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On this week's Stateline is

cost shifting making cancer

testing too costly? The

teenagers who will never forget

Rememberance Day. It was a huge

shock to see the rows and rows

of every lasting just white

head stones. And Cape Jaffa's

gorgeous gannets. Hello and

welcome to Stateline. Passing the parcel over health funding

is a favourite election

campaign game. One South Australian hospital some public

patients have been told they

have to pay anywhere from $100

to $170 for tests that were

free. Some doctors say it

leaves both them and the

patients out of pock and could

put people off having

lifesaving procedures. The

State Health Department insists

there's been no practical

change. Like many

76-year-olds, Merv Fraser has

had his fair share of health

troubles so after a recent

period of not feeling the best, Merv Fraser went to the

bright and doctor. I wasn't feeling very

bright and I kept going back to

a doctor and it wasn't working

at that time. The doctor sent

Merv Fraser to the local Mount

Barker hospital for a kol

noskpy, a procedure in which

using a flexible scope the doctor looks at what's going on

in the colon. Amongst other

things it's crucial for the

early detention of cancers.

When Merv Fraser turned up at

the hospital he was given this

note from a consulting

specialist.

Merv Fraser says it came as a

shock because his wife had had

the same procedure at Mount

Barker for free. I thought they

would be trying to improve

services, not take them away

from us. And how are you

today? Mount Barker GP Dr Paul

Lehmann says traditionally kol

kol nospies have been done at

moumpbt Barker fer free with

the Commonwealth picking up the

bill. According to Dr Lehmann

the South Australian Health

Department has now changed

that. Previously kol noskpies

were classified as inpatients

and now they're outpatients and

charged through Medicare and like coming to your GP it's

there may be a gap charged to

you as a patient. So this has

been achieved simply by

reclassification, nothing more

complex than that? It's purely a paperwork shuffling exercise. The hospital says

there's been no budget cut and

no practical change to public

kol nos comprk s patients can

still get one as an outpatient.

Dr Lehmann says if that's the

case why are public pairkts

like merve Fraser facing a $170

bill. It would concern me as it

would many others that would be

enough of a barrier for those

people not to go ahead with

having a kol nos comprk

done. I I just pulled out,

pulled the plug. So you haven't

cancelled the whole had the investigation? No, I've

thing. Isn't that a bit of a

risk? It is. But I just got

jack of it, that's me. Dr

Lehmann also worries about

possible legal implications, he

says doctors who incorrectly

bill Medicare can face legal

action. Then there's the

relationship with the

Commonwealth. Under the

Australian health care

agreement State and Federal

governments agree to who pays

for what health services. Cost

shifting or trying to get

another government to pay for

your responsibility is

forbidden. Dr Lehmann sent copies of South Australian

Health Department emails about

the colonosqpy changes to the

federal department including

one about Mount Plezant

hospital they replied:

The local Liberal member

argues there's a connection to

the planned Marjorie jackson

Nelson hospital. It's a grab

for cash by Mike Rann really to

build the new Marjorie Jackson

Nelson Hospital. It's fairly

obvious, I think, that these

services had been provided to

the community for free for no

charge, and now they are

looking to institute a looking to institute a fee

structure. But Paul Lehmann

and other doctors fear it won't

stop with kol colonoscopys. I

guess my concern though is this

the is the thin end of the

wedge and that any procedure

which is currently being funded

as an inpatient at a hospital

in South Australia that is a

day case procedure can be cost

shifted to the Federal

Government and then by the same

mechanisms we've described. Stateline has been

told the change is part of a

wider strategy called the

ambulatory care program. This

is not the first time Paul

Lehmann has taken on the State

Government over funding of services in Mount Barker. Two

year ago he was one of the

health professionals speaking

out about mental health

services but the doctor also

believes the current situation

is indicative of wider problems

in Australia's health system for which the Federal

Government bear asshare of

responsibility. He points out

federal bowel screening

campaigns are resulting in more

colonoscopies but he doubts the

States have the capacity to

cope. I think this highlights the farcical situation our

health care system is in so I

think both the federal Liberal

Government or the State Labor

governments need to get their

act together on health. We

asked the Health Minister John

Hill to join us, he declined

offering the head of the Health

Department Dr Tony scherbin.

