Public health systems globally are under pressure
We’re seeing more and more stories of people unable to get the treatment they need from the public health system in a timely manner resorting to fundraising through sites like Givealittle to try and raise money to go private. Whether that’s raising funds to travel overseas for treatment or more recently a family waiting more than 10 months so far for what most people would consider a fairly common childhood surgery. Tauranga Hospital has been unable to provide a timeline for Natália Ferguson’s tonsil and adenoid removal surgery, saying that workforce shortages in the ENT department have impacted on both the number of patients waiting for treatment and the time spent on the waitlist. With Natália’s quality of life deteriorating and health declining, the family are trying to raise the funds for treatment themselves. I wonder, if there was capacity elsewhere in the system, could the family have not travelled to another region to get the surgery, especially given it’s usually an outpatient procedure? The creation of Te Whatu Ora was premised in part on upon removing the post code lottery, but how much progress has been made on this in the 12 months since establishment?
New Zealand isn’t the only country whose health system is stressed. The Economist has a story investigating why healthcare services globally are creaking under pressure. The article cites an Ipsos survey that questioned respondents about the quality of local health care; in almost all of the wealthy countries surveyed, people were less likely to say the service was ‘good’ or ‘very good’ than in 2021. The article has statistics from a broad array of countries illustrating how dire health services provisions have become, from waiting times in Canada reaching an all-time high (median delay of half a year between referral and treatment) to patients in Singapore waiting 13 hours to be seen at the average polyclinic (up from 9 hours in 2021).
The flow-on effects of the decline in health care are easy to see with ‘excess deaths” (those above what would be expected in a normal year) rising in many countries, for example, Germany is running about 10% higher than normal.
OECD countries are spending more on health-care as a percentage of GDP than before, but productivity has fallen. Why? The Economist points to several things that could be impacting the quality of care – burned out health care workers; exploding demand for services partly due to the delay in diagnosis due to lockdowns; sicker patients needing additional care because they weren’t treated in a timely manner; skyrocketing cases of endemic pathogens such as respiratory syncytial virus; and, of course, the ongoing additional burden on services that Covid imposes.
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