Today's announcements by our Government are bold and promising! Our collective voice was heard, and the path is now laid out for how our transformed health system will be fair for us all. We now must support our Government to protect these aspirations with separate legislation that ensures the Māori Health Authority has a well-resourced commissioning function beyond the next election cycle. Our petition's submission awaits consideration by the Māori Affairs Committee. Ngā mihi nui, team!
To: NZ Parliament
Māori self-determination for Health
We call for the Government to adopt Māori commissioning by the Māori Health Authority. This will be a transformational way to achieve health equity as outlined in the majority 'alternate' view by the Expert Panel of the Health and Disability System Review.
Why is this important?
Please refer to our video documenting delivery of this petition here:
Please consider sharing your thoughts about this topic, on a public forum: https://healthforum.nz/. You can read the current discussions about the Health & Disability System Review, and consider joining the discussion by creating an account.
At this time of the covid virus we can be especially thankful that our publicly funded health system in Aotearoa New Zealand is among the best in the world.
However the health system doesn't work the same for everyone. Māori whānau and communities are treated unfairly in the current model and experience severe and persistent health inequities. A fair society means everyone participates in enhancing our social, economic and educational activities, which builds collective confidence and safety. We all benefit in a fair society that is more prosperous and harmonious.
More Videos: https://www.youtube.com/channel/UC2v0dLjHVJL1UqCe7T-n3WQ
Māori kids and adults visit a health professional the same as or more than non-Māori. Yet the outcomes across the population are different. For example, Māori women are dying at two times the rate as non-Māori from breast cancer, four times in cervical cancer and five times more in lung cancer.
The recommendation of 10 of 12 health experts who were tasked with a two year investigation of unfairness in our health system and how to address this, concluded a Māori Health Authority with commissioning rights was the best approach.
This means an Authority that will have the autonomy to control, make decisions, and determine how to spend health dollars most appropriately for Māori.
In order to provide the same high outcome for everyone our health system needs to be informed by Māori needs and Māori decision making. Māori must be able to enact rangatiratanga (self determination) to best meet the needs of their own communities.
Such an approach will result in diverse options for everyone. For example, a Mātauranga Māori commissioning frame recognises the inseparability of health, education, environment, income, and civic responsibilities.
This world-leading approach honours Te Tiriti o Waitangi which lays out terms of settlement. Te Tiriti is how we achieve a society where improved health is protected for every person, whānau, and social group regardless of social advantage and disadvantage.
Though the government has accepted the creation of a Māori Health Authority, they rejected commissioning rights for the Authority. Without commissioning rights, the Māori Health Authority is subordinate to the Crown's representative, the Ministry of Health.
Add your name today to call on our government to give Māori commissioning to the Māori Health Authority and ensure equal health outcomes for everyone in Aotearoa.
The New Zealand Health and Disability System Review https://systemreview.health.govt.nz/
"We have now some quite good evidence that racism at a range of levels does determine access, experience and outcomes in the healthcare system." Dr Ashley Blomfield, to the Waitangi Tribunal in 2018
Racist health system no cure for sick Māori, July 2019 https://www.stuff.co.nz/national/health/113917099/racist-health-system-no-cure-for-sick-maori
'We have totally failed': Rheumatic fever: The Third World disease entrenched in New Zealand, Aug 2020
National Urban Māori Authority calls for Māori self-determination in health https://www.stuff.co.nz/auckland/300036653/national-urban-mori-authority-calls-for-mori-selfdetermination-in-health
Māori should have a stand-alone health system https://www.facebook.com/TeAoMaoriNews/videos/3592536994197158
Public Health Association calls for the Minister of Health to intervene and support the Māori Health Authority alternative commissioning framework https://www.nzdoctor.co.nz/article/undoctored/public-health-association-calls-minister-health-intervene-and-support-maori
How it will be delivered
Please check out the delivery of this petition to MP Hon Rawiri Waititi on Wednesday, Feb 24th at 10h00 on the steps of Parliament. Please refer to our video documenting delivery of this petition here: