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Ian Powell
Otaihanga Second Opinion is a regular health systems blog in New Zealand.
Ian Powell is the editor of the health systems blog 'Otaihanga Second Opinion.' He is also a columnist for New Zealand Doctor, occasional columnist for the Sunday Star Times, and contributor to the Victoria University hosted Democracy Project. For over 30 years , until December 2019, he was the Executive Director of Association of Salaried Medical Specialists, the union representing senior doctors and dentists in New Zealand.
Ian Powell - Latest News [Page 2]
An Email That Almost Says It All
Sunday, 15 September 2024, 10:54 pm | Ian Powell
Ian Powell discusses an email by business journalist Bernard Hickey in the context of unfairness and inequity along with the social wage. More >>
Puberty Blockers And The Hippocratic Oath
Saturday, 14 September 2024, 11:53 pm | Ian Powell
Ian Powell discusses, in the context of the approach to be taken in New Zealand, the Cass Review of puberty blockers and the importance of applying the Hippocratic Oath. More >>
From Financial Illiteracy Smear To Understanding Healthcare Complexities; History Repeating Or Rhyming?
Tuesday, 27 August 2024, 8:04 pm | Ian Powell
Ian Powell discusses the smearing of the Health NZ Board, the dual complexities of health systems, the relevance of the subsidiarity principle, and asks whether history is repeating or rhyming. More >>
Towards An Economy Based On Provision Of Human Needs
Tuesday, 13 August 2024, 11:58 am | Ian Powell
Ian Powell discusses transitioning from an economy driven by wealth accumulation based on exchange-values to one driven by the provision of human needs based on use-values. It includes drawing upon the Covid 19 pandemic and increased ecological risk. More >>
Message From Health Professionals To Health Bosses: Please Stop The Spin
Saturday, 10 August 2024, 4:16 pm | Ian Powell
Ian Powell discusses the frustration of health professionals in New Zealand over spin doctoring by the system’s leadership and the need for this to stop More >>
A Quiet Health New Zealand Resignation That Speaks Volumes
Saturday, 3 August 2024, 7:01 pm | Ian Powell
Ian Powell discusses the significance of a resignation from the Board of Health New Zealand. More >>
What’s Behind Cruelty To Animals
Thursday, 1 August 2024, 3:57 pm | Ian Powell
Ian Powell discusses first protection for companion farm pets in New Zealand and then elephant exploitation and sanctuaries in Thailand, all in the context of what drives capitalism. More >>
Information Technology And New Zealand's Health System: 0 Steps Forward, 2 Back
Monday, 22 July 2024, 8:52 am | Ian Powell
Ian Powell discusses in a wider context the cutting of Health New Zealand’s IT budget. More >>
Health Leadership, Tobacco Control And A Sacred Oath: ‘First Do No Harm’
Sunday, 14 July 2024, 7:37 pm | Ian Powell
Ian Powell discusses the conflict between the government’s decision to repeal new world-leading tobacco controls and the medical ethics of doctors working in senior Health New Zealand positions. More >>
Structured Literacy – How Rigidity Flows From Ideology
Tuesday, 9 July 2024, 5:09 pm | Ian Powell
Ian Powell discusses how the ideological use of structural literacy has led to rigidity in the teaching and learning of literacy in New Zealand primary schools. More >>
Corporate General Practice Ownership Highlights Unintended Perverse Outcome
Sunday, 7 July 2024, 1:06 pm | Ian Powell
Ian Powell discusses how corporate ownership of general practices can, by abusing the capitation funding system, have detrimental consequences for primary healthcare in New Zealand. More >>
Keith Locke: Hard On Issues; Soft On People
Sunday, 30 June 2024, 11:57 am | Ian Powell
This is a tribute to the recently deceased Keith Locke who was much more than an influential Green MP in New Zealand. His whole life was around political and social justice advocacy. More >>
Data Cleansing Of Unmet Patient Need Hides A National Health Scandal
Wednesday, 26 June 2024, 6:17 am | Ian Powell
Ian Powell discusses the scandal revealed by academic research on unmet patient need in New Zealand’s health system. More >>
Hegemony, Meaning And Ideology Through Structured Literacy In New Zealand Education System
Tuesday, 18 June 2024, 11:45 am | Ian Powell
Ian Powell discusses the imposition of ideologically based ‘structured literacy’ into New Zealand’s education system in the context of hegemony and meaning. More >>
Neglect Public Health At New Zealanders’ Peril
Sunday, 16 June 2024, 1:43 pm | Ian Powell
Ian Powell discusses the government’s neglect of public health and the peril this risks for the health and wellbeing of New Zealanders. More >>
How Should New Zealand Respond To The United States’ False Terrorism Accusations
Monday, 3 June 2024, 2:08 pm | Ian Powell
Ian Powell discusses how the New Zealand government should respond to the hypocrisy of the attempt of the United States to designate Cuba as a supporter of state terrorism. More >>
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 >>
