Alcohol and race in Australia

 In the U.S. we certainly have a complicated history around both race and alcohol, but in Australia there may be even more complications, as a recent (limited) ban on alcohol and aborigines is reinstated.

The NY Times has the story

Authorities Reinstate Alcohol Ban for Aboriginal Australians. The reaction to a rise in crime has renewed hard questions about race and control, and about the open wounds of discrimination. By Yan Zhuang

"Mr. Shaw lives in what the government has deemed a “prescribed area,” an Aboriginal town camp where from 2007 until last year it was illegal to possess alcohol, part of a set of extraordinary raced-based interventions into the lives of Indigenous Australians.

"Last July, the Northern Territory let the alcohol ban expire for hundreds of Aboriginal communities, calling it racist. But little had been done in the intervening years to address the communities’ severe underlying disadvantage. Once alcohol flowed again, there was an explosion of crime in Alice Springs widely attributed to Aboriginal people. Local and federal politicians reinstated the ban late last month. 

...

"For those who believe that the country’s largely white leadership should not dictate the decisions of Aboriginal people, the alcohol ban’s return replicates the effects of colonialism and disempowers communities. Others argue that the benefits, like reducing domestic violence and other harms to the most vulnerable, can outweigh the discriminatory effects.

...

"According to the Northern Territory police, commercial breaks-ins, property damage, assaults related to domestic violence and alcohol-related assaults all rose by about or by more than 50 percent from 2021 to 2022. Australia does not break down crime data by race, but politicians and Aboriginal groups themselves have attributed the increase largely to Indigenous people.

"This was a preventable situation,” said Donna Ah Chee, the chief executive of one of these organizations, the Central Australian Aboriginal Congress. “It was Aboriginal women, families and children that were actually paying the price,” she added.

"The organization was among those that called for a resumption of the ban as an immediate step while long-term solutions were developed to address the underlying drivers of destructive drinking. Ms. Ah Chee said she considered the policy to be “positive discrimination” in protecting those most vulnerable."

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Of course bans in one jurisdiction can have spillovers into others. Here's a story from the Australian Broadcasting Corporation:

Katherine reports rise in transient visitors since return of Alice Springs alcohol restrictions  By Matt Garrick and Max Rowley

"An outback town struggling with crime and homelessness is seeing an influx of transient visitors, which some believe is a direct impact of new alcohol restrictions in Alice Springs."

Australia legalizes medical use of psychedelics

 Scott Cunningham points out that Australia has become the first country to legalize the medical use of certain psychedelics. 

Here's the announcement from the Australian Government's Therapeutic Goods Administration (TGA)

Change to classification of psilocybin and MDMA to enable prescribing by authorised psychiatrists

"From 1 July this year, medicines containing the psychedelic substances psilocybin and MDMA (3,4-methylenedioxy-methamphetamine) can be prescribed by specifically authorised psychiatrists for the treatment of certain mental health conditions.

The Therapeutic Goods Administration (TGA) will permit the prescribing of MDMA for the treatment of post-traumatic stress disorder and psilocybin for treatment-resistant depression. These are the only conditions where there is currently sufficient evidence for potential benefits in certain patients.

Prescribing will be limited to psychiatrists, given their specialised qualifications and expertise to diagnose and treat patients with serious mental health conditions, with therapies that are not yet well established. To prescribe, psychiatrists will need to be approved under the Authorised Prescriber Scheme by the TGA following approval by a human research ethics committee. The Authorised Prescriber Scheme allows prescribing permissions to be granted under strict controls that ensure the safety of patients.

The decision acknowledges the current lack of options for patients with specific treatment-resistant mental illnesses. It means that psilocybin and MDMA can be used therapeutically in a controlled medical setting. However, patients may be vulnerable during psychedelic-assisted psychotherapy, requiring controls to protect these patients.

For these specific uses, psilocybin and MDMA will be listed as Schedule 8 (Controlled Drugs) medicines in the Poisons Standard. For all other uses, they will remain in Schedule 9 (Prohibited Substances) which largely restricts their supply to clinical trials."

