Eight months into its tenure, the coalition government faces mounting scrutiny over its handling of the country’s beleaguered health system, a legacy of the previous Labour administrations. Despite initial optimism and ambitious promises, National’s progress has been marred by significant missteps and under-delivery, leaving many to question whether the government can effectively address the critical issues plaguing the sector.
One of the government’s most significant embarrassments has been the mishandling of cancer drug funding. Pre-election commitments suggested that the Budget would allocate substantial resources towards new cancer treatments, a pledge that resonated deeply with the public. However, when these funds were conspicuously absent in the Budget, public outrage ensued, severely damaging the government's credibility. Although a subsequent $604 million package over four years was eventually announced, the initial disappointment has left a lasting impact on public trust.
The establishment of Health New Zealand, named Te Whatu Ora by the previous government, was intended as a bold reform to overhaul the public health sector. However, the initiative has floundered under National’s stewardship. Promises of a major shake-up and clearer directives have largely gone unfulfilled. The abolition of the Māori Health Authority might have gone some way in addressing the growing perception and fears in some quarters about dividing the country along ethnic lines but, have done little to address the fundamental issues of staff shortages, overworked medical personnel, and outdated facilities. The resignation of most of Health New Zealand’s board members further highlights the dysfunction within the organisation.
While many areas remain troubled, the government’s efforts with PHARMAC offer a glimmer of hope. Under the stewardship of Associate Health Minister David Seymour, PHARMAC’s budget has seen a significant boost, including a $1.7 billion increase over four years. Seymour’s directive calls the need for PHARMAC to focus on procuring medicines based on need, rather than considering the Treaty of Waitangi, aiming to improve transparency and stakeholder engagement. These changes, however, remain contentious and their long-term effectiveness is yet to be seen.
The appointment of Paula Bennett as the Chair of PHARMAC brings a promising prospect for the agency. Known for her pragmatic approach and robust leadership skills, Bennett’s presence is expected to inject much-needed vigour and direction into PHARMAC. Her commitment to enhancing transparency and stakeholder engagement signals a shift toward more inclusive and accountable
decision-making processes. Additionally, Bennett’s extensive political experience and strategic acumen are likely to bolster PHARMAC’s credibility and public trust, paving the way for more effective procurement of essential medicines for Kiwis.
National’s pre-election rhetoric created high expectations for swift and comprehensive health sector improvements. Yet, eight months in, the government appears mired in the same challenges that hampered its predecessor. Critical shortages in nursing and general practice persist, and the promised overhaul of Health New Zealand remains elusive. The departure of medical professionals, especially nurses and paramedics, to Australia, driven by better pay and conditions, continues unabated, exacerbating the crisis.
To regain public confidence and avoid the pitfalls that plagued Labour, the government must demonstrate tangible progress within the next twelve months. Minister of Health Dr. Shane Reti needs to take a more proactive and visible role in leading the reforms. Clear, achievable goals must be set, and Health New Zealand must be held accountable for meeting them.
The government’s focus must be on creating a sustainable and effective health system that addresses the immediate needs of patients while laying the groundwork for long-term improvements. This includes ensuring equitable access to medicines, improving working conditions for medical professionals, and restoring confidence in Health New Zealand's leadership.
The clock is ticking for New Zealand’s coalition government. The health system’s woes cannot be resolved overnight, but decisive action and visible leadership are essential. A clear roadmap for reform can begin to restore faith in the public health sector. Without these steps, the government risks repeating the same mistakes that led to Labour’s downfall, leaving New Zealanders to suffer the consequences of a persistently broken health system.
ISSUE
Friday, October 18, 2024
Volume 16 . Issue 31
