John MacDonald: The get-stuff-done guy is on a collision course

Published Jan 20, 2025, 12:31 AM

If you believed the Prime Minister when he said yesterday that he still has confidence in the now-former health minister Shane Reti, you will believe anything.

Let’s face it, though, he couldn’t have said anything different. But whether you believe it or not - that’s another thing. And I don’t.

Because he clearly doesn’t - or he clearly doesn’t have as much faith in Shane Reti as he used to. Otherwise, Simeon Brown wouldn’t be the new health minister.

And who would want to be Simeon Brown? Being the minister of health, you’re on a hiding to nothing.

And who would want to be working in the health system? I wouldn’t. Because, trust me, it’s about to get ugly.

I know people working in health might say “it’s pretty ugly already mate”.

In fact, one person I know who works pretty high up in the health system - and who is a big advocate of the public system - they’ve been telling anyone who will listen that they should be getting private health insurance. If they can afford it, of course.

So here’s why I think things are about to get ugly - or uglier - with Simeon Brown in charge of health.

Christopher Luxon says he’s given him the job because he “gets things done”.

Which is a term that drives me nuts because this whole idea of “getting things done” says nothing about quality or improvement. It’s just ticking things off the to-do list. Or ticking things off the quarterly plan.

And Simeon Brown has form. He’s got a track record from the other ministerial roles he’s had so far where he gets stuff done by telling people what they’re going to do.

Local government. He’s made it very clear to local councils who is running the shop. And it’s not them.

Transport .He’s flying in the face of what the experts say about speed and he’s going to increase speed limits.

And, as of yesterday’s announcement, Dunedin can kiss goodbye to the hospital the people thought they were getting and the hospital they still want to get.

Because the Prime Minister is going to be putting Simeon on a plane south to bang some heads together.

Which is what the Prime Minister was really saying yesterday. It might’ve sounded like he was saying that the new health minister got the job because he gets stuff done.

But what he really meant, was that Simeon’s got the gig because he’s good at banging heads together.

Don’t get me wrong - he does get stuff done. But is that really the approach we should be taking when it comes to something as critical as our health system? I don’t think it is.

Not that I think Shane Reti was up for the job, either.

Last year I ended up in hospital for a night after some pretty bad complications from a flu bug I picked-up travelling back from the UK.

And if you ask me how I felt about that experience - it was brilliant.

Sure, I would have preferred not to be there in the first place. But I couldn’t have asked for more.

And, a lot of the time, from what I hear people say - it seems that most are pretty happy - if not delighted - with the care they receive in hospital.

Trick is, though, that’s once they get in the door.

Get in the door of your local hospital and, generally, you’re fine.

The only proviso I would put on that is that I live in New Zealand’s second-largest city and I know things - even once you’re through the door - can be a bit average at some of our smaller hospitals.

Take Dargaville hospital. Last year there was that issue with no doctors on the wards overnight. That had been going on for a few months and the nurses weren’t happy about it.

And poor old Shane Reti was in the firing line. Pouring cold water on rumours that the whole place was going to be shut down.

But, of course, hospitals are only part of the health system.

I heard Bryan Betty, who heads the organisation representing GPs, was saying that he thought Shane Reti had been doing a pretty good job.

Which is another reason why I think Simeon Brown is on a collision course.

Because even though the Prime Minister didn’t like the pace Shane Reti was working at - and even though I don’t think Shane Reti was all that good as a health minister - I don’t think Simeon Brown’s approach is going to do us any favours at all.

Because Mr Get-Stuff-Done is also going to be Mr Get-Peoples-Backs-Up.

And that’s not going to do anyone any favours. It’s not going to you any favours. It's not going to me any favours. And it’s certainly not going to do anyone working in the health system any favours.

But if Simeon Brown proves me wrong - and if he does manage to get people on-side and does manage to make the health system better than it is now - then I’ll be the first to acknowledge it.