*********

Scott shares a post by Shane Pennington on drugs that contrasts the Australian (medical) decision with the U.S. Drug Enforcement Agency's (legal) decision to maintain the ban on these drugs, despite the growing medical evidence (from U.S. studies, on which the Australian government relied) that psychedelics have some important medical uses.

"To support its decision, the TGA relied heavily on studies conducted in the U.S. and recent U.S. Food and Drug Administration (FDA) decisions recognizing psilocybin and MDMA’s extraordinary therapeutic potential. Around the same time, DEA shot down a petition—based on those same arguments and evidence—that Matt and I submitted on behalf of a palliative-care doctor, requesting rescheduling of psilocybin under U.S. law. The DEA’s four-sentence analysis completely ignored the same studies and FDA decisions that persuaded the Australian regulator to reschedule.  

"The dramatically different fates of these similar petitions reveal a troubling reality about U.S. drug law: Under DEA’s watch, the scientific and medical determinations of the nation’s leading public health agency carry considerable weight around the world but are often ignored at home. That revelation should terrify anyone interested in rational, evidence-driven drug policy. "

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But the States are the laboratory of democracy: here's an earlier related post.

Sunday, November 13, 2022

Colorado legalizes magic mushroom/psilocybin therapies

Australia and England swap millions of vaccine doses

Barter can increase efficiency. The Financial Times has the story:

Australia strikes deal to ‘swap’ 4m vaccine doses with UK  by William Langley and Oliver Barnes 

"The UK will send 4m Covid-19 vaccine doses to Australia in a swap deal aimed at accelerating Canberra’s stuttering rollout and bolstering British supplies later in the year when ministers are pushing for a booster campaign. 

"The first batch of 292,000 BioNTech/Pfizer doses will arrive in Australia in the coming days, with the remainder due by the end of the month, Prime Minister Scott Morrison said on Friday. 

"Australia will return an equivalent 4m doses before the end of the year, according to the UK health department.

"The deal is designed to speed up Australia’s vaccination rollout, which has been one of the slowest in the world, and Morrison said it would allow the government to bring forward its prospective reopening date.

"It reflects the UK’s calculation that it does not currently need all its stockpiled doses, which expire in a matter of months if not used, while allowing London to boost supplies later this year in anticipation of a broad booster campaign and the vaccination of 12 to 15-year-olds."

College admissions in Australia, by Guillen, Kesten, Kiefer, and Melatos

 Here's a working paper from the University of Sydney that looks at the New South Wales college admissions clearinghouse in which students receive (accurate but unclear) advice from the clearinghouse operator, together with clear but incorrect advice from individual universities.  In an experiment, they look at the effects of these different kinds of advice when presented separately and together.

A Field Evaluation of a Matching Mechanism: University Applicant Behaviour in Australia by Pablo Guillen Onur Kesten, Alexander Kiefer, and Mark Melatos  December 2020

"Abstract: The majority of undergraduate university applications in the state of New South Wales –Australia’s largest state – are processed by a clearinghouse, the Universities Admissions Centre (UAC). Applicants submit an ordered list of degree preferences to UAC which applies a matching algorithm to allocate university places to eligible applicants. The algorithm incorporates the possibility of a type of “early action” through which applicants receive guaranteed enrolments. Applicants receive advice on how to construct their degree preference list from multiple sources (including individual universities). This advice is often confusing, inconsistent with official UAC advice or simply misleading. To evaluate the policy implications of this design choice, we run a large sample (832 observations) experiment with experienced participants in a choice environment that mimics the UAC application process and in which truth telling is a dominant strategy. We vary the advice received across treatments: no advice, UAC advice only, (inaccurate) university advice only, and both UAC and university advice together. Overall, 75.5% of participants fail to use the dominant strategy. High rates of applicant manipulation persist even when applicants are provided with accurate UAC advice. We find that students who attend non-selective government schools are more prone to use strictly dominated strategies than those who attend academically selective government schools and private schools."

