On the scrap heap

Written By: - Date published: 3:50 pm, August 15th, 2009 - 26 comments
Categories: health, human rights - Tags:

Call me old fashioned if you will, but I like the idea that reforms of government activity should be concieved and implemented by experts in the particular field in question. Which makes me wonder, why the hell has Tony Ryall appointed a financial guy, Murray Horn, to lead a ministerial review into the health system? What the hell would he, and other members of the review panel who mostly come from similar backgrounds, know about what makes for an effective health system?

Depends what you mean by effective, I guess.

To you and me, access to healthcare when we need it is a right, that we pay for with our tax dollars. The report (leaked from within the ministry) shows that to Horn et al, healthcare is about ensuring the supply of labour units (that’s ‘people’ to you and me) for business. Making people healthy is only ‘worthwhile’ as long as it means more cheap, effective labour:

“Spending health dollars on improving life expectancy is a worthy objective in itself but it will only be an ‘investment’ in growth if people also work longer.”

Now, it’s a long established part of ranking patients on waiting lists that age counts against you, after all a successful heart op could give a 40 year old another 40 years of life but only a handful to a 80 year old with the same condition. The health system should try to get the most bang for its limited buck. But National’s review goes far further. It says your economic value (to the system, to the bosses, to the god known as growth) is all that should matter.

It even suggests that getting rid of universial healthcare would be preferable, so as not to ‘waste money’ on people who aren’t contributing labour units but admits this is not possible:

“The desire for universal and equal access to tax-funded care makes it difficult to go too far in this direction (eg in favour of people of working age). Increasing the proportion of health-care funded in other ways might help, for example ACC has a strong focus on prevention and rehabilitation for people in the workforce.”

Welcome to healthcare under National. Designed by business, for business. Unless you’re a functional unit of labour, you’re not worth maintaining. Surplus to requirements. On the scrap heap.

26 comments on “On the scrap heap ”

  1. bill brown 1

    So if you’re on a benefit do you get pushed down the list?

    How about a list of “productive” versus “unproductive” jobs –

    Engineer wins over politician?

  2. Ianmac 2

    They could charge fees up-front before the Hospital would operate. It worked before in the 90’s. It did work didn’t it? No? You mean it was like the USA model pay first, have Insurance or you are OUT! Oh darn.

  3. Daveo 3

    Careful Marty, you don’t want John Armstrong to accuse you of ‘finding fault with anything and everything the Key Government does while expecting your breathless critiques to somehow bring forward its demise’.

    Best you find something superficial to criticise Phil Goff about while slavishly praising John Key’s remarkable ambition for New Zealand. You might even get a regular column in the Herald.

    • ghostwhowalks 3.1

      Not as regular as it used to be. The real answer is that the Herald doesnt have space for in depth political news, writing stories based on court transcripts is so much easier and has a day by day narrative which means the reader comes back for more the next day

  4. ghostwhowalks 4

    I”t’s a long established part of ranking patients on waiting lists that age counts against you, after all a successful heart op could give a 40 year old another 40 years of life but only a handful to a 80 year old ..”

    This is wrong, as age doesnt come into it! Its the persons health at the time of operation that matters. Older people have poorer health and other factors mean they are not eligible while a 40 yr would most likely not have other factors , but obesity being one.
    But the short answer is that the wards are full of elderly people in their 80s having major operations, often their pulse rate is better than those who work in the ward!!

    This idea of saving money by not spending as much money in the last five years of life was looked at previously ( under a national government) but was found to be unworkable.
    Perhaps they have found a financial guy who will make it work.

    So much for including clinicians in decision making, or was that just spin from arch cost cutter Ryall. ( a prime example who spent last year finding superficial things to criticise labour for, but then thats what the newspapers wanted for quickie stories, now they tell us they want positive news !!)

