Stephen Duckett

speaker
921 appearances 12 recordings 1 series first heard Jun 2006 last heard May 2019

Stephen Duckett’s voice in public audio — every appearance, attributed to the second.

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Well, uh some of it goes on dental care, uh very very high proportion of out of pockets for dental, uh that's uh not covered by Medicare obviously, but also a significant proportion on out of pockets for specialist medical care, out of pockets for private uh hospital care. voice-verified
Well I think there are a range of reasons why why we're paying too much, but paying especially paying too much uh out of pocket. voice-verified
One of them is just supply and demand. voice-verified
In particular parts of Australia, uh we there are fewer specialists and so they're able to charge more. voice-verified
Uh ACT is an example, rural and regional Australia generally is an example of that. voice-verified
How do you define being paid too much? voice-verified
I mean nobody ever complained about being to pay too much. voice-verified
Well it's uh the way I phrased it was about out of pocket costs and th so we're paying way above the uh the Medicare rebate. voice-verified
Uh you th you might argue in some circumstances the Medicare rebate is too low. voice-verified
You could also argue in other circumstances, such as cataract operations, the Medicare rebate is too high. voice-verified
But I think uh the the fact is that consumers are paying these significant amounts and more importantly, Norman, uh voice-verified
Uh in the case of s medical specialists, for example, eight percent of uh Australians reported that they deferred seeing a medical specialist because of cost. voice-verified
Well, uh private health insurance uh has been by and large large stable in terms of the total number of people with health insurance. voice-verified
But what's been happening is the composition of health insurance has changed. voice-verified
So now almost everybody who has health insurance has some sort of deductible, that is, they have to pay the first five hundred or a thousand or two thousand dollars. voice-verified
And a significantly an increasing proportion. voice-verified
have some sort of exclusion. voice-verified
That is, they might not be covered for orthopaedic services, for example. voice-verified
The combination of those is that they're getting sticker shock, they're getting bills when they go to a private hospital and so the next time or when they ask a their surgeon how much will I have to pay myself out of pocket, they're saying, Whoops, I'm not g I'm just not just can't afford that and I'm not going to use the private hospital in these circumstances. voice-verified
That's right. voice-verified
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