Red Alert

Archive for the ‘health’ Category

Traditional Chinese Medicine not just for Chinese

Posted by Raymond Huo on May 17th, 2011
Raymond Huo presenting certificate to Rebecca Wood at the NZ College of TCM Graduation ceremony on May 12, 2011.

Raymond Huo presenting certificate to Rebecca Wood at the NZ College of TCM Graduation ceremony on May 12, 2011.

Attending the New Zealand College of Chinese Medicine graduation ceremony last week I was immediately struck by the diversity of graduates.

Showing that Traditional Chinese Medicine (TCM) is becoming a wide-spread and accepted form of health care in New Zealand, graduating students came from Kiwi, Chinese, Korean and Iranian descent.

However it is unfortunate that New Zealand sits behind Australia who has implemented legislation to recognise TCM as a legitimate form of health care. While it seems on the outside that New Zealand has a strong awareness of Asia while Australia lags behind with its connection to Pauline Hanson and the One Nation Party, this anomaly would suggest otherwise.

When you take into account the recent anti-Asian leaflet campaign by Kyle Chapman and his far-right group, I wonder if New Zealand really does sit ahead of Australia in regards to race-relations and awareness of other cultures.

So I put it to Red Alert readers out there, do you think legislation should be implemented in the field of Traditional Chinese Medicine and what would you like to see this legislation achieve?

I look forward to reading your feedback.


Pharmac and the TPPA

Posted by Grant Robertson on May 15th, 2011

Iain, Maryan and Clare have all written on the problems with the Trans-Pacific Partnership Agreement, in particular the threat posed by a push by the US pharamaceutical industry to Pharmac, New Zealand’s drug buying agency. Lobbyists are on the case on behalf of the US companies, as they attempt to make changes through the negotiations.

There is a good piece on-line today that highlights the growing campaign, and the opposition to it.

Essentially, Pharmac is the government’s drug buyer, and has control over what subsidised drugs are available to New Zealanders. While there might be criticisms of individual decisions by Pharmac (think Herceptin), there is no doubt they have saved New Zealand millions of dollars through being able to bid down prices and obtain generic drugs.

Gareth Morgan and Geoff Simmons are quoted in the article above.  In their work on the health sector have become big fans of the Pharmac model. They support the model not only because it has kept costs down, but also because the stringent approach from Pharmac has meant that tried and true drugs are approved rather than experimental ones that have had to be withdrawn from other markets.

Its good to see support for Pharmac from the government in the article above, though it does not completely re-assure me in terms of the TPPA negotiations. We need a definitive statement from the government that playing around with Pharmac’s mandate is off the table in the negotiations.

I have long been a supporter of quality free-trade agreements where New Zealand exporters can get demonstrable benefits, and where we can continue to manage our economy and society as we see fit. However, in addition to the concerns about the transparency of the TPPA (which are important), I am struggling with what New Zealand can get from this agreement. The chances of a decent advance on agricultural access are highly unlikely. More to the point we have very little left to negotiate with. The “lay down misere” approach that New Zealand took to trade negotiations in the 1990s has left us with almost no cards to play in these discussions. As the TPPA negotiations continue it gets harder to see what we will get from it, and easier to see how our economic sovereignty could be compromised.


Why would the Minister of Health not want a debate?

Posted by Grant Robertson on May 13th, 2011

Not too long after I became Health Spokesperson the Association of Salaried Medical Specialists (the senior doctors union) invited me to participate in a debate with Health Minister Tony Ryall at their annual conference. They were getting in early as the conference is not til November, but they rightly reasoned that if they locked us in now they would ensure we were there in the election campaign.

I was a bit disappointed then, when I got the message this week that the debate was off. I will let ASMS tell the rest of the story

At its February meeting, recognising that it is election year and that the Conference will be held in the penultimate week of the election campaign, the Executive resolved to invite the Minister of Health Tony Ryall and recently appointed new Opposition (Labour) health spokesperson Grant Robertson MP to participate in a debate on the ‘future direction of the health system and the role of senior doctors in it.’ However, while Mr Robertson accepted the invitation, Mr Ryall did not, instead stating his availability to speak in a separate stand-alone session at Conference but not participate in the proposed debate.