    • Marty G 4.1

      really? I thought age was a factor (one of many) in ranking patients for the utilitarian reason I mention in the post and because higher age means less chance of a good outcome… could be wrong of course

      • ghostwhowalks 4.1.1

        My own family experience was the opposite of your conclusions. My father thought that in his early 80s his age meant he didnt qualify for public funded operations, but was told that wasnt the case. Its clinical criteria only .
        Ageism is out but fatism is in.

  5. ak 5

    Ya gotta larf. Populist sloganeering meets reality, and appointed puppets serve up the clangers. After years of demonising our “heartless” health system and its mythical army of thumb-twiddling bureaucrats, they come up with – wait for it – a whole new level of bureaucracy and a work-for-the-op scheme! Need a new hip? Sorry, Winnie’s mob: biketrack workers and children first.

    • ghostwhowalks 5.1

      Obamas grandmother had a hip replacement only days before she died, and the circumstances have been raised in the US healthcare debate

  6. Anthony Karinski 6

    It’s a cold and soul less ideology that assumes society is here to serve business rather than business being allowed as long as it benefits society. Unfortunately some of the Nats seem to think the former is the way to go.

    • Draco T Bastard 6.1

      That’s true of National and ACT. They really do believe that society is here to service the business owners and shareholders.

      • Macro 6.1.1

        Isn’t it?? But surely our sole mission in life is to make the bosses happy – and when we can’t do that – well shouldn’t we all just shuffle off and die?

  7. kaplan 7

    I’ve had to read through this twice just to convince myself that I had read it right the first time. It turns out I had and to say I am disgusted is an understatement.

    That this kind of mentality exists offends me and should offend anyone who believes humans are more than just a part of ‘the machine’.

    The one positive I will take is the strengethening of my resolve to help remove these arseholes from power in 2011.

    [Edit]
    I understand Ryall is on Q+A tomorrow. I suggest viewer feedback that asks some questions on this issue.
    Q+A Feedback/Opinion

  8. bobbity 8

    “The one positive I will take is the strengethening of my resolve to help remove these arseholes from power in 2011.”

    Remove who ….. dickhead bureaucrats producing cak reports on taxpayers money ?

    I was under the impression this kind of drivel is produced all the time for ministers to sift through, just look at the rubbish that comes out of treasury on a regular basis. I’d suggest you keep your powder dry until something is actioned by the government, who have a policy of no major changes to the health system despite it needing a kick in the pants here and there.

    • Pascal's bookie 8.1

      Really?

      “Keep your powder dry until the enemy fires his weapon”

      seems like shit advice to me.

      When someone runs something that you don’t like up a flagpole, chop it down.

      • Lew 8.1.1

        “Keep your powder dry until the enemy fires his weapon’

        Sort of goes counter to the dictum that you shouldn’t ever die with a round in your magazine.

        L

  9. sk 9

    oh dear .. back to the 1990’s. Murray Horn is yet another example of the NZ right who can’t hack it in the real world. Ruth made him the youngest ever Treasury Secretary, and he ran an operation where candidates to work at Treasury were assessed by their politicial bias .. implemented by Mark Prebble of course . . slightly centrist and you were too left . ..

    So, off he went to ANZ where he was fired for running the NZ operations into the ground. The Aussies thought he was cr*p so posted him to Newcastle .. .

    And here he resurfaces in the JK gov’t as Health Czar ..

    Marty G, you insult financial guys by calling Murray Horn a financial guy .. He is a failed financial guy

  10. Michael 10

    Although I don’t think this review will have much of an effect, it’s exactly the reason why the US public opposes public healthcare.

    When they say “government death panels”, this is what they mean. When the government funds and provides healthcare, this is the result. Bureaucrats and politicians deciding who gets healthcare, when it should be individuals.

    If you want to avoid this kind of situation, then ACT’s healthcare policy is a good solution. Still taxpayer-funded, everyone has access to health care, but it’s the individual, not bureaucrats, that’re in charge of their health.

