9 December 2011

DEREGULATING MATRIMONY: FOR GAYS, STRAIGHTS, WHOMEVER...

Marriage is a great institution, but who wants to live in an institution?

Variations attributed to Groucho Marx and Mae West

Having myself been institutionalised twice – first, religiously, in my twenties and again, secularly, in my thirties – and also being somewhat bisexual, I feel uncommonly well-placed to comment on the current absorption with the topic of gay marriage.

Now, it is I think fair at once to stake out my default position – gay men and lesbians (and, for that matter, transsexuals et alia) should enjoy the same benefits as do heterosexual couples when it comes to matrimony: legitimate children; adultery; and ultimately, divorce.

Scholars of matrimony will know that the term originated circa 1300 from the Old French, matremoine, and before that from the Latin, matrimonium, meaning ‘wedlock, marriage’, which comes from the nominative matrem, meaning ‘mother’ + -monium, a suffix signifying ‘action, state, condition’. Thus the origin of ‘matrimony’ is the action, state or condition of, or bringing about, mothering. (In fact the Catholic Church, a trifle oddly, defines matrimony as ‘the office of motherhood’.)

Clearly then, the link between marriage and begetting of (legitimate) children is etymologically intimate.

While adultery and divorce are long-revered states and themselves need no defence, the motivation for legitimate children these days is so thin as to barely amount to a rationale at all: there must be many thousands of schools across the western world where the challenge would be to find a pupil born in wedlock whose parents were still co-habiting.

So, the deep desire for matrimony now is surely due to something far beyond the legitimising of children. But what might that be? Not being a lawyer, I thought hard about it and, in search of a deeper understanding of the status of matrimony, resorted to an incontrovertible source – Wikipedia. There I learnt that:

Marriage (or wedlock) is a social union or legal contract between people that creates kinship. It is an institution in which interpersonal relationships, usually intimate and sexual, are acknowledged in a variety of ways, depending on the culture or subculture in which it is found. Such a union...may also be called matrimony. Marriage usually creates normative or legal obligations between the individuals involved.

Well, that’s pretty broad. Nothing excluding queers there. But I’m still not clear on why so many people want to say ‘we do’ to gay marriage. After all, it’s scarcely paradise on earth for straights.

While it’s hard to explain the continuing attraction of matrimony in the modern world, the risks are easier to identify: At the advent of one’s first marriage, it would do well beforehand to hear the American proverb: The most dangerous food is wedding cake. Beyond that, why not consult Samuel Johnson on second marriages: they are the triumph of hope over experience. (And so a third or subsequent betrothal is surely the surrender of hope to delusion.)

Thus, one of the great advantages of being homosexual is, in my view, the avoidance of any general expectation of matrimony. Being gay, why would one want to marry at all? It is rather like, having been told one has a natural immunity to a particularly nasty and long-lasting disease (say, hepatitis C), electing nevertheless to go through the onerous and unpleasant treatment regime.

* * *

The Commonwealth Marriage Act, 1961 defines ‘marriage’ as, the union of a man and a woman to the exclusion of all others, voluntarily entered into for life. This definition, incidentally, was added by the Parliament not in the previous millennium but in 2004, explicitly to exclude those you-know-whos...

But leaving aside the whole a-man-and-a-woman thing, have you ever in all your days heard or read anything so preposterous? To the exclusion of all others? Entered into for life? What nonsense this is.

Haven’t these parliamentarians experienced any adultery and divorce? Don’t they watch TV or the movies or read blogs and books? Can’t they Google like the rest of us?

They need to get out more. Much, much more. And soon: well before they get to vote on any proposed amendment to the Commonwealth Marriage Act.

Indeed all this debate raises an important prior question: Why is there a Commonwealth Marriage Act at all?

The historical answer is constitutional. Here I am indebted to the Australian Parliamentary Library – the Commonwealth's power regarding marriage comes from section 51(xxi) of the Australian Constitution, which states:

The Parliament shall...have power to make laws for the peace, order, and good government of the Commonwealth with respect to: Marriage.

The effect of the Marriage Act 1961 and the Constitution is that the Commonwealth has exclusive jurisdiction over the formation of marriages in Australia – there is no room for States to legislate (although State laws may govern civil unions and de facto relationships). This however does not mean there must be a Marriage Act. There is no reason that section 51(xxi) of the Australian Constitution could not lie fallow, as do some other sections of the Constitution.

Tangentially, the Family Court in a 2001 case (Re Kevin) found that a post-operative female-to-male transsexual had validly married; but that this does not affect the current orthodoxy that a marriage has to be between members of the opposite sex.

Hold on. Does this mean the case-law applies only to post-operative transsexuals?

Hell, maybe then a pre-operative transsexual man-to-woman can’t marry her boyfriend unless she goes through gender re-assignment surgery. Gee, that seems a bit harsh. It’s expensive, painful and potentially dangerous, you know. And the guy might love her precisely because she’s a chick-with-a-dick. (Addendum - See comment below on recent High Court case).

But who honestly cares? In reality, the contemporary social edifice of matrimony is hypocritical tripe – just contemplate if you dare the nowadays routine occurrence of multiply-divorced parents happily escorting their adult children for the first time down the sorry old aisle. In my experience gay men and lesbians are on the whole far too sensible to be seduced by such drivel.

Yet, having said that, why should we accept and expect the lives of innocent heterosexuals to be traduced by such tradition?

What’s the point? Legally, it could all be done through de facto relationship/civil union legislation, with default provisions for couples over 20 and co-habiting for more than two years, or for less time if they have children from the relationship, and a sunset/re-negotiation clause that could come into effect after, say, 10 years, but would not be triggered as long as (mutual) love shall last: what in effect we have today with the legal architecture of marriage and divorce.

This wouldn’t preclude the important business of weddings, by the way. It would just make them legally otiose. Love-struck couples no doubt continuing to be so inclined, they would still be able to indulge in their religious, secular or simply bizarre ceremonies on land, at sea or in the air. Women (and indeed men) could still play princess for a day at the inordinate expense of their families.

Yep, the solution to the ‘problem’ of gay marriage is self-evident: repeal the Commonwealth Marriage Act, 1961 and replace it with...nothing.

