“When a Health Minister Accuses Healers of Being Unethical, the Sickness Runs Deeper Than Any Hospital Deficit” - 17 October 2025
The Government Blames Striking Doctors for Patient Suffering While Its Own Policies Bleed the Health System Dry
Tēnā koutou, tēnā koutou, tēnā tātou katoa. Ko Ivor Jones tēnei, ko The Māori Green Lantern, te kaitiaki e whakapuaki ana i te pono mō ngā kōrero tito, te kaikiri mā, te kaikiri tangata, me te neoliberalism mai i te matau tino. Kia kaha, kia māia, kia manawanui.
Here is the brutal truth every working New Zealander needs to understand: Health Minister Simeon Brown stood before senior doctors at Te Papa on October 16, 2025, and accused them of crossing an ethical line by striking. This happened while his government was presiding over a healthcare system bleeding 587 nurses short every single shift, forcing hospitals to cancel procedures because they cannot staff operating theatres, and driving 75 percent of New Zealand-trained doctors to leave the country within a decade. The minister claims doctors are putting politics before patients. The reality is that his coalition government is putting profit margins before human lives, and when healers dare to speak truth to power, they get branded as the problem.[1][2][3]
New Zealand hospitals averaged 587 nurses short every shift in 2024, up from 475 in 2022 - a worsening staffing crisis
Background: The Neoliberal Playbook Applied to Healthcare
To grasp what is happening, we must understand neoliberalism. This economic philosophy has dominated Aotearoa since the 1980s. It prioritises three strategies: privatisation and competitive markets, reduced public spending on social services, and deregulation. These measures have consistently damaged the health and wellbeing of communities, with the burden falling disproportionately on Māori, Pacific peoples, children, and the poor.[4]
Simeon Brown, born April 8, 1991, represents a new generation of National Party politician steeped in Christian conservative ideology. While at the University of Auckland, he was president of ProLife Auckland, the student anti-abortion group. He opposed the Marriage Amendment Act that allowed same-sex couples to marry. In 2020, he voted against abortion law reform, and in 2022 he apologised after liking a social media post celebrating the US Supreme Court overturning Roe v Wade. Before entering Parliament, he worked in commercial finance at the Bank of New Zealand, a perfect training ground for viewing healthcare through a balance sheet rather than as a human right.[5][6][7]
Brown was appointed Health Minister in January 2025 after Prime Minister Christopher Luxon stripped the portfolio from Dr Shane Reti. The Public Service Association immediately warned that his success would depend on ensuring investment in the sector so New Zealanders could access the healthcare they deserve. Instead, Brown has doubled down on blaming workers for a crisis created by decades of underfunding and recent budget slashing by his own government.[8]
The Coalition Government Manufactures Crisis to Justify Cuts
Here is how the neoliberal playbook works in practice. Health New Zealand reported a deficit of $722 million for the 2023/24 financial year. By September 2024, this had ballooned to a projected $1.76 billion deficit. The government and Health NZ blamed this crisis primarily on one thing: hiring too many nurses.[9][10]
Health NZ deficit exploded from zero in 2022/23 to a projected $1.76 billion in 2024/25 under the Coalition Government
Let that sink in. Health NZ hired approximately 3,500 nurses to address critical shortages. Commissioner Lester Levy described the organisation as totally bloated with bureaucracy. Yet a 2025 Infometrics report for the nurses union revealed hospitals were short an average of 587 nurses every shift throughout 2024. Mental health wards in Capital, Coast and Hutt Valley were short-staffed overnight 100 percent of the time between January 2022 and November 2024. Cancer, heart, and trauma patients faced understaffed wards and emergency departments 49 percent of the time.[2][9][11]
The narrative that Health NZ over-recruited nurses is a lie designed to justify austerity. The Chief Ombudsman found Health NZ acted unlawfully in refusing to release staffing data that showed more than a third of shifts were understaffed. The union’s strategic researcher stated the data did not align with the public narrative around funding and staffing. The government suppressed this information because it exposed the manufactured nature of the crisis.[12]
The Exodus of Healers: A Symptom of Structural Violence
New Zealand now has one of the largest shares of migrant doctors in the OECD, with 42 percent of doctors foreign-born. According to Medical Council data, 75 percent of these doctors leave within 10 years. One senior doctor reported being lured to Australia by a salary package that doubled his earnings. Australian doctors can earn approximately 60 percent more than their New Zealand counterparts. A 2025 Royal New Zealand College of GPs survey showed 34 percent of general practitioners planned to retire within five years, with 18 percent considering leaving New Zealand entirely.[1][13][14][15]
The medical workforce exodus: 75% of NZ-trained doctors leave within 10 years while Australia offers 60% higher pay
In 2001, New Zealand was already described as a net exporter of good doctors and an importer of second-class doctors. That was 24 years ago. Nothing has changed except the rhetoric has become more vicious. The politics of a market approach to the health care workforce has led directly to this situation.[3]
Brown stood before the Association of Salaried Medical Specialists annual conference and claimed the average salary for a senior doctor was $325,000, a figure the union called particularly offensive because it was inaccurate. The room erupted in laughter when he repeated this claim. Doctors told the minister that patients were being cancelled for surgery for the fourth, fifth, or sixth time because rosters could not be filled. A Waikato Hospital rheumatologist revealed they regularly decline 50 percent of first specialist appointments to provide ongoing care to existing patients.[1]
Brown responded by accusing the doctors of putting politics before patients.
