s Sublime treachery, delivered par excellence | I2P: Information to Pharmacists - Archive
Publication Date 01/07/2014         Volume. 6 No. 6   
Information to Pharmacists


From the desk of the editor

Welcome to the July 2014 homepage edition of i2P (Information to Pharmacists) E-Magazine.
At the commencement of 2014 i2P focused on the need for the entire profession of pharmacy and its associated industry supports to undergo a renewal and regeneration.
We are now half-way through this year and it is quite apparent that pharmacy leaders do not yet have a cohesive and clear sense of direction.
Maybe the new initiative by Woolworths to deliver clinical service through young pharmacists and nurses may sharpen their focus.
If not, community pharmacy can look forward to losing a substantial and profitable market share of the clinical services market.
Who would you blame when that happens?
But I have to admit there is some effort, even though the results are but meagre.
In this edition of i2P we focus on the need for research about community pharmacy, the lack of activity from practicing pharmacists and when some research is delivered, a disconnect appears in its interpretation and implementation.

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News Flash

Newsflash Updates for July 2014

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
Access and click on the title links that are illustrated

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Feature Contribution

Woolworths Pharmacy - Getting One Stage Closer

Neil Johnston

It started with “tablet” computers deployed on shelves inside the retailer Coles, specifically to provide information to consumers relating to pain management and the sale of strong analgesics.
This development was reported in i2P under the title Coles Pharmacy Expansion and the Arid PGA Landscape”
In that article we reported that qualified information was a missing link that had come out of Coles market research as the reason to why it had not succeeded in dominating the pain market.
Of course, Woolworths was working on the same problem at the same time and had come up with a better solution - real people with good information.

Comments: 5

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Intensive Exposition without crossing over with a supermarket

Fiona Sartoretto Verna AIAPP

Editor's Note: The understanding of a pharmacy's presentation through the research that goes into the design of fixtures and fittings that highlight displays, is a never-ending component of pharmacy marketing.
Over the past decade, Australian pharmacy shop presentations have fallen behind in standards of excellence.
It does not take rocket science - you just have to open your eyes.
Recently, our two major supermarkets, Woolworths and Coles, have entered into the field of drug and condition information provision - right into the heartland of Australian Pharmacy.

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The sure way to drive business away

Gerald Quigley

I attended the Pregnancy, Baby and Children’s Expo in Brisbane recently.
What an eye and ear opening event that was!
Young Mums, mature Mums, partners of all ages, grandparents and friends……...many asking about health issues and seeking reassurances that they were doing the right thing.

Comments: 1

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‘Marketing Based Medicine’ – how bad is it?

Baz Bardoe

It should be the scandal of the century.
It potentially affects the health of almost everyone.
Healthcare providers and consumers alike should be up in arms. But apart from coverage in a few credible news sources the problem of ‘Marketing Based Medicine,’ as psychiatrist Dr Peter Parry terms it, hasn’t as yet generated the kind of universal outrage one might expect.

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Community Pharmacy Research - Are You Involved?

Mark Coleman

Government funding is always scarce and restricted.
If you are ever going to be a recipient of government funds you will need to fortify any application with evidence.
From a government perspective, this minimises risk.
I must admit that while I see evidence of research projects being managed by the PGA, I rarely see community pharmacists individually and actively engaged in the type of research that would further their own aims and objectives (and survival).

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Organisational Amnesia and the Lack of a Curator Inhibits Cultural Progress

Neil Johnston

Most of us leave a tremendous impact on pharmacies we work for (as proprietors, managers, contractors or employees)—in ways we’re not even aware of.
But organisational memories are often all too short, and without a central way to record that impact and capture the knowledge and individual contributions, they become lost to time.
It is ironic that technology has provided us with phenomenal tools for communication and connection, but much of it has also sped up our work lives and made knowledge and memory at work much more ephemeral.

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Academics on the payroll: the advertising you don't see

Staff Writer

This article was first published in The Conversation and was written by Wendy Lipworth, University of Sydney and Ian Kerridge, University of Sydney
In the endless drive to get people’s attention, advertising is going ‘native’, creeping in to places formerly reserved for editorial content. In this Native Advertising series we find out what it looks like, if readers can tell the difference, and more importantly, whether they care.
i2P has republished the article as it supports our own independent and ongoing investigations on how drug companies are involved in marketing-based medicine rather than evidence-based medicine.

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I’ve been thinking about admitting wrong.

