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The immigrant doctors keeping New Zealand alive

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American emergency doctor Dr Dusty Bratton arrived in New Zealand in January, chasing a lifestyle he’d flirted with during his honeymoon here in 2018.

“We fell in love with the country and started a dream of one day living here, and about a year ago, the jobs we were both at, we were ready for a change… and here we are,” says Bratton, who enjoyed his job back home but acknowledged the long hours and high stress.

He secured a position at the emergency department at Palmerston North Hospital and was struck by how instantly at home he felt, in part because of his working crew of foreigners.

“In the US, where I practised, everyone was from the US for the most part, versus here in Palmy – I do not believe there is a single New Zealand-born emergency medicine doctor in our department,” he tells The Detail.

He says the city has whipped out the welcome mat, recalling a visit to the local Bunnings to buy a measuring tape, only to be asked by a staff member if he would prefer to borrow one, since it was for a one-off job.

“Me and my wife just looked at each other and laughed, because you would never get asked that in a hardware store in the United States, if you could just borrow something and bring it back

“I have had so many experiences like that here – whether it be in the city or in the hospital, everyone has been really lovely and welcoming.”

This attitude, along with the Kiwi lifestyle, has seen New Zealand attract one of the highest proportions of internationally trained doctors among developed countries.

And the trend of American doctors like Bratton moving here has become so significant that The Wall Street Journal recently splashed the story across its front page – focusing on the South Island town of Timaru and the wave of American doctors relocating there.

The doctors spoke of leaving behind crushing workloads, endless administration and a healthcare system increasingly driven by insurance companies and pressure.

Bratton also believes the current political situation in his home country will lead to an increasing number of American doctors moving here.

“It’s really concerning and also just really embarrassing seeing how our country is behaving sometimes right now. And I do think that will probably drive more people to other countries, whether it be New Zealand or other places.

“So I do expect to see an uptick in American-trained and American-working doctors looking for an escape path and having places like here – which I cannot think of a better landing spot if anyone is looking for a place to come than New Zealand.

“So, I expect to see a lot more in the coming years.”

‘Unmet need vacancy rate’

Without these international doctors, our health system “would be more on our knees than we already are,” says Harriet Wild, policy director at the Association of Salaried Medical Specialists.

A recent ASMS survey revealed “an unmet need vacancy rate of 32 percent” she tells The Detail.

The survey – Recruited Globally, Neglected Locally – also asked overseas-trained members about their biggest challenges.

“One of the things that really struck us about this survey was how doctors who had been here for some time saw an erosion in the healthcare system that they arrived into.

“So when they came here, they found that they felt privileged to be here and privileged to be working in such a system, and now they see a system that is underfunded and increasingly run down, and it doesn’t have the resources needed to treat the needs that they see every day.

“So that was a real shift, and it wasn’t one that we expected.”

Medical Council data found 60 percent of overseas doctors do leave after two years compared to six percent of New Zealand-trained graduates.

But Wild tells The Detail that “the members that are coming to join ASMS – we are the unions for senior doctors and dentists – they tend to stay for a longer time, by and large.

“And the ones in our survey, and while it was an opt-in survey, the majority of them had been here for more than 10 years. They are looking for a complete lifestyle transformation… to build a foundation here.

“There will always be a group that is more transient and will continue to look for other opportunities, and that may be to do with their particular specialities or research opportunities.”

While it’s only early days, Bratton doesn’t plan to leave anytime soon. He’s keen to stay in New Zealand and make this his long-term home.

Like his international colleagues, he wants to practise medicine without losing himself in the process.

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Police say person who fired gun at officers still at large

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Police say a person who fired a gun at officers in Napier is still at large.

Eastern District Commander Superintendent Joel Lamb said Police tried to stop a vehicle in the Pirimai Area at about 10pm on Tuesday.

He said someone in the back seat pointed what was presumed to be a firearm at officers pursuing the vehicle.

“Staff have then heard two distinct gunshots as the firearm was discharged.

“Fortunately, neither of our officers were injured, and the patrol vehicle did not sustain any damage.”

He said hours later, the vehicle was seen travelling north on the Waikato Expressway towards Auckland.

Police seized the vehicle at an address in Manurewa, but they had not found the alleged offender.

Lamb said people who lived at the Manurewa address were engaging with Police.

He said Eastern District and Counties Manukau Police were making enquiries.

“Presenting a firearm at a Police officer is a serious escalation that puts our staff and the wider community at risk. This behaviour is entirely unacceptable.

“We are taking this incident extremely seriously and will be pursuing all lines of enquiry to locate the offender and hold them accountable.”

Police asked anyone who witnessed the incident to contact Police on 105 or online using the reference number 261111/3764.

Information could also be provided anonymously via Crime Stoppers on 0800 555 111.

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New Zealand sides named for RLWC finals

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The players tasked with ending Australia’s Rugby League World Cup dominance have been named.

The Kiwis and Kiwi Ferns have announced their squads for this Sunday’s World Cup finals in Brisbane.

Both sides are chasing their first titles since 2008, and both are looking to end their opponents run of three crowns in a row.

“Our Kiwi Ferns have been so dominant in years gone by, and we want to bring dominance back to this jersey, so I think it will be a case of who wants it more,” said co-captain Georgia Hale of the impending clash.

The Kiwis get a major boost for the final as they welcome back Ronaldo Mulitalo after he served a one-match ban for a high tackle against Fiji Bati.

