Addicted: The Medicalisation Of Bad Behaviour

Our ancestors used religion to ward off the things that scared them. We use medicine. There are few better illustrations of the perverse “medicalisation” of society than the claim that “video game craving is as bad as alcohol”.

We’re taking the human condition (passion, obsession, desire, pleasure) and trying to turn it into a medical condition.

The story is as follows: a PhD candidate at the Australian National University recruited 38 gamers who played an average of 10 to 15 hours of video games a week. Those who reported feelings of withdrawal or cravings to keep playing their favourite game were classed as addicts.

All participants then did a simple test: they were shown a series of differently coloured words and asked to name the colour, not the word, as quickly as they could. Some of the words were related to video games, and with those words the ”addicts” took longer to name the colour than the casual gamers.

The conclusion? Gaming addicts are as consumed by games as alcoholics are consumed by drinking. This is apparently ‘”some of the first scientific evidence that video gaming can be addictive”.

But let’s back up a bit. Ten to 15 hours of gaming a week isn’t very much. The Australian Communications and Media Authority says Australians watch about 20 hours of television a week.

Sometimes we might even suffer negative consequences from this indulgence. (“One more episode of Homeland? It’s already 10.30, but …”) We may get emotionally involved in a show. We might even crave it.

But you could say the same thing about any hobby. And nobody is suggesting the average Australian is addicted to television or fishing or woodwork. At least, not in any meaningful, medical sense.

Addiction is a notoriously slippery concept. In a 2000 study published in the journal Addiction Research, 20 senior addiction experts in the American Psychological Association were asked to define what they meant by the word “addiction”. The answers differed wildly.

Only half the experts could get on board a definition that included “physical dependence”. And that was the closest they came to consensus – except for a general dissatisfaction with the way addiction has come to mean more than dependence on chemical substances.

Yet this is the muddy, vague, uncertain, ill-defined concept that we seem desperate to stamp on every sort of abnormal behaviour. Without any firm foundation, the popular use of the word addiction is creeping into the scientific world.

Excessive shopping? Addiction. Excessive internet use? Addiction.

Yes, people can make a lot of money treating the choices as pathology. There’s always a pill available, or a specialist spruiking their professional services. But we’re as guilty as the medical profession here. The medicalisation of everything is comforting.

First, there’s nothing more appealing than a scientific veneer. If someone has a few too many boozy nights in a row, they don’t go easy for a while, no – they ”detoxify”. All those cultish detox diets offer little more than clean living. But they’re dressed up in pseudo-medical jargon.

Second, if something has a medical cause, it has a medical cure. This is an era of expertise and technological fixes. There is no problem that money and experts cannot fix. In January, a British MP called for the government to pay for the treatment of “those who suffer from internet or gaming addictions”. (But that’s not remotely silly compared with the Swedish heavy metal fan who is on disability support because of his heavy metal addiction.)

Medicalisation comforts because it suggests that our bad decisions are not our fault. Describing self-destructive behaviours as addictions is the ultimate way to shirk individual responsibility. Rather than agents of our own choices, we become passive recipients, preyed on by our surroundings. This is utterly dehumanising. One could ask why we’re so eager to dehumanise ourselves.

Sure, video game addiction looks a lot like a bog-standard moral panic. When someone dies from playing a game 40 hours straight – as a teenager did in Taiwan this year – commentators pontificate about video games, not, say, depression. Every pleasure has to have its dark side.

But society’s fear of addiction – our desperation to turn everything into a medical condition – goes to something deeper. We no longer burn witches; we diagnose them. Either way, we’re still chasing witches.

Submission to Senate Legal and Constitutional Affairs Legislation Committee Exposure Draft of Human Rights and Anti-Discrimination Bill 2012

With Simon Breheny

Executive Summary: The exposure draft of the Human Rights and Anti-Discrimination Bill 2012 represents a dramatic and radical attack on Australians’ fundamental freedoms under the guise of reforming antidiscrimination law.

The draft Bill makes government the arbiter of behaviour within a substantial range of private political and personal activities. The draft Bill would politicise and regulate private interpersonal relationships in a way they never have been in Australia.

In a very real sense, these laws are not anti-discrimination laws. They are laws designed to give the government authority over our lives in completely new and unjustifiable arenas. This is an excessive and indefensible increase in state power.

The proposed laws give the government explicit power to interfere in almost all facets of human interaction including eighteen areas of public and private life, such as political opinion, religion and social origin. The government is also required to decide what falls into these categories, making the state the total and final arbiter on our most fundamental liberties.

By redefining discrimination to be anything which “offends, insults or humiliates” the proposed law will extend the infamous provisions of the Racial Discrimination Act that led to the Andrew Bolt case to almost every area of public and private life. By expanding the grounds on which people can claim to be discriminated against to include areas such as “political opinion” the law will stifle genuine discussion on almost every topic for fear of legal consequences.

