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- 10 December 2012
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Mainly about the timing, but I think $5 per Medicare consultation is politically idiotic, and administerable only with difficulty/extra cost on medical centres.
Initial imposition of the means test was Labor's doing. As predicted, it has led to people bailing out of private insurance, raising the price for those that remained, and has placed even more pressure on an already groaning public system.
As with the the asylum seeker policy, it was ideology before practicality for Labor.
The public system is swamped. This is not a situation in which to place more pressure on private health.
Public + Private makes the health package, not that Labor seems to comprehend it.
While I don't think a co-payment is a bad thing, I'm not sure how many people get bulk billed these days? Certainly I'v not been to a doctor that does for over a decade.
As for private health care saving the public system, I'm not convinced that it's money well spent. Was reading an article a year or two ago that was looking at how the private hospitals tend to over service. An example they used was for heart stents. There's 2 types. In the public system they used the cheaper version in around 90% of patients and the more expensive ones for the remainder who it was determined had a medical requirement for them. Cost was $8K versus $20K. In the private hospitals it was something like 70 to 80% of patients had the more expensive stents used, even though there wasn't much of a greater medical need for them.
If private hospitals can perform the various surgeries at the same cost or cheaper than the public system, then it's a good thing to have the competition, but if the cost of the private system combined with PHI means it's a more expensive system, then we might be better off increasing the medicare levy and putting extra funds into the cheaper system.
Now lets hope Abbott isn't stoopid enough to sign the TPP because from what I've read it's nearly guaranteed to cause a blow-out in pharmaceutical costs. Just what we need with a massive increase in over 65s and giving the green light to big pharma to evergreen their patents and keep the cost of drugs sky high.