Ear treatment cuts another attack on the poor

Written By: - Date published: 3:58 pm, January 15th, 2013 - 27 comments
Categories: child welfare, class war, health, national - Tags: , , ,

This is a topic that came up over the break that I noted to write about when I got back to posting. The Nats want to cut the budget for surgery to install grommets, a technique for treating persistent ear infection (especially in children). The rationale is summarised in this Herald piece:

Govt eyes cuts to elective surgery

The National Health Committee has to find savings of $30 million this financial year from elective procedures deemed to be of little benefit. The money would be used for smarter investment in other parts of the health system.

The only specific elective procedure the committee has so far named for “disinvestment” is the insertion of grommets. Grommets are tiny ventilation tubes placed in an incision in the eardrum to treat persistent, painful infections called glue ear.

[The committee] … draws on a Welsh health system report that evaluated 550 elective procedures deemed to be of “relatively low priority”. … The Welsh report’s specific procedures are listed under 17 surgical and dental headings, including tonsillectomy, grommets, varicose veins, haemorrhoids, dilatation and curettage, hysterectomy, gallbladder removal, caesarean section, lower-back procedures, circumcision, eye-lid surgery, nose surgery and surgery to correct protruding ears.

OK, so, there are 17 “headings” to explore, including purely cosmetic options like the correction of protruding ears, and so far the only one specifically mentioned and targeted is grommets. That’s a procedure which in many cases helps restore the sense of hearing, and is used mainly by (you guessed it) children in poor families. Brilliant.

The committee said it had completed a technological note on the use of ventilation tube grommets for treating middle-ear infections (otitis media). “The evidence indicates that the use of ventilation tubes is of limited value in treating otitis media with effusion, although it does not suggest that it should be stopped completely.”

New Zealand’s rate of grommets use is about 75 per cent greater per capita than Britain’s. “The difference represents a cost to New Zealand of approximately $4.4 million per annum,” the committee says.

Save $4.4 Million a year by bringing ourselves in to line with Britain. Did anyone on “The Committee” stop to ask if it was Britain or NZ that had it right? Of course not. But Kiwi doctors have let us know what they think:

Doubt over savings from restricting ear treatment

A leading surgeon doubts the Government will be able to save money by cutting down on treating children’s ears with grommets.

Scott Stevenson, an ear, nose and throat surgeon, was commenting on a government group’s suggestion New Zealand could save $4.4 million a year if its rate of grommet insertion was lowered to Britain’s level.

“The savings probably aren’t there,” said Mr Stevenson, the chairman of the New Zealand board of the Royal Australasian College of Surgeons. … Mr Stevenson said the college had concerns about the ideas the National Health Committee expressed on grommets in a discussion document and he had responded “fairly vigorously”.

The ideal intervention rate for grommets was unknown. “No one has looked at that and said are we over-treating or is the UK under-treating.

“Maori and Pacific people have a high incidence of middle-ear disease. I would hate to see anything done that impacts on our ability to look after some of our most economically deprived and underprivileged kids.” [my bold]

Auckland ear, nose and throat surgeon Dr Colin Brown said, “The UK is not a good reference point in terms of whether we do more or less. In my opinion children are substantially under-treated in the UK.”

I’m with Kerre Woodham on this one – I have personally known too many kids who have been helped by grommets. I would hate to see any cuts to what is often a vital procedure – especially when we could be starting with protruding ears instead. Last word (from the same piece as the above quote) to Labour’s Maryan Street:

Labour’s health spokeswoman, Maryan Street, said reducing the number of grommet operations for children – without a direct investment in measures to reduce the need for the treatment – would be a false economy that led to “more kids sitting in class unable to listen and learn”.

Exactly.

27 comments on “Ear treatment cuts another attack on the poor ”

  • Comments are now closed

  1. Blue 1
    15 January 2013 at 4:26 pm

    Right-wing government at their most disgusting. They don’t care if children from low-income families go deaf or suffer permanent hearing loss.

    When those children struggle at school and show up in crime, unemployment and health system statistics later in life, the right-wing will do their usual song and dance about how they’re just lazy and stupid and need a good kick up the arse.

    I think National have bought themselves a fight on par with class sizes over this one, however. Many parents in NZ have experience with their children getting ear infections and needing grommets. They also object to kids being permanently disabled because of government policy.

    Tony Ryall’s oversight of the Health portfolio just fell off a cliff.

  2. higherstandard 2
    15 January 2013 at 4:36 pm

    Hi R0b

    Can you please link to the bit where “The Nats want to cut the budget for surgery to install grommets”

    I’m pretty sure this is just a discussion document put forward by the NHC for comment from the respective colleges, I’d be very, very surprised if there was any cuts too this particular procedure as like immunisation it’s a very effective and cost effective intervention.

    Assuming this information was released by the government, if I was you I’d look at what is not being said, if it’s just a media initiated story I suspect it was a slow news day.

    • McFlock 2.1
      15 January 2013 at 4:52 pm

      So the directive to save $30 mil is self-imposed?

    • Bill 2.2
      15 January 2013 at 5:02 pm

      Acknowledge your point that it’s not accurate to state that “The Nats want to cut the budget for surgery to install grommets”… seeing as how it’s a committee in it’s preliminary stages of investigation.

      But to be looking for savings of $30 million in the Health Service for the sake of ‘smarter investment’ in the Health Service is very bloody questionable on the grounds that it is (likely/possibly – choose your own qualifier) being driven by ideology rather than concern for ‘coal face’ services delivered by the Health Service.

      edit. Having just seen r0bs comment below, I retract my acknowledgement of inaccuracy 🙂

    • r0b 2.3
      15 January 2013 at 5:06 pm

      It’s there in the first piece linked to, but here’s a short sharp summary:

      http://www.radionz.co.nz/news/national/125166/grommets-targeted-as-govt-razor-gang-eyes-health

      The Nats have specified a saving of $30 million a year – the first recommendation of the committee they set up to do it is that $4.4 million can be saved from cutting grommets. Health Minister Ryall (apparently when asked about this) has been supportive of the committee, hence I think it’s fair to say that “The Nats want to cut the budget for surgery to install grommets”.