Now, If only there were a (pre-operative) transsexual parliamentarian I could interest in my proposal.

An edited version of this piece appears on the online journal New Matilda at http://newmatilda.com/2011/12/09/repeal-marriage-act

18 November 2011

KYLIE, MARY AND ME: AMONG THE DESERVING MANY

It is better to deserve honours and not have them than to have them and not deserve them.
Mark Twain
Obviously Mr Twain did not work in the health system; an industry many readers will know is replete with honours and the honoured, merited or otherwise. Indeed I find myself writing today having recently returned from Boggabri – one of the lesser known gems of inland northern NSW – as the proud recipient of an honorary doctorate in Health Politics.

The polyester bonnet now hangs in my office next to the plastic stethoscope given me by grateful staff to mark my departure from a senior health consulting role in NSW in 2009.
But why Boggabri, you ask? Because, interested reader, this little town hosts the southern hemisphere’s sole outreach campus for that citadel of Slovak tertiary education and research – the Scientific University of Bratislava. Like the universe, globalisation may be bounded, but it is infinite in its reach.
Having a few hours to mull over the import of this elevation while wheeling my azure 1987 Maserati Biturbo back home down the New England Highway, my mind turned to those other worthies I know of connected in some way to the health system who have been similarly honoured for their selfless dedication and years of quiet achievement. And to why there appear to be so many people in health in particular with doctorates or the like.
Much of this can of course be attributed to the title, Doctor: it holds a long-esteemed place in the western (and not only western) socio-cultural landscape. Those with a penchant for etymology will know that the term can be traced back to the middle English of about 1300, when the noun meant ‘church father’, coming from the old French, doctour, and before that from the medieval Latin, doctor, meaning ‘religious teacher, advisor, scholar’. That use came in turn from the classical Latin verb, docere, meaning ‘to show, teach’ and, originally, ‘make to appear right’.
Later in the 14th century the term acquired the meaning, ‘holder of the highest degree in (a) university’, the sense in which we are interested today. About the same time, it also began to be used as a title for medical professionals; eventually deposing in the late 16th century the previous epithet, leech. I wonder why such a change occurred? Along the way, the verb ‘to doctor’ acquired in the early 18th century the meaning ‘to treat medically’, and from the late 18th century the sense of ‘to alter, disguise, falsify’.
So there we have a potted history of the term, doctor. But what has this to do with Kylie, Mary and me?
Well, many of you would have been overjoyed, as I was, to hear in October 2011 of the award made to the then Ms Kylie Minogue of an honorary Doctor of Health Sciences by Anglia Ruskin University in Chelmsford, Essex (in southern England), for her work in raising awareness of breast cancer – a hitherto little-understood condition experienced by thirty-something pop singers and other female celebrities.
The singer, who was diagnosed with the disease in 2005, underwent chemotherapy and surgery before resuming the career that has made her a star in Britain, Australia and elsewhere. The university noted that her well-publicised diagnosis has been credited with encouraging young women to undergo breast screening: the so-called ‘Kylie Effect’.
So, she received her honorary doctorate for being famous, ill and prepared to self-publicise in the interests of others.
By contrast, Mary Foley is one of the nation's pre-eminent professionals with a distinguished career in Australian health care in both the public and private sectors. She is now the Director-General of the NSW Ministry of Health. Immediately before taking up that appointment, she was the National Health Practice Leader for Pricewaterhouse Coopers. She is I understand also the longest serving member of the Board of Trustees of the University of Western Sydney (UWS).
UWS tells us that the then Ms Foley was the Telstra Business Woman of the Year in 1998 and received a Centenary Medal in 2003 for service to Australian society in business leadership. She has also served as director on a number of prestigious boards, including the Garvan Institute of Medical Research, the Victor Chang Cardiac Research Institute, and the St Vincent’s Research and Biotechnology Precinct. She was awarded an Honorary Doctorate of Letters honoris causa by UWS in 2010.
Thus, each of us is now a proper doctorthat is, have had conferred upon us an (admittedly honorary) doctorate. We are not to be confused with those doctor doctors, who hold just a couple of bachelor degrees (typically MB,BS – no better really than BA,LLB; or BEc,BBus; or BSc,BEng).
While I do not know if the popette is yet referring to herself as Dr Minogue, I have been aware for a while that Dr Foley has decided, as I have, to embrace the title (no matter how modest she may otherwise be).
Imagine then my consternation when I found out only a day or so ago that a certain Matthew Knott, writing in some scarcely-known web journal called The Power Index*, had produced a piece in October 2011 chiding the aforementioned Dr Foley for employing the honorific as her preferred title.
Really! Doesn’t he understand how important it is to be able to face the doctor doctors on equal terms?
Mr Knott – who evidently grasps little of the highly competitive, status-driven environment and the atmosphere of pomposity that pervades the health landscape – quotes the churlish views of an anonymous informant that there is ‘increasing discomfort among senior clinicians and public servants about her use of the honorific’.
Well, Mary, I can tell you we policy consultants are absolutely fine about it. Especially those of us who hold honorary doctorates from obscure Eastern European universities.
The petulant health system gossip adds that ‘there is also a view that Foley’s ego trip could lead people to wrongly assume that the country’s biggest public health service actually has a qualified medical practitioner at the helm’.
Hell no! NSW couldn’t be that silly, could it?
Well, no and yes. Dr Foley isn’t a medical practitioner (thankfully); but she has been mistaken for one – by her own organisation, no less, which continues to cite her thus in the list of members of the NSW Mental Health Taskforce. (Indeed, here is a link: http://www.health.nsw.gov.au/news/2011/20110602_03.html.)
But, apart from this bureaucratic misstep, how could Dr Foley’s use of the title be possibly considered an ego trip, when it clearly reveals a deep insecurity about one’s status and doubts about one’s intellectual credentials. Oh. Hold on...
Look, OK. There could be something in that. But be fair. We in the health industry have to put up with some people who don’t have just one actual, wrote-the-thesis-and-got-the-hat doctorate, but occasionally two or more. And a few of them are even medical practitioners as well! While one real PhD is meritorious, having two doctorates is a bit obsessive; and three is just plain showing off.
Little wonder Mary and I (and maybe Kylie, too) are determined to use the honorific, Doctor.
At least we are in good company. Just look at all those clinicians with a couple of bachelor degrees who are doctors qua medical practitioners, but insist on the title ‘Doctor’. And, infamously, these days not only medical practitioners, but also vets, dentists, and even osteopaths (quelle horreur!) call themselves ‘Doctor’. Where will it end? Podiatrists? Speech pathologists? Surely not nurses...!?
There are very few professions these days whose name also confers a title. Once, in medieval England, a commonplace – Farmer Smith, Goodwife Jones – it is a quirk now limited principally to the military and the church. We do not, for example, call solicitors, Lawyer Pellegrini. Nor do we abbreviate an architect’s title as At Seidler. Yet doctors are called ‘Doctor’ as captains are called ‘Captain’. (Interestingly, however, the obverse is not the case: Holders of a doctorate are given the title ‘Doctor’ even though they usually are not, and are not called, doctors as a professional description.)
So, being a doctor (qua medical practitioner) does not itself entail or justify use of the title ‘Doctor’: that use is an honorific. And, as noted above, it is an honorific no more merited than the use of the same honorific when one has received (only) an honorary doctorate. With such abundant and deserving company, Mary and I should be feeling much more comfortable about calling ourselves ‘Doctor’.
Now, I wonder how the Scientific University of Bratislava is about the use of the title, 'Professor’?
* ‘Let the doctor debate begin’, by Matthew Knott in The Power Index, Friday 21 October 2011 http://www.thepowerindex.com.au/power-move/let-the-doctor-debate-begin/20111020594

