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Wednesday, June 10, 2026

Ele Ludeman: Do you want govt between you & your GP?


Labour’s policy to fund three GP visits for everyone has been criticised for many reasons, including that it would overwhelm already overstretched general practices.

Labour’s answer to that is to get between us and our GPs:

. . .Instead of patients booking their appointments through a first come, first serve system, a nationwide triage system would see patients assessed over the phone to determine the level of care they need and when. . .

How will a call centre work for people who don’t want to share intimate health information; people who are anxious or agitated and those who have difficulty explaining their needs?

How will the system stop patients calling a clinic directly for appointments without stopping them from calling to speak to someone in the clinic on other business?

GPs’ receptionists already triage patients who phone for an appointment and they do it in many, possibly most cases, with the knowledge of the patients and their history.

A call centre would be impersonal, put a barrier between GP clinics and patients and it will add costs.

The idea of three taxpayer funded GP visits for everyone is designed to be the sugar that helps the medicine of Labour’s capital Gains tax proposal go down.

The CGT policy is bad medicine and funding three GP visits won’t make it any sweeter.

It would be wasteful to fund visits for those of us who can afford to pay for ourselves.

It would provide little if any benefit for those who need more than three visits but can’t afford them.

And complicating it with a national triage system that comes between us and our GPs makes it worse.

Ele Ludemann is a North Otago farmer and journalist, who blogs HERE - where this article was sourced.

3 comments:

Anonymous said...

Of course, there call centre would be talking to you in fictional te reo maori, asking which organ ( the one with the invented maori name, unknown to the rest of the medical world) is troubling you.
The very first thing they will ask "are you maori?", to assign priority.
Their typed responses would then be visible to everyone on their system without any privacy.
Yeah right Chippy, this is exactly what the people are asking for !

A truly great use of my hard labour working to make a capital gain (isn't all work ?), to be double taxed, to be squandered on risable nonsense like this.

Anonymous said...

Just another wonderful, brilliant, entirely unworkable idea from Labour. Very like all the wonderful, brilliant, entirely tyrannical ideas they had during the Covid fiasco. “Vote Labour, destroy the country” would be a real vote catcher, given all the morons out there in today’s Monty Python world.

Anonymous said...

If you think the "idea" is radical, no - both St John & Wellington Free Ambulance run through their Communications Centers a system where the "call taker" having ascertained the reasons for calling an Ambulance, can then "deflect" a "? non urgent" call across to an Ambulance officer (Paramedic level) who will then review -
- there and then
- or call back /if busy
and if they 'deem' that an Ambulance is not required, then they will 'suggest' you see your Doctor -
- if during the day
- via an emergency medical center
- if call is later at night, that you call your Doctor in the morning.
OR - if the "need" arises, advise to recall the Ambulance Service - note "if the need arises".
It is not uncommon from such phone calls for the Patient to taken by family transport to the nearest Hospital ED, only to find they "get to sit and wait", then "bellyache" about not being seen ASAP/upon arrival.
Also "sadly", there have been incidents where those initiating the original phone call, have then seen their 'loved one' decline and in becoming upset -
- do not know what to do next
- call a family member to come and help
- reach out to a neighbour
> whilst the 'patient' declines indoors.
The other aspect - where patients are "recommended" to see their Doctor, find upon arrival at surgery - that the Doctor finds the patient needs to be in ED (after consulting Duty Dr at ED first) and staff call an ambulance.
This usually has Family scratching their heads, - "wondering why the ambulance service could not have done this when first called"!
Labour are no more in touch with "reality" when it comes to NZ Health Services and having a "licensed" Doctor in the Party. managing the Health Portfolio (has done so before) will not see equitable outcomes - just more chaos - Police being involved - followed by the Duty Funeral Director - the the Coroner, who will pontificate, after a period of time - pointing fingers at "the system" - which is still failing at that point.
Oh and if you are not aware - we have Maori already setting up out of hospital Doctor's Surgeries (all legit) - see money in the venture!

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