Reforming Australia's health system, again.
In this article, I examine all the attempts to reform Australia's health insurance system since Medibank was introduced in 1975; there have been seven, and the eighth (which goes beyond just health insurance) is now in progress. I argue that the Rudd Labor government should take heed of history's lessons and reduce the pressure for ongoing structural reform. The lessons of history suggest that tipping the balance too far in favour of public or private insurance is not sustainable, and nor is setting the two schemes up in competition with each other. The challenge that faces the Australian Government now is to design a health system that integrates the public and private insurance schemes in a way that is economically sustainable. If it does not, major structural reforms to the health system will be needed again in the near future.
Boxall
Anne-Marie
AM
Menzies Centre for Health Policy, University of Sydney, Sydney, NSW, Australia. annemarie.boxall@gmail.com
D001315:Australia; D018166:Health Care Reform / Q000266:history* / Q000331:legislation & jurisprudence; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D007348:Insurance, Health / Q000266:history* / Q000331:legislation & jurisprudence; D017149:Private Sector; D017150:Public Sector