23 September 2011

THE ROLE OF DOCTORS* IN HEALTH SERVICES PLANNING AND MANAGEMENT: ALTRUISM, EXPERTISE AND LACK OF ENGAGEMENT AS PERCEPTUAL DISORDERS


The name and pretence of virtue is as serviceable to self-interest as are real vices.

Francois de La Rochefoucauld

On 20 July 2011 Dr Steve Hambleton, a Brisbane general practitioner and President of the Australian Medical Association (AMA), gave a speech to the National Press Club in Canberra on Fixing Health.

In that speech he said, ‘Evidence shows that where doctors run the management of hospitals, results improve and morale is better’, and added that, ‘if (deeds and actions) are bad for doctors, then they will be bad for patients and bad for our health system’.

In a speech to the AMA Parliamentary Dinner on 17 August 2011, Dr Hambleton reiterated his views and added that, ‘You cannot improve the health system by ignoring the opinions and advice of doctors’...‘(doctors) have the knowledge and experience to make the system work better’, and ‘they are (the) best possible health policy advisers.’

So, what is an intelligent impartial person, concerned about health policy and public administration, to make of these views? Having had some years’ experience dealing with medical practitioners in health services policy and planning and, to a lesser extent, hospital management, I thought I could assist a wider understanding by offering something in the way of explanatory analysis and comment.

But first, a thought experiment.

Imagine if you will a very smart eighteen-year-old, freshly out of high school and off to university. This kid has been told for years they are among the brightest and the best. Academically, they have performed in the top 0.5% of their state. They decide to study medicine. Why? The usual reasons – status, calling, intellectual interest, psychological suitability, family pressure, future wealth, or maybe a combination of some or most of these drivers.

What they are taught and learn, above all, is how to be a highly-skilled technician. As they progress and specialise, their status, wealth, intellectual satisfaction and sense of purpose and achievement rise accordingly. Of all the technical careers one can choose, medicine and surgery rank among the best-regarded. These are demanding careers of great human worth and social value, and their practitioners are rewarded handsomely, in both financial and non-financial terms.

But how do medical practitioners perform at all the other things we require of senior policy thinkers, health executives and leaders? Well, in my experience, and in the experience of just about everyone I have talked to in this business (including some doctors), no better than the rest of the population. And, on average, not as well as other intelligent, well-rounded people who have studied and worked in the wide range of areas that comprise a complex modern health system.

Not surprisingly, what most doctors are good at is doctoring. Intelligence comprises a complex set of qualities. It is passing rare for most aspects of intelligence to be optimised in any one individual; even in those who as teenagers ranked in the top academic 0.5% of their peers.

The qualities of medical practitioners we value are these: diagnosis, rectification and prevention of problems associated with complex psycho-physiological entities, AKA us. Most are employees, or self-employed, or partners or directors of small to medium enterprises. A few have entrepreneurial or high-level management skills, and some show fine leadership qualities – but many of them would struggle to run a school tuck shop without ‘support’. As health managers, they make great doctors.

Yet the problem here is not only about the qualities that most doctors lack – it’s about the ones they have. And what they have, as we all do, is baggage.

The encumbrance in this case is an egregious confirmation bias toward their group.

What evidence, for example, does Dr Hambleton allude to in support of his claim that, ‘where doctors run the management of hospitals, results improve and morale is better’? None, of which I am aware. Of what would such evidence comprise? A survey of doctors?

And what of the claim that (doctors) ‘have the knowledge and experience to make the (health) system work better’. What is Dr Hambleton’s evidence for that? Feedback from AMA members?

But most revealing is his statement that, ‘you cannot improve the health system by ignoring the opinions and advice of doctors’. This at a parliamentary dinner at which Federal Ministers from the Prime Minister down were seated at tables of AMA members...access not ordinarily enjoyed by any other part of the health system.

To pretend that the opinions and advice of doctors’ is ignored by health service executives and planners is risible in the extreme. Numerically one of the smallest parts of the public health system, no other group comes remotely close to exercising as much professional influence and economic coercion on health service systems and delivery. Doctors are, as a rule, engaged to standstill.

So, how could Dr Hambleton seriously arrive at his conclusions? Is it just advocacy of group interests? No. It is that, of course, but it is more. Because many doctors actually believe they should be running all health services. (Indeed I have had one senior VMO surgeon tell me during a surgery planning session – when he wasn’t entirely getting his way – that doctors will just have to run the hospital.)

The AMA’s only plausible complaint could be that doctors are not in complete control.

