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National: No New Ideas

Posted by Iain Lees-Galloway on February 15th, 2010

Simon Power is the MP for Rangitikei, the electorate that completely surrounds mine in Palmerston North. I see quite a bit of him and get on with him quite well. Generally speaking I think he’s one of the more sensible Nats and definitely one of the most competent.

But Simon’s response to the Misuse of Drugs Act review is wrong. To dismiss such a comprehensive piece of work out of hand not only shows disdain for the Law Commission but for the people of New Zealand.

It’s an issues paper, which means it is open for discussion and consultation. But Simon has shut down the discussion and basically told us there is no point in engaging in the consultation. All because John Key decided he would make a ‘war on P’ central to his popularity strategy.

Of course the National Party is a conservative party so it’s not great surprise. But should being conservative be an excuse to ignore any new ideas?

It seems new, good ideas don’t get much air time at cabinet. Look at what the first year of National-led government has brought us: Laissez-faire economics, tax-cuts for the rich, cuts to the public sector, National Standards in primary schools. All old ideas. All bad ideas.

I hope the bigger thinkers in cabinet can start having a bit more say. C’mon Simon, you’re better than this.


Misuse of Drugs Act issues paper published

Posted by Iain Lees-Galloway on February 11th, 2010

The Law Commission has just released its issues paper on the Misuse of Drugs Act (MoDA), titled Controlling and Regulating Drugs.

This paper (all 400 pages of it) is the result of two years’ work after the Labour Government invited the Law Commission to start work on a review of the MoDA.

Still need to read through it. Some key areas of interest and no doubt debate include:

  • No change to the law regarding the large-scale profiting from dealing in drugs.
  • A new framework for dealing with new psycho-active substances – essentially prohibition until appropriately analysed and regulated.
  • Potential for changes in the way possession is dealt with – especially looking at greater use of diversion and treatment rather than conviction.
  • Potential for differential response to ‘social supply’ and dealing for profit.
  • Greater resources for treatment.
  • ‘Civil Detention’ – ie compulsory treatment where it is believed this is appropriate and only as last resort.

Worth having a good read of this to take it all in.

Lianne Dalziel and I are as keen to hear your thoughts as the Law Commission is.

Consultation closes 30 April 2010.

Update: Simon Power rejects medicinal cannabis use.


Health System on its Head

Posted by Iain Lees-Galloway on February 8th, 2010

Last month when Rahui Katene suggested more public money be put into providing stomach stapling operations as an answer to obesity-related health complications I knew in my gut that it was the wrong message and needed to be challenged.

But I also know a couple of people for whom this type of operation has been extremely beneficial and has extended their life expectancy immensely. As a final option – when all other avenues have been explored – it should be considered.

Today, however, the completely arse-about-face approach to healthcare the National / Act / Maori Party government take has taken a step into the ludicrous.

Reports this morning bemoaning the additional costs to ACC of dancing-related accidents typify the thinking:

Prevention = Bad, Cure = Good
                             or
 Long term plans = Bad, Short-term stats in time for the election = Good

Should we discourage kids from playing sport because they might get injured? Should we not go to the gym because we might pull a muscle? Should we all sit on the couch and watch TV or play Playstation rather than go for a walk as a family?

And having lived that type of lifestyle, will the Government then pick the tab on surgery to make it all OK?

There is no sense whatsoever in taking away the services that teach people to take responsibility for their own health and assist people to make early interventions and then putting more ambulances at the bottom of the cliff.


Rich Patient, Poor Patient

Posted by Iain Lees-Galloway on January 22nd, 2010

Health Minister Tony Ryall says a proposal to introduce a two-tier system allowing private medical care in public hospitals is “worth a look.”

He should rule this insanity out right now. The idea that our hospitals have the capacity to deliver private health care on top of their current workload is so far removed from reality it’s staggering that Ryall would even countenance the idea.

Just this morning in my own electorate, Mid-Central DHB informed staff that it would be closing surgical beds due to a drop in acute surgery needs. I understand that when asked why the beds couldn’t be used to boost elective surgery numbers, management replied that surgeons were unavailable due to their private sector commitments.

If there isn’t the capacity to meet current needs, where will it come from to meet the additional requirements of fee-paying patients?

That aside, the point of having public hospitals is that everyone gets access to medical care based on need, not wealth. The kind of queue-jumping this would encourage is totally unacceptable.

Just where is Tony Ryall taking our health system?


