Monday, March 25, 2019

Health Workers betrayed by "labour" Party




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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