Being told over and over again for years that one is brilliant, outstanding, or exceptional; it must be very seductive. Only those with the most robust sense of equanimity would fail to be flattered. Being surrounded by and accepted into a revered clique of similar standing, awash with arcane practices and near insuperable barriers to entry, only serves to reinforce a sense of meritocratic hierarchy. Little wonder some doctors – particularly senior specialists – behave as if they’re God’s gift...

Doctors who move into senior health management and policy leadership ultimately must go through a moment like Charles Erwin Wilson, the General Motors (GM) President appointed in 1953 as US Secretary of Defense. When asked in a hearing if he could make a decision adverse to the interests of GM, Wilson answered yes, but added that he could not conceive of such a situation, ‘because for years I thought what was good for the country was good for General Motors and vice versa.’

Yet it appears that Dr Hambleton would, at least at present, fall short of even Mr Wilson’s meagre threshold. Other than demonstrating that the AMA President is, perhaps ex officio, unfit for senior health system management or service planning leadership, what do his statements tell us about doctors compared, say, to other technicians?

Plumbers, on the whole, are unlikely to think that town planning is a complex bureaucratic system developed solely or mainly to provide plumbing services to households, businesses and institutions. Whatever their intellectual limitations (as a group) may be, plumbers are neither so silly nor arrogant enough to think that their function is the only or principal purpose in planning new developments. Important, yes. Indeed, essential for a safe and clean environment. But not the main game.

If only doctors were as sensible and proportionate in their expectations. But alas, they are not and most cannot be, because for them medicine is health and vice versa. And so, mutatis mutandis, they cannot conceive of a heath system other than as a grand structure to support and deliver medical practices. But most of us know that health is way, way more than this. Just as defence is not just about who builds and supplies jeeps, trucks and other vehicles. Not even in 1953.

What’s good for medicine, and for doctors, is not necessarily what’s good for the health system. What’s good for patients is not necessarily what’s good for doctors. Even leaving aside the obvious financial considerations and matters of malice or incompetence, interests sometimes coincide and sometimes conflict. Whatever their merits, health complaint systems are full of such cases.

It is a fact now quite widely known and well-evidenced too that many doctors, when confronted with the option to undergo the same procedures they typically recommend to their patients, choose to forego them. Any doctor who fails to understand this point about divergent interests is frankly unworthy of a senior role in a public health service.

Confusing the part for the whole is known in analytic philosophy as a mereological mistake.

Smart people avoid being tripped up by such altruistic illusions, unless their baggage is blocking the view. The best way to get over your baggage and take the trip that wisdom asks of us – the journey to abstraction – is to leave the old suitcases where they are and move on without them.

Abstraction is a crucial quality for those in senior management, planning and leadership of services for the public good. It is the capacity not just of looking beyond self-interest and putting oneself in the shoes of others (the altruistic position), but of moving to an impartial point of view that considers the overall public interest and prepares one to take a position that may be detrimental to oneself or one’s group.

Only doctors who no longer especially care about the interests of doctors are capable of abstraction. There are some; but they are few.

And Dr Hambleton and those who think like him do not count among them.

* By ‘Doctors’ it is of course meant, doctor doctors (ie medical practitioners), not real doctors (ie people with a doctorate), apart from those who are also medical practitioners. In this article, vets, dentists and other clinicians are not included in the category of Doctors.

1 May 2010

CONFIDENTIAL DRAFT REPORT: WHAT ON EARTH IS SEX FOR?
(Report by lead researcher E Brik on behalf of the field team)

(This is a follow up to our first Report - What on Earth is Sex? Note: Apologies to the more squeamish reviewers of the prior report – the authors have on this occasion limited graphic details to the bare minimum necessary for a full understanding of these frankly perplexing phenomena).

The first and most obvious thing to say about sex here on planet Earth is that it is an activity confined to the living. Dead creatures don’t do it (although they may have it done to them) and inanimate things like manacles and vacuum cleaners don’t do it either (although, again, these can be employed by living things for sexual purposes). This is because sex is a biological mechanism: it is the way that (most) living things get together to make other (similar) living things.

Thus, if it is for anything, sex appears principally to be for one thing: reproduction, just as we surmised in our previous paper. But is it, or could it be, for anything else too? Lead researchers selected a well-known and successful mammal found here on planet Earth, a higher order primate known as Homo sapiens, as a suitable subject for more detailed examination.

Homo sapiens (or humans, as we refer to them colloquially) are comparatively long-lived creatures. They mature slowly for over twenty Earth years, developing sexually in their teens, and remain sexually active for up to a further forty years or more. While patterns of sexual activity diverge widely from individual to individual across the species, it does not appear to be seasonal: on average, humans engage in sex in a relatively consistent pattern throughout the Earth year (roughly 365 days of 24 hours each).

Human sex takes many forms and conjugations, and can occur as often as daily (and sometimes even more frequently) or as rarely as one finds with Panda bears (annually, if at all). The teenage years and indeed human life before reproduction appears however to revolve around the pursuit of sexual relations to quite a high degree. Nevertheless, with the passage of time and partnering, a modicum of regularity (and the common appearance of children) brings activity down to more manageable frequencies.

Detailed study of a large and representative sample of Homo sapiens recently undertaken shows that, when partnered*, sex occurs on average roughly twice weekly (a week = seven Earth days). Even assuming a relatively late start of twenty years of age, and an earlyish finish at sixty, this would mean on average that humans have sex about 4000 times in their lives. At first this struck the researchers as an astonishingly high figure (tiring even to contemplate), until we carefully factored in variables in the data.

These factors include periods of illness, injury, exhaustion, dearth of opportunity or available mate/s, a pathological lack of interest in sexual congress, unattractive options for sexual partners, resort to masturbation#, more appealing alternatives to sex (eg sport on television) or engaging in other activities without a sexual partner or that deter sexual congress (such as fishing, knitting etc). As a consequence, we have cut the estimate by 50% as the basis for more thorough-going analysis.

Even so, one can quickly adduce that this is still an inordinately high figure. Indeed, field researchers have speculated on how the species could tackle the other major challenges of life on planet Earth when so much time and energy is apparently taken up exchanging bodily fluids. A clue is the time taken for sexual congress, which, as with frequency, varies greatly: from as little as fifteen seconds (ie 1/240 of an Earth hour) per event up to, on occasions, many hours at a time!