Mark Neuenschwander

Editor's Note: This is an early article by Mark Neuenschwander we have republished after the soul-searching surrounding a recent Australian dispensing error involving methotrexate.
Hmm. There’s more than one way you could take that, huh? Like Someday when I get around to it (I’m not sure) I may admit that I was wrong about something. Actually, I’ve been thinking about the concept of admitting wrong. So don’t get your hopes up. No juicy confessions this month except that I wish it were easier for me to admit when I have been wrong or made a mistake.
Brian Goldman, an ER physician from Toronto, is host of the award-winning White Coat, Black Art on CBC Radio and slated to deliver the keynote at The unSUMMIT for Bedside Barcoding in Anaheim this May. His TED lecture, entitled, “Doctors make mistakes. Can we talk about it?” had already been viewed by 386,072 others before I watched it last week.

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Dispensing errors – a ripple effect of damage

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Most readers will be aware of recent publicity relating to dispensing errors and in particular to deaths caused by methotrexate being incorrectly packed in dose administration aids.
The Pharmacy Board of Australia (PBA), in its Communique of 13 June 2014, described a methotrexate packing error leading to the death of a patient and noted “extra vigilance is required to be exercised by pharmacists with these drugs”.
This same case was reported by A Current Affair (ACA) in its program on Friday 20 June

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Take a vacation from your vocation

Harvey Mackay

Have you ever had one of those days when all you could think was, “Gosh, do I need a vacation.”
Of course you have – because all work and no play aren’t good for anyone.
A vacation doesn’t have to be two weeks on a tropical island, or even a long weekend at the beach. 
A vacation just means taking a break from your everyday activities. 
A change of pace. 
It doesn’t matter where.
Everyone needs a vacation to rejuvenate mentally and physically. 
But did you also know that you can help boost our economy by taking some days off? 
Call it your personal stimulus package.

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Explainer: what is peer review?

Staff Writer

This article was first published in the Conversation. It caught our eye because "peer review" it is one of the standards for evidence-based medicines that has also been corrupted by global pharma.
The article is republished by i2P as part of its ongoing investigation into scientific fraud and was writtenby Andre Spicer, City University London and Thomas Roulet, University of Oxford
We’ve all heard the phrase “peer review” as giving credence to research and scholarly papers, but what does it actually mean?
How does it work?
Peer review is one of the gold standards of science. It’s a process where scientists (“peers”) evaluate the quality of other scientists' work. By doing this, they aim to ensure the work is rigorous, coherent, uses past research and adds to what we already knew.
Most scientific journals, conferences and grant applications have some sort of peer review system. In most cases it is “double blind” peer review. This means evaluators do not know the author(s), and the author(s) do not know the identity of the evaluators.
The intention behind this system is to ensure evaluation is not biased.
The more prestigious the journal, conference, or grant, the more demanding will be the review process, and the more likely the rejection. This prestige is why these papers tend to be more read and more cited.

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Dentists from the dark side?

Loretta Marron OAM BSc

While dining out with an elderly friend, I noticed that he kept his false tooth plate in his shirt pocket. He had recently had seven amalgam-filled teeth removed, because he believed that their toxins were making him sick; but his new plate was uncomfortable. He had been treated by an 'holistic dentist'. Claiming to offer a "safe and healthier alternative" to conventional dentistry, are they committed to our overall health and wellbeing or are they promoting unjustified fear, unnecessarily extracting teeth and wasting our money?

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Planning for Profit in 2015 – Your key to Business Success

Chris Foster

We are now entering a new financial year and it’s a great time to reflect on last year and highlight those things that went well and those that may have impacted negatively in the pursuit of your goals.
It's also a great to spend some time re-evaluating your personal and business short, medium and long term goals in the light of events over the last year.
The achievement of your goals will in many cases be dependent on setting and aspiring to specific financial targets. It's important that recognise that many of your personal goals will require you to generate sufficient business profits to fund those aspirations

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Attracting and Retaining Great People

Barry Urquhart

Welcome to the new financial year in Australia.
For many in business the past year has been described as a challenging period.
Adjectives are a key feature of the English language.  In the business lexicon their use can be, and often is evocative and stimulate creative images.  But they can also contribute to inexact, emotional perceptions.
Throughout the financial pages of newspapers and business magazines adjectives abound.
References to “hot” money draw attention and comment.  The recent wave of funds from Chinese investors, keen to remove their wealth from the jurisdiction and control of government regulations is creating a potential property bubble in Australia.

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Updating Your Values - Extending Your Culture

Neil Johnston

Pharmacy culture is dormant.
Being comprised of values, unless each value is continually addressed, updated or deleted, entire organisations can stagnate (or entire professions such as the pharmacy profession).
Good values offer a strong sense of security, knowing that if you operate within the boundaries of your values, you will succeed in your endeavours.

