General practice keeps me busy, #trailrunning keeps me sane, #faith keeps me focused, #twitter keeps me distracted.

Joined August 2014
4,748 Photos and videos
Dr Dan the bandage man retweeted
Replying to @secondzeit
Imagine Luxon is not useless It’s easy if you try Just look out the window See no ferries sailing by
2
11
194
Say what you want about @nzlabour but they are using their time in opposition to work on and release policy to a degree that makes the 2017-2023 Nats look like a bunch of muppets.
1
2
5
94
I’m not even saying I agree with all the policy in my field (health) but everything I have seen has been a) creative b) thought through and c) having industry expert input. 3 things that are generally lacking from what we currently see coming out of parliament.
2
39
This is a rather famous vintage map by the genius Charles Minard. It shows global emigration in 1858. We see which countries migrants left behind. HT @vintagemapstore
158
Dr Dan the bandage man retweeted
16 Aug 2025
That's... not a crossroads
𝗪𝗵𝘆 𝘁𝗵𝗲 𝗚𝗼𝘃𝗲𝗿𝗻𝗺𝗲𝗻𝘁'𝘀 𝗰𝗮𝗿𝗯𝗼𝗻 𝗳𝗼𝗿𝗲𝘀𝘁𝗿𝘆 𝗿𝘂𝗹𝗲𝘀 𝘄𝗼𝗻𝘁 𝘄𝗼𝗿𝗸 This week the Government had a chance to stop our productive farmland and rural communities being completely overrun by pine trees – and they blew it. Farmers were promised that whole-farm conversions to carbon forestry would be brought to an end but the rules, as they’re currently written, won’t even come close to achieving that goal. Unfortunately, what’s being proposed completely misses the mark and will achieve only a minor reduction in whole-farm conversions. Unless the Minister steps in and makes urgent changes, we’ll continue to see our productive hill country swallowed up by permanent pine forests at an alarming rate. The Government are currently proposing to put a 25% cap on registering forestry in the Emissions Trading Scheme – but that will apply only to land classes 1 – 5. That might sound like progress on paper, but in reality only 12% of carbon farming conversions have happened on that land anyway. The remaining 88% of conversions have been on classes 6 and 7 – on which two-thirds of this country’s sheep and beef farmers operate. These farms are the engine room of the agricultural industry. So, what protections do they get under the new rules? Practically none. Instead, we get a 15,000-hectare annual lottery for class 6 land and open slather on class 7. That’s not a ‘ban’ – it’s business as usual for the big polluters and foreign investors looking to blanket our hills in pine trees. This isn’t forestry that creates jobs or exports either. It’s permanent carbon farming, propped up by a market that gives big emitters a licence to pollute while rural communities carry the cost. Let’s be clear: Federated Farmers are not anti-forestry. When timber prices were strong 20-30 years ago, the right trees went in the right places – and we supported that. Growing trees for genuine timber production is one thing, but losing that land to permanent carbon forests is another. Once you lose a productive sheep and beef farm to carbon forestry, it’s gone for good. If the Government is serious about slowing carbon conversion, the 25% cap must apply to all land classes, including LUC 6 and 7 where most of our members farm. Otherwise, the damage doesn’t stop – it just shifts to the back blocks, and to the farmers and families who live and work there. New Zealand is now at a crossroads – and Minister Todd McClay has a very important choice to make: will he back farmers and food production, or the polluters gaming a broken system? He can’t have it both ways – I just hope he makes the right decision.
7
6
155
4,660
GPs don’t get any funding for “out of consultation” paperwork. Historically, lots of practices have worn this but in 2018 the then Minister of Health strongly encouraged us to charge for any and all “additional services” rather than putting funding in to sustain the model we had.
GP charges $33 for a referral letter 😳 this is new
2
4
303
So a second appointment would attract no capitation (nor any time in an extended consultation beyond the first 15 minutes). This explains why a properly calculated extended consultation (30 minutes) should be well more than double the cost of a 15 minute one to the patient.
1
73
Also, on the same basis, a 15 minute letter “costs” a GP $100 in time. Obviously $33 would cover 5 minutes. A lot of practices will have a policy of when and when not they will pass on this charge. For example, if it arises directly from a consult, often it won’t be on-charged.
54
Is it perfect? No. Is there political interference evident in the proposal? Hell yeah (see exclusion of ethnicity in the reworking of the capitation funding formula). But for a sector that has been under increasing pressure for decades, this is more than a lifeline. It’s a reset.
1
78
Let’s just say that I’m having very conflicting thoughts about Simeon Brown right now.
1
81
Maniototo, my country.
4
5
55
879
Gonna add “transgenic” to the list of the best words.
The #covfefe tweet is no more. And all I can think of is this:
1
1
167
Dr Dan the bandage man retweeted
The Lord of the Rings isn't just an epic fantasy — it's a deeply Christian story. It's packed with subtle religious themes you may not have noticed. Instead of one Christ figure, there are three... (thread) 🧵
316
2,665
22,620
4,578,204
Micah: “He has shown you, O mortal, what is good. And what does the Lord require of you? To act justly and to love mercy and to walk humbly with your God.”
1
1
88
The President of the United States of America: “The so-called Prophet who wrote that was a Radical Left hard line Trump hater. He was nasty in tone, and not compelling or smart. . . He and his church owe the public an apology!”
1
60