Hard News: The CRL and the nature of change
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nzlemming, in reply to
This is an inescapable reality.
It's only inescapable in your private reality, Jim. Debt is not a zero-sum game and English has added more public debt than we've ever had before, despite tax cuts.
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I would argue it's because of tax cuts
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Sacha, in reply to
Yes, the disruption would be to other building projects on Albert St, not the Downtown site.
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Swan, in reply to
Right so this necessary so the council could confirm disruptiveness? This was being sold by some as having projects essentially contingent on the CRL.
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Sacha, in reply to
The timing of the disruption is the issue. Nobody wants to build their new office block or hotel and then have the street outside become a building site for over a year. However it is no coincidence that many of the upcoming projects are around the CRL route. The new Aotea station is predicted to overtake Britomart as the most busy in the region.
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Will this rail link have a dedicated station at SkyCity?
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Just came back from a few days digital hols at the beach & playing catch up so apologies if already covered.
Just to note that Auckland EMA boss Kim Campbell has been a constant advocate of the CRL. I would imagine he's at least one part of "our Auckland business base" Key refers to.
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Sacha, in reply to
A short pedestrian tunnel under Albert St from the very nearby Aotea station was suggested at some stage. Not in current plans.
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Matthew Poole, in reply to
Much like Auckland DHB, which provides tertiary services to the whole country but only gets funding based on the population of its board area.
Pretty sure they also get funding after the fact from the person’s local DHB. Still expensive to maintain clinical quality and suchlike for the only national service for many conditions. We are a small country.
Read/heard something from a senior clinician at ADHB that implied the capitation funding model means Auckland is having to wear the costs for the services it provides for DHBs nationwide. And even if there is some kind of "payment" going on, it probably doesn't reflect actual costs.
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Sacha, in reply to
Not true, sorry. Far too big a cost to wear. Check this page on ADHB's retro website.
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Matthew Poole, in reply to
Not true, sorry. Far too big a cost to wear. Check this page on ADHB’s retro website.
Interesting. However it's still not an actual cost-recovery basis, which is probably what was being got at by the ADHB person; funding for nationally-provided specialist services is insufficient, so money has to bleed through from the DHB funding.
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Sacha, in reply to
However it's still not an actual cost-recovery basis
Any evidence for that statement?
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Matthew Poole, in reply to
However it’s still not an actual cost-recovery basis
Any evidence for that statement?
I thought it was apparent from that page you linked: “Adjustments are made for age, ethnicity and also for the amount of specialist work provided to people outside the area.” That does not say “based on cost of specialist work provided to people outside the area.”
Also, found the article I was thinking of, here. The money quote, as it were: “ADHB receives about $2 billion a year to provide services to Auckland but also has to use its funding to develop and maintain services provided to patients across the country.”
The whole piece reads like ADHB is getting short-changed because it’s got a large and growing population to service but also has to provide services at the national level that aren’t being funded adequately.
ETA: Stuff’s article on it says “Auckland DHB’s region is experiencing rapid population growth and about 50 per cent of its patients are referred from other DHBs”, but ADHB isn’t getting 50% of its funding for non-resident services. And since non-resident services will be more expensive and specialised, the gap is even more significant.
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