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Recent health leader resignations: from left, Nicholas Jones, Diana Sarfati and Fepulea’i Margie Apa.
Recent health leader resignations: from left, Nicholas Jones, Diana Sarfati and Fepulea’i Margie Apa.

The BulletinFebruary 17, 2025

New Zealand’s top health officials are dropping like flies

Recent health leader resignations: from left, Nicholas Jones, Diana Sarfati and Fepulea’i Margie Apa.
Recent health leader resignations: from left, Nicholas Jones, Diana Sarfati and Fepulea’i Margie Apa.

The resignation of the director general of health is the latest departure in what Labour is calling a ‘purge’ of health leadership, writes Catherine McGregor in today’s extract from The Bulletin.

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Another day, another health resignation

It’s a dangerous time to be a top health executive. On Friday, Dr Diana Sarfati announced her resignation as director general of health and chief executive of the Ministry of Health, just two years into her five-year term (her predecessor, Sir Ashley Bloomfield, lasted four years). Sarfati’s is the latest in a spate of high profile health resignations and firings, starting with the sacking of the entire Health NZ board in July 2024. Earlier this month Health New Zealand’s embattled chief executive Fepulea’i Margie Apa resigned, four months ahead of her scheduled contract end date, followed by Dr Nicholas Jones stepping down as director of public health three days later.

While all three departures were presented to the public as resignations, that’s not the whole picture. Apa stepped down in “mutual agreement” with health commissioner Lester Levy, while Sarfati’s resignation came after health minister Simeon Brown refused to express confidence in her abilities.

Who will be the next domino to fall?

Prior to her departure, Sarfati had been “the only health system leader left standing since the coalition Government began”, according to The Post. However the government’s “purge” of health leadership may have yet another victim: Lester Levy himself. Levy was brought in to lead Health NZ following the sacking of its board in July, with a mandate to rein in its overspending and “bloat”. His reputation took a hit when The Post’s Rachel Thomas reported that he was continuing to work two days a week as an AUT lecturer, and again when Labour’s Ayesha Verrall accused him of “cooking the books” to make Health NZ’s deficits look better under his leadership.

Labour accused Levy of treating Apa as a scapegoat for Health NZ’s failings, both publicly and privately. Now it seems it’s Levy’s turn in the firing line. Asked repeatedly whether Levy had his full confidence, Brown was noncommittal. He’d “work with whoever’s there to make sure that they’re focused on delivering”, he said, and the government would “be making decisions around next steps in the coming weeks and months”.

Health sector pays tribute to Sarfati

The director general’s resignation has provided more grist for Labour’s attacks on the government’s health reforms. Acting health spokesman Peeni Henare said it seemed “as if Christopher Luxon is getting rid of everyone who disagrees with him” but was “fast running out of other people to blame for his Government’s failures”. Brown countered that Labour needed to “look in the mirror”, having “[torn] apart the entire health infrastructure by restructuring the health system during a pandemic”.

Sarfati was widely respected within the health community, especially around her work on cancer prevention. A “senior leader in the health sector” told The Post that New Zealand had lost a “world class leader” who would be “snapped up by some place somewhere in the international health system”. Her stepping aside “sent a very unsettling message” about the state of NZ’s health system, the anonymous source said.

Keep going!
A supermarket trolley on a glowing backdrop

The BulletinFebruary 14, 2025

Supermarkets back on notice – but has anything changed?

A supermarket trolley on a glowing backdrop

The government has set its sights on luring a duopoly disruptor, explains Stewart Sowman-Lund for The Bulletin.

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Welcome to my final edition of The Bulletin! Don’t worry, this newsletter will still arrive in your inbox as usual next week (maybe even earlier than I send it out, though I can’t speak for the new editor). More self-reflection below, but for now, let’s start with supermarkets.

As reported by The Post’s Luke Malpass, the government has once again put the supermarket duopoly “on notice”. Finance minister Nicola Willis, delivering a speech at the New Zealand Economics Forum yesterday, signalled the government wanted to help see a third major supermarket chain open stores in New Zealand in an effort to bring prices for consumers down. “We owe it to Kiwi shoppers to help remove the barriers that could get in the way of a new entrant,” she said.

What’s new?

If you’re getting a sense of déjà vu here, you’re not wrong. As Jenna Lynch reported for ThreeNews last night, there’s little new in what the finance minister talked about yesterday. There’s a flashy new website – Going for Growth – but it basically just lays out action already taken and cheekily asks the public for suggestions on how to bolster the economy at the bottom.

The supermarket duopoly has been on notice for quite some time, with the former Labour government appointing a grocery commissioner, Pierre van Heerden, tasked with overseeing the industry. Little meaningful action was actually taken by Labour before it left office, though it did clamp down on land covenants. The coalition has previously been at loggerheads on how best to address supermarket competition – Act calling for “less regulation”, while National minister Andrew Bayly endorsing the grocery commissioner’s argument for more. Willis told those gathered yesterday she’s interested in cutting red tape to make it easier for a new operator to open up. Some of this has been flagged before, such as the long-planned revamp of the Resource Management Act. BusinessDesk’s Pattrick Smellie also reported (paywalled) that a “long tussle” between the coalition over how to liberalise the Overseas Investment Act has been resolved – we’re likely to hear more on this in the lead-up to the government’s foreign investors summit.

It might not be so easy

There are likely to be some difficulties that legislation itself can’t fix. As Newsroom’s Andrew Bevin reported in 2023, the existing supermarket duopoly holds vast amounts of land for its hundreds of stores. Any new entrant would need to open more than just a handful of stores to be a real competitor. Costco, for example, has proved hugely successful as a business from its sole base in West Auckland, but outside that very specific location, there has been little flow on effect. And, as noted in this article from the Herald, Costco is not often used by consumers as a replacement for a weekly shop anyway.

Tex Edwards, the man responsible for disrupting the telecommunications sector through the establishment of 2Degrees, told The Post that about 140 existing supermarkets would need to be relinquished to a rival in order to make a real dent in the duopoly. Quite simply, he explained, New Zealand is over-supplied with supermarkets already. “We have more per capita than other OECD nations. You can’t mount a business case to build a new chain.”

It will take time

The grocery sector is one of a handful the government (and its predecessor) has routinely gone after – along with banks, energy companies and fuel providers. As Jenna Lynch argued last night, that’s because they all have a real impact on consumers and if prices go up, the polls will trend down. Action is going to have to happen quicker if the government wants to claim victory here. As Tex Edwards said, while the finance minister’s comments are promising, “these things aren’t done overnight”. Writing for The Spinoff in 2022, Bernard Hickey noted the various difficulties at play in tackling pain at the supermarket checkout as opposed to breaking up the telecom monopoly. Among them, a “multiplicity of product lines, ownership types, physical supply chains, retail outlets and brands”.

Even if a third entrant entered the market, the impact wouldn’t be felt immediately. Any new supermarket would have to scale up dramatically. In Australia, explained Lincoln University’s Alan Renwick in an interview with Newsable last year, it took around a decade for Aldi to disrupt a similar duopoly system. “They have grown steadily, [but] it’s only now that they’re beginning to challenge [the other supermarkets].” The right noises are being made by the government, but it’s going to take more than words.