Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Wednesday, 29 February 2012

Profiteers and wages the leeches of the ages


I must confess I kinda stole the title from Marc Bolan for this blog. I hasten to add, there are no royalties due as my title is really quite different to the Tyrannosaurus Rex album, in content and it is only the rhythm of the title that is similar.

This week I am getting stuck into those greedy bastards who prosper from the shredded remains of the rest of us.

The thing about profiteers is they aren’t really all that smart. They think they are because they make a quick buck, but in most cases they could make a lot more of their precious bucks by taking a longer term view.

A glorious example is that Vile little man who claims to be the Minister of Health. Minister is a noun and a pronoun derived from a verb which means to wait on, care for, look after, see to, accommodate, serve, supply, aid, help, assist or support – whew!

I see very little evidence that Toenail is caring for our health, or looking after our health system. Nor is he accommodating it, serving it, supplying it, aiding it, helping it, assisting it or supporting it. A cynical person (do we know any of those) might say he is certainly seeing to it..... Seeing to it that most of us never get any timely health treatment. And as for waiting on it; it is the sick that are waiting on it and for it.

The Vile one tells us his measures are to save us money and gleefully fronts up before compliant press (usually to be found in his own general geographical area) to tell us how well his waiting lists are working. Of course he deftly avoids mentioning all those who have been refused a place on the waiting list because the under-resourced system can’t handle them, and he also fails to appreciate that saving money on a $2000 operation now is only a saving if you don’t later have to perform a $10,000 one because the patient has deteriorated while awaiting surgery.

Another of the genius strokes this Minister (most) Vile has pulled is to stop the DHBs from wasting money treating foreigners who have no entitlement to our public health services. Great idea, you might say, until you realise that he has hired people in every DHB to check on this. Given there are 20 DHBs in New Zealand that would mean there are 20 ‘Eligibility Review Officers’ or possibly ‘Eligibility Co-Coordinators’ and possibly more bum-stiffs and hangers-on associated with them. I don’t know how much was being spent on ineligible people but it would seem over $100,000 p.a. is being wasted on these people.

That might sound harsh, but when you consider that to prove our eligibility, all we have to do is submit evidence of NZ citizenship or possession of the appropriate category of visa, you might wonder why it can’t simply be handled by whoever sends out the letters already.

However the Vile one is not the only poodle in the kennel shitting all over us. Muzza McGillicuddy, the Minister of FAT is doing an amazing ‘do as I say, not as I do’ turn. Mighty Muzza, the man who dropped so many passes over the World Cup that he should have made the Black Caps (cruel), is cutting the fat at MFAT. But is he? He says he is, and he is a Minister so we should believe him, right? Wrong. I don’t know where Muzza learned his maths, but it would seem to me that chucking out 300 MFAT staff (despite the fact many are probably a waste of space) is a weird immediate move when you are set to spend $900,000 on upgrading an Olympic sized swimming pool for the consular staff in Japan. Furthermore we now learn these guys already have a considerable ‘complex’ in which their pool is housed and another $93,000 was to be spent on a badminton court, a gymnasium, and hot and cold running geisha girls. (Okay I made that last one up). Muzza has since decided the expenditure is unwarranted, but only after he had been sprung and publicly shamed over it.

It seems to me that flying a bunch of MFATs back to enjoy some RWC 2011 games wasn’t the best way to save money either. Nor was taking an expensive Air Force charter plane for a one-day meeting in Vanuatu, if Philgoshisthatthetime has his facts right.

Other supersavers in this government include Paula Bumfat who has figured out that beneficiary bashing and trying to force people into non-existent jobs is a thrifty habit and Heck Yeah Pariah who is saving us money on character and reference checks for teaching staff.    

Meanwhile while all of this saving is going on it would seem the only ones not trying to save a dollar are our councils who think nothing of splashing out on quarter and half million dollar salaries for their CEOs (read Cash Eating Oafs).

Of course, I nearly forgot. Things aren’t actually all that bad. Bill (Nospeakada) English approved a whole $0.50 per hour increase for the lowest wage earners. Wow, a whole $20 per week before tax. Let me see now what can they do with all this money? That’s $20 less roughly 20 percent for PAYE which brings it down to $16. Those who don’t know about these things would say that means low wage earners could save $832 per year – and they’d be right – if you are not a person on the minimum wage. Because if you are a person on the minimum wage it is almost certain you have been running a deficit in your budget and this will probably only reduce that slightly. By the way, before anyone passes judgement on those running such a deficit, just remember they are only doing what governments all over the world have done for decades. The only difference is that if they start printing their own money or issuing notes of credit they can’t back up, they go to jail.  

