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Kerre Woodham: What is the Ministry of Health spending its problem gambling fund on?

Kerre Woodham: What is the Ministry of Health spending its problem gambling fund on?

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27-year-old Auckland engineer Shyamal Shah has been sentenced to two years, two months imprisonment for what is believed to be one of the largest public sector thefts on record – a 17-month scheme in which he managed to swindle roughly $1 million from his employer, Watercare.

The court was told yesterday that the theft and deception came about through Shah’s gambling addiction that started at Sky City Casino, then escalated after three men approached him and invited him to a residence where private games were being held. It was a racket where addicts were targeted and given a significant line of credit before payment is demanded, often through coercion. I mean, if we've ever seen any Good Fellas type movies, you've seen it before.

In Shah’s case, the court was told the defendant was shown photos of another man who had been violently assaulted after they didn't pay. So he was hooked, he was reeled in, and he turned a promising career in a promising life into a complete and utter train wreck. He will go to jail, his parents, who had taken a gamble and backed that their son was going to be an exemplary citizen, are financially ruining themselves to try and pay back as much of the money as they possibly can.

This is what a gambling addict looks like, and it comes at the same time as the nation's independent gambling regulator, the Gambling Commission, has issued a damning report into the Ministry of Health's problem gambling section, saying it is impossible to judge whether the services actually reduce gambling harm. The report recommended Mental Health Minister Matt Doocey and Internal Affairs Minister Brook van Velden reject the Ministry of Health request to increase a levy from $76 million to $92 million over the next three years. The levy comes from the gambling industry, which makes sense. A lot of people can gamble and just have, you know, $5 on the nose of a horse, a pretty chestnut at Race 9 at Te Rapa, but others can't, so the industry helps fund problem gamblers, helps fund assistance and help for problem gamblers.

But the Commission’s expert reviewer Doctor David Rees said when it came to the money that has been given to the Ministry of Health to help problem gamblers, we don't know if it's enough. We don't know if it's too much. And that's a point made by a number of people. There's a lack of data, a lack of understanding, we don't know what's working, and we don't know what's not working. Sounds like my hero, the Auditor General John Ryan. He said, I don't know this money's been well spent, there's no track of it, no record of.

So same again, the Ministry of Health gets millions of dollars from the gambling industry to help problem gamblers, does it work? Dunno! Ddn't really know. Matt Doocey said it's not good enough, symptomatic of what happened under the last Government. Doocey said in mental health and addiction services, increased funding had led to no material difference. And it's true, that's exactly what happened under the last Government. We're seeing lots of ads for the TAB right now: “You know the odds, now beat them”. In the pregame build up before the All Blacks there's always a punters report: what the totes paying for which player to score the first try. You can bet on anything and it's being very, very normalised.

As with every addict across every addiction, you start off thinking it's a bit of harmless fun, think you can handle it until you can't, until you've found yourself like Shyamal Shah, in the dock with your promising life and career absolutely ruined. All addicts need help to get the monkeys off their back, but just throwing money to the Ministry of Health and thinking there we go job done, is not good enough. They have to show that the millions of dollars they have been granted have done some good.

And this hasn't come out of the blue. In 2019, they were asked to account for the money. They didn't. In 2022, they were told to carry out a major strategic review of its problem gambling strategy and they didn't. And then they had the temerity to come back and ask for more money. Can we have another $11 million? No. If you want $92 million, then you have to show what you're spending it on, not just for the sake of the money and for the sake of proper accounting, but for the sake of the addicts. It's so hard for addicts to know they have a problem before it's too late. I'm talking about any addiction. And when you reach out for help, you need that help to be there.

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