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Health and education: where every party stands

Health was the second-biggest voter concern in 2026 polling, behind only the cost of living. These are the five questions on which the parties genuinely differ.

Free doctor's visits, how schools teach and test, school choice, and whether Māori-led health services should return. All positions last verified 13 August 2026.

Health money should go to medicines and hospitals rather than making doctor's visits free.

Labour proposes three free GP visits a year plus free prescriptions, paid for by its capital gains tax. Others argue that same money buys more health if it goes into drug funding, screening and hospital capacity.

  • ACT

    Strongly supports

    Prefers lifting the Pharmac budget to 13% by 2033 and letting pharmacists treat more conditions to cut GP demand.

    RNZ: ACT's pharmacist-led primary care plan
  • Greens

    Strongly opposes

    Supports free primary healthcare as part of an 'equitable, accessible and properly supported' system.

    Green Party: Manifesto 2026
  • Labour

    Strongly opposes

    Flagship policy, three free GP visits a year via a new 'Medicard', and removing the $5 prescription fee from 1 July 2027.

    Hipkins: Labour Congress 2026 speech
  • National

    Strongly supports

    Prioritises more medicines funding, lowering the bowel screening age to 56 and three-day post-natal stays over universal free GP visits.

    National: Budget 2026
  • NZ First

    Supports

    Sceptical of the tax needed to fund universal free GP visits, focusing instead on cost-of-living relief and regional health access.

    2026 NZ general election: party platforms
  • Te Pāti Māori

    Strongly opposes

    Supports free access to primary care, with a focus on prevention and whānau wellness over crisis response.

    Te Pāti Māori: Policy

What this means in practice

Health money is finite, so this is a choice about where it goes. One option puts it into primary care, making GP visits and prescriptions free so people come in early. The other puts it into medicines, screening and hospital capacity, treating people who are already seriously ill.

Supporters say

  • People delay seeing a doctor because of cost and arrive at hospital sicker and more expensive to treat.
  • Free prescriptions mean people actually take the medicine they were prescribed.
  • It's a universal service everyone can use, not a means-tested one people fall through.

Opponents say

  • The same money buys more health as funded medicines, cancer screening or hospital staff.
  • It subsidises visits that would have happened anyway, including for people who can easily pay.
  • The real shortage is doctors and nurses; making visits free doesn't create appointments.

There should be a Māori-led health authority running health services designed for Māori.

Te Aka Whai Ora (the Māori Health Authority) was created in 2022 and disestablished by the current government in 2024. Māori life expectancy is around seven years shorter than non-Māori.

  • ACT

    Strongly opposes

    David Seymour has called the Māori Health Authority an example of racial discrimination, arguing health services should be allocated on need rather than ethnicity.

    RNZ: Seymour on the Māori Health Authority
  • Greens

    Strongly supports

    Supports restoring Māori-led health commissioning as part of Te Tiriti-based partnership.

    Green Party: Manifesto 2026
  • Labour

    Supports

    Created Te Aka Whai Ora in government and opposed its disestablishment, but has not committed to recreating it in the same form.

    Labour: Our Policies
  • National

    Strongly opposes

    Disestablished the Māori Health Authority in government, arguing health services should be delivered on need, not ethnicity.

    RNZ: National would demote Māori health boards
  • NZ First

    Strongly opposes

    Strongly opposed to a separate Māori health commissioner, consistent with its 2026 platform of 'one people, one law' and its support for disestablishing Te Aka Whai Ora in government.

    RNZ: National would demote Māori health boards
  • Te Pāti Māori

    Strongly supports

    Core policy, wants a strengthened Māori-led health authority, arguing Māori-designed services close outcome gaps that mainstream services have not.

    Te Pāti Māori: Policy

What this means in practice

Te Aka Whai Ora, the Māori Health Authority, was set up in 2022 to commission health services designed for and by Māori. The current government disestablished it in 2024 and folded the function into a directorate inside the health ministry. This asks whether it should come back.

Supporters say

  • The mainstream system has produced the same gap for decades; doing more of it won't close it.
  • Services designed by the communities they serve reach people who otherwise don't present until it's an emergency.
  • It's a Tiriti obligation, not just a delivery choice.

Opponents say

  • A second agency adds administration without adding doctors or nurses.
  • Health services should be allocated on need, and poor non-Māori New Zealanders have poor outcomes too.
  • Devolved, locally commissioned care can be delivered without a separate national body.

