding me. Habeas Corpus has Habeat its day. About time.

I will flee the country. I will change my name, I will buy a dodgy passport; I’ll swim to New Zealand, claim asylum in the Ecuadoran Embassy.

Do they have the internet in Ecuador? If not you may never again find me on your screens.

Farewell, Shalom, Salaam.

She Would Not Look at Me

Only three days following the fall of the twin towers the Israeli author and journalist David Grossman wrote a thoughtful piece that was reprinted in The Age. The first and always casualty of terror – he wrote – is trust. You do not trust your fellow citizen, you feel you cannot afford to. Your neighbour of yesterday might be your enemy of today. Community is the casualty.

In the happy isle in which I live and move and work, terror and war and conflict are seldom seen. Insulated as we have been we could afford still to trust – long after other communities had been rent apart into fractions and fractious factions. So it is that when I go to work at the hospital for sick children, one half of my children come from homes where the first language is not English. There is a bridge of trust between us, where we meet and work harmoniously. Fifty percent of the non-anglophone families are Muslim. The parent looks at me, sees an oldish man in a skullcap. That adult thinks whatever she thinks but receives and returns my asalaam aleikum courteously.
Sometimes cautiously, often gladsome, the adult moves towards me across our bridge of trust and we meet. Minutes later, the old man in the yarmulka is no longer an infidel, a foe: he is just a person who understands the child’s illness and who cares about that child and can help. My guest sees in the Jew a fellow human.

Now the children of Abraham are locked in cousin conflict again. My first Islamic parent identifies himself as Ibrahim. He smiles at his cousin’s greeting and returns it.
Later a tall dignified woman, taciturn, her head veiled, her face exposed, meets the doctor who will treat her child, with evident displeasure. She has no smile. Her daughter’s earache, which has been distressing, is easily diagnosed and will be readily relieved. I know I can help her and within minutes I have. The child is five years old. She does not speak,a mutism that can be explained by shyness, by a lack of English, by illness, or by family custom. But her mother, face tight throughout, spares few words and no smiles for the doctor. After I have explained the nature of the illness, its treatment and its happier future course, there is no thaw. I express the hope and the belief that the child will be soon well, insh’allah.
No smile.
There is a war.
The bridge is broken.

When Must we Disobey the Law?

I have written previously of my colleague and friend Dr Paul Jarrett of Phoenix, Arizona. Paul is old, smart, a tolerant arch-conservative, highly principled. He has no time for those who break his country’s laws. The term he uses for such people is ‘scofflaws’, a bright word, new to my lexicon, pregnant with possibility.

We have scofflaws abroad in Australia. A month or two ago I read – and wrote – of the suicide death of the Tamil refugee Leo. He took his life, apparently terrified of deportation. Around that time, at a school in Adelaide, two star pupils were arrested, separated and flown abruptly under guard to a detention centre in Darwin. The two had been granted temporary refuge in Australia. Their status was now under active – and in the circumstances – ominous review. Stunned, the astonished school population, from classmates to teaching body soon responding with a public petition to end the boys’ detention.

Meanwhile around a dozen fellow Tamil refugee students at the same school took fright and took flight. They disappeared from the school and from the place where the authorities required them to stay.

The students broke the law.

Four weeks later the scholars remained at large despite attempts to find them. The South Australian Police, challenged to explain this failure of policing, expressed a Pilate uninterest: “As there is no report of a breach of South Australian law this is a matter for federal authorities.” Those authorities are piously named Department of Customs and Citizenship. Officials of the Department warn citizens not to aid, abet or harbour the scofflaws on pain of penalties including gaol.

I am a citizen, one of the warned.

The idea of scoffing at the law worries Paul, a thoughtful person. I always ponder Paul’s thoughts, reflecting as they do his ninety five years of living with eyes and brain open. Australia, like the USA, is a nation of laws. The laws constrain me and protect me. Scoffing at the law carries serious implications for our community.

Scoffing at laws is not new. Ned Kelly did it. Any of us who chooses to park illegally or to speed is guilty of disrespect towards that indispensible strut that supports society, which is our communal assent to be governed.

From time to time governments find laws inconvenient; the Howard government chafed at being constrained by the treaty granting rights of persecuted people to seek refuge on Australian soil. The government created a new law that excised parts of our country from Australia. In this highly imaginative act, the laws of our country removed parts of our country from the laws of our country.

