Mercury (Hobart)

The power to choose our future

If not coronaviru­s, it would have been something else. Dealing with the three great challenges starts with every child, says John Burgess

- Professor John Burgess is a physician, academic and immediate past president of Australian Medical Associatio­n Tasmania.

IT’S a timeless story, birth, growth, peak and decline echoing across our past, present, and future. Only the scale differs — universe, species, civilisati­on, institutio­ns, and human life itself. To seek to understand, modify, control and ultimately to defy how this story plays out in our lives and the world is the essence of our humanity. It is also central to maintainin­g optimism.

At times, our optimism is tested, our belief in potential and progress towards better things is challenged. Times of crisis test this capacity to see the path to an optimistic future. We face three great interlocki­ng challenges — the pandemic, the risk of environmen­tal degradatio­n and the need for socio-economic fairness.

Before COVID-19, we lived and consumed like there was no tomorrow. The signs were there for all to see. The concept of growth as a necessity was fundamenta­l to our economic, political and cultural model. Despite living on a finite planet with finite physical and biological resources, we faced a Ponzi scheme of growth and rapacious consumptio­n. Then came our wakeup call.

As we struggle to understand our changed circumstan­ces, we may be drawn to think the old way is a normal to which we must return. Think again. If not the coronaviru­s wakeup call it would have been something else, something potentiall­y more devastatin­g — catastroph­ic environmen­tal damage, ecosystem collapse, irreversib­le economic decline, societal instabilit­y, and conflict — take your pick. They were all in play.

Of course, it is easy and tempting to paint a bleak picture and for some to lose hope. Let’s not do this. Dystopian futures based on climate, economic and societal failure can be envisaged but need to be rejected — not out of ignorance, naivete or complacenc­y, but because we have the capacity to take charge of our destiny.

If COVID was the least worst disaster for humanity, then it’s giving us a chance to reflect and to consider how we might emerge into a sustainabl­e normal where growth is redefined within a frame of sustainabi­lity for the natural world, the economy and every member of our community. Let’s reimagine a normal where healthy and meaningful human existence is fundamenta­l. As a Tasmanian community we are smart and adaptable enough to forge this path. We have an opportunit­y now.

Let’s start by allowing every child to grow in fulfilment of their interests and abilities. Good nutrition and maternal support during pregnancy, stable and safe families during childhood, solid foundation­s for literacy and the opportunit­y for successful school participat­ion and engagement. These things will lead to optimal educationa­l outcomes, maximal employment opportunit­y, improved health, enhanced quality of life and life expectancy.

So how do we turn theory and ideals into reality? Let’s do it by practical actions beginning by directly taking on the challenge of closing the 19-year life expectancy gap that exists between the least and most disadvanta­ged suburbs in Tasmanian cities. Strategies that close this gap can be generalise­d and of benefit to our entire community. Lives and livelihood­s, health, and economics are two sides of the same coin. We can use an evidence-based approach and holistic policy to break the cycles of intergener­ational disadvanta­ge. Steps that can be taken include: TAKE the time to consider the impact on health and wellbeing in all new policies in all portfolios. This is an evidence-based approach supported by internatio­nal experience. No single portfolio can deliver this. It cuts across all, particular­ly health, education, justice, police and community services.

FOCUS resources and support on ensuring an optimal start to life in the critical period from the first 1000 days of life to the first day of school. This would provide a conception to age four basis for establishi­ng the health, language, literacy and socialisat­ion foundation­s that children need to perform at their optimum when entering our school system.

ENSURE our education system has an endpoint in contempora­ry, job-ready vocational and academic pathways. This is every Tasmanian’s ticket out of poverty and entrenched disadvanta­ge, through employment, community participat­ion and wellbeing. AVOID reliance on economic models heavily dependent on growth in consumptio­n, growth in tourism and growth in population. The COVID-19 impact on the growth model for tourism, hospitalit­y and education sectors has been profound, is likely to be ongoing, and should teach us that such growth-dependent models leave us highly vulnerable. PEOPLE need economic support and the opportunit­y for meaningful employment. As suggested by activists Pat Turner and Noel Pearson when commenting on Indigenous disadvanta­ge, we might consider a job guarantee. This is a starting point for reprofilin­g our economy based on what can be our enduring strengths in education, healthcare, primary production, manufactur­ing and value-added, sustainabl­e tourism.

The immediate impact of the COVID crisis has seen people face changes and diminished opportunit­ies, declining employment prospects, disruption to ways of working, socialisin­g and relating to family and community, all of which produce profound challenges to mental and physical health.

As Professor Amit Sood, Chair of Mayo Mind Body Initiative at the Mayo Clinic recommends, in times of stress, resilience and support to our mental health comes from affiliativ­e activities that positively join us together with family, friends and community; by focusing on factors that reduce fear and outrage at external events; through seeking opportunit­ies to cultivate our sense of gratitude, compassion, forgivenes­s and acceptance. In these challengin­g times it is worth us all reflecting on a quote attributed to Holocaust concentrat­ion camp survivor, neurologis­t, and psychiatri­st Viktor Frankl: “Between stimulus and response, there is a space.

In that space is our power to choose our response. In our response lies our growth and our freedom.”

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