Ian McAuley looks at how a value-based system can resolve public and private divisions in Australia’s health system. He describes the confusion and the grab bag of health proposals that we saw at the last election and outlines the importance of consistent principles in deciding how we spend public money in a field where public demands are practically unlimited.
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New Matilda Policy Portal Archive
Building blocks for a national health policy
In the run-up to the last federal election, The Centre for Policy Development published three papers on health policy matters: Primary care by Stephen Duckett, Lack of integration of commonwealth and state health functions by John Menadue Health election policies of the major political parties by John Menadue. This was followed by discussion on these issues by many people involved in the health sector. Following that discussion, the Centre for Policy Development thought it would … more
The end of pub smoking in Australia: a tribute to Frank Sartor
Smokefree dining once signalled drab mung bean and tofu asceticism. In the early 1990s health groups took a dozen of Sydney’s leading food writers to lunch at the smokefree Tetsuya’s to try and turn that perception around. Leo Schofield, David Dale and John Newton pioneered the highlighting of smoking status in restaurant reviews. The ACT government made restaurants smokeless in 1995 and in November 1999, NSW Premier Bob Carr announced that all restaurants (including the … more
Improving constitutional awareness
In his Australia Day address last month the Governor-General, Major General Michael Jeffery, lamented the poor level of knowledge of the Australian Constitution among the community, and particularly among younger Australians. In doing so he hit on one of the rare issues on which monarchists and republicans actually agree. The GG’s comments came in the wake of polling suggesting a fall in support for an Australian republic, and an increase in ‘uncommitted’ voters on this … more
The importance of primary and community care
The Australian primary health and community care system is inequitable, inefficient and there is only very limited information about its quality. Yet it is highly likely that demographic, technological, social and economic change will result in increased demand for these services. Notwithstanding the available evidence, to date attempts at reform have been piecemeal. There is an urgent need to develop a national strategy for primary health and community care. Primary health and community care is … more
Childbirth – a constant in a changing world
A midwife friend said recently ‘childbirth is consistent across time and cultures’, a simple truth lost in the frenzy of western society. It seems we have forgotten that in the majority of cases, childbirth is usually a straightforward event with the highly predictable outcome of a healthy mother and baby. For all appearances, women have never had better access to maternity care or been as safe during their childbearing years. At least this is so … more