This draft Bill has deservedly been criticised from across the political spectrum as a massive overreach and an unjustified curtailment of individual freedoms.

Democratic governments rely on the free exchange of opinion for their legitimacy. This draft Bill, if enacted, would dramatically limit freedom of speech in Australia.

This submission also raises other concerning elements of the draft Bill. The draft Bill substantially reverses the burden of proof onto the defendant. It introduces a large amount of uncertainty and ambiguity into anti-discrimination law.

The draft Bill introduces a subjective test for decisions about whether the law has been breached. Subjective tests are impossible to comply with and should never be used by the courts.

There is no justification for such a dramatic overhaul of anti-discrimination law, and no place for such extraordinary limits on freedom of speech.

Available in PDF here.

Liberals’ Legacy Of Mass Migration Is At Stake

If Tony Abbott becomes Prime Minister next year, he is going to have to make a decision: what to do about immigration?

Not asylum seekers: immigration.

After all, the size and composition of the total immigration intake is certain to shape our nation much more than the few thousand people who arrive by boat.

While the parties shout themselves hoarse over refugees, we’re at a unique juncture in immigration politics.

For the past 70 years, the party that has most embraced permanent migration in government has been the Liberal Party, not Labor.

Permanent and long-term arrival numbers vary every year; and not all of those variations are driven by Commonwealth government policy. But most are.

(For those interested in playing along, the Immigration Department offers a spreadsheet of historical migration numbers since 1945 here.)

The largest declines in our migration intake have occurred under Labor governments.

When Gough Whitlam, that darling of the progressive movement, came into power, immigration plummeted. In 1970, the Liberal government of John Gorton had admitted 185,000 migrants. The Whitlam government shrunk that to just over 50,000.

This was a deliberate policy decision. Whitlam even shut down the Department of Immigration, placing migration under the Department of Labour and Immigration.

That might seem a minor institutional change but it wasn’t: when merged with labour, immigration policy came under the influence of a traditionally pro-union bureaucracy. And unions don’t like it when the government imports foreign workers.

There’s long been a debate about whether it was Whitlam who ended the White Australia Policy or Harold Holt. Both did their part. But even though Whitlam proclaimed the end to the infamous policy, the sharp decline of total immigration on his watch meant that few non-European migrants could come to Australia regardless.

In March 1974 The Age pondered whether Gough Whitlam was doing as every government had done: “preaching tolerance while still practicing discrimination”.

Bob Hawke described himself as a “high immigration man”. But when he took government in 1983, the immigration intake dropped by more than a third. To Hawke’s credit, migration crept up over the next decade. But when Paul Keating took over, it plummeted again.

The Liberals have a much more impressive record.

Post-war immigration was at its peak under John Gorton. And Malcolm Fraser reversed the Whitlam backslide.

Under John Howard – that bête noire of pro-migration progressives – immigration jumped up well above the Gorton heights. In 2007, the number of permanent migrants arriving on our shores hit 191,000 – the largest cohort since the Second World War.

As George Megalogenis wrote in The Howard Factor, the real story was how “the former Hansonite belt … think Howard is keeping out all the foreigners, when he is bringing them here at a rate Paul Keating never contemplated”.

Yet Howard’s record-breaking immigration intake is apparently an awkward truth. In the standard text on this subject, From White Australia to Woomera: the Story of Australian Immigration, the academic James Jupp briefly acknowledges the Howard record – in one sentence. But the real issue for Jupp is that Howard was considering a temporary guest worker scheme, and such a scheme would hurt unions already battered by WorkChoices.

But then came the Rudd government, and the partisan pattern broke. Rather than immediately shrinking the intake, Rudd continued the trend upwards – hugely. More than 224,000 migrants entered Australia in 2010. And that terrifying guest worker scheme? A pilot program was eventually introduced not by the union-hating Liberal Party, but by the ALP.

Even Julia Gillard’s government – she of small Australia fame – has not appreciably reduced the number of migrants we take.

Given the showy anti-population rhetoric of the 2010 election, it is remarkable that we’re taking nearly twice as many foreigners than we did under the government of Bob “high immigration” Hawke.

There’s one obvious lesson here. Don’t trust what politicians say about immigration.

But when Rudd broke the pattern, he also broke the Liberal Party’s cover. After Labor prime ministers had lowered the intake, Liberal prime ministers were free to raise it; they gained no political benefit from doing otherwise. The Coalition could bang on about multiculturalism and refugees, but it would still bring in many more people than Labor.

Thanks to Kevin Rudd, Tony Abbott faces different incentives to his predecessors. And the 2010 election demonstrated the Coalition’s willingness to play the anti-population card.

So there is perhaps an added significance to the Abbott’s announcement last week that he would reduce the Gillard government’s refugee intake by 6,000 places.

