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New Zealand Currency Notes.
New Zealand Currency Notes.

SocietyDecember 15, 2016

Finally, after the shitter that was 2016, some good news: For NZ investors and KiwiSavers, things have seldom looked better

New Zealand Currency Notes.
New Zealand Currency Notes.

Things might be very bleak internationally, but as we close out 2016 there are plenty of reasons to be optimistic about our own economic future, as Sam Stubbs explains.

In spite of recent earthquakes, real and political, I’m as bullish on New Zealand’s economic future as I’ve ever been.

Setting aside the deeply troubling social costs, the markets have decided a Trump administration might be tolerable, and possibly beneficial to share prices in the way Reagan was. At home we have quickly returned to long term trends which have been building for awhile now.

New Zealand Currency Notes.

Offshore the environment is very uncertain, but here in godzone, the economy, and investment markets, are now likely to kick into an even higher gear. Here’s why:

1. New Zealand: the safety trade

Low interest rates have forced pension managers overseas to look outside their home markets, to higher risk areas. That includes private equity, venture capital and smaller or emerging markets, like New Zealand.

The amount of money they have to spend on acquisitions globally is truly staggering. In the US alone, there is over $2 trillion  of pension money waiting to invest in anything that looks like it generates cash, or a medium term capital return. That’s over 10% of US GDP. Pension funds are desperate for returns, and are diving into uncharted waters to find them. This is where New Zealand has an almost unique global competitive advantage.

When pension funds seek to invest overseas (something they are usually nervous about), they will find New Zealand a comfortingly familiar place. English language, rule of law, no corruption, high dividend yields – all these will make offshore investors feel more comfortable here than in many other markets.

New Zealand is increasingly seen as an oasis of calm, and an authentic place. By and large it’s very easy to do business with. When those with money want to invest outside their comfort zone, these things really matter.

2. The rise and rise of KiwiSaver

Every week another $10m finds its way into the New Zealand equity market from KiwiSaver, and even more into local fixed interest markets. This is like a rising tide – hard to spot minute by minute, but very powerful long term. All boats rise.

For an example of the long term effects of steady saving, look no further than Australia. One way they survived a collapse in commodity prices was no panic selling in markets. That’s because they knew money steadily arrives into their stock and bond markets, and stays there. That’s happening here too.

New Zealand is slowly becoming a capital-rich economy. As much as we love to romanticise our number eight wire mentality, too many entrepreneurs have gone overseas, or sold out to offshore buyers, for lack of domestic investment capital in NZ. That is about to change, big time.

Disclosure: the author is the managing director of Simplicity, a Kiwisaver provider.

3. A licence to print money

Central banks have now had eight years to change their mindset about printing money to support markets and economies. They used to be fearful of it, and used it only as a last resort, such as following the global financial crisis. Now their attitude is very different.

The fact is, markets are awash with cash and central bankers have, by and large, got comfortable with this. They will raise rates reluctantly, and lower them with ease. And they will now err on the side of printing too much, not too little.

The capital markets know this, and are much less scared of central bankers surprising them than they used to be. They will invest accordingly.

4. Market disruption

The markets are quickly re-adjusting to a methods of raising money which sit outside the restraints that listed markets and traditional institutions can impose.

Whether it’s peer-to-peer lending, crowd funding, or direct investment from private equity funds and angel investors, funding the buying and selling of businesses is easier, and transactions are happening faster. And institutions like banks are getting less and less of the action.

If you have a business to sell, now is a very good time to be thinking about hanging out the ‘for sale’ sign, and exploring other ways to sell your wares.

5. It’s election year

Like or not, the Government is unlikely to be able to resist spending at least some of the surplus to sweeten up the electorate, which will help the economy tick along. Plus, with Bill English safely ensconced in the top job, it’s fair to assume any domestic political earthquakes are over.

What are the risks?

There is always the unknown which, by definition, will hit us by surprise. The recent (real) earthquakes were a salient reminder of that.

Trump is a wildcard. I suspect we have yet to see his true colours, although they are distinctly Russian red so far. The markets hate uncertainty, and he is that personified. Reagan, the other potential wildcard elected in my lifetime, had political experience in Californian politics. Trump has none.

