{"id":486219,"date":"2026-06-20T00:06:09","date_gmt":"2026-06-20T00:06:09","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/486219\/"},"modified":"2026-06-20T00:06:09","modified_gmt":"2026-06-20T00:06:09","slug":"letters-healthcare-needs-technical-and-cultural-competency","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/486219\/","title":{"rendered":"Letters: Healthcare needs technical and cultural competency"},"content":{"rendered":"<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">All 18 medical colleges and many hundreds of doctors who signed an open letter opposing the minister\u2019s decision strongly disagree. They aspire to a higher standard of care \u2013 technical competence is good; technical-plus-cultural competence is great.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Professor Boyd Swinburn, University of Auckland.<\/p>\n<p>Systemic \u2018affronts\u2019<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\"> Jonathan Ayling endorses  Simeon Brown\u2019s discharge of the chair and deputy chair of the Medical Council on the grounds of their \u201cpursuing an ideological agenda\u201d.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Their fault was an attempt to address the systemic institutional racism statistically evident in our nation\u2019s healthcare delivery.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Two examples: just this week we learned of an  11-year-old  non-verbal Maori child being \u201cmisidentified\u201d as a  20-year-old adult and, contrary to all normal protocols,  forcibly restrained and drugged. <\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Last week, it was reported that M\u0101ori patients are six   times more likely than P\u0101keh\u0101 to be placed in seclusion &#8230; a social restraint practice which has been identified as having the traumatic clinical after-effects. <\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">These are but two of myriad other systemic affronts to their personal liberties that Ayling\u2019s fellow citizens of M\u0101ori descent will more than likely experience on entering our healthcare systems.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">If health providers are not to do what the former office holders of the Medical Council were asking \u2013 namely, taking the time to \u201cexamine their own privilege, and challenge the dominant culture of the health system\u201d \u2013 how exactly would Ayling and Brown suggest the replacement Medical Council regulators hold their fellow health professionals to account, in order to address the causes of all such egregious and long-standing racially premised harms?<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Janet Charman, Avondale. <\/p>\n<p>Dame Jools Topp remembered<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">I never knew the Topp Twins personally, although I was present on a number of occasions when, as young women, they performed their original songs during the 1981 Springbok tour protests, and at  other rallies since.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">My wife and I saw the film Untouchable Girls some years ago, and really enjoyed that as well. Hilarious. I believe Dames Lynda and Jools are among Aotearoa New Zealand\u2019s most iconic folk\/country performers of all time.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\"> Dame Jools, you are  sadly missed and won\u2019t ever be forgotten.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Also, kudos to Rod Emmerson\u2019s excellent cartoon in  Friday\u2019s Herald. Nice one, Rod.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">John Watkins, Meadowbank. <\/p>\n<p>A \u2018bit rich\u2019<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Shane Jones has got to be kidding if he expects the public to believe that he wasn\u2019t aware of the reasons for the blowout in his junket expenses. And Nicola Willis should do her job and ask how and why.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">But as always, he will  front up in his pompous and bombastic manner. But it\u2019s a bit rich to see the Government, correctly, going after immigration officials for dishonesty when you see the very same thing from one of their own. Simply a snout in the trough.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Paul Beck, West Harbour.<\/p>\n<p>Prescription charges<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">The current Government re-established a prescription charge of $5, and  Labour  has announced a policy of, once again, abolishing it.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">A charge of $5 does not sound unaffordable, but what has not been explained clearly is that the charge is $5 per item.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">When I worked at Middlemore, I frequently saw patients with chronic illness readmitted after a few days with deterioration of their condition because they had been discharged from hospital with a prescription for a dozen drugs and could not afford the $60 charge to have it dispensed.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">I strongly support the proposal to abolish it once again.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Ross Boswell, Christchurch.<\/p>\n<p>AI reality<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Al will inevitably come into our lives. If it comes through the front door, we may be able to have some control over how the benefits and the consequent revenues generated are handled.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">If we legislate against AI, it will come in the back door anyway, and the money generated from the jobs AI replaces will flow in the same direction internet revenue does. We may be able to benefit from AI, but we cannot avoid it.