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IN THE PUBLIC INTEREST - IS MEDICARE GOING TO BE PRIVATISED OR ARE THE COSTS GOING TO ICT COMPANIES ?
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	       EVIDENCE FOR DANIEL PETRE FOUNDER/PARTNER

	     AIRTREE VENTURES TO INVEST IN A UNITED NATIONS

		VOLUNTEER CRYPTOCURRENCY PROJECT TO ASSIST 

	      REFUGEES GENERATE ELECTRICITY BY PEDAL-POWER

								07 Aug 2018

Tue 21 Aug 2018						Recipient: 61VCAfpa
Ref: ADCJHLN1		IN THE PUBLIC INTEREST	        Y/R: My Health Record

Daniel PETRE Bsc MBA			E: 
Founder/Partner				F:
AIRTREE VENTURES			M:
120B Underwood St PADDINGTON 2021	P:

Dear Daniel

	SMALL BUSINESS BACKBONE OF NEW HEALTH SERVICES

The Submission to AirTree Ventures to invest in a Volunteer Cryptocurrency project for
long-term Royalties included a link to a report on the Health Reform Briefing on Thu 01
Sep 2011 in Sydney

A	Management summary of Health Reform Briefing 01 sep 2011
B	What are Health service providers ?
C	Australian Federal and State "Electronic Transactions Acts 1999-2003"
D	IBM Transactions with Blockchain

A	MANAGEMENT SUMMARY OF HEALTH REFORM BRIEFING 01 SEP 2011

a	There are 14 Briefing meetings in Australia between 29 Aug 2011-13 Sep 2011 

b	The 1-hr event in Sydney was attended by about 300 people

c	The handouts did not include any information about the speaker or the panel

d	The only speaker Graham HEAD (Deputy Secretary & CEO of the National 
	Transition Office - this IS NOT the National eHealth Transition Agency [NeHTA]) 
	spoke for about 40 minutes

e	The Speaker started the briefing by stating "the need for reform is because of the
	NEED TO IMPROVE EFFICIENCY DUE TO THE RISING COSTS OF HEALTH
	CARE PARTICULARLY WITH AN AGING POPUTLATION

f	The Commonwealth has guaranteed at least an additional $ 16.4 Billion over 
	the period 2014/15 - 2019/20  

g	A number of new bodies are being established to implement and report on the 
	progress of the Health Reform

h	These new bodies include
	1	National Health Performance Authority [NHPA]
	2	The Independent Hospital Pricing Authority [IHPA]
	3	National Health Funding Administrator [NHFA]
	4	National Health Funding Body [NHFB]
	5	National Health Funding Pool [NHFP] - 01 Apr 2012

i	The National Health Funding Pool [NHFP] is being established to provide 
	funding to Local Hospital Networks [LHN] along with an independent 
	Administrator  to:

	1	Advise the Treasurer of the Commonwealth's contribution to NHFB
	2	Oversee payment of the Commonwealth funding
	3	Reconcile and report on estimated and actual volume of service 
		delivery

j	There will be a 137 Local Hospital Networks [LHN] with Local Directors to 
	report on the performance of Local Hospitals by 01 Jul 2012

k	In addition a Network of 62 Medicare Locals would be established each with a 
	Board of Local Directors to monitor Medicare payments to local GP Networks 

	On 01 Jul 2015 61 Medicare Locals were replaced by 31 Primary Health 
	Networks [PHN]

	"The two main objectives of the new PHNs, as stated on the Department of 
	Health's website, are "increasing the efficiency and effectiveness of 
	medical services for patients, particularly those at risk of poor health outcomes, 
	and improving coordination of care to ensure patients receive the right care in 
	the right place at the right time". 

Many documents in the Health industry state the new reform process is about "increasing
the efficiency and effectiveness of medical services for patients" 

However in practice these objectives has been thwarted because in 2008 the CIT 
Advisory Committee of the "National eHealth Transition Authority [NeHTA]"approved
8 proprietary Software standards as well as UN/EDIFACT [ISO 9735: 1988]

Each of these privately owned Standards have different data field formats hence it 
requires a third-party (called a Value Added Network Service [VAN]) to check which 
formats are used for each transaction sent from a sender system and convert the data to 
the format that the recipient system uses

B	WHAT ARE HEALTH SERVICE PROVIDERS ?

