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  #2454372 4-Apr-2020 13:38
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frankv:
floydbloke:
DHBs... (as opposed to admin and red tape, still can't figure out why we need 15 lots of administration of a population of only 4.5 million).  

It's Public Service, so it has to be accountable, so there has to be red tape. Everything has to be recorded, so that if someone investigates in 20 years time, the information will be available. But that constant scrutiny has made the whole system super cautious; I've never worked anywhere as change-averse or commitee-loaded as a DHB.

To answer your question about why so many... (it's 23 btw, not 15)... that was the brainchild of Rogernomics. DHBs grew out of Crown Health Enterprises, which were supposed to compete with each other to encourage efficiency. And there was 2 sets of administrations in each DHB, the "funder" which wrote contracts and the "provider" which ran hospitals. Fortunately this lunacy has been gradually worked out of the system. Another aspect was that each CHE/DHB was free to set up their own IT systems, so there's probably a dozen different incompatible clinical records systems in use, let alone accounting, payroll, etc, etc. The DHBs have been working on overcoming this, but getting 23 DHBs to agree on anything is impossible. And the MoH is completely hopeless, so no leadership there. However most "regions" of about 5-6 DHBs each have systems to share clinical information.

I believe that Labour has some kind of plan to reform NZ's health system, but we'll have to wait to see what that is.

 

 

 

District health boards or area health boards existed before rogernomics with local representation on them.

 

In the competition is always good that led to the Crown Health enterprises and the idea that hospitals would compete with each other which was a nonsense. In chch the geriatric hospital was a different CHE than the main hospital in town with separate IT systems, pathology systems.

 

It was a XXXX stupid system (personal experience)  The geriatricians from the rehab hospital would come to chch hospital to offer consultation services and take over patients who had been admitted with strokes and frailty (the geriatric hospital had no acute admission service) and transfer them 15 km away. The lab results were on different competing computer systems. The xray and CT were on a different systems. Then after their stay and discharge some invariably needed to be readmitted which happened back to the main hospital where they had different systems so it was very annoying because all the information from the rehabilitation phase wasnt on the chch system etc.

 

Over the course of about 8 years we went from 4 contracting groups which contracted to the CHEs to One contracting group to the same CHEs. The only thing that changed were the logos on the managerial chairs. The doctors, nurses and other staff anf the buildings stayed the same...

 

Then politicians wanting to be seen to do something proposed a return to DHBs with local boards so feels like we are back to where we started.


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  #2454420 4-Apr-2020 14:27
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Rikkitic:

Kiwifruta:


In my (unregistered opinion), bank deposits are lousy investments but a great place to park money for contingency purposes.


You mean like that bank in Cyprus that ate its customers' deposits? Don't our banks also have a clause like that?


 


 



I don’t know what you are referring to.

 
 
 
 


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  #2454425 4-Apr-2020 14:38
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KiwiSurfer:

 

mattwnz:

 

Hopefully it will show that we need at least a third big supermarket operator in NZ.

 

 

Do we have the population to support a third national operator sustainably? I recall The Warehouse tried to become a third supermarket operator with not much success and eventually rolled back their supermarket strategy. I suspect if a third operator does come in they'll just cherry pick the profitable areas resulting in a two tier system where some areas have lower prices than while the unfortunate (especially rural) may have to pay higher prices to cross-subsidy the more lucky people. Not sure if that's a better outcome IMHO.

 

 

 

 

We did used to have a 3rd chain, Foodtown, but they were allowed to merge creating the duopoly . That was back when the popualtion was a lot smaller (possibly around 3-4 millions). Now our population is closer to 5 million, so we appear to have the population to support another chain. TWH foray was done at a bad time, around the GFC, and they also had to pull out of Oz where that expansion didn't work. 


