Another year of
wage stagnation and dangerous conditions of continued deliberate underfunding
of state provided health services. Residents Doctors Association and Midwifes
continue to fight while the district health board bosses (DHB) deliberately
drag out negotiations (longer than a year of negotiations).
Members
of the Resident Doctors' Association have held four 48-hour strikes so far this
year. They are fighting against DHB bosses who want to dictate rosters and
extreme shifts. The RDA wants to be able to reject unsafe rosters: Rosters like
10 days on and up to 4 nights in a row. Who would want to be assessed by a
doctor in their past day 6 let alone the last hours of that sort of roster?
This government delivers tired
doctors to the working people of NZ who need medical services. That is state
deliberately funding second class health services to ordinary working class.
While the ‘rich enough’ can dip into both public health services and when
concerned or dissatisfied access the private specialists. Labour willingly
stands by and runs down the public health service which as a by-product is
fostering private health providers.
Nurses (NZNO) took repeated
strike action and the rank and file repeatedly rejected offers of cost of
living increases. However, their leadership sold them only barely repackaged
deal, and promises of progress on gender pay equity that could be a decent pay
rise. The PSA (Health) also gave in for an equivalent pay deal, below cost of
living increases at < 3% per year. Health workforce has been sold pathetic
deals by union bureaucracies that are too close to the Labour Party and so
demobilise the workforce to stop pressure on a Labour Government.
The labour bureaucracy of the Council
of Trade Unions (CTU) was exposed when it failed to support the RDA. Teachers
(NZEI & PPTA) and state sector public service association (PSA) voted
against basic solidarity. The PSA was even caught out helping the formation of
a scab doctor union “SToNZs”, who negotiated a side deal which gave away safe
rostering. PSA and NZNO also refuse any deviation from the leaders/bureaucrats
who are anti-MERAS. Yes, they compete for members in the health sector, but to
also refuse solidarity with workers in struggle such as the Midwives union, is
against the wider class interests. That pays into the government and employers’
hands, continuing to underfund health while health sector unions lack
solidarity and can be picked off one at a time.
The Labour led government idly
sits by and keeps the DHB Budget under screws sticking to a “fiscal cap” –
Labour’s self-imposed budget parameters for its efficient running of the
capitalist regime. This means all the DHBs have to ration health services and
screw down wage bills. There are not enough resources and waitlists are
referred back to their GPs to avoid being a real waitlist. Patients in pain or
seriously mentally unwell, are more likely to assault health workers. But
protection of our health workforce would come with effective treatment and good
prevention.
The Labour Party has in effect,
abandoned working people and sticks to the capitalists’ limits, now obviously
within their own budget responsibility rules, in other words putting profits
before working people. It treats the DHBs as private corporations. The government
is effectively encouraging DHBs in their anti-worker rostering. We hear DHBs
are not employing experienced nurses who are on top RN pay grades if they can
get nurses on lower pay grades and save some money. That means less experience
on the floor – fewer specialised nurses. Forever training up relatively new
nurses is not the rational way to provide good health services.
Health workers also need to treat
DHBs as private corporations and demand a living wage by taking strike action
building support in the unions and wider working class until they get their
demands. Labour will either respond to the pressure by conceding apparent
reforms (increasing funding for DHBs) or it will come out as an openly
capitalist party doing the bidding of finance capital and sending the army in
to replace health workers. (As it did do in the last nurses strikes). And continue
subsidising private health providers (many public dollars go to private health
operators and profits.
Either way, it is a united
organised working class that is needed to defeat the parties who defend this
capitalist regime and to socialise health under workers’ control.
For Fighting Democratic unions
under rank and file control!
Socialise Health under Workers
Control!
For a Workers Government based
on Workers Councils!
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