The Mega Strike: Workers Unite Against Neoliberal Violence
On October 23, 2025, approximately 100,000 healthcare workers, teachers, and public sector employees participated in what unions described as New Zealand’s largest strike in decades. More than 36,000 nurses walked off the job, along with 11,500 other healthcare workers, 40,000 teachers, and 4,000 doctors and dentists. These workers demanded safe staffing levels, better pay and conditions, and respect.[16]
Senior doctors had been in negotiations with Health NZ for over 12 months with no resolution. The Association of Salaried Medical Specialists made two requests for talks in October 2025, both of which Health NZ rejected. The union stated Health NZ refused to offer anything other than a real pay cut. In an unprecedented move, Health NZ applied to the Employment Relations Authority to fix the terms of the contract, overriding the bargaining process.[17][18][19][1]
Brown issued a government statement titled ASMS union walks away from patients. He claimed senior doctors were among the most well-remunerated public servants, with many working in private practice, and described the strike as a choice by some of the most well-paid public servants in New Zealand to walk away from patients and cancel care.[20]
This rhetoric is deliberate and calculated. It follows a clear pattern of neoliberal discourse that individualises structural problems, portrays collective action as selfishness, and frames workers exercising their legal rights as morally deficient. It echoes decades of welfare rhetoric that blamed benefit recipients rather than addressing systemic inequality.[21]
Hidden Connections: Christian Nationalism, Neoliberalism, and Health Privatisation
Simeon Brown is part of a definite seam of Christian conservatism within the National Party. Christopher Luxon, who is also opposed to abortion, has described his Christian faith as anchoring him and shaping his values. The decimation of the National caucus in 2020 concentrated the influence of male Christian conservative MPs. These values align perfectly with neoliberal ideology that emphasises personal responsibility over collective care and markets over public services.[22]
Coalition partner ACT Party leader David Seymour has openly pushed for healthcare privatisation. In his January 2025 State of the Nation speech, Seymour proposed allowing people to opt out of the public health system in exchange for $6,000 annual payments for private insurance. He argued that New Zealanders needed to get past squeamishness about privatisation. Patient Voice Aotearoa warned this would result in worse health outcomes for those in middle to low-income households.[23][24]
The coalition has also been implicated in conflicts of interest involving party donations and fast-track development approvals. Political scientist Bryce Edwards stated such donations could be perceived as creating a conflict of interest and eroding public trust in government. Cabinet guidelines state donations to political parties are not generally treated as resulting in a pecuniary conflict of interest for individual ministers. This creates a system where money flows to parties while policies benefit donors, all while being technically legal.[25]
The coalition has implemented a raft of changes including defunding social services, negating environmental protections, and minimising Māori representation. These changes go beyond what any administration has done in at least 40 years. The bulk of the government’s tax cuts benefited people in higher income brackets while those in lower brackets were barely compensated for inflation. Meanwhile, landlords were allowed to write off 100 percent of their mortgage interest costs, a move that will cost $2.9 billion over four years. This is the same amount the government says it cannot afford to rebuild Dunedin Hospital to the standard promised.[26]
The Real Ethical Line: Choosing Profit Over People
Brown accused doctors of crossing an ethical line by striking. But who truly crosses ethical lines here? ASMS executive director Sarah Dalton stated that patients are collateral damage in a system every day that refuses to staff or resource services locally, regionally, or nationally to allow people to get the care they need in a timely fashion. Every single day people miss out on care because this government is not interested in putting in the real resources which are needed.[1]
An Australian Salaried Medical Officers Federation representative thanked the New Zealand Government on behalf of Australia for funding the training of doctors to staff Australian hospitals because they pay higher wages and better conditions. Brown thanked her for the question and said New Zealand was grateful for Australian doctors working in our hospitals. This exchange would be comical if it were not so tragic.[1]
