The distance between the mental health coal face, the Bureaucrats trying to manage and a Government that doesn’t care

Nothing manages to highlight the distance between the mental health coal face, the Bureaucrats trying to manage and a Government that doesn’t care than this secret recording by a Mum trying to get her son mental health care…

‘So broken’: Secret recordings reveal frank confessions from mental health staff

Last year, in the space of three months, 18-year-old Sam made a series of suicide attempts and was barely holding on. A psychiatrist acknowledged the risk but discharged him anyway, in a case described as illustrating a “broken” system. But the description does not come from a distressed family, as you might expect. It comes from the mental health workers themselves — in hours of conversations recorded by Sam’s parents. Paula Penfold reports on the unfiltered insight they offer into a system that is “not good enough”.

“It’s almost unbearable if I put myself in your shoes,” Psychiatrist A.

“This is my kid, and I want to keep him alive,” Mother.

…this Government is more focused on privatizing public health than support it.

Look at what they are attempting at Segar House!

Of all the shitty things this Government has done, this may well be the worst…

Auckland intensive mental health service proposed to close

Everything this Government touches is for privatisation. From roading, to infrastructure, to education, to health, everything this Government does is to advance the interests of their donors.

National uses small business morality (we can’t afford this, we can’t afford that) to advance big business profit margins.

They constantly tell us that the Government is like a household and you can’t spend beyond your means which is a total fabrication.

Government is NOT a household because no household has the capacity to just make money out of thin air.

Likewise, attempting to quantify Government services using profit margins is bullshit – Government Services aren’t there to make money, they are there to serve the people!

We have allowed so much Right Wing Free Market mythology to construct our low expectations of Government and the right always meets that low expectation by underfunding services to justify more privatisation.

Look at how National have purposely underfunded health below population inflation and an ageing population and how they will do it again this budget…

Billions Missing From Health Budget – NZCTU

New analysis from the New Zealand Council of Trade Unions Te Kauae Kaimahi shows that the health service is likely to be underfunded by between $1.2bn to $2bn at the Budget.

“We have examined the spending decisions and announcements of the Minister of Health over the past few months. These demonstrate a pattern of making a new service promise but not providing any new funding for that new service,” said NZCTU Economist Craig Renney.

“That means the commitments have to be paid out of the existing budget, which is already under huge pressure. These sneaky cuts add up to $1.2bn across 4 years.

“At Budget 2024 the government provided $1.370bn for cost pressures. This has been calculated by the Treasury as simply covering the cost of existing services. The $1.2bn of new spending are all new services on top. If they come from the ‘cost pressure’ payment above, that acts as a direct cut to existing health services.

“Assuming the Treasury cost pressure costs are right, health needs $1.713bn just to stand still at Budget 2025 in direct new funding – and likely a figure closer to $2bn once the unknown costs are added.

“If this money is coming from pay equity funding, it would be the equivalent of those low-income health workers paying for the new service themselves.

“In opposition, National said that it would “prioritise increases in funding for health and education to account for inflation.” The government now appears to be robbing the very funding set aside for inflation in health to pay for its new priorities, breaking their pre-election promise,” said Renney.

New Announcements
Commitment		Annual Amount ($m)		4-year total ($m)
After Hours Care		41
Cancer Medicines		151
Hawkes Bay Endoscopy		0.4
GP Practices		95
Private Sector Support[1]		50
Practice Nurses		6
		343.4		1,223.80

The government has also made the following announcements and has not provided any costing information with those announcements. These costs are likely in the hundreds of millions, but we simply have no current idea about if the government will provide any further resources for them.

Unknown
Bonding of Doctors
100 Overseas Doctors
400 graduate registered nurses
New Digital Telehealth Service

[1] The private sector surgery support is only for one year and so has only been accounted once.

…look at the creeping privatisation by stealth…

Waitākere Hospital ED diverting 25 patients a day to urgent care clinics with vouchers

Waitākere Hospital’s emergency department is sending about 25 patients a day to an urgent care clinic with a voucher to cover the cost.

The vouchers are offered to patients when emergency departments have long wait times and cover consultations that can cost as much as $200 at private centres.

Emergency department doctors and patients say the vouchers help relieve pressure on bottlenecked hospitals. Others say they are a quick fix that channels money away from public services.

The voucher system has been in place at emergency departments for at least 10 years. But their use has risen dramatically in the past few years at some hospitals.

…vouchers to be seen in the private sector!

The money the Government have committed for 24 hour access…

Budget 2025: Govt’s $164m plan for urgent, after-hours healthcare

…is a joke because the issue isn’t just access issues, it’s the fact it costs $200 a pop!

National are underfunding public services while subsiding more private services. They are doing this under the radar so you don’t realise what they are doing.

We are two huge sparsely populated Islands, we have always required the State to be the foundation because we simply don’t have the population density for free market dynamics to work efficiently, that’s why we end up with monopolies, duopolies and oligarchies.

The State is fundamental to NZ egalitarianism, the Right are fixated on amputating it with DOGE chainsaw revenge fantasies.

We need to stand for Egalitarian NZ, not Privatised NZ.

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