web analytics
The Standard

Nats give ticket-clipper to private hospitals

Written By: - Date published: 2:20 pm, June 30th, 2009 - 7 comments
Categories: health - Tags:

The government has changed the rules so that DHBs can make standing contracts for private hospitals to perform public elective surgeries.

If DHBs start to contract large numbers of electives to these private providers, they will have to hire more medical staff and they’ll have to poach them from the public system. It’s not like there are surgeons on the dole queue.

Indeed, Tony Ryall acknowledges that, saying medicos could earn extra income from doing public jobs contracted to private hospitals. Problem is, if they’re doing more work at the private hospitals, they’ll have to do less at the public hospitals, worsening the staff shortage which is the very reason for turning to the private sector in the first place. You have to wonder how Ryall is going to staff the 20 new elective surgery theatres he has promised when everyone’s off doing publicly-funded ops at private hospitals.

We’re talking the same medical staff performing the same operations. The only difference will be a private profit-making company (in the best tradition of New Zealand business) clipping the ticket on the way through. Nothing has been done to lower the per operation cost. The private hospitals charge for the operation and take their profit, then lump any problems back onto the public system. There’s no actual efficiency gain. It’s ludicrous and it’s clearly designed to undermine the public provision of health-care.

Three concluding remarks:

– National promised that they would include ‘frontline’ medical staff in decision-making. That has not happened. The Association of Salaried Medical Professionals and the Public Helath Association have both criticised the plan.

– National’s obsession with elective surgeries shows they care more about spin than actual results. Electives are good for spin because they’re easy to count (‘electives up 5%!’) but if you’re serious about the health of individuals you put money into preventative and primary health, ensuring people don’t get sick and need costly treatment in the first place. National has cut money to preventative and primary health to put more into electives.

– medical resources are limited and less than demand. Therefore, there needs to be some kind of rationing. That can either be by who has more money or who has greater need. This creeping privatisation of health shows us which National favours.
-Marty G

7 comments on “Nats give ticket-clipper to private hospitals”

  1. vto 1

    I dont know anything about this sector but I recall being told a few years ago by an inside source that the reason there are so few surgeons in NZ is because the surgeons themselves get to decide how many surgeons can become appropriately qualified each year. Namely, they limit the number of surgeons in NZ in order to keep their price up. True story. Perhaps that particular logjam needs clearing (with dynamite it sounds like) to help the situation.

  2. Fundamentally I think this is an OK idea – why not use all available resources in the system – private or public?

    However, there are issues that need to be addressed to ensure that the outcomes are beneficial and not adverse. With some tinkering I think this could be a good thing though.

  3. Sparo 3

    Good to see this response to a news item which played this morning like an entirely laudable proposition… Minister Ryall explaining how more electives could be done etc..

    But I have a question or so concerning the other side of this.. and asks whether the public purse might in fact be propping a recession-hit demand or paying patient loss in the private sector..?

    And if so why not be transparent about such a reality..?

  4. Quoth the Raven 4

    Of course if they are getting contracts from the government that makes them private only in a fairly ironic sense.

  5. This post is a little weird. If resources were fully used in the private sector, then it would make more sense. The point is that (as I understand it) they have spare beds, spare staff, and so it makes sense to utilise that.

    “Electives are good for spin because they’re easy to count (‘electives up 5%!’)”

    It’s not a trade-off between elective and preventative medicine! Goodness. There are heaps of easily measurable non-elective procedures. Presumably these would be performed in place of the (currently performed) elective procedures at the public hospitals.

    • Zetetic 5.1

      The Budget cut money from preventative. put it in electives. The PHA was complaining that it’s a stupid and wasteful way to run a health system earlier today.

  6. Ron 6

    Tom – Zetetic is on the right track and the PHA is right. Electives are an easy political target because they’re easy to count. There IS a tradeoff between the two as recent cuts demonstarate.

