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THE WRITER'S DRAFT COMMENTS ON THE DISCUSSION PAPER'S  BELOW QUESTIONS

2. The case for prevention: overweight and obesity

QUESTIONS

How can key players (for example, individuals, communities, health services, industry and governments) be engaged from the outset? 
INVITE PIONEER FIT OLD FARTS TO REVIEW THE YELP FIRST BUSINESS PLAN WHICH IS NOW URGENT IN ORDER TO MEET THE MILESTONE COMPLETION TIMETABLE TO DELIVER A TANGIBLE, DEMONSTRATIVE Preventive HEALTH PROGRAMME WHICH IS A WIN-WIN DUE TO GOVT. INVOLVING THE PRIVATE SECTOR WHICH DELIVERS CREATIVITY, INNOVATION, ENTERPRISE AND SHARES COSTS AND CHRONICLED IN THREE 60 MIN EPISODES OF HILLY RIDES CHALLENGE SET OUT IN  Content And Format Of ABC's "Hilly Rides Challenge"  AND  Equity Holder's Input Contribution For YELP Pilot and Primary Research Programme which would be featured in proposed "Hilly Rides Challenge" on ABC1 television.
 

What is the best combination of ‘learning by doing’ and, at the same time, building the evidence base?
IMPLEMENT THE YELP FIRST BUSINESS PLAN, BECAUSE IT REQUIRES A PILOT AND A RESEARCH PROGRAMME WHICH MUST MEET PROPAGATION 'HURDLES', PRIOR TO AGREEING TO PROCEED TO PROPAGATION

What can individuals and families do to be physically active, eat well and maintain healthy body weights?
INTERESTED ADULTS COULD COMMENCE A REA WITH THE ASSISTANCE OF A REC IN A LDREG WHICH WILL HAVE SPIN-OFF BENEFITS TO NARROW THE GENERATION GAP

In what ways can high-risk groups be supported?
ADOPT THE YELP 10 MONTHS RESEARCH PROGRAMME WHICH INVOLVES ALMOST 25% OF THE 50 VOLUNTEERS FROM HIGH RISK AUSTRALIAN ADULTS NAMELY INDIGENOUS AUSTRALIANS AS EXPLAINED IN THE RESEARCH PROGRAMME

Are the priorities for action appropriate? If you do not think they are appropriate, or have other suggestions, what would you propose we do as a nation to halt the toll of early deaths and disease caused by overweight and obesity?
THE PRIORITIES FOR ACTION ARE APPROPRIATE.   HOWEVER, THE DISCUSSION PAPER DOES NOT INFORM HOW TO GAIN INVOLVEMENT FROM COMMUNITY MEMBERS WHO POSSESS THE EXPERIENCE AND SKILLS TO PROVIDE REQUISITE INPUT.   ONLY "ONE IN 500" CIRCA AUSTRALIANS BETWEEN 50 AND 60 YEARS OLD, WHO ARE 'ALL-DONE' SUPERVISING THEIR OF THEIR OWN KIDS AND SO HAVE MORE TIME ON THEIR HANDS, POSSESS ELEVEN SPORTS ADMINISTRATION ATTRIBUTES TO BECOME RECs TO CREATE Local Community Common Bond Support GroupS WHICH FOSTER A SENSE OF COMMUNITY.   Local Community Common Bond Support GroupS DON'T JUST HAPPEN, THEY REQUIRE SEVERAL INPUTS WHICH THE YELP FIRST BUSINESS PLAN INCORPORATES

12 MAJOR COMPANIES, AND FOUR PUBLIC SECTOR EQUITY HOLDERS, POSSESS PIONEER FIT OLD FARTS TO 'FINE-TUNE' YELP (OR DISMISS IT AS FLAWED) AND PROVIDE FURTHER Complimentary Low Cost Initiatives TO THE PRESENT Twelve Low Cost Propagation Initiatives, AS A FOUNDATION FOR PHILANTHROPY

THE DISCUSSION PAPER PROVIDES NO PRACTICAL/ACHIEVABLE IMPLEMENTATION STRATEGY OR "three year work program by September 2008".

3. The case for prevention: tobacco

QUESTIONS

  • increasing the price of tobacco products

    IF WE CAN BAN FIREARMS, WE CAN BAN CIGARETTES WHICH ARE A FAR GREATER HEALTH COST UPON THE COMMUNITY

  • sustained, well-funded, hard-hitting public education campaigns

    DESIST LINING THE POCKETS OF ADVERTISING COMPANIES AND TV NETWORKS AS HEALTH & AGEING HAS OVER-KILLED ON "hard-hitting public education campaigns" BECAUSE IT HAS BEEN AN EASY-OUT FOR HEALTH & AGEING TO ARGUE THAT IT IS DOING SOMETHING ABOUT PROVIDING Preventive HEALTH.  YOUR TARGET MARKET HAS WITNESSED PLENTY OF HARD HITTING ADVERTISEMENTS ABOUT THE PERILS FROM SMOKING, BUT TOO MANY MALES FROM LOWER SOCIO-ECONOMIC REGIONS AND FEMALES GENERALLY STILL SMOKE

  • Do you support our government taking the following actions, which in combination could halve smoking rates?

  • progressively increasing the tax on tobacco products to the levels in places such as Ireland, Scandinavia and the UK, and reaching $20 for a packet of 30?

