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Content to Hover posted:Lots more people eat rear end than feijoas. both are excellent vaguely interesting maybe some one posted this in reddit about nz who knows someone might find it interesting quote:From an Eastern European point of view also as a health care professional my 2 cents : strengthen the community services card system. make it easier and more obvious to get one and maybe longer expiries. let us look them up on the internet (currently we have to make a phone call) and give people an app as well or something. a lot of the concerns about inequitable practices due to race in the health care system could be alleviated by making the use of this rather than ethnicity. heck even make it easier for some ethnicities to get the card that’s still a better idea than what we have now when you’ve got individuals who need assistance but you have to turn them away because they aren’t the right ethnicity. it doesn’t feel good
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Aug 15, 2023 21:48
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exmarx posted:you cut four of them in half and eat them with a spoon the skin is perfectly edible
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Aug 15, 2023 21:49
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echinopsis posted:also as a health care professional my 2 cents : strengthen the community services card system. make it easier and more obvious to get one and maybe longer expiries. let us look them up on the internet (currently we have to make a phone call) and give people an app as well or something. Take it away from MSD and give it to IR imo. MSD/WINZ are a pain in the rear end to deal with, don't know what they're doing (my wife was told to gently caress off and make an appointment online, despite the bit of paper we got sent in the mail telling her to justdrop in) and are surely off-putting for people who would otherwise be eligible to get one.
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Aug 15, 2023 22:05
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echinopsis posted:strengthen the community services card system. aka make it do literally anything worthwhile beyond getting you the odd concession rate here or there
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Aug 15, 2023 22:15
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at the moment it means people with it are eligible for the minor ailments scheme, which is exactly a great scheme to help people and reduce burden at emergency services etc except I am growing increasingly disillusioned with using increased access for māori/pacific to reduce inequity, which on the surface looks good from the angle of trying reduce systemic inequity, but feels awful from the other angle where you turn individuals away because they’re not māori/pacific for a long time I just accepted the reasoning given to me by the decision makers and even defended it but I just can’t anymore
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Aug 15, 2023 22:45
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You may be able to justify it to yourself by keeping in mind its designed as an tool (however blunt in practice) to combat internal bias. I am not 100% sure what you mean by "individuals who need assistance but you have to turn them away because they aren’t the right ethnicity" - but I presume there is limited resource to assist individuals, and the evaluation of who needs that assistance is subject to bias meaning certain ethnicities (the ones you identify as the "right ethinicity" māori/pacific) are being underserved by that resource while other ethnicities are being overserved. Triage is always coloured by bias.
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Aug 15, 2023 23:52
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I would simply increase the resources available until there's enough for everyone but I'm also crazy and stupid
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Aug 15, 2023 23:53
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The primary constraint.on the sort of HC work we are talking about is staff capacity, there simply aren't enough pharmacists, nurses doctors etc etc etc. No you can't go back in time 20 years to train more.
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Aug 15, 2023 23:57
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Weird, you'd think if there's a shortage of nurses they would be able to command a premium on the employment market and get paid more as a result
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Aug 16, 2023 00:01
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it's only a shortage if you consider access to healthcare, which the market does not.
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Aug 16, 2023 00:16
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Saros posted:The primary constraint.on the sort of HC work we are talking about is staff capacity, there simply aren't enough pharmacists, nurses doctors etc etc etc.