According to the Office of the Australian Information Commissioner [OAIC] this is the 
description of a Health Service Provider which will cover many Small Businesses who 
will use computing and the Internet to update patient records and provide reports to the various Federal and State Health Departments

All organisations that provide a health service and hold health information are covered 
by the Privacy Act 1988 (Privacy Act), whether or not they are a small business and even 
if providing a health service is not their primary activity.

Under the Privacy Act a 'health service' includes any activity that involves:

A	assessing, maintaining or improving a person's physical or psychological health

B	diagnosing or treating a person's illness, disability or injury

C	recording a person's physical or psychological health for the purposes of 
	assessing, maintaining, improving or managing the person's health

D	dispensing a prescription drug or medicinal preparation by a pharmacist

E	where a person's health cannot be maintained or improved - managing the 
	person's physical or psychological health

This includes activities that take place in the course of providing aged care, palliative
care or care for a person with a disability.

Organisations providing a health service include:
	1	traditional health service providers, such as private hospitals, day surgeries,
		medical practitioners, pharmacists and allied health professionals
	2	complementary therapists, such as naturopaths and chiropractors
	3	gyms and weight loss clinics
	4	child care centres and private schools.

C	AUSTRALIAN ELECTRONIC TRANSACTIONS ACT 1999-2003

You may want to review the Australian Federal & State Electronic Acts & Regulations to 
appreciate concerns about the "Digital Economy" and all the additional Electronic 
Transactions caused by the multiple proprietary software standards agreed by the 
defunct ICT Advisory Committee to the National eHealth Transition Authority [NEHTA]

Who will pay for all of these electronic transactions or will they be underwritten by the
Public like the proposed National Energy Guarantee [NEG] ?

It is worth noting that in 1996 the U.S. Health Insurance Portability & Accountability Act 
of 1996 (HIPAA) embedded the US EDI Standard ANSI-X12 in the Regulations rather 
than the Legislation
 
D	IBM TRANSACTIONS WITH BLOCKCHAIN

Please review the 2014 IBM "Blockchain" presentation to further appreciate concerns 
about the "Blockchain" process developed by IBM for the Diamond Industry

This slide that illustrates the number of transactions there are in the IBM "Blockchain" 
process

This method of Blockchain required updates every 10 minutes throughout the whole 
Blockchain process hence the grave concerns on the electrical power required to
maintain the network

There are far more modern, more efficient and less resource hungry and less costly 
methods to achieve the results of "Blockchain" than the IBM/Lotus Notes method 

NEXT STEPS

Would AirTree Ventures be prepared to Invest/Sponsor for long-term Royalties over a 
50-year cycle an On-line Volunteer Cryptocurrency Project with UNHCR-Zambia to 
assist Refugees to generate electricity in their homes at resettlement areas ?

Yours sincerely



Stephen GOULD
Public Officer
E-HEALTH TRAINING SERVICES CONSORTIUM
PO Box 517   NEUTRAL BAY JUNCTION 2089

E: ehn.1a3posgg@gmail.com
M: 0416-009-468

		INDEX AND DATES OF ATTACHMENTS

A	Members of ebXML Australia 2000-2002

B	Minutes ebXML Australia meeting 05 Mar 2002

C	2003 Standards Australia established SAI Global

D	Red Wahoo author of the Australian XML Name & Address standard AS4590

E	Red Wahoo multiple Federal Government contracts 2006-2009

F	31 Oct 2009 Standards Australia new Business Model 

G	07 Aug 2018 NSW Health using GovDex



The Topics for On-line discussion by 1st year Engineering students at 30 Participating 
Universities that are members of EWB are:

A	Climate change						-  8 questions
B	Community and Culture					- 15 questions
C	Energy							- 27 questions
D	General Discussion					- 75 questions
E	Housing							- 28 questions
F	ICT [Information and Communications Technologies]	-  8 questions
G	Transport						- 14 questions
H	WASH [Water, Sanitation and Hygiene]			- 21 questions
I	Waste							- 26 questions

B	17:30 - 17:50 - The Plan to understand the Refugee issues in Zambia

PMA opened the meeting by welcoming attendees and explaining the background to the 
email that he had received from UNDP Zambia on 30 Mar 2018 and the need to inform and 
prepare Resources to thoroughly comply with the project required by UNDP Zambia

There was a considerable amount of information that had to be reviewed and understood
prior to responding to any project

PMA proposed the following timetable and RUBAC Cryptocurrency volunteer eCredits for 
understanding the situation of the Refugee Camps and Resettlement areas in Zambia

Meet every 2 weeks after reviewing a topic set to identify gaps in the questions and answers 
during the previous 2 weeks