Why are public patients being

asked to pay? They're not being

asked to pay for colonoscopies

at any hospital in South

Australia. They're provided

free of charge. We just saw

that man there sh Merv Fraser

saying he wouldn't have it

because he was going to be

billed around $170. Mr Fraser

may have been referred

privately to a specific

practitioner. As a private

patient. If a patient is

referred specifically to one private practitioner around

cluz 41 of the Australian

health care agreement, he can

be charged by that doctor who

sets the fee for that service.

The doctor sets the fee, the

doctor sets the gap. So what

you're saying is merve Fraser

could go back to the Mount bark

er-Hospital and get that if

free if he wanted? Yes, there's

an outpatient public service

provided there. Irrespective of

what you're saying what may or

may not have changed, what is

the situation now v you changed

the way you bill things? We

have not changed the way we

bill things. The Australian

health care agreement has had

that provision in it for some

years and in NSW and Victoria

as an out patient in the colonoscopies were reclassify

1990s. We were sent this from

your Department saying on 1 July all South Australian

public hospitals changed their

count of day stay colonoscopies

so there has been a change. A

change to counting not billing

procedures. If you're an

outpatient you will not be

charged for any service

inpatient or out patient. If

you wish to see a private docket for a private referral

this can be charged. This is

confusing for patients. You

will understand that State and Territory ministers have sought

to engage the Federal Health

Minister in health care reform

in Australia, it's a very

complicated system between the

Commonwealth and the States.

The State and Territory

ministers want to change

that. One thing you can't avoid

though is this is a major

health problem, I mean about 1

in 20 Australians end up with

bowel cancer, that's true,

isn't it? Yes, and bowel cancer

a major problem for the

Australian population hence

South Australia's keen

participation in the bowel

cancer screening program. We

were one of the first States to

pick tup bowel cancer screening program. So should the doctor

who's in that story there be

pushing to get his patient in

for free? What happened

there? He just refers the

patient to an outpatient

department of his hospital and

they will be done as an

outpatient without charge. But

you've just seen a man say he's

given up, he's jack of the

whole system so it's not

working very well, is it? It

hasn't worked on his behalf and

Mr Fraser is able to go back to

his GP and seek a referral to

the public hospital and he'll

be treated as a public outpatient without charge. So

are you saying there is

categorically no cost shifting between State and Federal

Governments. There's outrageous cost shifting between the

Commonwealth and the State. The

Commonwealth does not care for

nursing home residents who currently reside in State

Government hospitals. There are over 300 - tonight there over 300 State resident - residents in State Government hospitals that are nursing home residents that the Commonwealth should fund. That costs South Australia tens of millions of dollars. Then what do you say to Merv Fraser then? Seek the advice of your GP, ask to be referred to the hospital as an outpatient and he'll be done free of charge and go back and see your GP and have the colonoscopy. It's a test that will assist you in looking after yourself. Thank you very much for your time. To the election campaign now and a week that's been haunted by the ghosts of 2004. Political editor Michael Brissenden reports. Where's your hat? Just 14 sleeps to go and it's hats on for the start of the final fortnight of campaign. Although as usual, some of them seem to be taking things perhaps a head

too far. Yesterday around

Australia about 100,000 people

wore these and if you've got

hair like mine you probably

should cover it up. (Screaming)

From silly hats to shopping

centres. At a superficial level

the recipe for election

campaigns rarely changes

much. You look so young. Come

again. But whatever you put in

the mix, no two cakes are ever

the same and there's always

some surprise ingredients and

the odd bad egg or two. You

mentioned Mr Latham. Yes, I did

mention Mr Latham. I don't

normally do that. I've broken

the drought by mentioning Mr

Latham. Yes, he's back, hardly

unexpected. Mark Latham's

intervention had to come

eventually and as usual it's

vintage. In a pieced pen for

the 'Australian Financial

Review' today Mr Latham

declares this a 'Seinfeld'