  3. One Tāne Huna 3
    15 January 2013 at 5:04 pm

    Controversy over this operation re-surfaces every few years, especially when the NHS needs to save money. The most recent example was a Personal View column in the British Medical Journal (Friday, November 19) by a general practitioner from Glasgow, Des Spence, who made a rather emotive attack on ENT surgeons who look after children. This has provoked many ENT surgeons to respond to the BMJ, suggesting that Dr Spence has misrepresented and ignored evidence, including the fact that many fewer operations are actually done today compared to when the procedure was first evaluated in the 1980s. Many ENT surgeons have said that they do operate selectively and when appropriate, as recommended by NICE.

    “Some of these arguments surrounding grommets are historical rather than factual,” said Vivienne Michael, Chief Executive of Deafness Research UK. “Otitis Media is not a trivial condition and in serious cases, grommets are essential. Unnecessary procedures were undoubtedly performed in the past when the condition was not well understood. But this should not be used as a justification for cutting funding for an often valuable procedure. With pressures on funding, we are concerned there may be delays in treatment for those children in whom the condition does not resolve itself. In the long-term, this won’t save money and, for the children seriously affected, there could be significant impact on their development which grommets could have easily alleviated.”

    Deafness Research UK

    Other sources refer to “an epidemic of surgery” for glue ear (Journal of Epidemiology and Community Health 1995;49:234-237), but speaking of epidemics, The Lancet tells us that since Rogernomics and Ruthenasia, New Zealand has experienced a massive increase in infectious disease admissions, of which glue ear is but one. It is also “the main cause of hearing loss in New Zealand” (Word DOC).

    I doubt the comparison with the UK is valid. Shonkey is as Shonkey does.

  4. Financially literate 4
    15 January 2013 at 5:07 pm

    For those interested in the report itself the link and excerpt is below. Link to the latest Cochrane review also provided.

    http://nhc.health.govt.nz/committee-publications/priorities-activities-and-next-steps-national-health-committee-report

    50. As an example, the NHC has completed a TechNote on the use of ventilation tubes for the treatment of otitis media. The evidence indicates that the use of ventilation tubes is of limited value in treating otitis media with effusion, although it does not suggest that it should be stopped completely.
    51. The following diagram shows that insertion rates in New Zealand (represented by the green line) are, on average, considerably above the average UK intervention rate (the red line). The difference represents a cost to New Zealand of approximately $4.4 million per annum.
    52. The NHC is suggesting that by focusing on the pathway of care for children, both in primary care and in secondary settings, and through increasing integration between settings, there is potential to both provide children with more appropriate and more effective care, while simultaneously reducing wasted expenditure for the DHBs.

    http://summaries.cochrane.org/CD001801/grommets-ventilation-tubes-for-hearing-loss-associated-with-otitis-media-with-effusion-in-children

    Evidence suggests that grommets only offer a short-term hearing improvement in children with simple glue ear (otitis media with effusion or OME) who have no other serious medical problems or disabilities. No effect on speech and language development has been shown.

    Glue ear is the build up of thick fluid behind the ear drum. It is a common childhood disorder, affecting one or both ears, and is the major cause of transient hearing problems in children. The insertion of grommets (ventilation or tympanostomy tubes) into the ear drum is a surgical treatment option commonly used to improve hearing in children with bilateral glue ear as unilateral glue ear results in minimal, if any, hearing disability. This review found that in children with bilateral glue ear that had not resolved after a period of 12 weeks and was associated with a documented hearing loss, the beneficial effect of grommets on hearing was present at six months but diminished thereafter. Most grommets come out over this time and by then the condition will have resolved in most children. The review did not find any evidence that grommets help speech and language development but no study has been performed in children with established speech, language, learning or developmental problems. Active observation would appear to be an appropriate management strategy for the majority of children with bilateral glue ear as middle ear fluid will resolve spontaneously in most children.

    • George D 4.1
      15 January 2013 at 9:23 pm

      Thanks. I was going to post a link to the Cochrane review – for those unfamiliar, they’re a review of all available evidence on a particular topic in medicine, and are considered a ‘gold standard’ of evidence review.

      I’m strongly in favour of evidence-based medicine, with priority funding going to procedures that demonstrate clear benefit at a reasonable cost, and less priority going to those that offer little benefit, or cost a very large amount for the benefit they offer. It’s what we do with ACC, and it works very well there.

      The challenge with health is to keep the budgets in line with costs, and you can do that by cutting costs, or by cutting budgets. The very real risk under any National Government is that you end up doing both.

      • McFlock 4.1.1
        15 January 2013 at 9:44 pm

        yep. I like EBM too, although the pain issue should also be in mind (not just hearing/speech).

        It seems to me that they’ve gone “save $30mil” and we just hope that all the surgeries not funded are not essential.

    • higherstandard 4.2
      17 January 2013 at 8:36 am

      Thanks for that.

  5. bad12 5
    15 January 2013 at 5:15 pm

    The cuts to budget Health are becoming apparent around the edges, it was highlighted in another recent post where someone in short stay accommodation for a head injury,(presumably the private provider was being funded via vote Health), had ended up in the night shelter once ‘the short stay’ nature of provision had run its course,

    Lower back procedures, according to my Doctor, will not be undertaken until there is a life threatening situation,

    Rape Crisis and Woman’s refuges are being starved of funds either by Health or the Ministry of Social Development…

    • mike e vipe e 5.1
      15 January 2013 at 5:23 pm

      More work for failed Charter schools and prisons brilliant idea from the Nasty NATS

  6. Dan1 6
    15 January 2013 at 7:37 pm

    A very sad call. Our oldest lad had glue ear, earache and was generally miserable for two of his first four years. The cycles of illness would come around every three months. His speech was definitely below par. He was on a continual round of antibiotics.

    The grommets changed everything, and with speech therapy, he came up to par. It was the high frequency sounds that he had missed out on.

    I cannot believe this decision. You might save $4.5m on the operation, but lose much more with medicines and remedial education and the loss of considerable potential amongst our young people. Without funding for this operation, many more kids will lose hearing.

