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Image: Tina Tiller
Image: Tina Tiller

OPINIONOpinionMay 12, 2022

On budget day, will Labour be bold enough to seize back the cost-of-living narrative?

Image: Tina Tiller
Image: Tina Tiller

Budget 2022: This government has shown it can quickly shift tack to deal with the unexpected. To have any chance of regaining the upper hand from the opposition, it must draw on that experience to come up with some bold, clear policy.

In August last year, when finance minister Grant Robertson and other senior ministers sat down to begin planning this year’s budget, things were very different than they are today.

Delta had just arrived in New Zealand, but vaccines were coming, too. Treasury and the Reserve Bank were projecting that, by mid-2022, the economy would be returning to normal, and the government finances were improving. Inflation had ticked up above 3%, but the Reserve Bank projected it would peak at a reasonable 4.1% in December before easing off.

With those projections in hand, Covid under control, and with the opposition an irrelevancy under Judith Collins, the government could turn its focus to long-term issues. Health, including clearing the DHBs’ debt, and climate change would be the priorities.

Jacinda Ardern in August last year (Photo: Hagen Hopkins/Getty Images)

What a difference 10 months make. Inflation is now nearly 7%. Cost of living, which had been a relatively minor issue for voters in 2021, according to the Ipsos Issues Monitor, is now far and away the dominant issue. And, whereas voters rated Labour best to deal with cost-of-living last year (42% vs 25%), they now think National is better (36% vs 29%). 

It’s pretty clear that this turn, both in facts on the ground and voter opinion, caught Labour by surprise as they focused on the delta, then omicron, outbreaks. The prime minister, Jacinda Ardern initially refused to label it a crisis when asked. This risked making herself look out of touch and undermining her core attribute – her empathy.

National, however, had seen the political possibilities early. Late last year, they were already talking up the cost of living as an issue. Although they have yet to present any solutions that would lower inflation and have actively opposed measures to increase incomes, being in tune with the public (and having a credible leader) has seen National regain centre-right voters who voted for Labour in 2020, to the point the parties are neck and neck.

Having been in Covid response mode for two years, Labour switched its political radar back on in March, moving quickly to cut excise on fuel and public transport costs, and packaging the (either already announced or automatic) April 1 income boosts as a cost-of-living package. These moves may have arrested Labour’s polling slide, but the Newshub poll has shown voters overwhelmingly want more from them. 

It doesn’t matter that record low unemployment and rapidly rising wages mean that the workers’ total weekly wage packet is up 10.5% compared to a year ago. The 6.9% inflation is more evident – we see those higher prices, we feel them, and we turn to the government to fix the problem.

The budget is an opportunity for Labour to seize back the narrative on cost of living, with some bold, clear policy. But will they?

Prime minister Jacinda Ardern and finance minister Grant Robertson make their way to the house on budget day on May 20, 2021 (Photo: Hagen Hopkins/Getty Images)

Usually, major decisions on the budget are taken early in the year and it is all but locked in by late March. But this government has experience in quickly shifting tack to deal with the unexpected. In 2020, they had to throw out the budget they had worked on for half a year and write a new one to confront Covid and reignite the economy.

Now, you might think this is a simple decision: politicians are cynical, they’ll do what it takes to win votes. Well, part of my job for Labour in opposition was trying to get our policies to not only be good but also be popular. You would be surprised how little the popularity of policies entered discussion. More often, it was a case of MPs deciding “this is the policy we think will do good” and as an after-thought, “can we get someone to work out how to communicate this?” Which is very principled, but it’s no surprise Labour had so many policy disasters that ended up costing them votes.

All of which is to say, Labour will not easily give up on doing all the investments they think are important – like the money for tackling domestic violence and police, the extra funding for apprenticeships, and replacing coal boilers in schools. By the time they’ve done those investments and invested over $3 billion in health and education just to keep up with costs, there’s not going to be a lot left for a cost-of-living policy. Big-ticket items like taking GST off food ($3bn a year) are off the table.

