Post by Firu Post by John Bowes Post by Firu
Might be time to have a new health minister or get him some new, more
Honest Ministers would be nice. But Ministers who are actually capable of ensuring the necessary changes would be nice. I can see a major disaster coming in health in New Zealand (along with several other ministry's) with the rush to central control. It didn't work in the Soviet Union and sure ain't going to work with the incompetent clowns we have as government now!
Health is really in the spotlight these days worldwide.
This harsh light has shown how marginal the health services are. They
are now pared back to the minimum and have no hope of reacting to, let
alone coping with, anything over the everyday levels of illness.
Monetising health care around the world has been shown time and again to
be ineffective and expensive. The US system is just a huge money making
opportunity for the few to make money. In Ireland the national maternity
service was nearly handed over to a religious order who hadn't dealt
with previous abuse allegations against pregnant women.
We all know the problems with the fragmented and disjointed NZ system.
So it's going to be reorganised. If it's run like the UK NHS, top down
and under political control, it will be monolithic and overly
bureaucratic. Even more so when we'll be running a second health service
for the Maori population. This is simply stupid on both a financial and
a Maori rights stand point, creating yet more division rather that
Sorting out blatant discrimination would be more worthwhile and might
end up benefiting more than just health outcomes.
Now we need two ministers and officials with the balls to do the jobs!
Here is a summary of the way health services have been delivered in
NZ. Note that there is a 5-paragraph summary at the beginning.
This is the current restructure plan:
While there is still provision for health to be administered at a
regional level, the new model eliminates the overheads of every DHB
having its own management structure - so as long as there is some
accountability for delivery of services in each region, the new
structure is less top-heavy at the equivalent of DHB level.