Price of alcohol

Posted by Iain Lees-Galloway on September 22nd, 2009

This is my second post on matters raised in the Law Commission’s review of Alcohol Legislation. The previous post on the Purchase Age is here.

The question of pricing comes up a lot in discussions about ways to reduce harm caused by alcohol abuse. Much of the evidence available suggests that increasing the retail price of alcoholic beverages does in fact lead to a decrease in binge drinking and other harmful activities.

You may or may not agree with this. If you do, the next question is how best to go about achieving this.

The two options are:

  1. Increasing excise tax
  2. Establishing a minimum price for alcoholic beverages

These two are not mutually exclusive and could be used either in combination or separately.

So the two questions are: Should we be increasing the price of alcohol and if so how best do we go about it?


Conference Fashion

Posted by Iain Lees-Galloway on September 12th, 2009

OK I’ll try to offer something a little more valuable later in the weekend but I can’t help a quick post on something I’ve noticed over the last few hours.

Conferences (and bus trips) are a chance for MPs to perhaps relax a notch and for people to see us as real human beings, not just faces on the telly.

So it’s interesting to see how the fashion sense kicks in when we get out of the uniform suit and tie (gender biased I know – the women get a bit more flexibility in standing orders… and I’m not brave enough to comment on what they’re wearing!!).

Some of us manage to embrace the opportunity to dress for comfort alone. Me, I’m in t-shirt and jeans. Chippie takes it up a notch with a Labour branded polo. Trevor is in his obligatory black long-sleeve T.

Others, although out of the suit, don’t seem able to let go of the jacket. Stu Nash manages jeans and jacket whereas David Cunliffe hasn’t gone much further than ditching the tie.

And then there’s David Parker. I wonder if he’s got pin-stripped PJs because I’ve never once seen him out of a suit.

I have to admit, you do become sensitive about what people think when they see you out and about, especially if you’re just trying to relax with the family. 

Funny the ways this job pervades every aspect of your life.


Alcohol Purchasing Age

Posted by Iain Lees-Galloway on August 26th, 2009

The Law Commission’s Alcohol Issues Paper is, I was told by Sir Geoffrey Palmer, 1.4 kg heavy. It is probably one of the most comprehensive reviews of liquor issues ever created.

At this stage, the law commission is making no recommendations. The issues paper is out for consultation through to October after which the Law Commission has until the end of March to report back to Parliament.

So Lianne Dalziel and I though we’d post some of the issues on Red Alert and give you the opportunity to comment on them one by one.

And since the purchasing age is the point getting the most attention, let’s start there and get it off our collective chests…

There are a range of options for the purchasing age: Stay at 18 or increase to 19, 20 or 21.

There is another option also proposed: Split the purchasing age so it would be 18 for on-licence premises (ie pubs, restaurants etc) and 20 for off-licences (supermarkets, wholesalers etc).

Comment away…


Surely Tariana Must be Getting Frustrated?

Posted by Iain Lees-Galloway on August 24th, 2009

Tariana Turia thinks I’m grandstanding, but last week we saw another example of the Maori Party not being listened to in Government.

The gap between what the Maori primary healthcare workforce can earn compared with their counterparts working for GPs or in DHBs is significant and is making life hard for their employers who are bleeding staff on a daily basis.

When negotiations started between the Nurses Organisation and the employers, Tariana had plenty to say. When they joined forces and petitioned Parliament, Tariana had plenty to say. When they made their submission to the Health Select Committee Tariana (by then a Minister) still had plenty to say (only this time attacking DHBs for not doing enough to address the problem).

But when the Government announced last week that they refused to even investigate the problem, Tariana was silent – until contacted by the media, when she decided to have a crack at me rather than addressing the issue.

I’m sure she is working hard to lobby the Nats on this and other issues. But if Ryall isn’t listening, what good does it do her or her constituents?


Law Commission ‘Alcohol in our Lives’ issues paper

Posted by Iain Lees-Galloway on July 30th, 2009

The Law Commission’s ‘Alcohol in our Lives’ Issues Paper was released today. My copy arrived at 11:45 so I haven’t had much of a chance to go through it yet but suffice to say Lianne Dalziel and I will be giving the report very serious consideration. Any discussion welcome here and I’ll post again when I’ve digested some of the material.


Drinking Tonight?

Posted by Iain Lees-Galloway on July 17th, 2009

A while back Geoffrey Palmer said that if alcohol was classed under the misuse of drugs act it would be a Class B drug.

Should alcohol, and for that matter tobacco, be classified on the same scale as other mind altering substances?

