Jason Gurney
The boot that is held on the throat of Māori and Pacific people is stubbornly resistant to attempts to shift it.’
– Professor Peter Crampton
I understood very little about the root causes of bad health before starting work in the Department of Public Health at the University of Otago’s Wellington School of Medicine. I had managed to complete a small clinical trial examining the impact of diabetes on lower-limb function for my doctoral thesis, without ever having to consider why I was spending most of my time recruiting patients in clinics around South Auckland, or why nearly all the recruits were either Māori or Pasifika.
My first weeks in the Department were heady. I had moved from a laboratory that studied diseases and their causes in silo, to an environment that considered most diseases as symptoms of one underlying cause: the social determinants of health. Coming to grips with this link was crucial to my acceptance in my new public health world. I needed to learn quickly.
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