Because she isn't that nutty righty, which is what is far right.
She could probably be classed as far right on a bad day if you take her anti-immigration antics seriously, but there are plenty of left people who dislike immigration.
Right, far right and alt right seem to be shifting in the days of the orange idiot.
Now anyone who voted Republican and Trump seems to be classed as far right in the US at the mo'.
A couple of defining features of the alt right are being anti-feminist and white supremacist. Compared to far right libertarians like David Seymour, who run politics of privilege but are not particularly racist or misogynist. Southern looks alt right to me. It's why the meme is funny.
Now anyone who voted Republican and Trump seems to be classed as far right in the US at the mo'.
Well, not anyone who voted for the orange wonder.
Just the ones who hoped for the policies he's actually implementing. And the ones who chanted "build the wall" and "lock her up". And the ones who liked his birtherism about Obama. And a few others.
As for voting for other Repuclicans, that a very broad brush. There might be some Republican candidates who don't jack off about child separations and indefinite detention. People who vote for those candidates might not be "far right".
If so, maui, to what is she and her group saying "Ok"? Is it, "I am happy to be at the centre of this group and I am Ok with their group associations and ideology?"
I went once to hear speak a Nigerian Anglican priest. He fulminated against Islam. At the door afterwards I told him I could smell the gunsmoke. He said that he could tell from my body language during the speech that I was not in agreement. I certainly was not giving him the "OK" signal! The signals we give are more accurate than our words as to what we believe..
If a bunch of idiot white supremacist arseholes decide to take up hand shaking for a laugh and it turns into "a sign", are you going to stigmatise anyone who shakes someones hand and make it a white supremacist thing?
So here's the point. The alt-right cultures are using common symbols, memes etc to both communicate with each other and confuse and mock the general public and create confusion. People might find it funny up to the point we remember that the Chch mosque mass murderer is one of the people who used the sign, and organised and networked on 8chan.
The other way is a few white supremacist idiots on sites like 8Chan are taking the piss and normal people are falling for it and some other alt right idiots are falling for it and taking it seriously and doing the "symbolism" and every day things are suddenly made bad because of a few loud normal peoples over reaction and triggering.
Should just ignore the obvious trolling, and it tends to go away after a month or two.
Yes. And they love to keep recycling the "joke". The shared humour serves exactly the same group bonding and self-identification purpose as "serious" gestures.
The other way is a few white supremacist idiots on sites like 8Chan are taking the piss and normal people are falling for it and some other alt right idiots are falling for it and taking it seriously and doing the "symbolism" and every day things are suddenly made bad because of a few loud normal peoples over reaction and triggering.
If it's an in-joke for some far-right fuckwits and a serious symbol for other far-right fuckwits, then calling it a far-right fuckwit behaviour is not an over-reaction. To point it out is a public service, because we know what happens when far-right fuckwits hide in the dark for too long.
We have a problem Minister, it needs to be dealt and it means resources, stop blaming years of underfunding and start funding us correctly – New Zealand Resident Doctors' Association's national secretary, Deborah Powell
She said the association didn't want to hear excuses about the previous Government's lack of funding.
Association of Salaried Medical Specialists executive director, Ian Powell, said patients' lives were being put at risk in large part because of a severe shortage of specialists and other staff in emergency departments.
"Health Minister David Clark and National health spokesman Michael Woodhouse are bickering about whose government is to blame for the mess our EDs are in," he said.
"The truth is both politicians' respective parties have been like floundering fish when it comes to running the public health system."
Australasian College for Emergency Medicine president elect, Dr John Bonning, said if it was an a emergency patients would be treated, but for others there can be an offloading delay, which can affect patient outcomes. If somebody is waiting with angina that might be turning into a heart attack, if somebody has a critical infection that can get worse. There are some time critical conditions that might not be immediately obvious when they first come in. There needed to be more surgical and medical ward resourcing, so patients can be admitted to those wards, to take the strain off EDs.
St John medical director Dr Tony Smith said this (ambulance ramping) reduces the availability of ambulances to respond to the next emergency in the community.
Back to the topic (for those who care about it) the current Minister's excuse doesn't stack up.
Yes, it does take years to train both senior nurses and clinicians but why can't he source more (already trained) senior nurses and clinicians from offshore to fill the current shortfall?
Dr Clark said the problem can't be solved overnight.
"These resources are people, their training takes a long period of time, both senior nurses and clinicians take upwards of seven years to train," he said.
I'm not that fussed where he sources them from as long as they are fit for purpose.
And yes, I do think it comes down to funding, more precisely, their BRR. Additionally, what they have chosen to prioritise. So much for wellbeing and the year of delivery.
With all due respect, that is not an excuse as such, is it? The Minister wasn’t really excusing anything.
You should be “fussed where he sources them from as long as they are fit for purpose” because either you are ignorant of the problem or you are disingenuous. You don’t seem to realise or acknowledge that good qualifications, be it for teachers, nurses or doctors, for example, are in hot demand globally and it is a highly competitive market.
Is it enough to advertise? Can they step straight into their new position without additional education and/or training?
