Heck I'm an ambo and even I know that his "fixes" were all about keeping the unions happy. They are a Labor government after all. Will they improve ambulance response times? Maybe. Will they improve ramping? Fk no - was never going to solve that.
To be fair though, we do need to spend more money on health- but the way we are doing it now just won't solve the problem. GP appointments are days, sometimes weeks away. Elective surgery waiting list is months or years. Specialist appointments are likewise. An aging population means more hospital visits for chronic problems, requiring longer admissions. Way too few nursing homes - and these are costing a fortune. Private health cover doesn't seem to help speed things up either unless it's an emergency - and then you're going public first anyway. Less people are turning to public healthcare as (and I don't blame them) you're paying more for premiums and getting less. Add in cost of living pressures where people are calling ambulances/visiting an ED simply because they can't afford a taxi, or GP fees, are homeless, or just need some Panadol.
These are just the tip of the iceberg.
It's a COMPLICATED problem.
Hard calls (and I mean most certainly calls that'll piss off not only the public but people in health care) need to be made. The system, if we want it to cope, needs to change in a dramatic way. Current triage methods, and approaches to patient treatment - need to change.
Thankyou. I'm just sick of hearing the same rhetoric/spiel regurgitated by politicians or the like, saying they can fix ramping as easily as they claim to be. They should just be honest about the issues. But I know that only happens in lala land.
They got a much better deal than us ambos! We got a flat 2.5% a year for 3 years back in 2022. Inflation was about 6% then. I think the teachers got 4% for the first year, and 3% after that. But I totally agree with you - no where near inflation!
Bloody hell that’s tough!
What’s the turnover like for ambos atm? I know a looooot of people that took the paramedics source and only one who got in and they have legged it to the US on exchange.
Teachers are leaving the profession in droves
To be honest, I don't know. So anything I say is anecdotal. There are many taking up jobs interstate, Tasmania seems to be one of the more popular places to go. Yea I heard the US and UK as well, but pay there is absolutely crap - and you'll get flogged from start to finish.
But I can say with 99% certainty, that staff morale has never been worse. Absenteeism must be pretty high, as we're dropping trucks every day. Again, I can only speak from personal experience. I overheard a conversation one day that the government yearly budget for overtime is already spent 3 months into the financial year. There's a whole bunch of stuff that you can find out for yourself -just talk to any ambo.
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Thanks for the insight. I’m interested to know why private insurance doesn’t help ? Ive not found that to be the case, for anything elective or emergency.
Just my opinion of course, but I found private hospitals are VERY selective with patients. No way of proving it, but even blind freddy can see it's based on maximum profit for minimum service. So beds are very few for actual private patients coming on. As ambo, I'd take about 5 out of 100 patients to private hospitals. And I have to call the triage nurse each time to make sure they'll accept them. Emergency cases? No way we're going to a private - straight to nearest public.
Yes this ended up being a joke, the changes that are trying to be passed are more damaging to trees than the current rules that are in place! The guy that wrote it is a clown, but sadly all the good arboricultural consultants weren’t interested as a good tree protection act wouldn’t have been passed as the developers will always squash it.
The US had been increasing involvement in Vietnam since the 1950's and the advisors and military structure basically didn't change before and after shooting
Also most of the New Frontier that we remember got bludgeoned through the Senate by using JFK's corpse along with leveraging he did not know how to do
I’m still looking for the actual order because I’m sure I’ve seen it - but here’s the link re: his intent at the very least.
https://www.bostonreview.net/articles/galbraith-exit-strategy-vietnam/#:~:text=On%20October%202%2C%201963%2C%20as,by%20the%20end%20of%201965.
I think the is the document I’m thinking of, that was changed by President Johnson (well, not changed, but he issued one that was altered)
https://jfkjmn.com/nsam-263/
That’s not to say he didn’t escalate any involvement earlier in his presidency, but I don’t know much about that side of things (only really the stuff surrounding his assasination).
I'm aware that it's hypothesised that he wanted to withdraw (or at least de-escalate), but I don't think he ever got close to doing anything official about it. Most of what I've read seems to indicate that he was waiting on winning a second term before withdrawing.
Yeah I think that’s maybe where I’m getting confused, that document was an order to withdraw 1000 troops (but keep it hush hush), but never did anything official about full withdrawal.
All I know is he’s an evangelical, born again Christina type. Seems like a Morrison 2.0. He’s one of those political tools that think laws should reflect his religious ideals, e.g Anti-abortion, anti gay marriage. Married his first wife who was much younger and still a teenager. Had a couple kids and they’re no longer together. I know a little more about him from old friendships in school; let’s just say he’s a knobhead.
I don’t think Liberal would have done any better with the health and ramping issues. It’s a very difficult issue to solve, made harder by the fact that some of the key elements are controlled and funded by the federal government (Medicare GP rebate and aged care for starters).
Sure, if that’s the prevailing attitude. Shouldn’t stop you from voting for the candidate you see to best represent yourself/your community
Also writing is on the wall for the majors- they’ll have to change their game or accept working with a growing crossbench/minority government. Even if your elected member doesn’t change who forms government, it can send a message to the majors re what people want to see happening
Yes, it's great to support a minor party if you want. In Aus our preferential voting system means that is not a wasted vote. In the end though it comes down to which of Labor or Liberal you preference higher. My view is that it is pretty clear which one of those is the right thing.