Now, I know can be a little bit scarey, but I would have taken it easy, honestly.

So, Tony, here it is for the record, your chance to re-consider, and let’s have a debate. After all that is what elections are all about.


A Brash reminder – health

Posted by Trevor Mallard on May 4th, 2011

Brash on Health


Tell the Government: Don’t Cut Our Future!

Posted by Trevor Mallard on April 27th, 2011

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t Cut Our Future


Bones – don’t read while eating

Posted by Trevor Mallard on April 16th, 2011

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Had a few requests for pictures. Above screws plates pins in femur and below scan of a well broken scapular.

Four weeks now. Recovery going pretty well though still need twice the sleep I normally did. Pain still there but taking fewer of the more serious killers.

And yes I want to get back on the bike.

Filed under: ACC, health, sport

A fairer approach to health

Posted by Grant Robertson on April 7th, 2011

When I took on the health portfolio, I had no shortage of people come forward to tell me who was or was not worth listening to on health issues. The NZ Medical Association was on everyone’s list as being an important player, but there was a fair bit of warning that they were conservative and resistent to change.

My meetings with them have not borne this out, but more than that their recent statement on health inequities is in my view one of the most important statements on the direction of health policy I have seen.

To start with it distingusihes between equality (sameness) and equity (the absence of systematic disparities between groups with underlying disadvantages). Basically this matters because it acknowledges that to achieve an equitable outcome may require different levels of attention for different groups.

The NZMA recommendations are so good, I am going to do a series of posts exploring a number of them, but the first three set the framework for their response. The NZMA

-Believes that in order to eliminate inequities in health a whole of government approach will be required. In particular, policies addressing education, employment, poverty, housing, taxation and social security should be assessed for their health impact.

- Believes that economic growth should not be viewed as the sole measure of a country’s success and that the fair distribution of health, well-being and environmental and social sustainability are equally important goals.

- Calls on the government to recognise that while addressing health inequities is primarily a human rights issue, doing so is also cost effective in the long term. Inaction on the social determinants of health, and hence worsening health inequities, threatens to undermine economic growth.

This framework is so important because it recognises that the determinants of good health are well beyond what might traditionally be covered by the health portfolio, and sets them in the context of an inclusive and prosperous society.

The statement goes on to cover a number of issues picking up work from the UK led by Sir Michael Marmot that focus on giving children the best start in life, creating fair employment and work, establishing a healthy standard of living and strengthening the role of health prevention.

Great stuff, and very in line with where Labour is heading in terms of our priorities.


Long Term Effects

Posted by Iain Lees-Galloway on April 5th, 2011

Yesterday Otago University released data linking the increasing unaffordability of food with deteriorating mental health.

It’s a very good example of the need to consider the long term effects of government policy. Yes, we all understand that putting GST up without proper compensation for people on middle and low incomes is making life harder for kiwi families right now, but the long term effects are much more concerning.

National’s policies have not only increased inequalities, they are creating a problem for future governments by failing to keep people well and increasing future demand on all health services including mental health.

It might not be of much concern to John Key and co because it won’t be their problem. But someone will have to deal with it and we’d all be a lot better off (financially and socially) if we prevented the problem when we can see it coming rather than waiting for someone else to clean up the mess.


When more means less

Posted by Grant Robertson on March 20th, 2011

Busy day today, so I only managed to catch up with John Key’s interview on Q and A just now. It seems the big story is that the (revised) new spending allowance in the Budget is gone.

GUYON Are you still going to spend $800 million more in the May Budget?

JOHN Well, I think the answer to that is no. What we are going to do is spend more on health and education. That may well be in the order of 600, 700, 800 million, but we are asking ministers and what they are working on is looking to reduce expenditure in other areas so that can be reprioritised to pay for the more in health and education we want and ultimately the Christchurch earthquake.

Leaving aside, for a moment, the thought of what is going to be cut in other areas (think housing, social development, Police etv) it could be easy to say, thank goodness that health and education will get more money. But with the sums of money John Key is talking about this will effectively be a massive cut for both sectors.

