NZ Herald
  • Home
  • Latest news
  • Herald NOW
  • Video
  • New Zealand
  • Sport
  • World
  • Business
  • Entertainment
  • Podcasts
  • Quizzes
  • Opinion
  • Lifestyle
  • Travel
  • Viva
  • Weather

Subscriptions

  • Herald Premium
  • Viva Premium
  • The Listener
  • BusinessDesk

Sections

  • Latest news
  • New Zealand
    • All New Zealand
    • Crime
    • Politics
    • Education
    • Open Justice
    • Scam Update
  • Herald NOW
  • On The Up
  • World
    • All World
    • Australia
    • Asia
    • UK
    • United States
    • Middle East
    • Europe
    • Pacific
  • Business
    • All Business
    • MarketsSharesCurrencyCommoditiesStock TakesCrypto
    • Markets with Madison
    • Media Insider
    • Business analysis
    • Personal financeKiwiSaverInterest ratesTaxInvestment
    • EconomyInflationGDPOfficial cash rateEmployment
    • Small business
    • Business reportsMood of the BoardroomProject AucklandSustainable business and financeCapital markets reportAgribusiness reportInfrastructure reportDynamic business
    • Deloitte Top 200 Awards
    • CompaniesAged CareAgribusinessAirlinesBanking and financeConstructionEnergyFreight and logisticsHealthcareManufacturingMedia and MarketingRetailTelecommunicationsTourism
  • Opinion
    • All Opinion
    • Analysis
    • Editorials
    • Business analysis
    • Premium opinion
    • Letters to the editor
  • Politics
  • Sport
    • All Sport
    • OlympicsParalympics
    • RugbySuper RugbyNPCAll BlacksBlack FernsRugby sevensSchool rugby
    • CricketBlack CapsWhite Ferns
    • Racing
    • NetballSilver Ferns
    • LeagueWarriorsNRL
    • FootballWellington PhoenixAuckland FCAll WhitesFootball FernsEnglish Premier League
    • GolfNZ Open
    • MotorsportFormula 1
    • Boxing
    • UFC
    • BasketballNBABreakersTall BlacksTall Ferns
    • Tennis
    • Cycling
    • Athletics
    • SailingAmerica's CupSailGP
    • Rowing
  • Lifestyle
    • All Lifestyle
    • Viva - Food, fashion & beauty
    • Society Insider
    • Royals
    • Sex & relationships
    • Food & drinkRecipesRecipe collectionsRestaurant reviewsRestaurant bookings
    • Health & wellbeing
    • Fashion & beauty
    • Pets & animals
    • The Selection - Shop the trendsShop fashionShop beautyShop entertainmentShop giftsShop home & living
    • Milford's Investing Place
  • Entertainment
    • All Entertainment
    • TV
    • MoviesMovie reviews
    • MusicMusic reviews
    • BooksBook reviews
    • Culture
    • ReviewsBook reviewsMovie reviewsMusic reviewsRestaurant reviews
  • Travel
    • All Travel
    • News
    • New ZealandNorthlandAucklandWellingtonCanterburyOtago / QueenstownNelson-TasmanBest NZ beaches
    • International travelAustraliaPacific IslandsEuropeUKUSAAfricaAsia
    • Rail holidays
    • Cruise holidays
    • Ski holidays
    • Luxury travel
    • Adventure travel
  • Kāhu Māori news
  • Environment
    • All Environment
    • Our Green Future
  • Talanoa Pacific news
  • Property
    • All Property
    • Property Insider
    • Interest rates tracker
    • Residential property listings
    • Commercial property listings
  • Health
  • Technology
    • All Technology
    • AI
    • Social media
  • Rural
    • All Rural
    • Dairy farming
    • Sheep & beef farming
    • Horticulture
    • Animal health
    • Rural business
    • Rural life
    • Rural technology
    • Opinion
    • Audio & podcasts
  • Weather forecasts
    • All Weather forecasts
    • Kaitaia
    • Whangārei
    • Dargaville
    • Auckland
    • Thames
    • Tauranga
    • Hamilton
    • Whakatāne
    • Rotorua
    • Tokoroa
    • Te Kuiti
    • Taumaranui
    • Taupō
    • Gisborne
    • New Plymouth
    • Napier
    • Hastings
    • Dannevirke
    • Whanganui
    • Palmerston North
    • Levin
    • Paraparaumu
    • Masterton
    • Wellington
    • Motueka
    • Nelson
    • Blenheim
    • Westport
    • Reefton
    • Kaikōura
    • Greymouth
    • Hokitika
    • Christchurch
    • Ashburton
    • Timaru
    • Wānaka
    • Oamaru
    • Queenstown
    • Dunedin
    • Gore
    • Invercargill
  • Meet the journalists
  • Promotions & competitions
  • OneRoof property listings
  • Driven car news

