Early Edition on Newstalk ZB

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Tim Dower: Do we need more A&Es?
3d ago
Tim Dower: Do we need more A&Es?
Really interested in this Medical Journal piece about emergency departments.  The impression we often get is they're horribly overcrowded, patients lying in corridors for hours in agony, constant panic stations.  Friday and Saturday nights are bedlam, we're told: drunks staggering around the place, people unleashing their stress and anger at the staff.  And in the winter, people with coughs and colds packing out the waiting area.  Hospitals are begging us to go to our GPs, even giving out vouchers to take the pressure off, because a lot of people can't afford to pay for a doctor's visit.  What the Medical Journal piece says is that actually, New Zealanders overall make fewer calls to A&E than people in other countries.  So, what does that tell us?  Do we need more A&Es? Or would it be better to spend a greater chunk of the health budget in primary care?  Have we fallen victim to a perceived need for the glamour projects like new hospitals?  Would more GPs on the ground, especially in rural New Zealand, improve our overall health?  And where do the privately run A&E centres fit in?  Free healthcare at the point of delivery —in other words you pay for it in your taxes— is on the face of it simpler and more cost-effective.  But the reality is that some GP surgeries are technically insolvent. Half our existing doctors are planning their retirement, and there's nowhere near enough new ones on the way to replace them.  I'm hoping we'll shed more light on this before six, but it's obviously a complex situation.  Dr Reti was making all the right noises when he was on with Mike this week.  He's repeatedly said the system is in crisis, and now's the time for him to show that a crisis can sometimes be an opportunity for real, radical change. See omnystudio.com/listener for privacy information.
Tim Dower: Jeez do dogs get to you
4d ago
Tim Dower: Jeez do dogs get to you
Dogs eh... jeez do they get to you.  It's 12 years this Christmas, Luka and me. 12 brilliant years for me, and what a mate he's been. A great, great mate.  We had a long talk last night, cos I wanted say things while he's still with me.  Kinda with a warm heart and not a broken one, cos I know the day will come.  He truly scared me last night; I thought it was the end for a little while.  All stretched out on the grass in the sun... I know your leg hurts mate. Doctor again today, but the panting and the restlessness had me going.  And he was all cuddly, and licking me, and big deep sighs.  Anyway, after a little nap he's up on his feet again —bit wobbly— and soon after that the honking starts.  And he brings it all up. Two, three massive blobs of... just mess. Oh wait, there's a bit more. Here we go.  Now I don't know how many times over the years I've tried to stop him eating disgusting decomposing crap on the beach, or in the bush, or something stinky in the park.  He hears me, but he ignores me until he can't pretend any more. Freakin' Labrador.  Incorrigible Labrador. Totally loyal, but an absolute rogue and definitely his own man.  And the other day on the grass out the front: a sheep's head. A sheep's head! For God's sake dog.  Last night? Totally self-inflicted, and he knows it.  Right after his dinner he'd sneaked out and cleaned up the crap I put out for the chooks. Stuff he knew wasn't his, but heck, it's there.  Bloody Labrador.  And while I'm mopping his chunder off the floor, he's fine again, sitting on the couch licking his paws.  Did you puke on your shoes mate? Well... serves you right.  But you're forgiven. See omnystudio.com/listener for privacy information.
Tim Dower: The low-down on the Public Interest Journalism Fund
5d ago
Tim Dower: The low-down on the Public Interest Journalism Fund
So here's the low-down on the Public Interest Journalism Fund.  55 million bucks dished out over a series of funding rounds, and all gone now. The fund's been wound up.  The company that owns this station won nearly $7 million in round one, another $3 million in round two, and a couple of top-ups after that.  In fact, all the major players, including the already publicly funded broadcasters, everyone, every outfit including some you've never heard was in the trough.  Let's remember the context —Covid— and the wave of redundancies that caused right through the commercial media.  Advertising revenue evaporated and some media companies were on the brink of failure.  Now, to get your hands on the money you had to agree to this:  "A clear and obvious commitment or intent for commitment to Te Tiriti o Waitangi, including a commitment to te reo Māori."  On top of that, we had to commit to public interest journalism, data provision, New Zealand content, freely available online distribution, media standards and so on.  Overall, it funded 219 jobs and 22 development projects.  NZME used it on Journalism Cadetships for Māori and Pasifika, covering court proceedings and community journalists in provincial papers.  Jobs that most likely wouldn't have been there without the money.  But was it a bribe?  Well... I'd ask you how any media company could function in New Zealand without a commitment to the Treaty. It's a part of our lives, like it or not.  A commitment to te reo... well I think we've been involved in Māori Language Week since it began back in the 1970s. Is it enough? I think it's enough for our audience.  And was there ever any public money to cover it? Actually no.  And while we're at it, there's never been public funding to my knowledge for coverage of Waitangi Day, the Tribunal, or other matters Māori.  On the subject of, let's not say bribery, let's say incentive, what was the billion-dollar Provincial Growth Fund?  And what's the unwinding of smokefree changes or more money for the racing industry? Obviously, most definitely, not a bribe. See omnystudio.com/listener for privacy information.
Tim Dower: Auckland Council isn't great at leading by example
6d ago
Tim Dower: Auckland Council isn't great at leading by example
I'm wondering if people in Auckland will, in a few years, look more kindly on their current Mayor.  Fair to say that Wayne Brown didn't exactly get off to a flying start, especially with the media, and let's face it, no one's happy when the rates go up.  On that score, you've seen nothing yet.  I've been reading Mr Brown's proposals to build long-term financial and physical resilience.  It's a dose of reality and long overdue, and, boiled down to a few simple bullets, here we go:  Fix the infrastructure.    Stop wasting money.    Get Auckland moving.    Make the most of the harbours and environment.    Take back control of the CCOs.  And running through the document, a recurring theme: the message being that Auckland can't continue living beyond its means.  The chickens are coming home to roost to quote the Mayor, and he's flagged up that losing the Regional Fuel Tax and scrapping Three Waters will only make things worse.  Brown talks about, and I'm quoting here, “significant financial restraint and efficiencies".  "Auckland Council has to stop wasting money,” he says, “and start getting things done faster, better, and cheaper.”  Even achieving all of that, the rates are going to have to go up.  There isn't time to go through the whole document but it's online, and if you're invested in the region one way or another, it’s worth reading.  Look, sometimes we feel we need to apologise on a national station for talking about Auckland, but the reality is it is our economic engine room.  It's the first place most visitors see, and we all know how powerful first impressions are.  And as the largest and arguably most complex, if Auckland can do things well, so too can every other local body across the country.  But unless the Council can get to grips with this stuff the Mayor's talking about, Auckland is stuffed.  New Zealand's Queen city, currently looking well... not so regal. And without some serious work, it's on its way to being a hobo town. See omnystudio.com/listener for privacy information.