Let’s take Health. Before last year’s Budget , the CTU calculated just for spending to stand still it would take at least $555 million a year of new spending. The Budget fell at least short on that figure by more than $150 million a year, and that has delivered health cuts across the sector.

Add that investment deficit to what is required for this year just to stand still and John Key’s delightfully vague numbers above indicate that there is no chance of health getting anything like the money it needs. And remember that is not for any new services, wage increases etc. It is just to stand still.

We are going to hear a lot of spin in the next month or two about money going to health and education, but on the PMs words today it is cuts on the way. There will also be spin that anyone who proposes government spending is somehow committing economic heresy.

Of course we need to adjust to the new reality of the economy post-earthquake. It does require careful economic management, which might actually include sensible investments (spending) in our future. It needs to include support for innovation and job growth, and to give opportunities to future generations. What it does not need is a slash and burn mentality.


The cost of putting a healthy meal on the table

Posted by Grant Robertson on March 17th, 2011

It is a perversity of modern life that it is cheaper to eat badly than it is to eat healthily. We all know from the visits to the supermarket that the fizzy drinks are often cheaper than the milk. Processed foods are discounted as the price of fresh fruit and vegetables goes up. This is true for everyone, but especially hard work if you are on a modest or low income.

The Regional Public Health service here in Wellington has produced an interesting study on food costs for families, using data from the University of Otago food cost survey.

While the study notes that on average New Zealanders spend 16% of their income on food, the study shows that in order to put a healthy meal on the table, many New Zealanders would need to spend a far greater percentage of their income on food.

International studies indicate that if you are spending more than 30% of your disposable income on food, you are experiencing ‘food stress’. This study shows that to purchase a basic healthy diet, many low income New Zealanders will be spending a far greater percentage than that.

For example for a family living off the minimum wage would need to spend 34% of their income before rent and 50% of their income after rent to do this. For a beneficiary family the situation is even more difficult with a range of 43% (before rent) and 74% (after rent) required.

Obviously this will be next to impossible for many people. The social and economic consequences of an unhealthy diet are obvious, not only for the individuals concerned, but for the country as a whole. Obesity and poor nutrition will contribute to high health costs, poor quality of life and a cost to us all through the health system and the human cost of lost opportunity.

The rising cost of food, and the impact of the GST increase are all contributed to making this situation worse. John Key showed he was getting out of touch when he described going to foodbanks as a lifestyle choice. The unaffordabilty of the basics is the reality that many families are facing.

While some people like to disparage Labour’s policy of removing the GST from fresh fruit and vegetables that is a step in the direction of making healthy food more affordable. Making our tax system fairer, including through the tax free zone and lifting minimum wages are also part of our plans to give people the income they need to provide for their families. It is vital for all our futures.


The cost of after hours care

Posted by Grant Robertson on March 7th, 2011

Campbell Live did a piece tonight on the cost of after hours medical care. Worth a watch.

The amount of money being charged right around the country that they are reporting is huge, including well over $100 in some places, and even $66 for a fourteen year old in Auckland.

When I raised in Parliament earlier this year the case of Linley Williams who had paid $41 for her 20 month old to get after hours care I was told by Tony Ryall that this was a particular problem on the Kapiti Coast. It seems it is a particular problem in a large number of areas!

Since I raised that case I have had a number of letters from people who have been charged astronomical sums for after-hours care. As Linley Williams and one of the people quoted in the story said the only option for many people is heading an Emergency Department, which clogs them up even further.

These kinds of costs on top of the rest of the cost of living increases with petrol, power and food is really putting the pressure on families.


Don’t dump on the do-gooders

Posted by Darien Fenton on January 9th, 2011

Paul Thomas had a good article in the NZ Herald yesterday, where he describes the work Jimmy Carter has been doing since he lost the US Presidency in 1980.

Apparently, he’s on the verge of eradicating the guinea worm – a parasite that is ingested from drinking water and grows to around a metre in length, then erupts from blisters (eewww I know!)

The Carter Foundation’s campaign of education and distribution of water purification strainers has reduced the number of cases from three million reported cases in 1980  to 1700 last year, mostly in Sudan.

