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Ian Powell

@otaihanga.bsky.social
25 followers 3 following 136 posts

Health systems & politics commentator, freelance writer and blogger; former Executive Director of salaried senior doctors union in New Zealand.

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Ian Powell @otaihanga.bsky.social · 04/10/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses why it is necessary to establish trust and confidence in Health New Zealand (beginning with its workforce) and how best to do this. otaihangasecondopinion.wpcomstaging.com/2026/10/04/h...
otaihangasecondopinion.wpcomstaging.com
How I would establish trust and confidence in Health New Zealand (on a best endeavours basis only)
Health New Zealand (HNZ) – Te Whatu Ora was established on 1 July 2022 under the Pae Ora (Healthy Futures) Act. Replacing the 20 former district health boards (DHBs) its main purpose is to deliver,…
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Ian Powell @otaihanga.bsky.social · 28/09/2026
Health system blog ‘Otaihanga Second Opinion’ discusses the issue of why so many overseas-trained medical specialists recruited to New Zealand leave the country so quickly. otaihangasecondopinion.wpcomstaging.com/2026/09/28/n...
otaihangasecondopinion.wpcomstaging.com
New Zealand loses two-thirds of recruited overseas trained medical specialists within five years!
What a headline: ‘Two thirds of overseas-trained medical specialists leave again in less than five years’. It is hard to beat it for dramatic effect especially as it is right on the mark. Aotearoa …
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Ian Powell @otaihanga.bsky.social · 24/09/2026
Last night I was interviewed by Radio New Zealand on its 'The Panel' programme. The subject was a controversy over NZ First's recently announced health policy which resembled a 'copy-cat' of the policy of a 'fringe' advocacy group. www.rnz.co.nz/national/pro...
rnz.co.nz
The Panel with Michael Moynahan and Nalini Baruch
Tonight, on The Panel, Wallace Chapman is joined by panellists Michael Moynahan and Nalini Baruch.
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Ian Powell @otaihanga.bsky.social · 20/09/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses how New Zealand’s health minister misses the target with his health targets, particularly with respect to public hospitals. otaihangasecondopinion.wpcomstaging.com/2026/09/20/h...
otaihangasecondopinion.wpcomstaging.com
Health Minister misses health targets – yet again!!
How many times has Minister of Health Simeon Brown missed the target while frequently undertaking his self-promotion of his highly politicised health targets? For the answer see my final comment be…
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Ian Powell @otaihanga.bsky.social · 18/09/2026
Politics blog ‘Political Bytes’ discusses New Zealand’s response to the forthcoming vote in the United Nations General Assembly on the US blockade of Cuba in the context of the ‘ripe fruit theory’. politicalbytes.blog/2026/09/18/r...
politicalbytes.blog
‘Ripe Fruit Theory’ and New Zealand’s vote in the UN General Assembly on US economic warfare against Cuba
On 27 October there will be the annual consideration of the United States’ blockade (economic warfare is a better description) at the United Nations General Assembly in New York. The next day the A…
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Ian Powell @otaihanga.bsky.social · 13/09/2026
Health systems blog ‘Otaihanga Second Opinion’ observes that the overflowing of New Zealand’s public hospitals was already occurring well before the current severe winter flu outbreak and discusses why this was so. otaihangasecondopinion.wpcomstaging.com/2026/09/13/p...
otaihangasecondopinion.wpcomstaging.com
Public hospitals were already overflowing before winter flu outbreak
With all the extensive media coverage one could not be blamed for attributing the current winter flu outbreak, which started to peak in late August, to the disastrous situation facing our overstret…
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Ian Powell @otaihanga.bsky.social · 09/09/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the Government’s move to extend its ideological obsession for privatisation to first specialist assessments in New Zealand’s public hospitals. otaihangasecondopinion.wpcomstaging.com/2026/09/09/p...
