How the Treaty really guides NZ’s drug-buying policies

image of david seymour

2 Aug 2024

Dominic O’Sullivan

Reports that associate health minister David Seymour has told Pharmac to “stop factoring Te Tiriti o Waitangi into its decisions” aren’t strictly accurate.

His five-page letter of expectations to Pharmac only gave the Treaty of Waitangi a few lines. Seymour said Pharmac should no longer follow the previous government’s instruction to “consider how it could contribute to embedding Te Tiriti o Waitangi across the health sector”.

In short, whatever “embedding” means, Pharmac shouldn’t consider it. Instead, he instructed:

“Pharmac’s role should focus on delivering improved health outcomes underpinned by robust data and evidence, in accordance with its statutory responsibilities. This should serve all New Zealanders based on actual need, without assigning their background as a proxy of need.”

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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.