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RACIALLY CHARGED HEALTHCARE

If you want proof that Jacinda Ardern’s is the most racist government in New Zealand’s history, just take a look at the proposed legislation for the new health structure. The Pae Ora (Healthy Futures) Bill introduced last week that was sent to a select committee concerns itself almost exclusively with Maori health. Maori are mentioned in most clauses of the legislation. The health of 17% of the population seems to be the only concern of this government. Pacific Islanders get a look-in briefly, the Minister being required to produce a specific strategy for their health. But all the rest of us who make up 70% of the people are never mentioned, and are dismissed at one point as “the other populations”. By the time Maori health providers have been accommodated in the new health structure which is amazingly top-heavy and bureaucratic, there won’t be any room for Pakeha or Asian input on anything. The Bill is a further indicator that Jacinda Ardern regards Pakeha as interlopers of whom her government is contemptuous. Like so much else, it too has Nanaia Mahuta’s malign influence stamped all over it. She has become Rasputin to the Tsarina, intent on running a faltering ministry.

I started out reading the legislation thinking that there needed to be some kind of re-jig on Maori health, given the reluctance of more than 20% of them to get vaccinated against Covid, while the rest of us who have had our two jabs sit around waiting for them to come to their senses. Then I got to Section 7 of the Bill setting out the “principles” that should guide the new health legislation. “Equitable” access to services, yes; “equitable levels of service”, yes. But achieving “equitable health outcomes” for all, especially Maori, is demonstrably impossible. With more than 50 % of the new cases of Covid being Maori whose vaccination rate has fallen far behind everyone else’s, and with Maori leaders pleading with their fellow Maori to step up and get jabbed having little apparent effect, the health system would need to concentrate all its energy on the 17% before there is anything left for “the other populations”.

Achieving “equitable outcomes” in health or indeed in any area of life, is an impossibility. Always has been, and always will be. First, we aren’t all born with equal intelligence; we don’t all have parents who care about us; and up to 40% of Maori children are truant on any normal school day. But if all children got their ante-natal jabs, were cared for, got to school, made an effort, and passed their exams, they still wouldn’t have equitable outcomes in life, either amongst themselves, or with other racial groups. DNA and sheer luck play big parts in peoples’ lives. So, if the government persists with Section 7 (1) (a) (iii) of the Bill and gives achieving equitable health outcomes priority then the whole expenditure of $24 billion on Health is in jeopardy. Not even the resourcing of “Kaupapa Maori”, or “culturally safe services” reflecting an undefined “Matauranga Maori” in the delivery of services will produce equitable outcomes for them, let alone for all Kiwis.

But this is only part of the story with this racist legislation. The proposed Board of Health is clearly to be subservient to the stand-alone Maori Health Authority which the Minister is bound to take advice from. The new Co-Chair of that Authority is formidably well qualified and has plenty of relevant experience, but the levels of influence built in below her are a real worry. While the Minister can hire or fire members of the two parallel authorities in this racially charged system, there are lots of other ways Maori can challenge his/her decisions. The Maori organisations the minister must (not “may”) consult are legion. A host of Hauora Maori Advisory Committees and Iwi Maori Partnership Boards will govern ministerial functions. These requirements beggar belief. Anyone connected today with the delivery of health services knows how problematic it is getting suitably qualified Maori for boards or advisory committees, and how it is even harder to get those who are chosen, to attend on any given day. I see no sign in the Bill of any ministerial power to dock attendance fees for members who don’t turn up.

And what about the rest of us? With Covid preoccupying so much ministerial and DHB time these days, what is planned for the delivery of the huge array of health services needed by the rest of us? Amidst all the ways in which Maori can challenge ministerial decisions or protest about failures, where are the rights for non-Maori – the “other populations” – to do the same?

Better to scrap the Pae Ora (Healthy Futures) Bill and start again with inclusive legislation. Better again to shrug off our modern-day Rasputin whose malign influence has become the hallmark of Jacinda Ardern’s ministry.

10,637 views162 comments

162件のコメント


Michael
Michael
2022年2月24日

"When you're accustomed to privilege, equality feels like oppression"

Ruth Bader Ginsburg

いいね!
Michael
Michael
2023年6月16日
返信先

Many feel they are being disadvantaged now that Māori are being given opportunities for equality of course. The government isn’t giving either unearned power or money to Māori, they’re just catching up for decades of inequality.


PS unmandated doesn’t mean disagrees with your views! LOL

いいね!

It seems to me we are going around in circles, it does not matter what action is taken by the powers that be, special treatment for that group or some other group, the root cause to illness in general in the western world is life style and the shit we consume and ingest. the modern processed shit food is the biggest killer, while we talk about smoking been a killer which is true the fast food industry has to top the lot for making people sick and costing the country billions in health care, what was the first thing the poor people went out and brought after lock down fast food, as a mate of mine said that night it…

いいね!

vic alborn
vic alborn
2022年2月01日

LesM says: "...So do you agree with the statement "".... it’s okay to impose a non-Māori, mainly European culture upon Māori"?..." Impose??? No, but as I have said before, the high degree of assimilation of the original Maori inhabitants in New Zealand into what was to become the predominant "western" culture would indicate that culture was not "imposed" but readily accepted.

いいね!

alexandracorbettdekan
alexandracorbettdekan
2022年1月08日

One more reply to Les. You cannot compare breast cancer screaning being free for a certain group that is statistically proven to be in danger the most with establishing a special Health Board etc. for Maori based on their statistically poorer health outcomes. The cause in the breast cancer screaning is straightforward based on scientific research and can be targeted by preferential treatment of the group most in danger. The cause of Maori poor health outcome is not straightforward, it is not one cause but rather a bunch of causes and most of them have roots in their unhealthy lifestyle choices and cannot be improved by healthcare system changes.

いいね!
alexandracorbettdekan
alexandracorbettdekan
2022年2月01日
返信先

Hi, Les, the problems with smoking are 1. I am sure that all people are aware that smoking brings about bad health issues, so the aim is to get them off smoking and not to offer them preferential treatment which could signal to them that smoking is fine. 2. If in spite of that there would be preferential treatment, e.g. screaning, it should be targetted on all smokers regardless of their ethnicity, not on Maoris.

いいね!

Al Bourne
Al Bourne
2022年1月08日

In reply to Les M but all groups should also achieve the optimal or best health (obviously not identical) possible. My question is, is this happening for Māori under the current health system?

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I​f it's not happening it's not the Govt's fault, yours or mine. I defy anyone to show me a hospital or Drs rooms where Maori are not offered exactly the same health care as any other race.​

As a practitioner, I am sick and bloody tired of people inferring that Māori get any less care in our rooms than any other race..

Any person not getting benefit from the NZ health care system it is their own fault or choice.

If you know of any such negative…

いいね!
Al Bourne
Al Bourne
2022年1月09日
返信先

Reply to R Gardiner

Why do people read into posts that are so far off base that its not even a joke

Allow me to point put there so many definitions of equity. If we apply it health care then it could be “ “The quality of being fair and impartial. Once again SHOW ME A DRS ROOMS OR HOSPITAL WHERE THIS IS NOT CASE.

I can think of around 20 definitions of equity and really none of the apply in this case. The point in question here is do Maori get the same care and attention as every other race and once again that requires a loud clear well enunciated YES YES YES.

Equity can mean owning part of…

いいね!
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