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TOP's Policy Priorities

Preventative Healthcare

Our health system does a pretty good job of keeping us healthy and living longer compared to others around the world, given the amount of money we invest in it. The problem is that our health system is unaffordable; costs are rising faster than we can pay for them. This is due to increasing public expectations, the ageing population, new technology and the rise of chronic disease. Our health system is also unfair; the people that need help the most often don’t get it until it is too late, while much treatment doesn’t make much difference to those that receive it.

Greater focus on prevention

We keep putting the ambulance at the bottom of the cliff, and that approach is starting to catch up with us. If we want an affordable health system, healthy society and flourishing economy in coming years we are going to have to prevent problems before they happen. We are going to have to start building fences at the top of the cliff.

Many of TOP’s policies already released will have a big impact on the underlying issues that determine our health. We will reduce poverty through our Fair Tax Reform and Thriving Families Solution. Our Climate Action Solution and improvements to tenant rights will also ensure people live in warm, dry homes. Our Real Deal Cannabis Reform and Real Action on Alcohol will reduce harm from both these drugs, as well as investing money in drug and alcohol rehab and improving mental health.

However, so far we haven’t acted on society’s biggest killer: junk food. To this end TOP proposes to ban junk food advertising to kids and place a 20% tax on all junk food, based on an improved front of pack labeling system. We estimate the tax would raise around $1b, and the money would be recycled into subsidies for wholesome foods such as fruit and vegetables. We also want local communities to have a greater say over issues in their local area that can impact on their health.

Getting the best bang for the public health buck

If we want to keep living longer, healthier lives, we can’t rely on the health system to deliver that for us. That is particularly the case with the ageing population and growing levels of chronic illnesses like diabetes that make people unwell. Neither establishment party will face up to this reality. National’s focus is making the system more efficient, while Labour wants to throw more money at the problem.

TOP proposes to replicate the independent health sector funder model of Pharmac across the health system. Health funding would go where there was the greatest health benefit – which is usually prevention and primary care. As a result of this reform we expect to see funding for prevention and primary care rise over time. Primary care is central to our health system and people shouldn’t have to think twice about whether they can afford to go to a GP or nurse. This same approach should also extend to dental care.

TOP will encourage hospitals to retire old technologies, find savings and reinvest them in local community services. Through providing better patient information we will see a shift in focus from end of life treatment to providing greater care. To meet the coming demand we will ensure all health industry staff operate at the top of their scope. 

Labour/Greens and National will continue to bicker over the amount of money going into the health system. TOP understands that this is simply arguing over how many ambulances you put at the bottom of the cliff. No matter how much money we have, we can’t meet the coming crisis. We have to do things differently.  

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    • Steve Searle
      commented 2020-01-30 06:19:07 +1300
      Care needed with some bits of this policy… “However, so far we haven’t acted on society’s biggest killer: junk food” – smoking and alcohol might still be ahead of this, car crashes ahead in terms of more easily preventable harm esp’ to younger people. Even though obesity up mortality down and dire predictions of obesity epidemic don’t hold historical weight (excuse the weighty arguments!). Even if “junk food” is the biggest killer a policy to tax junk food not likely implementable – how would you define “junk food”. I suspect other policies like UBI would reduce relative poverty and help nutrition and health anyway. Sugar AND sugar substitute tax likely better and may have more evidence – sugar substitutes still spike insulin and by other mechanism still cause weight gain and they rot teeth so sugar substitutes also need dealing to. Good to see dental care in policy long overlooked in our country …. Declaration of vested interst = my BMI 26 and I believe exercise is a better answer to long term health than weight loss and that when/how often we eat may be a better approach to obesity along with exercise rather than trying to focus on what we eat (other than promoting variety).
    • Steve Searle
      followed this page 2020-01-30 06:08:00 +1300
    • Graeme Tyree
      commented 2019-11-17 21:46:59 +1300
      Urgent action is needed to combat the obesity epidemic, and getting better outcomes for Maori and Polynesian communities. Equal access to health care should not be a lottery based on where one happens to live.