I disagree that it simply is a matter of throwing a few dollars at it. If it were that simple (!), the problem would be solved by lunchtime. Evidently, it isn’t this simple.
With all due respect, that is not an excuse as such, is it?
I believe so. First off, no one in their right mind thinks it can be solved overnight. But even the professionals in the sector expect it to be solved within a reasonable time as would most. So that line (overnight) is a total joke really.
And stating locals take time to train is an excuse, because doctors can be and are brought in from offshore. I haven't seen a Kiwi doctor on both occasions I've been in there of late, they have all be from offshore. Ireland is a popular place to source them from. They love it over here.
Yes, there is a global demand for doctors, etc, that's where money helps to attract them along with our lifestyle.
Can they step straight into their new position without additional education and/or training?
Probably not, but it wouldn't take several years to do that. Again, coming back to a more reasonable, thus acceptable (within the profession and public's mind) time frame.
IMO an excuse is when someone doesn’t really want to fix the problem or doesn’t want to do anything about it. I don’t think that applies here as is evident from your link @ 2.
Many love it over here. Some come and some stay and some move on. Life is quite expensive over here, especially in the main centres. Teachers and nurses struggle with housing costs and even medical specialist gasp at (choke on) living expenses. Their (recent and overdue) pay rises are just a drop in a bucket.
Additional or re-training won’t take seven years or so but even so, it will take time and depends on capacity as well, i.e. somebody has to oversee and undertake this. We’re not talking about WOF inspectors or builders and we are not talking about just a simple written exam to check off things.
What is considered a “reasonable” or “acceptable” time frame depends on one’s perception and understanding of the situation. An ignorant or gullible person could easily be made to believe that a few dollars and a few weeks is all that is needed …
IMO an excuse is when someone doesn’t really want to fix the problem or doesn’t want to do anything about it.
As you can see from the initial post, that's the feeling the professionals in the sector have i.e. he's not doing enough to correct the problem. Hence, they are speaking out and it is they that are sick of the excuses.
Life is quite expensive over here
Yes, many I came across stated that. Hence they would have to pay well. Which, of course, comes down to money.
What is considered a “reasonable” or “acceptable” time frame depends on one’s perception and understanding of the situation. An ignorant or gullible person could easily be made to believe that a few dollars and a few weeks is all that is needed.
I'm sure the professionals in the linked article (above) have a good understanding of this.
The Minister and his cabinet colleagues are awaiting the full health system review led by Heather Simpson. How much change do you expect them to make in the meantime?
@The Chairman Systemic and chronic underfunding of social services is a natural result of letting neoliberals run amok with cost cutting and demanding profits from the public sector, with a view to privatising the lot. The model for the last 40 years has failed, glad to see you recognise that
Of course health professionals and their unions want action immediately in their parts of the system. Does not mean it is possible, nor that they grasp the whole picture.
However there are things beyond increasing workforce than can be started now, so I do not buy the Minister hanging everything on that.
Of course health professionals and their unions want action immediately in their parts of the system. Does not mean it is possible, nor that they grasp the whole picture.
Are you implying health professionals and their unions are extremists demanding action that can't be met? Moreover, they have no grasp of what is doable in their profession?
I'm confident our health professionals and their unions have more grasp of the matter than you do.
Health practitioners are hired to deliver healthcare within their particular scope pf practice, not to manage competing priorities across disciplines or delivery timeframes for change programmes.
It's like expecting a bus driver to know about road network planning or rail electrification. They can see a need for better timetables and more colleagues to share the load, sure.
Health practitioners are hired to deliver healthcare within their particular scope pf practice…
Being on the front line in delivering healthcare within their particular scope of practice gives them a very good insight on what is required to improve that delivery, opposed to a manger stuck behind a desk that doesn't really have a clue on the daily ins and outs.
Moreover, Unions have a wider oversight, giving them a far broader view, thus insight.
Additionally, so does the Minister and his advisers, which are meant to be there to help. Yet the best he can come up with when pressed on the matter is he can't fix it overnight, he's holding a review and it will take several years to train up more. He seems to have had a better grasp on the matter when he was in opposition, but now that he's in charged, requires a review. Which will no doubt largely rely on the insights of the Union and staff.
Two years they have been in power and we are still awaiting a review, meanwhile more lives are being put at risk. Frankly, it's not good enough, hence the outcry. Do better.
Chair, as a self-proclaimed friend of the left, do you reckon NZ's public health service/sector/system would be better placed to serve the NZ public now if National rather than Labour/NZ1st/Greens had been (re-)elected in 2017?
Dr Jonathan "Safe Pair of Hands" Coleman may have had a vested interest in ensuring that NZ's public health sector was well and truly ***ked over 'looked after'.
Chair, as a self-proclaimed friend of the left, do you reckon NZ's public health service/sector/system would be better placed to serve the NZ public now if National rather than Labour/NZ1st/Greens had been (re-)elected in 2017?
Of course not. But that is no excuse to allow Labour to get away with falling short too.
