Sunday News

Lack of empathy shocks family of cancer patient You can’t argue with this truly good idea

Samoan family raise questions about strict requiremen­ts for emergency allocation in an MIQ facility, but Government says it’s necessary. Torika Tokalau reports.

- Alison Mau alison.mau@stuff.co.nz

THE family of a Kiwi woman who recently found out she was dying of cancer say the process of trying to get her Samoan parents an emergency allocation in a managed isolation facility has been frustratin­g.

Tasi and Ioana Parker, New Zealand citizens who retired to Samoa three years ago, have been trying to get a spot in MIQ since finding out their daughter, Amanda Parker, was diagnosed with stage four stomach cancer in January.

But attempts to get them into the country quickly have failed because they did not meet the requiremen­ts for emergency allocation in an isolation facility.

Amanda’s brother, Ray Parker, said they were asked, insensitiv­ely, how long their sister had to live when they sought a spot in MIQ.

The Ministry of Business, Innovation and Employment (MBIE) said hard questions needed to be asked – as proof of life expectancy, from a medical practition­er, is part of the strict requiremen­ts for emergency allocation in a managed isolation facility to visit dying relatives.

‘‘It’s stage four cancer – I’m not God, nor can I predict the future, but my sister is dying . . . she could die at anytime,’’ Ray Parker said.

‘‘But my parents, who are New Zealand citizens, can’t get here soon enough to be with her.’’

Ray Parker said MBIE advised them to book a flight, and provide relevant medical reports.

His parents’ applicatio­n proved unexpected­ly difficult when they were told they couldn’t fly in on their booked Friday flight, and that they needed a letter from a medical practition­er stipulatin­g Amanda Parker’s life expectancy.

MBIE said the initial applicatio­n did not have sufficient evidence to demonstrat­e that it was most urgent and time-critical.

Their resubmitte­d applicatio­n on Friday, however, has been approved, a spokespers­on said.

Amanda Parker started vomiting blood in January and was later diagnosed with terminal stomach cancer, after years of misdiagnos­is. Doctors had attributed her ill-health to

It’s exactly a year since Dr Ash confirmed Aotearoa-New Zealand’s first positive test for Covid-19. The spaghettif­ication of this one year, which looking back seems like at least five years, just proves how stretchy time can feel when the world is navigating the crisis of a generation.

Think of what we’ve learned in that time. The illness caused by the virus is much more complex than anyone imagined in those first months; the early known symptoms of a persistent dry cough, a fever and, in bad cases, difficulty breathing were gradually joined by more unexpected ones.

We learned to look for a loss of smell and taste, gastrointe­stinal problems in children, and discovered the luckyunluc­ky (those who got Covid-19 and did not die, but continue to suffer for months) living with ‘‘Long Covid’’ ailments like extreme fatigue and brain fog.

Perhaps most alarmingly for the wider consequenc­es, we learned you can have Covid-19 and be completely asymptomat­ic.

It’s been a scary time, made even more so by seeing even the experts learning on the run as well.

There have been some very good ideas – sometimes they came a bit later than they could have, looking back, and some have failed to take proper root, often for legal reasons, long after science proved their worth, like widespread mask-wearing (other than on public transport, where it is now mandated nationwide).

Some traded heavily on Kiwis’ willingnes­s to paddle our collective waka in beautiful symmetry for the common good; and some underestim­ated how strongly the other thing we’re known for – that ‘‘she’ll be right’’ attitude, the unruffled insoucianc­e thing – would pull us in the other direction, meaning we can’t be ‘‘effed’’ even pulling our phones out to scan in at the supermarke­t unless community cases have jumped into double figures.

And always the ideas, even the very good ideas, have attracted some kind of controvers­y here at home. Internatio­nally, we’ve been the golden child, held up as ideal by top dogs in multiple fields (the World Health Organisati­on praised us for our health response, Bloomberg for our political and economic response.)

But while the world admired our perfect decor, under the duvet and out of sight we wriggled and scratched and poked at each other as we tried to get comfortabl­e in this new way of operating.

Much of this is political, some of it is driven by the economic pain of entire sectors – whatever, you can usually count on most ideas having the eyes picked out like hawks on roadkill.

So it was both a surprise and a delight to hear an idea – potentiall­y a controvers­ial idea – land without that fuss this week. And what an idea it is; that South Auckland should be next off the rank for vaccinatio­ns when the government is done with border, health and care workers.

There are just so many reasons to do this. Our border is effectivel­y in their backyard (Auckland Internatio­nal Airport, Ma¯ ngere, is where most of the Covid-19 cases enter Aotearoa) and so are several of the major managed isolation hotels.

Large parts of the South Auckland population live, either by dint of New Zealand’s chronic housing squeeze or by cultural preference, in large multigener­ational family units in often overcrowde­d houses.

Multiple family members might be on casual contracts in insecure work, and cannot just ‘‘isolate at home’’ without paying an immediate financial penalty that could mean they can’t eat.

As Pasifika Network chair Dr Api Talemaitog­a put it, a casual worker who has to miss a day of work while they wait for a 24 test turnaround might not know what financial hit they’ll be taking until the pay cycle rolls around in two weeks’ time.

Mostly, experts on the ground say, they’re complying with the short lockdowns we’ve seen recently but they’re also paying high rents, visiting foodbanks and are in constant fear of losing the job(s) they have.

And on the health side of the ledger you have a population with high rates of co-morbiditie­s which alone would make sense to push them to the top of the vaccinatio­n list.

I’m sure there’ll be someone who’ll want to argue, but I cannot think what reasons they could advance that would outweigh all this. South Auckland leaders insist their people are ready and willing to get the vaccinatio­n and it’s easy to work out why. And there’s been remarkably little pushback to this idea, at least that I can find.

Finally, finally, I’ve had the chance to write about an issue that should bring nary a single example of the abusive emails that usually fill my inbox of a Monday morning.

I’ve probably just put the mockas on myself.

I guess we’ll see.

‘South Auckland should be next off the rank for vaccinatio­ns when the government is done with border, health and care workers.’

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