Although further research needs to be undertaken to make definitive findings, it would appear that the amount of time taken up by human sexual activity on average is somewhat less than an hour, even including the preamble we characterise as foreplay, and tends to reduce as Homo sapiens age and, importantly, as members of the species become more familiar with their sexual partner.

The latter factor may also play a role in philandering (sexual cheating), as human partners appear to become sexually bored with the effluxion of time, their penchant for dressing up, introducing supplementary mechanical devices and engaging in related theatrics notwithstanding. Indeed this has led some researchers to postulate a theory of serial monogamy in Homo sapiens. (For those with a scholarly interest in the subject, these matters are canvassed in more detail in Appendix C.)

In any event, it became clear to the research team shortly after commencing our work that we needed to understand better the link between sex and reproduction in Homo sapiens. After all, evidence shows that the average number of living offspring that human couples produce is somewhere between two (minimum replacement level) and three. This would, on the face of it, suggest that an awful lot of human sex is going on for the production of not very many progeny.

What on Earth could be the reasons?

Careful readers of our previous report will have noted that the shared sexual mechanism in Homo sapiens includes genital ganglia, stimulation of which is integral to the confluence of genetic material. Although there is some scholarly debate on this point, it appears on the face that the principal purpose of these ganglia is to trigger an emission from the male into the receptive female. This however leaves it unclear if the existence and excitation of the female genital ganglia are in some way reproductively advantageous, or are a so-called evolutionary free-rider.

Whatever its aetiology, both sexes can achieve what is called orgasm, although the male orgasm is more in the way of a necessary component, while the female orgasm is somewhat less common (though it is by no means unknown, and can on occasion occur multiply). The female orgasm may function to increase the probability of successful fertilisation; otherwise its prospect may serve as an inducement to the female to have sex, or may merely be a di-morphological side-benefit of the mechanism for ejaculation in the male.

(This is perhaps fitting, as the female human [as readers of our previous report will recall] invests far more reproductive energy and time than the male and, it should be said, experiences a great deal of pain and distress in the reproductive process, due in part to being bipedal, upright and having a highly pronounced cranial-torso volumetric ratio. Perhaps a clue to human sexuality lies herein.)

While we have not yet undertaken the important neuro-psychological laboratory research to understand the cognitive functioning of Homo sapiens in detail - we are, after all, still in the field - many of the creatures actually appear to enjoy having sex. That is, there is a phenomenological component to the human sexual act – a sense of experience perceived, and in all probability recalled, that acts as a powerful inducement to replicate the activity. And often.

Sexual pleasure also (and this for some of our research team is the clincher) appears to function as an inducement to engage in sex for its own sake: that is, engaging in sexual activity that does not, and – controversially – sometimes cannot, lead to reproduction. (This challenging proposition is explored in more detail below.) So, in short, the preponderance of researchers contends that either humans are cheating nature, or the purpose of sex is much wider than we might have supposed.

Indeed, no other postulation explains the data: 99.9% plus of human sexual acts do not result in reproduction – a ratio of 1000 to 1! And, we contend, no species would survive such a pathetically low strike-rate unless it had evolved not just despite, but precisely because of, such a strike-rate.

Moreover, there is firm evidence to show that Homo sapiens, when it is so inclined, finds reproduction relatively amenable, despite the absence of a female ‘season’ in this particular species. There are, after all, over six billion of them on the planet, and counting. Only two other families of species on Earth seem to be more pervasive: rodents and cockroaches. On-site calculations indicate that human mates intending to reproduce successfully fertilise on average with fewer than ten copulations. So, even accounting for the need to evolve a mechanism for successful reproduction, at least 99 times out of 100 humans are having sex without the faintest intention to garner progeny!

Yet there may be more to the human story than just strong evidence that most sex is not intended to result in the getting of offspring: some of our research team argues that humans typically intend quite the contrary! What evidence has been observed for this striking thesis? (We recommend that the more delicate of readers divert their attention from the following discussion, as we now traverse in some detail a simmering scholarly dispute in which we are bound to consider a sub-set of the actual sexual practices of Homo sapiens – some of which are, to be candid, unedifying.)


There is no easy way to raise this issue but to dive right in. Our field researchers were frankly staggered to find, in reproducible study after reproducible study, and controlling for all conceivable variables, that a statistically significant proportion of human sexual activity involves practices that render reproduction not just highly unlikely, but physically impossible!

Astute readers will recall that Homo sapiens conforms to the typical mammalian morphology extant on planet Earth; that is, they have as well as genitals a well-developed digestive tract (mouth to anus via tongue, throat, stomach, intestines etc) and a respiratory apparatus that co-deploys the oral cavity as well as nasal passages and throat, then diverts to the lungs. It is however (the sexual use of) the human mouth and tongue as well as the anal cavity that have excited the most interest amongst our field researchers.

Close examination of humans in sexual congress (often recorded at night with low light and with the benefit of infra-red technology) indicate that a wide variety of anatomical features are employed sexually; when erect and available for sexual purposes, for example, the male organ - the penis - seems to be happily engaged entering just about any warm, moistened orifice in which it can fit. Moreover, many of the female of the species seem more than happy to have their labia attended to orally, with scarcely a passing interest in the aforementioned erection. Little wonder then that much ejaculation and female orgasm occurs without any prospect of reproduction.

For the sake of completeness, it should also be noted that a non-trivial minority of adult human sexual interactions actually do not involve both sexes, and thus preclude reproduction as an option. This sex is, by its very nature, of the oral, anal and otherwise varieties – examples upon which, prudence and good taste dictate, we shall not dwell.

(It should however be stated by way of clarification that researchers found Homo sapiens to be a comparatively clever, imaginative and dexterous creature. It would appear that these talents are happily employed in human sexual exploits. Non-reproductive sexual activities are by no means limited to human orifices. For example, the research team had not imagined the range of potential employments for the opposable fingers and thumb of these higher order primates until engaged in our seminal fieldwork.)


There is considerable debate amongst researchers over the proportion of the species that engages in what we have come to term homosexual (to be contrasted with heterosexual) congress. Some field workers have contended that as many as 10% of humans are homosexual or engage in homosexual relations. Others argue it is a much lower proportion (no more than 5%) and that some or much of that activity includes members of the species who are quite happy going both ways (so to speak). This behaviour we characterise as bisexual - it has been an irritating complication for modelling in the research project as is it very difficult to monitor or predict.