There is little point of keeping them (National) out of power if Labour aren't going to be much better. If that is continually going to be the case, it's long past time we on the left look for better representation or press Labour harder.
Spot the telltale signs of ingrained anti-Labour bias:
Of course not. But that is no excuse to allow Labour to get away with falling short too.
There is little point of keeping them (National) out of power if Labour aren’t going to be much better. If that is continually going to be the case, it’s long past time we on the left look for better representation or press Labour harder. [my bolds for clarity]
Chair, you're making no sense. Surely there is a great deal of point to keeping the National party's self-serving wreckers ('Working for NZ'; 'Brighter Future' – my arse) out of power if the current coalition government is doing even slightly better.
You yourself just acknowledged (@10:58 am) that the NZ public health service would be less well placed to serve the NZ public now if a National government was still in charge – well done!
The fact Labour are only slightly better than National is a main reason many people I know no longer vote at all. They no longer see a point as they know they are largely screwed either way.
And the more people on the left don’t vote the more our politics moves to the right.
“The fact Labour are only slightly better than National” is youropinion, repeated ad nauseam here in your disingenuous “lefty” “more left than most” fashion.
IMHO the current coalition government (with all its constraints) is a much better government for all New Zealanders than a National-led government ever could/would be.
Chairman, you have been blowing your own cover for so long without cease that I think you may have some kind of compulsion disorder. You are now the concern troll with the longest record for pretending innocence while repeating the offence – trying to project your concerns into discredit for the Left.
Even if, as Drowsy Kram so nicely reminds us, you consider yourself "more left than most." I guess that those 'most' are people who just feel 'alright'.
As you can see from the responses to a serious issue, I'm clearly more left than most of you lot. Seems not many here are willing to talk the truth when it may harm Labour. Whereas, I'm of the belief of holding them to account to help bring about change for the better.
Nonetheless, I'm not the topic. Hence, care to try again? Or do you just want to join the mob and continue to throw crap at me?
Once again, back to the topic. I'm surprised I've yet to hear the media pull the Minister up on his line they take time to train. I'd love to hear what he would say about not bringing in more from offshore?
Would the minister need to place the ads personally, or are these specialists just sitting on a shelf somewhere ready to relocate at a moment's notice with full NZ-compatible certification for their specialty areas?
Ever been to hospital of late, it's like being at the UN.
Sourcing doctors from offshore is nothing new, they've been doing it for years.
I've recently experienced both sides of it. On an urgent matter, the service was great. But a on a not so critical visit, the wait time (although they did admit me in the end) was atrocious.
"Ever been to hospital of late, it's like being at the UN."
hang on there mr chair more-left-than-most man – what exactly are you implying with that sentence because it reads a bit dicey to me. How can you tell a UN like person from a kiwi?
"They all have accents and none I came across were Kiwi."
accents you say? oh dear I think mr chair more-left-than-most man you are digging a bit of a hole – best to front up now and own the issue you have.
Of course you may have unnatural powers and abilities to discern a persons citizenry from their accent – daresay in some parallel universe you may be considered a marvel but as you've yet to confirm that ability here, then, the question is moot.
Medical language sounds quite foreign to most people. And some patients hallucinate under the influence of some medication. I’m glad to see that The Chairman has fully recovered and has is back to his former self and with us to share his pearls of newly gained wisdom during his obviously traumatic and eye-opening descend into the foreign-operated and woefully underfunded healthcare system of Aotearoa-New Zealand.
I wasn't claiming I know their citizenship status. Merely highlighting many are from offshore.
Strong foreign accents is a good indication people aren't originally from here. And many I conversed with openly admitted they have recently come from abroad. Foreign doctors practicing here is nothing new. Just as Kiwi doctors heading offshore isn't a new concept. Many Kiwi doctors head to the UK in search of better pay. After all, they have large loans to pay off.
sure mr chair more-left-than-most man you stick with that story. Truth is you let a cat out the bag and the cat is not nice at all and you know it. Your observations are unpleasant and bigoted imo – foreign this and that from accents is bullshit.
So do you think they were sitting on a shelf waiting for a job in NZ? Or can the hiring of even one specialist from overseas become a process that takes years?
After all you're the one who wrote upthread "I'm not that fussed where he sources them from as long as they are fit for purpose".
Do you have any idea as to the process that ensures specialists sourced from overseas are assessed to be "fit for purpose"? Even if the minister snapped his fingers to bypass two or three levels of governance/management separation and removed every other barrier to employing staff, how long would you expect it to take to solve the problem?
Strangely enough, most I've come across love to travel. My own GP even has worked in several countries before practicing here. And I've had several over the years as most came from overseas and have taken off again. It seems Kiwi ones largely do the same, which would explain why there aren't many here.
“How long would you expect it to take to solve the problem?”
Far less than several years, most I’ve come across don’t even stay here that long. And it seems (going off the article) those in the profession agree with me. They wouldn’t be complaining if the Minister’s excuse was legit.
Yeah, it's a bit more complex than just turning up and saying "I'm an emergency cardiothoracic trauma surgeon".
