1 00:00:00,120 --> 00:00:05,000 Speaker 1: Here we go again. In crisis is the word of 2 00:00:05,040 --> 00:00:07,880 Speaker 1: the year, is it not. Heart services are now being 3 00:00:07,920 --> 00:00:11,799 Speaker 1: described as in crisis and they need much needed drugs 4 00:00:11,840 --> 00:00:15,200 Speaker 1: and they need funding. The Cardiac Society is calling on 5 00:00:15,360 --> 00:00:19,800 Speaker 1: FARMAC to cover chronic heart failure medicines with their funding boost. 6 00:00:20,239 --> 00:00:22,479 Speaker 1: The drugs have been standard in cardiac care in the UK, 7 00:00:22,560 --> 00:00:25,880 Speaker 1: Australia and Canada, but here in New Zealand they're only 8 00:00:25,880 --> 00:00:29,560 Speaker 1: funded for type two diabetics who meet certain criteria. This 9 00:00:29,640 --> 00:00:34,640 Speaker 1: is while cardiovascular disease remains our number one cause of mortality. 10 00:00:35,240 --> 00:00:38,519 Speaker 1: So the chair of the New Zealand Cardiac Society, Martin Styles, 11 00:00:38,880 --> 00:00:42,040 Speaker 1: is joining me. Good morning to you, mattin morning and 12 00:00:42,080 --> 00:00:45,599 Speaker 1: you good. Did you feel a little bit left out 13 00:00:45,680 --> 00:00:49,080 Speaker 1: with all the FARMAC and the funding news about cancer 14 00:00:49,120 --> 00:00:49,839 Speaker 1: and not hearts. 15 00:00:51,159 --> 00:00:54,120 Speaker 2: Well, we as a cardiology community have been watching the 16 00:00:54,160 --> 00:00:56,680 Speaker 2: news closely with all the cancer funding that's been talked 17 00:00:56,680 --> 00:00:59,920 Speaker 2: about on the media, and we are delighted to see 18 00:01:00,080 --> 00:01:03,200 Speaker 2: that the cancer patients are getting more funding, in fact 19 00:01:03,200 --> 00:01:07,319 Speaker 2: even more funding than they were initially promised. However, as 20 00:01:07,319 --> 00:01:11,440 Speaker 2: you've already mentioned, cardivascular disease remains the number one killer 21 00:01:11,520 --> 00:01:14,759 Speaker 2: of New Zealanders. So we meet to sure we need 22 00:01:14,800 --> 00:01:18,040 Speaker 2: to make sure that the funding that's been given to 23 00:01:18,080 --> 00:01:21,480 Speaker 2: far MAC is distributed equitably across all diseases. 24 00:01:21,640 --> 00:01:24,039 Speaker 1: And why haven't these drugs been funded before? 25 00:01:25,080 --> 00:01:27,800 Speaker 2: Well, that's a good question. I mean, we know that 26 00:01:27,920 --> 00:01:31,640 Speaker 2: if a patient with heart failure is given optimal therapy 27 00:01:31,720 --> 00:01:36,040 Speaker 2: with drugs, they can extend their period between their diagnosis 28 00:01:36,040 --> 00:01:39,400 Speaker 2: and being hospitalized or dying by about eight years, which 29 00:01:39,440 --> 00:01:43,600 Speaker 2: is a very long time, as you can probably imagine. 30 00:01:43,680 --> 00:01:46,440 Speaker 2: So we're keen to see these drugs funded. There's many 31 00:01:46,440 --> 00:01:49,000 Speaker 2: classes of drugs that could help, but at the moment, 32 00:01:49,040 --> 00:01:51,760 Speaker 2: as you point out, you have to have a really 33 00:01:51,840 --> 00:01:54,720 Speaker 2: narrow range of things. You have to have both diabetes 34 00:01:55,080 --> 00:01:58,200 Speaker 2: and a particular type of heart failure and a few 35 00:01:58,200 --> 00:02:00,440 Speaker 2: other criteria that we have to then right to the 36 00:02:00,480 --> 00:02:03,080 Speaker 2: government and ask permission to get funding for it. 37 00:02:03,800 --> 00:02:06,160 Speaker 1: Okay, So what happens if you don't get funding for it. 38 00:02:06,600 --> 00:02:08,440 Speaker 2: Well, you can pay for it yourself. It's about one 39 00:02:08,520 --> 00:02:11,640 Speaker 2: hundred dollars a month, and for some people that's achievable, 40 00:02:11,680 --> 00:02:13,840 Speaker 2: but for many people it's not. And I think the 41 00:02:13,919 --> 00:02:16,200 Speaker 2: other issue that we're finding in health across New Zealand 42 00:02:16,600 --> 00:02:19,079 Speaker 2: is an inequity between those who have money to fund 43 00:02:19,120 --> 00:02:21,360 Speaker 2: their own medications or pay for their own surgery and 44 00:02:21,440 --> 