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Evidence-based medicine is broken. Why we need data and technology to fix it

Staff Writer

The following article is reprinted from The Conversation and forms up part of our library collection on evidence-based medicines.
At i2P we also believe that the current model of evidence is so fractured it will never be able to be repaired.
All that can happen is that health professionals should independently test and verify through their own investigations what evidence exists to prescribe a medicine of any potency.
Health professionals that have patients (such as pharmacists) are ideally placed to observe and record the efficacy for medicines.
All else should confine their criticisms to their evidence of the actual evidence published.
If there are holes in it then share that evidence with the rest of the world.
Otherwise, do not be in such a hurry to criticise professions that have good experience and judgement to make a good choice on behalf of their patients, simply because good evidence has not caught up with reality.

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Laropiprant is the Bad One; Niacin is/was/will always be the Good One

Staff Writer

Orthomolecular Medicine News Service, July 25, 2014
Laropiprant is the Bad One; Niacin is/was/will always be the Good One
by W. Todd Penberthy, PhD

(OMNS July 25, 2014) Niacin has been used for over 60 years in tens of thousands of patients with tremendously favorable therapeutic benefit (Carlson 2005).
In the first-person NY Times best seller, "8 Weeks to a Cure for Cholesterol," the author describes his journey from being a walking heart attack time bomb to a becoming a healthy individual.
He hails high-dose niacin as the one treatment that did more to correct his poor lipid profile than any other (Kowalski 2001).

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Culture Drive & Pharmacy Renewal

Neil Johnston

Deep within all of us we have a core set of values and beliefs that create the standards of behaviour that we align with when we set a particular direction in life.
Directions may change many times over a lifetime, but with life experiences and maturity values may increase in number or gain greater depth.
All of this is embraced under one word – “culture”.
When a business is born it will only develop if it has a sound culture, and the values that comprise that culture are initially inherent in the business founder.
A sound business culture equates to a successful business and that success is often expressed in the term “goodwill” which can be eventually translated to a dollar value.

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ReWalk™ Personal Exoskeleton System Cleared by FDA for Home Use

Staff Writer

Exoskeleton leader ReWalk Robotics announced today that the U.S. Food and Drug Administration has cleared the company’s ReWalk Personal System for use at home and in the community.
ReWalk is a wearable robotic exoskeleton that provides powered hip and knee motion to enable individuals with Spinal Cord Injury (SCI) to stand upright and walk.
ReWalk, the only exoskeleton with FDA clearance via clinical studies and extensive performance testing for personal use, is now available throughout the United States.

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Pharmacy 2014 - Pharmacy Management Conference

Neil Johnston

The brave new world of health and wellness is not the enemy of Pharmacy, it is its champion.
Australian futurist, Morris Miselowski, one of the world's leading business visionaries, will present the Opening Keynote address on Pharmacy's Future in the new Health and Wellness Landscape at 2.00pm on Wednesday July 30.
Morris believes the key to better health care could already be in your pocket, with doctors soon set to prescribe iPhone apps, instead of pills.
Technology will revolutionise the health industry - a paradigm shift from healthcare to personal wellness.
Health and wellness applications on smartphones are already big news, and are dramatically changing the way we manage our personal health and everyday wellness.

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Generation and Application of Community Pharmacy Research

Neil Johnston

Editor’s Note: We have had a number of articles in this issue relating to pharmacy research.
The PGA has conducted a number of research initiatives over the years, including one recently reported in Pharmacy News that resulted from an analysis of the QCPP Patient Questionnaire.
Pharmacy Guild president, George Tambassis, appears to have authored the article following, and there also appears to be a disconnect between the survey report and its target audience illustrated by one of the respondent comments published.
I have asked Mark Coleman to follow through, elaborate and comment:

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Sublime treachery, delivered par excellence

Chris Wright

articles by this author...

Chris has spent many years in the pharmaceutical industry and is semi-retired.
He has an interest in supply chain procedures, and work flows within community pharmacies, and he provides consultancies around those activities.

It’s probably all been said but that astonishing ascent of the Member for Lalor Julia Gillard has nailed yet another nail in the coffin of our long cherished democracy.
Again, the power-crazed toe-cutters of the Labor Party were unable to muster the restraint required to allow an elected comrade see out the full game.
The bitter hatred (which is often factional but not necessarily in this case) that lurks behind closed doors was just too much. In the end those who read from the Graham Richardson manual on dealing with personnel superfluous to current requirements acted with rare brutality and “Kevin 07” became “Kevin gone to political Heaven” in a blink.

