Ageing

Mark Aitken, a registered nurse for 39 years who spent 16 years in aged care roles including assessing elderly people for support and funding, said he quit his job in regional Victoria just four months into using the tool.

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“Eight times out of 10, the outcome was different to one that I would have recommended, or my colleagues would have recommended,” Aitken said.

It follows previous controversies over automated decision-making tools being used by the government, including the robodebt welfare scandal, and concerns about algorithm-driven disability funding through the NDIS.

The IAT user guide does not explain how the algorithm weighs risk, need or complexity, and Aitken said this information was never revealed to assessors.

When he asked at a government seminar about the evaluation framework, including what data was being collected, how accuracy would be assessed, and whether results would be publicly reported, he said he felt “shut down”.

“I left my job because I didn’t want to be part of a system that removed the ultimate decision-making about support from real, experienced people who care,” he said.

“The government valued the algorithm more than people with skills, intelligence and knowledge.”

He said some assessors began “gaming” the system, inputting information they knew would generate the level of care the person needed even if that information did not accurately reflect their situation.

“People shouldn’t have to put in fake information,” Aitken said. “I just started to feel like it was going to be another robodebt, I became very uncomfortable, and just felt the tool wasn’t ethical.”

Capitalism relies on maintaining an artificial scarcity of essential goods and services (like housing, healthcare, transport, etc), through processes of enclosure and commodification. We know that enclosure enables monopolists to raise prices and maximize their profits (consider the rental market, the US healthcare system, or the British rail system). But it also has another effect. When essential goods are privatized and expensive, people need more income than they would otherwise require to access them. To get it they are compelled to increase their labour in capitalist markets, working to produce new things that may not be needed (with increased energy use, resource use, and ecological pressure) simply to access things that clearly are needed, and which are quite often already there.

Take housing, for example. If your rent goes up, you suddenly have to work more just to keep the same roof over your head.  At an economy-wide level, this dynamic means we need more aggregate production — more growth — in order to meet basic needs.  From the perspective of capital, this ensures a steady flow of labour for private firms, and maintains downward pressure on wages to facilitate capital accumulation. For the rest of us it means needless exploitation, insecurity, and ecological damage. Artificial scarcity also creates growth dependencies: because survival is mediated by prices and wages, when productivity improvements and recessions lead to unemployment people suffer loss of access to essential goods — even when the output of those goods is not affected — and growth is needed to create new jobs and resolve the social crisis.

There is a way out of this trap: by decommodifying essential goods and services, we can eliminate artificial scarcity and ensure public abundance, de-link human well-being from growth, and reduce growthist pressures.

Instead of simmering in a stew of rage and resentment I began to wonder if that conferred invisibility could be harnessed. If I reframed it as a cloak of invisibility I could do all sorts of things “inappropriate” for my age.

I refrained from robbing a bank (though fairly sure I could have got away with the loot), instead turning my attention to street art.

My first guerrilla paste-up a decade or so ago was in a lane in Ballarat, Victoria. I was quite nervous and slightly fearful of being at least fined so I donned a hi-vis vest and put out semi-official public work signs and had a friend spotting for me. I needn’t have bothered – people went past me and simply did not see me.