Yesterday a group submitted to the parliamentary health select committee about FASD, foetal alcohol syndrome disorder. The first thing that caught my eye in the report about their submission was their targeting of Glen Innes and East Tamaki for education action. That tells us a lot. They have chosen areas where they know drinking during pregnancy is a problem. Suburbs that feature a high welfare population and high teenage birth rate.
The second thing I noticed was their costing to New Zealand of FASD as "more than $1 billion each year."
By coincidence yesterday I was reading this report;
4.4.1 Fetal Alcohol Syndrome
This study uses recent estimates that 2.0 per 1,000 live births have FAS and that it cost an estimated $1.9 billion in 1992 to treat infants, children, and surviving adults for FAS and its sequelae.
4.4.1.1 Synopsis
FAS is estimated to occur in 2.0 per 1,000 live births in the United States each year (Bloss 1995, personal communication). It is estimated that during 1992, the cost of treating FAS-affected infants, children, and adults was $1,944 million. Most of the cost associated with FAS treatment is incurred while developmentally disabled persons are either institutionalized or receiving intensive home-based services during their adult years. This estimate does not include other effects that result from fetal alcohol exposure that has not been diagnosed as FAS.
So in NZ it is estimated that over 1 percent of babies are born with FAS yet the US estimates the incidence at 2 per 1,000 births or 0.2 percent. These figures are wildly divergent. Which results in correspondingly divergent costings.
Yet I can believe that 1 percent (and much more) of mothers drank considerable amounts of alcohol during pregnancy. The US is probably employing a much higher diagnostic threshold ie they are documenting the most severe cases.
Getting back to where the problem is concentrated as indicated by where the group is focussing their efforts, "teenage girls and their families" in the poorest areas of Auckland. Around 4,500 females were granted a sickness benefit for pregnancy related reasons in 2008. Two thirds transfer to a DPB. 80 percent were aged 18-24 (an unknown number were younger). I wonder how much of their sickness benefit was spent on alcohol?
If society really wants to promote responsible parenting, pre- and post-birth, is putting up cash incentives to anyone with reproductive equipment the best idea we can come up with?
Friday, July 24, 2009
Wednesday, July 22, 2009
Taxpayer funded trips
Not what you are expecting.
Research from the Centre for Social and Health Outcomes Research and Evaluation shows that from a sample of 1046 frequent drug users, of those injecting drugs in 2008, 77 percent had used an unemployment or social welfare benefit to pay for the drugs; for methamphetamine users the percentage was 43 and for ecstasy users 18. For injecting drug users this was the main way they paid for their drugs.
(Left click to enlarge image)
Work and Income cannot compel people on benefits who abuse drugs to accept treatment. Not even if drug and substance abuse is their primary incapacity for being in receipt of a sickness or invalid benefit.
The taxpayer, on the other hand, is compelled to fund their benefits.
Research from the Centre for Social and Health Outcomes Research and Evaluation shows that from a sample of 1046 frequent drug users, of those injecting drugs in 2008, 77 percent had used an unemployment or social welfare benefit to pay for the drugs; for methamphetamine users the percentage was 43 and for ecstasy users 18. For injecting drug users this was the main way they paid for their drugs.
(Left click to enlarge image)
Work and Income cannot compel people on benefits who abuse drugs to accept treatment. Not even if drug and substance abuse is their primary incapacity for being in receipt of a sickness or invalid benefit.
The taxpayer, on the other hand, is compelled to fund their benefits.
No degree - no debate
At MJ's request I have removed the original post. She says it has personally identifying details despite my having removed her name before publishing it. Initially she emailed me on Tuesday asking for my qualifications. I responded that I was not University educated. Not satisfied with that response she then asked the same question via my blog creating a strong impression that she was keen to expose what she views as my inadequacy publicly.
I have never pretended to have letters after my name. Similarly I have no art qualifications - not even a pass in school certificate art - but because I receive commissions, exhibit and sell my work I describe myself as an artist. This is also, according to one commentor yesterday, unacceptable.
I am still waiting for a substantive argument about the content of my paper rather than attacks on my suitability to produce it.
MJ, if you do not want your emails to me made public, don't send any.
I have never pretended to have letters after my name. Similarly I have no art qualifications - not even a pass in school certificate art - but because I receive commissions, exhibit and sell my work I describe myself as an artist. This is also, according to one commentor yesterday, unacceptable.
I am still waiting for a substantive argument about the content of my paper rather than attacks on my suitability to produce it.
MJ, if you do not want your emails to me made public, don't send any.
Monday, July 20, 2009
'Maori and Welfare'
The NZ Business Roundtable today published a paper I penned as part of their Te Oranga o te Iwi Maori project. The media attention has been high and I have gone from one interview to the next and then the official launch. On Breakfast TV tomorrow 6:50.
I will link to the paper when it is on-line. Here's the release.
Report calls for major welfare shake-up
20/07/2009 17:44:35
A report has been released which recommends the Domestic Purposes Benefit be scrapped and replaced by a shorter-term support package.
