Australia has become the global village idiot on quitting smoking
While we once stood as pioneers in public health and particularly harm reduction, we are now the cautionary tale.
Currently, 66 Australians die every single day from the effects of smoking – not from an addiction to nicotine, but from the toxic delivery mechanism of cigarettes. That is 24,000 Australian lives lost every year.
Australia's tobacco policy is a paradox of legal sanction and de facto prohibition. Legal cigarettes are taxed at rates so punitive that they have become virtually inaccessible to many, while vaping devices, which offer a far safer alternative, are rendered unobtainable through deliberately restrictive access avenues. The result? One of the most lucrative and violent black markets Australia has ever seen.
Apart from organised crime – whose fortunes have never been brighter – and a handful of well-intentioned but misguided health groups, nearly everyone else recognises federal Health Minister Mark Butler has made a huge mistake in his approach to controlling tobacco and vapes. His message is that we should continue down the path of prohibition in the vain hope that we will eventually get a different result. But the fire bombings continue and huge profits continue to flow into the pockets of criminal groups.
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Around the world, doctors, scientists, and governments have embraced harm reduction and have acknowledged that prohibition does not and cannot ever work. Instead, the focus has shifted toward making safer nicotine products accessible to adult smokers – most notably, vaping devices. And in countries where these products are promoted, smoking rates have plummeted.
In the UK, the health department actively provides nicotine vaping products to adult smokers and their smoking rates have dropped steeply in the past five years, from 18 per cent to 11.6 per cent.
Their review of international research found that 'in the short and medium term, vaping poses a small fraction of the risks of smoking'.
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West Australian
6 hours ago
- West Australian
Government to introduce legislation for cheaper PBS medicines next week as parliament resumes
Australians could soon pay less for prescription medicines, with the government set to bring forward legislation for cheaper PBS medicines when parliament resumes next week. Anthony Albanese says he remained focused on delivering cost-of-living relief, which was a key election promise at the May 3 poll which delivered him a whopping 94-seat majority. The legislation would cut PBS medicine costs to $25 and freeze concession prices at $7.70. 'We want to focus very much on cost-of-living. That was the basis upon which we were elected,' he said on Sunday. 'The size of your bank balance shouldn't determine the quality of your healthcare. 'In the last term, we had a range of measures, and the Coalition opposed all of them. 'This term, we've already had all the changes on July 1: the increase in the minimum wage, the changes that we have made in energy bill relief, the cheaper batteries, the range of measures now, this week, we will have cheaper medicines. 'We said we would make cheaper medicines even cheaper - that is exactly what we are doing.' It would reduce the maximum cost of PBS medicines by 20 per cent from January 1 next year, which is expected to save Australians over $200 million annually. Health Minister Mark Butler said the change would make medicines for general patients the cheapest they've been since 2004. 'For pension and concession card holders we've frozen your medicine prices at a maximum price of $7.70 until the end of the decade,' Mr Butler said.
