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运行一个国家卫生系统很难。
永远没有人们想要的那么多钱。医生和护士供不应求。人口在老龄化。需求在增长。预算并非无限。
我们理解这一点。
每一届政府大概都会面临那些必须在糟糕的选项和更糟糕的选项之间作出抉择的时刻。
但有一件事很难理解。
如果卫生系统需要更多的人手,为什么还有限制和官僚障碍让雇用他们变得更困难?
首相先生,我们并没有向您祈求奇迹。
真的。
但我们确实期望政府继续寻找出路。
也许需要改变资金来源。
也许需要改变招聘规则。
也许需要在系统内部不同地分配资金。
也许需要改变管理优先事项。
也许答案完全是别的东西。
但您的计划是什么?
您打算做些什么,以便资金短缺不会变成医疗服务短缺?
以便医生可以把时间花在治疗病人上,而不是处理人手不足所带来的后果?
以便护士不必不断被期望做两个人的工作?
以便需要护理的人不会成为预算节省链条上的最后一环?
我们理解:这很难。
当然是。
但正因为个别公民无法独自解决大问题,这些大问题才交到政府手中。
当需要这种规模的改变时,人们还指望谁来负责?
这就是您存在的意义。
不是去承诺不可能的事。
而是更努力工作,寻找解决方案,尝试,纠正错误,再次尝试,直到系统开始更好地运行。
所以问题非常简单:
首相先生,您究竟打算做什么?
观察员
永远没有人们想要的那么多钱。医生和护士供不应求。人口在老龄化。需求在增长。预算并非无限。
我们理解这一点。
每一届政府大概都会面临那些必须在糟糕的选项和更糟糕的选项之间作出抉择的时刻。
但有一件事很难理解。
如果卫生系统需要更多的人手,为什么还有限制和官僚障碍让雇用他们变得更困难?
首相先生,我们并没有向您祈求奇迹。
真的。
但我们确实期望政府继续寻找出路。
也许需要改变资金来源。
也许需要改变招聘规则。
也许需要在系统内部不同地分配资金。
也许需要改变管理优先事项。
也许答案完全是别的东西。
但您的计划是什么?
您打算做些什么,以便资金短缺不会变成医疗服务短缺?
以便医生可以把时间花在治疗病人上,而不是处理人手不足所带来的后果?
以便护士不必不断被期望做两个人的工作?
以便需要护理的人不会成为预算节省链条上的最后一环?
我们理解:这很难。
当然是。
但正因为个别公民无法独自解决大问题,这些大问题才交到政府手中。
当需要这种规模的改变时,人们还指望谁来负责?
这就是您存在的意义。
不是去承诺不可能的事。
而是更努力工作,寻找解决方案,尝试,纠正错误,再次尝试,直到系统开始更好地运行。
所以问题非常简单:
首相先生,您究竟打算做什么?
观察员
Original text: English
Running a national health system is difficult.There is never as much money as people would like. Doctors and nurses are in short supply. The population is ageing. Demand is growing. Budgets are not unlimited.
We understand that.
Every government probably reaches moments when it must choose between a bad option and an even worse one.
But there is one thing that is difficult to understand.
If the health system needs more people, why are there also restrictions and bureaucratic barriers that make hiring them harder?
Mr. Prime Minister, we are not asking you for a miracle.
Really.
But we do expect the government to keep looking for a way out.
Maybe funding needs to change.
Maybe hiring rules need to change.
Maybe money needs to be distributed differently within the system.
Maybe management priorities need to change.
Maybe the answer is something else entirely.
But what is your plan?
What are you going to do so that a shortage of money does not become a shortage of healthcare?
So that doctors can spend their time treating patients rather than dealing with the consequences of understaffing?
So that nurses are not constantly expected to do the work of two people?
So that the person who needs care does not become the final link in a chain of budget savings?
We understand: this is difficult.
Of course it is.
But large problems are given to governments precisely because individual citizens cannot solve them on their own.
Who else are people supposed to rely on when changes of this scale are needed?
That is what you are there for.
Not to promise the impossible.
But to work harder, look for solutions, try, correct mistakes and try again until the system begins to work better.
So the question is very simple:
Mr. Prime Minister, what exactly are you going to do?
Observer
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分享链接: https://lettertoleader.com/zh/new-zealand/prime-minister/238-mr-prime-minister-we-understand-it-is-difficult-but-what-is-your-plan
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