Why / Why not?


Westminster Delegation – Day 5

Posted by Iain Lees-Galloway on June 28th, 2009

The final day of activities was, to be fair, somewhat more sedate than the previous four days. But that didn’t mean it wasn’t equally informative and useful.

We got out of London for the first time to spend the day in with Conservative MP John Howell in his electorate of Henley, described by both the local paper and the MP himself as one or the more ‘opulant’ parts of the UK.

After a breifing from one of John’s staff members on the demographics and issues of the electorate, we headed into the town of Henley-on-Thames (of rowing fame) to visit thier rowing museum and meet with local business people.

From there we went on to visit a 600-acre pig and crop farm. Following a tour of the farm we had afternoon tea with a group of local farmers. Topics of interest were the EU, subsidies, complience issues….

Final boarding call, I’ll finish this in NZ.


Westminster Delegation – Day 2 Part 1

Posted by Iain Lees-Galloway on June 24th, 2009

If I covered every aspect of day two this would be an excruciatingly long post so here’s a quick run down of the itinerary and a bit of detail on a couple of things. Carol Beaumont will also post on her highlights.

We met with three MPs to discuss current issues in UK politics. We then had a presentation on community cohesion and urban regeneration. Next was a visit to MP Betty Williams’ office followed by a reception and lunch at the House of Lords hosted by Lord Speaker Rt Hon Baroness Hayman. After lunch was a briefing on pay and allowances and standards in public life, then a meeting with Rt Hon Kevin Barron, Chair of the UK Health Select Committee. The day ended with a briefing on UK security and counter terrorism.

Expenses and allowances dominated almost every conversation (the record for not discussing it was 40 minutes at the counter terrorism briefing). As one MP put it in our first session – “there is no political scene at the moment. We are absolutely paralysed by the expenses issues.” Whilst there are many examples of inappropriate claims, there is a bit of a media beat up going on too. Notorious claims like the moat and the duck house, for instance, were never actually paid out. But change does need to happen.

Interestingly, those changes look as though the UK system will start to look very similar to our own system. Use of the second home allowance will be more restricted (as ours is to hotel bills, rent or mortgage interest) in fact possibly so restricted that it will be impossible for MPs to cover all of their costs if they rent or purchase a home near Westminster, which is perhaps going a bit far.

Employment of staff is quite different here. Staff are employed directly by MPs who draw on an allowance pool to fund their staffing costs. It is more flexible in that MPs can decide how many staff they want and what they will pay them (within a set allowance cap) but also more open to abuse or at least the appearance of abuse than our system of set staffing numbers who are employed by parliamentary services. The MPs here were interested in our system, but a bit reluctant to make the change although I expect they will end up having to do it anyway.

As you might imagine the Health Select Committee meeting was a highlight for me. What I found particularly interesting is that the Government MP chairing the committee had no problem whatsoever using the committee to thoroughly scrutinise, criticise and make recommendations to the executive of his own Government in a way that is not quite so apparent in our system. He is proposing a comprehensive select committee inquiry into Social Care (more or less what we think of as Aged Care) to create a document that can inform the policies or any future Government over the next twenty years.

The UK Health Committee recently came to NZ (we met them briefly) to study PHARMAC, Alcohol policy and issues, Patient Safety and ACC. Basically as far as I can tell most of the health issues we are dealing with, the UK is grappling with too. That includes my particular interest at the moment, Tobacco Displays.

Right, time to stop. This is getting too long and I need my breakfast.


Delegation to Westminster – Day One

Posted by Iain Lees-Galloway on June 23rd, 2009

Day one of the Commonwealth Parliamentary Association (CPA) delegation visit to Westminster kicked off with a briefing from the NZ High Commission in London. We discussed some of the key issues our diplomats over here are working on with the UK parliament, in particular the Youth Mobility Scheme, immigration in general, the Air Passenger Duty, EU Dairy Subsidies, Agricultural Trade and Food Miles.

An interesting fact we were given was that 99.75% of New Zealand’s food and beverage exports to the UK are transported by sea (food miles tend to be calculated assuming air travel).

The rest of the day was spent in Westminster. The first briefing was from the UK CPA branch about CPA activities and the structure of the UK parliament. We had a general discussion comparing and contrasting our two systems. Obviously we had a lengthy discussion about expenses and allowances as well as proportional representation, reform of the House of Lords and the election of the Speaker which was to occur later in the day.

