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A deadly secret

01 October 2012 / James Wilson
Issue: 7531 / Categories: Blogs
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James Wilson recounts an early privacy action with a twist at the heart of the case

New Zealand, like the United Kingdom, has a fairly comprehensive national health system, although the system does not share the same name and is in some respects perhaps not as comprehensive. 

Being a far smaller community the opportunities and resources for medical specialisation are necessarily fewer, for example. Nevertheless, it has long been the expectation of New Zealanders that they will receive health care on the basis of need, not ability to pay. Any identifiable exceptions to that rule over the years have always generated strident public debate.

So it was in the mid-1980s, when the government decided it would no longer pay for heart transplants in New Zealand hospitals. Instead, grants would be made available for patients to have the operations performed in Australia. 

To say that the measure was controversial would be an understatement. It certainly would have come as a painful shock to one Mr Tucker, a patient on the transplant waiting list at the time.
Worse for Mr Tucker, the grant offered by the government was

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