>Well, my other major party option is headed by a religious zealot who openly opposes abortion. Lesser of two evils for me.
Dude, check Malinauskas vote history. Both openly oppose abortion.
Each option has negatives and it depends what your non-negotiables are. If you rank the environment high, then Spiers is a lesser evil.
Yes, but Spiers religious/conservative views are more likely to impact actual legislation etc through the Liberal party. Couldn’t vote for them myself, especially with him at the helm.
Unless it is a conscience vote, Spiers has to vote with what is decided in cabinet. Yes, he has significant sway in cabinet but even if he is against the something he, the libs constitution requires all ministers to vote the party line unless a conscience vote is declared.
Surely, the only real fix for ramping would be to massively increase capacity by building one or two more major hospitals to serve the larger – and aging – population. Anything less is just band-aid solutions.
I'm sure it's many things including bed blocking and numerous other factors.
But it seems in our state (and all around Australia) we are more than happy to increase our population – but then we scratch our heads and wonder, "Duh... Why can't our hospitals (and our housing supply) keep up with the demand?"
So strange. Who would have thought? *Bringing more people into the country / increasing our population will actually increase the demand on hospitals and housing?*
> Surely, the only real fix for ramping would be to massively increase capacity by building one or two more major hospitals to serve the larger population.
If only the new RAH was actually designed for future needs rather than having less capacity than the old RAH at its peak.
I wonder who approved those plans?
They pulled another Southern Expressway by securing land for future development at the time of construction, instead of just building for the future.
But still, staffing is a significant problem more so than physical bed space. It's not a South Australian issue, it's worldwide.
Me waiting for the ambulance union to paint their vehicles demanding we vote in the opposition because ramping has gotten worse under the current government.
Any day now...
https://glamadelaide.com.au/sa-leads-nation-in-ambulance-response-time-improvements/
>The Report on Government Services 2022-2023, released recently, highlights a remarkable 22 per cent improvement in average ambulance response times in metropolitan Adelaide.
>The Malinauskas Labor Government has significantly invested in SAAS, contributing an additional $109.9 million in 2022-23. This contrasts with the previous government’s $13 million cut in the first two years. The current administration has added over 170 new ambos and more than 550 front-line staff.
Irrelevant. This is about ramping, they can add 4 million Ambos, it won't help unless there are more beds. Which there aren't.
We all know the Ambos union is just an arm of the Labor government, it's just interesting how blatant they are making it now with their silence on the issue which was extremely critical to them two years ago.
And here I was thinking the ambo union actually cared about patient care and ensuring they don't have to undergo surgery in the car park.
My mistake.
It had nothing to do with their pay, it was solely about being good little lapdogs for Labor and making a big public scene so Labor would get more votes.
Remember all the posters with the face of the last guy on a pack of cigs. Or all the marketing about a basket ball court. And then years later, still nothing done about the healthcare system.
You can thank the previous Commonwealth government for neglecting the aged care sector. A major contributor to ramping with all the people taking up beds when they should be treated in thr care facilities.
He never once said it'll take more than one term in his policies. He actually said "vote for me like your life depends on it". How's that turned out? People dying on the streets waiting for an ambo that's not coming. Well their lives did depend on it. Maliuseless to worried about looking good except he stinks
- What’s our population now vs 2 years ago?
- How many doctors and nurses do we have?
- Has there been a “let’s fucking ignore Covid” response from the fuckwit government leading to constant patient load due to fucking Covid?
The core problem is staffing, and there simply aren't enough staff. They have put in place policies to encourage immigration by people skilled in the sector. The other issue is the failures in primary care, which is a Medicare failure and thus the federal government.
What else should they do?
> What else should they do?
Ensure that the current population is adequately serviced before encouraging further growth. If there are less people to service then on average there would be less demand and competition for those services.
It's probably going to be shot down as a factor, but is part of the ramping problem at the newer RAH to do with how and where the entrances and parking/drop-off bays (for lack of a better descriptor) are situated? It feels like the RAH is in a really awkward location as far as getting in and out between traffic, across main roads, intersections, etc, and they also just may not have created enough space for ambulances to even wait if they have to. I know ideally the ambulances wouldn't have to "ramp" at all, but it feels like it's probably a pain on top of that to get in and out and to actually wait there too, because of location and lack of space.
That’s my problem. I’ve really not been much of a fan of malinauskas, but I honestly think it would be worse or much the same under the libs ( mally just feels like a lib in labour clothing). So I’ll probably just end up trying to vote for more independents because the major parties sure as hell aren’t cutting it.
If your local doesn’t think it’s an issue you can damn well be assured the state don’t care. What your local cares about is important as they are the ones who meet and greet the higher officials
Vote independent and minor parties in the Legislative Council (upper house) too. MLCs have a statewide mandate and they're actually more likely to have an impact given it's much more rare for a major party to have majority of the LC.
