PhD Candidate.
Associate Professor, Department of Public Health. Auckland University of Technology.
N Z Med J. 2022 Mar 11;135(1551):106-111.
The Pae Ora (Healthy Futures) Bill is the framework for a reformed health system intended to embed Te Tiriti o Waitangi and centre equity. The Bill is informed by the Wai 2575 Health Kaupapa Waitangi Tribunal Inquiry and the Health and Disability System Review, both of which established an urgent mandate to transform the health sector. This desktop review explores to what extent the proposed Bill is likely to uphold Te Tiriti.
This paper uses Critical Tiriti Analysis to review the Pae Ora Bill. The analysis involves five phases: (i) orientation; (ii) close reading; (iii) determination; (iv) strengthening practice and (v) Māori final word. As part of that, a determination is made whether the Bill is silent, poor, fair, good or excellent in relation to the Preamble and the four articles (three written, one verbal) of te Tiriti o Waitangi (Māori text).
The desktop analysis showed fair engagement with most of the Te Tiriti elements; but with good commitment to address equity issues. The Bill was silent in relation to wairuatanga (spirituality) and there is no evidence of Māori values informing it.
The dominant Crown narrative that interprets kāwanatanga as the right to govern over all peoples pervades this legislation. There are significant power sharing shifts within this Bill and these are welcomed, but whilst the Crown maintains ultimate power and authority only a partial fulfilment of Te Tiriti will be evident within the health system.
《健康未来法案》（Pae Ora Bill）是一个改革后的医疗体系框架，旨在嵌入《怀唐伊条约》并以公平为中心。该法案的制定依据是《怀 2575 号条约健康问题怀唐伊法庭调查报告》和《卫生和残疾系统审查报告》，这两份报告都确定了一项紧迫的任务，即改革卫生部门。本桌面审查旨在探讨拟议中的法案在多大程度上有可能维护《怀唐伊条约》。
本文运用关键条约分析方法来审查《健康未来法案》。该分析涉及五个阶段：（一）定位；（二）精读；（三）确定；（四）强化实践；（五）毛利人的最终意见。在此过程中，将根据《怀唐伊条约》的序言和四项条款（三项书面条款，一项口头条款）来确定该法案在与《怀唐伊条约》相关的内容方面是沉默、不佳、公平、良好还是优秀。
桌面分析表明，该法案在大多数《怀唐伊条约》要素方面都有公平的参与；但在解决公平问题方面有良好的承诺。该法案在 wairuatanga（精神）方面保持沉默，没有证据表明它受到毛利价值观的影响。
占主导地位的英联邦叙事将 kāwanatanga 解释为统治所有人民的权利，这种叙事在该立法中普遍存在。该法案中有重大的权力共享转变，这些转变受到欢迎，但只要英联邦保持最终的权力和权威，那么在卫生系统中只会出现对《怀唐伊条约》的部分履行。