Researcher Lindsay Mitchell has made the recommendation in her study of welfare policy and social problems among Maori, which was commissioned by the Business Roundtable.
Citing the high rates of Maori women receiving the DPB, she says steps should be taken to discourage them from getting pregnant in the first place.
Ms Mitchell says to that end, the DPB should be abolished and the Government should only provide support for one year. She says beyond that period financial support should be provided by the child's mother, father and extended family.
The report also recommends looking at the introduction of contributory unemployment insurance for workers and a restriction on current universal welfare entitlements.
It advises tighter eligibility criteria for sickness and invalid benefits and suggests panels of doctors be used to approve applications as opposed to individual practitioners.
Mrs Mitchell believes steps will have to be taken by the Government at some stage - not because it wants to, but because it has to. She says there is a lot of public concern about welfare dependency becoming a lifestyle among both Maori and Pakeha.
Mrs Mitchell says the state should provide welfare support only as a last resort safety net.
I will link to the paper when it is on-line. Here's the release.
Report calls for major welfare shake-up
20/07/2009 17:44:35
A report has been released which recommends the Domestic Purposes Benefit be scrapped and replaced by a shorter-term support package.
Researcher Lindsay Mitchell has made the recommendation in her study of welfare policy and social problems among Maori, which was commissioned by the Business Roundtable.
Citing the high rates of Maori women receiving the DPB, she says steps should be taken to discourage them from getting pregnant in the first place.
Ms Mitchell says to that end, the DPB should be abolished and the Government should only provide support for one year. She says beyond that period financial support should be provided by the child's mother, father and extended family.
The report also recommends looking at the introduction of contributory unemployment insurance for workers and a restriction on current universal welfare entitlements.
It advises tighter eligibility criteria for sickness and invalid benefits and suggests panels of doctors be used to approve applications as opposed to individual practitioners.
Mrs Mitchell believes steps will have to be taken by the Government at some stage - not because it wants to, but because it has to. She says there is a lot of public concern about welfare dependency becoming a lifestyle among both Maori and Pakeha.
Mrs Mitchell says the state should provide welfare support only as a last resort safety net.
Squawking when their own chickens come home to roost
There is little easier than writing policy in opposition.
Phil Goff wants the dole paid to people whose partners are working. What a hypocrite. It is Labour's pursuit of means-testing egalitarianism which has left New Zealanders with a tax-funded unemployment insurance system which rips half of them off when push comes to shove.
Phil Goff wants the dole paid to people whose partners are working. What a hypocrite. It is Labour's pursuit of means-testing egalitarianism which has left New Zealanders with a tax-funded unemployment insurance system which rips half of them off when push comes to shove.
Friday, July 17, 2009
Using the recession to do nothing
I feared this would happen. That National would use the recession to do nothing about reforming welfare, the DPB in particular.
According to the DomPost;
Bennett implies that the 8,000 increase from June 08 to June 09 is primarily about women losing their jobs. Some, yes. But it is more complex than that.
Or is she actually admitting that when jobs are harder to come by women get pregnant to get on welfare? Or that people break up relationships so they can claim both dole and DPB? I don't think she is.
In 2008 over 6,200 first-time mothers with babies under 12 months old were granted the DPB. 55 percent were Maori and Pacific. A third were NZ European.
An important reason why the DPB is growing again is increased fertility rates, especially among the young. Throw in, as well, increasing ex-nuptial births, now approaching half of all births.
If the job market is the most important influence on DPB numbers why, during a period of very low unemployment, did DPB numbers shown relatively little change? The total caseload has averaged around 105,000 for the past decade, with a low of 96,000 and a high of 109,000. It is currently at 104,400. If the job market is the most important influence on DPB numbers then this is as good as it gets.
I have said it before - the DPB is institutionalised. Numbers on it are affected by more factors than the job market. But if those other factors are not acknowledged, what chance they will ever be addressed?
Finally ask yourself this. If a single mother has been in work and loses her job, why doesn't she receive the unemployment benefit? Why isn't she subject to the same conditions as other unemployed people? There is less pressure to work when on the DPB. That's why. And that is another reason why the Minister's optimism that the numbers will soon drop again is misplaced.
According to the DomPost;
Social Development Minister Paula Bennett said the rise in numbers on the DPB was a reflection of the job market.Correct in part but not to the exclusion of anything else.
Bennett implies that the 8,000 increase from June 08 to June 09 is primarily about women losing their jobs. Some, yes. But it is more complex than that.
Or is she actually admitting that when jobs are harder to come by women get pregnant to get on welfare? Or that people break up relationships so they can claim both dole and DPB? I don't think she is.
In 2008 over 6,200 first-time mothers with babies under 12 months old were granted the DPB. 55 percent were Maori and Pacific. A third were NZ European.
An important reason why the DPB is growing again is increased fertility rates, especially among the young. Throw in, as well, increasing ex-nuptial births, now approaching half of all births.
