Posted by alexandra_k on August 16, 2021, at 16:53:41
In reply to afganastan, posted by alexandra_k on August 16, 2021, at 16:46:51
so what happens in nzl is you have some chief executive likely paid half a million per year to basically decide which medications will be fully funded by pharmac (free for new zeealanders) and which medications will be not funded by pharmac such that people need to pay full price for the medications or (likely) not have the medications at all.
i don't think we train people to tell people about medications that are not pharmac funded. that is to say i understand it is an ethics requirement in the USA to tell people what treatment options there are independnently of the judgements that you make about whether they can have those treatments or not, independnently of what you believe about the cost of those treatments... because, you know, you are not god.
anyway... in new zealand the chief executive decides which will be fully funded and which won't be funded at all.
they say that it's complicated and because of privacy and commercial sensitivity etc etc they can't explain their decisions in a coherrent way... and it's all top secret hush hush.
and now they've started blaming the cleaners. they say they have these meetings and any pharmac employee can go (But nobody else) and then the cheif executive (who doesn't attend half the meetings) makes decisions.
the implication is that the ce decides who to hire (and who to fire) and they surround themselves with highly educated quality opinions for the right reasons...
or... no...
maybe they delegated that decision to the cleaner?
or...
maybe the drug company gave them a free pen?
or half a million?
or something something.
))))
how hard is it to look at places doing things a little bit better and go 'why can't we follow along just a little'
?
i don't understand why NZL can't try and bulk bargian or purchase with auastralia.
and why they can't part fund more medication s(like australia does).
then they get some idea, too, how whether people will pay (contribute) towarsd medications. if they value them.
apparently nononononononono that wouldn't be fair, at all.
nzl workers aren't paid like their austrlaian counterparts. nzl workers aren'te educated like their australian counterparts they cannot be allowed to make their own purchasing decisions. pharmac must pay the ce half a million per year to delegate to the cleaner because they can't justify the lunatic decision making process that is our medication funding. in nzl.
all the work that goes into ensuring the people of nzl do not have access to medicines.
quite phenomenal.
poster:alexandra_k
thread:1116435
URL: http://www.dr-bob.org/babble/poli/20210605/msgs/1116436.html