It’s one thing to call for temporary protection visas and off-shore processing. It’s another thing to actually reduce the refugee intake. His announcement was reported through the standard stop-the-boats prism but it hints at something deeper: the Coalition may sense an opportunity to rehash the 2010 themes in 2013.

Abbott has previously said that he would like to make skilled migration – that is, 457 working visas – the mainstay of a Coalition’s immigration program. But he has framed it in a peculiar way. Businesses should be able to bring in workers, “provided there aren’t Australians who could readily fill particular jobs”.

This sees immigration as a mechanism to solve problems, not way of building Australian economic strength in and of itself. And remember, 457 visas are temporary visas – not permanent ones.
Admittedly, this is like reading tea leaves. History cautions us to not take anything politicians say too seriously. The real story of immigration is only ever found in statistical appendices.
But should Abbott win government next year, immigration will be a major question for his new government.

Does he want to continue the Liberal legacy – a legacy of mass migration and population growth? Or, as he has at times unfortunately suggested, does he want to repudiate it?

The Politics Of Consensus Has A Dark Side

Memory is a funny thing. “In the days of the Accord,” Business Council head Tony Shepherd told an audience last week, “different sectors were able to agree on a common purpose and a plan to foster productivity, competitiveness and growth … there is no reason we cannot do this again.”

Shepherd is not alone. Hardly a week goes by without another CEO recalling the ambitions of past governments, and lamenting the timidity of current ones.

Their story has been repeated so often it’s become a banal cliché: in the days of Bob Hawke and Paul Keating, businesses, government and unions put down their swords, held hands, and made beautiful microeconomic reform together. We need to rediscover the politics of consensus and conciliation. It’s time for an end to partisanship and to get on with … anyway. It’s boring to write, let alone read. Imagine hearing it in a speech.

But let’s be clear about what that cooperation would be in practice: institutionalised collusion between big business and big government.

This is the unacknowledged truth behind the business lobby’s complaints that Australia has left its reform era behind, or that politics is too divided to make the big historical changes.

Getting business and government around a board table isn’t necessarily a good thing. In politics, cooperation can be dangerous.

Big businesses are no fans of the free market. They only like competition in the abstract. In the real world, competition is traumatic. So when they are given the opportunity to set the rules of the game, they always try to fix it in their favour.

That’s why we talk so much about lobbyists. That’s why we talk about crony capitalism. And that’s why we talk about regulatory capture – when a business promotes regulation to shut down its competition. The politics of consensus has a dark side.

One of Adam Smith’s most famous quotes comes from his Wealth of Nations: “People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public.”

Most people citing Smith’s warning leave it there. You can see the appeal. Business cartels are bad, said the neoliberals’ favourite economist.

But he went on: “Though the law cannot hinder people of the same trade from sometimes assembling together, it ought to do nothing to facilitate such assemblies; much less to render them necessary.” That is, cartels are bad – so the government should be careful not to create them.

On Monday, Julia Gillard announced that she wanted to do just that. Writing to the Business Council and the Australian Council of Trade Unions, she proposed a National Economic Reform Panel. This new body would encourage Australia’s biggest businesses, largest unions, and most well-connected community groups to build a national consensus on reform.

Happily, it won’t go anywhere. Remember Kevin Rudd’s relationship with Sir Rod Eddington, announced in a flurry of publicity in the 2007 election? It’s not clear that Eddington gave any advice, or that Rudd took any. The post-election Business Advisory Group didn’t seem to go anywhere, either. Similarly, it is doubtful historians will mark Julia Gillard’s tax summit in June this year as a key moment in Australian economic history.

We are haunted by memory of the Accord. When Hawke and Keating convinced the ACTU to restrain wages in return for social reforms in 1983, they created one of the few hero moments in Australian history. In our national mythology, the Accord was a necessary first step for the liberalisations of the next decade.

But the Accord was explicitly corporatist. It was a way to buy off the unions and (although they did not formally sign the Accord) a fair chunk of the business sector. It may have brought these bodies inside the tent, but it also gave them new influence and power over government.

Yes, many special interests gained from the Accord. But it does not follow that the Accord was in the general interest.

For instance, given Keating’s later efforts liberalising the labour market, we forget that the Accord constituted one of the most significant increases in industrial relations control in Australian history. To their credit, some unions recognised this. Not all unions signed up.

By the end of 1980s, advocates of liberalisation were arguing that, by locking the biggest unions within the policy system, the Accord was actually holding back reform. Privatisation, tax changes and tariff reduction were made harder, not easier, by the government’s newfound special relationship with labour. As Des Moore wrote in 1988, the Accord had granted unions a “privileged position … to defend their own narrow, short-term interest at the expense of the Australian community and of their own members”.

The politics of consensus is really the politics of privilege. It’s easy to understand why special interests want control over the levers of power, but it’s hard to see why we would give it to them.

