Federalism is bad for our health. The drift from private health insurance is having a huge impact on the ACT health system, particularly Woden Valley Hospital. Public hospitals charge privately insured patients much more than Medicare patients. The trouble is people are dropping out of private insurance. It means that private patients comprise a lower percentage of patients at Woden. They were 41.3 per cent in 1989-90 and only 17.6 per cent in 1994-95, and will fall to 12.6 per cent this financial year. It has meant revenue for Woden Valley has fallen $20 million for providing the same service.
The reasons for people deserting private cover have been apparent for several years. Medicare, which everyone has to pay for anyway, provides virtually the same benefits for catastrophic or life-threatening illness as private cover. Indeed, some private patients end up financially worse off. Seriously ill patients virtually get choice of doctor or are in a situation where choice is irrelevant (their life is threatened and only one is available; or there is only one or two specialists in the town who can treat the patient).
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