Today, the Senate held a Committee Hearing on the Online Safety Amendment (Social Media Minimum Age) Bill 2024. This expedited inquiry was scheduled with just one day’s notice, as the Liberal and Labor parties want to rush this legislation through. The first witness, Ms. Lucy Thomas OAM, CEO of Project Rockit, delivered six minutes of the most relevant, heartfelt, and inspirational testimony on the issue of censoring social media for those under 16. Her insights demonstrated the benefit of lived experience.

Before taking a position on this bill, take the time to listen to her testimony.

Transcript

Senator ROBERTS: Thank you all for being here. Ms Thomas, there are harms and benefits at school, and there are harms and benefits in life generally. Claude Mellins, professor of medical psychology in the Departments of Psychiatry and Sociomedical Sciences at Columbia University, stated: ‘For young people, social media provides a platform to help them figure out who they are. For very shy or introverted young people, it can be a way to meet others with similar interests.’ She added: ‘Social support and socializing are critical influences on coping and resilience.’ They provide an important point of connection. She then said in relation to Covid: ‘On the other hand, fewer opportunities for in-person interactions with friends and family meant less of a real-world check on some of the negative influences of social media.’ Isn’t the professor making an important point? It’s not about stopping real-world interactions it’s about balancing social media with real-world interactions. Isn’t it about a balance, not about prohibition? Isn’t it also the fact that parents and not governments are best placed to decide how their children develop?

Ms Thomas: Thank you for the question. I think you’re speaking to that idea of balance that a lot of us have been trying to refer to. We are acutely aware of the harms, and I think they’re beautifully captured in that quote, and acutely aware of the risk that we may create new harms by cutting young people off. I think this is a really important point, and I’d like to give you one example, a quote from a young person, Rhys from Tamworth, who commented: ‘Social media has helped me figure out and become comfortable with my sense of self, as there is a large community that is able to connect me with people all over the world. Living in a regional area, it’s difficult to find people dealing with the same personal developments, and social media really helped.’ This is beyond just direct mental health intervention; this is about finding other people like you. This is about finding spaces where we can affirm ourselves, use our voices and mobilise around actions that we care about, just like we’re doing here today. I’d love to point out that the Office of the eSafety Commissioner has done some fantastic research into the experiences of specific groups—those who are First Nations, LGBTQIA+ Australians, and disabled and neurodivergent young people. All of these group face greater hate speech online. Actually belonging to one of those communities, I can say that we also face greater hate speech offline. What was really important is they also found that young people in these communities that already face marginalisation are more likely to seek emotional support—not just mental health support, but connection, news and information, including information about themselves and the world around them. So I take your point.

Senator ROBERTS: Thank you. I have another quote from Deborah Glasofer, Associate Professor of Clinical Medical Psychology at Stanford University:

Whether it’s social media or in person, a good peer group makes the difference. A group of friends that connects over shared interests like art or music, and is balanced in their outlook on eating and appearance, is a positive. In fact, a good peer group online may be protective against negative or in-person influences.

Is this bill throwing out the good with the bad, instead of trying to improve support in digital media skills to allow children and parents to handle these trials better?

Ms Thomas: I think there is a risk of that, yes. I think we really need to, in a much longer and more thorough timeframe, interrogate and weigh up all of these risks and unintended possible impacts. I’d like to draw another quote from Lamisa from Western Sydney University. You spoke about influencers; we tend to imagine those being solely negative. Lamisa says: ‘Social media has given me creators who are people of colour, and I think it has really allowed me to learn that I don’t have to justify my existence, that I am allowed to have an opinion and that I am allowed to have a voice about who I am.’ So I absolutely think that there is a risk that we’ll throw out these experiences; in our desire to protect people, we create unintended harms that they have to live with.

Senator ROBERTS: I just received a text message from someone in this building, a fairly intelligent person, and he said: ‘I was born with a rare disorder. I spent more than four decades feeling isolated until I discovered people with the same disorder on social media. This legislation would prevent people under 16 from linking with the communities online that can provide them with shared lived experience.’ What do you say?

Ms Thomas: I’m going to give you one more quote. I’m aware that young people aren’t in the room, so I’m sorry I’m citing these references. Hannah from Sydney says: ‘Where I struggled in the physical world thanks to a lack of physically accessible design and foresight by those responsible for building our society, I have thrived online.’ The digital world has created so much opportunity for young people to participate and fully realise their opportunities. We just need to be very careful.

