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Poverty isn’t a temporary experience in Australia. We need urgent policy tackling persistent disadvantage

<p>We often hear a job is the best way to get someone out of poverty. In many cases this is true, and anti-poverty strategies should prioritise improving people’s access to jobs.</p> <p>But this isn’t the complete solution. For many – particularly those with disability or substantial caring responsibilities that limit their scope to work – the income support system remains crucial to avoiding persistent poverty.</p> <p>It may not feel like it at a time of rising living costs, but the incomes of Australians have on average risen substantially over the last three decades and continue to trend upwards – we have never been richer.</p> <p>However – <a href="https://www.pc.gov.au/research/supporting/deep-persistent-disadvantage" target="_blank" rel="noopener">as highlighted by the Productivity Commission</a> – some in the community continue to be left behind.</p> <p>Our new <a href="https://melbourneinstitute.unimelb.edu.au/__data/assets/pdf_file/0011/4107629/Breaking-Down-Barriers-Report-4-May-2022.pdf" target="_blank" rel="noopener">study of income poverty</a> shows persistent poverty remains a significant problem in Australian society.</p> <p>Looking back over the first two decades of this century, we found around 13% of the population are persistently poor.</p> <p>We defined these as people who persistently have to live on incomes that are <a href="https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Glossary:At-risk-of-poverty_rate" target="_blank" rel="noopener">less than 60% of</a> the median income in Australia (a definition employed by Eurostat for European Union member countries).</p> <p>Poverty then isn’t simply a temporary experience in Australia, and tackling persistent disadvantage needs to be a policy imperative.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/461194/original/file-20220504-21-epehk7.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><em><span class="caption">Poverty isn’t simply a temporary experience in Australia.</span> <span class="attribution"><span class="source">Shutterstock</span></span></em></figcaption></figure> <p><strong>Why do people descend in poverty – and often stay there?</strong></p> <p>Understanding what drives poverty and its persistence is an essential first step to alleviating it.</p> <p>Using data from the longitudinal Household, Income and Labour Dynamics in Australia (<a href="https://melbourneinstitute.unimelb.edu.au/hilda" target="_blank" rel="noopener">HILDA</a>) Survey, we examined the extent and nature of persistent poverty among the same sample of Australians tracked over time.</p> <p>Specifically, we looked at</p> <ul> <li>why do people descend into poverty?</li> <li>why do some people remain in poverty, while others escape it?</li> <li>why some of those who escape poverty remain out of poverty while others fall back into it.</li> </ul> <p>We also examined the degree to which the depth of poverty (how far someone’s income is below the poverty line) impacts on the likelihood of staying in poverty.</p> <p>We found persistent poverty is more prevalent among:</p> <ul> <li>women</li> <li>single-parent families</li> <li>older people</li> <li>Indigenous Australians</li> <li>people with a disability</li> <li>less-educated people, and</li> <li>people living in more disadvantaged regions.</li> </ul> <p>This is consistent with <a href="https://povertyandinequality.acoss.org.au/poverty-in-australia-2020-overview-html-version/" target="_blank" rel="noopener">previous studies of poverty</a> made at a single point in time.</p> <p>Perhaps unsurprisingly, those in deep poverty – the poorest of the poor – are the most likely to be persistently poor (up to five times more likely than the average person in the community).</p> <p>The very poor are therefore a policy priority – not only because they are very poor now, but because they are more likely to remain poor.</p> <p><strong>‘Falling’ into poverty</strong></p> <p>Similarly, among those initially not in poverty, those with incomes closest to the poverty line – the poorest of the non-poor – are at greater risk of falling into persistent poverty.</p> <p>Another policy priority therefore needs to be preventing those close to the poverty line falling into actual poverty.</p> <p>When we examined the “trigger events” for people falling into poverty or rising out of it, we found the household’s success in the labour market is critical. In other words, people need to be able to get a job.</p> <p>An increase in the number of employed people in the household is strongly associated with lifting people out of poverty.</p> <p>There is also a strong association between a lack of work and the risk of persistent poverty.</p> <p>Clearly, then, policy measures geared towards increasing employment, and retaining employment for those already employed, are key to reducing persistent poverty.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/461457/original/file-20220505-24-cgvjbn.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><em><span class="caption">Another policy priority needs to be preventing those close to the poverty line falling into actual poverty.</span> <span class="attribution"><span class="source">Shutterstock</span></span></em></figcaption></figure> <p><strong>It’s not just about jobs, though</strong></p> <p>But employment isn’t the only factor of importance. Any change in family type, but particularly becoming a single-parent family, increases the risk of poverty.</p> <p>More broadly, the household context plays a crucial role in determining individuals’ poverty experiences.</p> <p>Who you live with, what they do, and what happens to them are important. The household perspective then is critical to understanding poverty and designing appropriate policy responses.</p> <p>The onset of disability or substantial caring responsibilities is also much more likely to tip you into poverty and keep you there.</p> <p>Put simply, those who are more likely to experience persistent poverty tend to be constrained in their ability to participate in the labour market. Having a job may not be an option at all.</p> <p>Focusing only on labour market-related anti-poverty policy measures therefore isn’t enough to fully address persistent poverty in the Australian community.</p> <p>Many of those highly exposed to persistent poverty have very constrained access to paid work, because of factors such as:</p> <ul> <li>long-term health conditions</li> <li>high caring responsibilities for young children or</li> <li>significant disabilities.</li> </ul> <p>Even among couple-parent households, we found the more dependent children in the household, the lower the probability of exiting poverty.</p> <p>This highlights the importance of child care assistance to facilitate employment participation and sustained income adequacy for families with young children.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=425&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=425&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/461458/original/file-20220505-26-km89qo.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=425&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><em><span class="caption">Many of those highly exposed to persistent poverty have very constrained access to paid work, because of factors such as long-term health conditions.</span> <span class="attribution"><span class="source">Shutterstock</span></span></em></figcaption></figure> <p><strong>An unavoidable conclusion</strong></p> <p>But even improvements in child care assistance aren’t enough. The simple fact is that, for a significant number of people, income support will continue to determine their living standards.</p> <p>The unavoidable conclusion is that boosting income support payments beyond their current austere levels remains a crucial pillar of policy for governments genuinely committed to reducing persistent disadvantage.</p> <p>Unfortunately, this does not appear to be on the agenda of either of the major parties.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/181343/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/esperanza-vera-toscano-788145" target="_blank" rel="noopener">Esperanza Vera-Toscano</a>, Senior research fellow, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722" target="_blank" rel="noopener">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/roger-wilkins-95906" target="_blank" rel="noopener">Roger Wilkins</a>, Professorial Fellow and Deputy Director (Research), HILDA Survey, Melbourne Institute of Applied Economic and Social Research, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722" target="_blank" rel="noopener">The University of Melbourne</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/poverty-isnt-a-temporary-experience-in-australia-we-need-urgent-policy-tackling-persistent-disadvantage-181343" target="_blank" rel="noopener">original article</a>.</em></p> <p><em>Image: Getty Images</em></p>