Yet, as Paul Thomas says :

(Jimmy Carter)… remains the benchmark of liberal ineffectuality and a prime target of that curious pejorative, habitually delivered with a curl of the lip, do-gooder.Carter is routinely described as a peanut farmer, which is true as far as it goes. He was also a naval officer involved in America’s nuclear submarine programme and a modernising governor of Georgia, but those parts of his CV don’t conform to the narrative.

Sarah Palin, who during the 2008 presidential campaign sneered at Barack Obama’s background as a community organiser, recently joined the dots. Asked to summarise Obama’s presidency, she offered, “Two words: Jimmy Carter.”

This is the same Sarah Palin who, since she resigned her Alaska governship, has made $16 million through books, speaking engagements and appearances on Fox News.

It says something about today’s society that we (some) hang on Palin’s every tweet and treat her as a serious political figure when all she seems to be good at, or interested in, is self-promotion, while continuing to deprecate Carter despite his measurable contribution to mankind.

I agree. And don’t we see it here?  The denigration of those whose work involves helping others, rather than themselves and whose causes are about more than building personal wealth.

We need to value and respect those who are dedicated through their work or community involvement or activism, to doing good and to fighting for important causes.

Because if they don’t, who will?


Introducing…Megan Woods

Posted by A Guest Poster on January 7th, 2011

In 2011, Red Alert will do a few new things. One of them is to introduce you to some confirmed Labour electorate candidates who will do the occasional guest post.

This will give them the opportunity to put forward some ideas and you the opportunity to get a sense of who they are before the upcoming election.

Today’s guest poster is Megan Woods, the confirmed candidate for Wigram.
Megan

In late December, after a year of extraordinary upheaval in Christchurch, I attended a meeting of small and medium business owners who are severely affected by the earthquakes of the last months. Emotion and tension were high in the room. Business owners, many of whom had seen their turnover fall by as much as 50 percent, were justifiably upset at the Government’s latest response to their plight. A $500,000 package, much of which is devoted to advice, is not what these businesses need to keep trading and importantly keep employing their staff. Cash flow advice for people with severely slashed turnover is not the action that these business owners were looking for.

A couple of days after this meeting, All Black Coach Wayne Smith drew national attention to the closure of the Conductive Education Unit based at Addington School. Funding of $29 000 is being withdrawn from the South Island’s only dedicated facility for children with severe disabilities. This slashing of front-line funding was a local manifestation in the Wigram electorate of a $2.5m cut to Special Needs education in Budget 2009.

Unfortunately these two local issues are not isolated. In the last several months we have seen the closure of a hospital in Taihape with those who relied on its services being farmed out around the North Island. From February this year, many families will face an increase of up to $80 per week in their bill for Early Childhood Education. We are seeing District Health Boards bracing themselves for budget cuts of up to 10%. These are another three examples of the National-led Government’s penny pinching and they are inevitable given its approach to economic policy.

Looking ahead to 2011, New Zealand is facing the very real prospect of a double-dip recession as a consequence of the Government’s failure to stimulate the economy. The families who rely on the Addington Facility, the business owners in Christchurch, the patients in the Taihape hospital and the parents of young children are paying the price for the National Government’s determination to give the highest-earning New Zealanders a tax cut paid for in-part by reducing spending on essential services. What I am seeing, both in the electorate of Wigram and in the country more broadly, are the real consequences of this Government’s misguided economic policies. Daily life is getting harder and harder for ordinary New Zealanders.

I am proud to be one of the many who will be spending 2011 seeking to put an end to this mean-spirited Government. 

Megan Woods was born and raised in Christchurch and is the younger of two children. She has a Ph.D in New Zealand History from the University of Canterbury. For the last five years she has worked as a business manager for Plant and Food Research.

Megan was selected as Labour’s candidate to contest the Wigram electorate in the 2011 general election on 19 September (Suffrage Day!) 2010.


Cancer Treatment Cut

Posted by Iain Lees-Galloway on January 4th, 2011

Mid-Central DHB is cutting chemotherapy treatment for certain types of cancer.

It’s clear that one of the over-riding reasons behind the decision to refuse some cancer patients treatment and the failure to even place them on the waiting list is to ensure that Tony Ryall can manipulate cancer waiting times to present to the media.

