高清福利片

A stethoscope hanging on a fence in the sunlight
高清福利片_

Aboriginal health care from an Aboriginal doctor

2 July 2021
NAIDOC Week: Alumni dedicated to healing Country

Dr Robert Blackley has committed his whole life to helping make things better for Aboriginal people. Having recently graduated from Sydney Medical School at the age of 43, he's only just getting started.

Sometimes medical students come up with images to convey the immense struggle of staying on top of their subject. It鈥檚 drinking water out of a gushing fire hose. It鈥檚 eating an ever-growing stack of pancakes that could overwhelm you at any moment.

Dr Robert Blackley has his own analogy, 鈥淵ou鈥檙e drowning as you swim towards an island,鈥 he says. 鈥淚n final year, you somehow reach the beach. Then you look up and see this incredibly high mountain. But by then, you think maybe you can climb it.鈥

A couple of things made Blackley鈥檚 swim unusual. He was 40 when he started his medical studies. He was also powerfully motivated by his years growing up on Palm Island in Queensland, where Aboriginal men like him, had a life expectancy of just 42 years.

Dr Robert Blackley

Every road has led Dr Robert Blackley back to helping to make things better for Aboriginal people. Photographed here in Darwin, where he is a Resident Medical Officer, he is also Director of the Aboriginal Doctors' Association. Photo by Wayne Quilliam.聽

鈥淚 was actually born in Townsville because babies weren鈥檛 often delivered on Palm Island because of high mortality rates,鈥 he says. 鈥淭hey still don鈥檛 let babies be born, by choice, in the hospital there.鈥

Blackley tells his story in an easy flow that touches on remarkable experiences; some lived in a beach shack with no running water, others in the glossy corridors of government power. His voice is calm and his facial expressions subtle, but they richly convey happiness, nostalgia, optimism and, at times, deep sadness.

鈥淪ince being a small child in the playground, I thought that there should be a sense of justice and fairness in things, and that鈥檚 how I acted, too,鈥 he says. Events in his life soon told him that not everyone thought that way.

Many things shaped Blackley into who he is today; the threat of being removed from his white, schoolteacher father and Aboriginal/Torres Strait Island mother because mixed marriages were unacceptable; the positive time later spent in an Anglican boarding school with the prophetic dormitory motto 鈥榚qual to the task鈥; being in the bush with strong tribal peoples who gave him his cultural knowledge (鈥淚 walk in the world very much as an Aboriginal person, grounded in the Aboriginal cosmology of creation").

I thought that there should be a sense of justice and fairness in things, and that鈥檚 how I acted, too.
Dr Robert Blackley

Still, it was Palm Island and the needs of its people that most strongly drew Blackley鈥檚 path through the world.

Fighting for Indigenous rights

As a young man living on the island, he was so appalled by the poor quality of the food sold in the state-run store (鈥淧eople talk about eating healthy food, but what if it鈥檚 just not available?鈥), he started his own business selling fresh fruit and vegetables from a shipping container. Not long after, that shipping container had a sign out front announcing that Blackley was running for council.

His step into public life gained its own momentum. By the age of 21, and as a new father, Blackley was sitting on the Palm Island Council. He was soon pushed forward to confront government ministers about the poor legislation that governed Aboriginal people.

By 24, he was Palm Island鈥檚 mayor, making him Australia鈥檚 youngest ever, though thanks to some of the problematic legislation he was working to change, he could only be called chair of the Palm Island Aboriginal Council. He lasted only a year before his push against corruption saw him ostracised. He moved to Cairns.

The events and roles of the following years are too numerous to list here. But two stand out: when the possibility of a medical career first crossed Blackley鈥檚 path (鈥淎 medical school opened in North Queensland. They said, 'Come and do medicine. Rio Tinto will pay for everything.' It was hilarious鈥); And he was tapped on the shoulder by then Queensland premier, Peter Beattie.

That tap led to Blackley becoming a ministerial adviser in the double ministry of Aboriginal and Torres Strait Islander Policy and Women鈥檚 policy. 鈥淚鈥檓 twenty-seven. I鈥檓 in a suit. I鈥檓 in Parliament House. The work was interesting, but we鈥檇 drink $200 scotch and talk about managing the drinking of Aboriginal people. I didn鈥檛 like what I was becoming."

