Abstract
One of the things that surprised me most when I came to Australia was the similarities in the problems I saw in a very different context here and in the UK. I had come from a family with a working-class background, and learned my general practice in a small city only just recovering from the effect of closing coal mines and steelworks. The health problems I saw were those caused by poor choices in lifestyle, such as smoking and chips. Except people had no choices, because choices required money to be able to afford something more expensive, and a belief that one had a future that was different. People would get their small pleasures with small …
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