It’s right for our elected leaders to be held responsible for the failures that have led to the loss of lives and livelihoods in our struggle against the coronavirus. But let’s not fail to see the systemic failures that have led our governments – federal and state; Liberal and Labor – to fall short.
If you’re not looking for it – or don’t want to find it – it’s easy to overlook the inconvenient truth that decades of pursuit of Smaller Government have contributed greatly to the difficulty we’ve had controlling the spread of the virus and hastening the rollout of the vaccine.
Earlier this month, two economics professors, Steven Hamilton and Richard Holden, used two articles in the Australian Financial Review to lay much of the blame for delay in the rollout and in rapid COVID testing at the feet of the “medical regulatory complex”.
They criticised our TGA - Therapeutic Goods Administration – for being “persistently behind the curve – lagging months behind foreign regulators” in approving the various vaccines. The medicos should hardly need economists to remind them of the point they themselves dinned into the rest of us: the spread of pandemics is exponential, so a delay of just six weeks really matters.
So, if medical bureaucracies overseas can approve new drugs with expedition, why can’t we? And they can approve in-home rapid tests, but we can’t?
Because our standards are so much higher than theirs? Doubt it. More likely because we weren’t trying hard enough. Maybe the TGA was short-staffed or the government hadn’t approved enough overtime. As for the reservations about rapid testing, you wonder if it wasn’t a case of doctors trying to make work for doctors, not nurses or pharmacists.
Then there was all the chopping and changing over who should get the AstraZenica vaccine by ATAGI – the Australian Technical Advisory Group. It was narrow, inappropriate advice that failed to take account all the relevant considerations and did much damage to the rollout.
Maybe the government asked the wrong bunch of specialists, or gave them the wrong terms of reference. I’ve seen it suggested that a more appropriate committee had been abolished in cost-cutting by the Abbott government.
The Morrison government’s delay in acquiring sufficient vaccines seems to have arisen from a desire to limit the cost of the exercise, combined with an ill-fated preference for having the vaccine manufactured locally.
Much of our difficulty preventing leakages from hotel quarantine has arisen from cost saving: using ill-suited empty hotels would be much cheaper than purpose-building out-of-town cabin-style facilities, especially when you remember we won’t get another pandemic for decades. Maybe.
Similarly, outsourcing quarantine security to private contractors using casual, low-paid and untrained workers, who probably work at several facilities to make ends meet, saves money. The same way we use outsourcing to cut the cost (and quality) of so many public services these days.
At state level, stockpiles of personal protective equipment recommended by a committee charged with getting us ready for a pandemic were cut as a cost-cutting measure.
Wherever responsibility is shared between federal and state – which is most areas - you get cost-cutting, cost-shifting, game-playing and duck-shoving. The feds had huge success at shifting the blame for Victoria’s second lockdown to Dictator Dan, even though the great majority of deaths occurred in federally regulated aged-care homes.
As the royal commission found, the unending string of scandals in aged care arises from decades of trying to hold down the cost of care to the federal government. Knowing they’re not spending enough to fund decent care, the feds don’t dare to properly regulate the sector’s mainly for-profit providers.
But, since businesses are entitled to a reasonable return on their capital, turning the sector over to private providers adds another layer of cost. There’s little reason to hope their profit margins are covered by their greater efficiency in running institutions. They make room for their profit by cutting other costs.
Cost cutting is just one aspect in which the Smaller Government push has hindered our efforts to respond to the pandemic. Another is the longstanding rundown in the capability of the public service, especially its ability to give policy advice.
Who needs advice from public servants when, if the minister doesn’t know what to do, the politically ambitious young punks in the minister’s office will have plenty of ideas? Failing that, you can always commission a report from one of the big four accounting firms which, you can be sure, will tell you only what you want to hear. I doubt the health departments are immune from these weaknesses.
Of course, our pandemic problems are just the latest, most acute demonstration of the failure of the Smaller Government project, but that wider story’s a topic for another day.