3-hrs every 2 weeks should be sufficient to review the EWB Q & A sections nominated

120 RUBAC-1 Cryptocurrency Volunteer eCredits are allocated for the 3 hrs

50 RUBAC-2 Volunteer eCredits are allocated for each accepted question within 10 days

50 RUBAC-3 Volunteer eCredits are allocated for travel time and attending meetings

20 RUBAC-4 Volunteer eCredits are allocated for reviewing the 4 On-line Videos 

SGG was to email the additional questions to UNDP Zambia requesting a response within
10 days

Mtg 2	T 01 May 2018	1	Review Q&A Climate Change & Community and Culture topics
			2	Additional Questions emailed to SGG by 17:00 F 27 Apr 2018
			3	SGG to email Questions to UNDP Zambia by 17:00 M 30 Apr
			4	UNDP Zambia response requested by 17:00 F 11 May 2018

Mtg 3	T 15 May 2018   1	Review Q&A Energy & ICT topics
			2	Additional Questions emailed to SGG by 17:00 F 11 May 2018
			3	SGG to email Questions to UNDP Zambia by 17:00 M 14 May
			4	UNDP Zambia response requested by 17:00 F 25 May 2018

Mtg 4	T 29 May 2018   1	Review Q&A Housing & Transport topics
			2	Additional Questions emailed to SGG by 17:00 F 25 May 2018
			3	SGG to email Questions to UNDP Zambia by 17:00 M 28 Mayr
			4	UNDP Zambia response requested by 17:00 F 08 Jun 2018

Mtg 5	T 12 Jun 2018   1	Review Q&A WASH & Waste topics
			2	Additional Questions emailed to SGG by 17:00 Fri 08 Jun 2018
			3	SGG to email Questions to UNDP Zambia by 17:00 M 28 May
			4	UNDP Zambia response requested by 17:00 F 22 Jun 2018

Mtg 6	T 26 Jun 2018	1	Review Q&A Review "D - General Discussion P1 & P2 40/75 Q&A" topic		
			2	Additional Questions emailed to SGG by 17:00 Fri 22 Jun 2018
			3	SGG to email Questions to UNDP Zambia by 17:00 M 25 Jun
			4	UNDP Zambia response requested by 17:00 F 06 Jul 2018

Mtg 7	T 10 Jul 2018	1	Review Q&A "D - General Discussion P3 & P4 41-75 Q&A - Latrines & Water" 
			2	Review EWB 2020 Strategy - clean drinking water, sanitation  
			3	Identify 3 key issues each for summary report

Mtg 8	T 24 Jul 2018	1	Review "Key Issues submitted" 
			2	Review how to get Project Sponsors for "Key Issues" identified  
			3	Agree "Key issues" priority for summary report   

Mtg 9	T 07 Aug 2018	1	Agree "Key issues" priority for summary report 
			2	Review Proposal to possible Investor  
			3	Establish "Volunteer Cryptocurrency" Project Team 

C	17:50 - 18:10 - Review selection UNHCR/EWB Zambia videos

1	Welcome to Mayukwayukwa and the EWB Challenge			8'03"
	Meet representatives from UNHCR and their implementing partners and hear about what 
	they would like you to think about as you work on your projects!

2	More information on Pit Latrines				4'23"
	Interview with Alfred Muyunda Muyunda, Field Coordinator - Department of Water 
	Affairs 

3	A day in Mayukwayukwa						5'30"
	typical day in the life of Mercy Zezu, a resident of the Mayukwayukwa refugee settlement.

	How to pronounce Mayukwayukwa ? "May -Yook - Wa - Yook - Wa" 

4	Almost Home							5'30
	Former Angolan refugees, in exile for as many as three decades, are given the 
	opportunity to locally integrate in neighbouring Zambia with the help of UNHCR and 
	the Zambian Government

Other UNHCR/EMB Videos, documents and Maps can be reviewed here

D	18:10 - 18:30 - Discussion on Women's roles in Resettlement areas

WPR :  Here are my comments on the hard copy email from UNDP-Zambia so we should be 
careful that UNDP is only fishing for contacts and resources and not progress a project

SGG:  Will obtain further information from UNDP Zambia to reduce those concerns

The meeting reviewed some of the questions from General Discussion and WASH and 
agreed is important to have a Female Sub-Committee to address a number of issues in
many part of the world without running water including

1	Female Hygiene
2	Young children
3	Education
4	Division of work cultures
5	Supporting sick and old people in family units



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