If the job market is the most important influence on DPB numbers why, during a period of very low unemployment, did DPB numbers shown relatively little change? The total caseload has averaged around 105,000 for the past decade, with a low of 96,000 and a high of 109,000. It is currently at 104,400. If the job market is the most important influence on DPB numbers then this is as good as it gets.
But she was confident that once the job market had improved, numbers on the DPB would drop again.Not necessarily. Young mothers entering the system stay the longest. Until National gets a grip on that fact and decides to do something about it, a high DPB toll is here to stay.
I have said it before - the DPB is institutionalised. Numbers on it are affected by more factors than the job market. But if those other factors are not acknowledged, what chance they will ever be addressed?
Finally ask yourself this. If a single mother has been in work and loses her job, why doesn't she receive the unemployment benefit? Why isn't she subject to the same conditions as other unemployed people? There is less pressure to work when on the DPB. That's why. And that is another reason why the Minister's optimism that the numbers will soon drop again is misplaced.
Thursday, July 16, 2009
How many genuinely abused children will fall by the wayside?
The following figures just received from MSD show that care and protection notifications to CYF are rising significantly. For the financial year 06/07 there were 71,927 notifications; in 07/08 there were 89,451; and for the first three quarters of 08/09 there have been 82,459. Notifications are therefore on target to rise around 23 percent on the 2007/08 financial year.
This is a result of the social climate produced under the section 59 hysteria. Some will perceive it as welcome.
However, CYF are cutting staff numbers and closing community offices while the workload is rising. Social workers are under increasing pressure trying to manage growing caseloads. What chance the real problems will, to use a hackneyed but useful phrase, 'slip through the cracks'?
This is a result of the social climate produced under the section 59 hysteria. Some will perceive it as welcome.
However, CYF are cutting staff numbers and closing community offices while the workload is rising. Social workers are under increasing pressure trying to manage growing caseloads. What chance the real problems will, to use a hackneyed but useful phrase, 'slip through the cracks'?
Wednesday, July 15, 2009
Biggest jump in unemployment benefit numbers since late 1980s
Media Release
BIGGEST JUMP IN UNEMPLOYMENT BENEFIT NUMBERS SINCE LATE 1980s
Wednesday, July 15, 2009
Latest benefit statistics just released by the Ministry of Social Development reveal the second largest rise in unemployment benefit receipt since records have been kept.
"Not since the financial year 1988/89 has New Zealand seen such a large rise in numbers on the unemployment benefit, " welfare commentator Lindsay Mitchell said.
Over the year to June 2009 the numbers rose from 18,000 to 51,000 - a rise of 33,000 or 187 percent. "The only other time such a large rise was recorded was over the period between June 1988 and June 1989 when unemployment numbers jumped by 37,000. "
As well, numbers on the sickness benefit have surpassed 50,000 for the first time ever. "There was a 17 percent jump in sickness benefits from 46,000 to 54,000. Receipt of invalid's benefit grew by another 2 percent to reach 85,000 and the numbers drawing the DPB grew by 8 percent climbing to 104,000."
Overall the total number of people receiving a main benefit increased by 20 percent from 258,000 to 310,000.
"While some of the growth is outside of the government's control there are certainly areas in which some reform or rules tightening could make a difference. The OECD has repeatedly warned New Zealand that benefits are too open-ended in comparison with other member countries. There are no treatment requirements on people receiving invalid or sickness benefits for drug or substance abuse problems; no work-testing on the DPB; no benefit time-limits or reducing payments over time. Yet there are still areas of employment that are experiencing shortages. Childcare and care of the aged are two."
"In the past New Zealand maintained almost full employment with government sponsored work schemes whereby local infrastructure projects were subsidised through payments to local government. While it is infinitely preferable for jobs to be created by the private sector, if National is not going to provide the tax relief and incentives to create these jobs, maybe it is time they started looking at options other than simply handing out money for no productive return."
BIGGEST JUMP IN UNEMPLOYMENT BENEFIT NUMBERS SINCE LATE 1980s
Wednesday, July 15, 2009
Latest benefit statistics just released by the Ministry of Social Development reveal the second largest rise in unemployment benefit receipt since records have been kept.
"Not since the financial year 1988/89 has New Zealand seen such a large rise in numbers on the unemployment benefit, " welfare commentator Lindsay Mitchell said.
Over the year to June 2009 the numbers rose from 18,000 to 51,000 - a rise of 33,000 or 187 percent. "The only other time such a large rise was recorded was over the period between June 1988 and June 1989 when unemployment numbers jumped by 37,000. "
As well, numbers on the sickness benefit have surpassed 50,000 for the first time ever. "There was a 17 percent jump in sickness benefits from 46,000 to 54,000. Receipt of invalid's benefit grew by another 2 percent to reach 85,000 and the numbers drawing the DPB grew by 8 percent climbing to 104,000."
Overall the total number of people receiving a main benefit increased by 20 percent from 258,000 to 310,000.
