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May 23, 2009
In his article in the weekend edition of the Australian Financial Review on the econmics of health care Tom Dusevic sums up his key point thus:
To put it plainly Australians have to get real about ageing and health costs. Who pays for them?What level of service can we afford? Who gets treated? ....Centre for Policy Development director John Menadue says that we need governments to explain to the public that w e can't have all we want in health care. Resources are limited....He believes that unless we effectively and fairly manage demand, our spending on health will continue to realise poor value for money.
Menadue points out that rationing of services already happens and he cites the examples of hospital waiting lists, the neglect of indigenous health and mental health patients.
Dusevic works in terms of the wave of demand for healthcare from an ageing population and the unlikeliness of there being a dramatic jump in the allocation of funds to health. Hence the shortfall in funding and the solution --rationing.
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I'd imagine this is where people will watch to see if any changes in subsidies and rebates for private health will be returned to public health programs.