The Coalition’s Impressionist Platform Paints The Wrong Picture

The Queensland state election was only held in March. But it feels like such a long time ago. Nobody would feel the distance between then and now more keenly than Tony Abbott.

After Campbell Newman’s extraordinary landslide, Abbott and the federal Coalition were being told by polls and commentators that they, too, were looking at a record win. Julia Gillard would lose Queensland-style.

It made sense. Labor was crippled by leadership questions, multiple scandals, and the imminent introduction of the carbon tax. The polls even suggested the Coalition could win the Senate. If not, then a quick, comfortable double dissolution would sort that out.

Eight months later, the polls are back roughly where they were at the last election – the one the Coalition didn’t win.

Tony Abbott is increasingly unpopular. Colleagues are telling the press he should cut down media appearances. His disapproval rating is the highest of any opposition leader since Alexander Downer.

Is this comparison unfair? Of course. Abbott has had Labor on the back foot almost continuously since 2009. Under Malcolm Turnbull, the Coalition would have been on the receiving end of a Queensland-style wipeout. But it’s not true to say Abbott is the most effective opposition leader in history. The only mark of success in opposition is becoming the government. And Tony Abbott is going to have to change tack if the Coalition wants to remain competitive at the next election.

Sure, if an election were held today, the opposition might win it. But an election is probably a year away. Victory requires more than optimism. Ask Mitt Romney. The Coalition has long believed it can win government on an impressionist platform: a few bold, strong strokes (stop the boats, axe the tax, pay back the debt) that, if voters step back and squint, offer a picture of what an Abbott government might look like. Those strokes are looking worn and colourless.

Asylum seeker policy has been so fudged that it’s not clear which party is promising to be toughest any more. More boats are arriving than ever. But in retrospect Julia Gillard irretrievably confused the whole issue with the Malaysia solution back in 2011.

The carbon tax no longer resonates as it once did. It will do nothing to halt climate change. It is designed to get more costly every year. But people are already forgetting about it. Voters tend to tolerate policies – even intensely hated ones – once they’ve been introduced. It still should be repealed, but it’s hard to see the Coalitionwinning on that alone.

And certainly, it seems unlikely the government will soon bring the budget into surplus. But few people care about the deficit, per se, they care about a government being so reckless with the public purse that it goes into deficit. So, until the opposition offers an alternative plan, the government just has to pretend it is sweating blood to fix the problem.

Yes, offer an alternative plan. Impressionism isn’t working.

One alternative would be to roll out a series of clear, detailed, and memorable policies that will stand alone long after Julia Gillard has left the stage. Nothing makes an opposition look more like a potential government than policy debate. Drafting policy is risky without the bureaucracy backing you up. It is a necessary risk. Or the Coalition could embrace abstraction, and present a fresh, philosophically driven vision of government. Even today, politics is still about ideas.

Abbott is better placed than most politicians for this latter approach. His 2009 book Battlelines is a manifesto of a modern, activist, big-government conservative philosophy.

Joe Hockey offered a different direction in his ”End of the Age of Entitlement” speech in April – a wholesale rethink of how government relates to its taxpayers.

But Abbott steers clear of the philosophy of Battlelines. And nobody grasped Hockey’s nettle. This lack of story about what would drive an Abbott government is why Coalition supporters are wrong to blame character assassination for their troubles. The polls were heading down long before Julia Gillard made the misogyny speech.

Every government says the opposition is being negative. Negativity is only a problem if it looks opportunistic. A cohesive philosophical vision is a shield against such charges.

And claims that Abbott is unpopular because he is too effective a critic of the government … well, that’s like saying in a job interview that your biggest weakness is you care too much about your work.

Personal unpopularity is not a barrier to success. Australians don’t want to be seduced by their politicians. We are not romantic about the prime ministership. Quirks are appealing. Gaffes are easy to forgive.

But right now, the Coalition has to start looking like a government, not a pressure group.

The Art Of Telling The Truth

Getting political journalism to focus on fact checking is appealing in principle. It is disappointing – even futile – in practice.

You can understand why people find fact checking seductive. Our politicians pander to prejudices, fudge policy details, vilify their opponents, and exaggerate their own virtues for votes.

But as good democrats we put the winners of this squalid electoral contest in charge of the levers of government. So it would be nice to know which politician lies least.

And there’s clearly frustration with journalism as it is practiced today: why not make its new duty to judge political untruths?

Fact checking was a feature of the 2012 Presidential campaign. One frustrated Mitt Romney advisor said he wouldn’t “let our campaign be dictated by fact-checkers”.

But, in a column over the weekend, Australia’s Laurie Oakes unintentionally demonstrated how faddish and illusory the fact checking idea really is.

Writing that he expected fact checking to become a central part of Australian journalism, Oakes identified two recent falsehoods: Julia Gillard’s “there will be no carbon tax under a government I lead”, and Tony Abbott’s claims about the future economic cost of that tax.