otaihangasecondopinion.wpcomstaging.com
Privatising first specialist assessments
Privatisation is continuing to expand in Aotearoa New Zealand’s public hospitals, both in volume and scope. Owing to the Government’s reluctance to use this ‘p’ word, it instead calls it ‘out…
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Ian Powell @otaihanga.bsky.social · 06/09/2026
Politics blog ‘Political Bytes’ discusses an insightful article from a White House insider on the veil of good intentions in US foreign policy and the removal of this veil by Donald Trump along with a lesson for New Zealand. politicalbytes.blog/2026/09/06/r...
politicalbytes.blog
Removing the ‘veil of good intentions’: a lesson for New Zealand foreign policy
The ‘veil of good intentions’ is an interesting phrase that does not have a specific meaning. Rather it is more metaphorical or symbolic associated with modesty, purity and mystery. Ben Rhodes is a…
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Ian Powell @otaihanga.bsky.social · 03/09/2026
This post of health systems blog ‘Otaihanga Second Opinion’ discusses the serious riskes when the leadership of Health New Zealand (especially political) and its workforce are on different pages. otaihangasecondopinion.wpcomstaging.com/2026/09/03/h...
otaihangasecondopinion.wpcomstaging.com
Health New Zealand and its workforce are not ‘on the same page’
If I was to attempt to summarise in a simple soundbite the precarious and deteriorating position of Aotearoa New Zealand’s health system, I may well say that the leadership of Health New Zealand – …
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Ian Powell @otaihanga.bsky.social · 29/08/2026
Politics blog ‘Political Bytes’ discusses why Jews should not be blamed for genocidal ethnic cleansing and who should be blamed. politicalbytes.blog/2026/08/29/d...
politicalbytes.blog
Don’t blame Jews for Israel’s genocidal ethnic cleansing (or for Zionism)
In my various previous posts critical of Israel’s  ethnic cleansing of Palestinians, including through genocide, wherever possible I have avoided using the word ‘Jews’. I deliberately use ‘Isr…
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Ian Powell @otaihanga.bsky.social · 28/08/2026
In early July I published in 'Political Bytes' a post on how Israel's genocide in Gaza was robbing Palestinian children their childhood. politicalbytes.blog/2026/07/08/d... An Al Jazeera documentary 'Fault Lines' depressingly reinforces my analysis: www.aljazeera.com/video/fault-...
politicalbytes.blog
Destroying the essence of Palestinian childhood
Foreign Minister Winston Peters has been reported to be considering the Government’s response to an horrific United Nations special investigation into Israel’s approach to Palestinian children in G…
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Ian Powell @otaihanga.bsky.social · 22/08/2026
New Zealand’s health Minister Simeon Brown has dropped the Medical Council in a right political pickle over his appointment of a doctor who promotes and sells his own supplements. otaihangasecondopinion.wpcomstaging.com/2026/08/22/h...
otaihangasecondopinion.wpcomstaging.com
Health Minister drops Medical Council in a right political pickle
‘In a pickle’ is an idiom meaning to be in a difficult, tricky, or troublesome situation; one where it is hard to know what to do or how to escape. It can include everyday things such as losing hou…
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Ian Powell @otaihanga.bsky.social · 19/08/2026
Newsroom has published my latest column which discusses government efforts to undermine the independence of health practitioner statutory regulatory authorities. Link below: newsroom.co.nz/2026/08/19/s...
newsroom.co.nz
Simeon Brown's health practitioners bill puts political whims ahead of public safety
Comment: The former Medical Council chair says the minister’s interventions in professional standards are ‘dangerous and dystopian’; Nurses Organisation kaiwhakahaere Kerri Nuku says they're 'over-rea...