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Aug 16, 2023 00:40
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klen dool posted:You may be able to justify it to yourself by keeping in mind its designed as an tool (however blunt in practice) to combat internal bias. I am not 100% sure what you mean by "individuals who need assistance but you have to turn them away because they aren’t the right ethnicity" - but I presume there is limited resource to assist individuals, and the evaluation of who needs that assistance is subject to bias meaning certain ethnicities (the ones you identify as the "right ethinicity" māori/pacific) are being underserved by that resource while other ethnicities are being overserved. Triage is always coloured by bias. As I understand it the purpose of this blunt tool is to try to counteract inequity in health outcomes by reducing or eliminating barriers of entry for certain demographics. an example is that the flu vaccine is free for anyone 65+ or maori/pacific if you’re 50+ (could be 55 can’t remember). in a broad sense, if it meant that more maori/pacific used the service, then hopefully can bring their health outcomes up to the rest of the country and part of this approach is also to compensate for a lack of trust that has built up over the decades which tbf maori/pacific are reasonable to have and at this level it seems like a fine approach and for sure there are benefits to doing this the problems I have is, for example with the minor ailments scheme, someone comes to me because their family has scabies. if they’re maori/pacific I can just give this to them for free, but if they’re not (unless they have CSC or youngest is 14 or younger) I just can’t. doesn’t matter if they can’t afford it, just can’t do it. and I just can’t accept that this is an “ok” way to do it. I mean doesn’t matter what I think, I just do the job best I can do within the confines of the system, but I’ve concluded I can no longer “agree” with the mentality behind this approach. when you try to fix demographic inequities by targeting demographics you’re gonna end up leaving some people out to dry because idk statistically they shouldn’t need help? that’s a very cynical way to look at it I admit, but it feels like that coalface healthcare sucks. well it’s good when you can help people but sometimes you can’t and it sucks and it’s worse if the reason you can’t help someone is because they’re the wrong demographic to access funding echinopsis fucked around with this message at 01:07 on Aug 16, 2023 |
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Aug 16, 2023 01:04
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pro tip : if someone comes to me on the minor ailments scheme and tells me they’re maori/pacific it is NOT my job to police that and get anyone to prove it. even if they’re blonde hair blue eyes or the president of china, I can just take their word for it. at least that’s good same as CSC, I don’t have to check for it, just believe them.
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Aug 16, 2023 01:10
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I guess it's a situation of in the olden days no one got it for free, and now some demographics get it for free, which I suppose is why you seem to be advocating that everyone get it for free and I can't argue with that. I remember getting free medical stuff (heart disease screening?) just because I lived in a particular neighbourhood (Taita)
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Aug 16, 2023 01:49
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echinopsis posted:the problems I have is, for example with the minor ailments scheme, someone comes to me because their family has scabies. if they’re maori/pacific I can just give this to them for free, but if they’re not (unless they have CSC or youngest is 14 or younger) I just can’t. doesn’t matter if they can’t afford it, just can’t do it. and I just can’t accept that this is an “ok” way to do it. Any targeted policy is going to have limits that some people fall on the wrong side of, there's no avoiding it. echinopsis posted:pro tip : if someone comes to me on the minor ailments scheme and tells me they’re maori/pacific it is NOT my job to police that and get anyone to prove it. even if they’re blonde hair blue eyes or the president of china, I can just take their word for it. at least that’s good But if there's no policing, then here's your out. Just give them the service.
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Aug 16, 2023 02:34
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I see the business egg is prepared to feed children so long as it provides value for money. You'd think making a statement like that would give a moments pause.
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Aug 16, 2023 02:56
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such a nothing statement that means whatever the hearer wants it too. To me, of course it provides value for money - fed children is priceless, so any price is worth it. To some selfish fuckwit, it doesn't provide value for money because "academic performance" hasn't been shown to "increase" so the price of over $0 is not worth it.
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Aug 16, 2023 03:11
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Every time I feed my child I run a projection of future financial gains vs the cost of the food, we do monthly performance reviews to make sure he stays on track
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Aug 16, 2023 03:30
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"does it provide value for money" asks the party that promises to fund roads without a complete business case or CBA.