"While some of the growth is outside of the government's control there are certainly areas in which some reform or rules tightening could make a difference. The OECD has repeatedly warned New Zealand that benefits are too open-ended in comparison with other member countries. There are no treatment requirements on people receiving invalid or sickness benefits for drug or substance abuse problems; no work-testing on the DPB; no benefit time-limits or reducing payments over time. Yet there are still areas of employment that are experiencing shortages. Childcare and care of the aged are two."
"In the past New Zealand maintained almost full employment with government sponsored work schemes whereby local infrastructure projects were subsidised through payments to local government. While it is infinitely preferable for jobs to be created by the private sector, if National is not going to provide the tax relief and incentives to create these jobs, maybe it is time they started looking at options other than simply handing out money for no productive return."
A different approach to assisted suicide
An elderly high profile English couple, one terminally ill and the other struggling with eyesight and hearing problems, travelled to Switzerland where they ended their lives at an assisted suicide clinic.
It is news to me that Switzerland has such an enlightened approach to death.
Switzerland allows assisted suicide by a nondoctor provided that it is not done for profit. That is the most liberal ruling in Europe and its principles were set out as early as 1918: “In modern penal law suicide is not a crime . . . aiding and abetting suicide can themselves be inspired by altruistic motives.”
It is interesting to read the comments that follow. It is not enough that some people want to tell others how to live their lives but also how to end them. Naturally. In severe pain or drugged up to your eyeballs with morphine; in and out of consciousness but sometimes aware of the grief of those watching; slowly, with no control over your bodily functions; powerless . Your life did not belong to you so why should your death?
Welcome to New Zealand. Welcome to most supposedly civilised western nations.
It is news to me that Switzerland has such an enlightened approach to death.
Switzerland allows assisted suicide by a nondoctor provided that it is not done for profit. That is the most liberal ruling in Europe and its principles were set out as early as 1918: “In modern penal law suicide is not a crime . . . aiding and abetting suicide can themselves be inspired by altruistic motives.”
It is interesting to read the comments that follow. It is not enough that some people want to tell others how to live their lives but also how to end them. Naturally. In severe pain or drugged up to your eyeballs with morphine; in and out of consciousness but sometimes aware of the grief of those watching; slowly, with no control over your bodily functions; powerless . Your life did not belong to you so why should your death?
Welcome to New Zealand. Welcome to most supposedly civilised western nations.
Tuesday, July 14, 2009
Over half teenage mothers go on welfare
Media Release
OVER HALF TEENAGE MOTHERS GO ON WELFARE
Tuesday, July 14, 2009
New information released by the Ministry of Social Development shows that more than half of first-time teenage mothers giving birth in 2007 and 2008 went on welfare.
There was a yearly average of 5,044 births to 15-19 year-olds in 2007/08. According to welfare commentator Lindsay Mitchell;
"Around 2,800 mothers - or 56 percent - went on the domestic purposes benefit*. Of these mothers 48 percent were Maori, 30 percent were NZ European and 10 percent were Pacific. The most common age was eighteen. "
"What's more, an unknown number of babies will have been taken into the care of family or whanau and are being raised with the assistance of an Unsupported Child's benefit. A further unknown number will be second and even third births added to an existing benefit."
"Clearly teenage parenthood is a significant and ongoing cost to the taxpayer. But far worse than the financial implications are the social. Many of these children will be severely disadvantaged by impoverished environments, transience, exposure to the drug and alcohol abuse associated with 'partying' before and after birth, and subsequent poor health and educational outcomes ."
"This state of affairs has been let go for decades now. Although successive governments have played the intervention card via CYF and a host of other non-government organisations, the number of materially and emotionally ill-equipped young girls becoming teenage mothers continues unabated. It is a matter of urgency that the government takes a dispassionate and evidence-based look at why this is happening and what role the DPB plays in perpetuating the problem."
OVER HALF TEENAGE MOTHERS GO ON WELFARE
Tuesday, July 14, 2009
New information released by the Ministry of Social Development shows that more than half of first-time teenage mothers giving birth in 2007 and 2008 went on welfare.
There was a yearly average of 5,044 births to 15-19 year-olds in 2007/08. According to welfare commentator Lindsay Mitchell;
"Around 2,800 mothers - or 56 percent - went on the domestic purposes benefit*. Of these mothers 48 percent were Maori, 30 percent were NZ European and 10 percent were Pacific. The most common age was eighteen. "
"What's more, an unknown number of babies will have been taken into the care of family or whanau and are being raised with the assistance of an Unsupported Child's benefit. A further unknown number will be second and even third births added to an existing benefit."
"Clearly teenage parenthood is a significant and ongoing cost to the taxpayer. But far worse than the financial implications are the social. Many of these children will be severely disadvantaged by impoverished environments, transience, exposure to the drug and alcohol abuse associated with 'partying' before and after birth, and subsequent poor health and educational outcomes ."
