1 00:00:00,320 --> 00:00:02,640 Speaker 1: Jack Day twelve past five on News Tools. He'd be 2 00:00:02,680 --> 00:00:05,760 Speaker 1: the government's released and open leader to FARMAC around expectations 3 00:00:05,760 --> 00:00:11,119 Speaker 1: for improved medicine access. The guidelines include funding, prioritization improved 4 00:00:11,160 --> 00:00:15,880 Speaker 1: health outcomes with evidence and hard data, alongside halting considerations 5 00:00:15,920 --> 00:00:19,720 Speaker 1: of titidity or white tonguey in its decision making. Associate 6 00:00:19,720 --> 00:00:22,680 Speaker 1: Minister of Health David Seymour is with this evening, good evening. 7 00:00:23,800 --> 00:00:25,200 Speaker 2: Hey Jack, Hey, what in. 8 00:00:25,120 --> 00:00:27,800 Speaker 1: Your letter or of expectation would you say marks the 9 00:00:27,880 --> 00:00:31,080 Speaker 1: single biggest difference from farmac's current operations. 10 00:00:32,479 --> 00:00:35,919 Speaker 2: It's the idea that farmacs should be looking not just 11 00:00:36,040 --> 00:00:39,720 Speaker 2: at how to make the most out of a fixed budget, 12 00:00:40,400 --> 00:00:44,159 Speaker 2: but how it can make better budgets to the Minister 13 00:00:44,280 --> 00:00:48,000 Speaker 2: of Finance and say hey, if we funded more medicines, 14 00:00:48,320 --> 00:00:51,479 Speaker 2: we could maybe save you some hospital admissions and some 15 00:00:51,600 --> 00:00:55,840 Speaker 2: operations and keep more people working and less people dependent 16 00:00:55,920 --> 00:00:58,240 Speaker 2: on a sickness benefit. Because I think often there's an 17 00:00:58,280 --> 00:01:02,320 Speaker 2: opportunity for a one win where if we funded more medicine, 18 00:01:02,520 --> 00:01:04,759 Speaker 2: we wouldn't actually need to spend money on other things. 19 00:01:04,800 --> 00:01:07,840 Speaker 2: A classic example of that is since the government did 20 00:01:07,880 --> 00:01:11,720 Speaker 2: fund try Cafter for assistic fibrosis there have been almost 21 00:01:11,760 --> 00:01:14,959 Speaker 2: no lung transplants in New Zealand. Now I don't actually 22 00:01:14,959 --> 00:01:17,360 Speaker 2: know how much the lung transplant costs, but I would 23 00:01:17,400 --> 00:01:20,240 Speaker 2: guess that's one of the most extensive things the healthcare 24 00:01:20,240 --> 00:01:22,920 Speaker 2: system does, not to mention one of the most brutal 25 00:01:22,920 --> 00:01:24,200 Speaker 2: surgeries that you can have. 26 00:01:24,920 --> 00:01:28,480 Speaker 1: Is there any evidence that FARMAC made funding decisions that 27 00:01:28,560 --> 00:01:30,639 Speaker 1: prioritized Maori over other people. 28 00:01:32,360 --> 00:01:36,360 Speaker 2: No, there's not. But then again, their operations are a 29 00:01:36,360 --> 00:01:39,200 Speaker 2: bit of a black box, and rightfully so because they're 30 00:01:39,240 --> 00:01:43,080 Speaker 2: supposed to be answering from politicians and confidential. What is 31 00:01:43,120 --> 00:01:47,400 Speaker 2: important is that if embedding the Treaty and Everything means 32 00:01:47,520 --> 00:01:50,560 Speaker 2: treat every person the same according to their medical need, 33 00:01:51,280 --> 00:01:54,040 Speaker 2: then they're all could in that's car pay. If it 34 00:01:54,120 --> 00:01:57,360 Speaker 2: means treat different New Zealand, it's differently based on whether 35 00:01:57,440 --> 00:01:59,920 Speaker 2: or not they had an ancestor who was Marin. We 36 00:02:00,040 --> 00:02:02,600 Speaker 2: want nothing to do with it either way. There is 37 00:02:02,640 --> 00:02:05,640 Speaker 2: no need for FARMAC to continue with the previous government's 38 00:02:05,640 --> 00:02:08,239 Speaker 2: directive of betting the Treaty and Everything it does. 39 00:02:08,840 --> 00:02:11,920 Speaker 1: You say that it's your expectation. FARMAC listens and engages 40 00:02:11,960 --> 00:02:15,160 Speaker 1: with patient groups, and those groups are often at the 41 00:02:15,160 --> 00:02:19,760 Speaker 1: heart of really emotional public campaigns to have certain drugs 42 00:02:19,800 --> 00:02:23,160 Speaker 1: or medicines funded. Isn't the whole purpose of FARMAC to 43 00:02:23,200 --> 00:02:24,920 Speaker 1: take emotion out of the equation. 44 00:02:27,480 --> 00:02:30,640 Speaker 2: It's to some extent that is true. However, it's also 45 00:02:30,880 --> 00:02:36,480 Speaker 2: the case that sometimes what people want is important. Sometimes 46 00:02:37,000 --> 00:02:41,040 Speaker 2: they can give feedback on how a particular treatment or 47 00:02:41,080 --> 00:02:44,560 Speaker 2: device works that FARMAC might not have considered. For example, 48 00:02:45,040 --> 00:02:49,440 Speaker 2: there's recently been a major exercise to fund continuous glucose 49 00:02:50,080 --> 00:02:55,360 Speaker 2: monitors and insulin pumps. FARMAC recommended a change to the 50 00:02:55,400 --> 00:02:59,080 Speaker 2: palms and a whole lot of patients were consulted and said, actually, 51 00:02:59,120 --> 00:03:02,799 Speaker 2: for technical reason to do with my particular body, that's 52 00:03:02,880 --> 00:03:04,920 Speaker 2: going to be a big problem for me. Now, I 53 00:03:04,960 --> 00:03:08,560 Speaker 2: think it is important to affector and information that sometimes 54 00:03:08,639 --> 00:03:09,400 Speaker 2: only patients. 55 00:03:09,440 --> 00:03:12,440 Speaker 1: He thanks your Tom, We appreciate it. Associate Health Minister 56 00:03:12,800 --> 00:03:16,800 Speaker 1: David Seymour. For more from Hither Duplessy Allen Drive, listen 57 00:03:16,919 --> 00:03:19,959 Speaker 1: live to news talks it'd be from four pm weekdays, 58 00:03:20,080 --> 00:03:22,280 Speaker 1: or follow the podcast on iHeartRadio.