Australian MPs have passed a landmark bill with an opposition amendment making it easier for sick refugees held offshore to be treated in the country.
This is the first time in decades a government has lost a vote on its own legislation in the lower house.
The move is a blow for Prime Minister Scott Morrison's minority government's highly controversial immigration policy.
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Doctors will now have the power to recommend transfers for refugees on Nauru and Manus to Australia for treatment. However, the immigration minister could ask an independent panel to review the medical assessment, and would have some authority to overrule it.
Previously, doctors had reported that their medical transfer recommendation were ignored by authorities.
Refugee lawyers thus had to apply for court orders to bring ill people to Australia. There were 44 medical transfers achieved through court battles.
The way the Australian government is acting, you would think this was the end of the world. They have such an inflated view of their own country that they seriously think people will sign up to be tortured in a concentration camp for five years simply so they can set foot on Australian soil to receive treatment in a hospital. But what it is is showing some basic humanity which has long been missing from Australian refugee policy. The Australian government wants its victims to die quietly. The Australian parliament has said that that is simply not acceptable, and recognised that they have a duty of care. But while its a step forward, it also invites the basic question: what is so wrong with Australia and its politics that they had to pass this law, rather than behaving in a lawful and humane manner in the first place?