You're listening to the Kerry Wood of Morning's podcast from News Talks. He'd be now if you believed the Prime Minister, if you believed him what he said yesterday, that he still has confidence and that now former Health Minister Shane Retty. If you believed that, you will believe anything. Let's face it, though he couldn't have said anything different. But whether you believe it or not, that's another thing. And I don't because he clearly doesn't or he clearly doesn't have as much faith in Shane Retty as he used to. Otherwise Simmy and Brown wouldn't be the new health minister this morning, would he? And who would want to be Simmy and Brown? Ah being the Minister of Health you're on a hiding to nothing. And who wouldn't want to be working? Who would want to be working? This is the second question. Who would want to be working in the health system this morning? I wouldn't because trust me, it's about to get ugly. I know people working in health might say it was pretty ugly already. Mate. In fact, one person I know who works pretty high up in the health system and who has always been a big advocate of the public system. They've been telling anyone who will listen recently that they should be getting private health insurance if they can afford it. Of course. See here's why I think things are about to get ugly or ugly er with Simeon Brown in charge of Health. Christoph Luxon says he's given him the health job because he gets things done, which, as an aside, that's a term that just drives me nuts because this whole idea of getting things done says nothing about quality or improvement. It's just black and white, ticking things off to do list or tacking things off the quarterly plan. The other reason why it's going to get ugly in health, Simeon Brown has form. He's got a track record from the other ministerial roles he's had so far where he does get stuff done. But he gets stuff done by telling people what they're going to do. I've got examples local government. He's made it very clear, hasn't he to local councils who's running the shop, and he's made it very clear that they're not running the shop. Transport, he's flying in the face of what the experts say about speed and he's going to increase speed limits and as of yesterday's announcement, Dunedin or Dunedin can kiss goodbye to the hospital the people there thought they were getting and the hospital they still want to get because the Prime Minister is going to be putting some ofon on a plane heading south to bang heads together. And that's what the Prime Minister was really saying yesterday. You know, it might have sounded like he was saying that the new health Minister got the job because he gets stuff done, But what the Prime Minister really meant was that Simeon's got the gig because he's very good at banging heads together. Don't get me wrong, he does get things done. But is that really the approach we should be taking when it comes to something as critical as our health system. I don't think it is. Not that I think Shane Rettie was up for the job either, And you know, like you, this is something that we all have familiarity with. We've all had dealings at some point with the health system. Last year I ended up in hospital for a night. This was after some pretty bad complications from a flu bug I picked up traveling back from the UK. And if you ask me how I felt about that experience, it was brilliant, best place to be. I mean, sure I would have preferred not to be there in the first place, but I could not have asked for more. And a lot of the time, from what I hear people say, from what people say to me, it seems that most are pretty happy, if not delighted, with the care they receive in hospital trekkers. Though that's generally once the made it through the door. Get on the door of your local hospital and generally you're fine, aren't you. The only provisor I would put on that is that I live in New Zealand's second largest city and I know things even once you through the door can be a bit average at some of our smaller hospitals. Take what was it Darkville Hospital? Remember last year there was that issue with no doctors on the wards overnight that had been going on for a few months, and the nurses there weren't happy about it. In fact, the nurses didn't want to work overnight with no doctor on the wards, and poor on Shane Retty, he was in the firing line pouring cold water on rumors that the whole place was going to be shut down. Of course, hospitals are only part of the health system. GPS are another part. I saw Brian Betty on the news last night. Here's the head of the organization representing GPS, and he was saying that he thought Shane Retti had been doing a pretty good job, which is another reason why I think Sylmy and Brown is on a collision course Because even though the Prime Minister didn't like the pace Shane Retty was working at, and even though I don't think Shane Retty was all that good as a health minister, I don't think Simeon Brown's approach is going to do us any favors at all, because mister gets stuff done is also going to be mister get people's backs up. And that's not going to do anyone any favors. It's not going to do you any favors. It's not going to do me any favors, and it's certainly not going to do any favors for anyone working in the health system. But if sime and Brown proves me wrong, and if he does manage to get people on side, and if he does manage to make the health system better than it is now, then I will be one of the first people to acknowledge it. For more from Kerry Wood and Mornings. Listen live to news talks it Be from nine am weekdays, or follow the podcast on iHeartRadio

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