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The History of New Zealand
were four managers for every worker. Other commentators, whether crit-
ics of Rogernomics such as Bruce Jesson or supporters such as Colin James,
agree that managers, accountants, and lawyers benefited most from these
so-called reforms. At the same time, formerly powerful groups such as
agricultural scientists lost much of their influence.
The expensive health system also attracted the attention of cost cutters
and would continue to do so thereafter. Michael Bassett had tried to break
the power of doctors and other health professionals in the early 1970s but
failed. This time Labor called in another high-powered businessman to
help.
Alan Gibbs recommended that the well-paid should contribute more
to covering health costs, advocated greater efficiencies, and demanded
greater accountability from health care providers. Government accepted
many of his recommendations, replacing the numerous old health boards
with 14 larger, elected area health boards, which had to run their own
budgets independently of the central ministry of health. In 1989 David
Caygill and Helen Clark also increased the amount that those earning
above set amounts had to pay toward their medical prescriptions and
required such persons to pay for part of their hospital treatment. These
compromises paved the way for much more draconian changes under the
National governments of the 1990s.
Changes to welfare provision, education, and health services clashed
somewhat with the more idealistic Royal Commission on Social Policy,
which Lange also directed to report in 1988. This document advocated
equity and level playing fields, or equal opportunity for all. Critics, and
even Lange
himself,
doubted that more expensive education and health
services would do much to make playing fields more level, so the prime
minister called for a rest to give the public time to catch up with the giddy
pace of reform. Lange also felt that it was time to reconsider some of the
more drastic reforms, a point he underscored when he sacked Douglas as
finance minister in December 1988 when Douglas suggested the intro-
duction of a single, low-level flat tax. Before this loss of nerve, however,
many other reforms had already occurred.
Michael Bassett had overhauled the unwieldy local government system
by 1989. The abolition of New Zealand's federal system in 1876 produced
a plethora of organizations including counties, town boards, road boards,
harbor boards, pest destruction boards, noxious plant authorities, land
drainage boards, river boards, maritime planning authorities, and united
councils. Yet politicians never developed anything at the intermediary
level to replace the old provincial councils. So Bassett simplified this cum-
bersome model. Since
1989,14
regional councils, district councils, and city
councils have supplemented the work of parliament and the centralized