election , a contest between

two essentially conservative

forces and a Labor administration he says would be

even more timid and

conservative than the present

one. Even though behind the

scenes he says the Labor

faithful are reassuring each

other once Labor's in power lit

be far more progressive than

it's letting on. Mark Latham's hatred for the current Labor

leader, in fact for most of the

Labor Party is well known but

the return of the reclus has

been enthusiastically embraced

by the Government. I thought he

just confirmed everything that

Peter Garrett had said. Peter

Garrett had said we'd change it

all when we get in and Mark

Latham says that we all expect,

we all hope that it will be a

lot more, he uses the word

progressive, I use the word

radical, a lot more radical if

the Labor Party gets in. I

haven't read the - I have a

copy. I haven't read the

article in question. I thought

you would. I've been reading a

bit about South Australia

today. And I don't intend to

revisit the past. I'm on about

the future. The Government's

jumped all over it but being

attacked by Mark Latham

probably won't do too much

damage to Kevin Rudd's da ag to Ke in Rudd's chance damage to Kevin Rudd's chance. It's t s been a It's been a bit of a week for It's been a it of a week or It's been a bit of a week for the tXe ghosts o the ghosts of 2004. How are you

Mark? Plenty argue Mark Latham

was his own biggest liability

but the Government threw

everything back at him back

then regardless in a campaign

laced with finally spun claims

of keeping the interest rates

low. This week's raise saw the

2004 campaign return to haunt John Howard's pitch in

2007. I'm sorry about that and

I regret the additional burden

that will be put upon them as a

result. I said I was sorry

they occurred, I don't think I

actually used the word apology.

I think there is a difference

between the two things. Was it

an apology or not. It hardly

seems to matter. The fact is

the Prime Minister's rhetorical

dissembling has itself become a

story and kept this a dominant

campaign theme for three full

day. This morning it was the

topic of choice in radio stud

yous across the country and a

big focus of the Prime

Minister's radio interviews. Do

you take responsibility for the

increase in interest

rates? Well, I certainly take

responsibility for the strong

economy. So you take

responsibility for six

ininterest rate increases? I take responsibility for the

strength of the economy and the

extent to which that strength

has contributed to movement. Of

course I do. I've said

that. But you've also taken

some pleasure in low interest

rates therefore you take some

pain in high interest rates,

don't you? The people will make

a judgment about the

apportionment of blame. And

pain. That is classic John

Howard. Taking the credit when

there is good economic news, avoiding responsibility when

there's bad economic news. I

find that statement remarkable

because if Mr Howard is out

there saying that he's prepared

to take the credit for economic

growth numbers, but explicitly

reject all responsibility for

what happens when it comes to

interest rates, that underlines

a prime minister who is now

desperate, saying anything and

doing anything in order to

secure the next election. We certainly haven't heard the

last of interest rates in this campaign but the c paign but the campaign but the Government is

still working hard to turn the

rise to its advantage. The

argument is this focuses the

voters' minds on the economy

and the risk a Labor Government

would pose. Today there were

reports in the Australian

newspaper that the car industry

had written to the Government

calling for a freeze on tariff

cuts and expressing their

concern about the impact of

more militant unions under a

Labor government. The Treasurer

pounced. It should strike a

chill into all Australians because business is now

starting to worry about union

militancy under a Rudd Labor government. It's something

that's creating a lot of uncertainty in the car

industry. But the car industry

says the story's wrong. There

was no such letter and nor have

there been any industry

discussions with the Government

on industrial relations matters

as today's paper reported. Still as the Prime

Minister said this week, in

campaigns voters shouldn't look

at every utterance sh only at

the agge gait impression of the

whole campaign. 2004 is playing

out heavily in the 2007

campaign and in just two weeks

time we'll know what the

aggregate impression of this

one really is. Just two weeks

to go but this weekend Marx Rememberance Day. 89 years

since the end of the First

World War. It's especially

significant for a group of high

school students from country

South Australia who have taken

the history studies out of the

classroom and all if way to the

western front. It's an

irresistible story. Young

Aboriginal men from the mission

have volunteered to fight in

world war 1. There had to be

granted temporary Australian

citizenship to allow them to go

and possibly kill and five of

them were killed. Eric Bogle

is best known for his songs

about the First World War,

including the classic And the

Band Played waltzing Matilda.