I know in talking about all these benefits, I’m probably going to receive an immediate response about some of the harms. I’m not here to say that harms don’t exist. They do. If anyone is aware of them, it’s me. I’ve been working in this space for 20 years. I started Project Rockit because I wanted to tackle these issues as a young person fresh out of school. We know they’re there, but we have to be very careful not to impact these positive benefits young people face.

Senator ROBERTS: Ms Thomas, isn’t there very important access to parents and grandparents on social media for their support and experiential interaction. A lot of children interact with their parents and grandparents through social media?

Ms Thomas: Am I allowed to answer this one?

CHAIR: Yes.

Ms Thomas: I think one of the big, grave concerns around implementation and enforcement is that it won’t just be young people who need to verify their ages online; it will be every Australian. The methods available, every Australian sharing their biometric data or presenting a government issued ID, are going to pose challenges for those Australians that you are talking about—older Australians who are already facing higher rates of digital exclusion and those from marginalised communities. Absolutely, this is a vital tool for grandparents and kids, for intergenerational play and learning, and we risk cutting young people off but also cutting older people off.

This is the third and final session on the Online Safety Amendment (Social Media Minimum Age) Bill 2024 — aka U16’s Social Media Ban – an important piece of legislation being waved through by the Liberal and Labor parties with minimal debate. The Department was called to explain the bill, which of course they defended with responses that would not hold up under closer scrutiny.  If only Senators had time to do this.

Several serious revelations emerged during the Department’s testimony, including this little pearl: it’s better for foreign-owned multinational tech platforms to control children’s internet use than for parents to supervise or manage their children’s social media and online interactions. One Nation strongly disagrees.  

I also raised concerns about the YouTube exemption, which is worded in such a way that it could apply to any video streaming site, including pornographic sites. The Department’s response was to point to other regulations and codes that “supposedly” protect children from accessing porn.   What utter nonsense! Any child in this country without a parental lock can access Pornhub by simply clicking the “Are you over 18?” box. Teachers nationwide report that even primary school students are being exposed to and influenced by pornography. If this bill accomplishes anything good, it should be to prevent children from accessing pornography, which it deliberately avoids doing.  

This bill claims to be about many things – keeping children safe is not one of them.

Transcript

Senator ROBERTS: Thank you for appearing today. Could you please explain the provisions around exemptions for sites that do not require a person to have an account, meaning they can simply arrive and watch? An example would be children watching cartoons on YouTube. What’s the definition here of a site that can be viewed without an account?

Mr Irwin: I guess it goes to the obligation around holding an account, or having an account, which relates to the creation or the holding of an account. So if there is any process—

Senator ROBERTS: Is it the creator’s responsibility?

Mr Irwin: Sorry?

Senator ROBERTS: Is it the creator’s responsibility? Is the account the creator’s responsibility?

Mr Irwin: No, all responsibility is on the platform. If a platform under this definition has the facility to create an account and/or has under 16s who have an account on there already, then they will have to take reasonable steps.

Senator ROBERTS: What’s the functional difference in your definition between YouTube and Porn Hub?

Mr Chisholm: One contains content that is restricted content that is prohibited to be accessed by children under law. Porn Hub is a pornographic website.

Senator ROBERTS: I understand that.

Mr Chisholm: YouTube has a whole range of information, including educational content and a range of information that doesn’t really match up with a site like Porn Hub.

Mr Irwin: That was the second limb of the age-assurance trial: looking at technologies for 18 or over, looking at pornographic material for age assurance. That also goes to the matter of the codes that DIGI were talking about before. Those codes relate to access to particular types of content including pornographic content.

Senator ROBERTS: Let me try and understand—

Mr Chisholm: The design of Pornhub is to provide pornographic material to people who are permitted to watch it. That’s the difference.

Senator ROBERTS: I guessed that, but I asked for the functional difference. Pornhub is 18-plus, but apparently you don’t have to prove it. Could you show me where in the legislation, in this child protection bill, you’re actually including porn sites?

Mr Chisholm: There are separate laws in relation to pornographic material, which we can step you through. This bill is more about age limits for digital platforms, imposing a 16-year age limit for digital platforms. There are other laws that prohibit access to pornographic material online including the codes process and classification system.

Mr Irwin: That’s correct.