The Advertiser
18 hours ago
- The Advertiser
Calls to make low-cost IVF more accessible in Australia
Vikki Mai Murphy always knew she wanted to be a mum but after months of negative pregnancy tests she and her partner Sean realised they would need some extra help. Following a round of intrauterine insemination (IUI), where prepared sperm is placed directly into a woman's uterus, Ms Murphy was thrilled to finally see a positive result for the first time. But almost eight weeks later, she discovered the pregnancy was ectopic and would have to be removed. In the resulting surgery she lost one of her fallopian tubes and doctors told her she would need to undergo IVF in order to successfully fall pregnant in future. "I just bawled and kept asking if I could still have my babies ... it just crushed me," Ms Murphy told AAP. The couple began to explore their IVF options and quickly realised the cost per round would be between $10,000 and $15,000. "We both just decided we wanted to throw everything at it and worry about the costs later," Ms Murphy said. For many people hoping to become parents, cost-of-living pressures are deterring them from fertility treatment. With Australia posting a record-low fertility rate in 2024, experts say low-cost IVF options will be crucial to addressing the decline in births. The average number of children born per woman was 1.51 in 2024, well below the 1.8 in 2014. In 2022, almost 109,000 IVF cycles were performed resulting in the birth of 20,058 babies. Almost half of Australians surveyed by Connect IVF said fertility services were not affordable. Connect IVF was one of the few affordable clinics in an industry that had been driven by a wave of corporatisation, director Brendan Ayres said. "(Our clinics) see a broad section of Australians and we get a disproportionate number of people from lower socioeconomic groups who need fertility treatment," he said. "We also have a number of patients who have been to other clinics and paid tens of thousands of dollars without success and are at their financial wits' end." Ms Murphy discovered Connect IVF by a chance internet search and the clinic was able to accommodate her for her next menstrual cycle. "The cost was substantially lower than other clinics because they bulk-billed the IVF cycle," she said. "It also allowed us to pay for a private obstetrician during my pregnancy, which we wouldn't have been able to afford if we'd had to pay up to $15,000 for the IVF." Ms Murphy ended up with four embryos from the round, which led to her three-year-old son Beau and one-year-old daughter Maia. "I love being a mum. It was such a journey and if I could have just looked into the future and seen my babies it would have made such a difference," she said. "People might think if they pay more money there might be more chance of having a baby, but I have friends who have paid thousands more than us with no success." While the Australian government supports parts of IVF through Medicare, it was not linked to the consumer price index, meaning the gap increased over time, Mr Ayres said. "Australia is a world leader in the technology of IVF but the funding hasn't followed," he said. "There also needs to be additions to Medicare item numbers to expand to all areas such as donor IVF which currently isn't covered." Vikki Mai Murphy always knew she wanted to be a mum but after months of negative pregnancy tests she and her partner Sean realised they would need some extra help. Following a round of intrauterine insemination (IUI), where prepared sperm is placed directly into a woman's uterus, Ms Murphy was thrilled to finally see a positive result for the first time. But almost eight weeks later, she discovered the pregnancy was ectopic and would have to be removed. In the resulting surgery she lost one of her fallopian tubes and doctors told her she would need to undergo IVF in order to successfully fall pregnant in future. "I just bawled and kept asking if I could still have my babies ... it just crushed me," Ms Murphy told AAP. The couple began to explore their IVF options and quickly realised the cost per round would be between $10,000 and $15,000. "We both just decided we wanted to throw everything at it and worry about the costs later," Ms Murphy said. For many people hoping to become parents, cost-of-living pressures are deterring them from fertility treatment. With Australia posting a record-low fertility rate in 2024, experts say low-cost IVF options will be crucial to addressing the decline in births. The average number of children born per woman was 1.51 in 2024, well below the 1.8 in 2014. In 2022, almost 109,000 IVF cycles were performed resulting in the birth of 20,058 babies. Almost half of Australians surveyed by Connect IVF said fertility services were not affordable. Connect IVF was one of the few affordable clinics in an industry that had been driven by a wave of corporatisation, director Brendan Ayres said. "(Our clinics) see a broad section of Australians and we get a disproportionate number of people from lower socioeconomic groups who need fertility treatment," he said. "We also have a number of patients who have been to other clinics and paid tens of thousands of dollars without success and are at their financial wits' end." Ms Murphy discovered Connect IVF by a chance internet search and the clinic was able to accommodate her for her next menstrual cycle. "The cost