Posts Tagged ‘Tony Ryall’

National are, true to prediction, privatising health provision. Also true to prediction they are doing so in a way that gives all the wins to the private sector and keeps all the financial risk for the taxpayer. Private providers may look low cost, but that’s only because they transfer huge amounts of cost to the public sector in terms of both management and back-stop services.

To give an example of a well known issue with private providers, every hip operation has a low very chance of complications leading to the patient spending time in an ICU.

When we cost public provision of a hip op we cost in a part of the cost of public ICU services. When we cost private provision we don’t, but we have to pay for the public ICU costs on top of the private hip op charge. That’s the first issue with the private provider efficiency – they rely on expensive back stop services being provided by the public sector. So we screw the costing model so that the private provider can make a profit off every hip op that goes well, and the public system ensures them against additional costs for the unavoidable not-so-good outcomes. Privatise the profit, socialise the loss!

The second is that there is additional cost in transferring a patient with complications from a private provider to a public ICU – we’re not only screwing the cost model to the benefit of private providers, but we’re actually incurring extra costs to do so.

Third problem? No matter who actually does the surgery “bureaucrats” are required to manage the provision, the eligibility, the bookings, the payments, etc. If one region uses eight small private providers then while each provider might look cheap and light on management there’s going be a team somewhere in the public system making sure that all the patients are allocated and treated, that the contracts are negotiated and the bills are paid and so on. Again, more inefficient that a single large provider responsible for both allocation and provision, again designed to make the private sector look lean and efficient, and the public sector bloated with bureaucrats.

Why, when so many other countries have proved that private healthcare provision is neither cheaper nor more effective thanpublic provision, when our largely private primary health provision is failing to meet demand, and when it is obvious that the private sector would only involve itself in healthcare so it could turn tax dollars into a tidy profit, is National pushing on with privatisation?

Part of the answer is ideological blindness, but part is also the make up of National and its closest friends. The links between National and the private healthcare lobby go back decades. In recent times the fundraising, personal and lobbying ties between National and the Private Hospitals Association are well documented in The Hollow Men, and a quick glance through the list of current National MPs shows just how entwined they remain, from Michael Woodhouse (ex-President of the NZ Private Surgical Hospitals Association), to Jonathan Coleman (a consultant in the medical sector) the list of Nats with personal interests in the profiteering of the private healthcare sector is deep and long.

Between ideology purity and self interest it looks like we’re on a long journey to inefficient expensive and ineffective privatised healthcare courtesy of Tony Ryall, John Key, and friends.

[This borrows from a comment I made on this thread at The Standard. Marty G has some great analysis on just how much of the current National spin about healthcare costs is … just spin]

Don’t forget the Pay Equity Faxathon

datePosted on 09:05, March 5th, 2009 by Anita

Tomorrow is the day – so get your fax template ready to go, or your email or letter written!

Heaps more details at The Hand Mirror, as well as a great list of writing about pay equity on the net.

Over the next few years we’re going to watch National trying to give more to the most wealthy by taking away from the poorest – this is a chance to tell them they’re wrong.

National & the tobacco industry

datePosted on 08:46, March 4th, 2009 by Anita

Tony Ryall has, once again, taken the moral low road and is refusing to ban cigarette displays in shops despite evidence that cigarette displays increase teenage smoking. This in a week that a similar ban was announced in Northern Ireland, joining bans in Ireland, Canada, England, Wales, much of Australia… oh shall I just call it “most of the developed world”?

Why does this matter? (Other than caring about the lives and health of New Zealanders)

  1. National is, once again, picking the tobacco industry over people’s lives and health
  2. National is, once again, choosing the moral wrong for the employers and owners’ benefit
  3. National is, once again, showing the signs of a party financially entangled with the tobacco industry.

In case you don’t have a copy of The Hollow Men to hand, I offer you some highlights:

  • Matthew Hooton, long time National mouthpiece, ex-National staffer and National lobbyist has done private pro-tobacco PR work and lobbying. His work was used by Rodney Hide to attempt to stall anti-tobacco legislation.
  • British American Tobacco’s chief lobbyist is a significant National Party donor and has been invited to caucus parties.
  • Key’s political advisors, Crosby|Textor, name British American Tobacco as a client of Mark Textor.

Sweet eh, politicians and industry working hand-in-hand – that must be the “pragmatism” John Key talks about.

Pay equity faxathon

datePosted on 20:42, February 25th, 2009 by Anita

Over at The Hand Mirror Julie is co-ordinating a pay equity faxathon.

This is a great way to mark International Working Women’s day by telling Tony Ryall that women deserve pay equity, and that National should uncancel the programmes that would have addressed the pay inequality affecting female social workers and school support staff.

So pop on over to The Hand Mirror, download the fax, collect some signatures, and tell National that women are worth it!

Getting to know National one marriage at a time

datePosted on 18:39, February 24th, 2009 by Anita

I can’t work out if it’s a getting-to-know-your-new-Government strategy or a look-we’re-pro-family strategy, but I’m seeing an awful lot of National Party wives and kids right now. This is not an exhaustive list but:

  • John Key + wife:  to the extent that last weekend the media coverage was about how it makes her uncomfortable
  • Lockwood Smith + fiancée: for some reason this was covered by the SST twice a week apart
  • David Carter + family + chooks leapt out of the paper at me over the weekend.
  • Tony Ryall + wife on the telly tonight as part of a PlunketLine story

Any thoughts about the strategy?

Perspective

datePosted on 07:33, February 18th, 2009 by Lew

The Standard and Kiwiblog last night, but not for the first time, crystallised what it is to be two sides of the same political coin. Both covered Health Minister Tony Ryall’s removal* of Richard Thomson from the Otago DHB chair using, respectively, the verbs to sack the old one and to appoint the new one. The difference in emphasis couldn’t be clearer.

For what it’s worth, DPF’s headline is more correct. Ryall didn’t actually fire Richard Thomson, he has been removed from the chair but will remain a DHB member (though the Herald article referenced in the Standard post also uses the `sack’ terminology). On the other hand, I think Tane’s analysis is more correct – Thompson has been removed from the post for political reasons more than for reasons of governance. However the governance failure was bad enough that Ryall was on safe ground in doing so – he’s got two birds with one stone here.

L

* see how hard it is to avoid partisan terminology?

[Edit: Silly me for believing the Herald – it’s spelt Richard Thomson – changed.]