Fortunately, the buoyant economy is producing more tax than expected for the government. It might not last, so Labour couldn’t use this windfall for new permanent spending increases or tax cuts, but right now, its deficit is $4bn less than expected – that gives them options.

Image: Tina Tiller

There’s plenty Labour could do – cheap dental visits, free public transport, tax cuts. The problem with all of these, apart from the fact they’re ongoing costs and the extra money is one-off, is that they risk just disappearing from public awareness. Seeing that my bus trip now only costs 87c is nice but it doesn’t feel like major government action. Most people couldn’t tell you their net pay accurately enough to notice a few dollars a week in tax cuts.

No, if I was still advising Labour, I would be looking at the success of the wage subsidy for inspiration. Quick and easy to implement, money in the pocket gives people confidence, and lets them choose to use it on the cost pressures most affecting their families. 

A $250 a month cost-of-living payment to the three-quarters of households on under $12,500 a month would be a nice, visible boost. It would be progressive, because it would make the most difference to low-income families, but it also reaches middle-income families who decide elections without giving anything to high-income households. It’s also simple for voters to understand and people would notice receiving the money. At a cheeky $300m a month, the government could run it through the rest of the year with the tax windfall it’s had in recent months. (Would it be inflationary? Maybe a little, but it’s a minor bump in the $10bn a month of retail sales, and the income boost would outweigh any inflation, particularly for low-income families.)

I’m not expecting anything so out of left-field from the budget. For starters, Treasury would have kittens. And Labour’s thinking was probably already too locked in to develop something in time for the budget close-off. 

But, if they don’t regain the initiative at the budget, they’ll have to act soon after and roll out a series of cost-of-living policies. Labour cannot remain on the back foot on the major issue of the day for long, letting National continue to chip away at them.

Cost of living was not the battle Labour wanted to be fighting right now. They want to be focused on health and climate change. But if there’s one thing Jacinda Ardern’s prime ministership has proved, it’s that governing isn’t just about fulfilling your plans, it’s also about dealing with crises as they emerge. If Labour wants to enter 2023 in an election-winning position, they need to show voters they are on their side by tackling the cost-of-living crisis head-on, and soon.

Clint Smith was a policy and communications adviser to the Labour and Green parties, working on three alternative budgets, and the 2018 budget. He now runs Victor Strategy and Communications.

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(Image: Bianca Cross)
(Image: Bianca Cross)

OPINIONSocietyMay 11, 2022

Why has the ‘gay blood ban’ still not been lifted in New Zealand?

(Image: Bianca Cross)
(Image: Bianca Cross)

Screening potential donors is necessary – but does effectively banning sexually active gay men still make sense? It may not be as black and white as it seems.

Despite recent news stories such as the critical shortage of A+ blood, authorities here continue to resist pressure to overturn the ban on blood donations by gay men. Just last month, Canada lifted its own “gay blood ban”, prompting the question: is Aotearoa now out of step internationally?

Aotearoa has historically been a leader in the field of blood donation. But maintaining the safety of the blood supply now comes at at the cost of stigmatising a community with an unfortunately rich history of social and policy discrimination. So is anyone actually doing anything to change the situation? To understand the direction we are heading in, we have to start at the beginning.

In the early 1980s, after an increasing number of heterosexual haemophiliacs came down with what used to be known as the “gay-related immunodeficiency disease”, experts made the connection between blood, homosexuality, and HIV/AIDS. Shortly thereafter, banning gay men from donating blood became a global phenomenon. These policies still persist to this day due to the ongoing global HIV epidemic.

Here, restrictions on gay, bi, and other men-who-have-sex-with-men (MSM) would not exist until the development of the New Zealand Blood Service (NZBS) in 1998. Although it’s now known as a “deferral’ policy”, NZBS’s stand-down period of three months for men who have any sex with other men is effectively a “ban” for most gay men.

Gay men are understandably upset and many view this policy discriminatory. As a policy, it dangerously perpetuates outdated myths around the dangers of gay sex. However in the sea of opinion pieces, most fail to consider the most critical role of the blood service: to keep the blood supply safe for those in need.

