Reti ShaneDr SHANE RETI (National): Thank you Mr Chair and I'd like to thank the Minister for joining us tonight and for taking these questions. I have one question arising from the Pharmac and Cancer Control Agency annual review and then a set of questions from the Ministry of Health.I think the first question from the Cancer Control Agency and from Pharmac is a discussion arising out of processes and decision making from Pharmac. In particular I'm seeking a response to the challenge that I'm putting to the Minister in those Pharmac decision-making processes to not remove the Pharmac exemption for children receiving cancer medicines in DHBs. It seems to me that it would be cynical to remove an exemption for children with cancer to simply harmonise policy. Why would we want to double down to the lowest common denominator and remove Pharmac medicines from children with cancer when in fact maybe we should double up and explore maybe increasing that scope for children who don't have cancer? So I challenge the Minister to maybe address that and give some thinking as to how he might show some leniency towards that position.I'd then like to address the annual review from the Ministry of Health where we talked around a restructuring and the 30 or so Māori health questions that went to every DHB and weave those two together into a sequence of questions. The first part would be around the restructuring. I'd ask the Minister: does he have any sense of the cost to disestablish DHBs and establish Health New Zealand? Does he have any idea as to what that might be?The second point I'd raise is that I have grave concerns for two separate health systems. And I agree with the leader who calls it separatist" when describing two separate health systems: one with a veto—a Māori health authority—and then Health New Zealand. Spilling out of that then are the questions: what is the cost of setting up a Māori health authority? How much funding will a Māori health authority receive? And I say that in the context of officials who stood on stage last weekend and said that the funding would be "modest"—modest. So I'm wondering if he has a sense as to what funding the Māori Health Authority might receive.I'm concerned that there will be unhealthy competition between a Māori health authority and Health New Zealand and I'm looking for some reassurance as to how the Minister might address that. Have they thought of that? Do they see it as a risk as well? How might that be managed?I raised a question earlier today and I'd ask it again because I'm trying to understand how this works. If I'm in my general-practice mode and I have a person coming toward me who is co-commissioned from a Māori health authority and also has some work involving Health New Zealand how do I manage that? How do I account for it? Is part of the consultation under a Māori health authority commissioning - sort of umbrella and another part under Health New Zealand? Am I invoicing two? It just alludes me. If he could add some clarity from a general-practice perspective how that would look with a person coming towards you when there's co-commissioning from a Māori health authority and still responsibilities under Health New Zealand.I'm wondering if he could sort of confirm if he'd had any discussions or communications about aligning the Māori health authority with He Puapua; not whether he has read the document I understand that he hasn't but I'm interested in any discussion as to how this all aligns with the strategy at He Puapua.I'd look back and question whether he is familiar with the health restructuring reforms in the late 2000s under the strategy "meeting the challenge" where the Ministry of Health had a policy arm and it had a funding arm. I'm wondering if he has taken into account any findings—or learnings if you like—that might have come from that that might inform the break-up of the Ministry of Health because it would be a shame to sort of not learn from what was done around about 2009 actually.I'm interested—and I'm trying to not overwhelm the Minister writing because I would also be the same—will funding of the health restructuring be in this year's Budget? Can we anticipate a Budget line?Second to last question: can he give an example of where the Māori Health Authority can veto national planning of health services. I'm trying to understand this. I understand it is co-signing approval. If he could just give an example as to how that veto might deploy. In what instance might it be used?And finally and it may be a rhetorical question but I'll place it anyway to get a view: does he expect consultation between the Māori Health Authority and Health New Zealand to be useful in improving Māori health inequities? Does he expect consultation between the Māori Health Authority and Health New Zealand to be useful in improving Māori health inequities? Thank you Mr Chair."