The answer is not less centralisation. its more efficient public transport. Whats the point of having a brain surgeon in every country town if they have to travel 259 Km to get to an adequately equipped and supported Hospital???????
And no the answer is not to duplicate a brain surgery unit fully staffed in every town. That would just lead to wasted, duplicated and under utilised hospitals.
Same goes for every "business" always better to have large centralized and fully utilized companies rather many small scaled down copies. Its the efficient access that is needed.
Would you invest in a company, for example BHP, that said we are going to "de-synergize"(think I just invented a word) our company and duplicate every department in every remote site we are involved in?????? I think not.
I can't agree. If I want brain surgery I expect to go to the centre as I would hope all the facilities are there but if I need to see a neurologist I think they need not all be in the city.The answer is not less centralisation. its more efficient public transport. Whats the point of having a brain surgeon in every country town if they have to travel 259 Km to get to an adequately equipped and supported Hospital???????
And no the answer is not to duplicate a brain surgery unit fully staffed in every town. That would just lead to wasted, duplicated and under utilised hospitals.
Same goes for every "business" always better to have large centralized and fully utilized companies rather many small scaled down copies. Its the efficient access that is needed.
Would you invest in a company, for example BHP, that said we are going to "de-synergize"(think I just invented a word) our company and duplicate every department in every remote site we are involved in?????? I think not.
An excellent use of vertical space - one could have all the medical, security, emergency, & commercial facilities (also employment) available within the one building - whilst still having ample residential space available.
I think making life easier for those that choose to live in the country is simply a waste of resources; help the farmers of course ; but if you're otherwise living in an isolated area by your own choice - why should my tax dollars build you a hospital out there for very few people?
However that is not the point I make. I am referring to ALL the traffic that is on the road at a given time. Where are they going and why?. I'm referring to produce locally produced, going to a city market then returning to it's area of orign. I'm referring to steel and tin being freighted to China and returning here as tin plate because there is none produced in Aus.
BHP itself is an example of decentralisation. I expect the "heart" to be centralised but the operations decentralised. However a lot of it's employees chose to live a long way from their actual place of employment. A lot fly in to their mines. Should I pay the cost of their carbon footprint because they choose to live in the city but work in the bush?.
It is not only farmers that live out of the major cities. You won't see a lot of farmers at the Gold coast, Coffs harbour or even Lismore these days.They are centres where government policy has closed down services and moved them to the cities.
I'll bet those working in your vertical space would live elsewhere and commute to work.
Nioka, you are not taking account of the professional needs of the doctors concerned. Most doctors who have done all the additional study required to acquire a specialty such as neurology, want to remain in the company of their peers. They simply don't want to bury themselves in the country where there is a dearth of colleague stimulation and feedback.I can't agree. If I want brain surgery I expect to go to the centre as I would hope all the facilities are there but if I need to see a neurologist I think they need not all be in the city.
I did not get my point across properly. While my trip tomorrow is medical I am referring mainly to what I expect to encounter during the trip. I make regular trips to Brisbane and indeed past Harvey Bay at times. I'm continually amazed at the traffic that I know from experience is wasted effort.Nioka, you are not taking account of the professional needs of the doctors concerned. Most doctors who have done all the additional study required to acquire a specialty such as neurology, want to remain in the company of their peers. They simply don't want to bury themselves in the country where there is a dearth of colleague stimulation and feedback.
Consequently many (if not most) specialists found in regional centres are less than first rate. Occasional exceptions, of course, where they want to bring up the kids out of a major city, but on the whole decentralisation of medicine is completely impractical.
Much better for those of us who live in regional areas to travel to the expertise if we have to. This is just one example of the downside of living in a regional area. Another is lack of cultural facilities.
So either we have all the crap of a big city with traffic gridlock etc for the sake of having excellent facilities at hand, or we choose the regions for a peaceful lifestyle but one which lacks the facilities. Everything is a compromise.
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