Dear Pharmac – do things differently: what David Seymour’s expectations could mean for the drug-buying agency

Colourful pills on blue table

23 Jul 2024

Paula Lorgelly & Richard Edlin

Associate Health Minister David Seymour’s recent letter of expectations to drug buying agency Pharmac could fundamentally change the way the organisation makes decisions. Some of these changes could also make Pharmac’s job harder and its decisions more unpopular.

The letter has received considerable coverage due to the minister’s expectation that Pharmac pay less attention to embedding te Tiriti o Waitangi in the health sector. This has already seen the departure of one director.

But some of Seymour’s other expectations have received less scrutiny than they deserved.

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Key issues

HEALTH SERVICES AND SYSTEMS

Covering developments in the provision, funding and organisation of health care services.

EQUITY

Exploring the impacts of the health system on minorities within the population, notably including Māori, Pacifica, Asians and LGBTQI.

DRUGS, DEVICE AND DIAGNOSTICS

Covering prescription medicines and medical devices.

PUBLIC HEALTH

Focusing on efforts to promote health and prevent disease through social and economic interventions.

DIGITAL HEALTH

Exploring the potential digital transformation to provide a more connected and accessible health system.

TE TIRITI

Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations.