Dr Barry Christophers, president of the Council for Aboriginal Rights, Victoria, and secretary of the Federal Council for Aboriginal Advancement's Equal Wages committee took on the work of challenging racially discriminatory clauses in a determination of the Tuberculosis Act. The campaign was a short, intense one. It began late in 1963. Eighteen months later, the clauses which prevented Aboriginal TB patients in Queensland from receiving an allowance designed to assist in recovery and prevent sufferers from returning to work when they were still infectious had been amended or removed. This was the result, mainly, of an effective letter writing campaign waged by Christophers. He also argued that one of the reasons for the non-payment of the tuberculosis allowance to eligible Aboriginal sufferers was that the receipt of such a payment would highlight the enormous discrepancy between actual Aboriginal wages in the north of the country and the basic government social service payment. The 'captain of the men of death', 'the white plague', or tuberculosis, as it is now known, was, at the time of Federation, the leading cause of death in Australia1. Forty-five years later, when Australia urgently needed a healthy workforce, tuberculosis was still responsible for more than a quarter of young adult deaths from all major individual causes.2 A buoyant economy, growth of Commonwealth health policy, and knowledge of how the disease could be controlled, provided the conditions for a sustained campaign against what the National Health and Medical Research Council referred to as 'a tragic feature of social life in Australia for many years'.3 The seriousness of the problem led to lobbying by Drs Keith Wunderly and Cotter Harvey and others for Commonwealth action. Once appointed as Commonwealth Director of Tuberculosis, Wunderly reported on the urgent need for a co-ordinated scheme. He proposed that the national tuberculosis campaign should be a joint Commonwealth/state undertaking. The states would control policy through a National Tuberculosis Advisory Council and the Commonwealth would control expenditure.4 This was a new step in federal-state relations in the area of health, the only Commonwealth power specified by the Australian Constitution being the quarantine power of clause 51 (ix). Now, however, a vision of a national health program based on co-operation between the states and the Commonwealth was being realised. The Tuberculosis Act gave authority for the Commonwealth to enter into arrangements with each state 'for the provision by the State, subject to agreed conditions, of services and facilities for the diagnosis, treatment and control of tuberculosis'. The Act specified the payment of an allowance for the purposes of '(a) encouraging such sufferers to refrain from working and to undergo treatment; (b) minimizing the spread of tuberculosis; and (c) promoting the treatment, after care and rehabilitation of sufferers from tuberculosis'.5 This allowance was different from the already existing invalid pension, for a permanent disability, or the sickness allowance, which was temporary. The more generous tuberculosis allowance was to support families and to ensure their adequate shelter and nutrition and 'so enable and encourage the sufferer to accept treatment'.6
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