First off, I never claimed it was that easy.
From your link
If you are applying for registration in a vocational scope and do not hold an approved Australasian postgraduate medical qualification such as a Fellowship, Diploma or Certificate, your training, qualifications and experience will first need to be assessed to see whether they are equivalent to those of a locally trained specialist
So how many doctors do you think hold an approved Australasian postgraduate medical qualification, enough for us to meet our current shortfall?
Moreover, how many doctors in the world do you think hold qualifications and experience that can meet the assessment to see whether they are equivalent to those of a locally trained specialist?
One would expect globally, there would be thousands.
You do realise ambulance ramping is a problem in Ausas well, right? So # specialists with Australasian qualifications = "not enough".
So then you have qualifications in other parts of the world, and assessing their experience and quals not just in the specialty, but also in general medical basics and things like medical ethics and dr-patient communication. Each of those needs formal and thorough assessment, while encouraging and sorting out immigration issues and general things like "is this doctor a sexual predator".
You seem to think it's about the number of trained doctors. It's not. It's about doctor availability, retention, and the attractiveness of working in the NZ health sector and the associated workplace conditions.
Very few of these are under ministerial control. Does the health sector need yet another shake-up, or would that just make things even worse?
You seem to think it's about the number of trained doctors. It's not. It's about doctor availability, retention, and the attractiveness of working in the NZ health sector and the associated workplace conditions.
We require a higher number of trained doctors.
The higher the number of trained doctors available globally, the easier it is to source them. So numbers is part of it.
So to is money,
Money is required to help attract and retain them and this applies to locally trained ones too.
And speaking of locally trained ones, what is the Government doing to grow their numbers?
The thing is, DHB's are largely in financial stress. Thus, they require more money to better do this. Which is totally in the Government's hands.
Just because Australia is also under pressure doesn't mean we can't poach doctors from there. Again, money along with work place conditions helps with this which again, is largely under ministerial control.
And again, I never said finding those that meet our assessment needs was going to be easy, but it needs to be done to help solve this problem.
ooo – DHB elections are coming up, ain't they? You could fix the problem in your DHB and show the minister how it's done. It'd really help you campaign for the nats next year, too, with the credibility you build up hiring new specialists.
Yep there is a real war going on and indigenous activists and environmentalists and protectors of the land are being murdered in alarming numbers. This scum will mow down many indigenous communities and people – we are about to lose whole cultures in that jungle and there is fuck all we can do about it.
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..I/We wish to make the following comments:I oppose the Treaty Principles Bill."5. Act binds the CrownThis Act binds the Crown."How does this Act "bind the Crown" when Te Tiriti o Waitangi, which the Act refers to, has been violated by the Crown on numerous occassions, resulting in massive loss of ...
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Welcome to 2025. After wrapping up 2024, here’s a look at some of the things we can expect to see this year along with a few predictions. Council and Elections Elections One of the biggest things this year will be local body elections in October. Will Mayor Wayne Brown ...
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This is a re-post from Yale Climate Connections Much like 2023, many climate and energy records were broken in 2024. It was Earth’s hottest year on record by a wide margin, breaking the previous record that was set just last year by an even larger margin. Human-caused climate-warming pollution and ...
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A listing of 26 news and opinion articles we found interesting and shared on social media during the past week: Sun, December 29, 2024 thru Sat, January 4, 2025. This week's roundup is again published soleley by category. We are still interested in feedback to hone the categorization, so if ...
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Open access notables Why Misinformation Must Not Be Ignored, Ecker et al., American Psychologist:Recent academic debate has seen the emergence of the claim that misinformation is not a significant societal problem. We argue that the arguments used to support this minimizing position are flawed, particularly if interpreted (e.g., by policymakers or the public) as suggesting ...
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This is a re-post from Yale Climate Connections by John Wihbey. A version of this article first appeared on Yale Climate Connections on Nov. 11, 2008. (Image credits: The White House, Jonathan Cutrer / CC BY 2.0; President Jimmy Carter, Trikosko/Library of Congress; Solar dedication, Bill Fitz-Patrick / Jimmy Carter Library; Solar ...
Morena folks,We’re having a good break, recharging the batteries. Hope you’re enjoying the holiday period. I’m not feeling terribly inspired by much at the moment, I’m afraid—not from a writing point of view, anyway.So, today, we’re travelling back in time. You’ll have to imagine the wavy lines and sci-fi sound ...
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Hi,A lot’s happened this year in the world of Webworm, and as 2024 comes to an end I thought I’d look back at a few of the things that popped. Maybe you missed them, or you might want to revisit some of these essay and podcast episodes over your break ...
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The Green Party has welcomed the provisional ceasefire deal between Israel and Hamas, and reiterated its call for New Zealand to push for an end to the unlawful occupation of Palestine. ...
The Green Party welcomes the extension of the deadline for Treaty Principles Bill submissions but continues to call on the Government to abandon the Bill. ...
