GP, Gardener, Radical Progressive

  • 26 Posts
  • 65 Comments
Joined 3 months ago
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Cake day: June 23rd, 2025

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  • Thanks for the response.

    I have to assume that you’re quite young since you seem to think that 30 or 50 years is enough time to erase the kind of trauma anglo-Australians put indigenous Australians through, this is living memory for many of us.

    There really is no denying that coming from parents who have suffered trauma and economic disadvantage leaves the children at severe disadvantage themselves, ie the sins perpetrated on the grandparents of today’s young adults are a key reason for their disadvantage.

    This kind of reasoning is often taken as ‘excusing’ bad behaviour, it shouldn’t be but it is explanation and we do bear some responsibility to alleviate that disadvantage while still holding people responsible for individual actions.

    The final key point is that systemic racism remains rife. You would have to be willfully blind to not see that indigenous people are treated differently at the Centrelink office, the emergency department triage desk, at a job interview.

    You correctly point out some big numbers involved in current support for indigenous focussed programmes, I suspect that much of this is providing services that they find difficult to access through the mainstream due to systemic racism which is kind of a bare minimum, regardless we have a long way to go.

    The past isn’t gone, it isn’t even past. I hope you can appreciate that there is a but more subtlety to this issue than you seem to give it credit for.


  • I think there’s a subtlety to this argument that you’re missing.

    The prosperity of all non-indigenous Australians is built on what was taken from the indigenous population with brutal force.

    The single most important reason that there is such a large gap in quality of life between the indigenous and non-indigenous population is that for more than a century it was government policy to repress and deny opportunity to the indigenous population.

    It is not unreasonable to think that we, as a population that has built a prosperous society on the ruins of theirs, that we could give them a hand to regain some benefit of our prosperity.

    We hear a lot from conservative cranks that indigenous individuals should take responsibility for their actions, most progressives actually agree on that. I would argue that as a settler society we should take responsibility for our collective past actions.













  • Just putting this here as several commentors seem to have misread my intention posting this here

    Most responses here seem to assume that I’m opposed to medical marijuana, I’m not. I am in fact in favor of it’s use, appropriately, in select patients, as with any medication.

    I also want to caution against conflating recreational use(which may be problematic but is usually fine) with medicinal use(which should be held to the highest standards of evidence as any medicine should).

    Now, regarding the evidence to date, efficacy is well established for refractory epilepsy and spasticity in MS. It is quite well established to have a role in pain control. Evidence that it is superior to other treatments for anxiety is pretty scant, we hold antidepressants to a pretty low standard and cannabis fails to even be that good in the published studies.

    In terms of safety we frequently see acute intoxication from prescribed cannabis and worsening of co-morbid mental health conditions is really common. Nausea, vomiting, diarrhoea, and abdominal pains are all fairly frequent and I have seen one case of psychosis from prescribed marijuana. What’s more, we see these more commonly in emergency departments, psych wards and GP clinics now that it is easily available from unscrupulous corporate owned clinics.

    The article isn’t claiming that medical marijuana is inherently dangerous or that it doesn’t have a role in medicine. It states, correctly, that the TGA has never actually assessed the safety of the vast majority of products on the market. This is concerning for anyone who might want to prescribe these with confidence.

    @givesomefucks@lemmy.world @wesker@lemmy.sdf.org @Taleya@aussie.zone @Randomgal@lemmy.ca




  • I disagree, this wording from a professional organisation is concerning. The usual standard of evidence for medication is that the companies or organisations promoting provide proof of safety.

    For example ANZCA (specifically the Faculty of Pain Medicine) state

    There’s a lack of definitive evidence showing long-term opioid effectiveness for CNCP, and conversely, substantial evidence of potential harm. As a result, opioids should only be considered in exceptional circumstances—for example, when other treatments have failed and the pain is demonstrably responsive to opioids.

    With regards to psychotropic med the RANZCP say

    Medications should be part of a comprehensive care plan that emphasizes low doses, minimal number of agents, and the shortest effective duration. Explanation of risks, benefits, and off-label use must be delivered to both young patients and their guardians. Prudence and caution are essential, though when properly prescribed, these medications can significantly improve quality of life for youth with serious psychiatric conditions.

    AMCA regarding the safety of cannabis say

    ¯_(ツ)_/¯


  • Whenever this is raised the argument about legalisation for recreational use is conflated. Alcohol, cocaine, oxycodone etc all have medicinal and recreational uses and we appropriately treat then differently.

    If we are using it as medicine, at a minimum we should see prescription tracking and monitoring with implications for doctors prescribing inappropriately similar to the way we treat other medications with potential for abuse.

    My opinion, for what it’s worth is that there should be legalised cannabis for recreational purposes.

    What we definitely shouldn’t have is a situation where I am having people turning up to my clinic expecting a prescription for recreational doses of flower to smoke.