鈥淥ne day I looked in the mirror to shave, and I couldn鈥檛,鈥 Blackley says. 鈥淚 had the razor and couldn鈥檛 shave my own face.鈥

Not long after, Blackley was back on Palm Island and re-engaged with improving things for the people there: environment, education, health care.

An aerial view of Palm Island

Palm Island, off the coast of North Queensland, was gazetted as a reserve 鈥榝or troublesome cases鈥 in 1914. People from over 40 Aboriginal and Torres Strait Islander tribes were sent there to work for rations, not wages. This was the start of a long history of discrimination and injustice. The community is now known as the Bwgcolman people, meaning 鈥榤any tribes 鈥 one people鈥. Photo: iStock.聽

The following years were a tug of war between energetically working for his community and fighting a heavy darkness that would drop him into listless despair. On his 34th birthday, Blackley had his last drink, cleaned himself up and embraced some lifelines that had come his way, including his now wife, Marisa.

Again, medicine entered the frame.

鈥淎 minister turned up to Palm Island and I could see what was happening. He was thinking, 鈥業鈥檓 on Palm Island. There鈥檚 cameras, the media鈥檚 here 鈥 I have to announce something.鈥 So he did.鈥

The announcement was that two Palm Islanders would be trained as paramedics. Blackley applied, was granted one of the positions and began training with Queensland Ambulances. He studied online while being part of the Palm Island ambulance team.

鈥淚t was tough, but I was loving the life,鈥 says Blackley. 鈥淔ast-driving the ambulance to all sorts of mad stuff. And all those patients, they all had their own human stories. But I was cutting down friends who had hung themselves from trees. Eventually, I had to ask for a transfer to Cairns.鈥

Starting again in Sydney

With urging from his wife, who herself had two degrees from the University of Sydney and was then finishing undergraduate medicine at James Cook University, Blackley eventually did the exam to study medicine at the University of Sydney, and he was offered a place.

鈥淏ecome a doctor. It was kind of an outlandish plan,鈥 Blackley says, still slightly baffled by the idea. 鈥淏ut getting that offer in the mail from Sydney Medical School was huge.鈥

鈥淭he University does good things for the Aboriginal students,鈥 he says. 鈥淭here鈥檚 a support team, a little a bit of financial assistance. I was given a public transport travel card 鈥 I loved that card. And they gave me a laptop which I鈥檝e only just upgraded.鈥

高清福利片 soon threw Blackley into the deep end, where he had to swim for all he was worth. As others fell by the wayside, to his own amazement, he continued on.

鈥淐linical medicine, I did really well at because I was already a paramedic and knew how to talk to human beings,鈥 he says. 鈥淭hen, just before one of the toughest exams, our baby came along.鈥

Breaking down barriers

A doctor holding a medical face mask in a gloved hand

Many Aboriginal communities on Palm Island have intergenerational distrust of the medical system. Blackley is working to change this. Photo: 听辞苍 .

Clearing every obstacle, though sometimes just barely, Blackley graduated in 2019. He is now in Darwin Hospital, a 45-year-old Resident Medical Officer reporting to supervisors in their 20s but with a strong goal driving him. He wants to help break down the intergenerational distrust of the medical system that exists in Aboriginal communities.

鈥淚n places like Palm Island, there are memories of terrible mistreatreatment and medical experimentation,鈥 says Blackley. 鈥淎nd today, the health care system is still notorious for short-changing the Aboriginal patient.鈥

The difference that Blackley hopes to make is based on one of his own memories.聽

鈥淲hen I first saw an Aboriginal doctor on Palm Island, I cried,鈥 he says. 鈥淎nd the line outside his door was long.鈥澛

Learn more about our Aboriginal and Torres Strait Islander pathways for the聽Doctor of Medicine (MD)听补苍诲聽Doctor of Dental Medicine (DMD).


Written by George Dodd for Sydney Alumni Magazine. Top photo by on .

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