1 00:00:00,200 --> 00:00:02,880 Speaker 1: Last week health looked at a recovery path. When we 2 00:00:02,960 --> 00:00:04,560 Speaker 1: were looking at health it looked on some sort of 3 00:00:04,600 --> 00:00:07,960 Speaker 1: recovery path. Government's five indicators on service all tracking in 4 00:00:07,960 --> 00:00:10,000 Speaker 1: the right direction. This week we've got trouble apparently with 5 00:00:10,000 --> 00:00:13,760 Speaker 1: the kidney disease. Care services are chronically underfunded, huge variation 6 00:00:13,840 --> 00:00:16,200 Speaker 1: and care across the country. It's the old story. Demand 7 00:00:16,200 --> 00:00:19,119 Speaker 1: for dialysis is expected to write thirty percent over the 8 00:00:19,120 --> 00:00:22,200 Speaker 1: next decade. Brian Beatty, Doctor Brian Betty is the chair 9 00:00:22,239 --> 00:00:24,639 Speaker 1: of the General Practice New Zealand People and he's well us. Brian. 10 00:00:24,680 --> 00:00:26,560 Speaker 2: Morning, morning, Mike. 11 00:00:26,600 --> 00:00:28,080 Speaker 1: I can talk to you for ages. I hope you 12 00:00:28,160 --> 00:00:31,200 Speaker 1: will anyway, Is this any new? I mean we haven't 13 00:00:31,200 --> 00:00:34,040 Speaker 1: got any money. People in rural New Zealand want services 14 00:00:34,040 --> 00:00:36,000 Speaker 1: they can't get and that'll be nice if we did 15 00:00:36,040 --> 00:00:37,000 Speaker 1: have money. We just don't. 16 00:00:38,320 --> 00:00:40,440 Speaker 2: Oh look, look, I think we've got a major problem here. 17 00:00:40,479 --> 00:00:42,760 Speaker 2: I mean we've been predicting this for the last fifteen 18 00:00:42,880 --> 00:00:47,440 Speaker 2: years that there was an ongoing tsunami happening with kidney disease, 19 00:00:48,080 --> 00:00:51,680 Speaker 2: driven primarily by the surge and diabetes across the country, 20 00:00:52,240 --> 00:00:54,319 Speaker 2: and this was going to be a problem. We're now 21 00:00:54,400 --> 00:00:56,640 Speaker 2: seen in the problem. I'm glad we're talking about it 22 00:00:56,680 --> 00:00:59,840 Speaker 2: because this is hidden in the system, and this is 23 00:01:00,120 --> 00:01:06,160 Speaker 2: high cost, high intervention medicine that's required, and we've totally 24 00:01:06,160 --> 00:01:07,360 Speaker 2: not planned for this happening. 25 00:01:07,600 --> 00:01:10,000 Speaker 1: MO should we have? Is there another way? How do 26 00:01:10,040 --> 00:01:12,119 Speaker 1: I put this delicately? If people put on a lot 27 00:01:12,160 --> 00:01:14,399 Speaker 1: of weight and don't move, they might end up with 28 00:01:14,440 --> 00:01:17,120 Speaker 1: type two diabetes, which means they need dialysis. Is there 29 00:01:17,200 --> 00:01:19,800 Speaker 1: something there that we could message to save ourselves some 30 00:01:19,800 --> 00:01:20,560 Speaker 1: long term issues? 31 00:01:21,480 --> 00:01:25,120 Speaker 2: Ah? Look, I think that's too simple to describe the problem. 32 00:01:25,160 --> 00:01:28,440 Speaker 2: We've got no doubt lifestyle has a part to play, 33 00:01:28,480 --> 00:01:31,760 Speaker 2: we know that, but we also know that metabolism and 34 00:01:31,800 --> 00:01:34,920 Speaker 2: genetics play a big, big part of what's happening. What 35 00:01:35,000 --> 00:01:38,520 Speaker 2: we're seeing is MARII and Pacific in particular are developing 36 00:01:38,600 --> 00:01:43,440 Speaker 2: diabetes and kidney disease fifteen years younger than European. That 37 00:01:43,600 --> 00:01:47,840 Speaker 2: is just not diet alone or exercise. There's absolutely a 38 00:01:47,840 --> 00:01:50,160 Speaker 2: whole lot of other really complex factors going on that 39 00:01:50,200 --> 00:01:52,160 Speaker 2: we're only just starting to uncover. 40 00:01:52,080 --> 00:01:53,520 Speaker 1: As part of the problem. We're in the middle of 41 00:01:53,560 --> 00:01:55,280 Speaker 1: a war and we've got the money, and this message 42 00:01:55,320 --> 00:01:58,400 Speaker 1: gets a bit lost in the crossfire, and no pun intended. 43 00:02:00,280 --> 00:02:02,280 Speaker 2: Look, look, I think this message has been lost over 44 00:02:02,320 --> 00:02:04,520 Speaker 2: the last ten to fifteen years. We just haven't planned 45 00:02:04,560 --> 00:02:07,120 Speaker 2: ahead for this happening. We've been predicting this was going 46 00:02:07,160 --> 00:02:09,160 Speaker 2: to happen. We're predicting it was going to be a 47 00:02:09,200 --> 00:02:12,360 Speaker 2: problem and we've now got it. So yeah, we have 48 00:02:12,400 --> 00:02:15,200 Speaker 2: to address it. If people don't get access to dialysis, 49 00:02:15,280 --> 00:02:18,079 Speaker 2: they die. It's as simple as that. We have increasing 50 00:02:18,160 --> 00:02:21,520 Speaker 2: numbers occurring. We need to address that. We actually need 51 00:02:21,560 --> 00:02:24,520 Speaker 2: to have access to good primary care general practice to 52 00:02:24,560 --> 00:02:27,440 Speaker 2: actually do something about things at the front of the problem, 53 00:02:27,520 --> 00:02:30,600 Speaker 2: right up front when people are diagnosed. So yeah, we 54 00:02:31,000 --> 00:02:33,040 Speaker 2: have to think really hard about what to do here. 55 00:02:33,400 --> 00:02:36,120 Speaker 2: Otherwise this is an issue that starts to undermine the 56 00:02:36,160 --> 00:02:38,080 Speaker 2: health system going forward in terms of cost. 57 00:02:38,320 --> 00:02:40,760 Speaker 1: Llan appreciate it, Doctor Brian Betty, Chair of the General 58 00:02:40,760 --> 00:02:42,120 Speaker 1: Practice New Zealand. 59 00:02:42,160 --> 00:02:45,080 Speaker 2: For more from The Mic Asking Breakfast, listen live to 60 00:02:45,200 --> 00:02:48,240 Speaker 2: news talks that'd be from six am weekdays, or follow 61 00:02:48,280 --> 00:02:49,800 Speaker 2: the podcast on iHeartRadio.