Health policy and equity of health care financing in australia: 1973-2010

Hajizadeh, Mohammad, Connelly, Luke Brian and Butler, James Robert Gerard (2014) Health policy and equity of health care financing in australia: 1973-2010. Review of Income and Wealth, 60 2: 298-322. doi:10.1111/roiw.12103


Author Hajizadeh, Mohammad
Connelly, Luke Brian
Butler, James Robert Gerard
Title Health policy and equity of health care financing in australia: 1973-2010
Journal name Review of Income and Wealth   Check publisher's open access policy
ISSN 0034-6586
1475-4991
Publication date 2014
Year available 2014
Sub-type Article (original research)
DOI 10.1111/roiw.12103
Open Access Status
Volume 60
Issue 2
Start page 298
End page 322
Total pages 25
Place of publication Chichester, West Sussex, United Kingdom
Publisher Blackwell Publishing
Collection year 2015
Language eng
Abstract Using data from Australian Taxation Statistics and Household Expenditure Surveys we analyze the distribution of health care financing in Australia over almost four decades. We compute Kakwani Progressivity indices for four sources of health care financing: general taxation, Medicare Levy payments, Medicare Levy Surcharge payments, and direct consumer payments, and estimate the effects of major policy changes on them. The results demonstrate that the first three of these sources of health care financing are progressive in Australia, while the distribution of direct payments is regressive. Surprisingly, we find that neither the introduction of Medicare in Australia in 1984 nor the Extended Medicare Safety Net in 2004 had significant effects on the progressivity of health care financing in Australia. By contrast, the Lifetime Cover scheme-introduced in 2000 to encourage people to buy and hold private health insurance-had a progressive effect on health care financing.
Keyword Australia
Equity
Health care financing
Health policy
Inequality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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