Gordon Campbell | Parliament TV | Parliament Today | Video | Questions Of the Day | Search


Speech: Hon Ken Shirley: Towards Consensus

Speech: Hon Ken Shirley 'Towards Concensus In Health Care Policy

Thursday 8th Jul 1999 Ken Shirley Speech -- Health

Towards Concencus In Health Care Policy

Good evening,

Firstly may I congratulate all associated with organising Health Care 99 and take this opportunity to welcome my parliamentary colleagues to my home town of Tauranga.

Health is perhaps the most contentious of all public policy arenas and all too often politicians dwell on and highlight negative specifics, forgetting to recognise the marvellous advances that have occurred and the pathways of continuing improvement.

We all tend to forget that open-heart surgery was only made possible in the 1960's, largely as a result of technological breakthroughs in anaesthetics. Prior to this time the common by-pass operation did not occur and people suffered and died early.

Equally the incredible advancements in joint replacements has given mobility to people who were formerly confined to wheelchairs. I am one of the grateful recipients of this marvellous technology having undergone athroscopic debridement in both knees, here in Tauranga last Friday. Five years ago I would still have been in hospital and would have been on crutches for a further month, whereas tonight I am capable of dancing an Irish jig.

Since 1969 Government spending on health care has more than trebled in real terms, from $2.041 billion to $6.264 billion in 1998. Health is the second biggest item of public expenditure after welfare and it exceeds the annual export earnings of our pastoral sector.

This increase is largely driven by accelerating technological advances leading to the increasing demand for a wider range of more expensive services. An aging population further compounds the situation with the average person over the age of 75 consuming 10 times more publicly funded health services per year than the average teenager. Population projections tell us that we will experience a 6-fold increase in the number of people over the age of 80 by 2020. We also know that the ratio of those in the workforce to those in retirement will halve in that time period.

We have created artificial barriers with our health care system between primary health care and secondary health care on the one hand and between public and private provision on the other. Primary personal health care is substantially delivered by the private sector by GP's and pharmacists, even though the government provides the bulk of the funding.

With secondary hospital care a dual system has emerged. Those without health insurance languish on waiting lists, and those with it pay twice.

Many people believe that private health insurance is simply a means of funding optional extras (additional comfort and choice). Others see it as a means of providing a desirable alternative to public funding and provision. In practice it is both, providing 'top up' funding for additional services as well as displacing the need for public funding.

While the public health hospital system is failing to keep up with the needs of New Zealanders, the private health insurance market is retrenching because of the uncertainty of State provision and deficiency of pricing information. Insurers are unable to set the service and price bounds of their premiums. What we have is 'gap' insurance with more and more New Zealanders falling into the 'gap'. With premiums for private health insurance rising rapidly, fewer people can afford this choice. In 1991 51% of New Zealanders were covered by health insurance whereas in 1997 this had fallen to 37%.

We must restore confidence in the health sector.

ACT Believes

? All New Zealanders must have access to high quality health and medical services. ? We must place greater emphasis on preventative health care, thereby reducing the need for intervention in illness. ? All New Zealanders must accept more responsibility for their own lifestyle choices that influence health eg adequate exercise, non smoking, diet. ? The artificial barrier between primary and secondary health care should be reduced allowing for more integrated care options. ? The private sector should be encouraged to invest in both the provision of health care facilities and services. A climate of commercial neutrality should exist between the private and public provision of those services.

Partnership Between Public and Private Hospitals

ACT's key objective is to give consumers choice and to get the public and private sectors working together in the task of providing the best health care for all New Zealanders at the most affordable price.

Pacific Health Limited 's initiatives in the Bay of Plenty to integrate the public and private provision of hospital health services must be applauded and encouraged.

The saving of $1 million through the sharing of a state-of-the-art CT scanner between the public and private sector to ensure the optimum use of expensive but under-used technology is a first step in the right direction particularly when the $1 million saved can be used to improve services in other areas of health care.

I also applaud the Tauranga based Venturo Project providing urological services. A two-year waiting list was eliminated in six months by the public purchase of private services. A project has now commenced providing orthopaedic services with similar potential.

The extensive use of private hospitals by ACC in the last two years has demonstrated that treatment can be more timely and efficient allowing people to return to the workforce earlier than previously possible. These outcomes are highlighted by the fact that for the year ending 30th June 1998, ACC chose to purchase 86% of its 26,730 elective surgical services from private hospitals.

These examples of improved efficiencies are models for the rest of the country. We must avoid the hang-ups and rhetoric between public and private provision and concentrate on guaranteeing better access for all New Zealanders to quality and affordable health care when they need it.. ENDS The ACT Media Unit today launched its new media release template. Speaking at the launch, Caucus Press Secretary Trish Sherson said, "It's pretty sharp, isn't it?", before the bubbly got the better of her and she passed out.

ACT Leader Richard Prebble said the template marked a new era in New Zealand politics.

"Independent commentators agree that this thing is the best of its kind in the world. Sources inside the PM's office have revealed to me that they think it might just win the election for the centre-right.

"In fact my own Labour party contacts tell me that Helen Clark's office admit that they are dog tucker unless they take their things back to the drawing board too.

"No responsible commentator would make rash predictions in this unstable political environment. However, I would not be surprised if the parties follow ACT's bold initiative."

Other ACT MPs were not available for comment.


© Scoop Media

Parliament Headlines | Politics Headlines | Regional Headlines


Also, Loan Interest: Productivity Commission On Tertiary Education

Key recommendations include better quality control; making it easier for students to transfer between courses; abolishing University Entrance; enabling tertiary institutions to own and control their assets; making it easier for new providers to enter the system; and facilitating more and faster innovation by tertiary education providers... More>>


Higher Payments: Wellington Regional Council Becomes A Living Wage Employer

Councillor Sue Kedgley said she was delighted that the Wellington Regional Council unanimously adopted her motion to become a Living Wage employer, making it the first regional council in New Zealand to do so. More>>


Scoop Images:
Dame Patsy Reddy Sworn In As Governor-General

This morning Dame Patsy Reddy was sworn in as the New Zealand Realm’s 21st Governor-General. The ceremony began with a pōwhiri to welcome Dame Patsy and her husband Sir David Gascoigne to Parliament. More>>


Ruataniwha: DOC, Hawke's Bay Council Developer Take Supreme Court Appeal

The Department of Conservation and Hawke's Bay Regional Investment Company (HBRIC) are appealing to the Supreme Court over a conservation land swap which the Court of Appeal halted. More>>


With NZ's Marama Davidson: Women’s Flotilla Leaves Sicily – Heading For Gaza

Women representing 13 countries spanning five continents began their journey yesterday on Zaytouna-Oliva to the shores of Gaza, which has been under blockade since 2007. On board are a Nobel Peace Laureate, three parliamentarians, a decorated US diplomat, journalists, an Olympic athlete, and a physician. A list of the women with their background can be found here. More>>

Gordon Campbell: On The Key Style Of Crisis Management

At Monday’s post Cabinet press conference Key was in his finest wide- eyed “Problem? What problem?” mode. No, there wasn’t really a problem that top MPI officials had been at odds with each other over the meaning of the fisheries policy and how that policy should be pursued... More>>


Mt Roskill: Greens Will Not Stand In Likely Post-Goff By-Election

“The Green Party’s priority is changing the Government in 2017, and as part of that we’ve decided that we won’t stand a candidate in the probable Mt Roskill by-election... This decision shows the Memorandum of Understanding between Labour and the Green Party is working." More>>


Get More From Scoop



Search Scoop  
Powered by Vodafone
NZ independent news