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Women disadvantaged when it comes to cardiac care

<p><span style="font-size: 14px;">Women with some cardiac conditions receive less evidence-based treatment than their male counterparts, research </span><a style="font-size: 14px;" rel="noreferrer noopener" href="https://www.mja.com.au/journal/2021/216/3/sex-differences-management-and-outcomes-non-st-elevation-acute-coronary" target="_blank">published</a><span style="font-size: 14px;"> today by the </span><em style="font-size: 14px;">Medical Journal of Australia</em><span style="font-size: 14px;"> has confirmed.</span></p> <div class="copy"> <p>Researchers from the University of Sydney, Westmead Hospital and Concord Repatriation General Hospital analysed registry data for patients diagnosed with non-ST-elevation acute coronary syndromes (NSTE-ACS) – which includes myocardial infarction and unstable angina – in 43 Australian hospitals from 23 February 2009 to 16 October 2018.</p> <p>The authors found important differences in baseline characteristics by sex. Concerningly, this included fewer treatment plans offered to women than men.</p> <p>Professor Roxana Mehran, Director of the Center for Interventional Cardiovascular Research and Clinical Trials at the Cardiovascular Research Institute at Mount Sinai School of Medicine in New York, described these findings to <em>MJA InSight</em>+ as “a huge, huge issue for women”.</p> <p>In an <em>MJA InSight</em>+ exclusive podcast, Mehran said that women’s undertreatment in this area was mostly a result of a lack of data and female participation in clinical trials.</p> <p>“The disparities continue to remain there, despite all of our education,” she said.</p> <p>“We’re seeing that the prevalence of acute myocardial infarction is actually increasing instead of decreasing, especially among women over the age of 45. We are seeing that recurrent myocardial infarction and recurrent events are higher for women compared with men.</p> <p>“We’re seeing increasing myocardial infarction in young women, or admissions for younger women presenting with an acute coronary syndrome, and we know that women present differently, they have different triggers, their lesion and their vessels look very different than men.”</p> <p>In an <em>MJA</em> editorial, Mehran and her co-authors wrote that: “Even in patients with documented coronary artery disease, secondary prevention therapies were less frequently prescribed for women than for men. Further, women were less likely to be referred for cardiac rehabilitation.”</p> <p>The researchers’ findings, wrote Mehran and her co-authors, “add to the body of evidence that differences in treatment constitute a problem that is not adequately managed even in high income countries.</p> <p>“The authors have provided further evidence for sex‐based disparities in the management and treatment of people with NSTE‐ACS. Their findings indicate the importance of the further investigation of sex‐specific pathophysiological mechanisms and the urgent need for evidence‐based sex‐specific strategies and recommendations for the diagnosis and treatment of ischaemic heart disease.</p> <p>“Women with NSTE‐ACS are both understudied and undertreated, and the report … is a valuable contribution to increasing global awareness of differences between men and women in the characteristics of heart disease, and to promoting cardiovascular health in women.”</p> <p>A total of 7783 patients were eligible for analysis, including 2422 women (31%).</p> <p>Patients’ outcomes, both in-hospital and at six-month follow-up, were assessed. The researchers also separately assessed these differences in patients with documented coronary artery disease.</p> <!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --> <img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=166238&amp;title=Women+disadvantaged+when+it+comes+to+cardiac+care" alt="" width="1" height="1" /> <!-- End of tracking content syndication --></div> <div id="contributors"> <p><a rel="noopener" href="https://cosmosmagazine.com/health/women-disadvantaged-when-it-comes-to-cardiac-care/" target="_blank">This article</a> was originally published on <em><a rel="noopener" href="https://cosmosmagazine.com" target="_blank">Cosmos Magazine</a></em> and was written by <a rel="noopener" href="https://cosmosmagazine.com/contributor/ian-connellan" target="_blank">Ian Connellan</a>. Ian Connellan is editor-in-chief of the Royal Institution of Australia.</p> </div>