Our legislators scoffed at our laws.

After the Nuremburg laws scoffed at the laws of Germany, certain citizens became non-citizens, subject to arrest, persecution and eventual extermination. Many of those former citizens took fright, took flight and sought shelter in the homes of their neighbours. Numerous German citizens aided, abetted and harboured those non-citizens. My people honour the memory of those scofflaws, whom we term ‘righteous gentiles’.

The words of the German pastor Martin Niemoller echo and echo again in memory:

First they came for the Socialists and I did not speak out – because I was not a Trade Unionist.

Then they came for the Jews and I did not speak out – because I am not a Jew.

Then they came for me – and there was non-one left to speak for me.

Niemoller spent the last seven years of Nazi rule in concentration camps.

Grateful that Abbott-Brandis Australia 2014 is so different from Hitler Germany, I wonder still how I will respond when a Tamil scofflaw knocks at my door?

When Must we Disobey the Law?

I have written previously of my colleague and friend Dr Paul Jarrett of Phoenix, Arizona. Paul is old, smart, a tolerant arch-conservative, highly principled. He has no time for those who break his country’s laws. The term he uses for such people is ‘scofflaws’, a bright word, new to my lexicon, pregnant with possibility.

We have scofflaws abroad in Australia. A month or two ago I read – and wrote – of the suicide death of the Tamil refugee Leo. He took his life, apparently terrified of deportation. Around that time, at a school in Adelaide, two star pupils were arrested, separated and flown abruptly under guard to a detention centre in Darwin. The two had been granted temporary refuge in Australia. Their status was now under active – and in the circumstances – ominous review. Stunned, the astonished school population, from classmates to teaching body soon responding with a public petition to end the boys’ detention.

Meanwhile around a dozen fellow Tamil refugee students at the same school took fright and took flight. They disappeared from the school and from the place where the authorities required them to stay.

The students broke the law.

Four weeks later the scholars remained at large despite attempts to find them. The South Australian Police, challenged to explain this failure of policing, expressed a Pilate uninterest: “As there is no report of a breach of South Australian law this is a matter for federal authorities.” Those authorities are piously named Department of Customs and Citizenship. Officials of the Department warn citizens not to aid, abet or harbour the scofflaws on pain of penalties including gaol.

I am a citizen, one of the warned.

The idea of scoffing at the law worries Paul, a thoughtful person. I always ponder Paul’s thoughts, reflecting as they do his ninety five years of living with eyes and brain open. Australia, like the USA, is a nation of laws. The laws constrain me and protect me. Scoffing at the law carries serious implications for our community.

Scoffing at laws is not new. Ned Kelly did it. Any of us who chooses to park illegally or to speed is guilty of disrespect towards that indispensible strut that supports society, which is our communal assent to be governed.

From time to time governments find laws inconvenient; the Howard government chafed at being constrained by the treaty granting rights of persecuted people to seek refuge on Australian soil. The government created a new law that excised parts of our country from Australia. In this highly imaginative act, the laws of our country removed parts of our country from the laws of our country.

Our legislators scoffed at our laws.

After the Nuremburg laws scoffed at the laws of Germany, certain citizens became non-citizens, subject to arrest, persecution and eventual extermination. Many of those former citizens took fright, took flight and sought shelter in the homes of their neighbours. Numerous German citizens aided, abetted and harboured those non-citizens. My people honour the memory of those scofflaws, whom we term ‘righteous gentiles’.

The words of the German pastor Martin Niemoller echo and echo again in memory:

First they came for the Socialists and I did not speak out – because I was not a Trade Unionist.

Then they came for the Jews and I did not speak out – because I am not a Jew.

Then they came for me – and there was non-one left to speak for me.

Niemoller spent the last seven years of Nazi rule in concentration camps.

Grateful that Abbott-Brandis Australia 2014 is so different from Hitler Germany, I wonder still how I will respond when a Tamil scofflaw knocks at my door?

All Those Christmases at Once

NEWS BULLETIN, DECEMBER 2010

Christmas Island tragedy: Screams, yells and then they drowned…Devastated Christmas Islanders …witnessed yesterday’s horror…

After three days on Christmas Island it is my turn to take night call as doctor at the Detention Centre. At ten PM I receive a call from Team Leader, the always-smiling Henry. I hear no trace of a smile in his voice: “Security is bringing five men in to the clinic who’ve slashed themselves and another man who tried to hang himself.”