Complaints about disruptive behaviour now handled in around 13 days (down from around 60 days a year ago) 553 Section 55A notices issued by Kāinga Ora since July 2024, up from 41 issued during the same period in the previous year. Of that 553, first notices made up around 83 ...
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Minister for Children and for Prevention of Family and Sexual Violence Karen Chhour is encouraging people to use the resources available to them to get help, and to report instances of family and sexual violence amongst their friends, families, and loved ones who are in need. “The death of a ...
Uia te pō, rangahaua te pō, whakamāramatia mai he aha tō tango, he aha tō kāwhaki? Whitirere ki te ao, tirotiro kau au, kei hea taku rātā whakamarumaru i te au o te pakanga mo te mana motuhake? Au te pō, ngū te pō, ue hā! E te kahurangi māreikura, ...
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Pushing it to call her alt-right tbf.
But the bloke she hung out with was an odd unit.
Pushing it to miss the scare quotes.
why wouldn't you call her alt-right?
Because she isn't that nutty righty, which is what is far right.
She could probably be classed as far right on a bad day if you take her anti-immigration antics seriously, but there are plenty of left people who dislike immigration.
Right, far right and alt right seem to be shifting in the days of the orange idiot.
Now anyone who voted Republican and Trump seems to be classed as far right in the US at the mo'.
So she is on a par with you, not far right or anything.
Now I'm far right?
Lol
Let me guess something
You think the following are far right. Key, Hoskings and Peterson.
My first sentence was supposed to be she isn't nutty righty enough to be alt right btw.
Apologies
A couple of defining features of the alt right are being anti-feminist and white supremacist. Compared to far right libertarians like David Seymour, who run politics of privilege but are not particularly racist or misogynist. Southern looks alt right to me. It's why the meme is funny.
The meme is hilarious, but only for lovers of sweet irony.
I'm lost in the middle of far-out so sorry Chris T and thanks weka for defining the types of far and alt right, I have a better idea now.
Well, not anyone who voted for the orange wonder.
Just the ones who hoped for the policies he's actually implementing. And the ones who chanted "build the wall" and "lock her up". And the ones who liked his birtherism about Obama. And a few others.
As for voting for other Repuclicans, that a very broad brush. There might be some Republican candidates who don't jack off about child separations and indefinite detention. People who vote for those candidates might not be "far right".
Yes , not all those who voted for Trump. But the neo facists such as "proud Boys" ALL support Trump
Great photo essay of the leaders and hangers on at a proud Boys rally in Portland
https://www.dailykos.com/stories/2019/8/27/1881553/-Photo-essay-Portraits-of-Proud-Boys-in-Portland
Yet here she is surrounded by actual neo fucking Nazis and throwing the same white supremacy hand signal as the Christchurch murderer.
https://twitter.com/rgcooke/status/1107793414517460992
So she promulgated the "replacement" theory, supported racist and far right groups, and had them provide her security.
Sounds close enough to "far right" for the label to be reasonably descriptive.
Sorry to break this to you Joe… but that is the hand signal for "OK"!
Or is it?
https://www.adl.org/education/references/hate-symbols/okay-hand-gesture
If so, maui, to what is she and her group saying "Ok"? Is it, "I am happy to be at the centre of this group and I am Ok with their group associations and ideology?"
I went once to hear speak a Nigerian Anglican priest. He fulminated against Islam. At the door afterwards I told him I could smell the gunsmoke. He said that he could tell from my body language during the speech that I was not in agreement. I certainly was not giving him the "OK" signal! The signals we give are more accurate than our words as to what we believe..
she is fully in – that hand signal says it all – cut from the same cloth – she just pretends better so she can make more money imo
Eddie Murphy was apparently a white supremacist
pretend ignorance is so you chris – but it's not enough pretend buddy – please try hard
If a bunch of idiot white supremacist arseholes decide to take up hand shaking for a laugh and it turns into "a sign", are you going to stigmatise anyone who shakes someones hand and make it a white supremacist thing?
if they're white supremacists, sure.
All good
A few idiots on 8Chans joke worked
So here's the point. The alt-right cultures are using common symbols, memes etc to both communicate with each other and confuse and mock the general public and create confusion. People might find it funny up to the point we remember that the Chch mosque mass murderer is one of the people who used the sign, and organised and networked on 8chan.
That is one way to look at it.
The other way is a few white supremacist idiots on sites like 8Chan are taking the piss and normal people are falling for it and some other alt right idiots are falling for it and taking it seriously and doing the "symbolism" and every day things are suddenly made bad because of a few loud normal peoples over reaction and triggering.
Should just ignore the obvious trolling, and it tends to go away after a month or two.
One of those white supremacist idiots murdered 51 Muslims.
I don't know who you think should be ignoring them, but your comment doesn't make sense. They're quite obviously not going away.
Yes. And they love to keep recycling the "joke". The shared humour serves exactly the same group bonding and self-identification purpose as "serious" gestures.
If it's an in-joke for some far-right fuckwits and a serious symbol for other far-right fuckwits, then calling it a far-right fuckwit behaviour is not an over-reaction. To point it out is a public service, because we know what happens when far-right fuckwits hide in the dark for too long.
https://www.rnz.co.nz/news/national/397757/doctors-concerned-over-safety-risks-of-ambulance-ramping
Seems the previous Government's lack of funding line is wearing thin.
