What are we going to do about District Health Boards? News this week that the Government is looking at a further bail-out of cash-strapped Boards to help reduce their deficits has raised afresh questions about the sustainability of the current model. At a time when the pressure on financial resources is as taut as ever, it seems simply absurd that a substantial amount of significant additional public health expenditure has to be directed towards reducing historic budget deficits. Therefore, the question must surely be asked whether District Health Boards still provide the appropriate structure to deliver the public health services we expect today. The District Health Boards were a creation of the Labour-led Government of the early 2000s, to replace the appointed Health Funding Authority and the Regional Health Authorities of the National Government of the 1990s, which, in turn, had replaced the elected Area Health Boards of the 1980s Labour Government, that had replaced the ear...
Posts
- Get link
- X
- Other Apps
In the wake of the Christchurch terrorism incident, specifically the publication on-line of the alleged killer’s so-called manifesto, the topic of hate speech and how to deal with it has come more strongly into public focus. There have been calls for stricter regulation of social media, with the Prime Minister being invited to co-chair with the President of France an international meeting on the subject. At the other end of the scale has been the brief call from a Labour MP to consider the regulation of all media content to control hate speech. These reactions highlight the extent of the dilemma. Everybody knows there is a problem to be dealt with, but few seem completely confident about what the precise problem is, let alone how it should be dealt with. At the extreme edges, such as the Christchurch alleged killer’s diatribe, there would be close to unanimity about the vileness and unacceptability of what he was promoting, but the problem is there would be a considerable diversi...
- Get link
- X
- Other Apps
When I first became an MP back in 1984 one of the earliest and sagest pieces of advice I received was from my illustrious predecessor, Sir John Marshall, who told me "be loyal to your electorate and it will be loyal to you." It was advice I was to follow constantly for the next 33 years. A variation of that theme had been more bluntly expressed in the United States a few years earlier by the irrepressible Speaker, "Tip" O'Neil, who bluntly stated "all politics is local." In other words, voters and constituents are most concerned about the issues that affect their personal lives and the communities in which they live, and often they will vote accordingly, and support candidates whom they see as aligned to their concerns, even if they may not belong to the party of their preference. The "all politics is local" mantra becomes all the more relevant under MMP. While it is the party vote that determines the overall make-up of Parliament, an...
- Get link
- X
- Other Apps
So, the details of Labour’s long-awaited capital gains tax have been revealed, and now the speculation begins as to how the government will go about implementing Sir Michael Cullen’s long-cherished dream. One thing that is near certain is that should Labour choose to proceed (and why should they not – they have been promising this since 2011, despite its contributing to their massive election defeats in 2011 and 2014, and they have no other tax policy to speak of) it will not implement the Cullen proposal in its entirety (governments never do). And even if they do proceed, assuming that in this era of feel good politics they do not succumb to a reality check in the meantime, because they know better than the majority of New Zealanders opposed to a new capital gains tax, it is just as certain that the tax will be amended early and often as the myriad loopholes associated with it become more and more obvious. The history of major tax change is always one of constant tinkering and amen...
- Get link
- X
- Other Apps
DUNNE SPEAKS An occasional look at Politics from a liberal perspective The National Party’s delight earlier in the week at revelations tha t consideration was being given to the establishment of a “blue-green” party that could be a partner at future elections was as understandable as it was premature. It was understandable because National currently has no viable potential support partner, should it be in a position to form a government after the next election. But it was also premature (unless National is attempting to be deviously coy with the voting public and discussions are far more advanced than it is letting on – a move in itself that carries a considerable risk of backfiring) as the history of attempting to form “blue-green” parties offers not much encouragement. In 1996, three prominent environmentalists, Sir Rob Fenwick, Gary Taylor and Stephen Rainbow attempted to do so, and their efforts were a dismal failure that did not last much ...