When I arrive in the clinic, all cubicles are full. There are the five men who have cut themselves, and not one, but two, who’ve tried to hang. I don’t know where to look first. I don’t want to look at all.

In the nearest cubicle a man lies flat on his back, his throat livid in the glare of the examination light. He does not move.

I speak, asking his name.

No word, no movement.

I speak loudly into his ear.

Nothing.

I press my index finger tip hard against his sternum, a really unpleasant experience for a person whose body parts retain their connections with the brain. A person with a broken neck loses such connection. The really unpleasant stimulus evokes no response. I press harder: nothing.

I rest the pulps of my fingers against the inside of his wrist. The heart does not dissimulate: it sends a pulse of blood along the man’s radial artery, at a rate of seventy times a minute.

My racing heart slows.

I try not to look too hard at the man’s throat. The damage here is only skin deep. There are more vital sites elsewhere: I check for damage to the neck vertebrae, assess pupils and reflexes and muscle tone. All are reassuring.

Finally the throat – inescapable. It is a horrible thing to see – a human neck skinned at the front. There is little or no bleeding, just a broad scarf of raw red meat, overlying a peeled adam’s apple. It is the neck of a rooster in a slaughterhouse, grotesque, the more so with a good-looking face above it and a normal torso below.

To this delicate bodily junction the detained man applied twisted sheeting, then jumped. There was not sufficient fall to damage neck bones or spinal cord; just enough to skin him.

In the bright light he is a painting, a human still life: on one side his bronze skin sheens; on his shaded parts, it darkens. A stubble bristles on his chin. I return to my patient. His arms, lightly muscled, lie flaccid at his sides. His legs neither move, nor resist movement. I watch his thin torso for rise and fall. A hint of expansion only, unconvincing, inconclusive.

This man is alive. But he does not betray any sign of consciousness. Why?

I look at his file for his SIEV number. The lower the number, the earlier the date of arrival. His is in the low 100’s. He has been waiting here a long time. Tonight was to be the end of his wait.

Now, defeated by life, he is embarrassed to know and be known by us. He lies and he pretends his wish had come true. I can make out a faint snoring sound, very soft, almost inaudible. I think of my wife and the snorer in her bed.

NEWS BULLETIN 24 JULY, 2014:

One woman putting a bag over her head, drinking half a bottle of detergent….using a broken mirror to cut herself…

On their separate couches lie the slashed men. Rising above intact skin, parallel lines of red glisten and coagulate. The lacerations are multiple, situated on left arms and the left side of abdomens.

The sole left-hander has slashed his right shoulder. A dozen narrow ribbons of his skin lie, oozing slightly, a bloody epaulette. There is insufficient width of skin here to accept an anchoring suture. Unsutured, his wounds will heal in time, leaving a grid of ugly scar, an obscure tattoo. All of his cuts are shallow: human meat as sashimi, unrepaired.

One more, one last harmer in this outbreak of harm. The nurse says: “He’s swallowed a razor blade.” A razor blade! I am sixty five years old. I am too young for this horror.

In time, the dressing station is emptied of the skin-wounded. The hanged men will stay here overnight, under observation.

MORE FROM TODAY’S NEWS:

A spokeswoman for Immigration Minister Scott Morrison said “It is longstanding Government practice not to confirm or comment…”

There remains one man, older, silent and red-eyed. I search for the site of his wound. It is too deep to be seen. The weeping man weeps for all he has witnessed, for the sorrow, for his sons.

I look at his face. O, what a grief looks through his eyes. In his crying, his mouth twists in a tragic smile. His old eyes look into mine. Lost for words, I take his hand and sit down beside him. He gazes into my face as if into a mirror. He shakes his head sadly and presses my hand.

Why is he here? His guards were troubled and decided to bring him to the clinic. His grief overwhelmed them, those large phlegmatic men. It is they, the guards, who seek treatment for him: some sedative, some vicarious remedy for the circumambient pain.

Through an interpreter, I offer him a tablet. I tell him it will help him to sleep. Before the interpreter can translate, the old man shows me again that woeful smile. He has no more tears.

He presses my hand.

He says: Ta shakour, ta shakour. Thank you, thank you.

