Colinxy: Medical Council of New Zealand Pushing for Neo-Marxist Praxis.........

Medical Council of New Zealand Pushing for Neo-Marxist Praxis: A Lysenkoist Drift in Professional Regulation

The Medical Council of New Zealand (MCNZ) has released draft statements on cultural competence, cultural safety, and Hauora Māori. These documents are presented as neutral professional guidance, but their structure, language, and underlying assumptions reveal a clear ideological lineage. They embed Critical Theory, Critical Race Theory, Critical Indigeneity, and decolonisation ideology into the regulatory framework governing medical practice.

This is not a matter of “being respectful” or “understanding culture.” It is the politicisation of medicine through a framework that demands ideological conformity, redefines professional competence, and subordinates clinical judgment to identity-based power analysis.

The parallels with Lysenkoism, the Soviet-era ideological takeover of biology, are not metaphorical. They are structural.

The Ideological Architecture of the MCNZ Drafts

The MCNZ documents embed several core tenets of Critical Theory:

• Power analysis as the organising principle of professional practice
• Identity as the primary determinant of legitimacy
• Self-criticism and confession as professional obligations
• Equity as an outcome mandate, not an aspiration
• Cultural knowledge systems are coequal or superior to scientific knowledge

These are not incidental. They are the defining features of the drafts.

1. Power and Privilege as the Lens for All Clinical Interaction

The draft Statement on Cultural Competence and Cultural Safety requires doctors to:

• “examine your identity, culture, and dimensions of power and privilege”
• “actively challenge your own bias and that of others”
• “recognise and address power imbalances”

This is not clinical guidance. It is Critical Theory’s core mechanism: the doctor–patient relationship is reframed as a power struggle, with the doctor positioned as the bearer of “privilege” and the patient as the oppressed.

This is textbook Critical Race Theory and Critical Indigeneity.

2. Cultural Safety as Patient-Defined Ideological Compliance

The MCNZ defines cultural safety as:

• “what the patient experiences”
• “as defined by patients and their communities”
• “as measured through progress towards achieving health equity”

This means:

• The doctor is responsible for the patient’s subjective feelings.
• The doctor is accountable for “equity” outcomes, not clinical outcomes.
• The doctor’s competence is judged by ideological criteria, not medical skill.

This is not medicine. It is political re-education.

3. The Reframing of Māori Health Through Critical Indigeneity

The Hauora Māori statement asserts:

• Māori have “inherent Indigenous rights to health, self-determination and equity”
• Doctors must “advocate for approaches that respond to the wider determinants of hauora Māori”
• Doctors must “support Māori participation and leadership in the health workforce”

This is not clinical guidance. It is political mobilisation.

The document also elevates mātauranga Māori as a knowledge system doctors must “recognise” and “respect” as part of clinical practice. This is identical to the ideological pattern I have documented in:

• Mātauranga Māori: A Case Study in Marxist Critical Pedagogy
• The Sacred Cloak of Epistemic Reprogramming
• Critical Indigenous Theory: A Genealogy of Ideological Convergence

The MCNZ is importing the same epistemic framework into medicine.

The Mechanisms of Neo-Marxist Praxis in the MCNZ Drafts

Critical Theory is not merely descriptive. It is praxis—the fusion of theory and political action.

The MCNZ drafts operationalise praxis through:

1. Mandatory Self‑Critique and Confession

Doctors must:

• “engage in ongoing self‑reflection”
• “identify and address bias in your clinical thinking”
• “recognise incidents of direct, indirect, subtle, or unintentional discrimination”

This mirrors Maoist criticism/self‑criticism and modern DEI struggle sessions.

2. Equity as an Outcome Mandate

Doctors are required to:

• “ensure the care you provide results in equitable outcomes for Māori compared to non-Māori”

This is impossible. It is also ideologically loaded.

Equity is not equality of access. It is equality of outcome, which requires:

• differential treatment
• political advocacy
• systemic restructuring

This is Marxist redistribution logic applied to clinical practice.

3. The Delegitimisation of “Dominant Culture” Medicine

The MCNZ states:

• “medical practice is strongly informed by the beliefs of the dominant culture”
• this “does not align with Māori culture” and “does not build trust”

This is a direct attack on:

• evidence-based medicine
• scientific epistemology
• universal standards of care

The implication is that Western medical science is culturally biased and must be subordinated to identity-based knowledge systems.

This is epistemic relativism, a hallmark of Critical Theory.

The Lysenkoist Parallels

Lysenkoism was not merely bad science. It was ideology replacing science under State authority.

The MCNZ drafts exhibit the same structural features:

1. Ideology Elevated Above Evidence

Lysenko subordinated genetics to Marxist dialectics. The MCNZ subordinates medicine to Critical Theory.

2. Political Loyalty as Professional Competence

Under Lysenko, scientists were judged by ideological purity. Under the MCNZ drafts, doctors are judged by:

• their self-critique
• their alignment with equity ideology
• their adherence to cultural safety doctrine

3. Punitive Enforcement of Ideological Deviance

Lysenkoism punished dissent. The MCNZ drafts imply that failure to comply with cultural safety expectations constitutes:

• professional misconduct
• unsafe practice
• breach of ethical standards

This is not hypothetical. The MCNZ is the regulator. Its statements define competence.

4. Replacement of Scientific Knowledge With Politicised Alternatives

Lysenko replaced genetics with pseudoscience. The MCNZ elevates:

• mātauranga Māori
• identity epistemology
• cultural narratives

as co‑equal to scientific knowledge.

This is not respect for culture. It is epistemic capture.

The Consequences for Medicine in New Zealand

The MCNZ drafts will produce:

ideological conformity

fear-based compliance

erosion of clinical autonomy

deprioritisation of scientific evidence

identity-based gatekeeping

politicisation of medical education

declining trust in the profession

Most dangerously, they create a system where:

• clinical decisions are judged politically
• outcomes are measured ideologically
• knowledge is evaluated culturally

This is the exact pattern that destroyed Soviet biology.

Conclusion: A Lysenkoist Drift in Aotearoa’s Medical Regulation

The MCNZ’s draft documents are not neutral. They are not cultural guidance. They are not about respect or communication.

They are the institutionalisation of Critical Theory within medical regulation.

They demand:

• ideological confession
• political advocacy
• epistemic relativism
• outcome-based equity mandates
• subordination of science to identity politics

This is Lysenkoism in a new form: not genetics replaced by dialectical biology, but medicine replaced by Critical Theory.

The stakes are the same: the integrity of science, the autonomy of clinicians, and the safety of patients.

MCNZ Draft Documents

• Statement on Cultural Competence and Cultural Safety
• Statement on Hauora Māori (Māori health and wellbeing)
• Draft statements on cultural competence, cultural safety, and hauora Māori

Colinxy regularly blogs at No Minister, This article was sourced HERE