  7. millsy 7
    15 January 2013 at 7:56 pm

    Ryall has learnt from the mistakes made by Upton, Birch, and of course, English. Rather than a hard out smashing down of the gates, and bingeing out on hospital closures, Ryall plans to gut our hospital system more subtly. The rise in prescription charges and the proposed ‘disinvestment’ in glue ear operations (gotta love the jargon), probably to pay for pensioner hip operations, and cancer treatments for desperate housewives are but two of these measures.

    By the way, here is the list of hospital closures I promised you all. brought to you by one of Muldoon’s positive legacies — the Official Information Act.

    • McFlock 7.1
      15 January 2013 at 9:05 pm

      Interesting list.

      How much did they charge you for the request? One thing to check it against might be hospital openings and ward bed capacity (can’t remember the exact term) in each hospital, for followup requests.

      • millsy 7.1.1
        15 January 2013 at 9:09 pm

        No charge at all. Response was reasonably quick too. Format is pretty dodgy though. I might look at seeing if I can dump it into a spreadsheet later on.

    • tc 7.2
      16 January 2013 at 6:59 am

      ‘ bringing ourselves in to line with Britain’ is more neo liberal claptrap, the UK is not who we should be emulating.

      Millsy’s onto it, waikato hospital is overflowing as the other regional hospitals have had so many cuts they can’t deliver those frontline services they bang on about keeping so waikato gets them.

      Ryall’s also quietly culling in the back office and creating a mess as it’s needed to supports frontline services. Health runs at 10% CPI so no $$$ increase is effectively a 10% cut across the board, Ryall’s a dirty word to healthcare workers and less than honest in the house with his more doctors and nurses statements.

      • LynWiper 7.2.1
        16 January 2013 at 7:20 am

        I for one am very happy to see Ryall’s pigeons coming home to roost. I don’t know how he has managed to stay under the radar for so long.

        • tc 7.2.1.1
          16 January 2013 at 9:45 am

          Health in NZ is pretty much 100% gov’t funded so where do you go if you call him out as the NACT are a vindictive lot who’ve already removed a few troublesome sorts to set the tone.

          If only we had a media, that loralei mason on TVNZ is as much a health reporter as I’m an astronaut.

        • Colonial Viper 7.2.1.2
          17 January 2013 at 8:53 am

          I for one am very happy to see Ryall’s pigeons coming home to roost. I don’t know how he has managed to stay under the radar for so long.

          He’s one of the most capable members of the Key Cabinet. Health, like Education, is usually a kiss of death for anyone who is not truly Ministerial material and Ryall has got through with barely a squeek so far.

  8. Dan1 8
    15 January 2013 at 8:42 pm

    Thanks Millsy. A fascinating list. The smaller towns have missed out. Psychiatric services over the last 12 years have been a clear focus. Helicopters and intensive care have their place in an emergency but the friction of distance for families is costly in time and $$$ for any ongoing treatment.

    • McFlock 8.1
      15 January 2013 at 9:02 pm

      One of the things that’s become evident to me over the last few years is that we are still really good at saving kids’ lives.

      Sadly, we’re shit at stopping them needing emergency treatment in the first place.

    • millsy 8.2
      15 January 2013 at 9:07 pm

      Got the Mason Report and the Gibbs Report (the one that inspired the 1991-96 health reforms) as well. Im trying to get a lot of these reports and documents via OIA request and post them online in one place so they can be accessed by those interested. With the advent of the internet there is no reason why historial government reports cannot be placed online for all to see.

  9. Murray Olsen 9
    16 January 2013 at 5:57 am

    I predict they’ll appear to back down and agree to fund grommets, but cut funding for virtually everything else on the list. That seems to be Key’s modus operandi – choose a particularly sensitive and emotive area to float an idea, never intending to push it through, and then making cuts elsewhere. Then they’ll probably stop funding grommets next year and say that they are regretfully forced to do it by a plague of locusts in Upper Egypt or something. At least half the population will probably swallow their bullshit.
    Shearer will say that anyone whose kids need grommets will be assessed by social workers to see if any welfare money they receive is being spent in a responsible manner. It’s only fair, after all.

  10. Frank Macskasy 10
    16 January 2013 at 1:36 pm

    This is something I looked at, and compared it to National’s health “reforms” in the mid/late 1990s. Unsurprisingly, the similarities are there in plain sight.

    The health cuts and grommet-issue here; http://fmacskasy.wordpress.com/2013/01/11/childrens-health-not-a-high-priority-for-health-minister-tony-ryall/ – which interestingly leads on to similar cuts that the current National-led government is carrying out. Full report here; http://fmacskasy.wordpress.com/2013/01/16/its-fundamentally-a-fairness-issue-peter-dunne/

    Interesting when one connects the dots…

    The cuts to state social services is, again, unsurprising and is a re-hash of the ’90s. What has changed is that the cuts are more subtle this time – and the MSM are nowhere as vigilant in reporting government policies and their flow-on effects.

    It also doesn’t help that current affairs and investigative reporting these days is minimal, and replaced mostly by crime “news”, reality TV, American sitcoms, and in case the 6PM News didn’t deliver up enough crime – TV offers endless crime “dramas”.

    Newspapers have been gutted of their best talent, with Simon Collins at the Herald perhaps the last remaining top journo. The rest now work for politicians and the corporate sector as PR spin-doctors.

    The greatest difference though, is that NZ First is not politically part of the picture. Their coalition deal with the Nats in ’96 made the Bolger/Shipley-led regime probably the most unpopular in living memory. So the media was only to happy to focus on social issues, to feed/reflect public feelings.

    Compare it with the Herald report, on 8 January,

    The National Health Committee has to find savings of $30 million this financial year from elective procedures deemed to be of little benefit.

    The money would be used for smarter investment in other parts of the health system

    See: http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10857848

    Notice that there are no quotation marks anywhere through the above two paragraphs – especially the last statement. The statements are presented uncritically as reportage – not as government media statement reflecting National Party policy.

    In fact the whole “money saved will be reinvested elsewhere” theme re-occurs throughout media reporting – though no one in the MSM seems tro have picked up on it.

    None of the “savings” (ie, cuts) will be reinvested of course. That’s BS.