Cutting cancer waiting times is one of Tony Ryall’s narrow-focused targets for the health system. A laudable aim at first glance, but did anyone really expect that this would be the method used to achieve it?

National criticised Labour for sending patients needing cancer treatment to Australia when there was a shortage of specialists. We know now that instead of sending patients to Australia when there is a shortage, National’s answer is they just won’t treat patients who have some cancers.

Ryall has been virtually silent since this issue came to light. Guess there’s no photo-op in it for him.


Introducing… Louisa Wall

Posted by A Guest Poster on January 3rd, 2011

In 2011, Red Alert will do a few new things. One of them is to introduce you to some confirmed Labour electorate candidates who will do the occasional guest post.

This will give them the opportunity to put forward some ideas and you the opportunity to get a sense of who they are before the upcoming election.

Today’s guest poster is Louisa Wall, the recently confirmed candidate for Manurewa.

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In anything you have to get the foundation right so your base is strong and solid to keep you focused and clear in what you are trying to achieve.

As a social democrat I am concerned about the distribution of public good resources for the equitable benefit of all New Zealand citizens.  So my thinking derives from a base with the ethical ideals of social justice and universalism as a core philosophy.

Should the systems of government only provide demand based services or should some government departments look at supplying or targeting public good services to those individuals and families that need these resources most.

NZ has developed a ‘universal’ free Well Child/Tamariki Ora Framework of 8 health checks to support families/whânau to maximise their child’s developmental potential and health status from birth to five years.

The B4 School Check is a nationwide programme offering a free health and development check for four year olds to identify and address any health, behavioural, social, or developmental concerns which could affect a child’s ability to get the most benefit from school, such as a hearing problem or communication difficulty. It is the eighth core contact of the Well Child Tamariki Ora Schedule of services.

In theory all New Zealand children have as a right of citizenship to receive the B4 School Check.  Children have to be referred to a Well Child Provider and the best referral access for this is via their GP. Not all New Zealand children are enrolled with a GP or a Well Child provider so not all NZ children receive the B4 School Check.

Children do not choose not to have the B4 School Check and should not be penalised if their parent or caregiver does not make sure they know about or enrol them with a Well Child provider.

The link between our education and health sectors needs to more than overlap but in this instance hold each other accountable.  All children upon enrolment into school if they have not had their B4 School Check should have it then. And if targeting were required we should supply to those children most in need so start with all decile 1 schools progressing through to decile 10 schools.

We cannot afford any of our children not to be ready to learn and all NZ children deserve to have the chance of learning and a quality education.

Happy 2011 – nga mihi mo te tau hou ki tatou katoa!

About Louisa

Louisa Hareruia Wall was born and raised in Taupo and is the eldest of 4 children. She has a Master of Philosophy (Social Policy) from Massey University which she gained whilst representing New Zealand in both netball for the Silver Ferns and rugby for the Black Ferns.

Louisa was a List Member of Parliament (Labour) from 4 March to 29 November 2008 and had membership of the Health and Justice and Electoral select committees.  She was selected as Labour’s candidate to contest the Manurewa electorate in the 2011 general election on 12 December 2010.


Liquor Licenses

Posted by Iain Lees-Galloway on December 28th, 2010

OK, so the last time I posted one of these videos, everyone jumped down my throat despite me saying it was not Labour policy, just something I had been sent by one of the groups lobbying for reform.

Having said that, this one is about giving the licensing power back to communities, something I totally support.

Have a look.


Getting our kids out of poverty: hypocrisy from the Maori Party

Posted by Clare Curran on December 14th, 2010

One in five NZ children live in a beneficiary household.  They experience poorer health outcomes and are more likely to be admitted to hospital.

Our current social safety nets are inadequate to protect these children from significant hardship. There were gains made during the mid 2000s, but those gains have been reversed.

These are the guts of the findings from the Children’s Social Health Monitor 2010 Update, which was compiled by experts from many of New Zealand’s pre-eminent children’s health and welfare organisations. It shows that admissions to hospital of children with diseases associated with poverty increased by about 2000 per year during 2008 and 2009.