[I’ve fixed the formatting so it’s clearer what you are quoting, please be more careful in future – weka]
You've warn so thin that you are transparent.
Stop playing the man and address the topic.
The topic was you being a smelly troll, as always.
Its called shroud waving Chairman
So you don't believe there is an actual problem?
The Minster hasn't denied it or suggested as such. In fact, he (the Minister) acknowledged the problem saying it can't be solved overnight.
Back to the topic (for those who care about it) the current Minister's excuse doesn't stack up.
Yes, it does take years to train both senior nurses and clinicians but why can't he source more (already trained) senior nurses and clinicians from offshore to fill the current shortfall?
What exactly is the Minister’s excuse and for what?
Where do you suggest they should be recruiting, the UK and Australia?
Do you think it simply is a matter of funding?
From the article linked above
Dr Clark said the problem can't be solved overnight.
"These resources are people, their training takes a long period of time, both senior nurses and clinicians take upwards of seven years to train," he said.
I'm not that fussed where he sources them from as long as they are fit for purpose.
And yes, I do think it comes down to funding, more precisely, their BRR. Additionally, what they have chosen to prioritise. So much for wellbeing and the year of delivery.
With all due respect, that is not an excuse as such, is it? The Minister wasn’t really excusing anything.
You should be “fussed where he sources them from as long as they are fit for purpose” because either you are ignorant of the problem or you are disingenuous. You don’t seem to realise or acknowledge that good qualifications, be it for teachers, nurses or doctors, for example, are in hot demand globally and it is a highly competitive market.
Is it enough to advertise? Can they step straight into their new position without additional education and/or training?
I disagree that it simply is a matter of throwing a few dollars at it. If it were that simple (!), the problem would be solved by lunchtime. Evidently, it isn’t this simple.
I believe so. First off, no one in their right mind thinks it can be solved overnight. But even the professionals in the sector expect it to be solved within a reasonable time as would most. So that line (overnight) is a total joke really.
And stating locals take time to train is an excuse, because doctors can be and are brought in from offshore. I haven't seen a Kiwi doctor on both occasions I've been in there of late, they have all be from offshore. Ireland is a popular place to source them from. They love it over here.
Yes, there is a global demand for doctors, etc, that's where money helps to attract them along with our lifestyle.
Probably not, but it wouldn't take several years to do that. Again, coming back to a more reasonable, thus acceptable (within the profession and public's mind) time frame.
Ok, it seems we’re not going to agree.
IMO an excuse is when someone doesn’t really want to fix the problem or doesn’t want to do anything about it. I don’t think that applies here as is evident from your link @ 2.
Many love it over here. Some come and some stay and some move on. Life is quite expensive over here, especially in the main centres. Teachers and nurses struggle with housing costs and even medical specialist gasp at (choke on) living expenses. Their (recent and overdue) pay rises are just a drop in a bucket.
Additional or re-training won’t take seven years or so but even so, it will take time and depends on capacity as well, i.e. somebody has to oversee and undertake this. We’re not talking about WOF inspectors or builders and we are not talking about just a simple written exam to check off things.
What is considered a “reasonable” or “acceptable” time frame depends on one’s perception and understanding of the situation. An ignorant or gullible person could easily be made to believe that a few dollars and a few weeks is all that is needed …
As you can see from the initial post, that's the feeling the professionals in the sector have i.e. he's not doing enough to correct the problem. Hence, they are speaking out and it is they that are sick of the excuses.
Yes, many I came across stated that. Hence they would have to pay well. Which, of course, comes down to money.
I'm sure the professionals in the linked article (above) have a good understanding of this.
The Minister and his cabinet colleagues are awaiting the full health system review led by Heather Simpson. How much change do you expect them to make in the meantime?
Yes, another review (buying them time as some say).
The professionals in the link above expect better and in a far quicker time frame than what the Minister is offering.
Moreover, they would know as they are in the sector, thus are speaking with knowledge.
Ponder this
How would you feel if you or a loved one was caught up in this and something bad happened. Would you and others here still be defending them then?
This isn’t a political game, lives are at risk here.
@The Chairman Systemic and chronic underfunding of social services is a natural result of letting neoliberals run amok with cost cutting and demanding profits from the public sector, with a view to privatising the lot. The model for the last 40 years has failed, glad to see you recognise that
Of course health professionals and their unions want action immediately in their parts of the system. Does not mean it is possible, nor that they grasp the whole picture.
However there are things beyond increasing workforce than can be started now, so I do not buy the Minister hanging everything on that.
Are you implying health professionals and their unions are extremists demanding action that can't be met? Moreover, they have no grasp of what is doable in their profession?
I'm confident our health professionals and their unions have more grasp of the matter than you do.
Health practitioners are hired to deliver healthcare within their particular scope pf practice, not to manage competing priorities across disciplines or delivery timeframes for change programmes.