    The Nats are desperate to show a budget surplus by 2014/15, and if kids have to go through their childhood with hearing loss; failed schooling; and an adult life at the bottom of the socio-economic heap – well, at least Bill English will be able to report, at election time, that National made a $66 million surplus. And John Key will do a little happy gangnam-style dance again…

  11. kiwicommie 11
    17 January 2013 at 8:17 am

    So National’s plan is bring NZ into line, makes sense when you put it with their other achievements like high unemployment, slow growth, trade deficits and general chaos. So when can we see UK style riots in Auckland, John Key better watch out that the would be rioters don’t target his fancy house.

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    The operating system (OS) is the heart and soul of a computer, orchestrating every action and interaction between hardware and software. But have you ever wondered where on a computer is the operating system generally stored? The answer lies in the intricate dance between hardware and software components, particularly within ...
    Gareth’s WorldBy admin
    1 day ago

  • How Many Watts Does a Laptop Use? Understanding Power Consumption and Efficiency
    Laptops have become essential tools for work, entertainment, and communication, offering portability and functionality. However, with rising energy costs and growing environmental concerns, understanding a laptop’s power consumption is more important than ever. So, how many watts does a laptop use? The answer, unfortunately, isn’t straightforward. It depends on several ...
    Gareth’s WorldBy admin
    1 day ago

  • How to Screen Record on a Dell Laptop A Guide to Capturing Your Screen with Ease
    Screen recording has become an essential tool for various purposes, such as creating tutorials, capturing gameplay footage, recording online meetings, or sharing information with others. Fortunately, Dell laptops offer several built-in and external options for screen recording, catering to different needs and preferences. This guide will explore various methods on ...
    Gareth’s WorldBy admin
    1 day ago

  • How Much Does it Cost to Fix a Laptop Screen? Navigating Repair Options and Costs
    A cracked or damaged laptop screen can be a frustrating experience, impacting productivity and enjoyment. Fortunately, laptop screen repair is a common service offered by various repair shops and technicians. However, the cost of fixing a laptop screen can vary significantly depending on several factors. This article delves into the ...
    Gareth’s WorldBy admin
    1 day ago

  • How Long Do Gaming Laptops Last? Demystifying Lifespan and Maximizing Longevity
    Gaming laptops represent a significant investment for passionate gamers, offering portability and powerful performance for immersive gaming experiences. However, a common concern among potential buyers is their lifespan. Unlike desktop PCs, which allow for easier component upgrades, gaming laptops have inherent limitations due to their compact and integrated design. This ...
    Gareth’s WorldBy admin
    1 day ago

  • Climate Change: Turning the tide
    The annual inventory report of New Zealand's greenhouse gas emissions has been released, showing that gross emissions have dropped for the third year in a row, to 78.4 million tons: All-told gross emissions have decreased by over 6 million tons since the Zero Carbon Act was passed in 2019. ...
    No Right TurnBy Idiot/Savant
    1 day ago

  • How to Unlock Your Computer A Comprehensive Guide to Regaining Access
    Experiencing a locked computer can be frustrating, especially when you need access to your files and applications urgently. The methods to unlock your computer will vary depending on the specific situation and the type of lock you encounter. This guide will explore various scenarios and provide step-by-step instructions on how ...
    Gareth’s WorldBy admin
    1 day ago

  • Faxing from Your Computer A Modern Guide to Sending Documents Digitally
    While the world has largely transitioned to digital communication, faxing still holds relevance in certain industries and situations. Fortunately, gone are the days of bulky fax machines and dedicated phone lines. Today, you can easily send and receive faxes directly from your computer, offering a convenient and efficient way to ...
    Gareth’s WorldBy admin
    1 day ago

  • Protecting Your Home Computer A Guide to Cyber Awareness
    In our increasingly digital world, home computers have become essential tools for work, communication, entertainment, and more. However, this increased reliance on technology also exposes us to various cyber threats. Understanding these threats and taking proactive steps to protect your home computer is crucial for safeguarding your personal information, finances, ...
    Gareth’s WorldBy admin
    1 day ago

  • Server-Based Computing Powering the Modern Digital Landscape
    In the ever-evolving world of technology, server-based computing has emerged as a cornerstone of modern digital infrastructure. This article delves into the concept of server-based computing, exploring its various forms, benefits, challenges, and its impact on the way we work and interact with technology. Understanding Server-Based Computing: At its core, ...
    Gareth’s WorldBy admin
    1 day ago

  • Vroom vroom go the big red trucks
    The absolute brass neck of this guy.We want more medical doctors, not more spin doctors, Luxon was saying a couple of weeks ago, and now we’re told the guy has seven salaried adults on TikTok duty. Sorry, doing social media. The absolute brass neck of it. The irony that the ...
    More Than A FeildingBy David Slack
    1 day ago

  • Jones finds $410,000 to help the government muscle in on a spat project
    Buzz from the Beehive Oceans and Fisheries Minister Shane Jones relishes spatting and eagerly takes issue with environmentalists who criticise his enthusiasm for resource development. He relishes helping the fishing industry too. And so today, while the media are making much of the latest culling in the public service to ...
    Point of OrderBy Bob Edlin
    1 day ago

  • Again, hate crimes are not necessarily terrorism.
    Having written, taught and worked for the US government on issues involving unconventional warfare and terrorism for 30-odd years, two things irritate me the most when the subject is discussed in public. The first is the Johnny-come-lately academics-turned-media commentators who … Continue reading → ...
    KiwipoliticoBy Pablo
    1 day ago

  • Despair – construction consenting edition
    Eric Crampton writes – Kainga Ora is the government’s house building agency. It’s been building a lot of social housing. Kainga Ora has its own (but independent) consenting authority, Consentium. It’s a neat idea. Rather than have to deal with building consents across each different territorial authority, Kainga Ora ...
    Point of OrderBy poonzteam5443
    1 day ago

  • Coalition promises – will the Govt keep the commitment to keep Kiwis equal before the law?
    Muriel Newman writes – The Coalition Government says it is moving with speed to deliver campaign promises and reverse the damage done by Labour. One of their key commitments is to “defend the principle that New Zealanders are equal before the law.” To achieve this, they have pledged they “will not advance ...
    Point of OrderBy poonzteam5443
    1 day ago