Thank goodness the titan of Canberra, the indomitable Laurie Oaks, forced the Member for Lalor to at least display a degree of nervousness regarding her role in rolling the boss.

So, we now have a Prime Minister and two State Premiers (Keneally & Brumby) who are yet to face an election, which would give them the right to occupy the offices they currently have no moral right to enjoy.
This circumstance is blight on our democracy.

Whatever the presumed faults, personal idiosyncrasies, polls or backroom intrigue that brought down Kevin Rudd he was our serving Prime Minister and deserved to be accorded due respect and tenure.
If these political assassins treat a Prime Minister in such a manner what hope do we have as mere mortals? And let’s not kid ourselves, we are treated as idiots by government.

I mean fair dinkum, is Barak Obama going to be callously marched out of the White House carrying a cardboard box with his desk calendar and family snapshots just because the hatchet men aren’t happy with his performance in dealing with BP?

No, of course not.

It should not escape most that one of the main reasons Kevin 07 knocked off Little Johnny is the fact he was not aligned with a faction and therefore not subject to the rampant insider dealing so ingrained within the Labor Party. Also, Kevin 07 was certainly able to get traction with the Christian vote due to his preferred Sunday pastime. This sort of escapes me a bit, as we are truly a secular society. Well, this writer likes to think we are anyway. After all, the very impressive Josh Frydenburg is now the member for Kooyong, which is of course the bastion of Liberal heartland.

Perversely, Kev’s replacement is a member of the Socialist Left and is an Atheist to boot. The contrast could not be greater and most voters should rightly be appalled that they have been duped.

Kevin Rudd had the less than endearing habit of saying; “You know what” before launching into his own peculiar version of “Polly-speak”. The new PM has followed suit but has dropped the “What” and settled for telling us; “You know”.

Take this little grab, for example; (discussing her Atheism)

“But during my adult life I’ve, you know found a different path”.

Or; (commenting on the Christian vote)

“Look, I’m, you know, worried about the national interest, about doing the right thing by Australians and I’ll allow, you know, people to form their own views on whatever is going to drive their views”.

Well, Madam Prime Minister, we don’t know what you know, nor do we know what you plan to do with the knowledge of what you know. However, I’m sure we are all seriously tickled pink that you are of a mind to allow us the freedom of our own views.

What a wonderfully magnanimous gesture, one I’m sure we all cherish as we slowly come to realize that in spite of the recent emotionally violent coup d’etat we still do in fact live in a free country.

In a few short days the Labor Party lost an amount of credibility that will be hard for many to recover from. This situation was helped along of course by the timely outburst by Kristina Keneally that declared gay people to be “sinners”. Her uncle (by marriage), Tom Keneally AO must have wondered if his enthralling and provoking non-fiction work of 1998, “The Great Shame” has taken on a whole new meaning……..one wonders if discrimination is becoming de rigueur rather than passe.

One suspects that one of the genuine icons of Australian history, Peter Lalor, would be appalled that the occupant of the seat that bares his name engaged in seditious behavior not similar to those who charged him with treason.

After all, his famous speech of 1854, which included the Eureka oath, makes a complete mockery of the notion that many of our politicians have any of the values so apparent in some of their forefathers.

"We swear by the Southern Cross to stand truly by each other and fight to defend our rights and liberties"

As for the election, bring it on and let us demand a fair go is given to those elected by the voters, and that the will of the people is never again taken lightly by those who place their own naked ambition above all else.


Chris Wright.





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Submitted by Peter Kennedy on Wed, 28/07/2010 - 13:07.

Gee, I didn't expect to be accused of "poisonous condemnation" just because I dared to point out that some of your statements are not factual. Why bother having a comments box if you only want comments that agree with you?

My comment about our "petticoat government" was an attempt at what's technically called "humour". Sorry you didn't get it.

Keneally had stated that she supported same-sex "couples" adopting children when announcing that she was introducing legislation to allow this.
She was asked how she could take this position contrary to her professed Catholic beliefs.
She replied: "Jesus sat with the sinners and the saints and he was not a man of judgment but rather a man of love".

Bizarrely some then complained about this reply because, they asserted, same-sex couples are not sinners.
Even more bizarrely, Keneally then clarified that she too didn't mean to imply that same-sex couples are sinners!
No, I can't work out what Keneally's point is either.

My point was simply that it's patently false to claim that there was an "outburst by Kristina Keneally that declared gay people to be “sinners”".
In fact she went out of her way to say (quite irrationally) the exact opposite.

Submitted by Peter Kennedy on Mon, 26/07/2010 - 11:22.

