Restoration of the health system must not neglect medicines – but who has the power of reform?

Reframing Gout Management to Empower Those Who Need It Most

“…In this study from Helget et al, participants were predominantly White men (approximately 70%), and it was not possible to deduce precisely how many were Indigenous. However, as with health environments the world over, the architects of health systems have left a legacy of a monocultural approach premised on a biomedical model that does not always consider the person in a holistic and culturally safe manner 20 . Furthermore, the monocultural approach does not always allow for differences in ontological perspectives, eg, Indigenous populations who view the earth as a living ancestor and that wellness and healing are shared with the environment.…”

A critical Tiriti analysis of Te Pae Tata: the Interim New Zealand Health Plan

“…2 The creation of new health entities will not necessarily address the cultural change required to transform a broken system or eradicate institutional racism. 6,7 Rae et al (2022) 8 in their critical Tiriti analysis (CTA) of the Pae Ora (Healthy Futures) Bill showed fair engagement with most elements of Te Tiriti. There were promising shifts in power-sharing within the Bill but only partial fulfilment of Te Tiriti responsibilities.…”

The "standard story" of anti-Māori talk in Pae Ora (Healthy Futures) Bill submissions

“…4 In this statement, he names what others have also raised-that the reform agenda maintains the dominant colonial settler government health system and is not Te Tiriti compliant. 5 However, some Māori scholars were hopeful about the potential within the proposed health reforms as a move toward a Te Tiriti-based system 6 and Tiriti partnership as a means to tackle the inherent racism within the health system. 7 The bill proposed the establishment of Te Whatu Ora -Health New Zealand (HNZ) as a Crown Agent, to work in partnership with an independent Māori Health Authority (MHA) or Te Aka Whai Ora.…”