  • An impermanent public service is a guarantee of very little else but failure
    Chris Trotter writes –  The absence of anything resembling a fightback from the public servants currently losing their jobs is interesting. State-sector workers’ collective fatalism in the face of Coalition cutbacks indicates a surprisingly broad acceptance of impermanence in the workplace. Fifty years ago, lay-offs in the thousands ...
    Point of OrderBy poonzteam5443
    1 day ago

  • What happens after the war – Mariupol
    Mariupol, on the Azov Sea coast, was one of the first cities to suffer almost complete destruction after the start of the Ukraine War started in late February 2022. We remember the scenes of absolute destruction of the houses and city structures. The deaths of innocent civilians – many of ...
    Open ParachuteBy Ken
    1 day ago

  • Babies and benefits – no good news
    Lindsay Mitchell writes – Ten years ago, I wrote the following in a Listener column: Every year around one in five new-born babies will be reliant on their caregivers benefit by Christmas. This pattern has persisted from at least 1993. For Maori the number jumps to over one in three.  ...
    Point of OrderBy poonzteam5443
    2 days ago

  • Should the RBNZ be looking through climate inflation?
    Climate change is expected to generate more and more extreme events, delivering a sort of structural shock to inflation that central banks will have to react to as if they were short-term cyclical issues. Photo: Lynn Grieveson / The KākāMy pick of the six newsey things to know from Aotearoa’s ...
    The KakaBy Bernard Hickey
    2 days ago

  • Bernard's pick 'n' mix of the news links
    The top six news links I’ve seen elsewhere in the last 24 hours, as of 9:16 am on Thursday, April 18 are:Housing: Tauranga residents living in boats, vans RNZ Checkpoint Louise TernouthHousing: Waikato councillor says wastewater plant issues could hold up Sleepyhead building a massive company town Waikato Times Stephen ...
    The KakaBy Bernard Hickey
    2 days ago

  • Gordon Campbell on the public sector carnage, and misogyny as terrorism
    It’s a simple deal. We pay taxes in order to finance the social services we want and need. The carnage now occurring across the public sector though, is breaking that contract. Over 3,000 jobs have been lost so far. Many are in crucial areas like Education where the impact of ...
    Gordon CampbellBy lyndon
    2 days ago

  • Meeting the Master Baiters
    Hi,A friend had their 40th over the weekend and decided to theme it after Curb Your Enthusiasm fashion icon Susie Greene. Captured in my tiny kitchen before I left the house, I ending up evoking a mix of old lesbian and Hillary Clinton — both unintentional.Me vs Hillary ClintonIf you’re ...
    David FarrierBy David Farrier
    2 days ago

  • How extreme was the Earth's temperature in 2023
    This is a re-post from Andrew Dessler at the Climate Brink blog In 2023, the Earth reached temperature levels unprecedented in modern times. Given that, it’s reasonable to ask: What’s going on? There’s been lots of discussions by scientists about whether this is just the normal progression of global warming or if something ...
    Skeptical Science
    2 days ago

  • Backbone, revisited
    The schools are on holiday and the sun is shining in the seaside village and all day long I have been seeing bunches of bikes; Mums, Dads, teens and toddlers chattering, laughing, happy, having a bloody great time together. Cheers, AT, for the bits of lane you’ve added lately around the ...
    More Than A FeildingBy David Slack
    2 days ago

  • Ministers are not above the law
    Today in our National-led authoritarian nightmare: Shane Jones thinks Ministers should be above the law: New Zealand First MP Shane Jones is accusing the Waitangi Tribunal of over-stepping its mandate by subpoenaing a minister for its urgent hearing on the Oranga Tamariki claim. The tribunal is looking into the ...
    No Right TurnBy Idiot/Savant
    2 days ago

  • What’s the outfit you can hear going down the gurgler? Probably it’s David Parker’s Oceans Sec...
    Buzz from the Beehive Point  of Order first heard of the Oceans Secretariat in June 2021, when David Parker (remember him?) announced a multi-agency approach to protecting New Zealand’s marine ecosystems and fisheries. Parker (holding the Environment, and Oceans and Fisheries portfolios) broke the news at the annual Forest & ...
    Point of OrderBy Bob Edlin
    2 days ago

  • Will politicians let democracy die in the darkness?
    Bryce Edwards writes  – Politicians across the political spectrum are implicated in the New Zealand media’s failing health. Either through neglect or incompetent interventions, successive governments have failed to regulate, foster, and allow a healthy Fourth Estate that can adequately hold politicians and the powerful to account. ...
    Point of OrderBy poonzteam5443
    2 days ago

  • Matt Doocey doubles down on trans “healthcare”
    Citizen Science writes –  Last week saw two significant developments in the debate over the treatment of trans-identifying children and young people – the release in Britain of the final report of Dr Hilary Cass’s review into gender healthcare, and here in New Zealand, the news that the ...
    Point of OrderBy poonzteam5443
    2 days ago

  • A TikTok Prime Minister.
    One night while sleeping in my bed I had a beautiful dreamThat all the people of the world got together on the same wavelengthAnd began helping one anotherNow in this dream, universal love was the theme of the dayPeace and understanding and it happened this wayAfter such an eventful day ...
    Nick’s KōreroBy Nick Rockel
    2 days ago

  • Texas Lessons
    This is a guest post by Oscar Simms who is a housing activist, volunteer for the Coalition for More Homes, and was the Labour Party candidate for Auckland Central at the last election. ...
    Greater AucklandBy Guest Post
    3 days ago

  • Bernard's pick 'n' mix of the news links at 6:06 am
    The top six news links I’ve seen elsewhere in the last 24 hours as of 6:06 am on Wednesday, April 17 are:Must read: Secrecy shrouds which projects might be fast-tracked RNZ Farah HancockScoop: Revealed: Luxon has seven staffers working on social media content - partly paid for by taxpayer Newshub ...
    The KakaBy Bernard Hickey
    3 days ago