Men in the Health sector, especially in NSW, are feeling a bit of angst now though. The Queen, the Governor-General, the PM, all four Cwlth Ministers with Health portfolios, the NSW Governor, Premier, Deputy Premier and Health Minister: every last one of them a woman!

Submitted by chris wright on Tue, 27/07/2010 - 16:21.

Gee, I didn't expect a thesis full of poisonous condemnation just because I'd expressed an opinion.
Ahh well, I accept that I'm a humorless intellectual nuff-nuff and in future I'll try to confine myself to boring old factual comment.....yeah, right.
It may shock you to learn that I'm well acquainted with the difference between a Prime Minister and a President. Equally, I'd be delighted to be shocked to learn that you understand the difference between comment tinged with an element of humour and Hansard.
As for the relevance of the number of women in positions of power in NSW....your point is?
And as for Queens, I know a few who would take issue with your defense of Kristina Keneally's comment about gay sinners. The fact is the comment did not need to be made in the first place if your assertion is correct.
Yeah, well.......maybe we both need to get a life.

Submitted by Peter Kennedy on Mon, 26/07/2010 - 11:00.

Incumbent Prime Ministers have the right to remain in office so long as (and ONLY so long as) they retain the support of a majority of elected members of the House, and have the right not be removed for any OTHER reason. Rudd obviously understands this better than you do, as he resigned as soon as he realised that the majority of elected members of his party (who comprise a majority in the House) no longer supported him as their leader.

If, as you claim, the ALP members' decision to change their leader was the result of their being manipulated by (unelected?) "power crazed back roomers", well nobody is forcing anyone to vote for the ALP or to become or remain a member of the ALP or any of its factions. Do you think that the removal, in exactly the same way, of the party leaders Turnbull, Beazley, Latham, Downer, Hewson, Hawke, Peacock, Hayden, etc.etc.etc. was also "undemocratic in spirit"? Why?

If there is any genuine "angst in the community at the manner in which K. Rudd lost his job", I suggest it is only among people like yourself who are labouring under the misapprehension that an Australian (or British, NZ, Canadian, etc.) Prime Minister is the equivalent of a President of the USA. Admittedly they are partially excused because so many in the media (who should know better) subtly or otherwise promote this delusion - I suppose it helps them to sensationalise such events as Rudd's removal and so increase the number of readers/viewers/listeners and so increase advertising revenue. And in the case of the ABC on this occasion, whipping up the drama and importance of the event so that it can pat itself on the back for having been the first to break the story.

Submitted by Peter Kennedy on Thu, 22/07/2010 - 09:49.

And Keneally and Brumby, just like Gillard, have faced and won many elections by the people of their electorates. And won the leadership of their parties by the democratic vote of the democratically elected members, just as Rudd did in a party vote orchestrated by party factions. (Remember a bloke called Beazley?) The factions (parties within a party) themselves being yet another expression of democracy.

And as far as I know all Christians believe that all men are sinners. It's extremely weird that you find it a "great shame", "discrimination" or that "the Labor part lost credibility" because Keneally simply pointed out that gay people are not excluded from the standard Christian doctrine that all men are sinners.

Submitted by Peter Kennedy on Thu, 22/07/2010 - 09:33.

I didn't think it was possible, but you've managed to be even more devoid of rationality than your pieces on so-called "alternative" medicine.

We (the majority of Aus voters) did NOT elect Rudd as our president as the Yanks elected Obama. We elected members of the ALP as the majority of those we elected. I'd like to think most of us did so because we supported that party's policies, not because of who its chief spokesman was, much less where (if anywhere) he worshipped (Anglican church, same as Howard). It is utterly absurd to claim that the fact that the party has elected a new spokesman (after Rudd resigned and only one candidate stood for election by the party members) "has nailed yet another nail in the coffin of our long cherished democracy"!! Elected members have been forming, dissolving and re-forming parties, and changing their leaders since the dawn of our democracy, in fact it happens less frequently now than it used to.

Please don't attempt to comment on politics until you have learned the most basic features of our democratic Westminster system of government. Australian voters have never elected a Prime Minister!

Submitted by chris wright on Sat, 24/07/2010 - 09:18.

Hmmm, you make some good points.
However, I didn't think it unreasonable to suggest that the behavior of the power crazed "back-roomers" towards K. Rudd was undemocratic in spirit and therefore at odds with the Westminster...yeah, that's probably not quite right. The Obama comparison was to simply suggest incumbent leaders in a free society must have the right to remain in office and not be removed for the wrong reasons.
If this is not valid there would not be the level of voter angst in the community at the manner in which K. Rudd lost his job
Damn pity if we all thought the same thing, eh?

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