"This state of affairs has been let go for decades now. Although successive governments have played the intervention card via CYF and a host of other non-government organisations, the number of materially and emotionally ill-equipped young girls becoming teenage mothers continues unabated. It is a matter of urgency that the government takes a dispassionate and evidence-based look at why this is happening and what role the DPB plays in perpetuating the problem."
Thursday, July 09, 2009
Not pulling on my head or heart strings
Occasionally, when watching something like Nigel Latta's Into The Darklands, or reading an Alan Duff book, it is possible to feel some sympathy for a killer. Taffy Hotene, for instance, suffered severe abuse and alienation from his family, from very young and for many years.
I have yet to experience the faintest twinge for this character. In fact the effect is inverse to the amount of past 'hardship' he parades.
I have yet to experience the faintest twinge for this character. In fact the effect is inverse to the amount of past 'hardship' he parades.
Wednesday, July 08, 2009
There is nothing feminine about netball nutters
This has got to be a joke;
A Palmerston North netball team that wears shorts instead of skirts is embroiled in a stoush with the sport's administrators after it was told to fall back into the feminine line.
Feminine?? Anyone with any experience of netball coaches and administrators will know they are the most bureaucratic battleaxe butch bitches about. On any scale of reasonableness they are absent. Because they stopped growing vertically but kept on going horizontally their subsequent inability to foot it with the players leads to a deep-seated inadequacy vented through raging authoritarianism. Out of control tubs of testosterone.
And the ridiculous incongruity of their insistence on addressing each other as "ladies" at all times - even little girls on the receiving end of a strident barking are "LADIES". They exhibit a fascinating and appalling combination of militarism and political feminism. Netball Nazis. Utter nutters.
A Palmerston North netball team that wears shorts instead of skirts is embroiled in a stoush with the sport's administrators after it was told to fall back into the feminine line.
Feminine?? Anyone with any experience of netball coaches and administrators will know they are the most bureaucratic battleaxe butch bitches about. On any scale of reasonableness they are absent. Because they stopped growing vertically but kept on going horizontally their subsequent inability to foot it with the players leads to a deep-seated inadequacy vented through raging authoritarianism. Out of control tubs of testosterone.
And the ridiculous incongruity of their insistence on addressing each other as "ladies" at all times - even little girls on the receiving end of a strident barking are "LADIES". They exhibit a fascinating and appalling combination of militarism and political feminism. Netball Nazis. Utter nutters.
Tuesday, July 07, 2009
Restraint
Regular readers of this blog will know that in the league of blogosphere rudeness mine just doesn't rate. It is not in my nature to slam and slag people off. I don't find it therapeutic and attention seeking isn't a priority either. However I would not like to give the impression that I never speak ill of people. I do. But I confine my comments to people I know well and trust - making them, that is:-)
That, I feel, is as it should be.
If I was cleverer and quicker remarks such as the following might trip off my tongue. They would also be more than acceptable;
That, I feel, is as it should be.
If I was cleverer and quicker remarks such as the following might trip off my tongue. They would also be more than acceptable;
"I've just learned about his illness. Let's hope it's nothing trivial." - Irvin S. Cobb
"He is simply a shiver looking for a spine to run up." - Paul Keating
"He loves nature in spite of what it did to him." - Forrest Tucker
"Some cause happiness wherever they go; others, whenever they go." - Oscar Wilde
"I've had a perfectly wonderful evening. But this wasn't it." - Groucho Marx
"I have never killed a man, but I have read many obituaries with great pleasure." Clarence Darrow
"Thank you for sending me a copy of your book; I'll waste no time reading it." - Moses Hadas
"I am enclosing two tickets to the first night of my new play; bring a friend.... if you have one." - George Bernard Shaw to Winston Churchill
"Cannot possibly attend first night, will attend second... if there is one." - Winston Churchill, in response.
"I feel so miserable without you; it's almost like having you here." - Stephen Bishop
Arguing the law but missing the point
Not that I agree with Rosslyn Noonan, Chief Human Rights Commissioner, but according to this news item we are already back to square one in respect of the anti-smacking law;
She says force can be used when it is reasonable to do so, such as stopping the child from hurting themselves or others.
What the 'yes' vote urgers are missing is this. Because of a combination of media reporting and the controversial debate about banning smacking, the social climate has changed. There is hysteria about child abuse abroad. This isn't dissimilar to the hysteria over sexual abuse earlier. (Sexual abuse similarly underwent a change of definition to eventually encompassing any unwanted touching.)
Many more people are reporting what they personally define as abuse or assault which the police may or may not prosecute. The reports do not need witness substantiation or evidence. If the particular police involved are inclined towards empathising with the current climate, a prosecution is more likely to occur. There have been and will be miscarriages of justice.
People cognisant of what has happened are fearful, with good reason. Worse, I don't think there is any putting this cat back in the bag.
She says force can be used when it is reasonable to do so, such as stopping the child from hurting themselves or others.
What the 'yes' vote urgers are missing is this. Because of a combination of media reporting and the controversial debate about banning smacking, the social climate has changed. There is hysteria about child abuse abroad. This isn't dissimilar to the hysteria over sexual abuse earlier. (Sexual abuse similarly underwent a change of definition to eventually encompassing any unwanted touching.)