  • Fighting poverty on the holiday highway
    Turning what Labour called the “holiday highway” into a four-lane expressway from Auckland to Whangarei could bring at least an economic benefit of nearly two billion a year for Northland each year. And it could help bring an end to poverty in one of New Zealand’s most deprived regions. The ...
    PolitikBy Richard Harman
    3 days ago

  • Bernard's six-stack of substacks at 6:26 pm
    Tonight’s six-stack includes: launching his substack with a bunch of his previous documentaries, including this 1992 interview with Dame Whina Cooper. and here crew give climate activists plenty to do, including this call to submit against the Fast Track Approvals bill. writes brilliantly here on his substack ...
    The KakaBy Bernard Hickey
    3 days ago

  • At a glance – Is the science settled?
    On February 14, 2023 we announced our Rebuttal Update Project. This included an ask for feedback about the added "At a glance" section in the updated basic rebuttal versions. This weekly blog post series highlights this new section of one of the updated basic rebuttal versions and serves as a ...
    Skeptical Science
    3 days ago

  • Apposite Quotations.
    How Long Is Long Enough? Gaza under Israeli bombardment, July 2014. This posting is exclusive to Bowalley Road. ...
    Bowalley Road
    3 days ago

  • What’s a life worth now?
    You're in the mall when you hear it: some kind of popping sound in the distance, kids with fireworks, maybe. But then a moment of eerie stillness is followed by more of the fireworks sound and there’s also screaming and shrieking and now here come people running for their lives.Does ...
    More Than A FeildingBy David Slack
    3 days ago

  • Howling at the Moon
    Karl du Fresne writes –  There’s a crisis in the news media and the media are blaming it on everyone except themselves. Culpability is being deflected elsewhere – mainly to the hapless Minister of Communications, Melissa Lee, and the big social media platforms that are accused of hoovering ...
    Point of OrderBy poonzteam5443
    3 days ago

  • Newshub is Dead.
    I don’t normally send out two newsletters in a day but I figured I’d say something about… the news. If two newsletters is a bit much then maybe just skip one, I don’t want to overload people. Alternatively if you’d be interested in sometimes receiving multiple, smaller updates from me, ...
    Nick’s KōreroBy Nick Rockel
    3 days ago

  • Seymour is chuffed about cutting early-learning red tape – but we hear, too, that Jones has loose...
    Buzz from the Beehive David Seymour and Winston Peters today signalled that at least two ministers of the Crown might be in Wellington today. Seymour (as Associate Minister of Education) announced the removal of more red tape, this time to make it easier for new early learning services to be ...
    Point of OrderBy Bob Edlin
    3 days ago

  • Bryce Edwards: Will politicians let democracy die in the darkness?
    Politicians across the political spectrum are implicated in the New Zealand media’s failing health. Either through neglect or incompetent interventions, successive governments have failed to regulate, foster, and allow a healthy Fourth Estate that can adequately hold politicians and the powerful to account. Our political system is suffering from the ...
    Democracy ProjectBy bryce.edwards
    3 days ago

  • Was Hawkesby entirely wrong?
    David Farrar  writes –  The Broadcasting Standards Authority ruled: Comments by radio host Kate Hawkesby suggesting Māori and Pacific patients were being prioritised for surgery due to their ethnicity were misleading and discriminatory, the Broadcasting Standards Authority has found. It is a fact such patients are prioritised. ...
    Point of OrderBy poonzteam5443
    3 days ago

  • PRC shadow looms as the Solomons head for election
    PRC and its proxies in Solomons have been preparing for these elections for a long time. A lot of money, effort and intelligence have gone into ensuring an outcome that won’t compromise Beijing’s plans. Cleo Paskall writes – On April 17th the Solomon Islands, a country of ...
    Point of OrderBy poonzteam5443
    3 days ago

  • Climate Change: Criminal ecocide
    We are in the middle of a climate crisis. Last year was (again) the hottest year on record. NOAA has just announced another global coral bleaching event. Floods are threatening UK food security. So naturally, Shane Jones wants to make it easier to mine coal: Resources Minister Shane Jones ...
    No Right TurnBy Idiot/Savant
    3 days ago

  • Is saving one minute of a politician's time worth nearly $1 billion?
    Is speeding up the trip to and from Wellington airport by 12 minutes worth spending up more than $10 billion? Photo: Lynn Grieveson / The KākāTL;DR: The six news items that stood out to me in the last day to 8:26 am today are:The Lead: Transport Minister Simeon Brown announced ...
    The KakaBy Bernard Hickey
    3 days ago

  • Long Tunnel or Long Con?
    Yesterday it was revealed that Transport Minister had asked Waka Kotahi to look at the options for a long tunnel through Wellington. State Highway 1 (SH1) through Wellington City is heavily congested at peak times and while planning continues on the duplicate Mt Victoria Tunnel and Basin Reserve project, the ...
    Greater AucklandBy Matt L
    4 days ago

  • Smoke And Mirrors.
    You're a fraud, and you know itBut it's too good to throw it all awayAnyone would do the sameYou've got 'em goingAnd you're careful not to show itSometimes you even fool yourself a bitIt's like magicBut it's always been a smoke and mirrors gameAnyone would do the sameForty six billion ...
    Nick’s KōreroBy Nick Rockel
    4 days ago

  • What is Mexico doing about climate change?
    This is a re-post from Yale Climate Connections The June general election in Mexico could mark a turning point in ensuring that the country’s climate policies better reflect the desire of its citizens to address the climate crisis, with both leading presidential candidates expressing support for renewable energy. Mexico is the ...
    Skeptical Science
    4 days ago

  • State of humanity, 2024
    2024, it feels, keeps presenting us with ever more challenges, ever more dismay.Do you give up yet? It seems to ask.No? How about this? Or this?How about this?When I say 2024 I really mean the state of humanity in 2024.Saturday night, we watched Civil War because that is one terrifying cliff we've ...
    More Than A FeildingBy David Slack
    4 days ago

  • Govt’s Wellington tunnel vision aims to ease the way to the airport (but zealous promoters of cycl...
    Buzz from the Beehive A pet project and governmental tunnel vision jump out from the latest batch of ministerial announcements. The government is keen to assure us of its concern for the wellbeing of our pets. It will be introducing pet bonds in a change to the Residential Tenancies Act ...
    Point of OrderBy Bob Edlin
    4 days ago