But you can protect investments against the unknown by diversification. For example, Simplicity, the Kiwisaver provider I run, is keeping all its funds in 9,000 different investments in 23 countries. Diversify, diversify, diversify and the surprises will be less painful.

The end game

Over time, all this money finding New Zealand a great place to invest in will lead to buyers paying way too much for some businesses. We haven’t yet seen too many eye popping transactions, but we will. That, in turn, will probably lead to a more severe correction than we would like, some distressed valuations, small panics, and another cycle complete.

When that happens though is anyone’s guess, and it will almost certainly be a surprise. But the fundamentals look very bullish for some time yet.

Sam Stubbs is the managing director of KiwiSaver provider Simplicity.

Image: Human Rights Commission 
https://www.hrc.co.nz/your-rights/social-equality/our-work/inquiry-discrimination-experienced-transgender-people/
Image: Human Rights Commission https://www.hrc.co.nz/your-rights/social-equality/our-work/inquiry-discrimination-experienced-transgender-people/

SocietyDecember 15, 2016

Three surgeries every two years: NZ’s shameful 50-year waitlist for gender reassignment surgery

Image: Human Rights Commission 
https://www.hrc.co.nz/your-rights/social-equality/our-work/inquiry-discrimination-experienced-transgender-people/
Image: Human Rights Commission https://www.hrc.co.nz/your-rights/social-equality/our-work/inquiry-discrimination-experienced-transgender-people/

Trans people remain one of New Zealand most discriminated-against groups – and nowhere more so than in the provision of healthcare. Why are people in desperate need continuing to wait decades for potentially life-saving surgery, asks Madeleine Holden.

If 2015 was the year of trans visibility, then the protection of trans rights has became an even more crucial issue in 2016. The election of Donald Trump as US President has left LGBT advocates reeling and trans people and their allies fearful of how they will fare under the new regime.

Despite the visibility of high-profile trans celebrities like Caitlyn Jenner and Laverne Cox in recent years, ordinary trans people in America continue to face discrimination, poor mental health outcomes and lowered quality of life on a daily basis.

That’s America, though – what about New Zealand, our little progressive bastion in the South Pacific? We don’t hear as much about transgender rights in the media here, nor do we have the same lineup of high-profile trans celebrity advocates that America does, but surely we’re more progressive than the land of evangelical Christianity and “pray the gay away” style conversion therapy?

Image: Human Rights Commission https://www.hrc.co.nz/your-rights/social-equality/our-work/inquiry-discrimination-experienced-transgender-people/
Image: Human Rights Commission
https://www.hrc.co.nz/your-rights/social-equality/our-work/inquiry-discrimination-experienced-transgender-people/

Turns out, however progressive we might be down under, the situation at home is far from ideal. Trans people in New Zealand face similar levels of discrimination to those overseas, and have equally poor mental health outcomes. Transgender youth in New Zealand face frequent bullying (weekly or more) at a rate five times higher than their cis peers.

A 2008 Human Rights Commission report looking into the experience of discrimination faced by trans people in NZ found that they faced discrimination in all areas of their lives, from levels ranging from “constant harassment and vicious assault” through to “daily challenges to find acceptance and do the things other New Zealanders take for granted.” The report concluded that “Trans people have had to triumph over severe, sometimes heart-breaking, adversaries.”

One such adversary is the ongoing battle for access to appropriate healthcare. The inquiry found significant gaps and inconsistencies in the provision of health services, and concluded that most trans people cannot access the gender reassignment services necessary for them to live according to their gender identity:

“There are very significant barriers for trans people at each stage of a medical transition process. For many, genital surgery is a very long-term goal and the more immediate hurdles will be seeking information, counselling or psychotherapy support, trying to access hormone treatment, obtaining electrolysis (for trans women) or chest surgery (for trans men). Without such medical interventions, many trans people struggle to be themselves or to participate fully in their communities.”

For trans people in New Zealand, getting information and guidance on gender reassignment surgery is a minefield. Many trans people who went to their general medical practitioner seeking initial medical information found that their doctors were unlikely to have any prior knowledge about trans health issues.