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The downside of separate bank accounts

<p>My husband and I were barely out of our teens when we walked into the bank to open a joint account. And close our personal ones.</p> <p>We weren't married, we didn't even live together. I was 20 and my friends were horrified. It wasn't so much the opening of the joint account they took exception to, but the closing of our personal ones, so that all money was shared. No his and hers, just ours.</p> <p>We are the daughters of the first generation of women who earned their own money their whole lives. We were born and raised to be independent women, with our own careers and our own money.</p> <p>I get that. A man is not a financial plan. And that works really well while both partners are earning money, but what happens when you have children? In Australia, most women stay home longer than their paid maternity leave lasts (and it is still mostly women staying home with children), while their husbands continue to work.</p> <p>But when men are the only ones in paid employment, what happens to the money?</p> <p>For my husband and I, the answer is easy. Everything continues as it always has: it is our money and we both have equal rights and responsibilities over it.</p> <p>But this is not the answer for many other couples.</p> <p>A friend of mine, Janine*, works in the finance industry. She is ambitious and earns good money. When she had her daughter six months ago she was entitled to the government paid parental leave, but when that dried up after 18 weeks, she was earning nothing. And, because she is staying at home for the 12 months unpaid leave from her employer she is entitled to, she was staring down the barrel at about 8 months of earning nothing while performing the daily grind of child-rearing.</p> <p>Janine and her husband do not share money. They have a joint account for bills and household expenses, but they have never shared disposable income. To prepare for having a baby, Janine saved money so she would be able to afford to have coffee and go out with her friends and buy clothes that would fit and go to the gym once her daughter was born.</p> <p>I don't mean Janine and her husband saved up. I mean Janine saved up her money, while her husband carried on, and carries on, as normal.</p> <p>Scrolling through the various mum groups on social media, it seems Janine's lack of equal access to family funds is quite normal.</p> <p>Just last week Vanessa* posted in one of these mum groups about her ingenious ways of saving money on the weekly grocery shop so she could "keep it for a rainy day and spend it on little luxuries for myself like a cup of coffee and piece of cake!" Vanessa's husband transfers $200 each week into the joint account to be used on food shopping for their family of five.</p> <p>To my astonishment, the post was celebrated, with other mothers thanking her for these tips and looking forward to what they would buy with their new-found cash.</p> <p>In my naivety, I thought women squirrelling money away from what their husbands gave them for food shopping was part of a bygone era. Apparently not.</p> <p>Kelly, a stay-at-home mother of two aged three and 8 months, had to miss a friend's birthday dinner at a restaurant and bar in the city because she couldn't afford to go. Nothing unusual there; a lot of family budgets are very tight and it makes sense that this means sometimes you can't go out.</p> <p>But Kelly's husband went. He could afford it. Because Kelly and her husband have an agreement where he transfers her an amount of money every month. Yep. Like an allowance. Her husband doesn't have an allowance. Like many women I know and have come across, Kelly says it's "his" money.</p> <p>Why is it "his" money, but "our" children?</p> <p>This is not independence. It's certainly not a partnership. The lack of access to funds may even tip into economic abuse.</p> <p>A man is not a financial plan. Absolutely. I completely agree. But neither is paupering yourself in service to the family while your husband goes out earning his own cash.</p> <p>It's not as if these women aren't working. They're working their guts out. Never mind keeping the kids fed, clothed, bathed, rested, and teaching them to be decent human beings, have you ever tried getting dried Weet-Bix off the floor?!</p> <p>Without his wife to stay home and look after the children, a husband would be forking out thousands of dollars a week in childcare costs. And probably hiring a cleaner and cook too. These women may think they are independent, but in fact they are being taken advantage of and undervalued by the very person who should value them the most.</p> <p>I don't ask my husband for permission or funds to get a cup of coffee or a new shirt just because he's the one in paid employment while I look after our son at home. And he wouldn't dream of arguing that I haven't "earned" the money so I'm not entitled to it.</p> <p>We believe that each of us contributes equally to the family and is of equal value to the partnership, and so we are equally entitled to any money brought in. And yes, that cup of coffee.</p> <p><em>*Names have been changed.</em></p> <p>Do you have a joint, or separate bank account with your partner?</p> <p><em>Written by Polly Dunning. First appeared on <a href="http://www.stuff.co.nz/" target="_blank"><strong><span style="text-decoration: underline;">Stuff.co.nz</span></strong></a>. </em></p>

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