A Māori Health Authority will fail; it will fail for several reasons. Firstly, it is based on a Treaty response and not health need. A health system that does not place health need as its core principle will fail; it will fail as it is corroded by conflicts of interest and distributive justice. A commissioning Māori health system will fail. Heather Simpson has said that she did not envisage the architect of the reforms, did not envisage a Māori Health Authority as a separate health system, which it will be if it is commissioning, and it will cause a lack of cohesion in the system. There will be competition for scarce resources. There will be provider complexity. Parliamentary questions demonstrate that a GP can hold two contracts: one with the Māori Health Authority; and one with Health New Zealand. That will definitely increase complexity. There is a terrible conflict of interest. The Māori Health Authority not only is a monitor of health inequities but a provider of health services. It is marking its own exam, and that eventually will corrode the Māori Health Authority. 