Approximately 1,655 refugees and asylum seekers remain on Nauru and Manus Island. Many face acute physical and mental health issues, exacerbated or brought on from their treatment at the hands of the Australian government. There are also questions around the ethics of shifting responsibility for refugees from the wealthiest to some of the poorest nations in the region. Many Australians are deeply uncomfortable with the current policy. But options are framed in binary terms. Either accept the current cruel system, or face a resumption of asylum seeker boats and the inevitable deaths at sea.