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Ian Powell @otaihanga.bsky.social · 08/08/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the exposed hidden cost of unfilled nursing jobs in New Zealand’s public hospitals forcing nurses to have to rely on a song and a prayer. otaihangasecondopinion.wpcomstaging.com/2026/08/08/i...
otaihangasecondopinion.wpcomstaging.com
It’s ‘a song and a prayer’: hidden cost of 1,300 unfilled nursing jobs
‘A song and a prayer’ is an interesting phrase. It combines a song (words set to music) and a prayer (a petition or address to God). Biblically, by combining emotional expression with spiritual dev…
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Ian Powell @otaihanga.bsky.social · 03/08/2026
Politics blog ‘Political Bytes’ discusses the wider implications and intrigue of the attack by the so-called Free Speech Union on an investigative journalist for being investigative. politicalbytes.blog/2026/08/03/s...
politicalbytes.blog
Sinister ‘Free Speech Union’ attacks investigative journalist for being investigative
On 6 June I published a Political Bytes post criticising the mis-named Free Speech Union (FSU) for opposing the exercise of free speech, in the context of fulfilling his duty of care for student we…
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Ian Powell @otaihanga.bsky.social · 01/08/2026
This post of health systems blog ‘Otaihanga Second Opinion’ discusses the experience of the rundown of an orthopaedic department that highlights the worsening crisis in New Zealand’s acute public hospitals. otaihangasecondopinion.wpcomstaging.com/2026/08/01/a...
otaihangasecondopinion.wpcomstaging.com
A microscopic view that highlights worsening crisis in public hospitals
There are occasions when a crisis in a particular hospital department provides a microscopic insight into the wider crisis across all of Aotearoa New Zealand’s acute public hospitals. One such occa…
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Ian Powell @otaihanga.bsky.social · 27/07/2026
Health system blog ‘Otaihanga Second Opinion’ discusses the blow-out of locum doctor costs in public hospitals, what sits behind it, and what approach should be taken. otaihangasecondopinion.wpcomstaging.com/2026/07/27/p...
otaihangasecondopinion.wpcomstaging.com
Public hospitals increasingly dependent on ‘place-holder senior doctors
The word locums originates from the Latin term ‘locum tenens’ which means ‘to hold the place of.’ Medical doctors and the clergy are where they are most likely to be found. Aotearoa New Zealand’s p…
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Ian Powell @otaihanga.bsky.social · 21/07/2026
Politics blog ‘Political Bytes’ discusses the possibility of the Opportunity Party unending the forthcoming general election in New Zealand. Is the Party ‘for who the bell tolls”? politicalbytes.blog/2026/07/21/f...
politicalbytes.blog
For whom the opportunity bell tolls
The phrase ‘for whom the bell tolls’ has a long history signifying the interconnectedness of humanity and the inevitability of death. Dramatic poet John Donne (1572-1631) originally formu…
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Ian Powell @otaihanga.bsky.social · 12/07/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the unsustainability of privatised laboratories in New Zealand’s public hospitals. otaihangasecondopinion.wpcomstaging.com/2026/07/12/h...
otaihangasecondopinion.wpcomstaging.com
Hospital laboratory privatisation unsustainable; leaving with a “heavy heart”
On 27 June the Otago Daily Times published a powerful paywalled article by  journalist Matthew Littlewood on the concerns of a leading highly experienced blood cancer laboratory scientist who was r…
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Ian Powell @otaihanga.bsky.social · 08/07/2026
Politics blog ‘Political Bytes’ discusses the devastating United Nations commissioned report on Israel’s use of targeting children in occupied Palestine in order to destroy the essence of their childhood and the New Zealand government’s response. politicalbytes.blog/2026/07/08/d...
politicalbytes.blog
Destroying the essence of Palestinian
Foreign Minister Winston Peters has been reported to be considering the Government’s response to an horrific United Nations special investigation into Israel’s approach to Palestinian children in G…
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Ian Powell @otaihanga.bsky.social · 02/07/2026
This post of health systems blog ‘Otaihanga Second Opinion' discusses the attempt to purge our health system’s workforce regulatory authorities by Government and in doing so undermining their public safety prime responsibility. otaihangasecondopinion.wpcomstaging.com/2026/07/02/h...