Senator ROBERTS: What’s required for someone aged 16 or 17 to get access to Pornhub?

Mr Irwin: That’s subject to the codes that industry is developing right now, which DIGI talked about, in terms of what specifically is required. There is also a whole system of classification laws that are designed to prevent access to adult content by children. On top of that, there’s the eSafety Commissioner’s administration of things like basic online safety expectations and the phase 2 codes that are under development.

Senator ROBERTS: I’m glad you raised that because I was going to raise it. You exempt gaming sites because they already carry age recommendations. In fact, some video game sites are MA 15+; they’re not 16-plus. What will have to change? Will it be your bill or the MA 15+ rating?

Mr Chisholm: The bill doesn’t require them to change—

Ms Vandenbroek: Nothing will change.

Mr Chisholm: because gaming isn’t caught by the new definition. There’s nothing that requires gaming systems to change.

Senator ROBERTS: So social media is 16-plus, but video games are 15-plus.

Mr Chisholm: The policy here is to treat games as different to social media. For some of the reasons we talked about before, they are seen as a different form of content consumption and engagement to social media.

Senator ROBERTS: Doesn’t this indicate to people that this bill’s intent is not about what the government says?

Mr Chisholm: No, the bill is definitely about what the government says. It imposes a firm age limit of 16 on account creation for social media for all of the concerns and reasons outlined about the damage that’s being done to under-16s through exposure to social media. Games are also subject to classification rules, so they have their own regime they have to comply with now.

Mr Irwin: They’re subject to the broader Online Safety Act as well.

CHAIR: Senator Roberts, I’ll get you to wrap up.

Senator ROBERTS: I have a last question. I understand that there are parental controls that parents can buy—they’re sometimes free—in the form of apps that watch over what children are watching. What alternatives are already available for parents to control children’s social media and control their exposure? Did you evaluate them, and why don’t you just hand the authority back to where it belongs—to parents—because they can do a better job of parenting their child than government can?

Mr Chisholm: The very strong feedback that we received from parents during this consultation is that they do not want to bear the burden or responsibility of making decisions that should be better reflected in the law. At the moment, parents often refer to the 13-year age limit that’s part of the US terms of service—

Mr Irwin: For privacy reasons.

Mr Chisholm: for privacy reasons, that apply in Australia. That’s often used for parents to say to their children, ‘You can’t have a social media account until you’re 13.’ It’s really important for parents to point to a standard law, an age limit, that will apply to everybody. It’s also feedback we’ve received from a lot of children. They would rather have a universal law that applies to all children under the age of 16 instead of a situation where some children have it and some children don’t, and where all of the harms that we’re aware of from exposure to social media continue to magnify. We also don’t want a situation where there is any question the parents have some legal responsibility in relation to an age limit. The very strong view of the government is that that responsibility should be borne by the platforms, not parents.

Senator ROBERTS: We’re not going to have—

Mr Chisholm: The platforms are in a much better position to control their services than parents are.

Senator ROBERTS: So we want to put parenting in the hands of social media platforms?

Mr Chisholm: The parents have said to us that they have a very strong view that they want a 16-year age limit, and that the platforms are better placed to enforce that because it is their platforms.

Senator ROBERTS: How much notice did the parents get to give their comments? Because we got 24 hours notice of the closing of submissions.

Mr Irwin: We’ve been consulting, and I will add we do have evidence that 58 per cent of parents were not aware of social media parental monitoring, and only 36 per cent actually searched for online safety information.

Senator ROBERTS: So wouldn’t it be better to educate the parents?

Mr Chisholm: We are educating parents, too. That’s part of the digital literacy and other measures we are undertaking. Education is important, but it’s not enough.

Senator ROBERTS: I meant educating parents about the controls already available to keep the control over their children in parents’ hands, not usurping it and putting it in the government’s hands.

Mr Chisholm: I think it comes back to the point that we’ve made that the very strong view here is that platforms should bear the responsibility for imposing or following an age limit, not parents, who don’t have as much information about how these platforms operate as the platforms themselves.

The Inquiry into the Online Safety Amendment (Social Media Minimum Age) Bill 2024 — aka U16’s Social Media Ban – heard testimony from the Digital Industry Group (DIGI), the industry body for social media companies such as Google, Meta, and X (formerly Twitter). During the session, the witness was given a torrid time by some Senators who were not receiving the answers they wanted. I commend the witness for her patience.

