Pacific people live six fewer years of life than non-Māori, non-Pacific people, and the gap is widening. Bula Sautu uses national data to show the complex contributing factors that impact on health for Pacific peoples, from maternity to end of life, using a life-course approach. The report brings together a diverse range of Pacific health and equity experts to share their views of how effectively (or ineffectively) the health system is performing for Pacific peoples.