For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Dear David Seymour: Our health system is sacrosanct
Dear David Seymour: Our health system is sacrosanct

On Friday, in Associate Minister of Health David Seymour’s State of the Nation speech, he floated the idea of giving New Zealanders the option of opting out of the public health system.
General Practitioners Aotearoa (GPA) encourages this Government to continue to support the people of Aotearoa New Zealand so nobody is left without access to healthcare.
Our healthcare system is already strained and needs more, not less, financial support to deliver equitable healthcare for all.
“It should not be controversial to say that New Zealanders deserve to be healthy, nomatter their personal wealth,” says GPA chair Dr Buzz Burrell.
“We’ve all seen the healthcare nightmare situation in the USA, how a system run by private insurance leads to perverse outcomes. Kiwis don’t want that,” he says.
“David Seymour is very interested in efficiency, so I would encourage him to read up on the decades of international research and experience showing that investing in public healthcare is good for the people, it’s good for the country, and it’s good for the economy.”