A systems thinking case study has provided insights on systemic traps, their interactions and delays, contributing to a relatively less effective COVID-19 pandemic response for Māori whānau. The study was a collaboration between Tākiri Mai Te Ata Whānau Ora Collective (a large urban Māori health and social service provider) and public health researchers. Two online workshops were held with Tākiri Mai staff, and these highlighted the systemic barriers and opportunities for an effective COVID-19 response to Māori whānau. The medical model of health service delivery was found to cause difficulties for kaupapa Māori. As COVID-19 cases increased, these difficulties increased the risk of negative impacts on Māori whānau, along with pre-existing vulnerability and health system gaps. Better support for Māori whānau during future pandemics will require creation of equal power in health perspectives, reducing dominance of the individual-focused medical model.