![]() But this remains a much debated topic in the field of economic evaluation. Other countries consider productivity losses by taking a societal perspective and including both direct healthcare costs and indirect productivity costs in evaluations. The party also wants price performance to be compared with other countries.ĪCT has expressed an interest in including productivity in healthcare evaluations, and, Stephenson has suggested productivity should feature in the decision framework. This would require the ministry to publish evidence of the productivity gains from pharmaceutical funding decisions, and the productivity losses of waiting for treatments to be subsidised. Given the Ministry of Health’s revised remit under the health reforms as the kaitiaki (or steward) of the health system, this would fit well.ĪCT then suggests performance bench-marking. It requires the Ministry of Health to publish and regularly update a medicines strategy (a recommendation of the Pharmac review), and New Zealand’s medicines regulator MedSafe to approve within one week any drug or device that has been approved by two comparable international regulatory agencies.ĪCT’s strategy calls for analysis to understand New Zealanders’ unmet needs, what new medicines offer, how other countries are managing cost, and what drives price changes. It is also the most radical – likely a result of candidate Todd Stephenson, number four on the party list, having spent 15 years working in the pharmaceutical industry in Australia. Linking access to medicines with productivityĪCT’s medicines strategy is the most detailed of any party. Of all the party promises and offerings, however, it is ACT and NZ First that are promising something beyond funding increases – more akin to rewiring the whole house. Essentially, the party proposes to overhaul regulatory approval processes and decision making. NZ First is promising a new medicines-buying agency and an additional $1.3 billion a year for life-saving medicines.ĪCT has provided no specific funding promise, but has a policy it claims would ensure consistent and fair access to medicines. The Opportunities Party (TOP) has no stated policy, although it promises to fully fund contraceptives. ![]() Likewise, Te Pāti Māori has promised more funding, but has not said by how much. The Greens say they would increase funding for Pharmac but have not provided any dollar values. The party plans to fund these cancer drugs by reinstating the $5 prescription charge which the current government recently scrapped. National is promising an additional $724 million over four years, plus $280 million ring-fenced to fund 13 cancer treatments. ![]() Labour is promising to increase Pharmac’s funding by NZ$1 billion over four years, with an extra $50 million for new treatments, rising to $100 million after two financial years. But questions remain over whether this will stretch beyond merely “ keeping the lights on”. ![]() Given there are more than a hundred medicines on Pharmac’s Options for Investment waiting list – deemed to deliver value and be funded if the budget allowed – promised funding increases will be welcome. Nearly every political party has a proposed solution. New Zealand needs urgent action to tackle the frightening rise and cost of type 2 diabetes If you need assistance or an accommodation due to a disability, please send a note to with Request for Accommodation in the subject line, or call 1-87.It is clear from the Pharmac review that the agency’s success at negotiating some of the lowest medicine prices in the world has come at the expense of delivering equitable and timely access to medicines for New Zealanders. We are committed to offering accommodations for qualified individuals with disabilities in our job application process. TNC aims to make our career site accessible to any and all users. Military Skills Translator to match your military experience with our current job openings. Recruiting and mentoring staff to create an inclusive organization that reflects our global character is a priority, and we encourage applicants from all cultures, races, colors, religions, sexes, national or regional origins, ages, disability statuses, sexual orientations, gender identities, military, protected veteran status or other status protected by law.ĭo you have military experience? Visit our U.S. Our commitment to diversity includes the recognition that our conservation mission is best advanced by the leadership and contributions of people of diverse backgrounds, beliefs and cultures. The Nature Conservancy is an Equal Opportunity Employer.
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