Devastation by stupidity
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  #2454438 4-Apr-2020 14:53
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I don't think there is ever a bad time to talk about how absurd war is, how old men make decisions and young people die. - George Clooney
 


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  #2454503 4-Apr-2020 16:27
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[sarcasm]

 

Given there is so  much less traffic on the roads, and exponentially fewer crashes there will be fewer insurance claims.  Hence less to pay out for the insurance companies so we can all look forward to cheaper premiums

 

[/sarcasm]

 

😛





"I have noticed even people who claim everything is predestined, and that we can do nothing to change it, look before they cross the road." -  Stephen Hawking


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  #2455446 6-Apr-2020 07:44
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floydbloke:

 

[sarcasm]

 

Given there is so  much less traffic on the roads, and exponentially fewer crashes there will be fewer insurance claims.  Hence less to pay out for the insurance companies so we can all look forward to cheaper premiums

 

[/sarcasm]

 

😛

 

 

 

 

Heh, yeah ... in the real world however with businesses going belly up left, right and centre, there will be much increased premiums I would think, as everyone starts calling on insurance or similar to cover losses incurred. I'm thinking especially about people who had goods or services in progress of delivery when the lockdown hit. They will have paid money up front and will stand to lose it if the business dies in the meantime.





iPad Pro 11" + iPhone XS + 2degrees 4tw!

 

These comments are my own and do not represent the opinions of 2degrees.




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  #2456212 6-Apr-2020 23:39
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From a longer-term perspective, we want to be getting those international visitors back and I would like to see the government use this time to refresh the infrastructure that the tourism industry needs; in particular, it would be fabulous to see some serious roading projects down south to try and reduce the deaths and injuries we have seen.

 

I think a 'Tourist Route' (being roughly a circle from Picton down the West coast then through QT and Twizel/Mt Cook/Tekapo) which is clearly marked, made another 1 - 1.5m wide on the whole length, uses median barriers and edge barriers, uses more reflective paint for road markings and perhaps even uses some of the anti-skid road surfaces that have been developed. Clear multi-lingual signs, LED cats eyes and lighting, rest areas, toilets etc. and no more one lane bridges.

 

That would not only take a big majority of the tourists off the small roads and make their trips safer, but it would also be a great road for the rest of us. A nice big project, employing plenty of Kiwis, built in NZ, with NZ money to benefit not only locals but a part of the economy that brings in a lot of money.






 
 
 
 


bmt

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  #2456269 7-Apr-2020 08:45
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I'd prefer the government came up with a new strategy for tourism that isn't just a return to the status quo. Both really expensive in places like Queenstown, Hobbiton etc, and yet we also have droves of largely Europeans buying a cheap and nasty van to live out of for weeks/months, contributing next to nothing to the local economy but clogging up roads, amenities etc. 

 

In the short term I can see domestic tourism booming (I plan to make use of all my Air NZ credit asap) - hopefully all the tourism operators that have been burned by this have a bit of humility and don't try to rip us off.


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  #2456276 7-Apr-2020 08:55
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bmt:

 

I'd prefer the government came up with a new strategy for tourism that isn't just a return to the status quo. Both really expensive in places like Queenstown, Hobbiton etc, and yet we also have droves of largely Europeans buying a cheap and nasty van to live out of for weeks/months, contributing next to nothing to the local economy but clogging up roads, amenities etc. 

 

In the short term I can see domestic tourism booming (I plan to make use of all my Air NZ credit asap) - hopefully all the tourism operators that have been burned by this have a bit of humility and don't try to rip us off.

 

 

The Government doesnt run any tourism operations, so they won't develope a strategy. Tourism operators will adapt, seek revenue from Kiwis by offering options that Kiwis will flock to, thats what they need to do to rebuild and succeed


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  #2456279 7-Apr-2020 08:59
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tdgeek:

 

bmt:

 

I'd prefer the government came up with a new strategy for tourism that isn't just a return to the status quo. Both really expensive in places like Queenstown, Hobbiton etc, and yet we also have droves of largely Europeans buying a cheap and nasty van to live out of for weeks/months, contributing next to nothing to the local economy but clogging up roads, amenities etc. 

 

In the short term I can see domestic tourism booming (I plan to make use of all my Air NZ credit asap) - hopefully all the tourism operators that have been burned by this have a bit of humility and don't try to rip us off.