As one could anticipate, much debate amongst the research team has ensued over the evolutionary status of homosexual (and, to a lesser extent, bisexual) behavior in Homo sapiens. How did it come about? What would or could be its evolutionary purpose? Scholarly views (as always) diverge sharply on this issue. There are two major schools of thought: one group favours an adaptationist explanation for homosexuality – either by it conferring advantages, particularly at the level of group selection, or as a cultural parasite (a view propounded by some of the newer graduates and the more absolutist members of the research team).

The other major view considers homosexuality to be non-adaptationist. This is either because it is a past adaptation now redundant (though it is difficult to see what such a previous adaptation might have been, other than to maintain sexual function when the sexes were separated) or because it is a so-called spandrel, a mere evolutionary by-product of a conscious and (relatively) sophisticated cognitive apparatus. Many in the research team remain undecided on this debate. Perhaps the most telling point to note however is that, if almost all human sex is not for reproduction, then (other things being equal) it won’t much matter with whom one is having non-reproductive sex.

So much for the research team’s initial views about reproduction – there is now compelling evidence to show it is little more than an occasional by-product of human sexual activity – sometimes intended, sometimes not. Much more work needs to be done with this fascinating, complex (and somewhat quirky) species to understand better its cognition, motivations and behaviour – not just its sexual behaviour. Appendices A and B set out our research proposal and the funding submission respectively for Stage 3 of the Research Project.

The research team seeks urgent approval within three Earth months (a quarter of an Earth year) as we have sufficient resources to sustain us only for that period and have not as yet been able to establish an effective means of communication with Homo sapiens, other than through inducing interaction with manacles and vacuum cleaners. It would be a great pity to let this opportunity go to waste just as we are beginning to understand how humans tick.

Unlocking their (presumed) language and belief systems could open up more opportunities to develop relations with this most bizarre of creatures that extend beyond their odd sexual proclivities.


© Earth Year 2010 – Author and Lead Researcher: E Brik
______________________________________________________

* The activity of unpartnered members of the species diverged wildly and was comparatively difficult to measure in the absence of electronic monitoring. Subcutaneous implant devices (necessary for dexterous creatures with opposable thumbs) have been ordered and researchers hope to have them deployed for Stage 3 of the Research Project, assuming Ethics Committee approval and the resolution of long-distance supply issues.

# Researchers were careful to ensure that only activities involving two or more Homo sapiens (over sixteen Earth years of age) were considered for the purpose of analysis, so excluding some exotic activities with other creatures that raised frankly challenging issues of consent.

1 October 2008

ON MY PECULIAR ATTRACTION TO JULIE BISHOP
Federal Member for Curtin, Deputy Leader of the Opposition and Shadow Treasurer

I have an admission to make. I’ve recently been struggling with a compelling desire to find out all I can about Julie Isobel Bishop - not as a virtual stalker, mind; just in the way of some getting-to-know-her research. Luckily, she has a website, julie-bishop.com, on which are depicted flattering photographs of Julie in smart frocks and pearls.

Although you won’t find her birth date on her website – she must be shy in that regard – I can tell you that Julie was born on 17 July 1956 in Lobethal, South Australia, an historic German village 33 km from Adelaide and 410 metres above sea level.

Lobethal’s own website tells us that it is a pleasant and substantial village with its roots deeply embedded in the early history of South Australia. Aside from the curious ecological conundrum of a German village having its roots in the Adelaide Hills, Lobethal seems very boring, even by South Australian standards.

My research reveals that Julie was raised in the Hills as a daughter (like we were assuming a sex-change?) of a long-established farming family. What exactly do they mean when they say, long-established family? It makes them sound like a grove of fruit trees.

Yes, the Bishops first set their roots down in Lobethal in 1867, and haven’t required more than the superphosphate bounty and occasional watering for over a century.

Families are by definition long established. Do they just mean the Bishops haven’t moved around much? After all, even we urban peasants have a history. Do you know of any family that has suddenly sprung, sui generis, into existence in the last week or two? If you do, please alert the relevant authorities. These facts should be recorded.

But back to Julie, who, as you will know, is the first ever female Deputy Leader of the Federal Parliamentary Liberal Party, and now Shadow Treasurer. This is v important.

Julie was elected to the House of Representatives as the Member for Curtin, Western Australia in 1998, and has been elected again and again and again since. They must like her in Curtin, and I’m sure it’s not just for her dress sense.

Despite its communitarian associations (the federal parliamentary seat, created in 1949, is named after the Australian Labor Party’s much revered wartime Prime Minister, John Curtin) it has always retained Liberal members. Look at the map and you’ll soon see why: the seat comprises the affluent and established western suburbs of Perth in the area between the Swan River and the Indian Ocean.

Centred on Subiaco, Curtin includes Mt Hawthorn, Floreat, Leederville, West Perth, Nedlands, Dalkeith, Peppermint Grove and Claremont Beach. These places even sound expensive, don’t they? It is in these locales that reside such emblems of taste and style as Alan Bond and Rose Hancock.

Julie, I think you'll agree, l
ooks comparatively young for 52 (I reckon she’d be a swimmer, and I hear she works out). Her electorate has the highest percentage of people aged 65 or more in Western Australia. So no wonder she looks young - everyone else in her electorate is beyond pension age.

And I note that, though born in SA, Julie first made her mark in Perth. Just like that famous political pensioner, Bob Hawke. I wonder if she plays around like Bob did?

To find out, I thought I’d examine her schooling. Her website tells us that Julie was educated at the St Peter's Collegiate Girls' School, an Anglican educational facility in the foothills of Adelaide's Eastern Suburbs.

I can reveal that St Peter’s was founded in 1894 by the Community of the Sisters of the Church. You may also be interested to know that, as girls graduate from St Peter’s, they become Old Scholars. (A bit different to my old school, Cumberland High in northwest Sydney, graduates from which were referred to as Truants.)

