HEALTH AWAKENS FROM ITS LENGTHY COMA
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| After an anomalous period of relative quiet, it
seems that most popular of all public footballs, health, is finally back in line for a
good, hard and sustained political kicking. Obesity inquiries, Plunketline, pharmaceutical
funding and the media's dear old friend, the waiting list, have all been back in the news
recently. Just maybe this rush of noise signals a return to the glory days for the health
portfolio. Such a central political issue for so many years, health was very much a
second tier issue last term and last election. Yes, the tax issue kind of overwhelmed most
others. Yet, education, in particular, more than held its share of the political and media
limelight the likes of NCEA and the various tertiary funding scandals made sure of that.
Not so, health.
Annette King was no flashy Minister, nor did she leave any enduring legacy, but she
must warrant substantial credit for somehow burying the waiting lists for three years and
generally keeping herself and her portfolio off the radar.
King did have some help. Perhaps most significantly, there has for some time now been a
lack of policy distinction between the two major parties. Ever since the public backlash
that followed the Upton/Richardson user charge experiment of the early 90s, National has
been terrified of getting involved in any real health policy debate. It will of course
rant and rave about waste and bureaucracy, but it has been wafer thin on solutions. In
fact, in the lead up to the election, its health manifesto seemed to be slipped out in the
dead of night purely out of a reluctant sense of obligation.
"Ever since the public backlash that followed the Upton/Richardson user charge
experiment of the early 90s, National has been terrified of getting involved in any real
health policy debate."
Indeed, ACT's Heather Roy has for some time been the only politician to the right of
Labour offering any substantive policy alternatives. Unfortunately for her, ACT's general
irrelevance has provided very little platform.
No surprise in Nationals Tony Ryall getting stuck into the Government in this weeks
kerfuffle over patients being turfed off their surgical waiting list. This kind of stuff
is a gift for any opposition spokesperson fed to them on a media plate. Ryall's challenge
is to sustain the presence of waiting lists in the media and the public consciousness.
That will over time undermine confidence in the health system and raise questions about
how much value Labour has extracted for the additional billions it has poured into the
public health system.
The Plunketline position taken by National is such a classic piece of political
opportunism you have to be at least a touch amused. Network Politics certainly was. By
positioning Don Brash directly behind Plunketline and directly opposite the Prime
Minister's endorsement of the termination of Plunketline's service contract, National's PR
team is clearly trying to paint a picture of the cold, rationale, childless Prime Minister
juxtaposed with the compassionate, child and family friendly Dr Brash. PR poetry.
"Nationals PR team is clearly trying to paint a picture of the cold, rationale,
childless Prime Minister juxtaposed with the compassionate, child and family friendly Dr
Brash. PR poetry."
It is the health select committees obesity inquiry, however, that could provoke the
most interesting contest of ideas The inquiry itself is just the start. The issue is a
very public one and will undoubtedly receive saturation media coverage. Whilst politicians
of most flavour generally accept that both obesity and diabetes are problems, opinions
vary enormously as to solutions. All the fundamental political disagreements over the
likes of state intervention versus personal responsibility are going to get a thrashing.
It all makes for healthy debate. |

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ARMAGEDDON AVERTED MONETARY POLICY MACHINATIONS
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Remember, once upon a time the exchange rate, interest rates and the property market
were all wildly out of control and Armageddon was nigh. Well, that was actually just a few
months ago, and it had both the Minister of Finance and the Reserve Bank Governor engaged
in a vain attempt to talk some sense into the economy."Once upon a time the
exchange rate, interest rates and the property market were all wildly out of control and
Armageddon was nigh."
Indeed, the collective sense of frustration and impotence had reached such a point that
the Dr and the Governor seemed to be having second thoughts about the fundamental bedrock
of New Zealand monetary policy for the past twenty years keep your single-minded focus on
inflation, do so via the OCR and leave it to the Reserve Bank.
No matter how previously committed to those simple principles, three years of having
your effigy burnt by exporters and homeowners would probably be enough to bend anybody's
faith. Indeed, the Governor well and truly lost a PR battle in which he probably did not
realise he was even engaged. Nobody cared for nor understood the rationale behind his
pursuit of inflation targets. They simply saw him driving up interest rates which neither
exporters nor homeowners were particularly impressed about and both of which happen to be
notable constituencies in this country if you hadn't noticed. The Governor also probably
felt rather impotent in the face of increasingly uncontrollable international capital
flows unwilling to comply with his best laid plans.
Meanwhile, Dr Cullen, no doubt glad he did not have to front the monetary policy
decisions of the Reserve Bank himself, nevertheless sensed that a disgruntled public and
plunging economy would inevitably stain his own record of economic stewardship. He needed
to be seen to, at the very least, be proactively considering options. So, between the two
great economic marshals, they set their officials the most blasphemous task of considering
measures for taming the property market, which they saw as fuelling the insatiable and
over-heated economy and inhibiting the Governor's ability to ensure inflationary order.
Whatever way you look at it, rightly or wrongly, this review was about making it more
difficult or less rewarding to buy property and not surprisingly, greeted with trepidation
by the mortgage and property industry.
The joint Reserve Bank/Treasury report was released earlier this month
http://www.treasury.govt.nz/ssip - but to very little fanfare and with very minimal
reaction from vested interests. There is some interesting discussion without a lot in
terms of firm proposals. Treasury and the Reserve Bank have rightfully issued cautionary
warnings about the potentially perverse and unpredictable effects of playing around with
the likes of equity to loan ratios. Perhaps the one substantive policy recommendation is
for the IRD to start honing in on investment property owners.
"Our policy boffins might postulate as to . . . whether the circumstances
recently experienced were unique, whether Dr Bollard's monetary policy timing was awry or
whether his single lever is now fundamentally weakened by the globalisation of financial
markets."
The fact is the world changed an awful lot in the four months since the review kicked
off. The property market is finally flattening, the dollar is down to 60 US cents and
pressure seems to be coming off interest rates (although inflation was yesterday reported
at 3.4 per cent for the year). There simply is not the same sense of economic or political
urgency to tinker with the property market, let alone more fundamental aspects of monetary
policy.
Of course, the world will chance again one day. The housing market will boom once more
(as will other asset markets). So during the downtime, our policy boffins might postulate
as to whether it really matters in the longrun, whether the circumstances recently
experienced were unique, whether Dr Bollard's monetary policy timing was awry or whether
his single lever is now fundamentally weakened by the globalisation of financial markets. |
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