But a few years ago he swore he

wouldn't write another war

ballad that is until he heard

the stoirt of Nuranjeri Anzacs.

But this story isn't just about

a group of Aboriginal men who

served in the First World War.

It's about the power of

education and how it has

connected a new generation to

their ancestors. It was a huge

shock like to see the ros and

rows of every lasting white

head stones everywhere and to

see all the memorials with

thousands of names and to see

the ages as well. Like I've

just turned 18 and some 16

years old like, you know, they

were fighting, you know n this

great war. Chloe Oborn is

currently sitting her Year 12

examines but she and her

history teacher will this

weekend launch a book they've

co-authored about the ultimate

history excursion last year

that took 22 young people to the battlefields of

Europe. That must be the one

over there. Like each student,

Chloe prepared for the trip by

researching two soldiers from

her local area so she had a

personal connection. You

definitely connected with them,

especially the soldiers that I

like the two Fhalupm brothers

that I researched, you felt

like you knew them, en though

you've never met them. But the

name rue fus reg rigny. As a

16-year-old he left his family

near the Murray mouth and

joined the army. He was killed

on the western front. Several

years ago a student of Julie

Reece's Donna Hanky decided to

study private Rigny. Her

research ended with the first

trip to Europe. First I never

had any connection, I didn't

find anything until I saw his

grave and I stood there and I

thought like hi Rufus as if I

knew him. That time the students brought home soil from

Rufus's grave which was

repatriated on the banks of the

Coorong.

I say thank you. Thank

you. When Nurujery people offer

you their hand it means more

than thank you. Now on this

most recent trip, Narunjeri

students including some

relative of Rufus joined the

group from Birdwood. Gave a

sense of closure from a long

journey itself. The high point

of the trip was a ceremony in

Belgium where they paid homage

to the fallen South

Australians, climaxing with a

spine tingling performance by

Rufus's great, great nephew victor. We were just glued to

victor. It was a really cold

day, he virtually had nothing

on and all these people there

they didn't know what has

happening and I just watched

his face and you could just see

him willing himself through

this event and he looked at

Rufus's head stone and it was

as if she was talking to that

name. After the ceremony he was

interviewed on local

television. It's about lost

souls and we're trying to find

them and commemorate them and

tell the story about how the

soldier is here and how he died

and so we're trying to connect

our souls and their souls

together.

SONG: # Lost soul

# Nurajeri man. The phrase

seemed to capture everything

the trip was about and it was

what brought e-Vic Bogle back

to write another song about the

war. It meant so much to these

people that I had to make sure

I got it right. This Sunday on

Rememberance Day, the book

Connecting Spirits will be

launched companied by the song.

It will conclude this journey

but Julie Reece already has

students clammer ing to be

involved in future trips and

the teacher believes the young

people of today have honoured

the lost youth of yesterday.

That was what was

overwhelmingly consistent

through all the kids comemations. They had - they

were focussing on those young

boys, you know, they wanted to

do it for them and that's what

Rememberance Day is all about.

Well the old lighthouse

platform at Cape Jaffa in the

south-east is the moment of a

majestic sea bird the Gannet. But there were plans to demol

ish it along with the breeding

ground. James Maiden is a

documentary and film student at

Flinders University and this is

part of the story he directed

and made along with Sam King

and Erin Felton about the

gannets and the battle to save

the old light house. Cape

Jaffa protruds out into the sea

some 8 kilometre and there's sunken reefs, there very dangerous reefs and there's quite a number of ship wrecks

and there was loss of life and

the government of the day in

South Australia called tenders

to build a jetty there with a

light on it. 100 years out on

the reef and it was guaranteed

100 years. The authorities at

the time felt that the

guarantee was up and they would

dismantle it. The light house

was re erect ed here on this location here.

