New Zealand’s healthcare system is increasingly reliant on international medical graduates, with a staggering 60% of these overseas-trained doctors leaving the country after just two years. This trend poses serious challenges for a system already struggling to meet its healthcare workforce needs.
In the year ending June 30, 2025, New Zealand’s total government spending reached $183.5 billion. Of this, health spending accounted for $29.8 billion, yet the country still grapples with a vacancy rate of 15% for senior doctors—approximately 1,731 full-time equivalent roles unfilled.
South Canterbury exemplifies the issue, where last year, 61% of doctors were overseas-trained—the highest proportion in the nation. Dr. Brandon Williams, who moved from the United States, shared his perspective: “The medical system in the States is horribly broken and frankly traumatic to practice in as a doctor.” His experience underscores the appeal of New Zealand’s healthcare environment despite its challenges.
However, many overseas-trained doctors face hurdles upon arriving. Harriet Wild noted that “the doctors we’re recruiting from overseas are not receiving any proper induction either into their jobs or how the New Zealand health system works.” This lack of support contributes to their decision to leave.
Dr. Kelly Sweerus highlighted a cultural aspect that helped her settle: “Timaru made a point of including a mihi at the beginning of the interview, and it’s been one of the highlights here.” This personal touch can make a significant difference in retention.
The Ministry of Justice is currently reviewing how victims of crime are supported, which may also impact funding allocations within health services as social security and welfare accounted for $57.6 billion of government spending last year.
As New Zealand continues to navigate these complexities within its healthcare system, observers remain alert to how upcoming reviews and potential reforms might reshape the landscape for both local and international medical professionals.