    • Lindsey 10.1

      As opposed to Insurance company death panels or bankruptcy death panels, or waiting for pauper hospitals death panels?

      • ghostwhowalks 10.1.1

        Someone has obviously never had a major car accident. They would find out how much they are in ‘charge of their car insurance’.

        Just having a fee for service hospital system adds 25% in costs of administration, and the hospital or clinic has the incentive to load up the treatment and not being an expert the person you rely on is the hospitals doctor.

  11. Well that would be out with all the single mums on benefit and their useless sprouts whom we all know would also end up on benefit all those useless grandparents who live on “our” tax money and all of those who don’t have low paying serfdom jobs for the money masters. Welcome to the new feudal age.

  12. Beyondthebeltway 12

    Social Darwinism from the iguanas at Treasury…….enacted by T Rex Tony

  13. Ms X 13

    So much for all the elderly people who voted the NACT govt in…..

  14. CMR 14

    On the scrap heap? Are you meaning Phil Gone-Off? Tonight’s poll results are interesting…

Recent Comments

Recent Posts

  • Minister acknowledges passing of Sir Robert Martin (KNZM)
    New Zealand lost a true legend when internationally renowned disability advocate Sir Robert Martin (KNZM) passed away at his home in Whanganui last night, Disabilities Issues Minister Louise Upston says. “Our Government’s thoughts are with his wife Lynda, family and community, those he has worked with, the disability community in ...
    BeehiveBy beehive.govt.nz
    2 hours ago
  • Speech to New Zealand Institute of International Affairs, Parliament – Annual Lecture: Challenges ...
    Good evening –   Before discussing the challenges and opportunities facing New Zealand’s foreign policy, we’d like to first acknowledge the New Zealand Institute of International Affairs. You have contributed to debates about New Zealand foreign policy over a long period of time, and we thank you for hosting us.  ...
    BeehiveBy beehive.govt.nz
    2 hours ago
  • Accelerating airport security lines
    From today, passengers travelling internationally from Auckland Airport will be able to keep laptops and liquids in their carry-on bags for security screening thanks to new technology, Transport Minister Simeon Brown says. “Creating a more efficient and seamless travel experience is important for holidaymakers and businesses, enabling faster movement through ...
    BeehiveBy beehive.govt.nz
    4 hours ago
  • Community hui to talk about kina barrens
    People with an interest in the health of Northland’s marine ecosystems are invited to a public meeting to discuss how to deal with kina barrens, Oceans and Fisheries Minister Shane Jones says. Mr Jones will lead the discussion, which will take place on Friday, 10 May, at Awanui Hotel in ...
    BeehiveBy beehive.govt.nz
    10 hours ago
  • Kiwi exporters win as NZ-EU FTA enters into force
    Kiwi exporters are $100 million better off today with the NZ EU FTA entering into force says Trade Minister Todd McClay. “This is all part of our plan to grow the economy. New Zealand's prosperity depends on international trade, making up 60 per cent of the country’s total economic activity. ...
    BeehiveBy beehive.govt.nz
    10 hours ago
  • Mining resurgence a welcome sign
    There are heartening signs that the extractive sector is once again becoming an attractive prospect for investors and a source of economic prosperity for New Zealand, Resources Minister Shane Jones says. “The beginnings of a resurgence in extractive industries are apparent in media reports of the sector in the past ...
    BeehiveBy beehive.govt.nz
    12 hours ago
  • Ō-Rākau Remembrance Bill passes first reading
    The return of the historic Ō-Rākau battle site to the descendants of those who fought there moved one step closer today with the first reading of Te Pire mō Ō-Rākau, Te Pae o Maumahara / The Ō-Rākau Remembrance Bill. The Bill will entrust the 9.7-hectare battle site, five kilometres west ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Government to boost public EV charging network
    Energy Minister Simeon Brown has announced 25 new high-speed EV charging hubs along key routes between major urban centres and outlined the Government’s plan to supercharge New Zealand’s EV infrastructure.  The hubs will each have several chargers and be capable of charging at least four – and up to 10 ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Residential Property Managers Bill to not progress