Puzzles & Quizzes

  • Puzzles
    • All Puzzles
    • Sudoku
    • Code Cracker
    • Crosswords
    • Cryptic crossword
    • Wordsearch
  • Quizzes
    • All Quizzes
    • Morning quiz
    • Afternoon quiz
    • Sports quiz

Regions

  • Northland
    • All Northland
    • Far North
    • Kaitaia
    • Kerikeri
    • Kaikohe
    • Bay of Islands
    • Whangarei
    • Dargaville
    • Kaipara
    • Mangawhai
  • Auckland
  • Waikato
    • All Waikato
    • Hamilton
    • Coromandel & Hauraki
    • Matamata & Piako
    • Cambridge
    • Te Awamutu
    • Tokoroa & South Waikato
    • Taupō & Tūrangi
  • Bay of Plenty
    • All Bay of Plenty
    • Katikati
    • Tauranga
    • Mount Maunganui
    • Pāpāmoa
    • Te Puke
    • Whakatāne
  • Rotorua
  • Hawke's Bay
    • All Hawke's Bay
    • Napier
    • Hastings
    • Havelock North
    • Central Hawke's Bay
    • Wairoa
  • Taranaki
    • All Taranaki
    • Stratford
    • New Plymouth
    • Hāwera
  • Manawatū - Whanganui
    • All Manawatū - Whanganui
    • Whanganui
    • Palmerston North
    • Manawatū
    • Tararua
    • Horowhenua
  • Wellington
    • All Wellington
    • Kapiti
    • Wairarapa
    • Upper Hutt
    • Lower Hutt
  • Nelson & Tasman
    • All Nelson & Tasman
    • Motueka
    • Nelson
    • Tasman
  • Marlborough
  • West Coast
  • Canterbury
    • All Canterbury
    • Kaikōura
    • Christchurch
    • Ashburton
    • Timaru
  • Otago
    • All Otago
    • Oamaru
    • Dunedin
    • Balclutha
    • Alexandra
    • Queenstown
    • Wanaka
  • Southland
    • All Southland
    • Invercargill
    • Gore
    • Stewart Island
  • Gisborne

Media

  • Video
    • All Video
    • NZ news video
    • Herald NOW
    • Business news video
    • Politics news video
    • Sport video
    • World news video
    • Lifestyle video
    • Entertainment video
    • Travel video
    • Markets with Madison
    • Kea Kids news
  • Podcasts
    • All Podcasts
    • The Front Page
    • On the Tiles
    • Ask me Anything
    • The Little Things
  • Cartoons
  • Photo galleries
  • Today's Paper - E-editions
  • Photo sales
  • Classifieds

NZME Network

  • Advertise with NZME
  • OneRoof
  • Driven Car Guide
  • BusinessDesk
  • Newstalk ZB
  • Sunlive
  • ZM
  • The Hits
  • Coast
  • Radio Hauraki
  • The Alternative Commentary Collective
  • Gold
  • Flava
  • iHeart Radio
  • Hokonui
  • Radio Wanaka
  • iHeartCountry New Zealand
  • Restaurant Hub
  • NZME Events

SubscribeSign In
Advertisement
Advertise with NZME.
Home / New Zealand

John MacDonald: Now is not the time for fixing a broken health system

John MacDonald
By John MacDonald
NZ Herald·
29 Jun, 2022 02:18 AM5 mins to read

Subscribe to listen

Access to Herald Premium articles require a Premium subscription. Subscribe now to listen.
Already a subscriber?  Sign in here

Listening to articles is free for open-access content—explore other articles or learn more about text-to-speech.
‌
Save

    Share this article

The emergency department at Middlemore Hospital is under severe pressure due to staff shortages. Photo / Sylvie Whinray

The emergency department at Middlemore Hospital is under severe pressure due to staff shortages. Photo / Sylvie Whinray

OPINION:

I want to know what brand of coffee Dr Shane Reti was drinking before he spoke to Mike Hosking on Newstalk ZB this morning. Because, whatever it was, the National Party's health spokesperson came out firing like never before. And he was brilliant.

Initially, he was talking about the health boards warning the Government 12 months ago that they were facing significant problems because of staff shortages.

As it's been reported, all the boards wrote a letter to the Ministry for Business, Innovation and Employment (or MBIE) saying that when the borders reopen (as they have done since), the system is going to struggle with an increase in demand for services.

They also talked about the need to get more doctors and nurses in from overseas ASAP.

Advertisement
Advertise with NZME.
Advertisement
Advertise with NZME.

Reti said this morning the letter didn't just go to MBIE, it also went to the Ministry of Health. Which is a key point because Health Minister Andrew Little has been saying he didn't know about the letter until last month.

He's got no voice today because he's crook. So, once he's got the voice back, it will be interesting to hear what he does have to say.

But as Reti said this morning, the Health Ministry and the Government were warned, did nothing and now we're seeing the consequences.

Advertisement
Advertise with NZME.

But he didn't stop there, and he moved on to the health reforms which kick in the day after tomorrow (Friday), with all the health boards around the country disappearing and the new Health NZ and Māori Health Authority taking over.

