Revolving Door Syndrome

Imagine a future where healthcare looks more like the tiers of a Netflix subscription. Where if you can afford it, your premium, gold-plated health service gets you your own personal family doctor. Meanwhile, those on the ‘free tier’ still get access to healthcare, but it’s delivered via algorithm and internet. In the eyes of Melissa Clark-Reynolds, this could one day be a reality. An Officer of the New Zealand Order of Merit, a futurist and a company director. Melissa is a thought leader and a game changer always at the edge of technological innovations. She uses her experiences and knowledge about human behaviour and technology to guide companies and people to a better future.

Healthcare services around the world are reeling from the consequences of a pandemic. We have news media and social media that are full of discontent with the provision of these core services and we hear the word crisis so regularly, sometimes it's easy to forget what normal isSo much of our healthcare system is devoted to the treatment of disease, rather than wellbeing and prevention. So much so that we are seeing our hospitals full of patients with worsening amenable disease with ultimately worse health outcomes.Joining me today is Dr David Galler, retired intensive care doctor, health leader and author of the book Things That Matter to talk about his experiences in the intensive care unit. He shares with us his insights of working both as a clinician with our sickest people as well as the difficulties of trying to drive change as a leader within the bureuacracy. If we only focus on improving our treatments, will we continue to chase our own tails by refusing to focus on the real drivers of poor health?

Can we fix our mental health epidemic with a drastic change in what we eat? That's the question posed by Professor Julia Rucklidge. She's a psychologist and the director of the Mental Health and Nutrition Research Group at the University of Canterbury. Her research has focused on the impact of nutrition on brain metabolism, gut microbiome and how our mental health is directly tied to the gut-brain axis. We kōrero with Julia about the findings of her studies and expose the barriers she's faced challenging the status quo, with Scientific institutes unwilling to publish and promote research on the basis that it questions the existing treatments.

The issues of health, education and welfare can often feel intangible and immovable. Despite feeling like we are slipping backwards on these issues, we often look to the government, expecting them to drive change. Yet, in our focus on government as an omnipotent force, we might overlook the organic source of change at the grassroots. Charities, NGOs and Community organisations often serve as the safety net for the most vulnerable among us. However, they struggle due to insufficient funding, resources, and the means to measure their impact. Social Investment is an initiative that aims to promote and resource the grassroots programs that are working. Joining me to talk more about this is former Prime Minister of New Zealand, Sir Bill English. Today his organisation Impact Lab helps charities and NGOs better measure the impact they have. You might notice that the audio quality of this episode isn’t up to our usual standard. Unfortunately we had some issues with the recording and have had to do our best with a backup. So please bear with us, we promise it’s a conversation worth listening to.

Top of mind for Nzers, according to the media, is youth crime and ram raids. But when I speak to most people, there’s a deeper understanding that crime is just a symptom of broader societal dissonance. The risk factors for a life of crime and incarceration are well studied and well known, yet it feels like we haven't figured out how to prevent it yet. Or at least we haven't accepted that we need to keep doing the interventions that work and stop doing the interventions that don't. On this episode I'm joined by Sully Paea, Member of the New Zealand order of Merit for his services to youth work. He's an iconic fixture in Otara who has not only seen it all, but lived it.

Rarely in conversation, do we hear about the state of Asian health. Despite being over 15% of the NZ population, it feels like this issue has dropped completely off the map. If we take the data at face value, it appears that on average asians in New Zealand, are doing alright. But within this demographic are a superdiverse population, heterogenous in culture, needs and health risks. To help me unpack this often overlooked issue of asian health, I’m speaking with Ivan Yeo, deputy director of Asian Family Services. He dispels the myths that exist and shines a light on core issues affecting families he serves.

For a long time, New Zealand has traded off the back of its agricultural and farming expertise. Producing enough food to feed 40 million, we export most of that overseas. It’s made us a pretty wealthy country and afforded us access to new medicines; precision scientific instruments; animal feed and fuel. However, our heavy reliance on agriculture has come at the cost of our environment, leading to soil degradation, water pollution and excessive carbon emissions. On today’s episode I kōrero with Darryn Keiller CEO and founder of Agtech startup, WayBeyond. They’re a New Zealand company whose mission is to improve the way we cultivate food. As we know, access to quality nutrition, fruit and vegetables is critical for the health and wellbeing of our future generations. But our food systems face uncertainty in the wake of Climate Change. Cyclone Gabrielle highlighted the power of extreme weather to disrupt our food growers. So what does a more resilient and sustainable food system look like?

On this episode we kōrero with Emily King, a food systems expert and author of the book, Re-Food. We unravel sustainable agriculture, food accessibility, and the challenges posed by monopolistic supermarkets. Emily's narratives from Cuba shed light on food scarcity and resilient island communities like Waiheke. Our conversation dives into empathy, societal collaboration, and sustainable food futures, emphasizing the impact of urban sprawl on farmlands. Through diverse perspectives, we explore humanity's relationship with food, seeking solutions for a more inclusive, sustainable future. This episode navigates food system complexities, fostering contemplation and dialogue. Join us as we journey through layers of our food systems, aiming for a deeper understanding and a path towards a better tomorrow.

In this touching podcast episode, we kōrero with Bernie Harfleet to explore the profound impact of adoption, experiences in state care, and the transformative work of "Give a Kid a Blanket.", a charity Bernie co-founded with his partner, Turtle. Bernie's journey, from adoption to reconnecting with his birth family, offers a unique perspective on identity and belonging. We dive deep into the struggles faced by children in state care, emphasising the importance of giving them a voice and support. Discover how Bernie and his community are changing lives one blanket at a time. Join us for a heartwarming conversation that shows how small acts of kindness can make a world of difference.

It's been a little while since we last released an episode of the podcast, so we thought we'd share a bit about what has been happening in our personal lives that has lead to the hiatus. Just over a year ago, Nina was approached to run as a candidate for a political party. Seeing it as an opportunity to give a voice to health workers and the issues facing our health system, we jumped head first into the world of campaigns, billboards, debates and politicians. With the election wave being finally over, we're now resurfacing and thought we'd share a bit about our experience.