Ethnicity is a useful shortcut for identifying need – without it, targeting public services will get harder

stethoscope on a blue piggy bank

7 Nov 2024

Tim Tenbensel & Monique Jonas

The government’s recent directive that public services should be prioritised “on the basis of need, not race” will make it harder and more time consuming to reach New Zealanders with higher needs.

Focused on ethnicity, the directive failed to recognise that many “proxies” for need – such as age, gender, rural location and income – are routinely used in New Zealand and elsewhere to allocate resources.

And this policy goes against substantial evidence that ethnicity is, in fact, a suitable way to identify need.

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The New Zealand (NZ) Pae Ora (Healthy Futures) health reforms came into effect in July 2022 with the establishment of Health New Zealand (HNZ) (Te Whatu Ora) and the Māori Health Authority (MHA) (Te Aka Whai Ora) – the organisations charged for healthcare provision...

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.