title: Health reform and the impact on Mäori 1983-1997

authors: Ferguson, Lisa Arleen.

abstract: This study investigates the New Zealand health sector reforms from 1983 to 1997and examines whether the reform process has been consistent with the principles of the Treaty of Waitangi. It evaluates the impact of the reforms on Mäori from that perspective. 

The study introduces the health sector reforms generally and then their specific effects on Mäori. It draws on two research exercises undertaken by the author, being research for the Wai 692 Napier Hospital and Health Services claim to the Waitangi Tribunal and on improving Mäori Health outcomes for the National Health Committee. The methodologies used are those from the discipline of history.

The study outlines the argument for Crown responsibilities under the Treaty and draws out the distinctions between Article 2 and Article 3 of the Treaty. It provides a historical background to the place of the Treaty in the health sector, and forms the basis for a Treaty based analysis of the health reforms and their impact. 

The New Zealand health sector has undergone massive government initiated structural change throughout the period under study. During this time the neo-liberal reforms have had a key role in reshaping health service structures. The process of change, the international influences on the changes, and the resulting entities are described. An example from Tainui Iwi of the effect of structural health reform illustrates the changes in Mäori health service provision by Mäori.
Since 1983 successive governments have produced copious Mäori health policy. The key policy documents, and their recommendations, are identified, as is the degree to which they were implemented. The cyclical nature of such policy making suggests that it is not always followed by policy implementation. While Mäori are identified as a health gain priority, the evidence reviewed shows that the responsibility to implement and monitor the policy is diffuse and ineffective.

The Wai 692 claim provides a detailed look at the impact of the 1990s health reform for Mäori. The claim was precipitated by the threatened closure of Napier Hospital, but was broadened to include a wide-ranging look at the impact of health reform on Mäori. As a case study it provides a specific example of one Iwi’s experience of the reality of policy implementation at that time versus policy making.

Crown evaluation of the effectiveness of its own policies, and the extent to which its own agencies breach those policies is explored. The lack of control and accountability measures, plus the inability of the Crown to monitor (let alone sanction) success or failure, is highlighted. A contrast is drawn between the health and local government sectors, using the operation of the Resource Management Act (1991). 

The latest health sector reforms consequent on the 1999 Labour/Alliance coalition government are briefly considered, together with an overview of the Crown’s effectiveness in delivering improved Mäori health outcomes. The study suggests that the use of the Treaty as a cornerstone for Maori health policy formation and delivery may lead to more effective engagement between the Crown and Mäori in addressing Mäori health issues. The study concludes by asking the question, has the health sector reform process of the 1980s and 1990s itself been a Treaty breach?

A brief postscript considers the further reform of the health sector beyond the period of study.

text: Health reform and the impact on Mäori 1983-1997 This study investigates the New Zealand health sector reforms from 1983 to 1997and examines whether the reform process has been consistent with the principles of the Treaty of Waitangi. It evaluates the impact of the reforms on Mäori from that perspective. 

The study introduces the health sector reforms generally and then their specific effects on Mäori. It draws on two research exercises undertaken by the author, being research for the Wai 692 Napier Hospital and Health Services claim to the Waitangi Tribunal and on improving Mäori Health outcomes for the National Health Committee. The methodologies used are those from the discipline of history.

The study outlines the argument for Crown responsibilities under the Treaty and draws out the distinctions between Article 2 and Article 3 of the Treaty. It provides a historical background to the place of the Treaty in the health sector, and forms the basis for a Treaty based analysis of the health reforms and their impact. 

The New Zealand health sector has undergone massive government initiated structural change throughout the period under study. During this time the neo-liberal reforms have had a key role in reshaping health service structures. The process of change, the international influences on the changes, and the resulting entities are described. An example from Tainui Iwi of the effect of structural health reform illustrates the changes in Mäori health service provision by Mäori.
Since 1983 successive governments have produced copious Mäori health policy. The key policy documents, and their recommendations, are identified, as is the degree to which they were implemented. The cyclical nature of such policy making suggests that it is not always followed by policy implementation. While Mäori are identified as a health gain priority, the evidence reviewed shows that the responsibility to implement and monitor the policy is diffuse and ineffective.

The Wai 692 claim provides a detailed look at the impact of the 1990s health reform for Mäori. The claim was precipitated by the threatened closure of Napier Hospital, but was broadened to include a wide-ranging look at the impact of health reform on Mäori. As a case study it provides a specific example of one Iwi’s experience of the reality of policy implementation at that time versus policy making.

Crown evaluation of the effectiveness of its own policies, and the extent to which its own agencies breach those policies is explored. The lack of control and accountability measures, plus the inability of the Crown to monitor (let alone sanction) success or failure, is highlighted. A contrast is drawn between the health and local government sectors, using the operation of the Resource Management Act (1991). 

The latest health sector reforms consequent on the 1999 Labour/Alliance coalition government are briefly considered, together with an overview of the Crown’s effectiveness in delivering improved Mäori health outcomes. The study suggests that the use of the Treaty as a cornerstone for Maori health policy formation and delivery may lead to more effective engagement between the Crown and Mäori in addressing Mäori health issues. The study concludes by asking the question, has the health sector reform process of the 1980s and 1990s itself been a Treaty breach?