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Aug 16, 2023 03:39
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echinopsis posted:pro tip : if someone comes to me on the minor ailments scheme and tells me they’re maori/pacific it is NOT my job to police that and get anyone to prove it. even if they’re blonde hair blue eyes or the president of china, I can just take their word for it. at least that’s good It's this, nobody is auditing it and even if they did there's literally no way to disprove anything. The reason for M/Pi access to things at younger ages is because being M/Pi is literally as bad for your health as being fifteen years older. I worked extensively on this when deciding funding criteria for Covid treatments and the evidence is extremely conclusive. Saros fucked around with this message at 04:26 on Aug 16, 2023 |
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Aug 16, 2023 04:23
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we've run the numbers and a system that provides people with food, clean water, waste management and shelter wouldn't be good value for money so we are herby running on a general policy of progressing towards human extinction
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Aug 16, 2023 05:02
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Xik posted:we've run the numbers and a system that provides people with food, clean water, waste management and shelter wouldn't be good value for money so we are herby running on a general policy of progressing towards human extinction *Business confidence increases*
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Aug 16, 2023 06:52
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Saros posted:It's this, nobody is auditing it and even if they did there's literally no way to disprove anything. Is this one of those statistically true things or is there a genetic factor? Xik posted:we've run the numbers and a system that provides people with food, clean water, waste management and shelter wouldn't be good value for money so we are herby running on a general policy of progressing towards human extinction You deserve a promotion
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Aug 16, 2023 07:02
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Xik posted:we've run the numbers and a system that provides people with food, clean water, waste management and shelter wouldn't be good value for money so we are herby running on a general policy of progressing towards human extinction i mean yeah that's it precisely
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Aug 16, 2023 07:23
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Slavvy posted:Is this one of those statistically true things or is there a genetic factor? Whatever genetic factors may exist would be totally insignificant when compared to socioeconomic ones.
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Aug 16, 2023 08:15
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Slavvy posted:Is this one of those statistically true things or is there a genetic factor? It's true across the entirety of health outcomes and the reasons behind it are myriad. There's an ocean of research and rationale but it boils down to just being immensely worse off in every measurable way. As an example it's so bad a near majority of Māori men die before retirement age and the rest shortly after, barely drawing the super despite paying into it all their lives.
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Aug 16, 2023 08:31
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Discriminating based on race got us into this mess and by god discriminating based on race will get us out of it. But unironicaly
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Aug 16, 2023 08:31
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Saros posted:It's true across the entirety of health outcomes and the reasons behind it are myriad. There's an ocean of research and rationale but it boils down to just being immensely worse off in every measurable way. Christ
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Aug 16, 2023 08:34
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Saros posted:It's true across the entirety of health outcomes and the reasons behind it are myriad. There's an ocean of research and rationale but it boils down to just being immensely worse off in every measurable way. gently caress me when you spell it out that's hosed. I'm i reading it right if my take away is that 45ish percent of Maori men die before 65?
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Aug 16, 2023 08:34
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It's in that ballpark, I don't remember the exact amount of the top of my head. Current life expectancy for Māori men is 72-73 and it's been increasing rapidly for the past decade at about 6 months per year, prior to that it was in the 60's so this is actually a massive improvement. [E] got the years wrong, it's increased by about 5 years since 2003 so about 3 months per year with most of the gains in the past 8-10. Saros fucked around with this message at 09:32 on Aug 16, 2023 |
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Aug 16, 2023 09:29
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Saros posted:It's in that ballpark, I don't remember the exact amount of the top of my head. Current life expectancy for Māori men is 72-73 and it's been increasing rapidly for the past decade at about 6 months per year, prior to that it was in the 60's so this is actually a massive improvement. Curious, I wonder what's driving the improvement. Could it possibly be related to a growth in health interventions targeted by race in recent years? I guess there's no way anyone could know that.
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Aug 16, 2023 09:43
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In all honesty it's probably about 30-50% the reduction in smoking.
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Aug 16, 2023 09:46
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Lol here we go investigate this SIS https://www.fairnessinfocus.co.nz/
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Aug 16, 2023 09:57
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Saros posted:In all honesty it's probably about 30-50% the reduction in smoking. No doubt connected to the smokefree campaign kicked off by the Māori Affairs Select Committee which includes a huge amount of effort targeting Maori directly. Maybe this race based stuff does work???
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Aug 16, 2023 10:04
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Indeed.
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Aug 16, 2023 11:30
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klen dool posted:Lol here we go investigate this SIS https://www.fairnessinfocus.co.nz/ it's going to be savage, #4 on Act's list is the pharma industry rep there to oversee Pharmac's knifing.
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Aug 16, 2023 12:03
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Just say ethnicity. Race only exists as a sociological concept employed by racists.
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Aug 16, 2023 13:42
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ethnicity is also socially constructed
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Aug 16, 2023 20:45
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Ratios and Tendency posted:Just say ethnicity. Race only exists as a sociological concept employed by racists. And bone marrow.
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Aug 16, 2023 20:57
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99% sure that bone marrow is not a sociological construct employed by racists.
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Aug 16, 2023 21:03
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