Kerekere ElizabethDr ELIZABETH KEREKERE (Green): Tēnā koe Madam Speaker. I rise on behalf of the Greens to support the Pae Ora (Healthy Futures) Bill. Nā te mea tuatahi—he tohu aroha ki te wāhine toa Dr Elisa Lavelle Wijohn. Tiwhatiwha te Ao tiwhatiwha te Pō. E te kotuku rerenga tahi whatoro mai o parirau kia rongo anō ai mātou i to wairua e topa ana i te whare whakaruruhau mō tō tinana. Rere tu tō tātou kotuku i te hau aroha ō whānau. Whaīa te ara o Hine Tuākirikiri ki Te Toi o ngā Rangi okioko ai. [Deep sorrow for passing. Kotuku represents the tūpāpaku returning among her loved ones for the last time. Begin your flight following the trademark coastline of Hine Tuākirikiri to the resting place of your tūpuna in the uppermost heavens.]Elisa passed away from cancer just yesterday. She was a staunch advocate for Patient Voice Aotearoa and she was instrumental to the 100000-strong petition they presented to Parliament in May of last year. They sought to double the funding for Pharmac and to reform that agency. Patient Voice Aotearoa also submitted to the Pae Ora bill where they asked for a medicines and a rare diseases health strategy. They asked for a broadening of Pharmac's statutory objectives to make it more patient outcome - focused to give it a fairer form of economic assessment and to look at the full health picture—good simple advice. We see the success of that advocacy through the increased funding for Pharmac the higher levels of compliance required in this legislation the review report that was released in February and the Government's response that came out just last week. You've fought the good fight Elisa and we'll continue that fight in this House. Ka nui te aroha ki a Leon Josh Maia me te whānau kātoa i tēnei wā pourinui. [I send loving greetings to Leon Josh Luke and Maia and the whole family at this very very sad time.]Most of us have lost someone to cancer because in this country it is our single-biggest cause of death. As our population grows and gets older it will just continue to grow. Many cancers can be cured if they're found and treated in time and even if those cancers can't be cured more effective treatment means people can live longer. Part of the success of Pae Ora - Healthy Futures and the Government's response to the review of Pharmac can be directly measured by the reduction of cancer in this country and the longer people can live with it because they can get access to the medication they need when they need it where they need it. Finally I mihi to all of those who are living with cancer right now and the whānau who care for them. Kia kaha koutou. It is not often where we see the Government putting its money where its mouth is in such a timely fashion. Budget 2022 allocated eye-watering amounts of funding for Pae Ora including to establish the Māori Health Authority and create the iwi partnership boards and the Hauora Māori Advisory Committee. These are absolute minimums. These are required to address the health disparities for Māori. These existed in our health system long before COVID came along to make it worse. We agree with the many submitters who thought that the Government's commitment to Te Tiriti o Waitangi could be more clearly spelt out—in particular with the addition of the term tino rangatiratanga". We raised this in the committee of the whole House to no effect. But the Greens look forward to a generation of children and young people growing up speaking te reo Māori so that a term used in our so-called founding document 182 years ago is commonly understood and is unsurprisingly included in our legislation. We—point of order Madam Speaker. Do I not have 10 minutes? I think we started with five. OK ka pai I'll just haere tonu—ASSISTANT SPEAKER (Hon Jacqui Dean): Would the member like to take a point of order? The member calls for a point of order.Dr ELIZABETH KEREKERE: Kia ora. It's just that the time appeared to—ASSISTANT SPEAKER (Hon Jacqui Dean): Order! Order! I'll try and sort it out but the way to ask for a point of order is to say "Point of order." Then I acknowledge the member and then the member raises what they want to. But I think we get it—just a moment.Dr ELIZABETH KEREKERE: Yeah ka pai. Me haere tonu? Kia ora. Ngā mihi.[OK. Should I continue? OK thanks.]So we applaud the Government for deciding to include strategies for women and rural communities alongside those dedicated to Māori Pasifika and people with disabilities. Although I was able to get the term "takatāpui" added to New Zealand legislation for the first time we were unsuccessful in getting a rainbow strategy which so many submitters had advocated for. I'd like to take this opportunity to thank Te Paati Māori and the National Party for supporting our Supplementary Order Paper (SOP) on this. We were very much behind the SOP for a mental health strategy as well. I'm not entirely convinced by the Minister's suggestion that what the strategy would do could be met by having a lot of locality plans that address this. I'm not sure how that national consistency can be achieved. However I am convinced that there are people in this Government and in those Government departments with the heart to want to make this happen and that's just what we're going to need. So in the absence of such a strategy we look forward to community organisations having an input into how pae ora can best deliver on gender-affirming services for trans and non-binary people national guidelines and referral pathways for gender-affirming healthcare and best practice healthcare for intersex children and young people that enables them to make informed decisions about medical interventions and then develop all of the training and workforce development that's required to make that happen. All of these things so far our communities have been advising and advocating to DHBs for for years as volunteers. We hope this Budget recognises them for the specialist consultants that they are because the Government cannot achieve these goals without them. Tā Mason Durie first published his Māori health model Te Whare Tapa Wha in 1985. The Māori health strategy He Korowai Oranga was based on it and was released in 2002. It was updated in 2014 to the Pae Ora - Healthy Futures but still our people have the worst health outcomes because none of the band-aid solutions address the systemic issues that cause it. We know that 80 percent of social determinants of health lie outside of the health system. Children need to grow up in warm dry and affordable homes. Whānau need enough income to live in dignity. People with diverse genders sexualities and sex characteristics need to be safe in their own homes their communities their schools and their places of worship. Migrants refugees and asylum seekers need recognition of their cultural and spiritual needs as much as the practical issues that they face. Nearly 40 years after he created Te Whare Tapa Wha Tā Mason Durie has helped design Pae Ora - Healthy Futures. Māori have waited a long time for a Government that would do what needs to be done that genuinely acknowledges Te Tiriti o Waitangi and that recognises Māori leadership and mātauranga Māori. We have high hopes and high expectations that it is this Government that will do that. I acknowledge Minister Little Associate Ministers Verrall and Henare all of the officials those who submitted and my colleagues on the Pae Ora Legislation Committee and I commend this bill to the House. Kia ora."