00:02:24,320 Speaker 2: those who don't. And for instance, if we're looking at 45 00:02:24,320 --> 00:02:26,960 Speaker 2: Mariing Pacific Island patients, if you're under the age of 46 00:02:26,960 --> 00:02:31,079 Speaker 2: fifty and a Mario Pacific Island patient person, you are 47 00:02:31,760 --> 00:02:35,840 Speaker 2: something like five times more likely to get heart failure 48 00:02:36,120 --> 00:02:39,600 Speaker 2: than a parky heart patient. And so there's these inequity 49 00:02:39,680 --> 00:02:43,120 Speaker 2: in our society, which is compounded by the fact that 50 00:02:43,160 --> 00:02:44,240 Speaker 2: these drugs aren't funded. 51 00:02:44,720 --> 00:02:46,840 Speaker 1: Have you been talking to political parties, because let's be 52 00:02:46,840 --> 00:02:49,880 Speaker 1: honest about it, the increase in cancer funding came from 53 00:02:49,880 --> 00:02:51,919 Speaker 1: great lobbying to the National Party to make it part 54 00:02:51,919 --> 00:02:55,080 Speaker 1: of an election campaign. Have you been doing the same Yeah, 55 00:02:55,080 --> 00:02:55,480 Speaker 1: well haven't. 56 00:02:55,520 --> 00:02:58,000 Speaker 2: The Cancer Society has been doing a great job of that, 57 00:02:58,080 --> 00:02:59,720 Speaker 2: and I think we need to up our game perhaps 58 00:02:59,720 --> 00:03:02,960 Speaker 2: in this regard. Yes, the chair of the New Zealand 59 00:03:03,000 --> 00:03:06,519 Speaker 2: cadect Network has spoken with David Seamo. I understand. I 60 00:03:06,560 --> 00:03:08,520 Speaker 2: don't know the outcome of that meeting, but we are 61 00:03:08,560 --> 00:03:10,280 Speaker 2: pushing hard to get these drugs funded. 62 00:03:10,639 --> 00:03:11,720 Speaker 1: How much money do you need? 63 00:03:13,240 --> 00:03:16,880 Speaker 2: Well, the issue with healthcare, as I'm sure you're aware, 64 00:03:17,240 --> 00:03:20,760 Speaker 2: is that healthcare has this tendency to soak up as 65 00:03:20,840 --> 00:03:22,800 Speaker 2: much money as you give it. But on the other hand, 66 00:03:22,919 --> 00:03:25,120 Speaker 2: if you look at it another way, if you're able 67 00:03:25,200 --> 00:03:29,359 Speaker 2: to treat these patients and prevent their hospitalization, prevent them 68 00:03:29,360 --> 00:03:33,160 Speaker 2: from being unwell, missing work or whatever, then actually you 69 00:03:33,200 --> 00:03:36,640 Speaker 2: reap the economic benefits downstream. So I see it not 70 00:03:36,720 --> 00:03:39,400 Speaker 2: as a cost but as an investment for New Zealand. 71 00:03:39,960 --> 00:03:42,200 Speaker 1: How can people get in touch with you and help out. 72 00:03:42,000 --> 00:03:47,520 Speaker 2: With the lobbying, well, I would suggest I'm the chair 73 00:03:47,560 --> 00:03:50,720 Speaker 2: of the cardect Society, so it's an organization of cardiovascular 74 00:03:50,720 --> 00:03:53,680 Speaker 2: professionals across New Zealand. But places like the Heart Foundation, 75 00:03:54,000 --> 00:03:56,800 Speaker 2: they're quite good for lobbying. People can talk to their 76 00:03:56,800 --> 00:04:01,960 Speaker 2: own mp people can perhaps approach Farmak directly. And I 77 00:04:01,960 --> 00:04:03,680 Speaker 2: think if you're listening to this, then you've got heart 78 00:04:03,680 --> 00:04:06,880 Speaker 2: failure and maybe that you're missing out on a really 79 00:04:06,920 --> 00:04:10,280 Speaker 2: important therapy that you could lobby and help us get 80 00:04:10,280 --> 00:04:11,040 Speaker 2: these things funded. 81 00:04:11,360 --> 00:04:13,400 Speaker 1: Madam Styles at the chair of the New Zealand card 82 00:04:13,440 --> 00:04:15,080 Speaker 1: Ex Society, thank you so much for your time today, 83 00:04:15,080 --> 00:04:17,160 Speaker 1: Have yourself a great morning, and there we go. It started. 84 00:04:17,360 --> 00:04:19,440 Speaker 1: You fund one area and other areas come up, and 85 00:04:19,480 --> 00:04:20,960 Speaker 1: that's just the way human nature is. 86 00:04:21,640 --> 00:04:24,560 Speaker 2: For more from the mic Asking Breakfast, listen live to 87 00:04:24,640 --> 00:04:27,719 Speaker 2: news talks it'd be from six am weekdays, or follow 88 00:04:27,760 --> 00:04:29,280 Speaker 2: the podcast on iHeartRadio