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Issue Number 49 - May 2003

MEDICARE - A Fair Go, Fair Share?

Fair Go, Fair Share was the theme of the SAO campaign in the lead-up to the last Federal Election and it is shaping up to be the same for upcoming elections. The proposed changes to Medicare and its funding arrangements ring very high-pitched and loud alarm bells in relation to a fair go for all Australians.

Medicare currently is a universal public health system which provides access to care, based on health needs rather than the ability to pay. What will result from the proposed changes to Medicare will result in the establishment of a two-tiered system similar to that of the USA. NATSEM Research (The Courier-Mail 11 January 2001) we quoted during the Fair Go, Fair Share Campaign highlighted the fact that the “health gap” between the rich and poor in Australia had widened in the last two decades. Those at the bottom of the income scale, on $27,500 a year or less (40% of Australians), tend to have poorer health compared with higher-income groups. This impacted significantly on children of low-income families who were more likely to suffer from illnesses such as asthma, deafness and bronchitis. The research identified the “working poor”, the unemployed and others reliant on social security incomes as the most vulnerable. The changes to Medicare will no doubt widen this gap and make these people far, far more vulnerable.

What can we do? Firstly we need to reflect on the situation in light of the gospel and Catholic Social Teaching, and then take some action. Government in Australia today is seriously abdicating many responsibilities and we need to remind them of their responsibilities. The following are just two quotations that can assist our reflection:

The function of the rulers of the State, moreover, is to watch over the community and its parts; but in protecting private individuals in their rights, chief consideration ought to be given to the weak and the poor.

The Fortieth Year (#25)

and

Individuals and groups within a society have an obligation to pursue not only their own interests but the good of all. The governing and administrative bodies of a society are obliged to safeguard and promote the common good, as well as the good of the society’s component parts. (p.13)

Common Wealth for the Common Good (1992)

ACTION: On 15 May 2003 the Senate agreed that a Select Committee, to be known as the Select Committee on Medicare, be appointed to inquire into the changes. This Committee will report to the Senate by 12 August 2003. The Committee is receiving submissions, so you may wish to present a submission. Submissions do not have to be long and only need focus on one aspect of the whole debate. You could write a letter to the Committee addressing the critical issues. Guidelines on how to make a submission can be found by clicking here or phone the SAO for them (07 3891 5866).

Some identified critical issues are:

  • quality health care for all Australians is a basic human right that must be ensured and is a major responsibility of government to ensure this right is protected;
  • proposed changes undermine the integrity, universality and ongoing viability of Medicare;
  • bulk billing for all Australians must remain a fundamental cornerstone of our health system;
  • those most disadvantaged in our society will be far more drastically disadvantaged and the struggling “working poor” will be further stressed.

Currently different lobby groups are preparing petitions and other lobbying materials. Please stay tuned to the SAO website for more details.

Written submissions should be sent to:
The Secretary
Select Committee on Medicare
Suite S1 30
Parliament House
Canberra ACT 2600

Closing date for the receipt of submissions is 18 June 2003.

The Committee prefers to receive submissions electronically as an attached document - email medicare.sen@aph.gov.au. For further details, contact the Committee Secretary: phone (02) 6277 3527, fax (02) 6277 3830, or email medicare.sen@aph.gov.au.

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