formerly extensive international tourism market) and providing employment for New Zealanders. On 17 November, the Government disclosed that it had failed to collect invoices worth at least NZ$36 million for MIQ stays. The New Zealand Herald also reported that an Ōpōtiki woman had been pursued by debt collectors over a NZ$4,000 bill for an MIQ stay that she never had due to mistaken identity. On 22 June 2022, Radio New Zealand reported that the Ministry of Business, Innovation and Employment had spent nearly NZ$800 million on leasing agreements with 33 hotels repurposed for MIQ usage between October 2020 and March 2022. Mental health According to a Radio New Zealand report published on 1 October 2021, psychologists reported emerging evidence of long-term and in some cases "severe" effects on individuals who had spent time in managed isolation and quarantine, caused by a lack of autonomy, social contact and control over their environment. In late January 2022, an Auckland builder named Paul Mullaly described the MIQ system as "cruel and inhumane" after failing to secure a place in order to visit his mother prior to her death in New Zealand. Mullaly, who is based in Ireland, was only able to watch his mother's last moments via video conference. On 17 February 2022, a survey commissioned by advocacy group "Grounded Kiwis" claimed that 78% of respondents reported that the MIQ system had an adverse impact on their physical and mental health. Of these respondents, 70 percent experienced stress, 63 percent experienced anxiety, 35 percent experienced depression, 32 percent experienced insomnia, and 12 percent experienced panic attacks. The results of the survey were released to the news broadcaster Newshub. Following the downsizing of the MIQ system, Stuff reported in early April 2022 that the New Zealand Defence Force's two-year deployment in Operation Protect to manage the country's border facilities had contributed to rising attrition rates, low morale, and stress among military personnel. According to figures released by the Defence Force, the New Zealand Army's attrition rate had risen from 9% in February 2021 to 13.7% in February 2022. In addition, 7,600 personnel who had participated in Operation Protect underwent mental health screening while 1,800 personnel were referred to a mental health psychologist. Issues Accessibility The Managed Isolation and Quarantine system, faced with high demand for numbers of accommodation spots at managed isolation and quarantine facilities, has rationed access. On 20 September 2021, Stuff reported