Trivial Pursuit question: What other former federal Liberal Party Minister is also an Old Scholar of St Peter’s? Answer: No, not Alexander Downer; it’s Senator Amanda Vanstone! Who’d have guessed? She is older than Julie, and not nearly as svelte and pretty. I bet Amanda was the goalkeeper in the hockey team. I wonder did they get on at school?

The school website says the Sisters who opened the school (St Peter’s, not Cumberland High) were Englishwomen who had joined the Anglican Sisterhood founded in 1870 by Miss Emily Ayckbowm, who originally taught at St Trinian’s…(OK, I made that last bit up).

The website also notes that Julie’s Alma Mater provides five personalised buses to pick up and drop off your daughter from your door. Personalised? What, so the girls get to spray their own Tags on the windows and body panels? Cool.

The destinations and routes are West Lakes, Tea Tree Gully, Southern, Golden Grove and the Adelaide Hills. (I wonder which one Julie took: Adelaide Hills? Or was she picked up? Picked up, I would guess.)

School bus tickets for St Peter’s can be purchased from the School Shop.

This is nice, isn’t it? For St Peter’s girls, there’s no lugging a backpack or, as I did, a Samsonite case 4km home after missing the sole Harris Park Bus Company death trap, built circa 1946; the one from which all student passengers had to disembark if it were to manage the climb up Bettington Road, North Rocks.

Do you think they might let a middle-aged atheist male who attended a state high school in Sydney on for a ride with the girls in a St Peter’s bus? Purely for research purposes, mind. No, more likely just Old Scholars, I’d say.

And maybe Alexander Downer. He’d be considered safe.

As well as an excellent school bus service, current facilities at St Peter’s include:
· A heated Swimming Pool (outdoors – 25 metres)
· Six Tennis Courts and an Oval (approximate size: two soccer pitches)
· A Multipurpose Sports Courts, Fitness Courts & Gymnasium
· Art Spaces (with spray cans?), Music Studios and the School Hall
· A Chapel, School Museum and Boardroom
· A Lecture Theatre (seating 140)
· A Health Care Centre (with three beds; but only for the girls, OK); and
· The School Shop, selling 2nd hand textbooks & uniforms (for the scholarship girls)

No Pony Club, alas. But the school can host Weddings, Baptisms and Funerals for Old Scholars. While there is no public record of Julie marrying at St Peter’s, it must be a comfort to know she has somewhere welcoming to go to when she dies.

A most entertaining and informative history of the school, Not Saints, But Girls (just in case we were wondering), was written by Dr Janet Phillips and published in 1994. Copies are also available from the School Shop. Goodo.

We can tell Dr Phillips, senior lecturer in History at Flinders University, is a serious scholar, as she has also published (with Peter Phillips), 'History from Below: women's underwear and the rise of women's sport', in the Fall 1993 issue of the Journal of Popular Culture.

Speaking of garments, the school makes it very clear that all St Peter’s girls are required to own a blazer. In Terms 2 and 3 the blazer must be worn to Chapel and assembly. And the jumper may not be worn as the outer garment outside the school grounds at any time.

Quite right, too. Wearing their jumper without a blazer is something those state high school girls would do. I wonder if Julie still has her school blazer? Does she still occasionally dress up in it? I hope she does. Without the jumper. Or a frock.

* * *

Right out of school, Julie attended the University of Adelaide, where apparently she was elected secretary of the Law School Students' Association. There she had a direct role in organising the essential events in the Law School calendar, including (and I quote) "the pub crawls down Hindley Street and Rundle Mall, the Law School picnic at McLaren Vale and the Law School ball at Burnside Town Hall".

Oh yes, she could be a rager, blazer or not. After completing a Bachelor of Laws in 1978, Julie practised law, joining an Adelaide law firm, Mangan Ey & Bishop.

Was the Bishop bit a coincidence, I wonder, or was it added when she became a partner of the firm at just 26?
It wouldn’t have been a family law firm, by any chance? Surely I detect here no whiff of nepotism or filial privilege …

In the Sydney Morning Herald of 7 September 2007, Mark Davis wrote of Ms Bishop that,

‘Julie reported for her first day's work in February 1979 as an articled clerk at a small city law firm with ribbons in her hair and stars in her eyes.

The young lawyer in the Liberty print dress was sent straight to the Supreme Court, where one of the firm's partners was defending a man accused of murder. Nearly three decades later, Bishop still recalls every detail of that first assignment as a 22-year-old.

The defendant, she said, “was accused of shooting his wife seven times in the back with a pump-action rifle on a Sunday morning in full view of suburban Adelaide." And how did it feel to walk into Adelaide jail to take instructions from her client? “It was terrifying. I found it to be the most soulless, heartless place I could ever imagine.”

Gee, and there I was expecting South Australian prisons to comprise inviting brick and timber buildings with charming courtyards gardens; sort of like St Peter’s, just with higher walls.

Mark continued, “From the family orchard perched in the hills to the bleak stone walls of the old jail down on the city's plains, the contrast between Bishop's upbringing and the reality of criminal law was marked.”

Would that be because of the Liberty print dress, or the ribbons in her hair?

“But”, Mark concludes, “It did not dissuade this young lawyer on the move.”

Gosh, no. Primed after a few years for the legal and social whirl of the west coast, in 1983 Julie took her frocks and bags and accessories and moved to Perth where she practised as a commercial litigation solicitor with Robinson Cox, now Clayton Utz (no yucky criminal law, there). She became a partner of Clutz in 1985, and managing partner in 1994.

In 1996 Julie attended Harvard Business School (yup, the one in Cambridge, Mass) and completed the Advanced Management Program for Senior Managers. Then she was admitted as a Fellow of the Australian Institute of Management. The ribbons had gone, but the print frocks remained.

Over the years Julie has held a number of positions, including Chair of the Western Australia Town Planning Appeals Tribunal, member of Murdoch University Senate, member of the board of the Anglican Schools Commission (qu’elle surprise), and a director of SBS.

She has twice participated as an Election Observer for the Commonwealth of Nations in recent parliamentary and presidential elections in Zimbabwe. Encouragingly, on these trips there is no mention of frocks, printed or otherwise. Not even alligator-skin handbags.

Of course, Julie served in the Cabinet of the erstwhile Coalition Government as Minister for Education, Science and Training and as the Minister Assisting the Prime Minister for Women's Issues. Before that, she was Minister for Ageing.