Tuesday, 30 August 2011

Time to fight for your life


It comes to something when you have to stage the equivalent of a sit-in at your local hospital to avoid dying. However it would seem that might be what you have to do in future if you think your medical advisors haven’t understood how sick you are, or if you think they have failed to correctly diagnose your condition.

18-year-old Ben Brown of Whangarei might still have been alive if he had known to refuse to leave the hospital when doctors TWICE sent him home and told him he was okay. Ben died of meningococcal disease last week after doctors at Whangarei White Cross Accident & Medical Clinic and the Whangarei Hospital Emergency Department both failed to realise what was wrong with him.

Now I understand meningococcal disease is difficult to diagnose, but isn’t that all the more reason to take no risks when somebody presents with the symptoms? Surely it would be far better to hold a few people overnight to ensure they don’t have the disease than send them home where they can (a) die through lack of appropriate treatment and (b) pass it on to another?

Furthermore isn’t it worrying how careless our medical profession is becoming? I can’t help feeling it is part of the general malaise wherein people don’t give a stuff about doing their job properly and have insufficient vision to see the bigger picture.

Actually it is worse than that because the majority of us simply accept these lower standards instead of confronting the lazy and the stupid and ‘waking up their ideas’.

I have experienced two examples of incompetent medical practices since moving to Tauranga (only 4 years ago). I was once wrongly diagnosed and twice given the wrong treatment by my (now ex) doctor. And before anyone tells me diagnosis is a difficult art; I should point out that in the case of the misdiagnosis I had suggested what might be wrong and was rubbished and dismissed out of hand and given the wrong medication. Trouble was; I was spot on.

In the other case I was given the wrong treatment for several months with no improvement whatsoever until I sought alternative treatment and the matter was cleared up almost immediately.

Following these two incidents and some extremely unprofessional doctoring experienced by my wife at the same practice we changed to another. All of which reinforced to me the importance of taking responsibility and control off your own health. Changing practices was a revelation. We now attend a medical centre that has a good feel to it and where the doctors actually know who you are when you enter their surgery and (shock horror) you will find they have read your notes before seeing you!!!! Another bonus for us was that we learned that our previous practice is charging more than any other in Tauranga and more than twice what we pay now.  For those of you who live in Tauranga and are less than satisfied with your doctors, I commend this link where you can find out how much the others are charging. http://www.bopdhb.govt.nz/PDFs/GP-Fees.pdf

Elder care is another and even scarier proposition as I have also had cause to find out this year. The entire system is myopic. For the benefit of those who haven’t dealt with this yet, here are some words of warning.

If your folks are getting old and need some assistance in the home; good luck. Unless you have screeds of money to pay for it (or they do) you will get bugger all and furthermore you will be buggered about every step of the way. The problem arises if they don’t have a serious physical infirmity. If they are completely buggered then they will get help (I am told – though probably not very reliably). However if they can walk and seem to know what day it is (give or take a day or two), then the assistance available to them is negligible.

If for example one parent is a bit difficult and requires a lot of extra care you can EVENTUALLY get them into some kind of temporary care to give the other party a break. However if this has been going on for any length of time and the carer is really stressed out; then tough luck. Unless the carer has a physical infirmity it would seem the system considers removing the other party is all that is needed. A full-blown nervous breakdown and all that entails (or a heart attack or stroke) would appear to be required before that person gets any assistance at all. If you are about to enter the point where your parents need some of this sort of help, then I hope you have lots of money because if you don’t you will need lots of stamina and you will feel like you are constantly bashing your head against a brick wall.

So when the cheerleaders in their eye-catching blue and red rosettes starting flaunting themselves around trying to get your vote in a couple of months time, ask them what they are going to do about it.

We see grinning idiots up here every other week cutting ribbons to open new parts of a hospital or whatever other bright shiny distraction they have provided in the place of any proper treatment. So why not corner these turkeys and ask them why they prefer to bail out banks and insurance companies than put effort and money into health care.

Ask these dorks how they think an ambulance at the bottom of a cliff is ever going to be more economical than a well built fence at the top. We need to apply a blowtorch to these politicians’ nether regions until they find the pain too much to bear and start paying attention to their electorate.