  • The case for cultural connectedness
    A recent report generated from a Growing Up in New Zealand (GUiNZ) survey of 1,224 rangatahi Māori aged 11-12 found: Cultural connectedness was associated with fewer depression symptoms, anxiety symptoms and better quality of life. That sounds cut and dry. But further into the report the following appears: Cultural connectedness is ...
    Point of OrderBy poonzteam5443
    4 days ago

  • Useful context on public sector job cuts
    David Farrar writes –    The Herald reports: From the gory details of job-cuts news, you’d think the public service was being eviscerated.   While the media’s view of the cuts is incomplete, it’s also true that departments have been leaking the particulars faster than a Wellington ...
    Point of OrderBy poonzteam5443
    4 days ago

  • Gordon Campbell On When Racism Comes Disguised As Anti-racism
    Remember the good old days, back when New Zealand had a PM who could think and speak calmly and intelligently in whole sentences without blustering? Even while Iran’s drones and missiles were still being launched, Helen Clark was live on TVNZ expertly summing up the latest crisis in the Middle ...
    Gordon CampbellBy lyndon
    4 days ago

  • Govt ignored economic analysis of smokefree reversal
    Costello did not pass on analysis of the benefits of the smokefree reforms to Cabinet, emphasising instead the extra tax revenues of repealing them. Photo: Hagen Hopkins, Getty Images TL;DR: The six news items that stood out to me at 7:26 am today are:The Lead: Casey Costello never passed on ...
    The KakaBy Bernard Hickey
    5 days ago

  • True Blue.
    True loveYou're the one I'm dreaming ofYour heart fits me like a gloveAnd I'm gonna be true blueBaby, I love youI’ve written about the job cuts in our news media last week. The impact on individuals, and the loss to Aotearoa of voices covering our news from different angles.That by ...
    Nick’s KōreroBy Nick Rockel
    5 days ago

  • Who is running New Zealand’s foreign policy?
    While commentators, including former Prime Minister Helen Clark, are noting a subtle shift in New Zealand’s foreign policy, which now places more emphasis on the United States, many have missed a key element of the shift. What National said before the election is not what the government is doing now. ...
    PolitikBy Richard Harman
    5 days ago

  • 2024 SkS Weekly Climate Change & Global Warming News Roundup #15
    A listing of 31 news and opinion articles we found interesting and shared on social media during the past week: Sun, April 7, 2024 thru Sat, April 13, 2024. Story of the week Our story of the week is about adults in the room setting terms and conditions of ...
    Skeptical Science
    5 days ago

  • $41m to support clean energy in South East Asia
    New Zealand is demonstrating its commitment to reducing global greenhouse emissions, and supporting clean energy transition in South East Asia, through a contribution of NZ$41 million (US$25 million) in climate finance to the Asian Development Bank (ADB)-led Energy Transition Mechanism (ETM). Prime Minister Christopher Luxon and Climate Change Minister Simon Watts announced ...
    BeehiveBy beehive.govt.nz
    6 hours ago

  • Minister releases Fast-track stakeholder list
    The Government is today releasing a list of organisations who received letters about the Fast-track applications process, says RMA Reform Minister Chris Bishop. “Recently Ministers and agencies have received a series of OIA requests for a list of organisations to whom I wrote with information on applying to have a ...
    BeehiveBy beehive.govt.nz
    8 hours ago

  • Judicial appointments announced
    Attorney-General Judith Collins today announced the appointment of Wellington Barrister David Jonathan Boldt as a Judge of the High Court, and the Honourable Justice Matthew Palmer as a Judge of the Court of Appeal. Justice Boldt graduated with an LLB from Victoria University of Wellington in 1990, and also holds ...
    BeehiveBy beehive.govt.nz
    9 hours ago

  • Education Minister heads to major teaching summit in Singapore
    Education Minister Erica Stanford will lead the New Zealand delegation at the 2024 International Summit on the Teaching Profession (ISTP) held in Singapore. The delegation includes representatives from the Post Primary Teachers’ Association (PPTA) Te Wehengarua and the New Zealand Educational Institute (NZEI) Te Riu Roa.  The summit is co-hosted ...
    BeehiveBy beehive.govt.nz
    10 hours ago

  • Value of stopbank project proven during cyclone
    A stopbank upgrade project in Tairawhiti partly funded by the Government has increased flood resilience for around 7000ha of residential and horticultural land so far, Regional Development Minister Shane Jones says. Mr Jones today attended a dawn service in Gisborne to mark the end of the first stage of the ...
    BeehiveBy beehive.govt.nz
    10 hours ago

  • Anzac commemorations, Türkiye relationship focus of visit
    Foreign Affairs Minister Winston Peters will represent the Government at Anzac Day commemorations on the Gallipoli Peninsula next week and engage with senior representatives of the Turkish government in Istanbul.    “The Gallipoli campaign is a defining event in our history. It will be a privilege to share the occasion ...
    BeehiveBy beehive.govt.nz
    10 hours ago

  • Minister to Europe for OECD meeting, Anzac Day
    Science, Innovation and Technology and Defence Minister Judith Collins will next week attend the OECD Science and Technology Ministerial conference in Paris and Anzac Day commemorations in Belgium. “Science, innovation and technology have a major role to play in rebuilding our economy and achieving better health, environmental and social outcomes ...
    BeehiveBy beehive.govt.nz
    13 hours ago

  • Comprehensive Partnership the goal for NZ and the Philippines
    Prime Minister Christopher Luxon held a bilateral meeting today with the President of the Philippines, Ferdinand Marcos Jr.  The Prime Minister was accompanied by MP Paulo Garcia, the first Filipino to be elected to a legislature outside the Philippines. During today’s meeting, Prime Minister Luxon and President Marcos Jr discussed opportunities to ...
    BeehiveBy beehive.govt.nz
    24 hours ago

