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Articles on Health economics

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Big announcements aren’t the answer – the health system needs a long-term plan. AAP Image/Quentin Jones

Mr Abbott, make 2014 a year of health reform, not regression

This year is crunch time for Prime Minister Tony Abbott’s health policies. The financing and policy changes from the Rudd-Gillard government are finally taking effect and the National Commission of Audit…
Medicare guarantees free public hospital care and funds a range of primary care and other health services. Image from shutterstock.com

Explainer: what is Medicare and how does it work?

Medicare is Australia’s universal health scheme. It is a Commonwealth government program that guarantees all citizens (and some overseas visitors) access to a wide range of health services at little or…
Some Australians are struggling to get timely access to affordable health care. AAP Image/Dave Hunt

Medicare turns 30 and begins to show signs of ageing

Tomorrow marks an important Australian milestone: 30 years of Medicare and the guarantee of universal access to health care. Before Medicare, it was not that uncommon for people to avoid using health-care…
Medicare Locals plan for better, tailored health services by drawing on local knowledge. Image from shutterstock.com

Let Medicare Locals find their feet and improve primary care

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

Six dollar co-payment to see a doctor: a GP’s view

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. Image from shutterstock.com

Paying doctors to keep patients healthy – if the price is right

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. Image from shutterstock.com

Mind the gap: $6 GP visit proposal ignores the evidence

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

A&E is in crisis because we all take it for granted

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. Image from shutterstock.com

A rational expansion of breast cancer screening

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? Image from shutterstock.com

Comparing apples, pears and hips: health rationing at work

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

Health funding under the microscope – but what should we pay for?

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. Image from shutterstock.com

Phase out GP consultation fees for a better Medicare

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. Image from shutterstock.com

Explainer: what is health rationing?

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. Image from shutterstock.com

Tough choices: how to rein in Australia’s rising health bill

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. Image from shutterstock.com

We have an NDIS but what does this mean for disability care?

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. Image from shutterstock.com

Fixing Australia’s bad drug deal could save $1.3 billion a year

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…

Murdered academics fondly remembered

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. Hands image from shutterstock.com

Hike in health costs should prompt workforce rethink

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…
Health services are ripe for evidence-based reform. www.shutterstock.com

Six easy ways to improve health services

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…

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