If only it were so clear.

Did Julia Gillard lie about the carbon tax on 16 August 2010? Well, yes. And no.

She probably thought she wouldn’t introduce a “carbon tax” in the next term of government. But that didn’t mean she wouldn’t introduce an emissions trading scheme. And what we call a carbon tax in 2012 is actually the latter with an initial fixed price.

Yet free market economists have long insisted that, contrary to popular wisdom, there’s not a big conceptual difference between a tax and a trading scheme. They both price carbon. A tax could be described as a “market mechanism” too.

The point is these are terms of art, not science.

The idea that a journalist – or scientist, or economist, or philosopher – would be able to provide anything near a definitive statement of whether Julia Gillard was being factually accurate is nonsense.

Anyway, how on earth could the press gallery fact check a prediction? Tony Abbott’s claims about the carbon tax’s economic impact are almost entirely rhetorical. Yes, he understates how much of recent electricity price rises have been due to the changes in the energy industry – an understatement which is regularly pointed out in parliament and the press. But as to the carbon tax’s real cost?

Models of future economic costs merely reflect the assumptions they’re built upon. We don’t know how much a policy hurts until long afterwards. Even then it’s still quite hard to tell. Fact checking of such predictions is just arguing the toss.

This problem is clearly illustrated in the latest piece on The Washington Post’s Fact Checkerblog. Run by a veteran correspondent, Glenn Kessler, Fact Checker is apparently the gold standard in the field.

The story goes like this. Republicans have been citing an Ernst & Young study saying tax increases on the rich would “destroy nearly 700,000 jobs”.

Kessler notes that a) the jobs are lost over a decade or more, b) 700,000 jobs is only a tiny fraction of total employment, c) the study ignores the benefits of reducing the deficit, and d) there’s a different study that says otherwise.

For their “misleading” analysis, he awarded the Republicans three out of four Pinocchios.

But who is being misleading here? The Republicans aren’t wrong. At best they are guilty of an ungenerous presentation of the evidence. The Ernst & Young study says 700,000 jobs will be lost – just not immediately. You can’t refute rhetorical excess.

What Kessler isn’t doing isn’t fact checking, really. It’s just more argument. Which is fine, but let’s not pretend that more argument is a journalism revolution. And it’s definitely not new.
Even apparently clear falsehoods – for instance, Mitt Romney’s ad saying Barack Obama “sold Chrysler to Italians who are going to build Jeeps in China” – are more subtle than they’ve been presented. In a confusingly worded Bloomberg article, Chrysler was reported to be considering exactly that.

Kessler gave Romney four Pinnochios for his Chrysler ad, but his actual conclusion was more modest.

The ad was “a series of statements that individually might be factually defensible, but the overall impression is misleading”.

In the hands of partisans this has become a classic Romney ‘lie’.

Certainly, Romney had confused the Chrysler issue in an earlier speech in Ohio. But senior politicians are usually very clever with their words. They don’t lie. They dissemble.
Kessler to his credit is relatively even-handed. He goes after both left and right.

Such non-discrimination is unusual. Fact checking is more common as a political attack than journalistic technique. Hacks of all sides push their own fact checkers. It’s just another weapon in the partisan’s armoury. Smugly purporting to be on the side of ‘reality’ is a fashionable way to hit your opponent.

There’s a more critical problem with the fact checking fad. Political journalism is a business of generalists not experts. The best reporters know a little about a lot, not a lot about a little.

That, indeed, is why the ‘he-said, she-said’ model of journalism was developed. He-said, she-said has a bad reputation these days – it is often used unthinkingly – but it exists for a reason. It reflects a modesty that generalists cannot rule definitively on all issues. Sometimes you need to call a specialist. If something is controversial, you may need to call two.

Political rhetoric is rarely true or false. When an issue is simple, politicians will fudge it. When an issue is complicated, it requires experts to unpack.

Either way, self-conscious and self-satisfied ‘fact checking’ is no magic bullet.

Grandstanding about mobiles won’t reduce the road toll

It’s an old principle of policing – if you can’t enforce the laws on the books, demand more laws.

More than 55,000 people in Victoria were booked for using their mobile phones while driving last year. That’s around 150 people a day.

So on Monday, the front page of the Herald Sun reported that Victoria’s chief highway patrol cop wanted the government to force drivers to switch their phone off in cars.
Never mind that a ban on phones in cars would be completely unenforceable.

Victorian road rules are clear. The Road Safety Act bans mobile phone use while a car is running. The only exception is receiving calls or using navigation functions with a commercially fitted holder. Even then, the driver cannot touch the phone at any time. The fine is $300 and three demerit points. New South Wales enacted similar laws last week.

Yet one survey suggests around 60 per cent of Victorians still use their phone while driving. That 55,000 people booked isn’t a lot, considering more than two million of the state’s 3.7 million licensed drivers are breaking the rules.