  • Government commits $20m to Westport flood protection
    The Government has announced that $20 million in funding will be made available to Westport to fund much needed flood protection around the town. This measure will significantly improve the resilience of the community, says Local Government Minister Simeon Brown. “The Westport community has already been allocated almost $3 million ...
    BeehiveBy beehive.govt.nz
    1 day ago

  • Taupō takes pole position
    The Government is proud to support the first ever Repco Supercars Championship event in Taupō as up to 70,000 motorsport fans attend the Taupō International Motorsport Park this weekend, says Economic Development Minister Melissa Lee. “Anticipation for the ITM Taupō Super400 is huge, with tickets and accommodation selling out weeks ...
    BeehiveBy beehive.govt.nz
    1 day ago

  • Cost of living support for low-income homeowners
    Local Government Minister Simeon Brown has announced an increase to the Rates Rebate Scheme, putting money back into the pockets of low-income homeowners.  “The coalition Government is committed to bringing down the cost of living for New Zealanders. That includes targeted support for those Kiwis who are doing things tough, such ...
    BeehiveBy beehive.govt.nz
    1 day ago

  • Government backing mussel spat project
    The Coalition Government is investing in a project to boost survival rates of New Zealand mussels and grow the industry, Oceans and Fisheries Minister Shane Jones has announced. “This project seeks to increase the resilience of our mussels and significantly boost the sector’s productivity,” Mr Jones says. “The project - ...
    BeehiveBy beehive.govt.nz
    1 day ago

  • Government focused on getting people into work
    Benefit figures released today underscore the importance of the Government’s plan to rebuild the economy and have 50,000 fewer people on Jobseeker Support, Social Development and Employment Minister Louise Upston says. “Benefit numbers are still significantly higher than when National was last in government, when there was about 70,000 fewer ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • Clean energy key driver to reducing emissions
    The Government’s commitment to doubling New Zealand’s renewable energy capacity is backed by new data showing that clean energy has helped the country reach its lowest annual gross emissions since 1999, Climate Change Minister Simon Watts says. New Zealand’s latest Greenhouse Gas Inventory (1990-2022) published today, shows gross emissions fell ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • Earthquake-prone buildings review brought forward
    The Government is bringing the earthquake-prone building review forward, with work to start immediately, and extending the deadline for remediations by four years, Building and Construction Minister Chris Penk says. “Our Government is focused on rebuilding the economy. A key part of our plan is to cut red tape that ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • Thailand and NZ to agree to Strategic Partnership
    Prime Minister Christopher Luxon and his Thai counterpart, Prime Minister Srettha Thavisin, have today agreed that New Zealand and the Kingdom of Thailand will upgrade the bilateral relationship to a Strategic Partnership by 2026. “New Zealand and Thailand have a lot to offer each other. We have a strong mutual desire to build ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • Government consults on extending coastal permits for ports
    RMA Reform Minister Chris Bishop and Transport Minister Simeon Brown have today announced the Coalition Government’s intention to extend port coastal permits for a further 20 years, providing port operators with certainty to continue their operations. “The introduction of the Resource Management Act in 1991 required ports to obtain coastal ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • Inflation coming down, but more work to do
    Today’s announcement that inflation is down to 4 per cent is encouraging news for Kiwis, but there is more work to be done - underlining the importance of the Government’s plan to get the economy back on track, acting Finance Minister Chris Bishop says. “Inflation is now at 4 per ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • School attendance restored as a priority in health advice
    Refreshed health guidance released today will help parents and schools make informed decisions about whether their child needs to be in school, addressing one of the key issues affecting school attendance, says Associate Education Minister David Seymour. In recent years, consistently across all school terms, short-term illness or medical reasons ...
    BeehiveBy beehive.govt.nz
    2 days ago

  • Unnecessary bureaucracy cut in oceans sector
    Oceans and Fisheries Minister Shane Jones is streamlining high-level oceans management while maintaining a focus on supporting the sector’s role in the export-led recovery of the economy. “I am working to realise the untapped potential of our fishing and aquaculture sector. To achieve that we need to be smarter with ...
    BeehiveBy beehive.govt.nz
    3 days ago

  • Patterson promoting NZ’s wool sector at International Congress
    Associate Agriculture Minister Mark Patterson is speaking at the International Wool Textile Organisation Congress in Adelaide, promoting New Zealand wool, and outlining the coalition Government’s support for the revitalisation the sector.    "New Zealand’s wool exports reached $400 million in the year to 30 June 2023, and the coalition Government ...
    BeehiveBy beehive.govt.nz
    3 days ago

  • Removing red tape to help early learners thrive
    The Government is making legislative changes to make it easier for new early learning services to be established, and for existing services to operate, Associate Education Minister David Seymour says. The changes involve repealing the network approval provisions that apply when someone wants to establish a new early learning service, ...
    BeehiveBy beehive.govt.nz
    4 days ago

  • RMA changes to cut coal mining consent red tape
    Changes to the Resource Management Act will align consenting for coal mining to other forms of mining to reduce barriers that are holding back economic development, Resources Minister Shane Jones says. “The inconsistent treatment of coal mining compared with other extractive activities is burdensome red tape that fails to acknowledge ...
    BeehiveBy beehive.govt.nz
    4 days ago

  • McClay reaffirms strong NZ-China trade relationship
    Trade, Agriculture and Forestry Minister Todd McClay has concluded productive discussions with ministerial counterparts in Beijing today, in support of the New Zealand-China trade and economic relationship. “My meeting with Commerce Minister Wang Wentao reaffirmed the complementary nature of the bilateral trade relationship, with our Free Trade Agreement at its ...
    BeehiveBy beehive.govt.nz
    4 days ago

  • Prime Minister Luxon acknowledges legacy of Singapore Prime Minister Lee
    Prime Minister Christopher Luxon today paid tribute to Singapore’s outgoing Prime Minister Lee Hsien Loong.   Meeting in Singapore today immediately before Prime Minister Lee announced he was stepping down, Prime Minister Luxon warmly acknowledged his counterpart’s almost twenty years as leader, and the enduring legacy he has left for Singapore and South East ...
    BeehiveBy beehive.govt.nz
    4 days ago

  • PMs Luxon and Lee deepen Singapore-NZ ties
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