 

 

The Government doesnt run any tourism operations, so they won't develope a strategy. Tourism operators will adapt, seek revenue from Kiwis by offering options that Kiwis will flock to, thats what they need to do to rebuild and succeed

 

 

I disagree. They enable tourism by building infrastructure and some of that will be in support of tourism, which is (was) our second biggest export. I expect to see discussions held around when and how we can bring that back.

 

I believe we could use this time to improve access but also around how we can have visitors cause less damage to our environment.

 

I would hope that as a result of those discussions, employment may get a boost.

 

 


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  #2456283 7-Apr-2020 09:10
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bmt:

 

...we also have droves of largely Europeans buying a cheap and nasty van to live out of for weeks/months, contributing next to nothing to the local economy but clogging up roads, amenities etc. 

 

 

The act of buying a cheap and nasty van contributes to the economy. Assuming the van is registered, they will be contributing to the upkeep and improvement of the roads they are clogging. If the rego isn't sufficient for that, then that's a different issue.


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  #2456286 7-Apr-2020 09:11
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bmt:

 

I'd prefer the government came up with a new strategy for tourism that isn't just a return to the status quo. Both really expensive in places like Queenstown, Hobbiton etc, and yet we also have droves of largely Europeans buying a cheap and nasty van to live out of for weeks/months, contributing next to nothing to the local economy but clogging up roads, amenities etc. 

 

In the short term I can see domestic tourism booming (I plan to make use of all my Air NZ credit asap) - hopefully all the tourism operators that have been burned by this have a bit of humility and don't try to rip us off.

 

 

Totally agree re the cheap campervanners - these contribute so little and bring visual (and other) pollution wherever they go.  A difficult one to tackle though without either making campervanning very expensive for the many kiwis who enjoy it, or going all xenophobic.  Experience shows that for every regulation there are several loopholes.


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  #2456289 7-Apr-2020 09:21
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networkn:

 

 

 

I disagree. They enable tourism by building infrastructure and some of that will be in support of tourism, which is (was) our second biggest export. I expect to see discussions held around when and how we can bring that back.

 

I believe we could use this time to improve access but also around how we can have visitors cause less damage to our environment.

 

I would hope that as a result of those discussions, employment may get a boost.

 

 

 

 

Thats quite a stretch. Infrastructure is for all of us, including tourism. Im not aware of any infrastructure being lost since Jan 2020, so that we can now have discussions on how to get it back. What was lost was tourists. How we stop ALL tourists ruining the environment hasnt been caused by this virus, its always been an issue and is always on the table.  


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  #2456295 7-Apr-2020 09:27
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tdgeek:

 

networkn:

 

 

 

I disagree. They enable tourism by building infrastructure and some of that will be in support of tourism, which is (was) our second biggest export. I expect to see discussions held around when and how we can bring that back.

 

I believe we could use this time to improve access but also around how we can have visitors cause less damage to our environment.

 

I would hope that as a result of those discussions, employment may get a boost.

 

 

 

 

Thats quite a stretch. Infrastructure is for all of us, including tourism. Im not aware of any infrastructure being lost since Jan 2020, so that we can now have discussions on how to get it back. What was lost was tourists. How we stop ALL tourists ruining the environment hasnt been caused by this virus, its always been an issue and is always on the table.  

 

 

I think the point is that one way of getting the country back up and running is by implementing big infrastructure projects.  The suggestion above supports that and also adds to the tourism, safety and environmental discussion.




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  #2456297 7-Apr-2020 09:32
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bmt:

I'd prefer the government came up with a new strategy for tourism that isn't just a return to the status quo. Both really expensive in places like Queenstown, Hobbiton etc, and yet we also have droves of largely Europeans buying a cheap and nasty van to live out of for weeks/months, contributing next to nothing to the local economy but clogging up roads, amenities etc. 


In the short term I can see domestic tourism booming (I plan to make use of all my Air NZ credit asap) - hopefully all the tourism operators that have been burned by this have a bit of humility and don't try to rip us off.



Easy enough. Just tighten the rules about vehicle age, emissions, safety technology etc for campers and scrap anything that doesn’t meet them.





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