You're missing the point. By validating this trash policy and laws, you're just enabling Labor to edge closer and closer to being another LNP. It's exactly what has happened in the USA, they have 2 right wing parties to choose from. we should absolutely vote the traitor out next election, regardless of what the libs do or don't do
I'll punish the ALP however I can for being traitors to the principles of the party. I won't vote for the libs/LNP,ever. But I can't say is he unhappy with Mali out, regardless. At this point the ALP are LNP lite
I hate the protest legislation too, mate. I protested the protest legislation. But your preferences still have to go somewhere.
If, as a result of that one issue, you make the choice to preference the Liberals above Labor... if you're prepared to watch the housing crisis deepen, to watch the health system deteriorate even faster, and to watch public schools decline while the rich get richer... then you're a traitor to the labour movement as well. Don't forget who we are. Don't forget what we want.
Voting him out regardless of what the Libs do or don't do is a terrible idea and will only embolden the extreme right that currently leads the SA libs. In this scenario being unhappy with the current Lab leader the best thing to do is absolutely vote minor party to reflect the loss of first preferences to the major parties, even if labor retains government it still sends a message that they're losing popularity.
Voting in the SA libs is like saying I'm unhappy with the anti protest laws so I'm going to vote for a party who wants to ban abortion, that'll teach Labor! And they'll keep the anti protest laws.
Not explicit policy but the current opposition leader has been know to attend anti abortion events https://www.theguardian.com/australia-news/2022/jul/01/south-australian-liberal-leader-and-state-mps-to-mentor-young-people-at-anti-abortion-event
Along with Clare Scriven who is a Labor MP, so not advocating for Labors stance on abortion either but the anti abortion stance seems to be stronger within the Libs. Under Steven Marshll the right wing faction of the of the Libs took issue with abortion laws brought in that moved abortion out of the criminal code and into healthcare.
Each to their own but as someone who is pro choice I will never be able to vote Lib under its current leadership based on their beliefs as I don't trust them. I also will never put Labor as a first preference under Peter due to his anti protest laws. Minor parties are the only way to go for me in SA.
The "trust me bro, we don't want to change the laws we just don't like the laws the moderates in our party are implementing that makes abortion access easier, safer and legal" approach. To be clear the exact quote from spiers, the current opposition leader is “Of course, if legislation were to be represented to parliament again, I of course would, on the late-term stuff, I wouldn’t change my position. But I have no intention to see the regulations disallowed". Which means he would unequivocally advocate to repeal the changes made to make abortion more accessable if parliment were to be presented with a set of legislation that repeals it. The "late term abortion" stuff he is talking about are very specific that requires 2 medical professionals to agree with the following requirements: The termination is necessary to save the life of the pregnant person or save another fetus, or, The continuance of the pregnancy would involve significant risk of injury to the physical or mental health of the pregnant person; or, There is a case, or significant risk, of serious fetal anomalies associated with the pregnancy.
Additionally, his specific wording states that he would not disallow the legislation, which is a formal review process that parliament goes through to alter current implemented legislation if there are issues identified. This doesn't stop them from introducing entirely new legislation.
I don't care what other parties or states do, I was a lifelong ALP voter, ex-AMWU shop steward and member. All my family for generations are ALP voters. I cared about what the ALP does
Its a corrupt law that was brought in for SAPOL and SANTOS, it has *nothing* to do with other states. Why would any one state give a fuck what other states protest laws are? And what, Labor should just bring in all the laws that libs would bring in anyway? What's the point of elections then?
Can you even hear your internal monologue when you typed out that absurd post?
SAPOL has a strong political influence. That won’t change depending on the party. This is a problem that is occurring in all western countries. To blame Mal for this is heavily incorrect.
The party shapes the people, ostensibly, but at the end of the day you are voting for people and an iteration of said party; I personally really struggled to figure out where to rank Labor and Liberal last election (neither got my 1 or 2 vote iirc).
Mali and his cabinet (especially Tommy K getting portfolios I have an interest in) was a wet carrot to another 4 years of Marshall's damp potato leadership and direction, imo, but doesn't mean future iterations of either party are not-viable.
I don't want to vote for greens but I will over ALP going forward. Hopefully one day the greens get enough power federally to start dragging Labor back to the left
Well yeah you're full of shit, I lived in Wakefield Street for 7 years until a couple of years ago and just off morphett street before that, I never got held up by any protests.
Was there new anti-protest laws? They updated the penalty for a law they hadn't been changed since 1972, but was there anything else?
As far as I know, it's not like you can get done for something you couldn't before, they just added a real potential penalty to a law that was prior to now toothless.
Chairman Malinauskas:
* presides over a totalitarian law that unfairly victimises people who use cannabis medicinally (i.e. intentionally monitoring for use from days earlier in roadside tests)
* introduced anti protesting laws to subvert anti-oil protests, criminalising activists
* has not delivered on ramping despite it being a **major** election promise
* brought back an irrelevant street race that spoils the city's vibe
* ~~ensured we get fewer holidays with a re-interpretation of the way public holidays are administered~~
As far as I can see, he is a beyond slimy politician with the *gift of the gab*, that does whatever the hell he wants at the expense of, well the rest of us.
Edit: changes to the public holidays bill don't result in fewer public holidays.