One difference that really stands out is that whipping isn’t nearly as strong here as it is back home. The election of the speaker, for instance, is a secret ballot (a new process being used for the first time) and many MPs have been able to break from their party leaderships’ position and cross the floor without causing a crisis. I suspect there are two things at play here: The shear number of MPs (646, although two do not take their seats at present) means it is hard to stop factional groups forming, at least around specific issues, and the considerable majority that Labour holds means a few lost votes aren’t going to bring the Government down in a hurry. Also, parties don’t have the same influence that they do in a proportionally representative parliament.

We then had lunch with three UK MPs. Carol Beaumont and I had an interesting discussion with Meg Munn, MP for Sheffield Heeley about increasing the proportion of women in parliament and specific measures UK Labour has undertaken to achieve this.

After lunch we sat in the gallery of the House of Commons to watch the nominees for Speaker deliver their speeches. A straw poll amongst the 6 of us picked Sir George Young based on the speeches although we all noticed eventual winner John Bercow but thought he might be a bit too much of a maverick. He probably is and that might just be a good thing.

The final briefing of the day was from the Parliamentary Office of Science and Technology about their function in Westminster and work they have done to provide MPs and Lords with advice on Climate Change.

A really great start to the week. I hope the rest of the visit lives up to it.


Greens Get Both Bills!

Posted by Iain Lees-Galloway on June 18th, 2009

The Greens have continued their run of luck in the ballot.

The two bills drawn today were Jeanette Fitzsimons’ Sustainable Biofuel Bill and Catherine Delahunty’s Customs and Excise (Sustainable Forestry) Ammendment Bill.

Next ballot possible in two weeks.


The Faux Conscience Vote

Posted by Iain Lees-Galloway on June 17th, 2009

Tonight we’ve been debating Brendan Burns’ Sale of Liquor (Youth Harm Reduction) Amendment Bill which is supposed to be a conscience vote.

First speaker for the Nats was Sandra Goudie who said “We will be opposing the bill.”

That was then retracted by Jonathan Young who then gave a very similar speech to Sandra’s as did every National Party speaker that followed.

They had done well to not refer to their block vote until David Bennett got up and again slipped into using (the royal?) we in reference to their party position opposing the vote.

Not a great start for new Chief Whip Tremain.


Just what IS Tariana doing?

Posted by Iain Lees-Galloway on June 17th, 2009

A couple of weeks ago I asked Tariana Turia a question in the house about the international evidence supporting a ban on tobacco displays, something that she has publicly supported even though her colleague Tony Ryall has dismissed the idea.

I was working on the basis that the National Party ministers aren’t listening to their partners in the Maori Party. But as the questioning continued (amidst a volley of points of order regarding what Mrs Turia is and isn’t responsible for) it turned out that even though Tariana has publicly asserted her support for banning point of sale tobacco advertising, she has at not time advised Minister Ryall that he should go ahead with the select committee recommendation that tobacco products should be out of sight.

Which got me thinking: Just what is she doing?

So I asked written questions to see which groups actively campaigning for greater tobacco control she had met with. Of the 15 organisations I asked about she had met with just 3 – Te Hotu Manawa Maori, Te Reo Marama (TRM) and ASH.

It’s probably not fair to expect her to have met with them all, but the two she hadn’t met that stuck out like a canine’s proverbials were the Cancer Society and the Smokefree Coalition, the two organisations leading the campaign against Tobacco Displays.

I don’t think anyone really expected Maori Party ministers to have all that much say in this Government. But just how much effort is Tariana putting in to making her voice heard?


Turia Asks a Question only She Can Answer

Posted by Iain Lees-Galloway on May 29th, 2009

I’ve just seen a speech from Tariana Turia where she asks why New Zealand hasn’t acted to ban tobacco displays. Is she kidding? She’s the Associate Health Minister with responsibility for Tobacco issues in the Government that just turned down a select committee recommendation to implement such a ban. Perhaps she needs to take up John Key’s habit of talking to himself in the mirror.

However I do have to say that she was bang on with her assessment of the situation and the evidence from overseas.

I hope she can get Ryall to come round on this one, or failing that, support my private members bill… should it ever get to see the light of day!


The War on P

Posted by Iain Lees-Galloway on May 27th, 2009

‘P’. It’s amazing one letter can strike so much fear into our communities. But it does and rightly so. ‘P’ (pure methamphetamine to anyone who doesn’t read the Herald) is a nasty nasty substance. It is incredibly addictive, utterly destructive to individuals, their families, their communities and fuels criminal activity among users and suppliers alike. It’s evil.