A brief postscript considers the further reform of the health sector beyond the period of study.

year: 2002

title: ‘Pakeha Bill’: William John McClear, a Pakeha who lived at Te Aroha

authors: Hart, Philip

abstract: Born in Ireland to a Scottish soldier named McAleer, McClear, as he would re-name himself, was uncertain of his age, his birthplace, and the spelling of his name – for, like his parents, he was illiterate. After his drunken father, who abandoned his wife and family, sold him to unknown Maori at an unknown date, he was educated in a Maori school and was unable to speak English until the early 1870s, when he was living with Ngati Rahiri at Omahu pa, at Te Aroha. When Pakeha visitors first met him in 1877, he was a popular resident there and known as Pakeha Bill (or Pakeha William).
Possiby involved in mining before the Te Aroha rush, he both invested in and mined in several claims there from 1880 onwards, and at the end of that decade was one of a small group of Waiorongomai miners who took up a claim at Thames. When not mining, he took whatever jobs were available, struggling financially, in part because of a fondness for drink. As, unlike other Pakeha Maori, there was no evidence of his forming a close relationship with any Maori women, he did not benefit from a Maori wife’s landholdings, and he died in poverty.

text: ‘Pakeha Bill’: William John McClear, a Pakeha who lived at Te Aroha Born in Ireland to a Scottish soldier named McAleer, McClear, as he would re-name himself, was uncertain of his age, his birthplace, and the spelling of his name – for, like his parents, he was illiterate. After his drunken father, who abandoned his wife and family, sold him to unknown Maori at an unknown date, he was educated in a Maori school and was unable to speak English until the early 1870s, when he was living with Ngati Rahiri at Omahu pa, at Te Aroha. When Pakeha visitors first met him in 1877, he was a popular resident there and known as Pakeha Bill (or Pakeha William).
Possiby involved in mining before the Te Aroha rush, he both invested in and mined in several claims there from 1880 onwards, and at the end of that decade was one of a small group of Waiorongomai miners who took up a claim at Thames. When not mining, he took whatever jobs were available, struggling financially, in part because of a fondness for drink. As, unlike other Pakeha Maori, there was no evidence of his forming a close relationship with any Maori women, he did not benefit from a Maori wife’s landholdings, and he died in poverty.

year: 2016

title: Marx’s social and political thought after the MECW and MEGA²

authors: Archer, Buissink

subjects: Marx

abstract: Recent decades have seen significant advancements in the accessibility of Marx and Engels’ social and political thought due to publication of most of their writings, published or otherwise. The Marx and Engels Collected Works, which contains their published works, some economic manuscripts and important drafts, and letters translated into English, was completed in 2004; and the more extensive Marx-Engels-Gesamtausgabe (Complete Edition) is nearing completion. In parallel, the removal of Soviet editorial influence over the publication and interpretation of these collections has facilitated new interpretations and challenges to old dogmas surrounding the thought of Marx and Engels. However, this process has been questioned for a total depoliticisation which overemphasises an amorphous ‘thought’ and abandons the political, activist nature of their work. This thesis uses recently available and partially untranslated material published within the Collected Works and the Gesamtausgabe to present three vignettes of Marx’s social thought: the development of the proletariat as their focus in the 1840s; solidarity with Poland and the international relations of the workers’ movement; and the theory of the machine system, applied to contemporary platform capitalism. While these confirm the contradictory nature of Marx’s social thought across different writings, recognition of the political nature of Marx’s analysis means this contradiction can be contextualised through the fluid political situation which Marx and Engels sought to interpret and change. Thus, a less dogmatic and more nuanced picture of Marx can emerge from the MECW and MEGA2, yet this must still be seen as a political, activist Marx.

text: Marx’s social and political thought after the MECW and MEGA² Recent decades have seen significant advancements in the accessibility of Marx and Engels’ social and political thought due to publication of most of their writings, published or otherwise. The Marx and Engels Collected Works, which contains their published works, some economic manuscripts and important drafts, and letters translated into English, was completed in 2004; and the more extensive Marx-Engels-Gesamtausgabe (Complete Edition) is nearing completion. In parallel, the removal of Soviet editorial influence over the publication and interpretation of these collections has facilitated new interpretations and challenges to old dogmas surrounding the thought of Marx and Engels. However, this process has been questioned for a total depoliticisation which overemphasises an amorphous ‘thought’ and abandons the political, activist nature of their work. This thesis uses recently available and partially untranslated material published within the Collected Works and the Gesamtausgabe to present three vignettes of Marx’s social thought: the development of the proletariat as their focus in the 1840s; solidarity with Poland and the international relations of the workers’ movement; and the theory of the machine system, applied to contemporary platform capitalism. While these confirm the contradictory nature of Marx’s social thought across different writings, recognition of the political nature of Marx’s analysis means this contradiction can be contextualised through the fluid political situation which Marx and Engels sought to interpret and change. Thus, a less dogmatic and more nuanced picture of Marx can emerge from the MECW and MEGA2, yet this must still be seen as a political, activist Marx.

year: 2023