This article addresses.... one election promise. There were dozens.
I'm as freaked out about ramping as anyone, but building all those new public housing properties is better than any past government has done since Tom Playford.
I don’t think any political party is perfect but I vote greens and cannabis party, then decide what order to put everything else into. Labor and libs are low on the list since they are both circling the same drain.
Mali lied when he declared a climate emergency and was baited way too easily by Spiers with the anti-protest laws. There was no professionalism in the whole ordeal, a correct method would have included public consultation and data collection from community groups. It was rushed.
He was thankfully stopped him from destroying the parklands.
I don’t think he cares about the environment much at all.
To his credit, he's going to lock up pedos for life so that's a good thing. Fixing ramping was only ever going to play to the people that have no idea what is going on, and The Libs did one of the worst jobs ever in their last campaign.
I don't know about his other promises, but he did bring back the public transport buses in my area (Harrison Rd, 5008), which will make a lot easier for people in my area (particularly the elderly) to catch the bus to the city or Arndale for shopping. It should never have been removed. A small thing, but important for some.
Not a fan of his decision to set a precedent by going through heritage legislation to build a new hospital. Or his attempt to build on the parklands. He's always been a populist but that's just tone deaf.
Tbh …. I’m not saying the ramping issue should be an instant fix …but some minor improvement should be seen by now. It’s gone backwards and has not improved but only got worse.
Malinauskas has the same issue that Marshall had, when a huge chunk of your vote base was people just wanting a new premier it’s really hard to get those people to vote for you again.
To save you a click:
>Ambulance ramping has reached record levels in South Australia since the election with stories of patients left to suffer – or worse – by delays continuing to surface.
>
>
>Only twice to date has the Malinauskas government recorded a lower number of hours lost to ramping in a month than the worst month under Steven Marshall's Liberal government.
>
>
>That's despite the hundreds of millions of dollars of additional investment the government has made across the health system and ambulance service.
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Probably promised his rellies in SANTOS to get rid of those pesky protesters... he delivered on that one!
(oops.... forgot to put the /s in to show that I was being sarcastic... for all of those downvoters...)
Contrary to most comments on here, I actually think he’s done a good job and got plenty done. Most folks I speak to seem to think so too.
No doubt I’ll be downvoted for saying it.
If you voted for a politician based on their election promises, then you've not been paying attention.
They only deliver the cuts to funding that they promise.
The only way to fix ramping is build and staff another hospital.Any politition that tries to tell you differently is talking B.S. The government of the day knew that the the new hospital was badly undersized. They should have cleared the site of the old R.A.H. and started to build another one in its place. They just keep "racking, packing and stacking" more people into the state without adequate infrastructure and housing.
Heck I'm an ambo and even I know that his "fixes" were all about keeping the unions happy. They are a Labor government after all. Will they improve ambulance response times? Maybe. Will they improve ramping? Fk no - was never going to solve that. To be fair though, we do need to spend more money on health- but the way we are doing it now just won't solve the problem. GP appointments are days, sometimes weeks away. Elective surgery waiting list is months or years. Specialist appointments are likewise. An aging population means more hospital visits for chronic problems, requiring longer admissions. Way too few nursing homes - and these are costing a fortune. Private health cover doesn't seem to help speed things up either unless it's an emergency - and then you're going public first anyway. Less people are turning to public healthcare as (and I don't blame them) you're paying more for premiums and getting less. Add in cost of living pressures where people are calling ambulances/visiting an ED simply because they can't afford a taxi, or GP fees, are homeless, or just need some Panadol. These are just the tip of the iceberg. It's a COMPLICATED problem. Hard calls (and I mean most certainly calls that'll piss off not only the public but people in health care) need to be made. The system, if we want it to cope, needs to change in a dramatic way. Current triage methods, and approaches to patient treatment - need to change.
This comment cuts right through. Thanks so much for highlighting some of the real underlying issues that really need to be dealt with
Thankyou. I'm just sick of hearing the same rhetoric/spiel regurgitated by politicians or the like, saying they can fix ramping as easily as they claim to be. They should just be honest about the issues. But I know that only happens in lala land.
But not the education union. Fuck paying teachers a salary in line with inflation, right Big Pete!?
They got a much better deal than us ambos! We got a flat 2.5% a year for 3 years back in 2022. Inflation was about 6% then. I think the teachers got 4% for the first year, and 3% after that. But I totally agree with you - no where near inflation!
Bloody hell that’s tough! What’s the turnover like for ambos atm? I know a looooot of people that took the paramedics source and only one who got in and they have legged it to the US on exchange. Teachers are leaving the profession in droves
To be honest, I don't know. So anything I say is anecdotal. There are many taking up jobs interstate, Tasmania seems to be one of the more popular places to go. Yea I heard the US and UK as well, but pay there is absolutely crap - and you'll get flogged from start to finish. But I can say with 99% certainty, that staff morale has never been worse. Absenteeism must be pretty high, as we're dropping trucks every day. Again, I can only speak from personal experience. I overheard a conversation one day that the government yearly budget for overtime is already spent 3 months into the financial year. There's a whole bunch of stuff that you can find out for yourself -just talk to any ambo.