otaihangasecondopinion.wpcomstaging.com
Health Minister ‘purges’ regulatory health practitioner authorities for carrying out their statutory function
Dr Dylan Mordaunt is a vocationally registered specialist in medical administration, paediatrics and clinical genetics. In recent months he has become a prolific published writer on various health …
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Ian Powell @otaihanga.bsky.social · 23/06/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses how clinical prioritisation (and consequently patient safety) can be overridden when ‘health targets’ are politicised learning from a revealing media reported email. otaihangasecondopinion.wpcomstaging.com/2026/06/23/h...
otaihangasecondopinion.wpcomstaging.com
Health target politics versus clinical prioritisation
It isn’t often that smaller provincial newspapers break revealing health stories. They struggle with fewer resources to call upon and few opportunities to report. However, health and general journa…
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Ian Powell @otaihanga.bsky.social · 20/06/2026
Politics blog ‘Political Bytes’ discusses whether the coming general election is a ‘when the opportunity knocks’ moment for the revamped Opportunity Party in light of recent polls and media coverage. otaihangasecondopinion.wpcomstaging.com/2026/06/20/w...
otaihangasecondopinion.wpcomstaging.com
When opportunity knocks for the Opportunity Party?
Opportunity Knocks’ is a British television and radio talent show that first began in 1949. It provided a platform to fame for acts such as Spike Milligan and Frankie Vaughan. The popular show whic…
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Ian Powell @otaihanga.bsky.social · 16/06/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses, using two different cases, avoidable bed-blocking in New Zealand’s public health system and where social determinates of health fit in. otaihangasecondopinion.wpcomstaging.com/2026/06/16/t...
otaihangasecondopinion.wpcomstaging.com
Two different tales of avoidable hospital bed-blocking
Through necessity bed-blocking is a term that of is increasingly being used by those working in Aotearoa New Zealand’s public hospitals. This is because it captures so precisely what is going so ba…
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Ian Powell @otaihanga.bsky.social · 14/06/2026
‘Newsroom’ has published my column on the parlous and unsustainable state of privatised hospital laboratories in New Zealand with a particular emphasis on those operated by Awanui. newsroom.co.nz/2026/06/12/u...
newsroom.co.nz
‘Unsustainable situation’ drives senior lab scientist out of NZ hospitals
Opinion: Terry Taylor’s departure is a symptom of a sick medical laboratory funding system, outsourced, ill-equipped and under-funded, argues Ian Powell.
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Ian Powell @otaihanga.bsky.social · 06/06/2026
Politics blog ‘Political Bytes’ discusses the hypocrisy of complaint against Otago University Vice Chancellor Grant Robertson by the Free Speech Union in an email to university students on wellbeing. politicalbytes.blog/2026/06/06/h...
politicalbytes.blog
Hypocrisy of Free Speech Union opposing free speech in practice
With some origins in ‘Athenian democracy’ free speech is one of the noblest rights which people have struggled for and defended in a multitude of ways for centuries. Put simply it is the right to e…
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Ian Powell @otaihanga.bsky.social · 03/06/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the wider implications and risks of the decision to tender for proposals to privatise eyecare services currently provided in New Zealand’s public health system. otaihangasecondopinion.wpcomstaging.com/2026/06/03/t...
otaihangasecondopinion.wpcomstaging.com
The wider implications of eyecare privatisation
On 5 March the Government through Health New Zealand (Te Whatu Ora) formally called for ‘Requests for Proposals’ (RFPs) for outsourcing (privatising) ophthalmology services in Aotearoa New Zealand’…
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Ian Powell @otaihanga.bsky.social · 01/06/2026
Politics blog ‘Political Bytes’ discusses, in the context of the German historical word Gleichschaltung, the far right political momentum internationally and its lessons for politics in New Zealand. politicalbytes.blog/2026/06/01/g...