    However, the biggest problem is that while the idea sounds right – use available resources – in fact, it has never worked, anywhere in the world. In fact all the evidence shows that putting public money into private medicine does one thing – it undermines the public system. The growth of a private health sector is inversely proportional to that of a public health sector.

    So in the end this is a political move to LOOK good as elective waiting lists go down
    and
    an ideological move as the Tories start looking after their mates.

Links to post

Recent Comments

Recent Posts

  • The Grinch that stole the Waitangi Day public holiday
    It’s been a busy summer for AFFCO Talley’s as they toil away tirelessly in their attempts to bust the union at their Rangiuru site in Wairoa. Not content with locking out some of their employees who belong to the Meat… ...
    GreensBy Denise Roche MP
    4 days ago
  • Waitangi 2016
    I have been to Waitangi every Waitangi Day except one since 2000. As usual, the good news and positive political events were ignored by many media. The Greens, for example, had a very good reception at Te Tii Marae. We… ...
    GreensBy Catherine Delahunty MP
    5 days ago
  • Waitangi 2016
    I have been to Waitangi every Waitangi Day except one since 2000. As usual, the good news and positive political events were ignored by many media. The Greens, for example, had a very good reception at Te Tii Marae. We… ...
    GreensBy Catherine Delahunty MP
    5 days ago
  • TPPA people power protests
    It was great to see such a big turnout – at least 15,000 in Auckland by some estimates. That’s a lot of people not buying the National Government’s spin on the TPPA. I was at the Auckland protests along with… ...
    GreensBy Denise Roche MP
    1 week ago
  • Ten Ways We can Honour Te Tiriti
    1. Learn about our history and current issues – Te Tiriti education is powerful, inspiring and available! 2. Learn about where you live and who the manawhenua are and what their issues in rebuilding their culture are. 3. Support manawhenua… ...
    GreensBy Catherine Delahunty MP
    1 week ago
  • “Not one more acre”
    The Public Works Act has too often been used to confiscate Māori land, and Members of Parliament will soon get a chance to vote to stop this. The original Public Works Act was developed in the 1860’s to facilitate… ...
    GreensBy Catherine Delahunty MP
    2 weeks ago
  • Rules needed so we can swim in Canterbury rivers
    First published in The Press on 1 February 2016 A work colleague recently asked me which rivers and lakes I’d recommend she take her son and nephew swimming during an upcoming visit to Christchurch, somewhere handy to the city. I… ...
    GreensBy Eugenie Sage MP
    2 weeks ago
  • Rules needed so we can swim in Canterbury rivers
    First published in The Press on 1 February 2016 A work colleague recently asked me which rivers and lakes I’d recommend she take her son and nephew swimming during an upcoming visit to Christchurch, somewhere handy to the city. I… ...
    GreensBy Eugenie Sage MP
    2 weeks ago
  • Vulnerable women the victims of Govt inaction
    The Government’s failure to address the housing crisis and its refusal to steps to raise wages have led to vulnerable women being exploited, Labour’s spokesperson for Women Ruth Dyson says. “Reports today that women are being offered free rent in… ...
    2 weeks ago
  • Vulnerable women the victims of Govt inaction
    The Government’s failure to address the housing crisis and its refusal to steps to raise wages have led to vulnerable women being exploited, Labour’s spokesperson for Women Ruth Dyson says. “Reports today that women are being offered free rent in… ...
    2 weeks ago
  • Vulnerable women the victims of Govt inaction
    The Government’s failure to address the housing crisis and its refusal to steps to raise wages have led to vulnerable women being exploited, Labour’s spokesperson for Women Ruth Dyson says. “Reports today that women are being offered free rent in… ...
    2 weeks ago
  • Vulnerable women the victims of Govt inaction