The Herald Sun article said “thousands of rogue motorists flout the law”. No – millions do.

First things first: it is incredibly stupid to use a mobile phone while travelling at speed. Driving is a complex task. Sending a text message on a phone increases the risk of accident up to 23 times. That much is easy to demonstrate in simulations and in-car experiments.

But things get less certain from there.

The “while driving” data is a bit misleading. They include a lot of circumstances we wouldn’t usually call driving – like checking your phone while stopped at a traffic light. But if the engine is running, it counts.

The NSW government commissioned a study into the extent of the problem earlier this year as part of a parliamentary inquiry. The results were striking and counterintuitive.

Seven per cent of accidents in NSW in the last decade involved driver distraction. And within that 7 per cent, only 1 per cent involved a handheld phone.

Don’t get too hung up on the specific numbers. There are many complicated definitional issues. There’s a large body of academic research on driver distraction but it’s not all comparable. And, obviously, the ideal number of accidents is zero, whether related to phones or anything else.

Yet it still remains that mobile phones are extremely small proportion of the causes of distracted driving involved in accidents. The majority of distractions come from outside the car. Then there are those within the car – like fellow passengers, grooming, or eating and drinking.

There are even three times as many accidents involving police pursuit as mobile phones.

The overwhelming majority of accidents involve exactly what you’d expect: speed, fatigue, and drink. Mobile phones hardly rate.

But you wouldn’t know that from the press. Phones dominate the popular discussion of car accidents. Using a phone while driving seems to be the ultimate in recklessness. It is terrifying to imagine there are people speeding down the freeway while tapping out text messages.

Smart phones are a novelty, and novelty makes news. Stories about how mobile phones cause accidents has all the characteristics of a moral panic – a disproportionate reaction to a small problem. Drivers face worse distractions. There are more disconcerting risks on the road.

For instance, one 2005 study found in-car entertainment systems are a far bigger real-world distraction than phones. You have to take your eyes off the road to change a CD or radio station. Handheld phones are problematic not because they impair drivers physically, but because talking while driving takes extra mental effort. It’s the conversation which is dangerous, not the phone. (This explains why some studies have found hands-free phone systems are no safer than hand-held ones.)

These are uncomfortable findings. No politician wants to challenge the right of drivers to chat with passengers or listen to the radio. Anyway, that’s why we have careless driving laws, and take recklessness and negligence into account in criminal accident proceedings.

Nevertheless, there has been a remarkable decline in car fatalities over the past few decades. The Commonwealth government has been tracking road deaths since 1925. Deaths have reduced from 30 per 100,000 population in 1970, to seven in 2008. If anything, that understates the decline: we’re driving twice as much as we did 40 years ago. And the death toll is still going down, even as more people buy more complicated phones.

A society should try not to have too many unenforceable laws. They breed contempt for the law as an institution. If people get used to disobeying one law, they may become comfortable with disobeying others.

As the American writer Radley Balko has argued, calls to increase restrictions on mobile phones in cars aren’t about safety; they’re about symbolism.

It’s already illegal to use phones in the car. Lots of people do it anyway. But political grandstanding about mobiles is not the same as reducing the road toll.

In praise of ticket scalping, horse eating and trading in human organs

Should we be able to buy horse meat at restaurants or for home cooking? It is not as if horses are a protected species. We already export them for human consumption. Australian food markets sell goat, kangaroo, camel, buffalo, crocodile, even wallaby and alpaca. Why not horse?

Yet when a Perth butcher and a Melbourne chef tried to introduce horse meat two years ago, they were met with a storm of protest, and had to withdraw it from sale.

If horse meat seems a bit banal, then what about pets? How would you feel if somebody slaughtered their family dog and sold the meat? Disgust? More likely repugnance.

These odd questions are among the valuable contributions to humanity by the 2012 co-winner of the economics Nobel Prize, Alvin E. Roth.

Roth won for devising a system where donor organs are matched with patients. There is a global shortage of organ donors. One Australian dies every week waiting for a transplant. A strategy to help deserves all the recognition it gets.

So where does repugnance come in? We already have a great way to harmonise organ supply and organ demand – markets. If donors were able to charge for their kidneys, there would be more kidneys available. People respond to incentives. And a legal, regulated, safe market for organs would be better than today’s dangerous illegal market. Yet it is unlawful to compensate someone for donating a kidney. We are relying on altruism to meet our transplant demand.

Roth devised an algorithm to efficiently allocate what little organ supply there is with some of those who need transplants – given that legislators have decided it is immoral for people to trade organs for money.

The Nobel committee described this anti-market bias as ”ethical grounds”. Some ethics. By limiting the amount of organs available, those ethical grounds are killing people.