politicalbytes.blog
Gleichschaltung and the far right momentum: lessons for New Zealand
Gleichschaltung is an interesting German word meaning synchronisation or coordination. In the context of German history it was used to describe the process of Nazification in the mid-1930s; that is…
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Ian Powell @otaihanga.bsky.social · 26/05/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the risks to rural general practices threatened by a pending decision by Health New Zealand’s intention to use a blunt instrument to determine eligibility for funding contracts. otaihangasecondopinion.wpcomstaging.com/2026/05/26/u...
otaihangasecondopinion.wpcomstaging.com
Un-funding rural general practice
They’re the ones that would suffer…our elderly vulnerable community who are struggling with pensions, who are suddenly going to have to pay huge amounts of money for fuel to drive to Tauranga. GP D…
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Ian Powell @otaihanga.bsky.social · 15/05/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the public exposure of unreported unmet need through an ethically challenging hidden waiting list of general practitioner referrals to hospital specialists in New Zealand. otaihangasecondopinion.wordpress.com/2026/05/15/h...
otaihangasecondopinion.wordpress.com
Hidden waiting list exposed; unmet health need unreported
‘Doing God’s work’ is an interesting expression, Usually it refers to performing acts that are virtuous, altruistic, or, in a religious sense, aligned with divine will. Often it is attributed…
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Ian Powell @otaihanga.bsky.social · 09/05/2026
This post of politics blog ‘Political Bytes’ discusses the humanitarian crisis in Cuba caused by the escalation of economic warfare by the United States. politicalbytes.blog/2026/05/09/i...
politicalbytes.blog
Inhumanity of US economic sanctions against Cuba – infant mortality and starvation; time to end New Zealand’s silence
Cuba is facing a humanitarian crisis that has been caused by an unjustified escalation of an unjustified over 60-year old economic war by the most economically and militarily powerful country in th…
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Ian Powell @otaihanga.bsky.social · 05/05/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the revelation of baby deaths (and near misses) in New Zealand’s maternity system including hospitals that are linked to workforce shortages, in this case midwifes. otaihangasecondopinion.wordpress.com/2026/05/05/t...
otaihangasecondopinion.wordpress.com
The cruelty of health professional staffing shortages
I suffer from an addiction – to crime dramas and novels, particularly those involving murder. One of the themes is that as bad as murders of anyone are, it is so much more emotionally stressful for…
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Ian Powell @otaihanga.bsky.social · 02/05/2026
This post of politics blog ‘Political Bytes’ discusses the recent Wellington floods in the context of climate change, wealth accumulation and ‘suicidal capitalism’. politicalbytes.blog/2026/05/02/d...
politicalbytes.blog
Do Wellington floods, climate change and wealth accumulation equal “suicidal capitalism”?
On 20 April the Science Media Centre published expert responses to the overwhelming Wellington floods which hit the wider region with such unexpected suddenness, intensity and devastation: Expert r…
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Ian Powell @otaihanga.bsky.social · 27/04/2026
Below is the link to my recently published column in ‘Newsroom’ discussing the unexpected resignation of Health New Zealand Chair Lester Levy, including the role of the ninth floor of the Beehive in both his original appointment and subsequent ‘disappointment’. newsroom.co.nz/2026/04/24/h...
newsroom.co.nz
How the Levy finally broke: 'The ninth floor went cold on Lester’
Opinion: It was Lester Levy's strong relationship with Christopher Luxon that put him in charge of the country's biggest organisation, Health NZ. But he's now learnt the hard way about over-promising ...
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Ian Powell @otaihanga.bsky.social · 19/04/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses a revealing opinion piece by a medical specialist on the failure to implement a plan on addressing chronic kidney disease as symptomatic of a wider crisis in New Zealand’s health system. otaihangasecondopinion.wordpress.com/2026/04/19/f...
otaihangasecondopinion.wordpress.com
Failing kidney patients symptomatic of health system crisis; health system needs its own mantra
These days, in fact for several years, when a major failing is revealed in Aotearoa New Zealand’s health system due to leadership (political and bureaucratic) decisions, as well as being significan…
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Ian Powell @otaihanga.bsky.social · 14/04/2026
politicalbytes.blog/2026/04/14/m...