Schools should focus on the basics with standardised national testing, and NCEA should be replaced.

The government is replacing NCEA with a new national qualification and has mandated regular testing in reading, writing and maths.

  • ACT

    Strongly supports

    Strong supporter of standardised assessment and a knowledge-rich curriculum.

    ACT: Education policy
  • Greens

    Opposes

    Opposes high-stakes standardised testing, arguing education is 'a public good and a lifelong right, not a commodity'.

    Green Party: Manifesto 2026
  • Labour

    Strongly opposes

    Would reverse the coalition's curriculum changes and mandated testing, which it calls the 'politicisation of education'.

    Labour: Our Policies
  • National

    Strongly supports

    Campaigning on a new national qualification to replace NCEA, more funding for maths, reading and writing, and doubling Trades Training Academy places.

    National: Budget 2026
  • NZ First

    Supports

    Supports a back-to-basics curriculum and is critical of what it calls ideological content in schools.

    2026 NZ general election: party platforms
  • Te Pāti Māori

    Opposes

    Opposes standardised testing regimes that it says disadvantage Māori learners, preferring mātauranga Māori integrated throughout learning.

    Te Pāti Māori: Policy

What this means in practice

NCEA lets students accumulate credits from a wide mix of internal and external assessments. Critics say it's too easy to pass without core literacy and numeracy; defenders say it recognises a broader range of ability. The government is replacing it and has mandated regular standardised testing in reading, writing and maths.

Supporters say

  • You can't fix what you don't measure, and too many students leave school without functional literacy.
  • Standardised testing tells parents honestly how their child is doing against a national benchmark.
  • A clear qualification is easier for employers and universities to interpret.

Opponents say

  • Frequent testing narrows teaching to what's on the test and adds stress.
  • Test results track family income closely, so they measure advantage as much as teaching.
  • Constant qualification changes are disruptive for students midway through.

Parents should have more choice of school, including more charter and special-character schools.

Charter (partnership) schools are publicly funded but run independently, with freedom over curriculum, hours and staffing. They were reintroduced in 2024.

  • ACT

    Strongly supports

    Long-standing signature policy, reintroduced charter schools as part of the coalition agreement.

    ACT: Reinstating partnership schools
  • Greens

    Strongly opposes

    Opposed, argues public education should not be run on a commercial or competitive model.

    Green Party: Manifesto 2026
  • Labour

    Strongly opposes

    Opposed, closed charter schools when last in government and would restore school boards' Treaty of Waitangi obligations.

    Labour: Our Policies
  • National

    Supports

    Supported reintroducing charter schools in coalition, though it is not a headline part of National's own platform.

    ACT: Reinstating partnership schools
  • NZ First

    Mixed / no clear position

    No strong published position; has historically been sceptical of charter schools while supporting local state schools.

    2026 NZ general election: party platforms
  • Te Pāti Māori

    Supports

    Supports Māori-led educational authority and kaupapa Māori schooling, a form of choice, but grounded in tino rangatiratanga rather than market competition.

    Te Pāti Māori: Policy

What this means in practice

Charter schools, now called partnership schools, are funded by the government but run independently, with freedom over curriculum, hours, staffing and pay. They were introduced in 2014, closed by Labour, and reintroduced in 2024.

Supporters say

  • One model doesn't suit every child; families should be able to choose something different.
  • Freedom over staffing and hours lets schools try things the state system can't.
  • Several have been set up by Māori and Pacific communities frustrated with mainstream results.

Opponents say

  • Public money should come with public accountability, including qualified teachers.
  • Funding follows students out of local schools, which weakens the schools left behind.
  • International evidence on whether charter schools improve results overall is mixed at best.

Public services like health and education should be expanded, even if that means higher taxes overall.

This is the broad trade-off underneath most spending debates: a larger state funded by more tax, or a smaller state and lower tax.

What this means in practice

This is the underlying trade-off beneath most spending debates: a larger state that provides more services and costs more in tax, or a smaller state that leaves more money with individuals and provides less.

Supporters say

  • Universal services mean nobody is priced out of healthcare or education.
  • Pooling risk is cheaper than everyone insuring themselves privately.
  • Public investment in skills and infrastructure raises long-run productivity.

Opponents say

  • Money left with people is spent on what they actually value, not what officials choose.
  • Higher taxes reduce the incentive to work, save and start businesses.
  • Bigger budgets don't automatically mean better services, delivery matters more than spend.

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