Like Reti, I've never been able to understand why the Government thinks pressing on with reforming the health system when we're still dealing with a pandemic, is a good idea. My confusion about its enthusiasm is even greater, now that we're dealing with this flu situation which is seeing people drop like flies all over the place.

Things have got so bad, in fact, that we've seen after-hours medical centres closing the doors because they can't cope with the demand.

But despite all this - hospitals over-run, after-hours medical centres over-run - the Government still thinks it's a good time to press on with the biggest health reforms in 20 years. It's nuts.

But, as Reti said this morning, the Government is driven by ideology and, when that happens, balls get dropped and the focus goes on project planning, team meetings, Gantt charts, consultants - not on what the health system is actually there for.

As he put it, when you're restructuring health the way the Government is, the restructuring is where the money goes (and we saw that in this year's Budget). It's where the attention goes, and anything else pretty much becomes an inconvenience.

I've seen this happen myself. Like many people, I've worked in the public service and I have always been dismayed at how the focus of government organisations gets lost when there's a big project on the go.

People working at these places start referring to the organisation as "the business". And they get all excited and drink the Kool Aid and bang on about how much better things are going to be because they're doing God's work. But, from my experience, these project people couldn't be more removed from the purpose of the outfits they work for if they tried.

And that's how I feel about these health reforms. There's been a series running on One News over the last few nights looking at the reforms - and you can see how the people running these new health entities have signed up to the ideology.

I suppose they have to be, because they're the ones who have to lead their people into the brave new world. But whenever I hear all that ra-ra, it just leaves me cold.

Advertisement
Advertise with NZME.

Because all the talk, the whiteboards, strategy meetings, planning sessions, project managers and change managers count for nothing when your surgery's being cancelled and when you're waiting six hours to see someone at the after-hours (if it's still open that is, and hasn't had to shut the doors because it can't cope with the demand).

There will never be a perfect time to overhaul the health system. But the middle of winter, in the middle of a pandemic and with influenza coming at us with a double-whammy, seems less than ideal - putting it mildly.

And I, for one, have very little faith that the health reforms the Government is so excited, and so keen to get on with, will deliver the types of benefits that will make it all worthwhile.

As Reti said this morning, come Friday it'll just be "the same team in different jerseys". And I couldn't agree more.

Save

    Share this article

Latest from New Zealand

live
New Zealand

Stay inside: Nelson residents face new threat tonight

11 Jul 08:18 AM
New Zealand|crime

'S*** happens': Injured motorcyclist's gracious response to being hit by car

11 Jul 08:00 AM
Politics

Peeni Henare likely favourite to stand for Labour in Tāmaki Makaurau byelection

11 Jul 07:20 AM

From early mornings to easy living

sponsored
Advertisement
Advertise with NZME.

Latest from New Zealand

Stay inside: Nelson residents face new threat tonight
live

Stay inside: Nelson residents face new threat tonight

11 Jul 08:18 AM

High winds are ramping up.

'S*** happens': Injured motorcyclist's gracious response to being hit by car

'S*** happens': Injured motorcyclist's gracious response to being hit by car

11 Jul 08:00 AM
Peeni Henare likely favourite to stand for Labour in Tāmaki Makaurau byelection

Peeni Henare likely favourite to stand for Labour in Tāmaki Makaurau byelection

11 Jul 07:20 AM
Watch: 'My raging backyard river' - North Shore homeowner fears stormwater torrent

Watch: 'My raging backyard river' - North Shore homeowner fears stormwater torrent

11 Jul 06:00 AM
Solar bat monitors uncover secrets of Auckland’s night sky
sponsored

Solar bat monitors uncover secrets of Auckland’s night sky

NZ Herald
  • About NZ Herald
  • Meet the journalists
  • Newsletters
  • Classifieds
  • Help & support
  • Contact us
  • House rules
  • Privacy Policy
  • Terms of use
  • Competition terms & conditions
  • Our use of AI
Subscriber Services
  • NZ Herald e-editions
  • Daily puzzles & quizzes
  • Manage your digital subscription
  • Manage your print subscription
  • Subscribe to the NZ Herald newspaper
  • Subscribe to Herald Premium
  • Gift a subscription
  • Subscriber FAQs
  • Subscription terms & conditions
  • Promotions and subscriber benefits
NZME Network
  • The New Zealand Herald
  • The Northland Age
  • The Northern Advocate
  • Waikato Herald
  • Bay of Plenty Times
  • Rotorua Daily Post
  • Hawke's Bay Today
  • Whanganui Chronicle
  • Viva
  • NZ Listener
  • Newstalk ZB
  • BusinessDesk
  • OneRoof
  • Driven Car Guide
  • iHeart Radio
  • Restaurant Hub
NZME
  • About NZME
  • NZME careers
  • Advertise with NZME
  • Digital self-service advertising
  • Book your classified ad
  • Photo sales
  • NZME Events
  • © Copyright 2025 NZME Publishing Limited
TOP