politicalbytes.blog
Making sense of the Opportunity Party: ripples or wave
A small political party outside Parliament is starting to make political ripples. It is the Opportunity Party; until recently it had ‘The’ at the start of its name and ‘Opportunity’ was pluralised.…
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Ian Powell @otaihanga.bsky.social · 11/04/2026
Health systems blog ‘Otaihanga Second Opinion’ calls out Health New Zealand for its intimidation of nurses at Whangarei Hospital. Intimidation has no place in health systems. otaihangasecondopinion.wordpress.com/2026/04/11/c...
otaihangasecondopinion.wordpress.com
Calling out Health New Zealand for intimidation of nurses
Hospitals, whether public or private, are places overendowed in skill, dedication, compassion and kindness. They are also places that depend on an embedded culture of teamwork both between differen…
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Ian Powell @otaihanga.bsky.social · 10/04/2026
Newsroom’ has published my opinion piece on the move by Health New Zealand on behalf of the Government to privatise public hospital ophthalmology. newsroom.co.nz/2026/04/09/p...
newsroom.co.nz
Privatising public hospital eye care by stealth, not diagnosis
Comment: The Govt’s tender to outsource ophthalmology services is startling and significant – the first time a country-wide public hospital clinical service has been privatised
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Ian Powell @otaihanga.bsky.social · 06/04/2026
This post of health systems blog ‘Otaihanga Second Opinion’ discusses the Cuban health system and how New Zealand’s system might learn from it. otaihangasecondopinion.wordpress.com/2026/04/06/u...
otaihangasecondopinion.wordpress.com
Understanding Cuba’s health system helps to better understand New Zealand’s
In the last few months of my employment as Executive Director of the Association of Salaried Medical Specialists in 2019, I was asked by many members what I would be doing once I finished work. My …
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Ian Powell @otaihanga.bsky.social · 29/03/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the encouraging formation of a new healthcare advocacy organisation formed in part to oppose the drift towards privatising New Zealand’s universal public health system. otaihangasecondopinion.wordpress.com/2026/03/29/k...
otaihangasecondopinion.wordpress.com
Kaitiaki Hauora – Together for Public Health; a powerful voice for the health system
Once a upon a time there was an ideological attempt in Aotearoa New Zealand to pretend that healthcare was a commodity, not a universal public good, and that therefore the health system should func…
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Ian Powell @otaihanga.bsky.social · 25/03/2026
Politics blog ‘Political Bytes’ discusses what is really behind the United States over 60-year economic war against Cuba, including its current rapid and brutal escalation. politicalbytes.blog/2026/03/25/w...
politicalbytes.blog
Why does the United States have it in for Cuba so badly and for so long?
The 1959 Cuban revolution was in direct response to the coup in 1952 launched by Fulgencio Batista which overthrew an emerging Cuban democracy and replacing it with his dictatorship. Young Fidel Ca…
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Ian Powell @otaihanga.bsky.social · 22/03/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the relationship between the ethics of convictions and the ethics of responsibilities in the context of health system restructuring in New Zealand’s health system. otaihangasecondopinion.wordpress.com/2026/03/22/e...
otaihangasecondopinion.wordpress.com
Ethics of conviction and ethics of responsibility in health systems
The distinction between the ethics of conviction, on the one hand, and the ethics of responsibility, on the other, is not just interesting in its own right but also highly pertinent to health syste…
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Ian Powell @otaihanga.bsky.social · 19/03/2026
My politics blog ‘Political Bytes’ discusses what is behind the United States and Israel war against Iran and the response of New Zealand’s government. politicalbytes.blog/2026/03/19/i...