Many more people are reporting what they personally define as abuse or assault which the police may or may not prosecute. The reports do not need witness substantiation or evidence. If the particular police involved are inclined towards empathising with the current climate, a prosecution is more likely to occur. There have been and will be miscarriages of justice.
People cognisant of what has happened are fearful, with good reason. Worse, I don't think there is any putting this cat back in the bag.
Monday, July 06, 2009
Having kittens - literally
Remember Daisy?
She's up the duff. We first noticed something awry when she started missing her target when leaping. Then Robert, who likes to carry her around cradled in his arms, noticed her tummy getting harder. Then Sam, searching for fleas, noticed her teats changing. Now she is ballooning daily. Sam wants to do a pregnancy test but I asked her how she proposes getting the stick into a constant stream of cat pee? Much less why you would want to. If she isn't pregnant, I'm the pope.
Anyway, it's written all over her face.
She's up the duff. We first noticed something awry when she started missing her target when leaping. Then Robert, who likes to carry her around cradled in his arms, noticed her tummy getting harder. Then Sam, searching for fleas, noticed her teats changing. Now she is ballooning daily. Sam wants to do a pregnancy test but I asked her how she proposes getting the stick into a constant stream of cat pee? Much less why you would want to. If she isn't pregnant, I'm the pope.
Anyway, it's written all over her face.
Doctor shortage
The OECD has just released a comparison of health data. In many ways NZ is unremarkable. Except for this;
"New Zealand has fewer physicians per capita than most other OECD countries. In 2007, New Zealand had 2.3 practising physicians per 1,000 population, well below the OECD average of 3.1."
By my reading of the situation this is largely a result of political interference. Successive governments have made the role of general practitioner less and less attractive. And of course our general economic standing means physicians are better paid elsewhere. My husband is a health professional (not a physician) but our children have never shown the remotest inkling of interest in pursuing a career in health. With all the dire media coverage, why would they?
"New Zealand has fewer physicians per capita than most other OECD countries. In 2007, New Zealand had 2.3 practising physicians per 1,000 population, well below the OECD average of 3.1."
By my reading of the situation this is largely a result of political interference. Successive governments have made the role of general practitioner less and less attractive. And of course our general economic standing means physicians are better paid elsewhere. My husband is a health professional (not a physician) but our children have never shown the remotest inkling of interest in pursuing a career in health. With all the dire media coverage, why would they?
Discretionary welfare - the irony and the problem
Last week I commented on the turn-around the Left has made on the issue of discretion in the area of welfare benefits. Having achieved their rules-based welfare, they are now calling for eligibility rules to be bent and discretion used for top-ups.
To illustrate my claim here is a passage written by Geoffrey Palmer, then a Professor of Law at Victoria, later Labour PM and briefly PM, in 1976;
In 1975 there was a grand total of 54,152 working age people receiving a benefit and nearly a third were widows. The population was 3.1 million.
Today there are over 300,000 with a population of 4.3 million. The results of rules and entitlement-based welfare are clear.
My own view about discretion is that is belongs in the area of private and voluntary charity where it can be exercised rightfully by people who have raised their own money and gathered their own resources. We should have far more of this sort of assistance. The organisation I work for does not carry on providing help endlessly to people who are not making a reciprocal effort.
When it comes to the state, the use of discretion becomes more difficult. How much power should state agents have when it comes to taxpayer purse strings? Hence we should have far less state assistance.
To illustrate my claim here is a passage written by Geoffrey Palmer, then a Professor of Law at Victoria, later Labour PM and briefly PM, in 1976;
"The message is, in my view, that whatever benefits we decide to pay we should pay them as of right. We should cut down the areas of discretion. We should make the benefits available automatically where at all possible and we should eliminate the screening mechanisms which destroy the dignity of the person receiving the benefit. When the community has decided to spend as much money as New Zealand has on income maintenance the money ought to be delivered by efficient and up to date machinery which aims to serve the recipient of the benefit without making him feel like a beggar."
In 1975 there was a grand total of 54,152 working age people receiving a benefit and nearly a third were widows. The population was 3.1 million.
Today there are over 300,000 with a population of 4.3 million. The results of rules and entitlement-based welfare are clear.
My own view about discretion is that is belongs in the area of private and voluntary charity where it can be exercised rightfully by people who have raised their own money and gathered their own resources. We should have far more of this sort of assistance. The organisation I work for does not carry on providing help endlessly to people who are not making a reciprocal effort.
When it comes to the state, the use of discretion becomes more difficult. How much power should state agents have when it comes to taxpayer purse strings? Hence we should have far less state assistance.
Saturday, July 04, 2009
Doctor beat-up
This is an entirely spurious headline designed to antagonise patients and taxpayers;
Doctors prescribe drugs that don't work
Three out of four New Zealand doctors have prescribed placebo medications to patients, new research suggests.