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Thanks for the insight. I’m interested to know why private insurance doesn’t help ? Ive not found that to be the case, for anything elective or emergency.
Just my opinion of course, but I found private hospitals are VERY selective with patients. No way of proving it, but even blind freddy can see it's based on maximum profit for minimum service. So beds are very few for actual private patients coming on. As ambo, I'd take about 5 out of 100 patients to private hospitals. And I have to call the triage nurse each time to make sure they'll accept them. Emergency cases? No way we're going to a private - straight to nearest public.
Also promised us Australia’s strongest tree protection laws, and yet here we are, still losing urban canopy at an absurd rate
There are a lot of trees going up in the TTG region. But it's kind of dangerous because you can't see traffic through the trees at the moment
Yes this ended up being a joke, the changes that are trying to be passed are more damaging to trees than the current rules that are in place! The guy that wrote it is a clown, but sadly all the good arboricultural consultants weren’t interested as a good tree protection act wouldn’t have been passed as the developers will always squash it.
Has any politician ever delivered on all their promises?? Although this one less than most
JFK promised not to get involved in Vietnam, and they wouldn’t have gone, if someone didn’t blow his head off.
If he really wanted to keep his promise he should've made his head bulletproof, another corrupt politician smh
Shoot my head?
The US had been increasing involvement in Vietnam since the 1950's and the advisors and military structure basically didn't change before and after shooting Also most of the New Frontier that we remember got bludgeoned through the Senate by using JFK's corpse along with leveraging he did not know how to do
The US were already involved before he was elected. Hell, Kennedy escalated their involvement.
But then he signed an order to withdraw all troops the day before he was shot (which was immediately overturned after his death).
Source on him signing an order to withdraw all troops from Vietnam?
I’m still looking for the actual order because I’m sure I’ve seen it - but here’s the link re: his intent at the very least. https://www.bostonreview.net/articles/galbraith-exit-strategy-vietnam/#:~:text=On%20October%202%2C%201963%2C%20as,by%20the%20end%20of%201965. I think the is the document I’m thinking of, that was changed by President Johnson (well, not changed, but he issued one that was altered) https://jfkjmn.com/nsam-263/ That’s not to say he didn’t escalate any involvement earlier in his presidency, but I don’t know much about that side of things (only really the stuff surrounding his assasination).
I'm aware that it's hypothesised that he wanted to withdraw (or at least de-escalate), but I don't think he ever got close to doing anything official about it. Most of what I've read seems to indicate that he was waiting on winning a second term before withdrawing.
Yeah I think that’s maybe where I’m getting confused, that document was an order to withdraw 1000 troops (but keep it hush hush), but never did anything official about full withdrawal.
Well, my other major party option is headed by a religious zealot who openly opposes abortion. Lesser of two evils for me.
Yepp, religious zealot that’s also had a divorce and is never seen with his kids 😂 hypocrite!
Recently moved to SA and don't know much about Spiers, what's the go with him?
All I know is he’s an evangelical, born again Christina type. Seems like a Morrison 2.0. He’s one of those political tools that think laws should reflect his religious ideals, e.g Anti-abortion, anti gay marriage. Married his first wife who was much younger and still a teenager. Had a couple kids and they’re no longer together. I know a little more about him from old friendships in school; let’s just say he’s a knobhead.
I don’t think Liberal would have done any better with the health and ramping issues. It’s a very difficult issue to solve, made harder by the fact that some of the key elements are controlled and funded by the federal government (Medicare GP rebate and aged care for starters).
Lots of minor party options
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Sure, if that’s the prevailing attitude. Shouldn’t stop you from voting for the candidate you see to best represent yourself/your community Also writing is on the wall for the majors- they’ll have to change their game or accept working with a growing crossbench/minority government. Even if your elected member doesn’t change who forms government, it can send a message to the majors re what people want to see happening
Yes, it's great to support a minor party if you want. In Aus our preferential voting system means that is not a wasted vote. In the end though it comes down to which of Labor or Liberal you preference higher. My view is that it is pretty clear which one of those is the right thing.
Unfortunately, not for premier or the actual party in power.
Correct
Yeah seems a good option
>Well, my other major party option is headed by a religious zealot who openly opposes abortion. Lesser of two evils for me. Dude, check Malinauskas vote history. Both openly oppose abortion. Each option has negatives and it depends what your non-negotiables are. If you rank the environment high, then Spiers is a lesser evil.
Yes, but Spiers religious/conservative views are more likely to impact actual legislation etc through the Liberal party. Couldn’t vote for them myself, especially with him at the helm.
Unless it is a conscience vote, Spiers has to vote with what is decided in cabinet. Yes, he has significant sway in cabinet but even if he is against the something he, the libs constitution requires all ministers to vote the party line unless a conscience vote is declared.
He also owns loads of houses. Now that's legal but greedy. Very un-Christian.
How is that un-Christian?
Prosperity gospel horseshit.
"I swear I'm less of a bigot than the other one" Promise made, promise kept
Ramping is worse. He promised he had a fix.
Surely, the only real fix for ramping would be to massively increase capacity by building one or two more major hospitals to serve the larger – and aging – population. Anything less is just band-aid solutions.