The matching algorithm, in which applicants are allowed to list only six choices, is described as follows:

"The algorithm used by UAC sequentially checks each applicant’s eligibility for a degree starting with her first choice. It is therefore reminiscent of the Boston mechanism widely used for school choice in the U.S. (Abdulkadiroglu et al, 2005; Abdulkadiroglu et al, 2006) and college admissions in China (Chen and Kesten, 2017) among other places. However, the absence of formal capacity constraints (on university enrolments) makes this Australian context a unique instance in which the outcome of the algorithm also coincides with that of the celebrated Deferred Acceptance (DA) algorithm of Gale and Shapley (1962). Due to this equivalence, the UAC algorithm does not inherit the strategic vulnerability of the Boston algorithm. Consequently, students are still able to construct their preferred degree list in a manner that is consistent with their true preferences.4

"While the UAC admissions system appears similar to a typical college admissions problem (see, e.g., Roth and Sotomayor, 1991 and Balinski and Sönmez, 1998), universities in NSW can influence student applications through an additional channel. To limit the uncertainty faced by applicants,5 many universities often grant applicants “guaranteed entry” options.6 These schemes represent a university’s commitment to an individualised entry requirement for a particular degree, subject to the candidate’s achievement of a certain score. This innovative feature of the UAC system can be viewed as the centralized or algorithmic embodiment of “early decision” schemes used by over two-thirds of top colleges in the US (see, e.g., Avery, Fairbanks, and Zeckhauser, 2004) that admit students through a decentralized system.7 Indeed, we are not aware of any other centralized college admissions system that has this type of feature. Under the current UAC algorithm, if an applicant includes a guaranteed entry degree in her preference list, this implies that she will not be considered for any degree that she has listed lower on her list provided that she attains the pre-announced entry score."

They conclude in part that

"accurate, albeit somewhat complicated, advice may fail to mitigate the impact of inaccurate (but straightforward) advice."

Australia-New Zealand kidney exchange program

New Zealand and Australia are cooperating with cross-border, international kidney exchange.

The Australian has the story:
The chain gang
By RICKY FRENCH

"Facilitated by the Organ and Tissue Authority, the Australian and New Zealand Paired Kidney Exchange (ANZKX) has now given 42 people new kidneys since that first operation late last year. While paired kidney exchange has happened in Australia since 2010, this is the first true international collaboration. Eleven chains of operations occurred before Covid-19 stalled things in March, but recruitment into the program continues and there are six surgeries planned in Australia for August.
...
"[Linda] Cantwell is the ­Australian Red Cross ANZKX tissue typing scientist. She’s gatekeeper to the matrix of matches needed to link up potential pairs. There are currently 150 donors and 128 potential recipients in the pool, but for some people only one donor in 10,000 might be suitable. A computer program called OrganMatch runs the algorithms based on each person’s unique antibody profile and tissue typing, and potential matches from up to 300,000 different chains are produced."
************

And here's a related story from Australia's Daily Telegraph:

Organ donation hit hard by COVID-19 global pandemic
by Jane Hansen

"The Australian and New Zealand Paired Kidney Exchange was suspended from March 6 and can only begin if and when travel restrictions lift.

"Deceased kidney and live kidney donor programs across Australia were also suspended from March 24 and only recommenced in May, blowing out waitlists.

"Liver, heart, lung, paediatric and multi-organ transplant programs have continued but are subject to case-by-case review by the National Transplantation and Donation Rapid Response Taskforce, which meets weekly to discuss the response to COVID-19, the Organ and Tissue Authority said.

"According to the latest figures for 2019, the families of 548 loved ones transformed the lives of 1444 Australians by agreeing to organ donation.

"In 2019, 1309 had the potential to be organ donors but just over half of those families agreed."

An experiment with a blood donor registry in Australia

Forthcoming in Management Science:
Redesigning the Market for Volunteers: A Donor Registry
Stephanie A. Heger, Robert Slonim, Ellen Garbarino, Carmen Wang, Daniel Walle

Abstract. This paper addresses volunteer labor markets where the lack of price signals, nonpecuniary motivations to supply labor, and limited fungibility of supply lead to market failure. To address the causes of the market failure, we conduct a field experiment with volunteer whole blood donors where we introduce a market-clearing mechanism (henceforth: the Registry). Our intention-to-treat estimates suggest that subjects invited to the Registry, regardless of joining, are 66% more responsive to critical shortage appeals than control subjects. While the Registry increases supply during a critical shortage episode, it does not increase supply when there is no shortage; thus, the Registry significantly improves coordination between volunteer donors and collection centers, thereby improving market outcomes. We find evidence that the Registry’s effectiveness stems from crowding-in volunteers with purely altruistic motives and volunteers with a preference for commitment.