politicalbytes.blog
Iran, US imperialism and New Zealand lapdog
When Ayatollah Ali Hosseini Khamenei, Iran’s Supreme Leader, was assassinated in the opening stages of the US-Israeli war against Iran, I did not mourn. Khamenei was not someone who deserved to be …
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Ian Powell @otaihanga.bsky.social · 09/03/2026
Health systems blog discusses the implications of recent child poverty data in New Zealand to its health system including external social determinants of health and narrow balance sheet thinking by decision-makers. otaihangasecondopinion.wordpress.com/2026/03/09/c...
otaihangasecondopinion.wordpress.com
Child poverty, social determinants of health, and balance sheets
‘One in seven New Zealand children living in material hardship’ was the dramatic heading of a NZ Herald feature article published on 26 February. The figure was based on the latest Statistics NZ ch…
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Ian Powell @otaihanga.bsky.social · 03/03/2026
This post of politics blog ‘Political Bytes’ discusses the retrograde Employment Relations Amendment Act in a historical context in respect of level playing fields and employer-worker relationship imbalance. politicalbytes.blog/2026/03/03/c...
politicalbytes.blog
Class political warfare via employment law
In 1894 the new reforming Liberal government passed the Industrial Conciliation and Arbitration Act. It was recognised as landmark legislation and contributed to Aotearoa New Zealand’s reputation a…
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Ian Powell @otaihanga.bsky.social · 25/02/2026
Health systems blog ‘Otaihanga Second Opinion’ discusses the problem when government’s base decision-making on balance sheet snapshots. otaihangasecondopinion.wordpress.com/2026/02/25/w...
otaihangasecondopinion.wordpress.com
What do they know of balance sheets who only balance sheets know?
I’m a self-confessed ‘cricket nut’ or, as former Prime Minister Jacinda Ardern once said of her finance minister Grant Robertson, a ‘cricket tragic’. For some time I used to brag about playing with…
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Ian Powell @otaihanga.bsky.social · 23/02/2026
‘Newsroom’ has published my column on the implications and risks arising out of the General Practice Owners Association proposal to establish its own primary care organisation (PHO) in the context of PHOs trying to function in a six-year policy vacuum. newsroom.co.nz/2026/02/20/h...
newsroom.co.nz
Healthcare disruption as general practices assn opposes super-PHO
Comment: A doctor who's joining the new organisation says: 'If people were satisfied with the status quo there wouldn’t be this deluge of people running in the opposite direction...' Ian Powell report...
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Ian Powell @otaihanga.bsky.social · 11/02/2026
Health systems blog ‘Otaihanga Second Opinion discusses the threat to public safety of planned political interference in the regulatory authorities for New Zealand’s health system. otaihangasecondopinion.wordpress.com/2026/02/11/p...
otaihangasecondopinion.wordpress.com
Political interference in regulatory authorities threatens health and safety of the public
The Health Practitioners Competence Assurance Act 2003 (HPCA) is legislation that Aotearoa New Zealand’s health system can’t function safely without. The Act is one of the key external moralities t…
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Ian Powell @otaihanga.bsky.social · 06/02/2026
@bsky.app Health systems blog ‘Otaihanga Second Opinion’ discusses the huge ‘Manage My Health’ security breach of patient health records in the context of private ownership (and operation) and the need to restore Health Ministry IT capacity. otaihangasecondopinion.wordpress.com/2026/02/06/m...
otaihangasecondopinion.wordpress.com
Mismanaging my (and our) health by private operational control
‘Big tech’ in the United States military and the controversy over the Manage My Health (MMH) security breach resulting from a cyberattack on 31 December in Aotearoa New Zealand appear to be so…
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Ian Powell @otaihanga.bsky.social · 02/02/2026
With an eye on the policy of the New Zealand government to Israel’s genocide in Gaza, politics blog ‘Political Bytes’ discusses the courageous unbreakable Nelson Mandela-like spirit of a Palestinian leader. politicalbytes.blog/2026/02/02/c...
politicalbytes.blog
Courageous words from an unbreakable spirit
This post is much longer than usual. It is also different because it quotes extensively from a courageous Palestinian leader imprisoned for much longer than the legendary Nelson Mandela. Such was t…
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