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Health and Welfare Spending Reform for Productivity Gain

chops_a_must

Printing My Own Money
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This post got me thinking on the topic of expenditure for a cost benefit.


Lots to think about here.

If there is a National Disability scheme it needs to be paid for. Increasing the Medicare levy is probably the cleanest most transparent way to do that.

I believe one of the other parts to this story is a comprehensive overall review of the current disability pension scheme. In essence the government would review every disability pensioner to see how they can rehabilitate them or get them back into the workforce. This would be an important opportunity of either government to reassess perhaps hundreds of thousands of people who have been allowed to gainand stay on disability pensions with minimal supervision.

Probably start with the ones under 50 I would imagine.

It is something we just don't do well in this country, or discuss it. But it is time.

I have a personal story with the disability support pension (DSP) and it has framed my thinking on the topic.

A few years back I was laboring full time, and I ruptured my ACL playing football. I'd started a Masters and was doing that part time. I didn't have health insurance, but did as soon as I had the injury.

Anyway, the prognosis was a 4-5 year wait for surgery, and not being able to continue working in the meantime. My best option was to get on the DSP. I could have gone full time with my study and get a lower rate, but it was mid-semester and could not.

However, collecting the DSP would have meant withdrawing from study altogether and not being able to apply for desk based work.

In the end, I was lucky enough to get a job and get the recon done.

But what if I didn't have the skills to get a desk based job?

That would have cost the taxpayer some $28,000 per year.

Plus, by the time you would end up having surgery, the knee would likely be finished, and you'd need a replacement instead. So, you'd be looking potentially at a lifetime on the DSP.

As opposed to a taxpayer expense of the recon at 10-20k for the operation, plus 6-12 months of rehab and expenses.

This makes no sense. It is counterproductive, and is potentially a major drain on the taxpayer.

Should we begin to prioritise those of working age for "elective" surgeries to fix problems that prevent people from re-entering the workforce?

We need to think of some health expenditure as an actual cost benefit. Prolonging someone's life 3 months provides no cost benefit. Getting someone of working age in for orthopedic surgery, invariably will be.

It just staggers me that in my experience, I can think of 4-5 extremely simple policy things that could easily save bucket-loads of money. Yet, I'm sure there are people out there, who weren't as lucky as me and who don't want to be paid taxpayers money, and who don't need to be.

Anyway,

Cheers

Chops.
 
I'm curious as to why your football clubs insurance didnt cover the surgery? Every club i have played for whenever someone needs a recon it is usually done within a week or so
 
I'm curious as to why your football clubs insurance didnt cover the surgery? Every club i have played for whenever someone needs a recon it is usually done within a week or so

Most clubs only ever pay for ambulance cover.
 
Plenty of work can be done with a deficient ACL.

Also, people go their whole lives without ACL reco's. No long term issues there, so long as they cut out contact/high intensity sports. Pain free, and near full function is the usual scenario.
 
That's the point. Just not physical work if you a bucket tear and other damage at the same time.

Ah ok. That's different then. I would have thought that would be a higher priority than a 5 year wait. I would have thought more like a few months.
 
Anyway, the prognosis was a 4-5 year wait for surgery, and not being able to continue working in the meantime. My best option was to get on the DSP. I could have gone full time with my study and get a lower rate, but it was mid-semester and could not.

However, collecting the DSP would have meant withdrawing from study altogether and not being able to apply for desk based work.

In the end, I was lucky enough to get a job and get the recon done.

But what if I didn't have the skills to get a desk based job?

That would have cost the taxpayer some $28,000 per year.
Are you saying the DSP is $28K p.a. for a single person?
I thought it was under $20K.
 
Are you saying the DSP is $28K p.a. for a single person?
I thought it was under $20K.

With other assistance, that's what the round about figure would be.

~480 per fortnight, plus other assistance. Could easily get up there.

But I guess the exact figure isn't important. You could halve the figures, and still make the same case.
 
I read an interesting article in the economist just before they brought in their paywall a couple of years back.

It was about an Indian doctor who was running one of the largest hospital chains in India.

He'd taken a very IT approach to the way he ran the hospitals. he also charged at what you could afford. The rich got the deluxe package and paid accordingly and those earning a couple of $ a day got free basic care.

The use of IT helped to reduce costs to around 60% of most hospitals.

Doctors would specialise and perform the same surgery pretty much all the time. his argument was that for say a complex heart surgery a doctor might do that a 20 or 30 times in a year, but his doctors might do it over 200. They got VERY good at the particular surgery so patients were discharged sooner and there were far less mistakes.

The use of iT also helped to stop the administration of wrong drugs or over dosing etc.

All in all I felt we could learn a lot about how to get far better value for the health $$$ we spend, but little chance of it happening with the enormous number of vested interests in keeping the status quo.
 
Jeez i miss sydboy007, he was a young bloke with his head screwed on the right way, sensible arguments a breath of fresh air.
Shame he didn't stay on board, we could have ruined him. lol
 
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