CLOSING TODAY’S NEWS BULLETIN:

…not to comment on individual acts of self-harm.

Now, three years distant from my term on the island, haunted by guilty dreams, I can appreciate the soundness of the minister’s judgement. One must never comment on an individual. The individual is the basic unit of the human. If the minister allowed himself to see, to feel, to know the single pulsing person, he might lose his equanimity, his tight-lipped resolve. If one human saw the plight of another he’d pale, he’d shudder, he’d cry out, he’d tear apart his self-sewn lips.

And then where would we be? The boats mightn’t stay stopped.

Two Flies on a Wall and Darky Harris

fliesWhen I was a boy I came across cultural truisms like, “Aussies will bet on anything; they’ll bet on two flies walking up a wall.” What I heard was something to celebrate, a playfulness in the Australian spirit. When I inherited from a great uncle a curious little plank with two identical circular depressions, someone had to explain this relic of “two-up”, a national pastime. It spoke to me of the irrepressible Aussies of  “Songs of a Sentimental Bloke”. As a more than commonly sentimental bloke myself, I was not disposed to judge or diagnose any malady.

In 1972 I met Darkie Harris. I was the new GP in an ethnically homogenous semi-rural community, an oddity in a skullcap. Somehow the community embraced and included me while excluding the pig-raising Maltese and my only co-religionists ‘the Jews on the hill’.
Darkie Harris differed from everyone and in ways solely his own. Unprepossessing, short, stocky, swarthy, with a face marked by scars and improved by large purpling lips and a vocal tone that ranged from a growl to a bark, he looked older than his fifty-four years and fiercer than anyone so old (I was then exactly half his age) had a right to look.
Darkie distinguished himself by a sort of verbal pugilism. By word and facial expression, and yes, by facial complexion, Darkie dared everyone he encountered to fight him.

What was it that Darkie wanted to fight against? One thing, one thing only. Racism: I don’t care if you’re a chinaman or an abo or a white man. If I cut you, you’re blood’s the same colour as mine.* Darkie was the only person in the town who saw this Jewcomer doctor as undifferent. In equal parts alarmed and charmed, I found I liked him. To most in town I seemed exotic, to some a too shiny exception (‘you’re not like the others’), to some an emblem of a nobility I never earned.

Darkie was retired by the time I met him. He’d take up his position on a bench outside the Chinese café and the fish and chip shop run by a pair of Maltese brothers. He’d sit and glower, softening into a winning chivalry towards women (a sweep of the hat, a flash of gaptoothed smile, “Good morning, Ladies”) and to engage toddlers in amiable conversation while uncertain mothers tried to hide their nervousness and drag their children away.
Darkie sat on his bench and kept vigil. He was waiting for the unguarded comment, any reference he could take exception to, any sneer at the immigrants he championed.
Young hoons and would-be thugs about town learned to shy away from Darkie. As he informed me on a number of occasions, I’d sooner have a fight than a feed. Darkie was referring to his younger self in the Depression days when he was a runner for an illegal bookie, a risky position in a volatile industry. But in 1972 his interlocutor would take Darkie at his word as he’d rise and stride, frothing, barking menacingly to confront the casual bigot.

Darkie never gambled. Those were not the risks he’d take. He described his working life as an honest buccaneer. He served his boss – some degree of criminal – honourably. He’d take the blows and deliver his own and he’d return home and hand his earnings to Joyce, his leathery wife, who subsisted in a cloud of tobacco. Before Joyce Darkie would humble himself, confess his escapades and worship.

The stories of Darkie and flies on a wall and two-up created the sketchy image I had of gambling in Australia. We must have had gambling addiction but I never knowingly met one. I knew dimly of the ancient rabbinic edict that disqualified a gambler as a witness in court proceedings because an addict could neither trust himself or be trusted by others.

