Philosophical Conversations Public Opinion Junk for code
parliament house.gif
Think Tanks
Oz Blogs
Economic Blogs
Foreign Policy Blogs
International Blogs
Media Blogs
South Australian Weblogs
Economic Resources
Environment Links
Political Resources
South Australian Links
"...public opinion deserves to be respected as well as despised" G.W.F. Hegel, 'Philosophy of Right'

Canberra watch: Gillard on health « Previous | |Next »
February 10, 2006

Though I haven't been in Canberra this week I've been watching the happenings in Parliament---noting the Nationals ongoing disintegration, the festering Coalition tensions, the politically confused attack by the ALP in taking the fight to the fight to the Government over the kickbacks by the Australian Wheat Board Kim Beazley's backwood looking speech to the National Press Club, the debate over RU486 and the way Simon Crean is being allowed to hang out to dry.

The only bright spark was the speech Julia Gillard gave on health care to the National Press Club on Wednesday. it was tightly focused on prevention: on preventing the emergence of an American-style health system; adding prevention to the debate involving population, participation and productivity; and placing prevention at the centre of the health care system.

The implication, as Gillard, was quick to draw, is to:

"...abandon the language of post-war policy that puts a brick wall between 'social' policy and 'economic' policy and accept that there is an inextricable link between the health of our people, the health of our health system, and the health of our economy."

Rightly said. The majority of spending in the Australian health system still goes on treating existing problems when they become chronic conditions--billions are spent on spent on managing diseases rather than preventing them in the first place. Australia really does need an an integrated primary health care and prevention strategy.

So how does Gillard propose to do this?

She says that in an earlier speech to the National Press Club in April 2004 she mapped a pathway:

I outlined how Medicare fee-for-service fails to provide the right incentives to encourage regular checkups and screening and the provision of health advice.The problem is that at the moment, the only time a GP gets paid is when they see a patient, and the only time they see a patient is when the patient is sick. The proposed new Medicare payment for wellness checks falls in to this category. If you go to the doctor - fine. But there is still no incentive in the system for the doctor to look at his or her patient load and come and find you for a wellness check.

What is required is a proactive component. Which is? Another limitation is the concentration on GPs's delivering health care. Wjere is allied health?

| Posted by Gary Sauer-Thompson at 3:11 PM | | Comments (2)


Technology IMO. The feedback loop we have is when we have a sore throat, enough pain that we cant work, etc. If we have devices around the house that passively monitor the constituents in our saliva and urine, we have a more immediate feedback loop, and one that can make people concerned enough to see a health professional.


that is very techno orientated.

We also need people to help us with a care plan once we know that we are ill (eg. obese).