Roth published an influential paper in 2007, Repugnance as a Constraint on Markets, in the Journal of Economic Perspectives. We find all sorts of things repugnant. And we do so instinctively, not rationally.

Take gambling. Many find sports betting obnoxious, as if it undermines the purity of sport. Calling for a ban on internet betting, Nick Xenophon once complained cricket had been ”reduced to just another event to have a punt on”. Likewise, some political professionals believe that gambling on an election is highly distasteful.

When, in 2003, a team of Pentagon economists tried to set up prediction markets – that is, using betting to predict the likelihood of future events – for terrorist attacks, they were pounced upon. One congressman described the program as trading in death. ”There is something very sick about it,” said Senator Barbara Boxer.

Just ”something”. Sure, betting on future terrorist attack probabilities is unorthodox. But it might have worked. The purpose was to predict attacks and stop them. Yet for those politicians, it felt wrong. The program was quickly shut down.

What we think is repugnant is determined by our culture. Historically, lending money at interest has been unacceptable. This makes some strange sense. Lenders who charge for the privilege of borrowing money seem a bit heartless – it is not like idle money is being used. And why should people get rich just for sitting around?

Ticket scalping is another repugnant market. It somehow seems unfair to pay more than the cover price for concerts. But a basic lesson of economics is that markets allocate goods to those who value them the most (that is, those who are most willing to pay). Scalping is a good thing.

Ticket scalping also shows how special interests can use repugnance as cover for their own private gain. Ticket sellers want governments to stamp out the secondary ticket trade. They don’t like the competition.

Yet anti-scalping laws make it harder to get tickets to popular events, not easier. Just like outlawing the organ market makes it harder for sick people to get transplants. Or banning horse meat restricts the availability of tasty horse meat.

It is fine for individuals to object to certain practices. If you don’t want to be compensated for your organ donation, you don’t have to charge. And nobody is forcing you to bet on future terrorism.

But it is a real problem when feelings obtain the force of law. That gut reaction – ”there is something very sick about it” – can sometimes cause real harm.

Don’t believe the Asian century hype

The Government’s Asian century white paper finally reveals the conceptual poverty of the Asian Century idea.

Certainly, Asia will continue to grow prosperous and come to dominate the global economy.

But Ken Henry’s white paper demonstrates that the concept of an “Asian century” offers almost nothing to guide Australian public policy in 2012.

Don’t believe the hype. The Asian century is not the stuff of wonky earnestness. It is a political story.

A simple reorganisation greatly diminishes the whole project. We can group the proposals – sorry, “pathways”, a horrible word that the Government uses to conflate policies with goals – of the white paper into two categories.

The first category is things that are true no matter which continent dominates the next 100 years. The white paper wants Australia to be one of the top ten richest countries by 2025. Fair enough. But this holds regardless of whether there will be an Asian century, or an American century, or a New Zealand century. Most of the white paper is like this.

One sentence reads: “A world-class school system is essential to Australia’s success in the Asian century.” What do the last four words contribute? The government will create “a long-term national infrastructure strategy”. It will establish a Tax Studies Institute. There will be a National Plan for School Improvement. We ought to expand our trade with the rest of the world. The Asian century conceit adds nothing to these ideas.

The white paper even plugs Closing the Gap. Ending Indigenous disadvantage is extremely important, but what on earth does it have to do with Asia?

In the second category are proposals specifically designed to deal with rising Asian economies. There aren’t many in this category. And they’re all pretty minor – even token.

Of these, increased Asian language teaching is the most significant. I’ve criticised this idea in the past, and Benjamin Herscovitch from the Centre of Independent Studies has done so recently at length. Yet even if more Asian language teaching was necessary, it’s an oddly trivial hook for this ambitious white paper. Is offering Chinese at more schools really the pivot on which our nation will turn?

The quality of proposals declines sharply from there. The white paper says that one-third of board members of Australia’s top companies should have deep knowledge of Asia. This is a pretty gimmicky idea. Anyway, why is intellectual composition of the boards of private firms any business of the Commonwealth government?

One welcome proposal is to boost the numbers of tourism and working visas from Asia (you could ask: why not boost visas from everywhere?). Yet in the mid-year budget just last week the government significantly raised the cost of visas for foreign workers.

Asian century boosters have always struggled to link their statement of the obvious (Asia is growing) to concrete proposals. This white paper is most ambitious attempt yet. If Ken Henry can’t make it work, nobody can. But it fails.

Apart from continuing to strive to be productive and educated and rich – good things whether our neighbours are rising or declining – it’s not obvious that Australia needs to do anything special about the rise of Asia.

Indeed, that may be the point.

The white paper mostly just reiterates existing Gillard government policies. Far from jolting us out of our complacency, the paper encourages it … well, as long as we stick with Labor and its NBN and its schools plan and its carbon tax.

