I wonder when NZ will move away from the quasi-free-market-but-funded-by-the-government system in health (and education). It leads to outcomes like this which are clearly inefficient. I’d like to see more centralisation.

  • Ozymati@lemmy.nz
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    1 year ago

    I’d like to see free GP visits for anyone low income and standard prices for everyone else.

    • Dave@lemmy.nzM
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      1 year ago

      Huh. I had assumed this was already the case, but it seems Community Services Card holders get cheaper visits but not free ones. That’s probably a good election promise for someone to offer.

      • Ozymati@lemmy.nz
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        1 year ago

        Nope, and people on benefit who are sick get the same jobseekers rate but are expected to keep bringing medical certificates regularly, which of course their GP charges for. That stops if they can get on the supported living payment, but the last National made that extra difficult.

        • Dave@lemmy.nzM
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          1 year ago

          I have to deal with WINZ from time to time, and it has made me a big supporter of a Universal Basic Income. They are so difficult to deal with by design. It’s horrible.

          • Ozymati@lemmy.nz
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            1 year ago

            It’s not entirely design, though again the last Nat. Govt. added some true bullshit. It’s also a whole lot of under-investment in IT, lack of coordination between policies and results, unwieldy legislation, truly stupid KPIs, etc.

            I’d love a UBI though.

            Or at least stop assessing people for benefit on their relationship status. It’s stupid and it punishes people for normal human behaviour.

            • Dave@lemmy.nzM
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              1 year ago

              As an example, you log in to your WINZ account, and click the button to contact them. It gives you a phone number!

              I get a form I need to fill in. It says to upload to my account, but I need to call them first so they turn on uploading for me to do it.

              It’s so unnecessarily difficult.

              Or at least stop assessing people for benefit on their relationship status. It’s stupid and it punishes people for normal human behaviour.

              I get that people in a relationship tend to share expenses. But you spend so much staff time arguing over whether someone is in a relationship. And friends share expenses too (flat mates), so really it seems archaic.

              • Ozymati@lemmy.nz
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                1 year ago

                I know the turn on upload thing is because they’re afraid if it’s always there someone will DoS them by uploading way too much stuff.

                Because it’d cost too much to integrate the system that holds the files and the system that uploads them so that anyone loading too many could get blocked…

                If two working people split expenses, it’s easier for both. If two beneficiaries split expenses they’re expected to do so on less than theyd get if they just had a flatmate. And if one of them is on benefit and the other isn’t, it’s even worse - no relationship for beneficiary unless their new SO is willing to start financially supporting them.

                • Dave@lemmy.nzM
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                  1 year ago

                  I know the turn on upload thing is because they’re afraid if it’s always there someone will DoS them by uploading way too much stuff.

                  Because it’d cost too much to integrate the system that holds the files and the system that uploads them so that anyone loading too many could get blocked…

                  IRD does it great. You can message them through your account, and upload supporting documents to submit at the same time. Many other government agencies allow upload of documents. It’s not like it isn’t a solved problem.

                  As I understand it WINZ have recently started a massive project to replace their major legacy system, so I hope they redo their online stuff to make it more customer friendly.

                  If two working people split expenses, it’s easier for both. If two beneficiaries split expenses they’re expected to do so on less than theyd get if they just had a flatmate. And if one of them is on benefit and the other isn’t, it’s even worse - no relationship for beneficiary unless their new SO is willing to start financially supporting them.

                  I forgot about that part. WINZ basically forces your partner to look after you, without regard for how you’re managing your finances. WINZ needs a full overhaul.

                  • Ozymati@lemmy.nz
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                    1 year ago

                    On the messaging thing, basically IRD has way, way, WAY less services and often MSD needs a bunch of info to do anything. So they try to steer everyone into forms that in theory elicit all the information. Doesn’t work, but also they definitely don’t have the resources to have involved email conversations with everyone. They can’t even answer their phones and unlike with taxes people can’t wait 2-6 weeks for a response.

                    Would be really nice if they could though.

            • livus@kbin.social
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              1 year ago

              They also don’t train their staff properly. No two people in there will have the same idea about how/what to do. It’s crazy.

              • Ozymati@lemmy.nz
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                1 year ago

                There’s an insane amount of different things all of which have different rules for for parents, or under age 25, or over age 65, or single, or getting something from ACC, or has a medical certificate, etc.

                Also of course you get people applying policies that are out of date or that some manager decided on their own without consulting anyone.

                And then there’s the various rules suspensions that happen whenever there’s a natural disaster, or a catastrophic IT failure, or an angry government, or a lawsuit.

    • sylverstream@lemmy.nz
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      1 year ago

      Why not free for everyone? Higher earners already pay higher and more tax. And it avoids that people wait too long before going to a GP, saving costs as well.

      I’m from Europe where a GP is free for everyone and it’s amazing.