Healthcare workers at breaking point under government funding cuts
The photograph above captures what this government refuses to acknowledge: healthcare workers at their breaking point. Neoliberal policy materialises in the health system, degrades social public policies, and weakens public health systems due to the reduction in public investments and expenditure and precarious work. Under the aegis of neoliberal policy, precarious work influences nursing workers’ subjectivity and mental health. The progressive nature of neoliberal policy imposes the disvalue of nursing workers, takes away their social rights, affects their subjectivity and mental health, and extends to their daily lives.[27]
Implications for Māori and Working Communities
Neoliberal reforms have negatively affected the health and wellbeing of communities, with the burden borne disproportionately by children, the poor, and by Māori and Pacific people. Privatisation and competition led to income inequality and an unequal distribution of the determinants of health. Limiting health expenditure led to inequalities in access to services.[4]
Iwi and Māori health providers struggle to attract and retain nurses because of poor pay and short-term government funding arrangements. There were 841 nurses working at Māori and Iwi providers in 2023 representing 551 full time equivalents because of the high number working part-time. One provider had been unable to fill two vacant nurse positions for more than eight months. The government needs to increase funding so providers can attract and retain nurses. Māori and Iwi health providers are key to turning around Māori health inequities and saving the health system money in the long run.[2]
This is not an accident. This is policy. The coalition introduced measures discouraging te reo in public services and directed that all public services be delivered on the basis of need rather than race. Archbishop Don Tamihere told Māori gathered at Te Hui ā Motu that someone has made a political decision that they can renegotiate our existence. The dismantling of the health system disproportionately harms Māori because we already face higher rates of disease, lower life expectancy, and greater barriers to access.[26]
The Sickness and The Cure
Simeon Brown accuses doctors of crossing an ethical line by striking. But the ethical breach belongs to a government that manufactures crisis to justify austerity, suppresses data to hide the truth, pays its ministers to blame workers for systemic failures, and defends a system that exports our trained healers to other countries while importing precarious workers on temporary visas.
The cure is not binding arbitration imposed by the Employment Relations Authority. The cure is not blaming workers for daring to advocate for their patients by advocating for themselves. The cure is radical reinvestment in public health, immediate equity of health outcomes for all citizens, rejection of the marginalisation of health professionals in decision-making, and a more streamlined, ambitious, and integrated health system.
The mega strike of October 23, 2025 showed the power of collective action. More than 100,000 workers walked off the job. They did not do this lightly. They did this because every other avenue had been exhausted. They did this because patients are collateral damage in a system every day that refuses to staff or resource services.[1][16]
When a Health Minister stands before doctors and accuses them of being unethical for striking, while his government bleeds the health system through austerity, drives trained professionals overseas with poverty wages, and suppresses data about understaffing, we must name this for what it is: structural violence dressed up as fiscal responsibility. This is neoliberalism applied to the most vulnerable moments of human existence, when we are sick, when we are dying, when we need care.
The ethical line was crossed long ago. It was crossed when someone decided a balanced budget mattered more than a functioning health system. It was crossed when someone decided healthcare was a cost to be minimised rather than a right to be protected. It was crossed when someone looked at 587 nurses short every shift and called it over-recruitment.
For those who find value in the kaupapa of exposing these truths, I humbly ask you to consider a koha to support this mahi. Every contribution, no matter how small, helps sustain this work. HTDM: 03-1546-0415173-000. I understand these are tough economic times for whānau, so please only contribute if you have the capacity and wish to do so.
Kia kaha. Kia māia. Kia manawanui.
Nō reira, tēnā koutou, tēnā koutou, tēnā tātou katoa.
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