Medical researcher Shaun Holt said the practice could be costing the taxpayer several million dollars.
The placebo effect exists, therefore if a drug improves someone's condition, it has 'worked'. The writer tells us as much in the article;
Doctors are quite probably adept at identifying the one in three.
And what about prescribing drugs as a diagnostic tool? If the doctor guesses wrong, the drug 'doesn't work'. But it does eliminate one possible diagnosis so hasn't been a waste of money.
There is a subtle but significant difference between a drug not doing what it is therapeutically supposed to do and it being a waste of money.
Doctors prescribe drugs that don't work
Three out of four New Zealand doctors have prescribed placebo medications to patients, new research suggests.
Medical researcher Shaun Holt said the practice could be costing the taxpayer several million dollars.
The placebo effect exists, therefore if a drug improves someone's condition, it has 'worked'. The writer tells us as much in the article;
Placebos are associated with the release of natural painkillers in the brain, including dopamine. Taking a placebo creates a "self-reinforcing feedback loop" in the brain: during pain an individual recalls having taken the placebo and reduced pain reinforces its status as a painkiller. About one-in-three people appear susceptible to placebo effects.
Doctors are quite probably adept at identifying the one in three.
And what about prescribing drugs as a diagnostic tool? If the doctor guesses wrong, the drug 'doesn't work'. But it does eliminate one possible diagnosis so hasn't been a waste of money.
There is a subtle but significant difference between a drug not doing what it is therapeutically supposed to do and it being a waste of money.
Friday, July 03, 2009
Gordon Campbell on Paula Bennett's welfare abuse
This is a column by Gordon Campbell. My comment follows;
By Lindsay on Jul 3, 2009 | Reply
Your comment is awaiting moderation.
But socialists have traditionally despised the idea of discretionary entitlement. Universal rules and rights-based entitlement is their ideal. In order to provide such, means-testing has to be applied. That allows targeting of the neediest.
“Eligibility rules for assistance that have been premised on a relatively healthy job market and a ready return to employment are no longer adequate.”
The eligibility rules have been premised this way since the first Labour government introduced Social Security.
Welfare benefits are paid from general taxation. If people want better cover, then the country needs to change to a more comprehensive insurance-based model.
Sue Bradford,“In the long term, poor educational, health and employment outcomes for children and adults in sole parent families will cost us more than easing rules on income levels and benefit entitlements.”
So Bradford is now admitting that there is a problem with sole parent families. This is only because, she would counter, their benefits are insufficient and their children live in poverty.
But now she is suggesting that couples be given preferential treatment in terms of how much household income they can acquire via welfare.
You really should be thanking Paula Bennett - not attacking her - for sticking with the welfare philosophy of the Left. State, universal, means-tested, rules-based, entitlement.
Paula Bennett’s welfare abuse
July 1st, 2009
To date, the government’s response to the recession has been faulted on the demand side – for not giving sufficient stimulus to the economy, as reflected in its wilful misdirection of most of the April tax cut money to the top tier of incomes, when low income earners would have spent the money to far better economic effect. The lack of proper planning and funding for social welfare provision has been just as disastrous.
Right now, the government seems intent on forcing more and more of the victims of this recession into fewer and fewer job openings. On National Radio this morning for instance, Social Welfare Minister Paula Bennett could be heard riding off energetically in all directions. Why, she was going to hand the Disabilities portfolio over to Taraina Turia in order to concentrate on getting people into jobs! We were dreaming, Bennett said, if we didn’t think that unemployment wasn’t going to increase.
Fabulous. So, beyond the slogans and empty gestures, would she be relaxing any of the eligibility settings for assistance, in recognition of the scale of the recession? No, not at all. Earlier this year, Bennett refused to instruct her staff to exercise discretion when it came to dispensing help through the Temporary Additional Support (TAS) scheme – which is the last line of defence for people in danger of slipping through the welfare safety net. Now was not a time to ‘tinker’ with the rules, she told me when taking questions about the government’s response to the recession, at a post Cabinet press conference.
In similar vein, Bennett is refusing to revisit the eligibility rules in households where one partner is still working. Currently, as Sue Bradford of the Greens has pointed out, couples with an earner in paid employment need to be amassing below $534 a week before the unemployed partner can qualify for the dole, or the DPB. This rule is, among other things, serving to keep the welfare figures conveniently and artificially low. As Bradford says, the situation is putting pressure on couples to split, in order to gain access to assistance. Shouldn’t Christine Rankin and the Families Commission be having something to say to Bennett about her eligibility rules?
These rules, as Susan St John and Keith Rankin showed yesterday in the NZ Herald, stand up badly to international comparison, and are inherently unfair :
Mary Williams, of Muriwai Beach, who lost her job in a bank in March, said in a letter to the Herald: “Why am I classed as a single earner paying ACC and income tax when employed, but classed as a couple when out of work?”
She and her husband Neville have started selling their possessions. “Because my husband earns just above the income limit for a couple, I cannot register for unemployment,” she said.