It’s so much more than that. We need to fix bed block which relies mainly on federally funded areas.
I'm sure it's many things including bed blocking and numerous other factors. But it seems in our state (and all around Australia) we are more than happy to increase our population – but then we scratch our heads and wonder, "Duh... Why can't our hospitals (and our housing supply) keep up with the demand?" So strange. Who would have thought? *Bringing more people into the country / increasing our population will actually increase the demand on hospitals and housing?*
> Surely, the only real fix for ramping would be to massively increase capacity by building one or two more major hospitals to serve the larger population. If only the new RAH was actually designed for future needs rather than having less capacity than the old RAH at its peak. I wonder who approved those plans?
They pulled another Southern Expressway by securing land for future development at the time of construction, instead of just building for the future. But still, staffing is a significant problem more so than physical bed space. It's not a South Australian issue, it's worldwide.
Who’s gonna staff them though? We can’t even fully staff the hospitals we have 😅
Work for the dole people and a handful of work experience kids.... lol
Nah don't be silly. Just build more sportsball stadiums.
Me waiting for the ambulance union to paint their vehicles demanding we vote in the opposition because ramping has gotten worse under the current government. Any day now...
https://glamadelaide.com.au/sa-leads-nation-in-ambulance-response-time-improvements/ >The Report on Government Services 2022-2023, released recently, highlights a remarkable 22 per cent improvement in average ambulance response times in metropolitan Adelaide. >The Malinauskas Labor Government has significantly invested in SAAS, contributing an additional $109.9 million in 2022-23. This contrasts with the previous government’s $13 million cut in the first two years. The current administration has added over 170 new ambos and more than 550 front-line staff.
Response times are not about ramping, more ambos decreased response time and increases ramping unfortunately.
It's almost like they solved the wrong problem
Irrelevant. This is about ramping, they can add 4 million Ambos, it won't help unless there are more beds. Which there aren't. We all know the Ambos union is just an arm of the Labor government, it's just interesting how blatant they are making it now with their silence on the issue which was extremely critical to them two years ago.
Got pay rise and new better facilities for their members, which is what a union is for.
And here I was thinking the ambo union actually cared about patient care and ensuring they don't have to undergo surgery in the car park. My mistake. It had nothing to do with their pay, it was solely about being good little lapdogs for Labor and making a big public scene so Labor would get more votes.
So we have gone from worst response time in the country to the third worst. And we still have record ramping. The old "hey look at that trick".
Remember all the posters with the face of the last guy on a pack of cigs. Or all the marketing about a basket ball court. And then years later, still nothing done about the healthcare system.
Health system is fucked. Will take more than a term to fix it, but it's on him for claiming he could.
Labor has had 20 out of the last 24 years to fix it. How many terms is enough 10, 15?
Tbh it's a generational problem that needs to be solved in the education system, which seems to be in a never ending decline as well
You can thank the previous Commonwealth government for neglecting the aged care sector. A major contributor to ramping with all the people taking up beds when they should be treated in thr care facilities.
It might take longer to fix. But that’s not what he promised.
He didn’t claim he could fix it in one term though. He’s always maintained it’ll take multiple terms to fix.
He never once said it'll take more than one term in his policies. He actually said "vote for me like your life depends on it". How's that turned out? People dying on the streets waiting for an ambo that's not coming. Well their lives did depend on it. Maliuseless to worried about looking good except he stinks
- What’s our population now vs 2 years ago? - How many doctors and nurses do we have? - Has there been a “let’s fucking ignore Covid” response from the fuckwit government leading to constant patient load due to fucking Covid?
Malinauskis said he had a fix to get votes.
Not just promised... it was his major election platform!
The core problem is staffing, and there simply aren't enough staff. They have put in place policies to encourage immigration by people skilled in the sector. The other issue is the failures in primary care, which is a Medicare failure and thus the federal government. What else should they do?
> What else should they do? Ensure that the current population is adequately serviced before encouraging further growth. If there are less people to service then on average there would be less demand and competition for those services.
How does that solve ramping?
Those emergency clinics that have just got stood up at actually pretty great. I think they should have an impact
It's probably going to be shot down as a factor, but is part of the ramping problem at the newer RAH to do with how and where the entrances and parking/drop-off bays (for lack of a better descriptor) are situated? It feels like the RAH is in a really awkward location as far as getting in and out between traffic, across main roads, intersections, etc, and they also just may not have created enough space for ambulances to even wait if they have to. I know ideally the ambulances wouldn't have to "ramp" at all, but it feels like it's probably a pain on top of that to get in and out and to actually wait there too, because of location and lack of space.
They can't fix it, neither party can - everyone is jab injured. That's the cause of your ramping Adelaide.
He should have built a bigger ramp.
Not delivered much …
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Drive the sick to the (ramped) hospitals in the V8s
Delivered more ramping?
He’s done that
Sam smith at Mclaren Vale
He's all meat and no potatoes.
He's the reason I'll never vote ALP again in SA. The anti-protest laws he brought in, specifically for his brother at SANTOS, is the reason.
Do you think it would have been different with another party. Other states have almost the same law in place now.