My questions focus on the bill’s wording, which fails to clearly define core concepts. This lack of clarity makes it impossible for social media companies to implement the legislation. Instead, what it will do is grant massive power to the eSafety Commissioner. The bill is so broadly written that the eSafety Commissioner can just about do anything she wants. This is not how legislation should be drafted.

One Nation agrees with DIGI’s testimony and supports the bill being withdrawn and redrafted with proper checks and balances, clear definitions, and then subjected to proper debate.

Transcript

Senator ROBERTS: Thank you for appearing today. I’m trying to understand if YouTube will or will not be included in this bill. Section 63C defines age-restricted social media platforms as ones where the service allows users to interact, which YouTube does in the comments, or allows users to post material, which YouTube does, ora significant part of the purpose is to allow interaction, which YouTube does in some channels. Do you consider that YouTube is included in this bill?  

Ms Bose: This underscores the broader challenge of this broad definition that encompasses a range of services and also the discretion it affords the minister in relation to making those determinations. I might hand to my colleague, Dr Duxbury, who may have more to add around some of the questions we have around that discretionary determination of what is in scope.  

Dr Duxbury: Senator, you are absolutely right that the bill doesn’t make clear who is in or out of scope. To us, that is a really serious flaw in the bill. It is absolutely unclear who is in or out, and we don’t know what criteria willbe used to determine these exemptions. The explanatory memorandum suggests that some services will be out of scope, but that will not occur until a future date, and that date is unknown.  

Senator ROBERTS: Speaking of the explanatory memorandum, page 21 says that children can visit sites that do not require an account. Is that your understanding?  

Dr Duxbury: That is my understanding.  

Senator ROBERTS: You said in point 3 of your submission that parliament is being asked to pass a bill without knowing how it will work. No regulator worldwide has done age assurance successfully yet—nowhere. We’ve got almost no time to discuss this in public, so I don’t know how you are even here. Thank you for being here. You say, though the government’s trial exploration of age assurance in the bill is not yet complete, only a year ago the government concluded that these technologies were ‘immature’. Could you expand on that, please. 

Dr Duxbury: The conclusion was not only that the technologies were immature but also that there were risks about the reliability of the technology and their impact on digital inclusion. We heard earlier the fact that, because these requirements will apply to all Australians, the impact will be felt not only by young people but also by other Australians, who will be required to age-verify before they get access to a very broad range of services.  

Senator ROBERTS: This is quoting from your tabled opening statement: ‘If we are proceeding on this fasttracked timetable, what is most important is that the bill contains structures for future consultation.’ You go on to say: ‘As drafted, the bill only requires that the minister seek advice from the eSafety Commissioner before making legislative rules. However, given these expert warnings of youth harm from a social media ban, the unknown technology and the privacy implications, further consultation with the community and technical experts is vital.DIGI suggests amending section 63C of the bill to include an additional requirement for a minimum 30 days of industry and public consultation before making legislative rules.’ Could you expand on that, please. 

ACTING CHAIR: As quickly as you can. 

Dr Duxbury: Sunita, did you want to take that? 

Ms Bose: Jenny, I will hand over to you, but there is an additional reflection we had over the weekend that we didn’t have a chance to include in our submission issued on Friday evening that we might touch upon here in addition to what you’ve read there, Senator Roberts, around the need for reasons for a decision. Let me hand over to you, Jenny, to elaborate. 

Dr Duxbury: We have recommended additional consultation because we think that, in the current context, it’s quite likely that the bill will proceed and proceed quickly. We understand that this committee will only have one day to basically ponder that question. If the bill is going to proceed on its current timetable then, frankly, adding in a consultation requirement seemed to be the only thing that was likely to improve it, given the complete absence of detail as to how it will be implemented. However, another possible improvement to the bill would be to require additional transparency regarding the making of these decisions. I believe the minister has the power both to include particular services within the scope of the bill and also to exclude them. To the extent that legislative instruments are going to be made to flesh out the detail of the bill, I think additional transparency could be very helpful. 

Senator ROBERTS: ‘A complete absence of detail’—thank you. 