In 1976 I went for an early morning run in Launceston, pausing to poke a curious nose into the local casino, a gruesome cellar where women in curlers and moccasins sat mechanically before fruit machines from six in the morning.
Shaken, I ran away.
For some years in the late nineties my younger daughter, a psychologist, worked as a therapist at Gambler’s Help. Her stories of human wreckage at our dinner table opened my eyes. In 2000 I met Alan, a shining youth who became my patient. He starred at hockey, graduated from his elite school, studied business, was recruited by a leading financial institution that trained him as a currency dealer. Two years ago Alan married his golden girl Helen, a primary teacher. They bought a house together in the regional city were she grew up. Neither Alan nor Helen yet realised the bank Alan worked for had trained him as one of their corps of gamblers.
A year ago doctors in the city’s ICU worked on Alan through a Saturday night and all the next day and night. At 27 years of age, Alan’s life seemed at its end, his blood pressure unrecordable, his breathing and heartbeat negligible. It must have been his hockey that saved Alan, his underlying fitness, that brought him back from where his overdose had taken him. After gambling away the contents of the joint bank account, Alan punted on the marital home and lost it. On a weekend when Helen was out of town for a friend’s hen’s night, Alan wrote a note and swallowed the tablets that were to end his self-loathing and his shame. Only Helen’s dog, locked out of the house all Friday night and Saturday, raised the ire of neighbours with her barking.

The marriage died and was buried in a divorce. In the settlement there was little to apportion: Helen took her dog, Alan his shame. His need, his comfort, his fateful hoping – I mean his urge to gamble – survives. It is a daily battle which Alan does not always win.

I turn on the TV to watch sport. Sport still has the power to inspire me, to express nobility, to create wonder, to delight, to unite and uplift. Before and after and between plays, the gambling industry shouts its messages of slim hope, seducing, reducing the game to mere exchange. It is not possible for a child to watch sport on TV without seeing gambling ads. I turn off and prowl my bitter old mind and think of Alan.

In these wrinkled years the past glows, the present moulders, the future threatens. We need someone to blame. That’s why we elect governments – there are some things you just can’t blame on your wife. In the matter of our gambling pandemic I blame governments. Governments bankrupt of funds fall hard for the revenue that streams from gambling. Soon the treasury is addicted to gambling. A few budgets later, we have a government bankrupt of judgement and ultimately of morality. In their lonely amorality, our representatives fall into bad company, the Gambling Lobby. Governments collude with the industry to prevent and foil the simplest attempts to ameliorate our national malaise.

Over two decades I have witnessed the card games in remote Aboriginal communities. Large numbers, women usually outnumbering men, sit on the ground beneath huge trees and gamble from first light to nightfall. Darkness falls and the players shift to the bitumen and sit on the roadway and play through the night.
In Arnhem Land once a nurse and I battled through a long day to save an underweight, undersized infant with life-threatening pneumonia, the child starved because his mother had no money for food. After the necessities – I mean cigarettes and Coca Cola – the young mother consumed the family income at the card games.

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The Surgeon

This is an everyday story. We all know stories like this one.

“My friend never smoked but she had a cough. Her doctor said, “ Better have a chest x-ray.” The chest x-ray showed a shadow on her lung. The GP sent her to a respiratory physician. That doctor spoke with my friend, listing the possible diagnoses and explaining the process that would define the cause of her cough. She asked some questions. She was pretty scared, but she doubted she could have cancer: she had never smoked.

“My friend was sent to a chest surgeon for a bronchoscopy. She saw the surgeon in the operating theatre just as the needle was inserted into her vein for the injection that sent her to sleep. After the procedure she felt sleepy. She came home with a memory, or perhaps it was an idea she daydreamed, that the surgeon said: ‘Visit my rooms next week for your results.’ It seemed the sort of thing someone would have said.

“My friend’s husband telephoned the surgeon’s rooms and made an appointment. He accompanied his wife – who was still coughing – to her appointment. The surgeon appeared right on time, at 10.00 am, precisely. (The husband is himself a precise man. He notices things like that.) The surgeon gave them the diagnosis. They left the surgeon’s rooms at 10.02 am. My friend believes the surgeon said: ‘The biopsy confirms you have lung cancer. You need an operation.’ My friend’s husband confirms the duration of the visit and his wife’s recollection of the surgeon’s words.

“The next time my friend and her surgeon met they were once again in the operating room. While a nurse gowned and gloved the surgeon he gave instructions to a second nurse about instruments and the overhead lights. The surgeon had no time for conversation with my friend before she was anaesthetised.