It's like expecting a bus driver to know about road network planning or rail electrification. They can see a need for better timetables and more colleagues to share the load, sure.
Being on the front line in delivering healthcare within their particular scope of practice gives them a very good insight on what is required to improve that delivery, opposed to a manger stuck behind a desk that doesn't really have a clue on the daily ins and outs.
Moreover, Unions have a wider oversight, giving them a far broader view, thus insight.
Additionally, so does the Minister and his advisers, which are meant to be there to help. Yet the best he can come up with when pressed on the matter is he can't fix it overnight, he's holding a review and it will take several years to train up more. He seems to have had a better grasp on the matter when he was in opposition, but now that he's in charged, requires a review. Which will no doubt largely rely on the insights of the Union and staff.
Two years they have been in power and we are still awaiting a review, meanwhile more lives are being put at risk. Frankly, it's not good enough, hence the outcry. Do better.
Chair, as a self-proclaimed friend of the left, do you reckon NZ's public health service/sector/system would be better placed to serve the NZ public now if National rather than Labour/NZ1st/Greens had been (re-)elected in 2017?
Let’s hope these Tory scroungers, troughers chancers and their ilk are out of action for a while.
Of course not. But that is no excuse to allow Labour to get away with falling short too.
There is little point of keeping them (National) out of power if Labour aren't going to be much better. If that is continually going to be the case, it's long past time we on the left look for better representation or press Labour harder.
Spot the telltale signs of ingrained anti-Labour bias:
Chair, you're making no sense. Surely there is a great deal of point to keeping the National party's self-serving wreckers ('Working for NZ'; 'Brighter Future' – my arse) out of power if the current coalition government is doing even slightly better.
You yourself just acknowledged (@10:58 am) that the NZ public health service would be less well placed to serve the NZ public now if a National government was still in charge – well done!
Party vote Labour/Green!
The fact Labour are only slightly better than National is a main reason many people I know no longer vote at all. They no longer see a point as they know they are largely screwed either way.
And the more people on the left don’t vote the more our politics moves to the right.
“The fact Labour are only slightly better than National” is your opinion, repeated ad nauseam here in your disingenuous “lefty” “more left than most” fashion.
IMHO the current coalition government (with all its constraints) is a much better government for all New Zealanders than a National-led government ever could/would be.
Party vote Labour/Green
There are alternatives.
onehealth.co.nz/urgent-care/after-hours-doctors/
Evidently, that isn't sufficient. If it were, there wouldn't be a problem.
mod note for you above.
Cool, thanks.
Hi Chairman.
Hi mauī.
Chairman, you have been blowing your own cover for so long without cease that I think you may have some kind of compulsion disorder. You are now the concern troll with the longest record for pretending innocence while repeating the offence – trying to project your concerns into discredit for the Left.
Even if, as Drowsy Kram so nicely reminds us, you consider yourself "more left than most." I guess that those 'most' are people who just feel 'alright'.
As you can see from the responses to a serious issue, I'm clearly more left than most of you lot. Seems not many here are willing to talk the truth when it may harm Labour. Whereas, I'm of the belief of holding them to account to help bring about change for the better.
Nonetheless, I'm not the topic. Hence, care to try again? Or do you just want to join the mob and continue to throw crap at me?
Care to answer why the Minister won’t act?
The Chairman, thinks…
"so long as I never admit it*, they'll never really know…"
*titters
Why would I admit to something I'm not?
Once again, back to the topic. I'm surprised I've yet to hear the media pull the Minister up on his line they take time to train. I'd love to hear what he would say about not bringing in more from offshore?
Would the minister need to place the ads personally, or are these specialists just sitting on a shelf somewhere ready to relocate at a moment's notice with full NZ-compatible certification for their specialty areas?
Ever been to hospital of late, it's like being at the UN.
Sourcing doctors from offshore is nothing new, they've been doing it for years.
I've recently experienced both sides of it. On an urgent matter, the service was great. But a on a not so critical visit, the wait time (although they did admit me in the end) was atrocious.
"Ever been to hospital of late, it's like being at the UN."
hang on there mr chair more-left-than-most man – what exactly are you implying with that sentence because it reads a bit dicey to me. How can you tell a UN like person from a kiwi?
Like the UN as in there are a multitude of races working in our local hospitals. They all have accents and none I came across were Kiwi.
"They all have accents and none I came across were Kiwi."
accents you say? oh dear I think mr chair more-left-than-most man you are digging a bit of a hole – best to front up now and own the issue you have.
Of course you may have unnatural powers and abilities to discern a persons citizenry from their accent – daresay in some parallel universe you may be considered a marvel but as you've yet to confirm that ability here, then, the question is moot.
Medical language sounds quite foreign to most people. And some patients hallucinate under the influence of some medication. I’m glad to see that The Chairman has fully recovered and has is back to his former self and with us to share his pearls of newly gained wisdom during his obviously traumatic and eye-opening descend into the foreign-operated and woefully underfunded healthcare system of Aotearoa-New Zealand.
Context, Marty.
