Bottomless pitEveryone's getting all tetchy with ACC are present.
I can add my unique perspective about New Zealand's health system as a foreign full fee paying patient under the egalitarian hell hole created by nine years of Labour incompetence.
Usually it is the poor people and their lobby groups whinging about the health system and Doctors complaining about how poor people don't get adequate health care. Fuck 'em, the fully insured can't get it either!On my recent trip I had the misfortune of requiring medical attention in New Zealand. Remember not only do I a wallet full of credit cards but full private medical insurance while travelling. In other words - I am at the top end of the heap. If you think the bottom end is bad, fancy having the resources and still being treated like absolute shite.
Stop 1 - Ascot White Cross A&E, Greenlane: SundayBecause of my intimate knowledge of Auckland's nice parts, I assumed that Ascot had a sublime 24 hour clinic providing a quick and efficient service with nice people in the waiting room and competent English speaking Doctors. It is after all Auckland's nicest private hospital facility.
Wrong. I forgot that it borders on to Panmure and Mt Wellington on the non-Remuera side. Even the waiting room looks like that of something out of the old Soviet Union. The facility is primitive and an insult to the nice private hospital next to it.
The star of the show the morning I was there was the experienced middle-aged bossy nurse, she ran the show. Three Doctors were on. Two directly off the boat and one a New Zealander who dithered around slower than an ant and could barely get the file off the wall.
Foreign doctors are fine, for treating foreigners who speak their language. I had the entire consult with an Indian Doctor who spoke English as well as I do Chinese. The nurse had to translate the entire session and in the end spoke more intelligently about my problem than the Doctor.
You can call it whatever you want but medicine is the most important profession NOT to have a language barrier. It's dangerous not to be able to communicate with patients. In Hong Kong I struggle to see Chinese speaking Doctors therefore have to use the incredibly expensive expatriate Doctors, who to the Chinese are foreigners.
Simple fact is now I have a better chance of being served in my adopted country Hong Kong by a competent English-speaking Doctor than in my birth country of New Zealand.So time to pay and I am hit with a pay chart that's more complicated than the Stock Exchange wall. There are so many charging differentials that the chart takes up most of the wall. Of course on first look and sound the staff assume I am a New Zealander but then one hint of a foreign address and I am in the foreign pile.
ACC patients pay far less than medical patients. Which is ridiculous. They must take more time per consult.
From a cost perspective I have no issue with paying more as if I am treated like a "foreigner", but medicine is a service industry. If I am paying more than other people I expect to be seen first.Like letters are delivered faster when you pay Fastpost and everyone accepts that as fair, medical services should be delivered the same way. If the user has to pay then the user who is paying the most should be seen first. Airline frequent flyers get priority rights, so do business and first class passengers. They get this service because they pay MORE.
Even if the clinic gets the same per patient, they only do because the higher charged patients are paying more tax dollars to fund those who get a discount. The more you pay, the quicker you should be served.
That is, New Zealand's ridiculous egalitarian "wait" system treats everyone equally regardless of where they fit on the chart. Ridiculous. I don't mind waiting behind someone who is dying or extremely ill, but there was no one in that waiting room where I sat for 45 minutes before I was seen and another 30 minutes after I saw the nurse to graduate to the Doctor, who was in any more urgent need of attention than I was.
As people came to pay (
and I use that term expediently), it was clear that instead of the $120 I was hit with, these people were paying just $20 or $30. I think the maximum other was a scarce white, middle aged middle class male who was hit with $60. No doubt he is subsidising through his taxes every other person in the wait room other than myself so why on earth does he have to then wait behind the people he is paying for? It's just another kick in his already sniffly nose. And probably why men don't go to the damn Doctor in the first place.
Then came the bigger hit.
I required some tests. So these apparently are usually done in the Clinic then picked up by the lab in Ellerslie. However as I was a "foreign patient" this could not happen to me (and I quote the receptionist who in fairness could see how stupid the situation was):
"You know, it's for the patients from the Islands who come over here and then don't pay".Lovely. So to add insult to bloody injury I had to drive to this clinic down a difficult to find no exit road and drop off the tests and pay. Fortunately I had a rental car so wasn't faced with the insult of having to call a cab.
The cost? $35. By then I was on the phone to MOC (Mother of Cactus) swearing and cursing. For a mere $35 I had been disadvantaged because I was lumped in the class of some bludgers who don't pay.
Even after the $120 I paid for the consult more squabbling with the front desk regarding calling me about the test results. As I have a foreign cellphone number they clearly didn't want to pay the few dollars to call me when they were ready. This was now reaching stupid proportions. I was paying a premium rate for these services and getting paperbag delivery.
Off to the pharmacy where of course they didn't have some of the drugs prescribed by the Doctor and more fluffing around by a female Pharmacist who just wouldn't STFU (shut the fuck up) and get on with her job of counting pills into a bottle. That was another $150 odd dollars.