"In partnership with the Australian Red Cross Blood Service, we introduced a Registry throughout Australia using a large-scale field experiment that unfolded over two rounds. We drew the sample for our experiment from the population of long-lapsed donors. Long-lapsed donors are donors who have given at least one successful whole blood donation but have not donated in at least the past 24 months"

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Update: Management Science, Volume 66, Issue 8, August 2020

 

Harm reduction: quality assurance for illegal drugs in Australia

The WaPo has the story, from Australia

Music festivals are offering to test the safety of people’s drugs and police are increasingly liking the idea

"MELBOURNE, Australia — When young visitors from around the world headed to Australia’s Groovin the Moo music festival in Canberra last summer, public health policy researchers were watching carefully. In a rare decision, local officials there had allowed the installation of a pill testing facility, allowing festival goers to have illegal substances examined for unusual and potentially even more dangerous additives, without having to fear arrest.

"For a long time, authorities at festivals in Australia and elsewhere almost entirely focused on preventing people from taking drugs in the first place. That approach has done little to drive down the number of drug-related deaths, however, and a mounting body of research suggests that pill testing facilities might be a more promising strategy.
...
"While the idea has recently gained more support, drug tests aren’t new and have also been tried out in some parts of the United States. Installing such facilities at music festivals has de-facto been the norm in some European countries, including the Netherlands and Austria, for more than a decade. But amid more detailed research and increases in drug-related hospital admissions, supporters of drug tests are now also gaining momentum in Australia and New Zealand, where authorities have so far only allowed limited trials.
...
"Critics argue that the approach could encourage young people to take more drugs and that it sends the wrong message. On-site tests have also been singled out for being inaccurate, given the sometimes limited availability of equipment.

But supporters of the tests maintain that their approach is far more effective than focusing on arrests. Pill testing “has been shown to change the black market” for the better and may even decrease overall drug consumption, as “negative results would deter a majority of people from consuming drugs and spur them to warn their friends,” according to a summary of arguments in favor of tests by Australia’s parliamentary library. Research by the Global Drug Survey came to a similar conclusion last year."

Australia's parliament reports on organ trafficking

Australia's parliament has published a report on organ trafficking in Australia. They didn't find much trafficking there, but recommend that data be more vigorously collected. They report that only one case of (attempted) paid organ donation has come to the attention of the authorities, but that it was successfully prevented, and the intended recipient died. The report ends with a case study of an anatomical exhibit using human cadavers.

Compassion, Not Commerce:An Inquiry into Human Organ Trafficking and Organ Transplant Tourism

Human Rights Sub-Committee, House of Representatives, Joint Standing Committee on Foreign Affairs, Defence and Trade, November 2018, Canberra

(The above link is the the 178 page pdf version, and here's a link to the table of contents and each chapter separately).

"This report examines the global prevalence of human organ trafficking and the scope of Australian participation within this illicit trade.

...

