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Ian Powell - Latest News [Page 1]

Health Boss Appointment Could Define Credibility And Direction Of Health System Leadership

Sunday, 26 May 2024, 6:38 pm | Ian Powell

Ian Powell discusses the risks to the direction and credibility of New Zealand’s health system leadership, including the health minister, of a likely pending appointment to a key health boss position. More >>

Health System Synthesis: From Time To Culture, Struggle And Hope

Sunday, 19 May 2024, 3:17 pm | Ian Powell

Ian Powell discusses a way forward to overcoming New Zealand’s health system crisis through a dialectical lens from time to culture to struggle to hope. More >>

Fishing Exploitation And The Origins Of Capitalism

Thursday, 16 May 2024, 7:53 pm | Ian Powell

Ian Powell levers off revelations of harmful ocean fishing in New Zealand to discuss the relationship between fishing and the origins of capitalism. More >>

When Health Bosses Operate In An Isolated Bubble

Tuesday, 14 May 2024, 6:43 pm | Ian Powell

Ian Powell discusses the claim that telehealth could reduce up to 50% of GPs work in the context of a leadership bubble created by New Zealand’s highly centralised and vertical health system. More >>

Policy Vacuum Enables For-profit Corporate General Practice Ownership By Stealth

Thursday, 2 May 2024, 4:29 pm | Ian Powell

In 2014 nearly 40% of GP respondents were practice owners. By 2022 it had declined to 31%. The number of GPs working in GP-owned practice has also fallen from 73% in 2015 to 64% in 2022. Partially filling the practice ownership gap is the for-profit ... More >>

Cuba And New Zealand: A Relationship Worthy Of Strengthening

Wednesday, 1 May 2024, 6:00 am | Ian Powell

Ian Powell discusses building on the constructive relationship between Cuba and New Zealand in the context of the Unites States economic warfare (embargo) against Cuba and the recent UN Rapporteurs findings. More >>

New Hospital Building Trumps ‘Yes Minister’ Hospital Without Patients

Friday, 19 April 2024, 7:05 am | Ian Powell

Ian Powell discusses how New Zealand’s vertically centralised health system led to a new hospital surgical building without staff and its similarity with the ‘Yes Minister’ comedy and the hospital with no patients. More >>

Reflecting On Maximilien Robespierre And Other Things

Sunday, 14 April 2024, 1:42 pm | Ian Powell

Politics in New Zealand would benefit from a healthy debate on the relationship between class and identity politics. I regard them as interconnected and supplementary rather than opposites. More >>

How To Immobilise A Health System’s Primary Statutory Adviser And Monitor

Thursday, 11 April 2024, 9:15 am | Ian Powell

Ian Powell discusses the immobilising implications of the Government’s severe public service staff cuts for the critical health system functions of the Ministry of Health. More >>

Time For Health Minister To Step Up On Workforce Crisis

Wednesday, 3 April 2024, 8:17 am | Ian Powell

Ian Powell discusses why and how new health minister Shane Reti needs to step up over resolving the health system’s workforce crisis. More >>

Function Versus Form: Public Service Cuts

Saturday, 30 March 2024, 7:00 pm | Ian Powell

Ian Powell discusses the public service staffing cuts being pushed by the new government in the context of the relationship between function and form along with process improvement. More >>

Capitation Should Not Be Decapitated

Sunday, 24 March 2024, 8:03 pm | Ian Powell

Ian Powell discusses the importance of not allowing the system of funding general practices (capitation) from being decapitated by eroding neglect. More >>

From Overcoming ‘Bonkers’ To A Political Pickle

Thursday, 21 March 2024, 7:32 pm | Ian Powell

Ian Powell discusses the political pickle that New Zealand finds itself between an increasingly unpopular new government and a deeply unpopular former government. More >>

Challenges Facing The Funding Of New Cancer Treatment Drugs

Monday, 18 March 2024, 7:02 pm | Ian Powell

Funding new cancer drugs – good but…. In last year’s election campaign the then in opposition National Party promised to allocate $280 million to fund new 13 cancer therapies (drugs) that had yet to be approved for funding by Aotearoa New ... More >>

Road Ambulance Service Cuts Highlight Vulnerability Of Ownership Model

Monday, 11 March 2024, 7:08 pm | Ian Powell

The vulnerability of Aotearoa New Zealand’s road ambulance service was highlighted by the announcement last month than the largest ambulance (Hato Hone St John) was looking to pull ambulances off the road because of rising fiscal deficits. It raised ... More >>

Child Palliative Care: A Sad But Avoidable Plight

Monday, 4 March 2024, 5:54 pm | Ian Powell

On 21 February the NZ Herald published a compelling article by its Wellington-based journalist Vita Molyneux on the state of child palliative care in Aotearoa New Zealand:     Health system failing terminally ill children . The ... More >>

Missing The Health Target

Tuesday, 27 February 2024, 8:17 pm | Ian Powell

Wilhelm Tell (more commonly known as William Tell in the English speaking world) was a 14th century folk hero in Switzerland then ruled by the Austrian Hapsburgs. Tell is widely considered to be the symbolic father of the Swiss Confederacy. Among ... More >>

Formal Democracy, Popular Will And Military Coups

Monday, 26 February 2024, 5:48 pm | Ian Powell

In its 2023 Index of the countries of the world Transparency International rated Aotearoa New Zealand the third best nation on transparency. However, as credible as this was, there was a drop in its score. The fall was in how common it was for ... More >>

Muddled Analysis: Left, Right, And Wrong!

Monday, 5 February 2024, 7:02 pm | Ian Powell

Sometimes when I contemplate whether to blog on a political subject or not, I struggle with the question of relevance. The fact that the subject interests me is not a guarantee of wider relevance. On this occasion, aided and abetted by personal bias I’ve opted ... More >>

US Lessons For New Zealand’s Health System: Profiteering, Hospital Adverse Events And Patient Outcomes

Monday, 15 January 2024, 4:48 pm | Ian Powell

Although not guaranteed it is likely that the ugly head of ‘Public Private Partnerships’ (PPPs) will be raised again in Aotearoa New Zealand’s public hospitals following last year’s election of a new National-led coalition government. Profit maximisation ... More >>





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