Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Wednesday, November 10, 2010

Losing your child at McDonalds....

Recently there have been a couple of media reports that have caught my attention; added to this I received a link to a very interesting and somewhat disturbing website – not disturbing in any weird or depraved way, but disturbing that people actually are so stupid!

The first story and the second are linked, albeit they are 12000 or so miles apart. Last weekend a two year old girl was found wandering in a car park at a McDonalds in Otara, South Auckland. For those not in the know South Auckland is probably New Zealand’s most deprived community; it has above average unemployment, poor education achievement rates, over crowded housing, high rates of domestic violence, drugs, etc.

Now, a lost two year old isn’t that unusual – what parent hasn’t had a toddler wander off?  What is more unusual in this scenario is that it took the family two days to actually front up to authorities and claim their child – their explanation, they thought someone else must be looking after her!

The second story was about something related to the above – the lack of parenting skills in modern society. The generation osmosis of ‘good parenting’ has been lost, with many children raised by surrogates, at day care and the like. Now don’t get me wrong, I am not advocating a ‘keep the mums at home’ campaign, but there is a need for basic common sense parenting to be a pre-requisite for a successful future life. It goes without saying that with kids it is often ‘monkey see, monkey do’, that behaviours good, bad and indifferent are observed, stored in their sponge like minds, to be reproduced at a later date. If poor parenting is the norm it is logical to assume this will escalate and snowball as time progresses, hence we have a generation that are not able to adequately care for children, but don’t actually know when they have been lost!!

The last bit I guess is at a tangent, but could be thought as the glue that needs to hold the lot together. This is something called Health Literacy, which has been defined as

Health literacy is the ability to obtain, process, and understand basic health information and services to make appropriate health decisions (Kōrero Mārama, 2010).

It probably comes as no surprise to find that over 1/3 of the NZ population has been assessed as having poor health literacy – meaning they are unable to make sound health choices, follow medical instruction, understand the requirements of their treatment, and so on. Is it any wonder then that countless health dollars are spent ‘fixing’ these issues?

People with poor health literacy:
  • are less likely to use prevention services
  • have less knowledge of their illness, treatment, and medicines
  • are less likely to recognise the first signs of medical problems
  • are less likely to manage their long-term/chronic condition
  • are less likely to communicate their concerns to health professionals
  • are more likely to be hospitalised due to a chronic condition
  • are more likely to use emergency services, and
  • are more vulnerable to workplace injury.

Indeed it would be very simplistic to generalize that people with poor health literacy are more likely to leave their child at McDonalds, not claim them for two days and likely have inadequate parenting skills to assist their child out of the poverty trap!

Wednesday, October 20, 2010

Governmental control

Earlier today I received the following message in an e-mail. Of particular note is the three words at the end of the first sentence
support Government policy
So, regardless of whether the information is best practice, evidence based, culturally appropriate or cost effective, if it does not reflect the policy of the current government, thou shalt not produce it in a form that a member of the public could read. Sounds a bit George Orwell to me!

Tuesday, October 12, 2010

Gross generalisations....

First in a series of I don’t know how many…. I guess this was somewhat inspired by those ‘people of Walmart’ pictures, the train wrecks of life, obese cross dressers, fat women in short skirts, the mis-shapen, the child neglecters, etc…..

Anyway, I frequently have to walk through Rotorua Central Mall, as it is where my work is located. To describe it as a ‘mall’ is a bit misleading, it is a collection of shops, with an enclosed food court, but mainly open to the elements. From my observation today I bring you generalisation number one -

If, as alleged, smoking helps to keep you thin and/or suppresses your appetite, why is it that all people sat on their butts out side the food court, engaging in the self destruction called smoking are in excess of 100kg – and that is the women, not the men, they are even larger?

This links to generalisation two –

Why is it that shop security people are so big that they could not possibly chase any sticky fingered youth? Is it a pre-requisite for the job?

And to close today observations

It would appear that the ability to use a cars indicators in inversely proportional to the size or volume of the exhaust – e.g. if you have a big bore ‘muffler’ (contradiction in terms) you can’t use your indicators – probably as your seat is so far reclined you can barely reach the steering wheel!

Friday, October 1, 2010

Today's the day....

That the jolly old National Government did their big economic recovery thing, increasing GST (that's Goods and Services Tax) to 15% and simultaneously added 7c per litre to fuel. Of course they claim that we will all be better off because of tax cuts - but will we?

Well, not in my household. The alleged tax savings have already been eaten up by
  • increased power bills since they came into power
  • increased rates since they came into power
  • increased car registration
  • increased ACC contributions
  • reduced funding of schools means they are asking for more and more
So who exactly will be out of pocket? Well businesses aren't happy - the cost of changing prices runs into millions and the equation used to calculate returns is far more complicated. Consumers won't be either, everything is going up, which means the so called tax benefits will go to shrewd retailers.

But of course the government is fixing everything else - like murdering the health sector. When will New Zealand wake up from hibernation and realise they have elected a bunch of fraudsters to govern?

Tuesday, September 14, 2010

So that's where my money goes....

It is quite astonishing how quickly your taxes are spent; it is also quite astonishing how much you can find on this internet thing! Whilst searching for some info I found this. Who would have guessed you could find, online, the detailed credit card spending of the CEO's of the twenty district health boards. Of course it would be remiss of me not to share with you the winners and losers in spending your hard earned cash. Don't get me wrong, those who know me are well aware that I am all for increasing public spending, but believe that this public spending should be targeted at improving the population, not filtered to people already earning decent six figure salaries. There is of course the argument that if you pay peanuts you get monkeys, hence CEO salaries need to be high to attract the right calibre required for these stressful positions.

First up is the winner of the 'Hey Big Spender' award - a close run this one; at first I thought it would be John Peters of the Nelson and Marlborough DHB, who amassed $31800 in two years (well 17c short of that to be precise); not bad for a CEO whose organisation is responsible for just 120000 people - that's nearly 30 cents per person on his credit card tab. Admittedly Mr. Peters does seem to pay for several of his senior staff members conference fees on his card, but nonetheless there are several evening meals as farewells, each at around $100 per attendee. However it is Chris Fleming, the CEO of New Zealand's fourth smallest DHB South Canterbury who is the overall winner. A staggering $39726 in two years - all for serving a population of just 55000; included in Mr. Fleming's account are the annual renewal of his membership of the Institute of Chartered Accountants (not once, not twice, but three times), membership of the Institute of Directors and attendance at several very expensive courses.

Commendations go out to several other CEO's, who have demonstrate less extravagance; Tairawhiti managed to keep two years of spending to under $1000, whilst even the megalithic Canterbury DHB was only $3000.

So the combined CEO's managed about half a million dollars on various food, drink, Ipod chargers, dry cleaning, gifts and various other important items. Good to know someone is using you health dollars well!