UTOPIA: Episode – “Consistency”

TV guide listing for "Utopia" episode.

Cold Open

A television in the Nation Building Authority reception area plays a news clip:

Ø “The new assessment algorithm is delivering unprecedented consistency.”

A ticker scrolls beneath:

COMPLAINTS UP 68%

Staff stare silently.

TITLE CARD

Scene 1: Morning Briefing

Tony (Director):

Good news everyone. The Minister says the system is working.

Nat: Complaints have doubled.

Tony: Yes, but consistently.

Jim: We’ve achieved uniform dissatisfaction.

Tony: Consistency was always the objective.

Scene 2: The Language Problem

Media Advisor: We must stop people calling it “robo-care.”

Nat: Is it robo-care?

Policy Officer: No. It’s a classification algorithm.

Jim: Ah. Comforting.

Tony: We say it supports clinical judgement.

Nat: Does it?

(long pause)

Tony: It supports the documentation of clinical judgement.

Scene 3: Frontline Reality

Video call with an assessor.

Assessor: We can’t change the outcome even when it’s clearly wrong.

Tony: The outcome isn’t wrong. It’s consistent.

Assessor: Clients are confused and angry.

Jim: But consistently so.

Tony: We appreciate the feedback.

(call ends)

Nat: They’re burning out.

Tony: Let’s add a wellbeing webinar.

Scene 4: Data Discussion

Systems Lead: The algorithm is performing exactly as designed.

Nat: That may be the problem.

Systems Lead: Changing it risks inconsistency.

Jim: And we can’t have inconsistency in the delivery of confusion.

Scene 5: Complaint Strategy

Nat: Complaints are taking staff hours we don’t fund.

Tony: Can we reduce complaints?

Policy Officer: We could improve outcomes.

Everyone looks at him.

Tony: Let’s improve messaging.

Scene 6: Senate Prep

Tony: If asked whether assessors can override decisions…

Media Advisor: Say assessors play a critical role.

Jim: In explaining why nothing can be changed.

Tony: Exactly.

Scene 7: Reform Update

Policy Officer: Release 35 will address current issues.

Nat: What does it do?

Policy Officer: Adds additional fields.

Jim: More fields?

Policy Officer: For improved consistency.

Jim: If we can’t fix reality, we can at least expand the spreadsheet.

Scene 8: Strategic Reframe

Tony: We are not reducing services.

Nat: People are receiving less support.

Tony: We are managing expectations.

Scene 9: Corridor Conversation

Jim: How is this improving care?

Nat: It’s improving the reporting of care.

Jim: Important distinction.

Scene 10: Ministerial Visit

Minister: I’m hearing the rollout has been smooth.

Tony: Very smooth.

Nat: Frictionless.

Jim: Almost entirely without traction.

Scene 11: Late Afternoon Crisis

Nat: Providers say upgrades are being rejected at unprecedented rates.

Tony: We’re improving consistency.

Jim: Consistency in refusal.

Scene 12: Final Briefing

Tony: We must remain focused on outcomes.

Nat: We are.

Jim: Just not the client ones.

Scene 13: Watching Clarke & Dawe

Break room. Staff watch a TV.

Clarke: So the system works?

Dawe: Perfectly.

Clarke: And people receive the support they require?

Dawe: They receive a consistent explanation of why they will not.

Clarke: Administrative clarity.

Dawe: Consistency achieved.

TV clicks off.

Silence.

Nat: That’s… uncomfortably accurate.

Jim: I resent the suggestion we lack compassion.

Tony: We don’t lack compassion.

(pause)

Tony: We lack override permissions.

Scene 14: The PILES Defence

Policy Officer: We followed the process.

Nat: The outcome is wrong.

Policy Officer: But the process was correct.

Jim: Which process?

Policy Officer: PILES.

Tony: Remind me.

Policy Officer: Procedural Integrity & Legislative Enforcement System.

Jim: Ah yes.

Nat: So the system works even when it doesn’t.

Policy Officer: Exactly.

Jim: And nobody likes PILES.

Tony ignores this.

Scene 15: Training Video Shoot

Presenter before a graphic: THE NEW SYSTEM: SIMPLE, CONSISTENT, PERSON-CENTRED

Presenter: The assessment tool ensures outcomes reflect individual needs.

Actor Assessor: So if the result is wrong… we change it?

Producer: No.

Actor: Then what do we do?

Presenter: You document clinical judgement.

Actor: And then change the result?

Producer: No.

Actor: Then what is the clinical judgement for?

Silence. Nat watches.

Nat (quietly): They’re asking the questions we stopped asking.

Scene 16: Team Frustration

Nat: If actors can’t understand it, how do we expect families to?

Tony: We’ll produce a FAQ.

Jim: Nothing clarifies confusion like a 42-page PDF.

Scene 17: Voiceover

Ø The system was designed to deliver consistency, and by God it has.

Older Australians now wait consistently.

Families complain consistently.

Clinicians apologise consistently.

Somewhere, a spreadsheet balances perfectly while a human being struggles to shower safely.

The algorithm is not cruel. It is obedient – faithfully executing instructions written by people who will never need to use it.

And the burden of explaining its failures falls, as always, on the only people in the system who still possess a conscience… and a phone that won’t stop ringing.

Nat closes her laptop.

Silence.

Closing Scene

Reception TV again.

Ø “The Department confirms the system will continue to be refined.”

Ticker:

APPEALS CONTINUE TO RISE

STAFF TURNOVER INCREASES

CONSISTENCY ACHIEVED

Jim watches.

Jim: Well… that’s something.

Fade out.

🎬 NEXT WEEK ON UTOPIA

Episode 2: The Appeals Dashboard

A new dashboard appears.

Policy Officer: This shows appeals in real time.

Screen fills with red.

Tony: Why is it red?

Systems Lead: That indicates volume.

Nat: Can we reduce appeals?

Systems Lead: We can change the colour.


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About Lachlan McKenzie 161 Articles
I believe in championing Equity & Inclusion. With over three decades of experience in healthcare, I’ve witnessed the power of compassion and innovation to transform lives. Now, I’m channeling that same drive to foster a more inclusive Australia - and world - where every voice is heard, every barrier dismantled, and every community thrives. Let’s build fairness, one story at a time.

4 Comments

  1. Simply brilliant!! Look out Rossleigh, you have an equally irreverent competitor; fortunately!!

    Never underestimate the ability of a government desk jockey to further confuse an already distressing situation.

  2. Appreciate this, Heather. We’ll take those links under advisement and establish a working group to explore how best to acknowledge them without changing anything measurable. 😉
    Thanks for engaging with the article 😊
    (The articles were great and right on point 👍)

  3. Thanks, Cocky – much appreciated. Satire works best when it reflects a shared reality, and you’ve clearly recognised it. We’re standing on the shoulders of some brilliant satirists… just trying to hold up the mirror.

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