Pieter Tiesenhausen satisfies Australia's strict points-based immigration requirements comfortably. He is an anesthetist at a small hospital in Queensland, where specialists are in high demand. "There are no entrenched hierarchies", he claims. Yet a German doctor and his family were denied permanent residency recently because their youngest son suffers from Downs syndrome. In this much-criticised system integration also remains an issue, ever since young Anglo-Australians clashed with Lebanese immigrants in 2005's Cronulla riots. Few of the migrants in this report seem to see a conflict of interests in their dual identities, however. As Australian-Egyptian comedian, Amro Ali, says, "I do my bit of integrating each morning by spreading vegemite on my Lebanese bread".