was substantially lower than other clinics because they bulk-billed the IVF cycle," she said. "It also allowed us to pay for a private obstetrician during my pregnancy, which we wouldn't have been able to afford if we'd had to pay up to $15,000 for the IVF." Ms Murphy ended up with four embryos from the round, which led to her three-year-old son Beau and one-year-old daughter Maia. "I love being a mum. It was such a journey and if I could have just looked into the future and seen my babies it would have made such a difference," she said. "People might think if they pay more money there might be more chance of having a baby, but I have friends who have paid thousands more than us with no success." While the Australian government supports parts of IVF through Medicare, it was not linked to the consumer price index, meaning the gap increased over time, Mr Ayres said. "Australia is a world leader in the technology of IVF but the funding hasn't followed," he said. "There also needs to be additions to Medicare item numbers to expand to all areas such as donor IVF which currently isn't covered." Vikki Mai Murphy always knew she wanted to be a mum but after months of negative pregnancy tests she and her partner Sean realised they would need some extra help. Following a round of intrauterine insemination (IUI), where prepared sperm is placed directly into a woman's uterus, Ms Murphy was thrilled to finally see a positive result for the first time. But almost eight weeks later, she discovered the pregnancy was ectopic and would have to be removed. In the resulting surgery she lost one of her fallopian tubes and doctors told her she would need to undergo IVF in order to successfully fall pregnant in future. "I just bawled and kept asking if I could still have my babies ... it just crushed me," Ms Murphy told AAP. The couple began to explore their IVF options and quickly realised the cost per round would be between $10,000 and $15,000. "We both just decided we wanted to throw everything at it and worry about the costs later," Ms Murphy said. For many people hoping to become parents, cost-of-living pressures are deterring them from fertility treatment. With Australia posting a record-low fertility rate in 2024, experts say low-cost IVF options will be crucial to addressing the decline in births. The average number of children born per woman was 1.51 in 2024, well below the 1.8 in 2014. In 2022, almost 109,000 IVF cycles were performed resulting in the birth of 20,058 babies. Almost half of Australians surveyed by Connect IVF said fertility services were not affordable. Connect IVF was one of the few affordable clinics in an industry that had been driven by a wave of corporatisation, director Brendan Ayres said. "(Our clinics) see a broad section of Australians and we get a disproportionate number of people from lower socioeconomic groups who need fertility treatment," he said. "We also have a number of patients who have been to other clinics and paid tens of thousands of dollars without success and are at their financial wits' end." Ms Murphy discovered Connect IVF by a chance internet search and the clinic was able to accommodate her for her next menstrual cycle. "The cost was substantially lower than other clinics because they bulk-billed the IVF cycle," she said. "It also allowed us to pay for a private obstetrician during my pregnancy, which we wouldn't have been able to afford if we'd had to pay up to $15,000 for the IVF." Ms Murphy ended up with four embryos from the round, which led to her three-year-old son Beau and one-year-old daughter Maia. "I love being a mum. It was such a journey and if I could have just looked into the future and seen my babies it would have made such a difference," she said. "People might think if they pay more money there might be more chance of having a baby, but I have friends who have paid thousands more than us with no success." While the Australian government supports parts of IVF through Medicare, it was not linked to the consumer price index, meaning the gap increased over time, Mr Ayres said. "Australia is a world leader in the technology of IVF but the funding hasn't followed," he said. "There also needs to be additions to Medicare item numbers to expand to all areas such as donor IVF which currently isn't covered." Vikki Mai Murphy always knew she wanted to be a mum but after months of negative pregnancy tests she and her partner Sean realised they would need some extra help. Following a round of intrauterine insemination (IUI), where prepared sperm is placed directly into a woman's uterus, Ms Murphy was thrilled to finally see a positive result for the first time. But almost eight weeks later, she discovered the pregnancy was ectopic and would have to be removed. In the resulting surgery she lost one of her fallopian tubes and doctors told her she would need to undergo IVF in order to successfully fall pregnant in future. "I just bawled and kept asking if I could still have my babies ... it just crushed me," Ms Murphy told AAP. The couple began to explore their IVF options and quickly realised the cost per round would be between $10,000 and $15,000. "We both just decided we wanted to throw everything at it and worry about the costs later," Ms Murphy said. For many people hoping to become parents, cost-of-living pressures are deterring them from fertility treatment. With Australia posting a record-low