Free TV Australia

Reset Tech Australia

Institute of Public Affairs

Digital Rights Watch

Media Entertainment & Arts Alliance

Program: 11 October 2024

Submissions

Telstra | Optus | TPG Telecom

Royal Flying Doctor Service of Australia

Australian Chamber of Commerce and Industry

Australian Communications and Media Authority

Australian Small Business and Family Enterprise Ombudsman

Australian Competition and Consumer Commission

Telecommunication Industry Ombudsman

Department of Infrastructure, Transport, Regional Development, Communications & the Arts

Snowy Monaro Regional Council

National Rural Health Alliance

James Parker

I am constantly amazed by the Australians I come across in my work. The people who care about the country making submissions to inquiries like the one I initiated into the 3G shutdown do so much to expose the right solutions. Mr James Parker was one of those extraordinary people who I had the opportunity to talk to inside and outside the inquiry.

Thank you very much for your expertise and contribution James.

National Farmers’ Federation & NSW Farmers

Surveyors Australia

New South Wales Government

At a Senate Inquiry we were told again and again that the 3G shutdown must be delayed unless it could be guaranteed no one would be worse off. This was a session with representatives from the NSW State government with very clear concerns about firefighting and connectivity for people in the bush.

I called on Minister Rowland to step in to stop the shutdown, and the response is still silence. 

The public hearing on Excess Mortality was profoundly poignant and unsettling in equal measure.

It has sparked further concerns and raised questions that require answering about excess deaths since the rollout of the COVID vaccination and why there is such a concerted effort to deflect closer scrutiny.

COVERSE and the Australian Medical Professionals’ Society (AMPS)

It was good to speak with a group of professionals that are prepared to dig into COVID ‘vaccine’ mortality. My questions were about suppressed or disguised data. It’s been well established that the modelling during COVID was not done well – potentially to support the government program regardless what the data was actually showing. 

There are numerous methods through which excess mortality can be hidden. We simply cannot trust the government data when it stands in such stark contrast to the widespread experiences of everyday Australians.

A study of excess mortality in Queensland in 2021 offered warning signals. There was a huge spike in deaths immediately after the COVID injection rollout began, even before the virus itself arrived in Queensland. Similar patterns was seen in Western Australia and other parts of Australia. This spike then came back to near normal levels once the “vaccine” rollout slowed down. 

It is not acceptable that instead of seeking to understand the reasons behind these findings, our health authorities are attempting to discredit this data.

Australian Health Department

I asked the Department of Health to explain peaks of excess mortality in 2022.

Significant peaks observed were higher than expected, with the explanation being that it can be contributed to COVID itself, although there was still a peak outside the average.

The Australian Bureau of Statistics (ABS) revealed it’s possible to match COVID jabs with mortality, however Australia’s Health Department appear to be quite reluctant to do this.   They commissioned a report from the National Centre for Immunisation Research and Surveillance to conduct an analysis comparing ‘similar populations with each other’ to give a “better sense of mortality”. Predictably, the outcome of this “critical research” is that COVID vaccines provided significant protection against mortality from COVID and extended this to all-cause mortality.

National Rural Health Alliance

The points raised by Susanne Tegen, Chief Executive of the National Rural Health Alliance, went to the heart of the struggles faced by rural and remote communities during the federal and state governments’ COVID response.

National Rural Health Alliance commented on limitations in mortality data. It strongly advocates for the creation of datasets demonstrating excess mortality in relation to remoteness.

The Alliance wrote in their submission that the absence of geographical data makes it impossible to fully understand the impacts of excess mortality on rural and remote consumers, and that “Tailored datasets and rural specific models of care are imperative to addressing ongoing healthcare inequities.”

Research should be prioritised to examine how pandemics and other disasters impact health systems in rural Australia.

Australian Health Department

Senator ROBERTS: Thank you for appearing again today. On that last question that Senator Rennick asked, Dr Gould, are you familiar with the Australian Bureau of Statistics submission?

Dr Gould: Yes. If you just give me a moment, I will fumble on my iPad to have that. What page, Senator?

Senator ROBERTS: It is on page 7 of their 14-page submission—top of the page, graph 1. Have you done any work on trying to understand and explain the first peak in March 2021 and the next peak in August 2022? Can you tell me the causes of those peaks? Take it on notice if you want.

Dr Gould: I’m not actually seeing a peak in March 2021.

Senator ROBERTS: You are not seeing the actual deaths?

Dr Gould: Yes, I’m looking at the same graph as you, I believe, with expected, actual and—

Senator ROBERTS: There is a peak well outside the upper range.