"2.5...The commercial trade in human organs is near-universally prohibited. Despite these prohibitions and restrictions, the illicit commercial trade in human organs has been estimated by the research advisory organisation Global Financial Integrity to be worth between US$840 million and $1.7 billion globally each year.4 Up to 10 per cent of kidney transplants worldwide may now involve commercially traded organs.
...
"3.15 There has been only one reported case to date of alleged organ trafficking within Australian jurisdiction,
 Alleged case of organ trafficking in Australia
"In 2011, an Australian couple were alleged to have brought a woman from the Philippines to Australia, promising her monetary compensation and a working visa in exchange for a kidney donation.
The woman changed her mind upon arriving in Australia. Medical transplant integrity procedures – a pre-operative counselling session at a Sydney hospital –ensured that the situation was discovered before the removal of the organ.
The potential donor was identified as an alleged victim of organ trafficking, resulting in referral to the Australian Federal Police. Due to the death of the prospective recipient, and limitations of the legislation as then in force, the matter did not progress to prosecution."
...
"3.20 International studies have observed the tendency of patients born in a country where organ trafficking may occur, but living outside of that country, to be at a substantially higher risk of participation in transplant tourism.31 This would appear to be equally true in Australia, as Dr Campbell Fraser observed: "...less than five per cent of Australians who are waiting on organs are likely to even consider going overseas. ...most of the Australians who have purchased an organ overseas have ethnic family connections to the countries or regions where they buy their organs—Pakistani Australians tended to go to Pakistan, Egyptian Australians travel to Egypt, and so on."
...
"Mandatory reporting by medical practitioners
3.41 A large number of submissions and witnesses argued in favour of the establishment of a nationwide mandatory reporting scheme for commercial transplants. A Bill before the Parliament of New South Wales, Human Tissue Amendment (Trafficking in Human Organs) Bill 2016, introduced by Mr David Shoebridge MP, seeks to amend the Human Tissue Act 1983 (NSW). The amendment would, inter alia, require medical professionals to report to the NSW Secretary of Health any reasonable belief that a patient has received a commercial transplant or one sourced from a non-consenting donor.
...
"Case study on alleged human tissue trafficking 
‘Real Bodies’
6.1 The Real Bodies commercial anatomical exhibition, on display in Australia during the course of this inquiry, was brought to the attention of the  Sub-Committee by a number of witnesses and is illustrative of an apparent gap in the current legislation. The Real Bodies exhibition involves the commercial display of 20 plastinated human cadavers, and ‘over 200’ plastinated organs, embryos and foetuses.1
Allegations of the trafficking of organs and other human tissue
6.2Mr David Shoebridge MP of the New South Wales Parliament informed the Sub-Committee as to the nature of the exhibition:...
"[they] are real bodies ... they are displayed in quite grotesque circumstances—some of them literally sawn down the middle and presented as a human standing and divided in two so that you can look into the internal parts of them. There are pregnant women. There are multiple fetuses ... put on display for commercial gain ... it is a grossly exploitative process. The proprietors ... have been asked about the circumstances in which these bodies came into their possession, and they have been unable and unwilling to prove that any of the persons on display ever gave their consent."
**********

Here's an earlier post on repugnance to anatomical exhibits using cadavers:

Saturday, March 28, 2009, Markets for (viewing) bodies

The case for compensating Australian plasma donors, by Bob Slonim

Here's Bob Slonim, explaining the current situation in Australia, of unpaid Australian plasma donors, and big imports of plasma products from countries in which donors are paid:

How Australia can fix the market for plasma and save millions

"The National Blood Authority’s 2016-2017 annual report indicates Australian imports of immunoglobulin, a plasma component, provide 44% of domestic demand. This costs A$120 million while the remaining 56% comes from domestic supply costing A$413 million.

"This implies the domestic supply of immunoglobulin costs over three times more per unit than what is imported, despite domestic donors not being compensated."

Postdocs in market design at Melbourne

Alex Nichifor directs my attention to this ad in the JOE:

The University of Melbourne

Faculty of Business and Economics

Centre for Market Design

Post-Doctoral Research Fellow(s)

JOE ID Number: 2018-02_111460587

Date Posted: 09/11/2018

Position Title/Short Description

Title: Post-Doctoral Research Fellow(s)
Section: International: Other Academic (Visiting or Temporary)
Location: Melbourne, Victoria, AUSTRALIA
JEL Classification: D -- Microeconomics
Keywords:

microeconomics
market design
microeconomic theory

Salary Range: AUD$98,775 – AUD$117,290 p.a plus superannuation

Full Text of JOE Listing:

The Centre for Market Design (http://cmd.org.au/) of the Department of Economics at the University of Melbourne seeks to appoint one or more Post-Doctoral Fellows with interests in market design, mechanism design, industrial organization and/or applied microeconomics. The objectives of the Centre are to: (i) undertake research in market design and its associated academic disciplines; (ii) support an innovative microeconomic policy agenda with the aim of solving significant social and economic problems through the design of policy mechanisms; (iii) build capability in theory and empirics pertaining to market design. Working collaboratively with a team of leading academics, researchers, and doctoral students, Post-Doctoral Fellows will conduct research in support of the agenda of the Centre along with developing their own research careers. Applications are sought from individuals with a variety of backgrounds and interests in market design and microeconomics, as the activities of the Centre span applied policy problems, field and lab experiments, data collection, econometric modelling, and data analysis, along with microeconomic theory. Salary and research support will be competitive and the starting date is negotiable.

