Wednesday, 11 May 2022 09:55

Health reforms should focus on outcomes

Written by  Peter Burke
Shane Reti claims the proposed health reforms are all about bureaucracy and not outcomes. Shane Reti claims the proposed health reforms are all about bureaucracy and not outcomes.

National's health spokesman Dr Shane Reti has joined in the chorus of criticism of Labour's health reforms and the fact that 'rural' is not seen as a priority.

Reti was a member of the select committee which conducted hearings into the Pae Ora Health Futures (POHF) Bill. He told Rural News that National wrote a formal 'differing view' to that of the Labour Party majority on the select committee.

Reti claims the reforms are all about bureaucracy and not outcomes and says there is not a single commitment to a health outcome or target, but adds there will be layers and layers of bureaucracy.

He says the reforms are ideologically driven and are about centralisation.

He says National will focus on outcomes and not bureaucracy.

"We are very concerned that Wellington bureaucrats are going to be making decisions that should be made by local people and the voice of local rural and provincial communities will be lost," he told Rural News. "The bill is a Treaty response and whether Labour believes that a Treaty response is a higher priority and deserve a great focus than rural and some other groups is a matter of opinion."

That is not to say Maori health is not a priority, because it is, says Reti.

"But in my view, distribution of health resources should be based on need, not on a Treaty response. You can't base a health system on anything but need."

Reti has done time as a general practitioner working in rural communities in Northland in towns such as Dargaville and Rawene. He says he knows what it's like to be miles away from laboratories and secondary tertiary receiving centres.

"I understand that space. I know that rural areas struggle to get an equal level of care of more urban environments and there are a number of reasons for this," he explains.

"There are health workforce issues, data connectivity, data collection issues and a wide range of issues in rural that are more problematic than in urban and that has been the case for a while."

Reti believes the primary health care services in rural are "broken" and have been for a while. He says Covid is increasing the burdens on the sector. He point to the present long waiting lists for people trying to see a specialist, which he claims stands at over 30,000 nationwide. He says people should be able to access one within four months, and less if they have a serious problem.

According to Reti, it will take until January 2024 to get the new system up and running and says, with the country trying to grapple with the Covid pandemic, he can't think of a worse time to bring in reforms instead of focusing on the immediate needs of people.

"More money, more bureaucracy and worse outcomes are the only things Andrew Little's health reforms will delivery," he says.

More like this

Dreams aren't plans

OPINION: Milking It reckons if you're National, looking at recent polls, the dream scenario is that the elusive economic recovery finally roars to life.

If voters see some growth and wages rising faster than prices, the government could say they've "fixed" things as they ride into the next election.

Back here on Earth though, the economy they inherited is a basket case, and the long-term headwinds are fierce.

Political commentator Liam Hehir says, "dreams are not plans" and if the turnaround doesn't come in time, National may have no choice but to go negative.

"Everybody wants to fight on the economy if they can. But when neither side has a compelling story, the contest shifts to other issues. That's not new. In fact, it's the stuff of politics everywhere, always."


 Read More:


Trop de Paris!

OPINION: Your old mate's ear has been chewed off recently by farmers voicing their displeasure with the National Party, particularly relating to how they're treating their farmer base.

Featured

Australia develops first local mRNA FMD vaccine

Foot and Mouth Disease outbreaks could have a detrimental impact on any country's rural sector, as seen in the United Kingdom's 2000 outbreak that saw the compulsory slaughter of over six million animals.

NZ household food waste falls again

Kiwis are wasting less of their food than they were two years ago, and this has been enough to push New Zealand’s total household food waste bill lower, the 2025 Rabobank KiwiHarvest Food Waste survey has found.

Editorial: No joking matter

OPINION: Sir Lockwood Smith has clearly and succinctly defined what academic freedom is all about, the boundaries around it and the responsibility that goes with this privilege.

DairyNZ plantain trials cut nitrate leaching by 26%

DairyNZ says its plantain programme continues to deliver promising results, with new data confirming that modest levels of plantain in pastures reduce nitrogen leaching, offering farmers a practical, science-backed tool to meet environmental goals.

National

Machinery & Products

Tech might take time

Agritech Unleashed – a one-day event held recently at Mystery Creek, near Hamilton – focused on technology as an ‘enabler’…

John Deere acquires GUSS Automation

John Deere has announced the full acquisition of GUSS Automation, LLC, a globally recognised leader in supervised high-value crop autonomy,…

Fencing excellence celebrated

The Fencing Contractors Association of New Zealand (FCANZ) celebrated the best of the best at the 2025 Fencing Industry Awards,…

» Latest Print Issues Online

The Hound

A step too far

OPINION: For years, the ironically named Dr Mike Joy has used his position at Victoria University to wage an activist-style…

Save us from SAFE

OPINION: A mate of yours truly has had an absolute gutsful of the activist group SAFE.

» Connect with Rural News

» eNewsletter

Subscribe to our weekly newsletter