It is easy to find accounts of Australian aboriginal health – strictly Aborigines and Torres Strait Islanders – that are lacking in hope. The standard narrative is that $billions have been spent, but aboriginal families are characterised by violence, alcohol, drugs, worklessness and high rates of crime.
Billions have been spent and aboriginal health is bad compared to the non-indigenous population – 11 years shorter life expectancy for men and just under 10 years for women. But a different account says that when people’s lives are characterised by betrayal of trust and systematic destruction of identity and self-worth leading to powerlessness perhaps it is no surprise that this Spiritual Sickness can lead to destructive behaviours. Money spent is not irrelevant. But the psychosocial issues are central. My starting position is that if communities and individuals are empowered it is more likely that money spent will lead to progress.