“The morning following the operation the surgeon visited my friend and told her she was well and the operation had been successful. Three days of coughing and three nights of agonising pain followed. Morphine and Endone did not relieve her pain. On the fourth day the surgeon visited a second time and said, ‘You can go home.’ In fact she could not; she could not walk unsupported and every breath was followed by a wince and a gasp she had to stifle. A nurse arranged for my friend to convalesce in aftercare. Ten days later, still with her original cough that now shook her chest wound violently, my friend went home. Six weeks after the operation she was still coughing. It was time to see the surgeon again.

“My friend’s husband attended – her chest hurt too much to drive. He sat in the waiting room and timed his wife’s visit to the surgeon. He told me later: ‘Mr. S. beat his previous record. She returned to the waiting room in 30 seconds.’

“That afternoon I delivered some food my wife had cooked for our friend. She told me, ‘The surgeon said the cancer’s gone.’

‘Good’, qouth I. ‘ Great! Will you need chemo?’

‘He didn’t say.’

‘Will you have radiation treatment?’

She shook her head: ‘He never said.’

‘What’s next?’

“I don’t know.’”

As I said, an everyday story in this age of miracles and wonder. An everyday surgical miracle worker, himself a wonder of brutish mutism. What we do not read of is any disciplinary action taken by the authorities against the surgeon for his brutism.

Why not ? – I wonder.

How we Killed Leo

Leo was an asylum seeker.  Let us put aside that weary term and see what Leo was and how we came to know him. Leo was a Tamil. That means he was born into that minority in Sri Lanka which gave rise to the Tamil Tigers. The Tigers rebelled violently against the Sinhalese majority, earning a reputation for terrorism.
A civil war was conducted over many years, culminating in a government offensive that put down the rebellion and targeted civilians. If I read the story right, both the Tigers and the government were guilty of atrocities.
Leo was a baby when, during the worst of the bombings, his father wrapped him in banana leaves and hid him in the jungle. The family fled to India when Leo was five. He lived there in a miserable camp for twenty years, visiting Sri Lanka once to see family. He was imprisoned and tortured. Why? I don’t know precisely, but the explanation would have to start with the fact he was a Tamil.
Leo became an asylum seeker, a boat person, a “queue jumper”, and made his way to Cocos Islands. After only four months of detention, Leo was resettled near Geelong.
That means the Australian authorities – Customs, Immigration, ASIO – found him to be a non-terrorist. They found that speedily.  Leo was judged not to be a risk to Australia.  He was given a Bridging Visa, which allowed him to work but did not endow him with Permanent Resident status.

We said, “Leo, although you jumped our queue, we are letting you into the country and out into the community. But you are a guest. We can tell you at any time to go back where you came from.”
In the last few weeks Leo learned that a couple of Tamil men with stories similar to his own had been taken back into detention. These two faced the prospect of joining the one thousand Tamils whom we have sent back to Sri Lanka where they face persecution. Leo knew that persecution; he knew it in his tortured mind and in his body.

How did Leo spend his time on the Bellarine Peninsula? He worked two days a week for an asphalting company, cleaning greasy trucks. In his spare time he volunteered in an aged care home, he donated blood, he helped bring aid packages to asylum seekers new to the community, he sent money every month to an orphanage in the refugee camp in India that is still his parents’ home.

Leo became an organ donor. Did he expect to die?
Mister Morrison, our Immigration Minister, declares Leo showed no signs of suicidal intent. We know Mister Morrison, a minister who acts as Ruddock spoke, with icy resolve. Only Morrison doesn’t speak to us much. We might judge from his record his capacity for empathy, for humanity. Our minister said Leo’s death “is a terrible and tragic incident and none of us can know the mind of a person in this situation.”
Here is where I can help the minister. I know the mind of a person in the situation of such parlous existence, endlessly uncertain what his fate will be, of having it determined by the opaque decisions of governments and ministers. I know it by the accident of my unusual experience working among detained people in Christmas Island. I know it too by the not unusual gift of empathy. I know Leo’s death was not an incident – far from incidental – it was our doing and it was in the statistical sense, predictable. We saw that with the Tamil man who burned himself to death a few weeks before Leo.

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Budget 2014

As a family doctor I’ve been thinking about the co-payment to be made for bulk-billed visits to the GP. It has taken me weeks to come to some sort of appreciation of what is going on. A surprisingly long time, really given that I have average intelligence and a keen direct interest. Let me tell you what I have discovered – three things.

