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 supportsPrefers 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 planGreens
Strongly opposesSupports free primary healthcare as part of an 'equitable, accessible and properly supported' system.
Green Party: Manifesto 2026Labour
Strongly opposesFlagship 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 speechNational
Strongly supportsPrioritises more medicines funding, lowering the bowel screening age to 56 and three-day post-natal stays over universal free GP visits.
National: Budget 2026NZ First
SupportsSceptical 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 platformsTe Pāti Māori
Strongly opposesSupports 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.