    The Government’s failure to address the housing crisis and its refusal to steps to raise wages have led to vulnerable women being exploited, Labour’s spokesperson for Women Ruth Dyson says. “Reports today that women are being offered free rent in… ...
    2 weeks ago
  • Vulnerable women the victims of Govt inaction
    The Government’s failure to address the housing crisis and its refusal to steps to raise wages have led to vulnerable women being exploited, Labour’s spokesperson for Women Ruth Dyson says. “Reports today that women are being offered free rent in… ...
    2 weeks ago
  • Vulnerable women the victims of Govt inaction
    The Government’s failure to address the housing crisis and its refusal to steps to raise wages have led to vulnerable women being exploited, Labour’s spokesperson for Women Ruth Dyson says. “Reports today that women are being offered free rent in… ...
    2 weeks ago
  • Arms Control a priority for the Pacific
    Labour’s Pacific Island Affairs spokesperson Su’a William Sio and Chair of New Zealand’s Parliamentarians for Global Action says his priority will be getting the Pacific to sign up to the Arms Trade Treaty after being appointed by the PGA as… ...
    2 weeks ago
  • Arms Control a priority for the Pacific
    Labour’s Pacific Island Affairs spokesperson Su’a William Sio and Chair of New Zealand’s Parliamentarians for Global Action says his priority will be getting the Pacific to sign up to the Arms Trade Treaty after being appointed by the PGA as… ...
    2 weeks ago
  • Arms Control a priority for the Pacific
    Labour’s Pacific Island Affairs spokesperson Su’a William Sio and Chair of New Zealand’s Parliamentarians for Global Action says his priority will be getting the Pacific to sign up to the Arms Trade Treaty after being appointed by the PGA as… ...
    2 weeks ago
  • Arms Control a priority for the Pacific
    Labour’s Pacific Island Affairs spokesperson Su’a William Sio and Chair of New Zealand’s Parliamentarians for Global Action says his priority will be getting the Pacific to sign up to the Arms Trade Treaty after being appointed by the PGA as… ...
    2 weeks ago
  • Arms Control a priority for the Pacific
    Labour’s Pacific Island Affairs spokesperson Su’a William Sio and Chair of New Zealand’s Parliamentarians for Global Action says his priority will be getting the Pacific to sign up to the Arms Trade Treaty after being appointed by the PGA as… ...
    2 weeks ago
  • Arms Control a priority for the Pacific
    Labour’s Pacific Island Affairs spokesperson Su’a William Sio and Chair of New Zealand’s Parliamentarians for Global Action says his priority will be getting the Pacific to sign up to the Arms Trade Treaty after being appointed by the PGA as… ...
    2 weeks ago
  • National must listen to Maori TPPA concerns
    The National Government must listen to the widespread opposition to the Trans-Pacific Partnership Agreement (TPPA) if it is to retain credibility with Māori, says Labour’s Maori Development spokesperson Kelvin Davis. “The Iwi Leaders Forum met with Trade Minister Todd McClay… ...
    2 weeks ago
  • National must listen to Maori TPPA concerns
    The National Government must listen to the widespread opposition to the Trans-Pacific Partnership Agreement (TPPA) if it is to retain credibility with Māori, says Labour’s Maori Development spokesperson Kelvin Davis. “The Iwi Leaders Forum met with Trade Minister Todd McClay… ...
    2 weeks ago
  • National must listen to Maori TPPA concerns
    The National Government must listen to the widespread opposition to the Trans-Pacific Partnership Agreement (TPPA) if it is to retain credibility with Māori, says Labour’s Maori Development spokesperson Kelvin Davis. “The Iwi Leaders Forum met with Trade Minister Todd McClay… ...
    2 weeks ago
  • National must listen to Maori TPPA concerns
    The National Government must listen to the widespread opposition to the Trans-Pacific Partnership Agreement (TPPA) if it is to retain credibility with Māori, says Labour’s Maori Development spokesperson Kelvin Davis. “The Iwi Leaders Forum met with Trade Minister Todd McClay… ...
    2 weeks ago
  • National must listen to Maori TPPA concerns