To ensure full consideration, applications must be received by December 15, 2018.

Additional information is available from: http://jobs.unimelb.edu.au/caw/en/job/897519/postdoctoral-research-fellow-economics?

Medically assisted death debated in Australia

A bill is under consideration in Australia regarding medically assisted suicide, aka death with dignity.  (The politics are complicated by the fact that Australia has both states and territories.) Here's the story from the Guardian:

David Leyonhjelm confident voluntary euthanasia bill will pass Senate
Liberal Democrat pressures Malcolm Turnbull to permit vote in lower house

"The bill to allow the Northern Territory and Australian Capital Territory to legislate for euthanasia – reversing a ban imposed by the commonwealth in 1997 – has support from at least 18 Labor senators, the nine Greens, eight crossbench senators and a small but growing group of Coalition senators. It needs 39 to pass the Senate.
...
"“Australians with a terminal illness should have a right to die with dignity, ideally with effective palliative care, but with sufficient safeguards, that right, in extreme cases, should also extend to voluntary euthanasia.”
***************

An earlier, related post:

Friday, May 4, 2018

Death with dignity: David Goodall flies from Australia to Switzerland

Death with dignity: David Goodall flies from Australia to Switzerland

The Australian has the story:
Professor David Goodall, 104, prepares to die in Switzerland

"Australia’s oldest working scientist and prominent euthanasia campaigner David Goodall will access a Swiss voluntary euthanasia scheme weeks after securing a fast-tracked appointment with a Basel-based agency which assists people to die.

"The botanist, ecologist and Emeritus Professor who celebrated his 104th Birthday in April, received news last week that he had secured an appointment with pro-euthanasia group Life Circle and assisted dying expert Dr Erika Preisig in Basel for early May.

"Dr Goodall is not terminally ill but has poor eyesight and declining mobility. In evidence submitted to a Western Australian parliamentary inquiry on end of life options, he said that his quality of life had deteriorated and he wanted to access an assisted dying program.

"Dr Goodall is now at the centre of a crowd-funding push organised by local pro-euthanasia group Exit International to raise $15,000 to upgrade his fares to business class so he can travel to Basel in relative comfort.

"The campaign has already exceeded the $15,000 target and volunteers running the campaign have told The Australian his seats have now been upgraded and tickets booked."
********

Here's the Washington Post story:
A scientist just turned 104. His birthday wish is to die.

"“I greatly regret having reached that age. I would much prefer to be 20 or 30 years younger,” he told the Australian Broadcasting Corp. When asked whether he had a nice birthday, he told the news organization: “No, I’m not happy. I want to die. ... It’s not sad, particularly. What is sad is if one is prevented.”

“My feeling is that an old person like myself should have full citizenship rights, including the right of assisted suicide,” the 104-year-old added.
...
"For the past two decades, Goodall has been a member of Exit International, a nonprofit organization based in Australia that advocates for the legalization of euthanasia, according to the group’s website.
...
"In most countries, euthanasia and physician-assisted suicide are illegal. However, a handful of nations — including Belgium, Luxembourg and the Netherlands — have legalized one or both of the practices, according to the nonprofit group ProCon.org. For years, Australia has banned such practices, but in November, the state of Victoria became the first to pass a euthanasia bill, which, by summer 2019, will allow terminally ill patients to end their lives.
...
"In the United States, only six states — California, Colorado, Hawaii, Oregon, Vermont and Washington state — and Washington, D.C., have death-with-dignity laws for terminally ill patients.

"Goodall does not have a terminal illness.
...

