Labour governments typically have two standard responses to
a political problem, or even the mere perception of one. They either throw vast
amounts of money at it, or they create an unwieldy, centralised bureaucracy to
give the impression something is being done. Sometimes it’s both, since these
solutions often overlap.
We’ve already seen several examples of both approaches under
this government and it’s not even one-third of the way through its term. In
health and education, Labour is re-inventing the wheel by setting up potentially
cumbersome bureaucracies that will strip away all pretence of local
representation – and in the former case, create a co-governance structure that
will give Maori power vastly disproportionate to their numbers. Reform of local
government is still to come, and we can expect it to follow a similar path.
Even more egregious is Labour’s proposed Three Waters
upheaval – a project so flawed and obnoxious that even the mayors of Auckland
and Christchurch, both former Labour cabinet ministers, have declared their
opposition.
Another former Labour minister, Richard Prebble, succinctly describes
Three Waters as the biggest robbery in our history. “The government is taking
over $35.7 billion of ratepayers’ water assets and leaving the ratepayers with
the debt,” Prebble writes in the New
Zealand Herald.
Once again a centralised, opaque governance structure will
be created that will give grossly disproportionate power to unelected Maori, sweep
away local representation and discard generations of local knowledge, investment and experience.
Arguably the most offensive aspect of Three Waters is its audacious
dishonesty. Rather than solving a problem, the government has
invented one. The entire exercise has been sold to the public on the basis of a one-off incident – Havelock North’s 2016 water crisis, when four
people died and thousands fell ill as a result of contaminated groundwater.
Using that isolated event as its primary justification, Labour has insulted our intelligence
by spending millions on an infantile advertising campaign aimed at scaring us
into believing the entire country’s water infrastructure is in such a parlous
state that only the imposition of a new layer of remote, unaccountable bureaucracy
can save us. In fact most councils manage their water safely and effectively
without help from the Big State, still less any need for a dodgy Scottish governance
model.
Another striking example of textbook Labour kneejerk-ism is Health
Minister Andrew Little’s action plan (I use that term sardonically) for mental health.
It bears all the familiar hallmarks of Labour box-ticking: a
Maori name, Kia Manawanui (apparently it means “have patience”, which seems
apposite given how long the mentally ill may have to wait for anything to
happen); a blizzard of empty buzzwords (two examples: “joined-up investment” and “a digital
eco-system of support”); a 10-year plan (Stalin and Mao were fond of visionary
plans too); and the creation of yet another new bureaucracy, in this instance an "external oversight group” headed by a dependable Labour favourite in the person
of Professor Judy McGregor.
All this is intended to create the illusion of decisive,
meaningful action, but it’s merely the announcement of a plan that has yet to
be formulated. It contains nothing substantive or concrete – not even any goals
or targets (they’ll come later, presumably). It will provide work for lots of highly paid consultants
and hangers-on but do nothing in the short term to help people suffering from
mental illness. In short, it’s a disgrace and a travesty.
It’s not as if the government hasn’t had plenty of time already
to assess the problem. It commissioned a mental health inquiry (another thing
Labour’s good at) that produced a doorstop of a report in 2018, and it has budgeted
for $1.9 billion to sort things out – money that it doesn’t seem to know how to
spend. Responsible governments decide what needs to be done then work out what
it’s likely to cost. But this one appears to work backwards, plucking a sum out
of the air then wondering what to do with it.
In the meantime, Little continues to huff and puff over National’s
supposed neglect of mental health (which may have been a fair criticism in 2018,
but voters allow governments only one term to blame the previous lot; after
that the excuse just doesn’t cut it) and wrings his hands in frustration at
his inability to get anything done. Pardon me, but isn’t he supposed to be in
charge?
And now, after all that, it seems we’re being told that what’s
needed is more talk, more planning and ... oh yes, a layer of "oversight". If words and reports were all it took to
solve the problem, New Zealand would be the most mentally robust nation on the
planet.
Someone who has monitored the deepening crisis in mental
crisis over many years is Andy Espersen of Nelson, a regular commenter on this
blog who spent his entire working life in psychiatric hospitals. Following the
announcement of Labour’s mental health “plan” he wrote the following letter to
Little, part of which I reproduce here with his permission:
Dear Andrew Little.
Your government uncritically followed
He Ara Oranga [the 2018 inquiry into mental health and addiction] by almost
immediately accepting 38 of its 40 recommendations – practically rubber-stamping them. You simply did not leave enough time to
properly investigate, understand and weigh up the recommendations.
This inquiry was set up exclusively to
solve the following New Zealand mental health problems:
1. The
increased number of suicides among clients of our mental health services.
2. The
obvious shortage of fully serviced, psychiatric in-patient beds.
3. The
number of atrocious murders of innocent people by known mental health
patients.
4. The
chaotic and dangerous state of affairs in our acute mental health units
where both staff and patients are regularly assaulted by insane patients.
5. The
never-ending complaints from carers (usually parents) of schizophrenic
sufferers re lack of realistic support for them.
6. The
problem with our many single, homeless people now slumped in our streets –
of whom at least 70% are suffering from schizophrenia.
