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March 23, 2010
A health debate will take place between Rudd and Abbott today at the National Press Club, and it will be broadcast on national free-to-air television and Sky. The Canberra Press Gallery is delighted. More grist for their standard political frame of a Rudd v Abbott contest and they hope that there will be fireworks so they have something to write about other than who won.
So far it it has been less of a debate about health and more of a debate about public hospitals and the states. Rudd has provided increased funding for the hospitals, proposes to link the hospitals into local area networks and to fund them by taking 60% of the GST revenue from the states and introduce casemix hospital funding. Abbott's policy is local control of hospitals, more beds and, probably, federal funding for the local hospital boards.
So the "health " debate has been about who runs/funds the hospital system: the states, the commonwealth government, or local communities. It is hospital centric (more beds etc) despite the importance of community based services for mental health and aged care. Hospital centric is also how the Canberra Press Gallery frame the health debate.
What is not being addressed in the policy debate is the issue of how do we keep people health and out of hospital in the first place. These would include initiatives that will contribute to the prevention of chronic disease; better integrated, more flexible and comprehensive primary healthcare services; initiatives to enable health consumers to become better informed about how to stay or become healthy; integration of mental health into heal care and the modernization of health work force roles.
It is unlikely that these issues will be considered in the " great health debate" since Abbott is primarily interested in scoring points off Rudd---Rudd a policy ''fraud, fake and phoney'' etc -- than exploring how to address largely preventable chronic diseases associated with smoking, obesity and alcohol abuse – diseases such as cancer, heart disease, stroke, diabetes and kidney disease.
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Its obvious that this thread continues from the previous," Playing doctors and nurses"- I think that's what he entitled it- since it has included the cartoon featuring results of this conduct with two contemporary proponents of this sort of behaviour.
Definitely playing "doctors and nurses" can have dire down stream health consequences, as the cartoon demonstrates, re Rann.