Monthly Archives: July 2009

Whose thinking really counted, with the Medicare Select proposal?

The National Health and Hospitals Reform Commission received several hundred submissions and commissioned 24 discussion papers, one background paper and published 15 reports of consultations.
Out of all that input, it might be interesting to look at whose views really counted, when it came to developing one of the most contentious recommendations, for Medicare Select.
The Commissioners [...]

Why health reform will be big business for consultants

If the Feds accept the National Health and Hospitals Reform Commission’s recommendation that they take over primary health care, the consultancy business can expect a major windfall.
You can get just an inkling of this from P 114:
“We anticipate that the Commonwealth Government would need to spend considerable time doing the equivalent of a ‘stocktake’ [...]

John Menadue’s advice for Rudd and Roxon on health reform

John Menadue was not overly optimistic about the National Health and Hospitals Reform Commission report before its release, as he wrote in Crikey last week. Now that he’s had a chance to read the report, here is his assessment:
“The Government would be wise to take six months to digest the National Health and Hospitals Reform [...]

And another thing, Bernard

My first reaction when I read Bernard Keane’s critique of prevention, published in Crikey earlier this week, was of irritation. Then I sat back and marshalled my thoughts and arguments. Then I read Simon Chapman’s response, and some of the subsequent discussion on the Crikey website and in other places.
And then I was glad, sort [...]

Quoteable quotes, interesting snippets – and some oddities

Continuing on from the previous post, my reading of the National Health and Hospitals Reform Commission report has yielded some quoteable quotes, interesting snippets and a few oddball moments.
Quotes and snippets:
“This opportunity for major health reform is rare and highly anticipated. There is a unified call for action from the health industry and those it [...]

Some other NHHRC recommendations that haven’t had so much press

Finally, I’ve had a chance to read the National Health and Hospitals Reform Commission report from cover to cover. Here are a few of its recommendations that I thought worth mentioning that haven’t had much press or discussion yet.
• There should be a common national approach to evaluating all health interventions, with consistent evaluation of [...]

Fine print alert for those concerned about Aboriginal and rural health, and Medicare’s future

Thanks to the Croakey reader who has clearly been meticulous in their reading of the National Health and Hospitals Reform Commission report, and has written to sound the alarm that Aboriginal people are not included in the proposal for under-served remote and rural communities to receive top-up funding.
The top-up is aimed at overcoming the [...]

Aboriginal health recommendations need a lot more work: NACCHO

There are a few inconsistencies in the National Health and Hospitals Reform Commission report. It puts great emphasis on maintaining the role of private health insurance, for example, while also acknowledging that “there are increasing concerns that a two-tiered health system is evolving, in which people without private health insurance have unacceptable delays in access [...]

Beware of bad policy suggestions in health reform report

What will happen to the quality of care that patients receive if governments become fixated on “efficient costs” for hospital care? And what does “efficient cost” – a term that crops up repeatedly in the National Health and Hospitals Reform Commission report – actually mean?
Gavin Mooney, Honorary Professor, University of Sydney, has been investigating [...]

And so the circle turns

The federal AMA has not been known, until recently perhaps, for its deep and principled interest in health reform. You could even say that the former president Dr Rosanna Capolingua made quite a name for herself in opposing any mention of anything carrying the faintest whiff of health reform.
So here’s a telling turn of [...]