"The Australian Broadcasting Corp. reported [in 2016] that after nearly two decades on the campus, Goodall was told to leave amid concerns about his well-being. The incident gained international media attention, with Goodall, then 102, calling it ageism in the workplace.

“It’s depressed me; it shows the effect of age. The question would not have arisen if I were not an old man,” he told the news organization at the time.

"University officials later reversed their decision.

"But Goodall said his health is declining.

"He told the Australian Broadcasting Corp. that several months ago he fell down in his apartment in Perth and, for two days, he lay on the floor until his housekeeper found him.
...
"Goodall said he believes it is time for him to die, but his country’s new legislation is of no use to him because it applies only to those who are terminally ill."
*********

And he's on his way:
David Goodall en route to Europe after emotional goodbye with family
AT THE age of 104, professor David Goodall has said goodbye to his family before boarding a flight to Europe to end his life.   AAP MAY 4, 2018

Same sex marriage is now legal in Australia

From the NY Times: Australia Makes Same-Sex Marriage Legal

"SYDNEY, Australia — Australia’s Parliament voted overwhelmingly to legalize same-sex marriage on Thursday, overcoming years of conservative resistance to enact change that the public had made clear that it wanted.

The final approval in the House of Representatives, with just four votes against the bill, came three weeks after a national referendum showed strong public support for gay marriage. The Senate passed the legislation last week.

“This belongs to us all,” Prime Minister Malcolm Turnbull, a longtime supporter of same-sex marriage who had previously failed to get it legalized, said on Thursday. “This is Australia: fair, diverse, loving and filled with respect. For every one of us this is a great day.”

...

"A handful of lawmakers tried to add amendments that they said were meant to safeguard religious freedoms for opponents of same-sex marriage, but their efforts failed. Mr. Turnbull noted that nothing in the legislation requires ministers or other celebrants to oversee weddings of gay couples or threatens the charity status of religious groups that oppose same-sex marriage, two concerns the lawmakers had raised."

Surrogacy in Australia

From the blog Above the Law:
A Terrible Ruling Leaves Thousands Of Children Without Legal Parents
Even the judge acknowledged that his ruling was deeply problematic.


" The Bernieres ... were an Australian couple who couldn’t conceive the old-fashioned way. Unable to have a child without help, they journeyed from their home in Melbourne to a fertility clinic in India. The hopeful parents-to-be were advised that their best chances to conceive were to use an anonymous egg donor, and a gestational carrier. The couple entered into the arrangement in 2013, and in 2014 their child was born. They brought a baby girl back to Australia. But they made the mistake of asking a Victorian court to bless the arrangement, and declare them legal parents of their own child. The court did not feel so inclined.

Justice Berman, the trial judge, agreed to let the child remain in the Bernieres’s care; however, he determined that they could not be found to be parents of the child because they did not meet the terms of the Victorian surrogacy statute, Section 60HB of the Family Law Act. The narrow statute requires that (1) surrogacy only be undertaken through a Victorian registered ART provider, (2) the procedure must be carried out in Victoria, and (3) the arrangement can only be altruistic (the surrogate cannot be paid). Further, the judge determined that without specific authority to find the Bernieres as parents to the child, his hands were tied.

Despite the fact the Mr. Bernieres was both the biological and intended parent of the child, Justice Berman determined that Mr. Bernieres could not be declared a parent to the child. But unfortunately, that judgment meant that literally no one was a legal parent of the child.

Justice Berman acknowledged that his ruling was deeply problematic for the child at issue, and noted the need for “urgent legislative change.” Two years later — and with no legislative change in sight — the case went up on appeal before the full panel of the Australian Family Court. In September 2017, the Family Court made its ruling. The Court affirmed the judgment that the judiciary had no authority to declare the Bernieres as the legal parents of the child. Here’s the order. It’s a megabummer.

Thousands Of Children Affected. The broader tragedy is that the Bernieries did not represent an isolated case. Experts estimate that 250 Australian families conceive through surrogacy arrangements abroad each year. So the implication of this ruling is that there are thousands of children in Australia with no legal parents."