    The coalition Government will not proceed with the previous Government’s plans to regulate residential property managers, Housing Minister Chris Bishop says. “I have written to the Chairperson of the Social Services and Community Committee to inform him that the Government does not intend to support the Residential Property Managers Bill ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Independent review into disability support services
    The Government has announced an independent review into the disability support system funded by the Ministry of Disabled People – Whaikaha. Disability Issues Minister Louise Upston says the review will look at what can be done to strengthen the long-term sustainability of Disability Support Services to provide disabled people and ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Justice Minister updates UN on law & order plan
    Justice Minister Paul Goldsmith has attended the Universal Periodic Review in Geneva and outlined the Government’s plan to restore law and order. “Speaking to the United Nations Human Rights Council provided us with an opportunity to present New Zealand’s human rights progress, priorities, and challenges, while responding to issues and ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Ending emergency housing motels in Rotorua
    The Government and Rotorua Lakes Council are committed to working closely together to end the use of contracted emergency housing motels in Rotorua. Associate Minister of Housing (Social Housing) Tama Potaka says the Government remains committed to ending the long-term use of contracted emergency housing motels in Rotorua by the ...
    BeehiveBy beehive.govt.nz
    1 day ago
  • Trade Minister travels to Riyadh, OECD, and Dubai
    Trade Minister Todd McClay heads overseas today for high-level trade talks in the Gulf region, and a key OECD meeting in Paris. Mr McClay will travel to Riyadh to meet with counterparts from Saudi Arabia and the Gulf Cooperation Council (GCC). “New Zealand’s goods and services exports to the Gulf region ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • Education priorities focused on lifting achievement
    Education Minister Erica Stanford has outlined six education priorities to deliver a world-leading education system that sets Kiwi kids up for future success. “I’m putting ambition, achievement and outcomes at the heart of our education system. I want every child to be inspired and engaged in their learning so they ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • NZTA App first step towards digital driver licence
    The new NZ Transport Agency (NZTA) App is a secure ‘one stop shop’ to provide the services drivers need, Transport Minister Simeon Brown and Digitising Government Minister Judith Collins say.  “The NZTA App will enable an easier way for Kiwis to pay for Vehicle Registration and Road User Charges (RUC). ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • Supporting whānau out of emergency housing
    Whānau with tamariki growing up in emergency housing motels will be prioritised for social housing starting this week, says Associate Housing Minister Tama Potaka. “Giving these whānau a better opportunity to build healthy stable lives for themselves and future generations is an essential part of the Government’s goal of reducing ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • Tribute to Dave O'Sullivan
    Racing Minister Winston Peters has paid tribute to an icon of the industry with the recent passing of Dave O’Sullivan (OBE). “Our sympathies are with the O’Sullivan family with the sad news of Dave O’Sullivan’s recent passing,” Mr Peters says. “His contribution to racing, initially as a jockey and then ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • Speech – Eid al-Fitr
    Assalaamu alaikum, greetings to you all. Eid Mubarak, everyone! I want to extend my warmest wishes to you and everyone celebrating this joyous occasion. It is a pleasure to be here. I have enjoyed Eid celebrations at Parliament before, but this is my first time joining you as the Minister ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • Government saves access to medicines
    Associate Health Minister David Seymour has announced Pharmac’s largest ever budget of $6.294 billion over four years, fixing a $1.774 billion fiscal cliff.    “Access to medicines is a crucial part of many Kiwis’ lives. We’ve committed to a budget allocation of $1.774 billion over four years so Kiwis are ...