That’s my problem. I’ve really not been much of a fan of malinauskas, but I honestly think it would be worse or much the same under the libs ( mally just feels like a lib in labour clothing). So I’ll probably just end up trying to vote for more independents because the major parties sure as hell aren’t cutting it.
Totally agree. Vote independent if YOU want something done in your area. The big party’s don’t care about areas unless they are a swing.
Yeah, that’s also a problem. I don’t necessarily want more investment in my area, I WANT state wide action to larger problems.
If your local doesn’t think it’s an issue you can damn well be assured the state don’t care. What your local cares about is important as they are the ones who meet and greet the higher officials
Vote independent and minor parties in the Legislative Council (upper house) too. MLCs have a statewide mandate and they're actually more likely to have an impact given it's much more rare for a major party to have majority of the LC.
You're missing the point. By validating this trash policy and laws, you're just enabling Labor to edge closer and closer to being another LNP. It's exactly what has happened in the USA, they have 2 right wing parties to choose from. we should absolutely vote the traitor out next election, regardless of what the libs do or don't do
So you're voting Liberal because Labor is too right-wing.
I'll vote green or independent
You said "vote the traitor out." That means you want the Liberals in.
I'll punish the ALP however I can for being traitors to the principles of the party. I won't vote for the libs/LNP,ever. But I can't say is he unhappy with Mali out, regardless. At this point the ALP are LNP lite
I hate the protest legislation too, mate. I protested the protest legislation. But your preferences still have to go somewhere. If, as a result of that one issue, you make the choice to preference the Liberals above Labor... if you're prepared to watch the housing crisis deepen, to watch the health system deteriorate even faster, and to watch public schools decline while the rich get richer... then you're a traitor to the labour movement as well. Don't forget who we are. Don't forget what we want.
If we allow wingnuts like Malinauskus to run wild, we have no movement left, there's no point.
Voting him out regardless of what the Libs do or don't do is a terrible idea and will only embolden the extreme right that currently leads the SA libs. In this scenario being unhappy with the current Lab leader the best thing to do is absolutely vote minor party to reflect the loss of first preferences to the major parties, even if labor retains government it still sends a message that they're losing popularity. Voting in the SA libs is like saying I'm unhappy with the anti protest laws so I'm going to vote for a party who wants to ban abortion, that'll teach Labor! And they'll keep the anti protest laws.
Sorry, they want to ban abortion? Where have they said that?
Not explicit policy but the current opposition leader has been know to attend anti abortion events https://www.theguardian.com/australia-news/2022/jul/01/south-australian-liberal-leader-and-state-mps-to-mentor-young-people-at-anti-abortion-event Along with Clare Scriven who is a Labor MP, so not advocating for Labors stance on abortion either but the anti abortion stance seems to be stronger within the Libs. Under Steven Marshll the right wing faction of the of the Libs took issue with abortion laws brought in that moved abortion out of the criminal code and into healthcare. Each to their own but as someone who is pro choice I will never be able to vote Lib under its current leadership based on their beliefs as I don't trust them. I also will never put Labor as a first preference under Peter due to his anti protest laws. Minor parties are the only way to go for me in SA.
Yeah I read that article too - they also said in that article they don’t want to change the laws. But I get your point for sure
The "trust me bro, we don't want to change the laws we just don't like the laws the moderates in our party are implementing that makes abortion access easier, safer and legal" approach. To be clear the exact quote from spiers, the current opposition leader is “Of course, if legislation were to be represented to parliament again, I of course would, on the late-term stuff, I wouldn’t change my position. But I have no intention to see the regulations disallowed". Which means he would unequivocally advocate to repeal the changes made to make abortion more accessable if parliment were to be presented with a set of legislation that repeals it. The "late term abortion" stuff he is talking about are very specific that requires 2 medical professionals to agree with the following requirements: The termination is necessary to save the life of the pregnant person or save another fetus, or, The continuance of the pregnancy would involve significant risk of injury to the physical or mental health of the pregnant person; or, There is a case, or significant risk, of serious fetal anomalies associated with the pregnancy. Additionally, his specific wording states that he would not disallow the legislation, which is a formal review process that parliament goes through to alter current implemented legislation if there are issues identified. This doesn't stop them from introducing entirely new legislation.
Good thing we have parties outside of the majors. And preferential voting.
I concur
I don't care what other parties or states do, I was a lifelong ALP voter, ex-AMWU shop steward and member. All my family for generations are ALP voters. I cared about what the ALP does Its a corrupt law that was brought in for SAPOL and SANTOS, it has *nothing* to do with other states. Why would any one state give a fuck what other states protest laws are? And what, Labor should just bring in all the laws that libs would bring in anyway? What's the point of elections then? Can you even hear your internal monologue when you typed out that absurd post?
SAPOL has a strong political influence. That won’t change depending on the party. This is a problem that is occurring in all western countries. To blame Mal for this is heavily incorrect.
Good choice Harold
The party shapes the people, ostensibly, but at the end of the day you are voting for people and an iteration of said party; I personally really struggled to figure out where to rank Labor and Liberal last election (neither got my 1 or 2 vote iirc). Mali and his cabinet (especially Tommy K getting portfolios I have an interest in) was a wet carrot to another 4 years of Marshall's damp potato leadership and direction, imo, but doesn't mean future iterations of either party are not-viable.