The report shows that poverty is once again on the rise in New Zealand after dropping midway through this decade when Labour made its alleviation a priority. The NZ Herald wrote about it today.

Labour’s Deputy Leader Annette King has signalled that Labour will next year release policies that put children centre stage. She said yesterday:

“These polices will reflect a growing body of research that says tilting public expenditure towards the early years of life will pay off for children, their families, as well as communities and our country as a whole.

“Labour is making children’s wellbeing a top priority by working with experts in the community to put together a six-year agenda for change.

I spoke yesterday at the launch of the report in Dunedin. Alongside National’s Michael Woodhouse, the Maori Party’s Rahui Katene and Greens co-leader Metiria Turei.

Woodhouse disputed the stats. Well he would wouldn’t he.

But it was incredibly ironic to hear Rahui Katene talk about the importance of discussing the philosophy behind social policies and her distaste for  policies that favour the more wealthy and are expected to trickle down to the poor.

I don’t have the figures at hand for how many times the Maori Party has voted with National to pass its tax laws, its laws that reduce hard fought-for conditions for wage and salary earners. Laws that force solo mums to get jobs  (mostly low paid) when their children turn six and laws which have taken away the supports for solo mums to get tertiary training as a pathway out of poverty. As far as I can remember the Maori Party voted for all of those laws. That’s just to name a few.

I fought for a year to get the funding retained for Dunedin’s only teen parenting course. It focussed on teaching young mums literacy and numeracy and gave them the confidence and self esteem to know they could do further training. Maori  Party co-Leader Tariana Turia washed her hands of this as one of the relevant Ministers.

Hypocrisy. If the Maori Party wants credibility then stand up to National and say No we don’t like your trickle down policies. Don’t mouth platitudes.


Glacier police? Lets stop kids climbing trees too

Posted by Trevor Mallard on December 3rd, 2010

There seems to be growing ridicule of -

Coroner Richard McElrea’s recommendations after an inquest into the deaths of Ashish Miranda, 24, and Akshay Miranda, 22. The Australian brothers were crushed to death at Fox Glacier in January last year.

The coroner recommended Conservation Minister Kate Wilkinson “take steps” to create bylaws to restrict or close public access to the terminal face of Fox Glacier.

Good thing too. The idea that someone gets an instant fine for going off a path in a National Park is an indication that the Coroner needs to go for a walk,  smell the fresh air and get his brain into gear.

Yes the deaths were tragic but these men ignored multiple signs, climbed a barrier and stood under a glacier edge as it was breaking up.

You don’t make rules that restrict the rest of us based on the actions of two, albeit dead, idiots, who caused distress to their families but did not harm anyone else.

What is next – a tree climbing ban because someone fell out of one once.


Neurosurgery win a victory for Southerners

Posted by Clare Curran on November 10th, 2010

Otago and Southland communities will keep three neurosurgeons in Dunedin. The decision was announced this morning. It’s a huge victory for those communities by refusing  to accept a downgrade of their health services. 

Labour is proud that the people of Otago and Southland stood up for themselves and in particular Pete Hodgson and myself are hugely relieved that our communities won’t be disavantaged by having neurosurgery services ripped away.

It is a total disgrace that Health Minister Tony Ryall didn’t have the foresight and leadership to see how important resident neurosurgeons were to Otago and Southland. Instead he put our communities through months of stress and anguish which could have been avoided.

Labour’s Health spokesperson Ruth Dyson put it well when she said today:

Southerners in their tens of thousands turned out, refusing to accept the National Government’s decision to allow neurosurgical services to be closed in Dunedin. Today’s announcement is a direct result of their protests, petitions and the pressure they placed on the Government.

Since National came into office there have been more than 100 cuts to frontline health services in New Zealand and neurosurgery would almost certainly have joined that list if it had not been for the actions of the southern people and media.

 Health Minister Tony Ryall had taken the coward’s way out by refusing to intervene in the issue. Thankfully the people of the Southern regions displayed a lot more backbone than the Minister.


The Price of Alcohol

Posted by Iain Lees-Galloway on November 9th, 2010

Got sent this today. Thoughts?