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Stuart Mackenzie, New Plymouth. <\/p>\n<p>Fabulous football<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Wow! This tournament has already exceeded my expectations. I have watched almost every match, and the excitement is palpable among the record crowds. Superstars Kylian Mbappe (France), Erling Haaland (Norway) and Harry Kane (England) have all scored two goals each in their opening matches. Lionel Messi (Argentina) has scored three.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Then, of course, we have our own Kiwi superstar in the making \u2013 Elijah Just, who, also with two goals, is in the running for the Golden Boot award.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Football  is truly  the \u201cglobal game\u201d.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Glen Stanton, Mairangi Bay.<\/p>\n<p>Green shoots<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">It is not surprising the Green Party has a surge in the polls \u2013 there is a new demographic in play, namely the War Babies\u2019 grandchildren.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">See the speech by Hannah Spencer winning a \u201csafe seat\u201d by 80% in a British byelection, or the speech by the young Mayor of New York, Zohran Mamdani.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Some people of my generation think young people are mindlessly glued  to their iPhones,  but they are actually absorbing a lot of information, from platforms and media from all around the world. This is the generation that the BBC reported on  that didn\u2019t wake up having nightmares about monsters under the bed, but  worried instead about polar bears or penguins and the melting icecaps.  If the NZ Green Party were  to get around the schools and universities and make sure they get out to vote, we would  see the times a-changing.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Sidney Turner, Waip\u016b.<\/p>\n<p>Grand idea<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">There is encouraging news that a Grand Coalition Government may be possible.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Infrastructure Minister Chris Bishop has announced that the governing National coalition and the Labour opposition agree that critical, multigenerational infrastructure planning must be taken out of the election-cycle, flip-flop zone to keep construction talent from leaving the country. This is a good first step.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">The second step would be for the major parties to hammer out a priority list for all the projects that the Infrastructure Commission has identified.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">The third step, and this is a big one, is for the parties to jointly review the tax system and find means to fund the projects into the future, setting aside the dogmas of socialism and capitalism.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Peter D. Graham, Helensville.<\/p>\n<p>A quick word<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Not only does Shane Jones overspend on a trip  in excess of $30,000, he  threatens anyone who is critical of him. That says a lot about the man, none of it good.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Graham Carter, Herne Bay.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Can we say of Shane Jones, considering his latest trip to Canada, that he is \u201cthoroughly decent and honest with a strong moral compass\u201d?  It sounds like a  joke, yet we surely should expect that level of integrity of all our MPs.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Susan Grimsdell, Auckland Central.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Shane Jones splurges $60,000 on a trip to a mining conference in Toronto. Winston Peters says \u201cthere\u2019s nothing out of the ordinary\u201d in doing so. That should worry us.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">David Cooke, Pt Chevalier. <\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">In NZ, MMP is regarded as a most \u201cdemocratic\u201d system of governance. It requires a fair amount of imagination to believe a genuinely democratic system could enable unelected people into power.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">John Veysey, Coromandel.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Count the euphemisms in the orca slaughter report: \u201cbycatch\u201d, \u201caccidental capture\u201d, \u201cfishing activity\u201d, \u201crather unpleasant outcome\u201d, \u201cadequate\u201d.<\/p>\n<p class=\"EoZyGajGNiPxVf\" style=\"display:none\">Rex McGregor, Auckland Central.<\/p>\n","protected":false},"excerpt":{"rendered":"All 18 medical colleges and many hundreds of doctors who signed an open letter opposing the minister\u2019s decision&hellip;\n","protected":false},"author":2,"featured_media":486220,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[154813,95,46852,6256,37432,243953,5205,24181,14134,33092,134,527,243956,45394,16411,15405,29546,243955,3523,6722,9812,111,139,69,243954,33168,4514,29023,4248,1361,13797,80],"class_list":["post-486219","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-accusation","tag-and","tag-ayling","tag-brown","tag-chair","tag-competency","tag-council","tag-cultural","tag-decision","tag-deputy","tag-health","tag-healthcare","tag-ideological","tag-ironically","tag-jonathan","tag-label","tag-letters","tag-mcnz","tag-medical","tag-minister","tag-needs","tag-new-zealand","tag-newzealand","tag-nz","tag-reappoint","tag-recognises","tag-same","tag-simeon","tag-technical","tag-that","tag-used","tag-zealand"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/486219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=486219"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/486219\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/486220"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=486219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=486219"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=486219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}