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>Date: Tue, 03 Oct 2000 00:27:45 -0400


>Date: Mon, 02 Oct 2000 11:50:43 -0700
>From: Sid Shniad <[EMAIL PROTECTED]>
>Subject: Labour to abolish market-led health model - THE EVENING POST
>
>
>THE EVENING POST (New Zealand)    2 AUGUST 2000
>
>Labour to abolish market-led health model
>
>Health Minister Annette King today unveiled the Government's health
>reform legislation, promising to restore public confidence in the health
>system by abolishing the market-driven model.
>
>"This is a day that we've worked towards for eight months since we
>became government; it is an honouring of a commitment that we made
>to the electorate not in one election but in three elections," Mrs King
>said ahead of the legislation being tabled in Parliament today.
>
>"(It was) a commitment that we were going to restore a New Zealand
>public health service that was based on co-operation and collaboration,
>that we were going to replace the current commercial and competitive
>model, that we were going to ensure that local communities once again
>had a say in the running of health services, and that we were going to
>focus on improving people's health as the fundamental role of a health
>service."
>
>The New Zealand Public Health and Disability Bill would dismantle
>the 23 existing Hospital and Health Service boards, and would replace
>them with 21 elected boards by late 2001.
>
>It would also disestablish the Health Funding Authority, whose
>functions would be absorbed by the Ministry of Health, and would clear
>the way for most health funding to be handed directly to district health
>boards.
>
>That wouldn't happen, however, until at least July 2002, or later for
>some boards.
>
>The legislation would require boards to develop plans for improving
>the health of people in their region, in line with a National Health
>Strategy. This would set goals in key areas such as obesity, diabetes,
>immunisation, cancer and Maori health.
>
>District health boards would be established as Crown entities and
>would have up to 11 members - seven elected and up to four appointed
>by the Minister. Each board would be required to have at least two Maori
>members, with as many as six required in areas where there is a high
>Maori population.
>
>Their meetings would be open to the public, like those of the old area
>health boards, which were established by the last Labour Government
>then disestablished by National after it took office in 1991.
>
>Hospital and Health Service (formerly crown health enterprise) board
>meetings weren't open and their members were appointed as directors.
>
>While most funding would be handled at district health board level,
>some services - such as national screening programmes or Plunket -
>would still be funded nationally.
>
>The first board elections would coincide with local government
>elections next year and the single, transferable voting system would be
>used - a different form of achieving proportional representation to MMP -
>to ensure a more "representative" board, Mrs King said.
>
>The Bill would allow the establishment of a health workforce advisory
>committee to advise the Government on long-term staffing needs.
>Currently, the health sector faced a shortage of vital staff, including
>nurses.
>
>It would establish mortality review committees to look at topics such
>as child and maternal mortality.
>
>For the first time in social legislation, the Government has included a
>clause stating its commitment to the Treaty of Waitangi, which Mrs King
>conceded today carried legal risks.
>
>But she said the Government was committed to working in
>partnership with Maori and improving their health.
>
>The Bill is to get its first reading in Parliament next week and will be
>sent to the health select committee for public submissions. - NZPA
>
>
>
>
>
>   .............................................
>   Bob Olsen, Toronto      [EMAIL PROTECTED]
>   .............................................
>
>
>


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