The first is no-one has a very clear idea of how the system will work. Will it work like the GST where the provider of the service acts as the government’s tax collector? Will the literally penniless who attend a GP be seen and treated, or must the GP send that person to a public hospital? Or will we be permitted (thanks Messrs Abbott and Hockey) to treat that person gratis? WHAT IS CLEAR HERE IS OBSCURITY. OBSCURITY FATHERS CONFUSION, WHOSE OFFSPRING IS ANXIETY. THE POOR WILL GET SICKER.

I work both in middle class clinics where we bill patients privately and in outback Aboriginal communities where bulkbilling is universal and absolutely and literally lifesaving. Privately billed patients will hardly blink. Aboriginal patients will revert to the traditional healer. If you aren’t appalled at this thought please consider the case of your own child, 500 kilometres from a hospital, feverish, endangered, and effectively unattended. Dickens wrote of this plight in the London of his day. Messrs Hockley, Abbott – go bush, sit down, listen and reconsider!

Finally, I gather the bulkbilled will enjoy a safety net. After ten co-payments, the system bulk-bills them again, free of charge. Ten times seven equals seventy, equals 1 and a smidgeon dollars a week, equals less the cost of one icy pole every five days. Where’s the gain? The gain is derisory: that means BUGGER ALL help to the bottom line. The gain comes at the cost of derision. Messrs A and H hold us in derision. Where’s the pain? The pain is in the deterrence. Don’t go the doctor if you are poor. It’s not government policy. Where’s your mateship? Your citizenship? Your sense of responsibility? The age of entitlement is over. Get real. Get rational. Harden the f-up.

I know how hard hard can get. That condition is called rigor mortis.

Sewn Lips

The “Guardian” reports on a detailed litany of sub-standard medical care at Christmas Island.

I read the piece with interest and with some recognition: I had worked there earlier, before the present ‘off-shore processing’ (the hasty export of the unwanted) was instituted. Initially I kept silent. Then I wrote the following, which is the introductory chapter to a suite of stories which will appear in 2015 in my next book of non-fiction, “Burned Man.”

“Sewn Lips

A few years back I signed up to work for a short time as a doctor caring for Asylum Seekers detained on Christmas Island. I went with every impure intent. Indignant over my country’s conduct towards refugees, I headed to the island determined to observe, to record and to betray: I would witness wrongdoing and I would expose it.

But I signed a Confidentiality Agreement: now my lips were sewn. So I would have to resort to allegory, to obliquity, to any literary device to tell unforbidden truths while avoiding forbidden fact. And of course I had every right to report on my own state of mind.

In the event the Administration thwarted my plan: I saw no wrongdoing, detected no bruises, smelled nothing: nothing to report. Stolid unimaginative warders ran a barely decent prison. Good nurses, skilled young medical colleagues, experienced mental health nurses were on hand to attend to generally healthy, universally miserable patients.

Keeping the system honest from the outside, the Red Cross visited and the Australian Newspaper snooped.

And we servants of the nation did everything by the book. We followed all the rules and Conventions. We – the system now incorporated me – we kept Australia’s nose clean. Assiduously, conscientiously, courteously, with perfectly consistent meanness, we kept our clients (they weren’t patients, my true client was the Government) we kept them healthy, we kept them confused, we provoked them by systematic delay.

We drove them mad.

Australia’s impeccable gulag calibrated its practices to equality with the countries of origin. We managed to be just as cruel without raising a bruise.

Meanwhile, doctors were drinking every night. One guard took his own life, another attempted suicide. One mental health worker was dismissed for ‘fraternising’. In fact, she visited her 18-year old client who had been held incommunicado for 36 hours in a psychiatric ‘facility’ (lovely facile word, drained empty, morally bleached) in Perth. She understood her authority ended once she delivered her patient to the Psychiatric Hospital, but his need and her care did not.

I returned to Australia proper and resumed my life. Back now with family, a free person, a citizen, surrounded by comforting supports, I found I had brought the island with me. Contaminated, implicated by national service in unkindness policy, I was troubled by dreams. Night after night, in darkness and unable to speak, I saw myself doing things I had not actually done.

In those dreams I did Australia’s work. I lived the nightmare we perfected.”

The Guardian article by Oliver Laughland: http://www.theguardian.com/world/2014/may/27/doctors-litany-of-medical-neglect-of-asylum-seekers-still-largely-ignored?CMP=soc_568

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