Dr Gould: Oh, yes, there is a small period—

Senator ROBERTS: It’s quite marked.

Dr Gould: The graph that you see, the expected mortality, is a modelled number. We have talked about this before. And, as with any modelled number, it has strengths and weaknesses, so that is acknowledged. There are a number of different ways—

Senator ROBERTS: This is a startling peak.

Dr Gould: Yes, so—

Senator ROBERTS: Is that all due to the model?

Dr Gould: The peak you are referring to is a peak because it goes above the confidence intervals of the model, so it is a function of the model and it is also a function of mortality.

Senator ROBERTS: It is way, way, way above.

Dr Gould: I’m concerned that we are looking at different graphs. I’m not seeing a large peak in 2021—

Senator ROBERTS: Graph No. 1. End of February, early March 20—sorry, 2022.

Dr Gould: Oh, 2022.

Senator ROBERTS: I’m sorry, you’re right. What is the explanation for the big peak there?

Dr Gould: You see a very significant peak with the actual number, so that is the dark red number, and that represents total mortality over that period. And it is higher than expected. Importantly, this graph also shows what it looks like without COVID, so that is the—dare I say, salmon coloured or pink coloured line—which is a much less dramatic peak, so that indicates how much COVID itself contributed to that large peak. That said, I would acknowledge that, without COVID, the light pink line is still outside of normal expectations. So that would be considered a period of excess mortality.

Senator ROBERTS: Have you done any work on explaining why that is the case? It is above the mean of the range and it’s above the upper limit.

Dr Gould: Again, the ABS reports look at different causes of death, and complementary analysis of the Actuaries Institute also looks at potential causes there. That includes ischaemic heart disease.

Senator ROBERTS: So we go to the ABS?

Dr Gould: The ABS is—

Senator ROBERTS: Okay, thank you. I want to follow up on a question from Senator Rennick that I did not hear that you answered, and that turned on something I asked earlier in the second session. The Australian Bureau of Statistics revealed in estimates last week that it is possible to match ABS deaths data against COVID status to see what the respective death rates for vaccinated and unvaccinated Australians are. Have you done that analysis? I did not hear you respond to Senator Rennick.

Dr Gould: Again, it is the same concept where I was talking about the time series analysis. We need to be really careful about producing—

Senator ROBERTS: Have you done it?

Dr Gould: I will get to that. Producing raw mortality counts by vaccination status is of very limited value. Obviously, the counts we would expect to be higher for vaccinated Australians because the vast majority of Australians were vaccinated. So we needed an appropriate denominator. So that work needs to be done. We also need to—

Senator ROBERTS: Excuse me, Dr Gould, you can still have comparison of people who have had one vaccine, two vaccines, three shots, four shots et cetera.

Dr Gould: Yes, and what I wanted to get to: you could do that with raw mortality rates, but, as we have discussed, age is a really important factor for mortality, so age standardisation is really important there. But there are other forms of work there that we need to do to ensure that we are comparing like populations with each other—so, effectively we are comparing statistical apples with each other. And that was the whole purpose of the research that we commissioned by the National Centre for Immunisation Research and Surveillance—that they could do that challenging but really critical work so that they could give a better sense of the mortality outcomes for people—

Senator ROBERTS: What is the answer?

Dr Gould: The answer is that it is very clear that COVID vaccines provided significant protection against mortality from COVID. They also extended that research to all-cause mortality. As we have said, COVID was the last—

Senator ROBERTS: Could we get a copy of the report please?

Dr Gould: Absolutely. It is publicly available, and we would be happy to send you a link for that.

Senator ROBERTS: Where abouts?

Dr Gould: I can’t quote the exact web address, but it is—

Senator ROBERTS: When did you ask them to do that report?

Dr Gould: I believe the date is current to 2022. We could take on notice when we started conversations about the report.

Senator ROBERTS: If you could please. What is the death rate comparison amongst vaccinated and unvaccinated Australians? I know you said there are many qualifications but, filtering through the qualifications, what is the death rate?

Dr Gould: It is lower for vaccinated Australians as per that research.

Senator ROBERTS: Could we have those numbers please?

Dr Gould: The way that they describe it is actually in terms of the protection against death from the—

Senator ROBERTS: Not the death rates?