Now she has become the Shadow Treasurer. And as soon as she’s appointed, what do those nasties on the Treasury benches do, cheered on by media meanies? They poke fun at Julie because she doesn’t know the current interest rate. Well, why should she? She doesn’t have a loan. Next they’ll be expecting her to know the price of bread and milk and petrol. But c’mon, she’d have a housekeeper for all that.

I mean, really. She didn’t go to the Harvard Business School to learn that stuff. Julie can’t help it if she’s rich and privileged and out of touch. And her constituents obviously don’t mind. Look at her CV, they say, it must run to more than a dozen pages - 8pt, narrow type.

Prior to her appointment to the Ministry, Julie was Ambassador of the Muscular Dystrophy Association in WA, on the Council of Governors of the Lions Ear and Hearing Institute, a patron of CanTeen, and vice patron of Westcare Incorporated.

Julie was also on the Board of the Cancer Foundation WA, and she remains a patron and active member of many business, cultural and sporting organisations in her electorate. It just goes on and on and on. The civic service and social whirling never let up.

The NNDB website helpfully notes the following essential information about Julie:
· Gender: Female (Yup, definitely no sex change)
· Race or Ethnicity: White (bread)
· Sexual orientation: Straight (Tick, for hetero guys)
· Occupation: Politician (No doubt there)
· And her boyfriend is Peter Nattrass, Mayor of Brisbane (Cohabiting).

Hey, what? Cohabiting! But, even worse, Rottentomatoes.Com says she is married to the current Lord Mayor of Perth, Dr Peter Nattrass.

Hold on. Is this the same Peter Nattrass? How many are there? Could there be a pair of them, mayors of different cities? Is she two-timing doppelgangers across the continent? Or did he move?

And what else happened? Have they married? I didn’t know anything about this last bit. I’m sure she doesn’t wear a wedding ring. I’m, I’m, devastated

Actually, NNDB, an American website that clearly wouldn’t know Brisbane from Barbados, got the city wrong (it is Perth, so I guess there’s only one Peter Nattrass after all).

Rottentomatoes.com got it wrong, too – Mr Nattrass is an ex-Mayor, and it appears the married bit was also incorrect. They’ve been partners for about 13 years. Phew.

And I’ve heard Mr N is way older than Julie, like about 104. So she’d be getting a bit bored with him by now, wouldn’t she? Yeah, I reckon he might be struggling to keep up.

* * *

I know what you’re thinking: this guy just needs to get over the Adelaide Hills family; the high church religion; the private girls’ school; the law firms; the Harvard bloody Business School; the Liberal Party membership; the excessive good works; the frocks; her sleeping with an ex-Mayor; and come to terms with the fact that he fancies a (slightly) older Tory woman.

Oh yeah. Sure, it’s easy to say. But you don’t know how hard this is for me. I have issues; and my partner has even more issues. And not because my partner’s a man. She isn’t.

My partner is blond, like Julie; she is attractive like Julie (no, what am I saying!! She’s way more attractive than Julie); she is smart and accomplished like Julie (but in a quiet way); and she’s three years younger.

So what issues could my partner have with Ms Bishop?

Don’t start me. My partner’s never met her - she doesn’t even know I have feelings for Julie - yet already, like Tatie Danielle, she hates her.

Actually, hate might be a bit harsh; its more that just seeing Ms Bishop on the TV news or current affairs sets her off.

What could the source of this enmity be? After all, both attended private girls schools (although my partner’s was Catholic). Each is a university-educated, middle class Anglo-Celtic woman with good teeth, stylish hair and a pleasant disposition. They’re both socially integrated. No obvious dysfunction – no history of abuse or drugs, no criminal record.

I’m sure, like my partner, Julie would make a polite and engaging dinner companion. Surely their similarities exceed their differences?

Ah, but here the similarities end. See, just as with a lot of lefty women, what my partner can’t tolerate about the first female deputy leader of the Federal Liberal Party is not Julie herself, but the things she stands for.

First, Julie should understand that the point about going to a high church girls’ school is to repudiate it. This is the only fair and decent thing to do.

Second is just her general, all round smugness. One should learn not to wallow in one’s advantages. It is unseemly.

Third is the shameless advocacy for WA wealth and privilege. That is tacky.

Fourth is her Alligator-skin handbag approach to nature and the environment.

Fifth is the calculatingly Protestant CV full of good works.

Sixth is her public adoration of the irksome reactionary, Sir Charles Court – former Liberal Premier of Western Australia - with whose death, Julie writes, ‘the State lost its greatest visionary’.

Seventh, the Harvard effin’ Business School.

Eighth, perhaps Julie’s eyes are set just a tad too deep for her to be thought truly beautiful…

Oh, how can I admit I fancy a woman, even from a safe distance, who is a prospective object of loathing of my one true love?

What’s the solution? Forget her?

If only I could. But in quiet moments my mind wanders off without me, my fingers drift back to type in ‘julie-bishop.com’, and I’m lost again in a sea of smiles and print dresses and agreeable community events in West Perth. Wishing I could counsel her, over a dinner in Peppermint Grove, on the simple joys of a middle class, left-of-centre life.

Or what about a quick drive down to Canberra for a ‘chance’ meeting, maybe in the members’ pool of Parliament House, my clutching a bunch of yellow roses and a bottle of Pol Roger, (Cuvee Winston Churchill, mais non)? But how would I gain surreptitious entry at precisely the right time? I don’t have a pass to Julie’s life.

Anyway, I’m sure there would be a bevy of guards and attendants keeping an eye out for all the potential, pathetic, middle-aged Julie stalkers. God, I think I might even be beginning to understand the allure Maggie Thatcher had for the likes of Clive James. Weird. And more than a trifle embarrassing.

Hell, I’m not coping with this. Either I’m going to have to get over it, or publicly reveal my peculiar attraction. Just give me some time to think about how, OK? I’m still struggling.

And there’s a cranky blond lefty in the house to consider. Fortunately, I have a bit of time. I just heard the front door slam. I think my partner’s just gone out to buy some bread and milk.

© ENRICO BRIK, OCTOBER 2008