    BeehiveBy beehive.govt.nz
    2 days ago
  • Pharmac Chair appointed
    Hon Paula Bennett has been appointed as member and chair of the Pharmac board, Associate Health Minister David Seymour announced today. "Pharmac is a critical part of New Zealand's health system and plays a significant role in ensuring that Kiwis have the best possible access to medicines,” says Mr Seymour. ...
    BeehiveBy beehive.govt.nz
    3 days ago
  • Taking action on Fetal Alcohol Spectrum Disorder
    Hundreds of New Zealand families affected by Fetal Alcohol Spectrum Disorder (FASD) will benefit from a new Government focus on prevention and treatment, says Health Minister Dr Shane Reti. “We know FASD is a leading cause of preventable intellectual and neurodevelopmental disability in New Zealand,” Dr Reti says.  “Every day, ...
    BeehiveBy beehive.govt.nz
    4 days ago
  • New sports complex opens in Kaikohe
    Regional Development Minister Shane Jones today attended the official opening of Kaikohe’s new $14.7 million sports complex. “The completion of the Kaikohe Multi Sports Complex is a fantastic achievement for the Far North,” Mr Jones says. “This facility not only fulfils a long-held dream for local athletes, but also creates ...
    BeehiveBy beehive.govt.nz
    4 days ago
  • Diplomacy needed more than ever
    Foreign Minister Winston Peters’ engagements in Türkiye this week underlined the importance of diplomacy to meet growing global challenges.    “Returning to the Gallipoli Peninsula to represent New Zealand at Anzac commemorations was a sombre reminder of the critical importance of diplomacy for de-escalating conflicts and easing tensions,” Mr Peters ...
    BeehiveBy beehive.govt.nz
    5 days ago
  • Anzac Commemorative Address, Buttes New British Cemetery Belgium
    Ambassador Millar, Burgemeester, Vandepitte, Excellencies, military representatives, distinguished guests, ladies and gentlemen – good morning and welcome to this sacred Anzac Day dawn service.  It is an honour to be here on behalf of the Government and people of New Zealand at Buttes New British Cemetery, Polygon Wood – a deeply ...
    BeehiveBy beehive.govt.nz
    5 days ago
  • Anzac Commemorative Address – NZ National Service, Chunuk Bair
    Distinguished guests -   It is an honour to return once again to this site which, as the resting place for so many of our war-dead, has become a sacred place for generations of New Zealanders.   Our presence here and at the other special spaces of Gallipoli is made ...
    BeehiveBy beehive.govt.nz
    6 days ago
  • Anzac Commemorative Address – Dawn Service, Gallipoli, Türkiye
    Mai ia tawhiti pamamao, te moana nui a Kiwa, kua tae whakaiti mai matou, ki to koutou papa whenua. No koutou te tapuwae, no matou te tapuwae, kua honoa pumautia.   Ko nga toa kua hinga nei, o te Waipounamu, o te Ika a Maui, he okioki tahi me o ...
    BeehiveBy beehive.govt.nz
    6 days ago
  • PM announces changes to portfolios
    Paul Goldsmith will take on responsibility for the Media and Communications portfolio, while Louise Upston will pick up the Disability Issues portfolio, Prime Minister Christopher Luxon announced today. “Our Government is relentlessly focused on getting New Zealand back on track. As issues change in prominence, I plan to adjust Ministerial ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • New catch limits for unique fishery areas
    Recreational catch limits will be reduced in areas of Fiordland and the Chatham Islands to help keep those fisheries healthy and sustainable, Oceans and Fisheries Minister Shane Jones says. The lower recreational daily catch limits for a range of finfish and shellfish species caught in the Fiordland Marine Area and ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Minister welcomes hydrogen milestone
    Energy Minister Simeon Brown has welcomed an important milestone in New Zealand’s hydrogen future, with the opening of the country’s first network of hydrogen refuelling stations in Wiri. “I want to congratulate the team at Hiringa Energy and its partners K one W one (K1W1), Mitsui & Co New Zealand ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Urgent changes to system through first RMA Amendment Bill
    The coalition Government is delivering on its commitment to improve resource management laws and give greater certainty to consent applicants, with a Bill to amend the Resource Management Act (RMA) expected to be introduced to Parliament next month. RMA Reform Minister Chris Bishop has today outlined the first RMA Amendment ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Overseas decommissioning models considered