CHAIR: Just one moment please, Dr Gould. Senator Roberts, just the last five minutes you have been interrupting quite regularly while they are answering—

Senator ROBERTS: Thank you, Chair.

CHAIR: Could you maybe wait until they finish and then ask your next question.

Dr Gould: I think that research should answer a lot of your questions.

Senator ROBERTS: Has anyone ordered you not to analyse deaths, or excess mortality, or to do so in a certain way to hide anything?

Dr Gould: Absolutely not.

Senator ROBERTS: Okay. Thank you, Chair.

National Rural Health Alliance

Senator ROBERTS: Thank you for being here, Ms Tegen. Your submission’s third paragraph includes this statement: The absence of geographical data makes it impossible to fully understand the impacts of excess mortality on rural and remote consumers. NRHA strongly advocates for the creation of datasets demonstrating excess mortality in relation to remoteness. We need to ensure that the committee notes this, Ms Tegen. Is this something that must be in this inquiry’s report?

Ms Tegen: Absolutely.

Senator ROBERTS: What about preparedness? You should have been aware that there was a preparedness plan for rural areas for a flu epidemic. Were people in rural areas aware of such a plan, and was it followed?

Ms Tegen: I am not sure whether they were all included in such a plan. If there is a federal plan, it needs to be taken to those rural communities. A classic example, again, is through the PRIM-HS model where, at a local level, they start looking at, ‘How do we manage a risk like this if it comes to our region?’ It’s no different from a fire plan or a flood plan that rural communities have. It’s really interesting. Why is it that the Defence Force and police forces are all funded to do this, to support their workforce to do this well? We need to do it in health. It needs to be done under a national health strategy, and there needs to be a compact between federal, state and local government, with the community.

Senator ROBERTS: I must commend the witness, Chair, for providing clear, concise and very strong advocacy. It’s refreshing. What discussions, meetings and planning occurred in the early stages of responding to COVID to guide your response in rural areas to COVID, once we were told there was supposedly a major virus on the loose?

Ms Tegen: The National Rural Health Alliance started a series of teleconferences and updates with not only its members but also its Friends of the Alliance, which are the grassroots people. In addition to that, we held meetings with the government to provide real-time feedback to those communities, and the clinicians. Again, clinicians on the ground were really stretched in rural areas because they already had workforce shortages. It needs to be revisited, taking into account the learnings of the populations and the response on the ground.

Senator ROBERTS: Your submission raises the topic of a shortage of health professionals in rural areas. You have said it repeatedly today. How did the shortage of health professionals in the bush make the impact of COVID worse, and what can be done about it?

Ms Tegen: It burned out a lot of the workforce. It made people feel that they weren’t supported, because as soon as we felt that COVID was finished and it was ‘business as usual’, they are still trying to recover from what happened over the last four or five years. They still feel that they are not supported. We are now focusing on the future workforce, yet we are not able to support or provide more bolstering for the current workforce. The communities are back to normal in terms of living their life. They’re working in an environment where there is a higher inflation rate.

Senator ROBERTS: It’s tough.

Ms Tegen: It’s tough. These communities are the most underfunded. If you’re looking at agriculture and primary industries, they are the only communities around the world that are not subsidised. Here we are, expecting them to deal with health issues, with global markets and with weather patterns. We don’t expect that from the city. Why do we expect it from the country? It is because it’s out of sight, out of mind.

Senator ROBERTS: One of the things I’m picking up, between the lines, is that you don’t see the imposing of systems and processes from the city on rural as being effective. You are calling for a national rural health strategy. You’ve also made the point that people need to be accountable for their own individual health.

Ms Tegen: Yes.

Senator ROBERTS: Isn’t that something that could be said about the whole country’s health?

Ms Tegen: Absolutely. By increasing the amount of data that is available, by increasing an understanding of health care, not only the healthcare system but also your own health, you are more likely to be able to deal with your own health issues because you have an increased health literacy level. I will make a comment about the death recently of a person that was raising the awareness in the population. That was Michael Mosley. Australians loved watching him. He increased their understanding of health care. Norman Swan is increasing the understanding of health care. His Coronacast was listened to by millions of people around Australia. Rural Australia still has a very high readership of and listening to the ABC, and those initiatives were really important to rural people. We need to make sure that they are not forgotten, and that we have a social contract to do something about this, rather than having reforms and inquiries, and nothing happening with them.