Strange things are happening in Australian politics at the moment. The Federal government appears to be shooting itself in the foot with rocket launchers, and doing everything it can to become that rarest of entities, a one-term Federal government. There are many examples of the government’s reckless desire to consign itself to the dustbin of history, but most of them are beyond my ken. However, one that touches on an issue I’m vaguely familiar with – health – stands out as a particularly egregious example of policy-making stupidity, in which the government squandered a chance to implement a potentially important policy that would have improved the budget bottom line, then doubled down on an incredibly bad policy that is guaranteed to annoy essentially everyone. In an electorate with compulsory preferential voting and consistently high electoral turnout, this really is a recipe for electoral disaster – and completely avoidable.
The policy in question is the General Practice co-payment, and although it’s a politically tricky task – better governments have floundered over it – it has a sound public policy basis and with the right political guidance a new government riding high on popularity should be able to get this sort of thing introduced. That’s what first term governments in Australia do. So what went wrong?
A brief primer on Australian health financing
Very briefly, Australia’s health system is managed primarily through General Practitioners (GPs), family doctors in the USA, who are the first port of call for health concerns. In theory every time you visit you pay the GP and present the invoice to the government-run single payer health insurer, Medicare, who reimburse you a fixed rate depending on the type of service you received (this is called a rebate). Your GP can choose to charge you more than this rebate, in which case you have to wear the difference as a co-payment. Many GPs opt to provide a service called bulk billing, in which they don’t take cash from their patients but bill the government directly for only the rebate. This makes the service essentially free at the point of care for the patient, but reduces the amount of money the GP can make; it does however reduce the overhead for the GP, since they don’t need to manage a cash system in their office. GPs in Australia are essentially private health providers, claiming fees from a government single payer, and the system is deregulated sufficiently that many large international and national healthcare providers run large, multi-doctor and very modern clinics (often with allied health services attached), all charging the patient essentially nothing. Crucially for the health financing debate in Australia, hospitals are funded by State governments, while GP rebates through Medicare are funded federally. Note that Medicare is not like the US version (only for elderly people); in Australia it is the name of the universal health coverage scheme that all legally resident Australians can access.
One big problem with Medicare is that the essentially free nature of bulk billing services (and many non-bulk billing services, if GPs don’t increase their fees) is that patients are not discouraged from attending GPs for essentially irrelevant medical problems, have no incentive to wrap their problems into one visit, and have no incentive not to visit a GP for problems (like common colds) that the GP essentially can’t treat. This can lead to over-servicing, which causes congestion and reduces the efficiency of GPs as a service. It should be noted that compared to British GPs – who essentially run a poor-quality outpatient referral service – Australian GPs provide a wide range of services up to and including medical imaging, management of chronic and potentially fatal illnesses like cancer and HIV, and even minor surgery. They genuinely are the workhorses of the system, with a lot of responsibilities, and over-servicing is a serious issue. One solution often proposed for over-servicing is a mandatory co-payment that would force all patients to pay a nominal upfront fee to discourage frivolous GP attendance.
The Abbott government’s co-payment proposal and its aftermath
Into this policy issue stepped the new, first term government, run by Tony Abbott, a conservative ideologue who is probably better described as radical than conservative (as many conservatives are). Abbott won government on a platform of trust, promising “no surprises,” and certainly didn’t promise a major health financing change that I can recall (I can find no evidence either way that isn’t blatantly political, with a quick search). Immediately after the election Tony Abbott identified the classic “Budget shortfall” (every government since Fraser, except for Gillard, has done this it seems, and Gillard only didn’t do it because she was replacing her own party leader…) and started identifying “savings” that could reduce the deficit, which was in “crisis.” One proposed measure was the GP co-payment, which would be a $7 co-payment for all patients visiting a doctor. This unannounced and unsupported policy change attracted uproar, since it would fundamentally change the way that health financing worked, and no one was expecting it. After a long period of anger and clear messages from the Senate that the measure wouldn’t pass, the government relented and reduced this co-payment to $5, apparently voluntary. That’s right, the government was going to seriously go out on a limb for a policy that would give GPs the choice to become tax collectors for the government. Would you trust your doctor if they had volunteered to collect extra tax for the government?
