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Speaker 1: Now if you can believe that the concept of ethnic

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Speaker 1: priority appears to be back in our health system. So

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Speaker 1: we've held a scheme in Hawk's Bay. It's been allowing

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Speaker 1: fourteen to twenty four year olds to receive free GP

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Speaker 1: visits act in our claiming Mara and Pacifica are being

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Speaker 1: prioritized for that scheme. The Health Minister has asked the

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Speaker 1: local officials for an explanation or can the University Medical

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Speaker 1: Americas Emeritus Professor DS Gorman's with Ustairs morning to you.

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Speaker 2: Good morning.

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Speaker 1: So my understanding this is a deal between Healthhawks Bay

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Speaker 1: and the local primary health So is it our business

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Speaker 1: or the minister's business or the local business? Do we

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Speaker 1: have an issue here or not?

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Speaker 2: Oh, consider business. I think aggregating risk to the level

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Speaker 2: of race makes no sense whatsoever. If you'd believe there

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Speaker 2: are inequities in place which are driving inequalities, you don't

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Speaker 2: solve that by doing something which generates another set of

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Speaker 2: inequities or inequalities. The modern approach to healthcare bikers to

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Speaker 2: focus on the individual's individual families and need and put

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Speaker 2: the resources in place that they need to actually improve

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Speaker 2: or recover and do well. But the minute you start

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Speaker 2: aggregating risk to the li lot of race. You've lost focus.

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Speaker 2: And what it means is that someone like me who

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Speaker 2: identifies is Mary, who has a fucker pubbet in Napui

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Speaker 2: and Mata Curi has priority, but some struggling Asian family

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Speaker 2: who are really in desperate need financially and their kids

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Speaker 2: of high health needs are not prioritized. Now that's just

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Speaker 2: an iniquitous So what this represents, Mike, is the intelligence

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Speaker 2: of what we should be doing. The whole approach of

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Speaker 2: the social investment is not to say the problems Otai.

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Speaker 2: Who the problem is, Mari? The problem is a family

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Speaker 2: nine monastery Otaho. We need to put resources in place,

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Speaker 2: So that's specific family and doing with Mike, we know

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Speaker 2: who these people are, we know where they live, and

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Speaker 2: there's only a matter of finding out what sort of

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Speaker 2: specific solutions they need to meet the specific needs.

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Speaker 1: How is it we've got ourselves down this rabbit hole?

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Speaker 2: Well, look, I think it's a mixture of virtue signaling,

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Speaker 2: but also I think lazy thinking. Basically, you say, well,

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Speaker 2: Mary have less access and do poorer, and there was

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Speaker 2: a health care therefore, let's prioritize maray as if that's

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Speaker 2: a dispect group of people would define boundaries exactly as

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Speaker 2: a very smahic group, which includes people like Needy. So

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Speaker 2: I think it's amazing thinking and virtue signaling.

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Speaker 1: Do you think within your experience within the health system

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Speaker 1: that people defend it? I mean, bright people work in

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Speaker 1: the health system, do they using their brain power and

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Speaker 1: intellect actually defended as workable? Because I remember Chris Hepkins

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Speaker 1: got himself in dreadful trouble. He used to go, well,

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Speaker 1: a lot of Mari are rural access to health is difficult,

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Speaker 1: which is true, but it's also difficult whether you Mari

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Speaker 1: or not. And he seemed to get himself tied up

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Speaker 1: on this. Everyone's in a knot over something that seems

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Speaker 1: to be incredibly simple to explain, and yet we still

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Speaker 1: do it. And I don't get that.

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Speaker 2: But yeah, look not why I'm like, to be honest,

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Speaker 2: I don't know why people deviate from the very simple

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Speaker 2: task of identifying need and addressing need. And then you'd

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Speaker 2: confused of all sorts of social phenomena. And I don't

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Speaker 2: know what this is, this propensity to move away from

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Speaker 2: the obvious, which is where is the greatest need and

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Speaker 2: it's addressed The greatest need before you know who these

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Speaker 2: families are, Like, we know who these individuals are, we

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Speaker 2: know where they live. There's no excuse for not being

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Speaker 2: with them and saying what do you want when that

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Speaker 2: comes do you want then working together to find specific

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Speaker 2: solutions for their specific needs? Instead what they get MI

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Speaker 2: because I get a recipe or a menu of services

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Speaker 2: which frankly don't make their needs at all.

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Speaker 1: No exactly good to have you back on the program.

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Speaker 1: Does appreciate it very much. You have a good week

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Speaker 1: in des Gormant Auckland University Medical Emeritus profession Professor. For

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Speaker 1: more from the mic Asking Breakfast, listen live to news talks.

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Speaker 1: It'd be from six am weekdays, or follow the podcast

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Speaker 1: on iHeartRadio