In the final instalment of our series, Lesley Russell asks whether Australians need private health insurance, and what a two-tiered systems means for quality, access and equity.
Medicare and private health insurance partly overlap for hospital entitlements. But nobody can purchase full coverage for health-care costs.
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Private insurance, by its very nature, suppresses price signals and encourages over-servicing and cost escalation.
The relationship between private health insurance and Medicare has been a problem since the Whitlam government introduced universal health care.
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Some people balk at the cost of private insurance – especially the relatively young and healthy – because they don’t see the value of it when they are already covered under Medicare.
The half of Australians who have private health insurance will be face higher bills from Wednesday, as insurance premiums increase by an industry average of 6.18%.
Dental care is the most-used private health insurance ancillary service.
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What happens when you bring a state health minister face-to-face with her two main challengers, fronting a roomful of health experts, without any TV cameras to leap on any “gaffes” or stumbles?
Very high GP attenders cost Medicare an average of A$3,202 in 2012-13, compared to an Australian average of A$690.
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As well as being responsible for a large share of total costs, people who visit the GP more often are more likely to live in the most disadvantaged areas, and to report being in poor health.
The Green Party claims the market has pushed up the cost of the NHS.
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Health Minister Sussan Ley is broadly correct on the numbers – but they are framed in a way that overstates the impression of rising health care expenditure.
The 2015 Intergenerational Report gives only half the picture of health care spending.
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The link between exercise, diet and ill health has been recognised for a considerable length of time. The ancient Greek physician, Hippocrates (460-370BC), wrote: Eating alone will not keep a man well…
Discussions about Medicare’s sustainability under the Abbott government have only concerned how much we spend on the health sector.
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Jane Hall, University of Technology Sydney and Kees Van Gool, University of Technology Sydney
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Non-concession patients may end up paying a A$30 to A$40 co-payment, not a A$5 one.
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We need a plan to provide patients with the right care at the right place in the right time.
AAP/Alan Porritt
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AAP Image/Dan Peled
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A blueprint for Medicare reform must include cost control, but also support quality and equity.
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Most people overestimate the benefits and underestimate the harms of medical intervention.
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Honorary Enterprise Professor, School of Population and Global Health, and Department of General Practice and Primary Care, The University of Melbourne