I wasn't claiming I know their citizenship status. Merely highlighting many are from offshore.
Strong foreign accents is a good indication people aren't originally from here. And many I conversed with openly admitted they have recently come from abroad. Foreign doctors practicing here is nothing new. Just as Kiwi doctors heading offshore isn't a new concept. Many Kiwi doctors head to the UK in search of better pay. After all, they have large loans to pay off.
sure mr chair more-left-than-most man you stick with that story. Truth is you let a cat out the bag and the cat is not nice at all and you know it. Your observations are unpleasant and bigoted imo – foreign this and that from accents is bullshit.
No.
It is clearly evident you are clutching and are making accusations you can't sustain in an attempt to tar me in some way, Marty.
Stop playing the man and taking low blows.
So do you think they were sitting on a shelf waiting for a job in NZ? Or can the hiring of even one specialist from overseas become a process that takes years?
After all you're the one who wrote upthread "I'm not that fussed where he sources them from as long as they are fit for purpose".
Do you have any idea as to the process that ensures specialists sourced from overseas are assessed to be "fit for purpose"? Even if the minister snapped his fingers to bypass two or three levels of governance/management separation and removed every other barrier to employing staff, how long would you expect it to take to solve the problem?
Strangely enough, most I've come across love to travel. My own GP even has worked in several countries before practicing here. And I've had several over the years as most came from overseas and have taken off again. It seems Kiwi ones largely do the same, which would explain why there aren't many here.
“How long would you expect it to take to solve the problem?”
Far less than several years, most I’ve come across don’t even stay here that long. And it seems (going off the article) those in the profession agree with me. They wouldn’t be complaining if the Minister’s excuse was legit.
It is the other way round.
Yeah, it's a bit more complex than just turning up and saying "I'm an emergency cardiothoracic trauma surgeon".
Love your anecdata though. Totally expert testimony lol.
First off, I never claimed it was that easy.
From your link
So how many doctors do you think hold an approved Australasian postgraduate medical qualification, enough for us to meet our current shortfall?
Moreover, how many doctors in the world do you think hold qualifications and experience that can meet the assessment to see whether they are equivalent to those of a locally trained specialist?
One would expect globally, there would be thousands.
You do realise ambulance ramping is a problem in Ausas well, right? So # specialists with Australasian qualifications = "not enough".
So then you have qualifications in other parts of the world, and assessing their experience and quals not just in the specialty, but also in general medical basics and things like medical ethics and dr-patient communication. Each of those needs formal and thorough assessment, while encouraging and sorting out immigration issues and general things like "is this doctor a sexual predator".
You seem to think it's about the number of trained doctors. It's not. It's about doctor availability, retention, and the attractiveness of working in the NZ health sector and the associated workplace conditions.
Very few of these are under ministerial control. Does the health sector need yet another shake-up, or would that just make things even worse?
We require a higher number of trained doctors.
The higher the number of trained doctors available globally, the easier it is to source them. So numbers is part of it.
So to is money,
Money is required to help attract and retain them and this applies to locally trained ones too.
And speaking of locally trained ones, what is the Government doing to grow their numbers?
The thing is, DHB's are largely in financial stress. Thus, they require more money to better do this. Which is totally in the Government's hands.
Just because Australia is also under pressure doesn't mean we can't poach doctors from there. Again, money along with work place conditions helps with this which again, is largely under ministerial control.
And again, I never said finding those that meet our assessment needs was going to be easy, but it needs to be done to help solve this problem.
Bullshit.
Ever been to Med School of late, it’s like being at the UN.
I've never been to med school, but I have been to hospital
You’re missing the point. Never mind.
Of course they would need to advertise, Doctors aren't mind readers. And they would have to pay well. Nonetheless, many I've come across like it here.
ooo – DHB elections are coming up, ain't they? You could fix the problem in your DHB and show the minister how it's done. It'd really help you campaign for the nats next year, too, with the credibility you build up hiring new specialists.
Rubbish. Why would you be surprised about the media not holding a Minister to account? That has been happening for years.
You, Chairman, are surprised only on special occasions like this, which suit your dark, sinister, ulterior motives.
I hope for a suitably creative reply.
His (the Minister's) response begged the follow up question, that's why I was surprised it wasn't asked.
Moreover, this isn't the first time I've heard him use those lines, yet I've yet to hear him be pulled up on it.
So inspiring (yawn)
Good night.
Speaking of which, I'm off to bed. Ta ta.
Private equity vampires have taken to sucking the life out of tropical rain forests.
https://twitter.com/theintercept/status/1166455254151499777
They could always fuck off back to Portugal.
https://twitter.com/tomphillipsin/status/1166347061593280513
Yep there is a real war going on and indigenous activists and environmentalists and protectors of the land are being murdered in alarming numbers. This scum will mow down many indigenous communities and people – we are about to lose whole cultures in that jungle and there is fuck all we can do about it.
For no particular reason, here is AC/DC – Let There Be Rock (Official Music Video)
Acca dacca!
https://youtu.be/2lqdErI9uss