Articles
More Links
30th Apr 2020
Health Services or a Health System?: We Have a Choice
Source: Pearls and IrritationsHow do we keep our population healthy? From a patient perspective we don’t have a health system. From a provider’s perspective we don’t have a health system.
The nightmare for patients consists of multiple poorly connected pieces: the public hospital system, the publicly subsidised private hospital system, the GP system, the publicly subsidised private specialist system, the community care system, the publicly funded private allied health system, the private mental health system, the public mental health system, the private dental system, the publicly funded private dental system, the public dental system, the Aged Care system, and a myriad of other pieces. Read more
17th Apr 2020
COVID 19: Lessons for our Health ?System
Published on Pearls and IrritationsAustralia doesn’t have a health system. We have a maze of poorly connected health services which barely manage to work together to provide health care of extremely variable quality depending on many competing variables such as income, geography, ethnicity, culture, and type of illness. In addition, politicians generally do not link health outcomes to other crucial factors in our lives, the social determinants of health, the conditions in which people are born, grow, live, work and age. Read more
27th Aug 2019
Private Health Insurance: Where To Now?
Pearls and Irritations blogMuch has been written about the problems of the Private Health Insurance (PHI) industry. Desperate attempts to make an inherently inefficient product less inefficient have been proposed. Such suggestions do nothing for the inherent unfairness of taxpayer subsidised PHI. But something needs to be done and it should address both the inefficiencies and the inequities. Read more
10th Jun 2019
Health Policy: Where to Now?
Pearls and Irritations blogThe recent election result was a major disappointment for those interested in improving the health of the nation. The re-election of the Coalition promises an ongoing increase in support for private health insurance as the Government continues its long-term agenda of two tiering the health system. Read more
16th Apr 2019
Health Policy and Successful Politics
Pearls and Irritations blogHealth policy reform is difficult. There are an abundance of powerful stakeholders whose number one priority is definitely not optimum health care for all Australians. But most Australians do share the view that our health care system (which isn’t really a system) needs improving. There are two broad aspects to optimising health. The first is equitable timely access to high quality care. The second is addressing all those factors outside the health system which affect health. These are the social determinants of health and of productivity. Healthy people are more productive. The key social determinant is income inequality, both absolute and relative. Read more
9th Apr 2019
Cancer is Horrible: So Is Death from Any Cause
Posted on Pearls and Irritations blogThe Opposition Leader has announced the biggest investment in Medicare for a generation, $2.3 billion to be spent eliminating the co-payments faced by those with cancer who see specialists, need diagnostic imaging, and radiotherapy. It is also guaranteeing all new drugs approved by the Pharmaceutical Advisory Committee (PBAC) will be listed for subsidy. The latter means prescription costs will be a maximum of about $6 or $40 a month for pensioners and health care card holders or non card holders respectively.
Cancer is scary. It is debilitating. It is life changing. It is often fatal. Furthermore, as Mr Shorten correctly pointed out “cancer makes you sick and all too often makes you poor”. Labor is to be commended for addressing this challenging issue. Read more
13th Mar 2019
Out of pocket costs: what’s being ignored
https://croakey.org/where-the-government-is-going-on-wrong-on-out-of-pocket-costs/One of my patients has epilepsy. She sees a neurologist for that and he charges $200 out of pocket per visit. He has controlled her epilepsy very well. She is on a disability support pension. She believes she will get better care seeing him privately despite the fact that he also works in the public system.
Out of pocket (OOP) costs have been in the news particularly since the ABC’s 4 Corners program exposed huge costs impacting significant financial hardship on many sick Australians. As a result of a Ministerial Committee report the Health Minister has proposed tackling the issue with a website of specialist charges and an education campaign for patients. The Committee consisted of ten health care provider representatives and one consumer representative. My suggestion to the Minister that more consumer representatives might be appropriate resulted in an intensely angry response. Read more
Health Reform From Labor: Does the Policy Match the Vision?
ALP health spokesperson Catherine King addressed the National Press Club this week to expound Labor’s vision of health care changes if it wins office. Perhaps the highlight of the address was a restatement of Labor’s vision
‘of a truly universal health care system in which every Australian has affordable access to the high-quality health care they need whenever they need it.’
But will such a vision be wholeheartedly pursued under a Labor Government? Read more