fertility rate in 2024, experts say low-cost IVF options will be crucial to addressing the decline in births. The average number of children born per woman was 1.51 in 2024, well below the 1.8 in 2014. In 2022, almost 109,000 IVF cycles were performed resulting in the birth of 20,058 babies. Almost half of Australians surveyed by Connect IVF said fertility services were not affordable. Connect IVF was one of the few affordable clinics in an industry that had been driven by a wave of corporatisation, director Brendan Ayres said. "(Our clinics) see a broad section of Australians and we get a disproportionate number of people from lower socioeconomic groups who need fertility treatment," he said. "We also have a number of patients who have been to other clinics and paid tens of thousands of dollars without success and are at their financial wits' end." Ms Murphy discovered Connect IVF by a chance internet search and the clinic was able to accommodate her for her next menstrual cycle. "The cost was substantially lower than other clinics because they bulk-billed the IVF cycle," she said. "It also allowed us to pay for a private obstetrician during my pregnancy, which we wouldn't have been able to afford if we'd had to pay up to $15,000 for the IVF." Ms Murphy ended up with four embryos from the round, which led to her three-year-old son Beau and one-year-old daughter Maia. "I love being a mum. It was such a journey and if I could have just looked into the future and seen my babies it would have made such a difference," she said. "People might think if they pay more money there might be more chance of having a baby, but I have friends who have paid thousands more than us with no success." While the Australian government supports parts of IVF through Medicare, it was not linked to the consumer price index, meaning the gap increased over time, Mr Ayres said. "Australia is a world leader in the technology of IVF but the funding hasn't followed," he said. "There also needs to be additions to Medicare item numbers to expand to all areas such as donor IVF which currently isn't covered."
West Australian
20 hours ago
- West Australian
Calls to make low-cost IVF more accessible in Australia
Vikki Mai Murphy always knew she wanted to be a mum but after months of negative pregnancy tests she and her partner Sean realised they would need some extra help. Following a round of intrauterine insemination (IUI), where prepared sperm is placed directly into a woman's uterus, Ms Murphy was thrilled to finally see a positive result for the first time. But almost eight weeks later, she discovered the pregnancy was ectopic and would have to be removed. In the resulting surgery she lost one of her fallopian tubes and doctors told her she would need to undergo IVF in order to successfully fall pregnant in future. "I just bawled and kept asking if I could still have my babies ... it just crushed me," Ms Murphy told AAP. The couple began to explore their IVF options and quickly realised the cost per round would be between $10,000 and $15,000. "We both just decided we wanted to throw everything at it and worry about the costs later," Ms Murphy said. For many people hoping to become parents, cost-of-living pressures are deterring them from fertility treatment. With Australia posting a record-low fertility rate in 2024, experts say low-cost IVF options will be crucial to addressing the decline in births. The average number of children born per woman was 1.51 in 2024, well below the 1.8 in 2014. In 2022, almost 109,000 IVF cycles were performed resulting in the birth of 20,058 babies. Almost half of Australians surveyed by Connect IVF said fertility services were not affordable. Connect IVF was one of the few affordable clinics in an industry that had been driven by a wave of corporatisation, director Brendan Ayres said. "(Our clinics) see a broad section of Australians and we get a disproportionate number of people from lower socioeconomic groups who need fertility treatment," he said. "We also have a number of patients who have been to other clinics and paid tens of thousands of dollars without success and are at their financial wits' end." Ms Murphy discovered Connect IVF by a chance internet search and the clinic was able to accommodate her for her next menstrual cycle. "The cost was substantially lower than other clinics because they bulk-billed the IVF cycle," she said. "It also allowed us to pay for a private obstetrician during my pregnancy, which we wouldn't have been able to afford if we'd had to pay up to $15,000 for the IVF." Ms Murphy ended up with four embryos from the round, which led to her three-year-old son Beau and one-year-old daughter Maia. "I love being a mum. It was such a journey and if I could have just looked into the future and seen my babies it would have made such a difference," she said. "People might think if they pay more money there might be more chance of having a baby, but I have friends who have paid thousands more than us with no success." While the Australian government supports parts of IVF through Medicare, it was not linked to the consumer price index, meaning the gap increased over time, Mr Ayres said. "Australia is a world leader in the technology of IVF but the funding hasn't followed," he said. "There also needs to be additions to Medicare item numbers to expand to all areas such as donor IVF which currently isn't covered."