Well I hadn't really met the

gan nets face to face until

the platform was in peril. At

that stage they were citing an

engineer's report, the Australian Maritime Safety

Authority said that the

engineer recommended

demolition. In fact what the

engineer recommended was that

they build a new navigation aid

but consideration be given to

retaining the old platform for

the birds. They only lay one

egg. It's got an incubation

period between 41 and 45 days

and from when the young hatch

it's 100 to 110 days before

they fledge. For a rookery you

need to have no rats, cats,

people, dogs. Somewhere that's

above the water so that you can

actually launch into the air to

take off and fly.So they're are

fairly limited places. To me

the platform became a symbol of

HIH and insurance and people

being sued and public liability

and I just wanted to make a

stand against that. Politically

I wanted to say look, come on,

you know, shit happens. There

are risks in life. If you want

to get out and enjoy that thing

there are going to be some risks associated with it. We're

not going to take it away just

because there's a risk, we have

to manage the risk. And so when

Robert Mock and others started

talking about saving it, my

motivation was not to give

people an excuse to take it

down. Just one morning I heard

on the ABC radio that they were

going to demolish it. That

final steps were in process and

I hit the alarm button. So I

packed up the tent and battery

and the phone and provisions

for several days and camped a

protest camp on the platform. I

had food and water and gear for

five days, probably could have

gone longer. In fact I'd only

been there three hours and the

police were calling me out to

get me off. If I didn't obey

their directive then I would

have been arrested prior to

dawn the following morning. That kind of put a

stay on the execution of the

platform for a year.Ultimately

there was private members bill

got passed in South Australian

parliament which simply says

that the owners of the platform

will not suffer public risk.

The platform had been there

130 years. It's finished its

useful ness as abackon and I

see no reason and I think the

community are with me on this,

that there's no reason to

remove it. The gannets enjoy

it, it's not hurting anybody,

it's just a great way of nature

actually absorbing some of

man's waste. It's too often

that it works the other way.

Too often nature has to

tolerate man but in this case

man can turn the tables and

give the gannets a lovely home.

A lovely story too and just

before we go, let's have a look

at what's coming up on

Stateline soon.

Although she's just 22, this

man's already being talked

about as a principal dance ner

the near future. He's dancing

in the same role in the nut

cracker as Robert Helpman did

at the same age. He's got that

very Australian larrikin sort

of edge about him and that's

very appealing on stage. I've

spraibed my ankle a couple of

time an stuff like that but

touch wood I never kind of get

anything that's going to stop

me or cut my career short. That's Stateline for

this week. You can contact us

at ABC.net.au slash stateline/sa. We'll leave you

tonight with the latest works

on show at the Greenaway

gallery. Have a great weekend. Goodnight. Closed Captions by CSI

CC

Tonight on Stateline - why

the Government is considering

making re cycling

compulsory. We know that land

fill is no longer an

option. The rise of the boy

from broom Hill, Richard Goyder

on Australia's biggest

corporate takeover. And the

Austrian couple going to

extraordinary lengths to save

an en dangered reptile.

Hello and welcome to the

program. I'm Rebecca Carmody.

This week, the 2007 election

campaign has been haunted by

the ghost of 2004. First,

interest rates moved up again,

a difficult reminder of the

Prime Minister's promise to

keep them at record lows. And

today Mark Latham was back with

a stinging critique of the

current campaign. The former

Labor leader is critical of

both sides, but the Government

has welcomed his contribution,

nonetheless. Political editor

Michael Brissenden reports.

Where is your hat? Just 14

sleeps to go and it's hats on

for start of the final

fortnight of campaigning.

Although as usual some of them

seem to be take ing things a

head too far. Yesterday around

Australia about 100,000 people

wore these. If you have hair

like mine you probably should

cover it up. From silly

hats to shopping centres. At a

superficial level the recipe

for election campaigns rarely

changes much. Come again. But

whatever you put in the mix, no

two cakings are ever will same

and there's always some

surprise ingredient s and the

odd bad egg or. Two You

mentioned Mr Latham. I don't

normally do that. I have broken

the drought by mention ing Mr

Latham. Yes, he's back. Hardly

un expected. Mark Latham's

intervention had to come

eventually and, as usual, it's

penned for Australian vintage vitriol. In a piece

'Financial Review' today, Mr

Latham declares this the

'Seinfeld' election, a show

about nothing, a contest

between two essentially

conservative forces and a Labor

administration he says would be

even more timid and

conservative than the present

one. Even though behind the

scenes he says the Labor

faithful are reassuring each

other that once Labor is in

power it will be far more

progressive than it's less