  • investing $40–50m a year in public education – less than 1% of revenue from tobacco tax

    I DO NOT SUPPORT WASTING THE FISCAL PURSE EVEN IF IT IS DRAWN FROM CIGARETTE TAXES AS HEALTH & AGEING HAS OVER-KILLED ON "hard-hitting public education campaigns"

  • If you do not support these actions and investment, or have other suggestions, what would you propose we do as a nation to halt the toll of early deaths and disease caused by smoking? 
    PROVIDE EVIDENCE THRU RTV PROMOTION OF SMOKERS WHO HAVE OPTED TO GIVE UP SMOKING BECAUSE BY RECAPTURING THEIR YOUTHFUL EXUBERANCE, AS A PARTICIPANT IN A LDRREG, THEY DON'T WANT TO SMOKE AS IT HINDERS THEIR PHYSICAL PERFORMANCE WITH THEIR LOCAL EXERCISE MATES, WHERE SMOKING IS NOT CHIC

  • Should we prohibit all remaining forms of promotion of tobacco products and mandate plain packaging? 
    BAN CIGARETTE SALES

  • Should we move by 2020 to a system where cigarettes are sold only through a limited number of specially licensed outlets? 

    BAN CIGARETTE SALES.  I DO NOT SUPPORT LINING THE POCKETS OF ADVERTISING COMPANIES AND TV NETWORKS AS HEALTH & AGEING HAS OVER-KILLED ON "hard-hitting public education campaigns" BECAUSE IT HAS BEEN AN EASY-OUT FOR HEALTH & AGEING TO ARGUE THAT IT IS DOING SOMETHING ABOUT PROVIDING Preventive HEALTH

  • What more can we do to protect children and adults from exposure to second-hand smoke?
    BAN CIGARETTES - MAKE SELLING CIGARETTES ILLEGAL BECAUSE OF THE HEALTH COSTS TO THE COMMUNITY

4. The case for prevention: alcohol

QUESTIONS

  • Do you support a focus on the suggested priorities?

      THE YELP BUSINESS PLAN EXPLICITLY ADDRESSES THE FOLLOWING

  • Addressing the cultural place of alcohol
    YELP RENDERS EXCESSIVE ALCOHOL CONSUMPTION UN-CHIC BECAUSE IT HINDERS PHYSICAL PERFORMANCE IN YOUR LDREG.

Strengthen, skill and support primary health care to help people in making healthy choices
YELP IS A "community-based disease prevention program"

  • Supporting brief interventions as part of routine practice by trusted health professionals and other health workers in primary healthcare settings can assist changes in drinking behaviour and attitudes to alcohol consumption. 
    YELP INVOLVES A RESEARCH PROGRAMME TEAM

Close the gap for disadvantaged communities
12 OF 50 VOLUNTEERS IN THE RESEARCH PROGRAMME ARE INDIGENOUS AUSTRALIANS.  OTHERS OF THE 50 VOLUNTEERS ARE OTHER NON-INDIGENOUS MARGINALISED AND DISABLED AUSTRALIANS

  • There is a need for tailored approaches and services to reach Indigenous and other Disadvantaged groups. 
    YELP IS TAILORED TO MEET ALL THE TERMS OF REFERENCE

5.   Supporting prevention

QUESTIONS

Do you support the development of a National Prevention Agency to lead and guide coordinated action for prevention?
AFTER SUMMARISING PRIOR Preventive HEALTH PROGRAMMES (Life Be In It
Focus on Prevention and Be Active Australia etc) IT IS EVIDENT THAT FED DEPT OF HEALTH AND AGEING HAS NOT DELIVER 'TANGIBLE' Preventive HEALTH PROGRAMMES THAT PROVIDE EXPLICIT 'FEEL & SCRATCH' ASSISTANCE, WHEREUPON A BLOW OUT IN CHRONIC DISEASES
I SUPPORT A NATIONAL Preventive HEALTH AGENCY PROVIDED IT COMPRISES GOVT AGENCIES WHICH HAVE COMPLIMENTARY HEALTH, ENVIRONMENT, DIISR AND RET
RESPONSIBILITIES, AND DRAWS ON THE INFRASTRUCTURE SKILLS OF AUSTRALIA'S MAJOR INFRASTRUCTURE RELATED COMPANIES. 
START BY INVITING 32 PIONEER FIT OLD FATS TO OPINE ON THE YELP FIRST BUSINESS PLAN.  IF 32 PIONEER FOFs BELIEVE YELP IS ROBUST, THEN INVITE THEM TO REVIEW THE Other Four YELP Business Plans WHEREUPON Twelve Low Cost Propagation Initiatives MAY HIT DOUBLE FIGURES, BECAUSE PIONEER FOFs POSSESS UNIQUE Preventive HEALTH SKILLS, WHICH INCLUDES LOTS OF ENERGY AND EXUBERANCE BECAUSE -
*        THEY ARE USED TO WINNING/SUCCEEDING/GETTING THE JOB DONE/COMPLETING MAJOR INFRASTRUCTURE PROJECTS; AND
*        REGULAR, RIGOROUS RECREATIONAL EXERCISE IS PART OF THEIR PSYCHE.

Is the suggested approach adequate? 
IF A National Prevention Agency IS NOT PREPARED TO FOLLOW THE SENTIMENTS ESPOUSED BY KEVIN RUDD AT THE 2020 SUMMIT IN PARTICULAR
"The Australian Government is committed to promoting a national culture of creativity, innovation and enterprise" THEN A National Prevention Agency WOULD MERELY BE A NEW LABEL FOR THE SAME OLD SAME OLD.

If not, or if you have other suggestions, what else should be considered?  

NICOLA ROXON'S TERMS OF REFERENCE CALL FOR THE FOLLOWING:

(a)      draw on "both the health and non-health sectors" and the "development of inter-governmental and public-private partnerships";

(b)        know "what works and what doesn’t.........the best buys for government investment in Primary Prevention"; and

(c)        extend the life expectancy of Aboriginal and Torres Strait Islander peoples and people living in rural and remote locations.

 ALAS, THE DISCUSSION PAPER DOES NOT DELIVER THESE TERMS OF REFERENCE, 'YELP' DOES.