Primary health care in Australia is a messy beast, with many heads and all sorts of body parts. But it’s centrally important because it plays a major role in achieving public health outcomes, such as better…
Co-payments are an unfair tool for reducing health costs.
Alex E. Proimos
As a GP, when I prescribe a drug, I need to know its likely benefits and risks, and I need to base my decision-making on the best available evidence. I’d like to think the same principle applies to the…
Innovative health policy solutions could help the health budget and improve patients’ health.
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Consensus and evidence suggests a compulsory co-payment of A$6 for a visit to the general practitioner will reduce population health but might save some money. Can we not try a bit harder and think of…
The financial pain of a A$6 co-payment won’t increase health literacy or self-management.
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Incremental creep and massive holes in universal health coverage (think dental care) have left many Australians questioning whether there’s any such thing as “free health care”. One recent study estimated…
GPs and hospitals aren’t incentivised to properly manage demand, which has contributed to the crisis in Accident & Emergency.
PA/Stephen Kelly
Our increasing use of hospital services is out of control and unsustainable and is contributing to the current crisis in accident and emergency (A&E). But the problem isn’t new and 30 years of NHS…
Based on current evidence, expanding these services is the right thing to do.
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In the ninth part of our series Health Rationing, Stephen Duckett examines the government’s decision to extend the breast cancer screening program. As one of many pre-budget teasers, Health Minister Plibersek…
Health rationing assessments compare different aspects of health such as pain, anxiety, mobility and social interactions – but what’s more important?
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In the seventh part of our series Health Rationing, Richard Norman and Rosalie Viney explain the controversial system governments use to decide what will and won’t be covered under Australia’s universal…
The health budget isn’t limitless: decisions have to be made about to how to allocate funding between competing choices.
AAP/Dave Hunt
In the sixth part of our series Health Rationing, Mark Mackay examines the latest think tank blueprint to rein in Australia’s rising health costs. But he warns that before funding models are adjusted…
The current fee-for-service model makes it difficult to contain costs and boost the quality of care.
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In the fourth part of our series Health Rationing, Peter Sivey explains why it might be time to abandon Medicare’s fee-for-service model. Teachers aren’t paid a fee for each lesson they teach, nor are…
We need a more rational debate about how and where we spend our finite health budget.
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HEALTH RATIONING – a series which examines Australia’s rising health costs and the tough decisions governments must make to rein them it. Any mention of the “R” word in health care immediately brings to…
The biggest and fastest-growing spending category in health is hospitals.
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With health costs rising and costly medical innovations on the horizon, it’s crunch time for health funding. In the lead up to the May budget, The Conversation’s experts will explore the options for reining…
The broad economics of the scheme and the fine details of its implementation remain unclear.
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While the Labor party’s misguided leadership coup hogged the limelight last Thursday, the National Disability Insurance Scheme (NDIS) Bill passed through parliament. The government also announced the name…
There’s no reason the Australian taxpayer should pay such high prices for medicines when our overseas cousins don’t.
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The Commonwealth could save A$1.3 billion each year by reforming the Pharmaceutical Benefits Scheme (PBS), according to a report released today by the Grattan Institute. The report, Australia’s bad drug…
Two university scholars murdered in Tasmania have been mourned by their colleagues, the academics union has said. Dr Gavin Mooney, 69, a health economist at Curtin University and his partner, Dr Delys…
It’s time to rethink Australia’s specialist-driven health workforce and rise to the challenge of chronic disease management.
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Data released recently by the Australian Institute of Health and Welfare shows the nation’s health care bill is rising rapidly, from $77.5 billion in 2000-2001 to $130 billion in 2010-11. The largest increases…
Research should be routinely translated into clinical practice.
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Last year the federal government asked my colleagues and I to investigate the state of health and medical research in Australia and make recommendations about the strategic direction of the sector. After…
Health services are ripe for evidence-based reform.
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Each year $120 billion is spent on health services in Australia. But hardly any research is done to investigate whether this money is being used wisely. Only 2.8% of the funding for NHMRC project grants…
Aged-care residents are among the most vulnerable in our society, with many reliant on pensions.
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Recent media reports have highlighted an anomaly in residential aged-care funding in Australia: that day-to-day operations of facilities are governed by both Commonwealth and state government policies…
The package should reduce waiting times for people who are eligible for publicly-funded dental care.
Luke Siemens
Since the government announced its $4 billion dental care program, attention has focused on how it will be funded and whether it is affordable. But if and when it is funded and implemented, the package…
The poor suffer the greatest burden of disease but are less able to deal with the costs.
Brooks Elliott
Australia is facing an epidemic of chronic lifestyle-related diseases, including type 2 diabetes, heart disease, stroke and chronic lung disease. We have many treatments for these that aren’t necessarily…
Honorary Enterprise Professor, School of Population and Global Health, and Department of General Practice and Primary Care, The University of Melbourne