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Universal healthcare for all? Māori health inequalities in Aotearoa New Zealand, 1975–2000

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  • Brown, Hayley
  • Bryder, Linda

Abstract

Despite establishing a so-called universal, taxpayer funded health system from 1938, New Zealand's health system has never delivered equitable health outcomes for its indigenous population, the Māori people. This article, using a case study approach focusing on Māori, documents these historic inequalities and discusses policy attempts to address them from the 1970s when the principles of the Treaty of Waitangi were first introduced in legislation. This period is one of increasing self-determination for Māori, but notwithstanding this, Māori continued to have significantly shorter life expectancy than the population as a whole and suffered poor health at much higher rates.

Suggested Citation

  • Brown, Hayley & Bryder, Linda, 2023. "Universal healthcare for all? Māori health inequalities in Aotearoa New Zealand, 1975–2000," Social Science & Medicine, Elsevier, vol. 319(C).
    • Handle: RePEc:eee:socmed:v:319:y:2023:i:c:s0277953622006219
    DOI: 10.1016/j.socscimed.2022.115315
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    References listed on IDEAS

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    1. Jones, D.S., 2006. "The persistence of American Indian health disparities," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2122-2134.
    2. Per Axelsson & Tahu Kukutai & Rebecca Kippen, 2016. "The field of Indigenous health and the role of colonisation and history," Journal of Population Research, Springer, vol. 33(1), pages 1-7, March.
    3. Blakely, Tony & Tobias, Martin & Robson, Bridget & Ajwani, Shilpi & Bonné, Martin & Woodward, Alistair, 2005. "Widening ethnic mortality disparities in New Zealand 1981-99," Social Science & Medicine, Elsevier, vol. 61(10), pages 2233-2251, November.
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