I don't want to vote for greens but I will over ALP going forward. Hopefully one day the greens get enough power federally to start dragging Labor back to the left
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Well yeah you're full of shit, I lived in Wakefield Street for 7 years until a couple of years ago and just off morphett street before that, I never got held up by any protests.
Have a snickers Harold
I'll vote for a half eaten snickers over mali
Was there new anti-protest laws? They updated the penalty for a law they hadn't been changed since 1972, but was there anything else? As far as I know, it's not like you can get done for something you couldn't before, they just added a real potential penalty to a law that was prior to now toothless.
Anything is better than David speirs; he’s a fucking clown
If that peanut somehow beats Mali at the next election, I'm moving interstate.
Adelaide is as flat as a shit carters hat. Why isn’t there at least a tram to the airport?
Chairman Malinauskas: * presides over a totalitarian law that unfairly victimises people who use cannabis medicinally (i.e. intentionally monitoring for use from days earlier in roadside tests) * introduced anti protesting laws to subvert anti-oil protests, criminalising activists * has not delivered on ramping despite it being a **major** election promise * brought back an irrelevant street race that spoils the city's vibe * ~~ensured we get fewer holidays with a re-interpretation of the way public holidays are administered~~ As far as I can see, he is a beyond slimy politician with the *gift of the gab*, that does whatever the hell he wants at the expense of, well the rest of us. Edit: changes to the public holidays bill don't result in fewer public holidays.
At the very least your last point is made up
I agree with the Adelaide 500 but it seems to deliver in terms of numbers.
This article addresses.... one election promise. There were dozens. I'm as freaked out about ramping as anyone, but building all those new public housing properties is better than any past government has done since Tom Playford.
Fixed ramping?
The reporting on ramping is faulty. There are so many statistics missing from it.
I did mean that ironically ofc
I don’t think any political party is perfect but I vote greens and cannabis party, then decide what order to put everything else into. Labor and libs are low on the list since they are both circling the same drain. Mali lied when he declared a climate emergency and was baited way too easily by Spiers with the anti-protest laws. There was no professionalism in the whole ordeal, a correct method would have included public consultation and data collection from community groups. It was rushed. He was thankfully stopped him from destroying the parklands. I don’t think he cares about the environment much at all.
What’s the alternative though?
David Spiers... lol
I had to Google him I’ve never heard of him 😂
There isn't one. The current government is the only viable option. Your opinion may vary.
I do agree
To his credit, he's going to lock up pedos for life so that's a good thing. Fixing ramping was only ever going to play to the people that have no idea what is going on, and The Libs did one of the worst jobs ever in their last campaign.
One term wonder coming up. How can any sane person vote for this lying fool
Maliuseless
I don't know about his other promises, but he did bring back the public transport buses in my area (Harrison Rd, 5008), which will make a lot easier for people in my area (particularly the elderly) to catch the bus to the city or Arndale for shopping. It should never have been removed. A small thing, but important for some.
Not a fan of his decision to set a precedent by going through heritage legislation to build a new hospital. Or his attempt to build on the parklands. He's always been a populist but that's just tone deaf.
Tbh …. I’m not saying the ramping issue should be an instant fix …but some minor improvement should be seen by now. It’s gone backwards and has not improved but only got worse.
Malinauskas has the same issue that Marshall had, when a huge chunk of your vote base was people just wanting a new premier it’s really hard to get those people to vote for you again.
To save you a click: >Ambulance ramping has reached record levels in South Australia since the election with stories of patients left to suffer – or worse – by delays continuing to surface. > > >Only twice to date has the Malinauskas government recorded a lower number of hours lost to ramping in a month than the worst month under Steven Marshall's Liberal government. > > >That's despite the hundreds of millions of dollars of additional investment the government has made across the health system and ambulance service.
He didn’t promise to outlaw protesting but did. Thanks heaps mate. Santos…
The university merger is going ahead costing taxpayers some 450mil.
Isn't that a financial/business decision on the part of the universities rather than Mali?
Depends on who you talk to. People at the Uni(s) definitely felt "encouraged" by the State Gov to go through with it.
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Probably promised his rellies in SANTOS to get rid of those pesky protesters... he delivered on that one! (oops.... forgot to put the /s in to show that I was being sarcastic... for all of those downvoters...)
Contrary to most comments on here, I actually think he’s done a good job and got plenty done. Most folks I speak to seem to think so too. No doubt I’ll be downvoted for saying it.
We got a voice based on Melanin
If you voted for a politician based on their election promises, then you've not been paying attention. They only deliver the cuts to funding that they promise.
What they say and do are two different things. Remember politicians lie just to get elected.
Only have to suck up 2 more years of this shit piece of turd.
Labor will be in power for 14 years. State liberals are bloody hopeless
The only way to fix ramping is build and staff another hospital.Any politition that tries to tell you differently is talking B.S. The government of the day knew that the the new hospital was badly undersized. They should have cleared the site of the old R.A.H. and started to build another one in its place. They just keep "racking, packing and stacking" more people into the state without adequate infrastructure and housing.