    Overseas models for regulating the oil and gas sector, including their decommissioning regimes, are being carefully scrutinised as a potential template for New Zealand’s own sector, Resources Minister Shane Jones says. The Coalition Government is focused on rebuilding investor confidence in New Zealand’s energy sector as it looks to strengthen ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Release of North Island Severe Weather Event Inquiry
    Emergency Management and Recovery Minister Mark Mitchell has today released the Report of the Government Inquiry into the response to the North Island Severe Weather Events. “The report shows that New Zealand’s emergency management system is not fit-for-purpose and there are some significant gaps we need to address,” Mr Mitchell ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Justice Minister to attend Human Rights Council
    Justice Minister Paul Goldsmith is today travelling to Europe where he’ll update the United Nations Human Rights Council on the Government’s work to restore law and order.  “Attending the Universal Periodic Review in Geneva provides us with an opportunity to present New Zealand’s human rights progress, priorities, and challenges, while ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Patterson reopens world’s largest wool scouring facility
    Associate Agriculture Minister, Mark Patterson, formally reopened the world’s largest wool processing facility today in Awatoto, Napier, following a $50 million rebuild and refurbishment project. “The reopening of this facility will significantly lift the economic opportunities available to New Zealand’s wool sector, which already accounts for 20 per cent of ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Speech to the Southland Otago Regional Engineering Collective Summit, 18 April 2024
    Hon Andrew Bayly, Minister for Small Business and Manufacturing  At the Southland Otago Regional Engineering Collective (SOREC) Summit, 18 April, Dunedin    Ngā mihi nui, Ko Andrew Bayly aho, Ko Whanganui aho    Good Afternoon and thank you for inviting me to open your summit today.    I am delighted ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Government to introduce revised Three Strikes law
    The Government is delivering on its commitment to bring back the Three Strikes legislation, Associate Justice Minister Nicole McKee announced today. “Our Government is committed to restoring law and order and enforcing appropriate consequences on criminals. We are making it clear that repeat serious violent or sexual offending is not ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • New diplomatic appointments
    Foreign Minister Winston Peters has today announced four new diplomatic appointments for New Zealand’s overseas missions.   “Our diplomats have a vital role in maintaining and protecting New Zealand’s interests around the world,” Mr Peters says.    “I am pleased to announce the appointment of these senior diplomats from the ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Humanitarian support for Ethiopia and Somalia
    New Zealand is contributing NZ$7 million to support communities affected by severe food insecurity and other urgent humanitarian needs in Ethiopia and Somalia, Foreign Minister Rt Hon Winston Peters announced today.   “Over 21 million people are in need of humanitarian assistance across Ethiopia, with a further 6.9 million people ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Arts Minister congratulates Mataaho Collective
    Minister for Arts, Culture and Heritage Paul Goldsmith is congratulating Mataaho Collective for winning the Golden Lion for best participant in the main exhibition at the Venice Biennale. "Congratulations to the Mataaho Collective for winning one of the world's most prestigious art prizes at the Venice Biennale.  “It is good ...
    BeehiveBy beehive.govt.nz
    1 week ago
  • Supporting better financial outcomes for Kiwis
    The Government is reforming financial services to improve access to home loans and other lending, and strengthen customer protections, Commerce and Consumer Affairs Minister Andrew Bayly and Housing Minister Chris Bishop announced today. “Our coalition Government is committed to rebuilding the economy and making life simpler by cutting red tape. We are ...
    BeehiveBy beehive.govt.nz
    1 week ago

Page generated in The Standard by Wordpress at 2024-05-01T07:43:21+00:00