“You don’t know anything at first. You ask your local GP and they don’t know,” commented one trans woman, who remained anonymous, and a trans man added that he “always [had] to start from the beginning and teach them rather than concentrate on my own wellbeing and have them help me.”

Even after the process for reassignment surgery has been demystified, trans New Zealanders face hurdles every step of the way, especially in terms of access. And, after the retirement of New Zealand’s only specialist reassignment surgeon, the prospects have become even bleaker.

Jennifer Shields, a trans advocate and trans woman, wanted to check in on the waitlist for trans feminine surgeries, which had been previously reported as 30 years long. On 31 August 2016, the Ministry of Health responded to her Official Information Act request, and the results were worse than previously imagined.

The waitlist for trans feminine surgeries is now 71 people long, which, at the present rate, means it clocks in at a staggering 50 years – a wait that, for quite obvious reasons, puts the surgery out of reach for practically all trans New Zealanders depending on the public healthcare system. No other medical procedure in New Zealand has a waitlist approaching even close to 50 years, and for trans New Zealanders contemplating the surgery, the current waitlist stifles all hope.

It’s also worth noting that, even if a trans person is on the list, that fact alone doesn’t automatically render them eligible for surgery. Surgery depends on a number of factors including age, mental health, the availability of psychiatric reports and the length of time the candidate has lived in their chosen gender role.

The Ministry has no plans to increase the frequency of surgeries and will stick to their current rate of three surgeries every two years. It’s possible for trans people wishing to undertake gender reassignment surgery to travel overseas and pay privately, but at a cost of around $20,000 NZD, it’s beyond the means of most trans New Zealanders.

The OIA response also includes a request from the Association of Plastic Surgeons for the creation of a fellowship so that a local surgeon can be trained in these surgeries to either perform them here or provide post-op care, at a cost of around $100,000 per annum. According to the Ministry there is no funding for this.

The failure to invest $100,000 per annum for these surgeries is, not to put too fine a point on it, pretty gutless: it’s a paltry amount in terms of government spending and a necessary investment in light of the current length of the waitlist.

A common, unsympathetic response to the waitlist is to roll one’s eyes and explain that gender reassignment surgery is “elective” or “cosmetic”, and therefore not as important as hip replacements and triple bypasses. Shields disagrees, and argues that, for a huge number of trans people, the surgery is literally lifesaving:

“For so many [trans people], just “working on being okay with it” isn’t a possibility; it isn’t something that can just go away at all. Our community already has huge rates of mental illness, substance abuse and suicide, and pretty much every professional out there agrees that these surgeries are lifesaving for those who need it.”

The WPATH Standards of Care for Gender Identity Disorders – first issued in 1979 to articulate the “professional consensus about the psychiatric, psychological, medical and surgical management of GID – clarify that gender reassignment surgery is “unequivocally” medically necessary:

“Sex reassignment plays an undisputed role in contributing toward favorable outcomes… The medical procedures attendant to sex reassignment are not “cosmetic” or “elective” or for the mere convenience of the patient. These reconstructive procedures are not optional in any meaningful sense, but are understood to be medically necessary for the treatment of the diagnosed condition.”

The WPATH Standards also clarify that these surgeries are not experimental – “Decades of both clinical experience and medical research show they are essential to achieving well-being for the transsexual patient” – and that they are cost-effective rather than cost-prohibitive. It beggars belief, then, that New Zealand won’t facilitate more than three of these surgeries every two years.

As the Human Rights Commission report clarifies, trans people aren’t embarking on a “lifestyle choice” – they are working towards the realisation of a core part of their identities: their gender expression. Gender reassignment surgery is, in many cases, a crucial component of this journey. It’s not “elective” or “cosmetic”: it’s medically necessary and, in some cases, literally a matter of life and death for the trans New Zealanders who need it.

New Zealanders are increasingly alive to the importance of improving our mental health outcomes on a societal level. Unless this is little more than lip service – and unless we don’t think trans people deserve the same level of care as the rest of us – the Ministry of Health must do more to decrease the waitlist for gender reassignment surgeries.


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