    The National Government must listen to the widespread opposition to the Trans-Pacific Partnership Agreement (TPPA) if it is to retain credibility with Māori, says Labour’s Maori Development spokesperson Kelvin Davis. “The Iwi Leaders Forum met with Trade Minister Todd McClay… ...
    2 weeks ago
  • National must listen to Maori TPPA concerns
    The National Government must listen to the widespread opposition to the Trans-Pacific Partnership Agreement (TPPA) if it is to retain credibility with Māori, says Labour’s Maori Development spokesperson Kelvin Davis. “The Iwi Leaders Forum met with Trade Minister Todd McClay… ...
    2 weeks ago
  • Bob Tizard’s passing an end of an era
    Labour Leader Andrew Little has expressed his deepest condolences to the family of former Labour MP and Deputy Prime Minister Bob Tizard who died this afternoon. Robert “Bob” Tizard was a Labour MP for 30 years, representing the seats of… ...
    2 weeks ago
  • Bob Tizard’s passing an end of an era
    Labour Leader Andrew Little has expressed his deepest condolences to the family of former Labour MP and Deputy Prime Minister Bob Tizard who died this afternoon. Robert “Bob” Tizard was a Labour MP for 30 years, representing the seats of… ...
    2 weeks ago
  • Bob Tizard’s passing an end of an era
    Labour Leader Andrew Little has expressed his deepest condolences to the family of former Labour MP and Deputy Prime Minister Bob Tizard who died this afternoon. Robert “Bob” Tizard was a Labour MP for 30 years, representing the seats of… ...
    2 weeks ago
  • Bob Tizard’s passing an end of an era
    Labour Leader Andrew Little has expressed his deepest condolences to the family of former Labour MP and Deputy Prime Minister Bob Tizard who died this afternoon. Robert “Bob” Tizard was a Labour MP for 30 years, representing the seats of… ...
    2 weeks ago
  • Bob Tizard’s passing an end of an era
    Labour Leader Andrew Little has expressed his deepest condolences to the family of former Labour MP and Deputy Prime Minister Bob Tizard who died this afternoon. Robert “Bob” Tizard was a Labour MP for 30 years, representing the seats of… ...
    2 weeks ago
  • Differing view on TPPA agreed
    Opposition Leader Andrew Little has given dispensation to MP Phil Goff to take his own position on the Trans Pacific Partnership Agreement due to his historic involvement in negotiating its predecessor, the P4. “Phil has had a longstanding involvement and… ...
    2 weeks ago
  • Differing view on TPPA agreed
    Opposition Leader Andrew Little has given dispensation to MP Phil Goff to take his own position on the Trans Pacific Partnership Agreement due to his historic involvement in negotiating its predecessor, the P4. “Phil has had a longstanding involvement and… ...
    2 weeks ago
  • Differing view on TPPA agreed
    Opposition Leader Andrew Little has given dispensation to MP Phil Goff to take his own position on the Trans Pacific Partnership Agreement due to his historic involvement in negotiating its predecessor, the P4. “Phil has had a longstanding involvement and… ...
    2 weeks ago
  • Differing view on TPPA agreed
    Opposition Leader Andrew Little has given dispensation to MP Phil Goff to take his own position on the Trans Pacific Partnership Agreement due to his historic involvement in negotiating its predecessor, the P4. “Phil has had a longstanding involvement and… ...
    2 weeks ago
  • Differing view on TPPA agreed
    Opposition Leader Andrew Little has given dispensation to MP Phil Goff to take his own position on the Trans Pacific Partnership Agreement due to his historic involvement in negotiating its predecessor, the P4. “Phil has had a longstanding involvement and… ...
    2 weeks ago
  • Differing view on TPPA agreed
    Opposition Leader Andrew Little has given dispensation to MP Phil Goff to take his own position on the Trans Pacific Partnership Agreement due to his historic involvement in negotiating its predecessor, the P4. “Phil has had a longstanding involvement and… ...
    2 weeks ago
  • Scandalous Saudi sheep saga rolls on