7. The
fact that whereas before 1992 we did not have one single schizophrenic
sufferer in prison (it was actually illegal to imprison a schizophrenic
person) – we now have ca. 2000 mentally ill prisoners (20% of our total
prison population!). Tony Bouchier, then President of the NZ Criminal Bar
Association, in an RNZ interview on Feb. 18th 2016, stated, “One of the
main reasons the prison muster is so high is that our prisons are our
proxy for our mental health institutions which we no longer have. And
everybody in criminal law will tell you this, from judges through to
defence counsel, if there was another way to deal with these people
through proper mental health legislation our muster would be a lot
smaller”.
Those were the reasons for setting up
the Paterson Inquiry. Jonathan Coleman (former Minister of Health) resisted an inquiry into mental health, dryly
observing :”We know the problems – why set up an inquiry?”. Those
were the problems Dr Coleman and all other people working with the mentally ill
then knew as facts.
Nevertheless, in came your Labour party
– up came Ron Paterson [the inquiry
chair] – and out came He Ara Oranga.
My proofs for your being ill advised by
your public service employees consist of the following facts :
1. Nowhere
in the 219 pages report will you find any reference to any of the above
mentioned 7 stark, accepted mental health problems, except suicide.
2. Nowhere
in its 219 pages will you find any mention of the treatment of mental
illnesses - schizophrenia, human
insanity, dementia, endogenous depressions
or any of the neuroses. You won't even find the words for those
conditions mentioned (except schizophrenia once, in passing, in chapter 1, page 33).
3. Nowhere
in the 219 pages will you find any reference to the most drastic changes
happening to New Zealand's philosophy of treating mental illness in 150
years, namely the enactment of the 1992 Mental Health Act - which you are now blithely revoking and
replacing. As none of the 7 problems mentioned above existed prior to
1992, one can hardly avoid suspecting that those changes might be a factor
behind those problems!
4. All
you get from the report is an incredibly vague treatise on something the
commission calls “mental
well-being” - which has nothing
whatsoever to do with mental
illness. We are advised that we shall all attain that state of eternal bliss when we have enough mental
health personnel to reach 20% of
our population rather than the miserable 3.7% as at present!
5. The
report lacks any practical suggestions how to initiate working towards
this eventual utopia. It is all just fine words and sentiments – all politically correct. There is
nothing to hang your hat on – as is
amply proved by the fact that nobody has yet figured out how to even begin to spend
the $1.9 billion so generously promised by Labour!! And by the way, we who are passionately concerned about
mental health were jubilant when Labour came out with that fantastic
budget.
It beggars belief that your Mental
Health Directorate advised you to follow the recommendations from He Ara
Oranga - ignoring the facts shown above.
So far I have only criticised -
which is easy. I wish to finish
on a positive note: How then should we proceed to repeal and replace the 1992
Act? In 1991 British social historian
Waltroud Ernst wrote a paper on 19th century psychiatry in New
Zealand. Our first mental health
legislation was The Lunatics Ordinance 1846.
Ernst wrote that it aimed to “provide safe custody and the prevention
of offences by persons dangerously insane and for the care and maintenance of
persons of unsound minds”. This brief synopsis shows the foundation for the building of all
our designated, psychiatric
hospitals for 150 years - together with
our whole philosophy of our treatment of all our mental illnesses. 1. It
authorised society to contain acutely psychotic persons and charitably protect
them from their own actions over which they have no control. 2. It gave all
mentally ill persons the right to remain as a wards of the state under
protection for the rest of their lives, if they so desired.
We enjoyed this mental hospital based
system for 150 years – and everybody, including the mentally ill, were very
satisfied and content. I here must
stress that other groups of people who eventually became patients in our mental
hospitals (e.g. the intellectually disabled and the epileptics) were never
happy here. This system was destroyed for ideological reasons only by the
enactment of the 1992 Act – and its consequential closure of our charitable,
residential institutions.
Our ten-year mental health plan should
be simply to revert to the charitable philosophy of yesteryear. And would it
not be good if the whole of parliament
would agree to that plan?
I have been in touch with Shane
Reti [deputy leader of the Opposition] and happen to know that he sympathises with my views – he is an
old time medical doctor who spent part of his training working in mental
hospitals but, of course, like you he is thwarted by the convictions of our
present mental health ideologues. It
would be ideal if you and he could get
together to talk about all this. And why
not include Brooke van Velden [ACT deputy leader]? Please,
please – do try to work towards a multi-party solution to the mental health
issue. It is ironic (and
saddening) that Judith Collins and
Jacinda Ardern both claim to have mental health as a priority but don't get together to work something out.
You politicians are supposed to be
running the show – not your advisors. It
is the same with all this Covid nonsense. Here you are legislating and issuing
decrees – all terribly destructive to New Zealanders, with long-lasting, devastating effects both economically and
psychologically. And meekly excusing it by saying that you are following expert advice. But you
are not obliged to follow “expert advice”.
Your job is exclusively to do the best, the most humane, the most
charitable, the most rational for your fellow New Zealanders who have honoured
you and elected you to govern – and if
that runs counter to scientific, epidemiological opinions, so be it.
Yours sincerely,
Andy Espersen