“This type of operation creates great expectations, because they help and work together to improve the quality of life for the local population, as well as reducing the number of people on waiting lists during the year due to a lack of specialists,” said Juan Pakomio, Easter Island’s hospital director. A joyful reception The Military incorporated mammogram specialists into the medical operation in 2004, and that year doctors detected early-stage breast cancer in a patient who was quickly treated, “allowing her to survive for 10 years, so far,” said Dr. Cristián Pérez, a FACh radiologist specializing in mammograms. Additionally, medical personnel also conducted echocardiograms, endoscopies, colonoscopies, electroencephalograms, endometries, and echograms, all using instruments transported to the island by the FACh from the Clinical Hospital in Santiago. They also conducted an array of surgeries, including ones focusing on the gallbladder, colon, varicose veins, and hemorrhoids, as well as urological operations. That cooperation between FACh healthcare professionals and physicians from the Hanga Roa Hospital and the Ministry of Health through the Eastern Metropolitan Health Service led to 4,048 medical treatments, including 1,887 consultations, 2,086 examinations or procedures, and 75 surgeries. The medical consults focused on urology, gastroenterology, neurology, dermatology, nephrology, ophthalmology, otorhinolaryngology, cardiology, internal medicine, pediatrics, bronchopulmonary check-ups, and dentistry. Local residents joyfully greeted the flight’s arrival at the Mataveri airport and handed FACh service members – medical professionals who are known as “taotes” in the Rapa Nui language – leis made from native flowers as a token of their gratitude. By Dialogo September 17, 2015 The plane, carrying out the 20th Medical-Cultural Operation on Easter Island from August 22-29, delivered eight tons of cargo, including pharmaceuticals, raw materials, medical equipment, and food, in addition to 141 service members — among them physicians, dentists, and logistics and support personnel. Their mission, conducted annually since 1995, was to assist the island’s 5,761 Rapa Nui natives by providing dental care and medical treatments for all diseases that cannot be treated at the local Hanga Roa Hospital. Thanks to the experience service members obtain with each health care mission, the quality of dental and medical services provided to the people of Easter Island improves yearly, according to Air Force Colonel Néstor Ortega, the operation’s medical area chief. A variety of procedures and surgeries “The Chilean Air Force has given us a great opportunity, because this gives us access to modern medical equipment,” said patient Laura Ponte, who received a mammogram and a thyroid echogram. “There are no machines for these tests on the island.” Meanwhile, Military dentists performed treatments at the facilities of the island’s Marine garrison, in addition to lecturing young students on oral health and hygiene. On January 19, 1951, a PBY-5 amphibious plane from the Chilean Air Force (FACh, for its Spanish acronym) made the first flight connecting Chile to its island territory, Easter Island. The island’s natives, who call their home “Rapa Nui,” christened as “Manatura” or “Good-luck Bird” the famous plane – remembered today for one of the most important milestones in Chilean aeronautics. Dental patients were grateful for the checkups and treatments. The FACh improves every year “Every year, they wait for us to perform these tests.” Additionally, specialists from the FACh Financial Directorate contributed to Easter Island’s growth and development by advising and training a team responsible for the municipality’s finances. Echoing that feat, a Boeing 767-300ER from the FACh Second Air Brigade’s 10th Aviation Group recently delivered medical treatment and supplies to the island’s residents from the mainland 3,700 kilometers away. “[The operation] has taken on a permanent role in assisting the community, providing solutions and activities to effectively meet the needs of our society,” said General Jorge Robles Mella, FACh Commander in Chief. “People keep their appointments, and we were even able to treat people who showed up unexpectedly. It far exceeded our expectations, and we are very happy with the work we performed.” The operation also had a cultural component through which the FACh reinforced the ties that Chile has had with Rapa Nui for more than 50 years: FACh service members held a bullfight and a bicycle race, which included participation by the Armed Forces. They also held an art project for children and adolescents at the island’s schools that featured Chilean artist Mario Murua. Participants created an eight-meter long mural at the Anakena beach, based on the ancestral bird of the Rapa Nui, the “Manutara.” “This is a tremendous support for the Easter Island residents’ healthcare, because we do not always have the monetary resources to travel to the mainland, where most dental facilities are located,” said Paula Pakarati, a patient who received dental treatment from the FACh. “[This operation] not only fulfills a state policy to foster cooperation and national cohesion, but it also demonstrates our country’s commitment to all Chileans, especially those who live in remote areas,” said National Defense Minister José Antonio Gómez.
The Swedish finance ministry has been advised to look into whether the four main buffer funds behind its state pension system are able to attract the right skills they now need, given their broadened investment mandate.In its 2019 report evaluating the AP funds for the ministry, consultancy McKinsey & Company recommended the principal of the funds – the Swedish government – continued to evaluate the investment rules for AP1, AP2, AP3 and AP4, and helped ensure they had the right skills.The firm said: “As the funds have the opportunity to broaden their investments and utilise new investment models, higher demands are placed on specialised expertise.”It was therefore important, it said, to review how access to the right expertise could continue to be secured, including on the funds’ supervisory boards. “The possibility of attracting the right mix of expertise within the AP funds’ boards over time should be reviewed”McKinsey & Company“The possibility of attracting the right mix of expertise within the AP funds’ boards over time, for example in global asset management and investments in illiquid assets, should be reviewed,” McKinsey wrote.Investment rules for the first four AP funds have been undergoing two stages of reform, with the first batch of legislative changes taking effect on 1 January 2019 and a subsequent step due to come into force next month.The changes have been aimed at putting the funds on a more equal footing with their peers in other countries by allowing them to invest in unlisted and illiquid assets to a greater degree, lowering the floor for their fixed-income allocations and increasing opportunities for direct investments.AP7, the national pension fund which is responsible for the default option in the first-pillar defined contribution premium pension system, is also set to have its investment mandate widened in separate legislation as part of the premium pension reform currently taking place in Sweden.While McKinsey’s recommendation on access to skills is aimed at the Swedish government, the funds themselves have been moving to reorganise investment departments, with AP3 and AP7 announcing reshuffles recently.Collaboration pushAmong other recommendations made by McKinsey in the report, the firm suggested the funds should look into collaborating more over external networks for unlisted investments.Acknowledging that the AP funds had stepped up their non-investment collaboration in recent years, the consultancy said they should go further with this.“The funds should actively seek increased cooperation where it does not lead to excessive complexity, or jeopardise the competition between the funds,” it said.Areas where the funds could still try working together more were exchange of expertise and development of the funds’ external networks for investments in unlisted assets; joint procurement and collaboration with suppliers of sustainability data, and reporting linked to sustainability and exemplary management, the firm said.The term “exemplary management” is used in the 1 January 2019 amendment to the AP Funds Act to express the high standards the funds should aim for, in particular within responsible investment.Looking for IPE’s latest magazine? Read the digital edition here.