Stop 2 - Matamata Medical Clinic - Saturday morningMatamata has one clinic open at the weekend and there is no appointment. Well, talk of the great unwashed you need to look no further. I am actually enrolled at this clinic as it is the family Doctor so should get at least an appointment on the well differentiated charted wall.
This clinic had one Doctor on as well, a Scottish man who would have been in his late twenties. I am sure he would have given fine medical advice, if I could have actually seen him.
Waiting from 9.30am through to when I pulled the pin at 11am all I witnessed was snotty nosed children, literally a mini-bus full of whanau from the Kura kaupapa (we know this as an old biddy asked them what school they went to) and one magic moment when a 5 year old was asked what school they went to and they didn't know despite being back at school for 2 weeks. I cut in sarcastically at that point and asked the child if they had actually turned up to school this year at all. "No" was the answer as "I've been babysitting my brother".
I went back to the parents place, FOC (father of Cactus) found the whole experience too amusing and choked laughing.
He shouldn't of as I woke up at 2am the following morning and threw up violently at both ends all over his house for the next 12 hours requiring MOC to put a sign on the toilet door for other family members not to use it. I imagine an hour and a half with the Kura kaupapa had struck a nasty chord in my immune system.
Stop 3 - Ponsonby White Cross - weekday afternoonAfter a long lunch at Prego I crawled down to the clinic to get a simple referral to a Dermatologist. Nothing is simple at these A&E clinics is it? At this clinic there was ONE Doctor. The room didn't appear too busy but the receptionist informed me of a 60 minute wait. Again, pissed off that I had to wait given the cost of the services I asked if she could call me when I was one person away. I could get another couple of rounds in at Prego for that. She refused.
Once again, medicine is a SERVICE industry. If I was for example getting a spare tyre changed at a tyre shop and asked them to call me when the car was ready, 100% of the time they would as it's part of the SERVICE.
These are private fee-paying clinics. They are not public A&E hospital waiting rooms. There is nowhere else to go for these services and if you are a visitor most local GP's won't see one off patients anymore.
This time I got smarter and put my parents address down on the clinic form. This ensured I was taxed at the top New Zealand rate but more importantly, wasn't going to face the same indignity of being treated like I was from some bludger state and required to pre-pay and deliver my own lab tests.
I waited. And waited. A professional suited man and his daughter were waiting as well. Clearly there was a preferential system based on how poor you looked as EVERY person in that waiting room served before us had come in and enrolled after we did. I muttered to the man that nine years of Labour clearly incentivises the clinic to see the bludgers before the rest of us. He smiled as his daughter, sensing the massive unfairness started crying. At that point we both went ballistic at the receptionist regarding her queuing system.
So do these medical clinics, like low decile schools actually receive MORE money to treat low income and welfare bludgers before those who actually are subsidising them? I ask MacDoctor.Children brought into the clinic were not wearing shoes despite having sniffly noses, their parents snuck out for a smoke every bit, one walked down the road and brought back KFC and ate it in the clinic.
Yes, medical services are creating their own demand encouraging provision of services at cheap prices to these sorts who abuse their bodies and that of their children.
I saw the Doctor in the end and he was very good but looked like he was going to throw blunt instruments after the afternoon he obviously had endured being the only on-call Doctor in the clinic. Unlike the Ascot Doctor he actually inspected the area that required Dermatology referral. Wow. The Ponsonby doctor actually questioned and wondered why one of the three drugs that Mr Ascot had prescribed was relevant. He said the drug was commonly used for asthma. I don't and didn't have asthma. I had a skin condition.
Stop 4 - DermatologistTry getting a dermatologist appointment in Auckland at ANY clinic in the next two months.
Go on, I dare you.
Literally everything in the phone book bar one was fully booked for months., one in Remuera was stretched til the end of April. I asked one receptionist what you would do in Auckland if you had a skin condition that was recurrent and therefore may have disappeared in the two months it takes to get a bloody appointment.
Her response was that not many of their patients suffered that. Say what?
Again, I can pay any price because my own insurance pays for it. The best I could do was ironically a Hong Kong born dermatologist in Pakuranga who I don't think was an actual dermatologist, but a "Skin Doctor".
Conclusion
There is something rotten to the core with a system where even wealthy and fully insured people can't get adequate treatment and service.
Sack every bureaucrat and start again. It's just too fucking appalling for words and it is not the Doctors and nurses fault, you can see they don't like it anymore than I do. I don't know what Labour have done, but it ain't good. This is just the A&E system for coughs, colds and minor ailments. I don't even want to know how bad it's got if you have Cancer or a serious illness.
We can start then with more clinics for full fee paying and non-subsidised earners. Beneficiaries and subsidised patients to the back.
Unlike the earners, they have all day to wait by definition don't they?
"Closing the gaps" isn't about making services useless for everyone. Or is it under nine years of Labour?
About time the taxpayer and fee payer fought back and said enough of this nonsense. So next time some bureaucratic halfwit on reception tells you to wait, inquire why you have to wait behind those who have all day to wait because they are unemployed or fee subsidised.