tickleandrose
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I am not totally against removal of private health insurance rebate, as long as they make corresponding decrease in medicare surcharge and penalties for not having private health insurance. And also the following reasons:
1) Many people on private health insurance, do not get rebate anyway. (e.g. those with incomes > 200k) 2) A study somewhere showed that most young people or lower income people who takes up private health insurance, do so to dodge the penalties. And so, a review showed most of these people have covers so basic, that they are looking at a cost so high ( through high excess charge, and low co payments), such that most of them choice public hospital treatment any way. 3) Most severe emergency cases - goes to public hospital / major trauma centres where they are more better equipped. 4) Emergency department visits are NOT covered with private health insurance. They can charge anywhere from $200 to $400 for a visit. So, must people with private health insurance, in an emergency goes to public hospital ED, and be transferred later if their condition is not so serious. Serious cases like heart attack, people wheel them into the catheter lab immediately anyway. 5) The only thing that helps with private health insurance, is those with chronic illness / injury requirement elective surgery / or not so serious medical condition. It is very difficult to quantify.
My recommendation: 1) Remove private health insurance rebate, direct funding back into the public health system. 2) Increase medicare surcharge for those who choose not have private insurance, but keep the charges around 75% of they would if they take out a medium level private health cover. 3) Remove lifetime loading - to facilitate people moving back to private health insurance, and let markets do their job.
That way, you create a sort of national health cover premium for those who can afford, but also an mechanism for them to move into private cover should they choose to. And let the market force make the private sector more efficient and competitive (e.g. less abnormal premium increases). The public sector would also get more money from those intended for rebate.
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