In order to protect vulnerable blood recipients, around 20% of all first-time donors are prevented from giving blood for a variety of reasons. You may have recently injected drugs, or perhaps you lived in the UK during the 1980s and 1990s so you’re at risk for passing on bovine spongiform encephalopathy, or mad cow disease.

Whether we like it or not, MSM in New Zealand are 348 times more likely to be diagnosed with HIV than their heterosexual counterparts (the global rate is estimated at 28 times higher). Despite our low population prevalence, there is an HIV epidemic concentrated among gay men in Aotearoa.

With that in mind, is the policy discriminatory? Or is the exclusion justified? I believe there are elements of both. Singling out gay sex as dangerous is definitely in bad taste considering the history of oppression towards the community and the now availability of effective HIV prevention strategies. But in our country, the NZBS is justifiably risk-adverse because gay men pose a relatively higher risk of passing undiagnosed HIV onto blood recipients.

You can see the conundrum researchers face when trying to discuss the complexities of blood donation. Is there a way we can strike a fair balance?

Any man who has had sex with another man in the past three months is currently ineligible to give blood in New Zealand (Photo: Getty Images)

Moving the needle? 

Places like the UK and Canada have recently adopted an individualised risk assessment approach to their blood donor policy instead of a blanket exclusion on MSM. Every presenting donor is assessed on their “high-risk” behaviours – the number of recent new partners, for example, or intravenous drug use – regardless of sex or gender.

Decentralising the issue of sex between men removes the inequality at the heart of the gay blood ban. An individualised approach also reduces the social harm that the current policy perpetuates through its association of gay men with dangerous sex. Remember, gay sex itself doesn’t carry risks of HIV – what matters is how you have sex and who you have sex with.

An individualised approach also allows for low-risk MSM (e.g. those in monogamous relationships) to safely donate blood. In Aotearoa, researchers estimate there could be as many as 35,000 extra eligible donors per year who currently can’t give blood.

Adopting this new approach seems like a no-brainer, right? Not quite.

Firstly, remember there is no guarantee that the number of eligible donors will increase with an individualised risk assessment approach. It’s possible that the threshold for “low risk” individuals might remove more eligible heterosexual donors than it adds MSM donors. Secondly, while it makes sense to look to other countries for policy guidance, a blood donor policy for Aotearoa must be tailored to our specific HIV epidemiology. The problem we run into here is that we simply do not have the up-to-date data we need. For example, the last HIV behavioural surveillance study was undertaken in 2014, well before the arrival on the scene of pre-exposure prophylaxis, or PrEP, a daily pill which greatly reduces your chances of acquiring HIV.

Late last month, the University of Auckland’s Dr Peter Saxton, in partnership with the NZBS, launched the Sex and Prevention of Transmission Study (SPOTS), which aims to collect data to fill this evidence gap.

“Ultimately we all want blood donation to be more inclusive, but also safe for blood recipients,” says Saxton. “The [NZBS] lacks evidence to improve the policy further. Our study will be the first to provide that evidence.”

As a gay man myself, I feel that calling the gay blood ban “discrimination” wrongly ascribes malicious intent, especially when the policy aims to provide Hippocratic oversight in managing real threats to real vulnerable patients. Perhaps “outdated” is a better term for a policy that has not yet adapted to the new ways in which MSM can practise safer sex or to the new tools available to prevent HIV transmission.

As long as there’s no substitute for blood, discussions around blood safety and blood donor policies will continue to be contentious. The inherent social and epidemiological complexities of the subject make that unavoidable. Future policymakers will need to carefully walk the tightrope to ensure blood donor policy is inclusive and fair, while maintaining the safety of the blood supply and all patients who rely on it.

Tony Koson Sriamporn is a public health and health psychologist researcher who has worked in the HIV sector since 2018. He is completing his doctoral research in the School of Population Health at the University of Auckland, focusing on blood donation among gay and bisexual men in Aotearoa within the SPOTS project. 

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