    It is scurrilous that the Government is pushing ahead with plans to spend many millions of taxpayer money on an abattoir in Saudi Arabia without knowing who’ll end up owning it, Labour MP David Parker says. “More than $12 million… ...
    2 weeks ago
  • Scandalous Saudi sheep saga rolls on
    It is scurrilous that the Government is pushing ahead with plans to spend many millions of taxpayer money on an abattoir in Saudi Arabia without knowing who’ll end up owning it, Labour MP David Parker says. “More than $12 million… ...
    2 weeks ago
  • Scandalous Saudi sheep saga rolls on
    It is scurrilous that the Government is pushing ahead with plans to spend many millions of taxpayer money on an abattoir in Saudi Arabia without knowing who’ll end up owning it, Labour MP David Parker says. “More than $12 million… ...
    2 weeks ago
  • Scandalous Saudi sheep saga rolls on
    It is scurrilous that the Government is pushing ahead with plans to spend many millions of taxpayer money on an abattoir in Saudi Arabia without knowing who’ll end up owning it, Labour MP David Parker says. “More than $12 million… ...
    2 weeks ago
  • Scandalous Saudi sheep saga rolls on
    It is scurrilous that the Government is pushing ahead with plans to spend many millions of taxpayer money on an abattoir in Saudi Arabia without knowing who’ll end up owning it, Labour MP David Parker says. “More than $12 million… ...
    2 weeks ago
  • Scandalous Saudi sheep saga rolls on
    It is scurrilous that the Government is pushing ahead with plans to spend many millions of taxpayer money on an abattoir in Saudi Arabia without knowing who’ll end up owning it, Labour MP David Parker says. “More than $12 million… ...
    2 weeks ago
  • Joyce destroys Government rail link certainty
    Infrastructure Minister Steven Joyce has destroyed the certainty the Prime Minister gave private sector investors in his State of the Nation announcement on the City Rail Link, Labour’s Auckland Issues spokesperson Phil Twyford says.   “Steven Joyce has again poured… ...
    2 weeks ago
  • Joyce destroys Government rail link certainty
    Infrastructure Minister Steven Joyce has destroyed the certainty the Prime Minister gave private sector investors in his State of the Nation announcement on the City Rail Link, Labour’s Auckland Issues spokesperson Phil Twyford says.   “Steven Joyce has again poured… ...
    2 weeks ago
  • Joyce destroys Government rail link certainty
    Infrastructure Minister Steven Joyce has destroyed the certainty the Prime Minister gave private sector investors in his State of the Nation announcement on the City Rail Link, Labour’s Auckland Issues spokesperson Phil Twyford says.   “Steven Joyce has again poured… ...
    2 weeks ago
  • Joyce destroys Government rail link certainty
    Infrastructure Minister Steven Joyce has destroyed the certainty the Prime Minister gave private sector investors in his State of the Nation announcement on the City Rail Link, Labour’s Auckland Issues spokesperson Phil Twyford says.   “Steven Joyce has again poured… ...
    2 weeks ago
  • Joyce destroys Government rail link certainty
    Infrastructure Minister Steven Joyce has destroyed the certainty the Prime Minister gave private sector investors in his State of the Nation announcement on the City Rail Link, Labour’s Auckland Issues spokesperson Phil Twyford says.   “Steven Joyce has again poured… ...
    2 weeks ago
  • Joyce destroys Government rail link certainty
    Infrastructure Minister Steven Joyce has destroyed the certainty the Prime Minister gave private sector investors in his State of the Nation announcement on the City Rail Link, Labour’s Auckland Issues spokesperson Phil Twyford says.   “Steven Joyce has again poured… ...
    2 weeks ago
  • Pasifika caucus visit as Kiribati water crisis deepens
    Water supplies are deteriorating in Kiribati as Labour’s  Pasifika climate change task force prepares to head there and Tuvalu, says Labour’s Pacific Climate Change Spokesperson Su’a William Sio.  “There is a growing crisis on the atolls due to water supplies… ...
    2 weeks ago

Public service advertisements by The Standard

Current CO2 level in the atmosphere