So, it is all very well for the government to say it is concentrating on getting people back into work. Already, the inadequacy of this response is evident : because there are not enough jobs for the people, and for the families, most at risk. Eligibility rules for assistance that have been premised on a relatively healthy job market and a ready return to employment are no longer adequate. Still, this government currently seems uninterested in responding to genuine need – it is more about spinning an appearance of concern, for the re-assurance of the majority still in work.
That approach is extremely short-sighted. “Financial pressures that attack the family unit lead to deepening poverty and emotional damage for all concerned,” Bradford says. “In the long term, poor educational, health and employment outcomes for children and adults in sole parent families will cost us more than easing rules on income levels and benefit entitlements.”
It would take five minutes for Bennett to issue a direction that people with partners in paid employment can access the unemployment benefit. She should also be telling her front line staff to administer the TAS benefits with discretion, and according to need. Yet that would be to assume that this government has an interest in steering New Zealand through this recession with anything other than its own welfare in mind.
By Lindsay on Jul 3, 2009 | Reply
Your comment is awaiting moderation.
But socialists have traditionally despised the idea of discretionary entitlement. Universal rules and rights-based entitlement is their ideal. In order to provide such, means-testing has to be applied. That allows targeting of the neediest.
“Eligibility rules for assistance that have been premised on a relatively healthy job market and a ready return to employment are no longer adequate.”
The eligibility rules have been premised this way since the first Labour government introduced Social Security.
Welfare benefits are paid from general taxation. If people want better cover, then the country needs to change to a more comprehensive insurance-based model.
Sue Bradford,“In the long term, poor educational, health and employment outcomes for children and adults in sole parent families will cost us more than easing rules on income levels and benefit entitlements.”
So Bradford is now admitting that there is a problem with sole parent families. This is only because, she would counter, their benefits are insufficient and their children live in poverty.
But now she is suggesting that couples be given preferential treatment in terms of how much household income they can acquire via welfare.
You really should be thanking Paula Bennett - not attacking her - for sticking with the welfare philosophy of the Left. State, universal, means-tested, rules-based, entitlement.
MSD take a year to release statistics
Yesterday the Ministry of Social Development released their annual statistical report - 1 year after the most recent statistical information contained therein. It covers the 30 June 07 to 30 June 2008 period. That means we can look forward to having current statistics available in a year's time.
At the end of June 2008 there were 258,317 people on a main benefit. Towards the end of June 2009 there were 302,000. So some trends depicted in the report have reversed.
But here is a smattering of tables and graphs of particular interest;
Firstly this table shows welfare expenditure as a share of gdp.
Note that the total expenditure on pensions and main benefits was $9,285,000. Yet if you check 2008 Crown Expenses tables you will actual 2008 Social Security and Welfare spending at $17,877,000. This includes all of the other expenditure like accommodation supplement, emergency benefits,etc and the cost of running the whole kit and kaboodle. That pushes the share of gdp up to just short of 10 percent. The share of total government spending is 31 percent.
The next is interesting because it illustrates the extent of DPB 'churning'.
These figures relate only to grants - not total numbers of recipients. Of the 36,494 people granted the DPB in 2007/08 only 23 percent had either never received a benefit before or not within the last four years. Over three quarters were transferring benefits or returning. This indicates being on the DPB is more a way of life than an unusual and temporary event.
The next two tables again show grants, not total numbers, and provide reasons for those grants.
+2007+to+08.jpg)
There was a big annual increase in invalid benefit grants (36 percent) and psychological and psychiatric conditions continue to trend up with both invalid and sickness grants. Nearly all of the growth in sickness grants was due to psychological/psychiatric disorders and substance abuse.
At the end of June 2008 there were 258,317 people on a main benefit. Towards the end of June 2009 there were 302,000. So some trends depicted in the report have reversed.
But here is a smattering of tables and graphs of particular interest;
Firstly this table shows welfare expenditure as a share of gdp.
Note that the total expenditure on pensions and main benefits was $9,285,000. Yet if you check 2008 Crown Expenses tables you will actual 2008 Social Security and Welfare spending at $17,877,000. This includes all of the other expenditure like accommodation supplement, emergency benefits,etc and the cost of running the whole kit and kaboodle. That pushes the share of gdp up to just short of 10 percent. The share of total government spending is 31 percent.
The next is interesting because it illustrates the extent of DPB 'churning'.
These figures relate only to grants - not total numbers of recipients. Of the 36,494 people granted the DPB in 2007/08 only 23 percent had either never received a benefit before or not within the last four years. Over three quarters were transferring benefits or returning. This indicates being on the DPB is more a way of life than an unusual and temporary event.
The next two tables again show grants, not total numbers, and provide reasons for those grants.
+2007+to+08.jpg)
There was a big annual increase in invalid benefit grants (36 percent) and psychological and psychiatric conditions continue to trend up with both invalid and sickness grants. Nearly all of the growth in sickness grants was due to psychological/psychiatric disorders and substance abuse.
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