Kidney exchange in Aussie TV

Pablo Guillen watches TV in Sydney, and sent me this link to a show featuring kidney exchange:
http://iview.abc.net.au/programs/pulse/DR1629H008S00

Bob Slonim of Australia

Here's an announcement from down under, where Bob Slonim  will be heading the Australian Federal government's Behavioural Economics Team.

"The Behavioural Economics Team of the Australian Government will soon be led by an American professor from an Australian university, replacing its current chief, who is an Australian professor at a university in the United States.

Harvard professor Michael Hiscox ... didn’t give up his position when he came home to Australia to set up and run the Prime Minister’s nudge unit in 2016, and now he is going back to his post in Boston for six months.

He will be replaced by University of Sydney economics professor Robert Slonim, a pioneer of experimental economics who came to Sydney from the US in 2008.

Robert Slonim

Slonim was the keynote speaker at a behavioural economics workshop hosted by BETA last November. He co-edits the Journal of the Economic Science Association and sits on the editorial advisory board of the Journal of Risk and Uncertainty."

Kidney exchange job opportunity in Australia

If you're a transplant professional following this blog from Australia, maybe this could be of interest:

Australian Kidney Exchange (AKX) Coordinator

"Australian Kidney Exchange (AKX) Coordinator

The Royal Melbourne Hospital - City Campus, Parkville

Full Time Fixed Term

Full time, 3 year fixed term contract

Join an award winning health service

Opportunity to manage a national program

An exciting and unique opportunity is available at the Royal Melbourne Hospital for a Program Coordinator to manage the Australian Paired Kidney Exchange program (AKX) in conjunction with the recently appointed AKX Clinical Director.

 The role is supported by the Organ and Tissue Authority (OTA) and the Transplant Society of Australia and New Zealand (TSANZ) and will be based at the Royal Melbourne Hospital in Parkville.  We are seeking a Registered Nurse from the Renal Transplant sector with exceptional clinical, communication and organisational skills. The applicant shall have a demonstrated high level of experience with the AKX program and the capability to work across a broad range of jurisdictions and organisations"

Civil servants study market design in Melbourne

The Centre for Market Design in Melbourne is offering a course leading to a Specialist Certificate in Economic Design:

"Sixty international and national government decision makers completed the Specialist Certificate in Economic Design in Canberra last Friday (24 June 2016) with the aim of deepening their economic knowledge.
"The new graduate course, accredited by the University of Melbourne, and developed and taught by the Centre for Market Design (CMD) brings policymakers up-to date with the latest developments in microeconomics.
"It provides public servants with a conceptual framework for analysing policies and evaluating their effect, with emphasis on the resource and information constraints policymakers and market designers face.
...
"Economic design includes the design of procurement mechanisms and sales auctions, double-auctions in two-sided markets, algorithms for matching (e.g. students to schools, or children to kindergarten), and the writing of performance contracts.

Kidney exchange in Australia--update

A report from The West Australian on a four-pair exchange includes some stats on kidney exchange in Australia:  Amazing kidney swap surgery saves four lives
Cathy O’Leary, Medical Editor - The West Australian on June 1, 2016

"Since the first kidney exchange in WA in 2007 involving two pairs of matched donor-recipients, more than 150 kidney transplants have taken place in the exchange program.

Every three months, a computer program searches the national database to look for combinations that will allow an exchange to occur.

Sir Charles Gairdner Hospital surgeon Bulang He, from the WA Liver and Kidney Surgical Transplant Service, said the biggest exchange had involved six pairs of donor recipients.

There was strict criteria for the donors and recipients to give the best possible success rates.

“It is more complicated the more pairs that are involved, and how many you use depends on the match results and what will give the best outcomes,” Dr He said.

Dr He said transplants were cost-effective because they could prevent years of dialysis.

For details on becoming a donor, visit donatelife.gov.au"

A non-directed donor kidney exchange chain in Australia

Here's a heartwarming longish story about a longish kidney exchange chain in Australia:
7 kidney donors, 7 recipients, 6 hospitals, 3 cities. What could possibly go wrong?  Medical ingenuity and the kindness of a stranger brought together 14 people in a life-changing event.

February 20, 2016