Mulitalo replaces Charnze Nicoll-Klokstad, who moves to the six-man bench, which again includes utility Te Maire Martin, middle forwards Naufahu Whyte, Erin Clark and Xavier Willison plus fullback Keano Kini.

Loose forward Joseph Tapine will make his 30th Test appearance in a familiar pack again, including second-rowers Isaiah Papali’i and Briton Nikora, and props James Fisher-Harris and Moses Leota.

Winger Jamayne Isaako is on the cusp of claiming the New Zealand record for most Test points.

His five goals against Tonga lifted his career points tally to 225 – level with Shaun Johnson – while centre Casey McLean goes into the final with 16 tries in just eight Tests.

Fisher-Harris will again captain the team.

Fullback Ponga said the goal of the group was clear.

“We have high expectations around what we want to achieve, and obviously winning a world Cup is one of them.”

Meanwhile, Ricky Henry has selected a settled side to take on the Jillaroos, led by their lethal centre combination of Stacey Waaka and Mele Hufanga.

Veteran Apii Nicholls takes the number one jersey, Leianne Tufuga and Mackenzie Wiki on the wings.

Henry has stuck with his halves pairing of Chantay Kiria-Ratu and Raecene McGregor with Alexis Tauaneai, Georgia Hale and Otesa Pule up front.

Rounding out the starting pack is Shaniece Monschau, Kaiyah Atai, and Angelina Teakaraanga-Katoa.

“We have been building well throughout the tournament; we understand the Jillaroos side, and will give it our all to make New Zealand proud this weekend,” said Henry.

RLWC Finals:

Kiwi Ferns vs Jillaroos- 6.10pm

Kiwis vs Kangaroos – 9.35pm

Sunday November 15

Suncorp Stadium, Brisbane

Live blog updates on RNZ

Kiwi Ferns:

1. Apii Nicholls 2. Leianne Tufuga 3. Mele Hufanga 4. Stacey Waaka 5. Mackenzie Wiki 6. Chantay Kiria-Ratu 7. Raecene McGregor 8. Alexis Tauaneai 9. Georgia Hale 10. Otesa Pule 11. Shaniece Monschau 12. Kaiyah Atai 13. Angelina Teakaraanga-Katoa.

Interchange: 14. Ashleigh Quinlan 15. Annessa Biddle 16. Shannon Mato 17. Ivana Lauitiiti.

Reserves: 18. Brooke Anderson 19. Zahara Temara 20. Brianna Clark 21. Abigail Roache 22. Tenika Willison.

Kiwis:

1. Kalyn Ponga, 2. Jamayne Isaako, 3. Dane Gagai, 4. Casey McLean, 5. Ronaldo Mulitalo, 6. Kodi Nikorima, 7. Jahrome Hughes, 8. James Fisher-Harris (c), 9. Jeremy Marshall-King, 10. Moses Leota, 11. Isaiah Papali’i, 12. Briton Nikora, 13. Joseph Tapine (v/c).

Interchange: 14. Te Maire Martin, 15. Naufahu Whyte, 16. Erin Clark, 17. Xavier Willison.

Reserves: 18. Keano Kini, 19. Phoenix Crossland, 20. Charnze Nicoll-Klokstad, 21. Scott Sorensen, 22. Leo Thompson.

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Parliamentary Service working on extra chairs and offices for increased number of MPs

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The chief executive of the Parliamentary Service is confident there will be enough room to accommodate the increased number of MPs and their staff coming into Parliament.

On current numbers, up to 131 MPs could be sitting in the Chamber following the election, brought on by a record overhang result.

Clerk of the House of Representatives Dr David Wilson told the Spinoff that currently the debating chamber had enough chairs to seat 124 MPs – including the Speaker of the House – and work was being done to accommodate more by altering the seating arrangement.

In a statement, Parliamentary Service chief executive Rafael Gonzalez-Montero said planning for a larger Parliament had been going for “some time”.

“Now that the election results have confirmed an increase to the number of members we are looking at several options.

“We are confident we will be able to accommodate all members within the Chamber.”

Chief Executive of the Parliamentary Service Rafael Gonzalez-Montero appears before select committee.
Parliamentary Service chief executive Rafael Gonzalez-Montero.

VNP / Phil Smith

Gonzalez-Montero said office accommodation for members and their staff would be “stretched” for a short time, but the new Members’ Building was only a few months away from “practical completion”.

That building – located behind Parliament – was due to be ready to occupy in April next year and had capacity to accommodate around 30 backbench MPs.

“All members should be in fit-for-purpose accommodation from that point,” Gonzalez-Montero said.

Following the 2023 election, 123 MPs sat in the Chamber – a record number at the time. That decreased to 122 following the resignation of National MP Judith Collins.

Collins held the seat of Papakura and stepped down in May and Parliament voted against holding a by-election because it was too close to the election.

The election result also meant high-ranking National Party MPs like Chris Bishop, Paul Goldsmith, Nicola Willis and Gerry Brownlee – Speaker of the House and an MP for 30 years – would likely not make it back into Parliament.

Only resigning or retiring MPs were permitted to give a valedictory speech meaning none of them would get the chance to give a valedictory statement.

Asked if their would be special allowances for valedictories, Wilson said in a statement that normally only MPs were allowed to speak in the House but the House could suspend its own rules or temporarily alter them.

“It could do so to allow former members to address the House.”

Wilson said no such arrangements could be made until the next Parliament opened and members sworn in.

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