The Herald and John Key have noticed the fear ‘P’ arouses. Hence their “War-on-P” campaign culminating in Key’s announcement through the Herald on Tuesday that he is considering banning pseudoephedrine. I expect that wasn’t quite the first thing the scientific community was expecting Professor Peter Gluckman to get to work on but, hey, that’s what Key wants.

What I found bizarre about Key going after pseudoephedrine – a substance that brings relief to hundreds of thousands of responsible users – is that just a month ago Key was advocating the exact opposite position with regard to alcohol.

His exact words on Newstalk ZB were: “I think you’ve got to be very careful you don’t get in a situation where you simply whack up the price of booze and everybody gets affected because some, particularly young people, are going out on benders”.

So it’s OK to penalise pseudoephedrine users but not OK to penalise alcohol users. I don’t get it. Both are legal. Both are controlled to some extent. Both have benefits and dangers. Actually, if you think about it, pseudoephedrine helps boost productivity by helping people suffering a cold or the flu get back to work sooner. I don’t think anyone could claim alcohol makes you more productive.

I won’t try to argue that the physical and psychological effects of P as a substance aren’t far greater than those of alcohol. But as far as their respective impacts on our community and economy go, the two aren’t even in the same ballpark. All substance abuse in New Zealand is estimated to cost $6.3 billion each year. Over $5 billion of that is due to alcohol abuse. That leaves just $1.3 billion to all other substances – cannabis, amphetamines (including P), opiates, party pills, the lot.

The prevalence of amphetamine use in New Zealand peaked in 2001 at 5% of the population, but has since decreased to 3.4%. Crystalline methamphetamine peaked at the same time at 0.9%, but has remained relatively stable ever since.

Alcohol causes far more destruction, crime, work absenteeism and family violence than all other drugs. Yet for some reason it’s OK for politicians to go after P but we get incredibly uncomfortable when it comes to alcohol. Why?

The only reason I can think of is that there is no safe level of P use. But then there is no safe level of tobacco use either, and John Key’s in no rush to take the next logical step in tobacco control by banning powerwalls.

I like a drink as much as most people. But I’m prepared to admit that with the freedom to enjoy alcohol comes the responsibility to face up to its less palatable effects. When will the debate about drug and alcohol control start to sensibly reflect the real level of damage substance abuse does to our community and when will Key stop giving mixed messages?


We’ve all been there

Posted by Iain Lees-Galloway on May 20th, 2009

I actually feel kind off sorry for Melissa Lee. Her tongue-tied memory loss on TV3 last night has probably happened to every MP – it has certainly happened to me and everyone I’ve spoken to about it.

Yes Melissa has repeatedly buckled under pressure but my question is where is her support? On the item last night we saw John Carter walking across the road with her but during her painful interview he could be seen way off on the other side of the street yakking with, I think, Jacqui Dean. Jonathan Coleman is supposed to be her minder but where was he and how much effort is he putting in to making sure Melissa is well briefed?

No doubt senior National MPs will distance themselves from Melissa but they really have to blame themselves for her inadequacies as well.


Health Priorities Cut – Services Next?

Posted by Iain Lees-Galloway on May 17th, 2009

On Thursday last week Tony Ryall announced National’s health priorities and the targets he expects DHBs to report against. The announcement was timed to perfection for minimum exposure – right after the last question time of the week and right before everyone got wrapped up in the urgency shemozzle of the Auckland (or is that Tamaki Makaurau now?) Super City legislation.

Why wouldn’t Ryall want to make a big deal of his new priorities? Because three key areas – mental health, oral health and obesity prevention – have been dropped off the list. Ryall’s targets are heavily hospital focussed at the expense of primary health and prevention programmes.

What this clearly signals is a very short-term approach to health care. Gone is the focus on transformational change, replaced by the need to generate statistics in time for the 2011 election. It’s about helping the Government look good, not improving our health system. Ruth Dyson made a great statement about the flow-on effects.

Ryall says that not being on the priority list doesn’t mean services will necessarily be cut but I’m already getting reports that mental health funding and services in particular are under threat. Mental health funding is ring-fenced but many DHBs provide resources over and above that. One DHB has definitely told community providers in its area that the additional funding is gone and that the funding formula for the ring-fenced portion may be changed.

It’s great that DHBs will be expected to reduce cancer treatment waiting times and increase the number of elective surgeries (both of which were on Labour’s priorities too) but why does Ryall want to wait for people to get sick rather than maintaining some attention on prevention as well?