The Asian century paper is a political document. It’s a theme for the Government now that most of the Rudd-era ambitions have been squared away; a fresh “Labor vision” for the party of Keating and Whitlam. It doesn’t have to be particularly coherent or convincing. It just has to be plausible.

And, to be fair, it is. The white paper exudes seriousness. It is ridiculously Big Picture. The Asian century is intellectually flattering: everybody feels smarter when they talk about it. In the last 48 hours almost every special interest in the country has claimed their pet issues are the key to surviving the new Eastern paradigm.

Given that the Asian century is above all a political idea, it seems significant that the Opposition has been caught off-foot. First the Coalition welcomed it, said it lacked detail, then said it lacked funding. By Monday Tony Abbott had described it as “laughable, frankly”. Then he moved on to Peter Slipper.

This is probably not wise.

The Asian century looks like Julia Gillard’s election strategy. It’s a lot better than Moving Forward. But like so many political visions, it’s seems more profound than it is. We should not confuse narrative for substance.

The puritanical public health movement

For eight weeks in 2011, four public health researchers – three from the Cancer Council, one from the University of Western Australia – watched 792 music videos aired on Australian television. They recorded all the mentions of alcohol, tobacco or illegal drugs.

The results were published in the journal Alcohol and Alcoholism in September this year. About one-third of the music videos referenced drugs. The vast majority of those references were to alcohol.

Here the full horror is unveiled: “references to alcohol generally associated it with fun and humour”. Only 7 per cent of the music videos that referred to booze presented alcohol in a neutral or negative light.

The paper argued music videos mentioning alcohol positively should be classified differently and regulated out of the morning timeslot.

But more broadly, the implicit claim of this research is there is something wrong with our culture: not just “the culture of drinking”, but culture in general.

Society associates alcohol consumption with fun, humour and celebration. According to the researchers, that association is “insidious”. One might add: pretty accurate.

This minor paper tells us a lot about the spreading ambition of public health activism.

The modern field of public health started with campaigns against ignorance. Educational programs were designed to inform the citizenry of the health consequences of their choices. The messages were simple. Smoking is bad for you. Keep fit. Eat more vegetables.

Such benign information provision is a thing of the past. Now public health is a great social project. It desires nothing more than a complete rewiring of our preferences and a rewiring of the culture which it assumes formed them.

It’s not just that the study of public health is deeply paternalistic and patronising. Nanny state accusations have pursued the field for decades. And no wonder: the Rudd government’s Preventative Health Taskforce even recommended the Government regulate the portion size of restaurant food.

But nanny state doesn’t quite capture it. Public health is an imperial discipline, dragging in everything from cultural studies to urban planning. And it does so all in the service of an increasingly ambitious program to reshape society and prioritise health above all other moral values.

Take the most fashionable adjective in public health right now: “obesogenic”. This pseudo-medical term describes an environment – usually physical, but sometimes social and cultural – which encourages over-eating and under-exercising.

Under the obesogenic flag, public health activists seek to colonise debates over housing sprawl, economic policy, public transport, childcare, house size, telecommuting, infrastructure spending, consumerism, and sustainability. Even law and order has been dragged into the public health domain: high crime rates mean parents don’t let their child walk to school which means those children get fat.

Here public health becomes less a medical concern and more an umbrella social critique. As one book, Obesogenic Environments, puts it, obesity is first and foremost a social problem. Certain obesity-encouraging practices have become culturally embedded. We eat out more. We drive instead of walk. It is the self-appointed task of public health activists to change those embedded practices; that is, “promote healthier choices”. Town planning has to change. Tax policy has to change. Infrastructure spending has to be reprioritised. Our preferences have to be redirected.
With its grand social crusade, the public health movement has come full circle.

Temperance activists in the late nineteenth and twentieth century talked as much about social practices as alcohol consumption. The major American temperance lobby was called the Anti-Saloon League. Saloons weren’t just bad because they were where the drinking happened. They kept men away from their families, and encouraged other sinful behaviour.

In Australia temperance activists lashed out at everything. In 1896 the South Australian politician King O’Malley described barmaids as “the polished fangs of the stagger-juice rattlesnake… angels of mercy luring men to their own destruction”. Several states banned barmaids. One major avenue for female employment – and the economic independence it brought – was closed. Poor old barmaids were merely collateral damage for the monomaniacs obsessed with stamping out booze.

In the same way, today’s public health movement is willing to jettison many other values in its quest to rewire society.

The hard-won conveniences of modern life – cars, restaurants – are obstacles to a better world. Popular culture is “insidious”, simply because it reflects our own beliefs back at us. Choosing what we eat and drink is not a right, it is a prison.

Public health is groping towards a full-blown political philosophy. Sure, it speaks the language of medicine. But it is more ambitious and vague than that modest field. The paper on music videos is a ham-fisted attempt to give cultural studies a scientific patina.

Like the puritans of the past, the public health movement is flailing against a society and economy it believes is deeply unwell.