Once this proposal had been sufficiently ridiculed the government canned that too, and introduced a nasty and cunning administrative change that will see the rebate for a 6-10 minute doctor’s visit reduced from $37 to $17. Obviously doctor’s costs won’t change, and so for a large proportion of their consultations they will face the choice of a $20 reduction in payment, or passing on all or part of that payment to patients. This is going to represent a huge increase in cost to patients, well above the $7 co-payment. Imagine, for example, that you are seeing a decent private doctor who charges you $50 for your service. Under the old system you pay the $50 and get a $37 rebate from Medicare; you end up paying $13, a fair whack of cash but no big deal. Under the co-payment system this would have increased to $20; under the new rebate revision, unless the doctor decides to carry the extra costs, you will now only be reimbursed $17, so your new fee is $33 – a more than 100% increase! Crucially, this move doesn’t need to go through parliament, so the government can effectively charge a rebate without getting senate approval. This is a hugely unpleasant change, and without huge numbers of concessions (for e.g. the elderly and those with chronic illness) it will lead to a huge increase in GP costs. If, for example, you’re taking statins for high cholesterol, your GP is your primary source of management and your management will probably require one of these 6-10 minute sessions every three months – so your medical bills will increase by $80 a year. This is actually a lot of money to some people.
The result of this should be obvious. While the $7 co-payment would discourage needless medical visits without necessarily significantly increasing costs for patients, the huge rebate change will destroy the bulk billing system, causing many poor people to drop out of GP service and shift to Accident and Emergency (A&E) departments in hospitals. GPs will attempt not to change their cost structure, and so will double the time they spent with each patient, massively increasing waiting times – except that their poorest patients will have disappeared to the A&E. This will mean that in the end GPs will see less patients who they charge more, and A&Es will become congested with patients attending for unnecessary minor complaints. With GPs charging more per visit for less visits, total medicare revenue won’t change – but less people will be seeing their doctor on time. The budget hole will not change in the slightest, waiting times won’t change at GPs, and A&Es will see an increase in pressure.
A&Es, as I mentioned above, are funded by state governments, not the Federal government.
So the government tried to implement a potentially important but unpopular policy, and when this failed switched to implementing a completely counter productive and unpopular policy that will seriously affect everyone through increased health care costs. They showed no policy sense and no leadership. Brilliant.
What does this tell us about this government’s policy approach?
As I mentioned above, getting a co-payment through Australian politics is a tough ask, and takes political skills, but it has two major policy benefits: it raises more money for Medicare, which is generally accepted to be underfunded, and it reduces unnecessary service use, which is a major problem in free or nearly-free health systems. With Australia’s growing burden of non-communicable disease and preventable health problems it’s probably a good idea, and $5 or $7 is not horrifically punitive, though for the very poorest in Australian society it’s tough. Australians in general are wealthy though and $7 is the price of a piece of cake – it’s really not the end of the world. Nevertheless, it represents a major shift in policy approach away from the bulk billing philosophy, and steering that policy through requires a nuanced debate in which the government prepares the public, then debates with the public, then compromises. It’s also potentially the kind of policy that involves expending a lot of political capital for not much gain – the co-payment is a good idea but not necessarily the best way to solve the problems it is intended to fix, and may not be worth any government expending political capital on. Instead, this government introduced it soon after an election, in an environment where it is accused of multiple broken promises, without any preparation or debate. It even managed to anger the Australian Medical Association, historically a very pro-conservative organization (one of its ex-presidents was a Liberal leadership contender, and an ex-Liberal health minister moved on to become one of its directors, I think). But then, having angered everyone who cares, the government dropped the plan in exchange for an even more punitive and vicious policy that will obviously fail to achieve any of the stated goals of the previous policy, and probably won’t raise any extra money but will put more pressure on Australian hospitals.
Is this not the very model of political naivete? To me this is an example of a government that has no policy framework at all. They were simply looking for ways to raise money and tried to cloak them in a policy goal that they didn’t really understand or care about, and when their mistakes were pointed out to them instead of backing down and finding a better solution, they simply dropped the cloak of policy rationality and turned vindictive. And this seems to be what they have been doing for much of their policy “development” since they won office. This is no recipe for sensible government, and the GP co-payment debacle is a classic example of how mean-spirited this government is, as well as its complete lack of interest in any real policy goals.
If this is how they go about all their policy development, the sooner they become a one-term government the better.
January 15, 2015 at 6:58 am
“identified the classic “Budget shortfall” (every government since Fraser, except for Gillard”
Rudd didn’t do it either from memory because he came in pre-GFC and the government projections were awash with money. Plus identifying a “black hole” and then implementing a huge wave of fiscal spending to combat a recession would be too incoherent even for Rudd.
On the cut in rebate for 6 to 10 minute sessions, there is a reasonable argument that GPs can just churn through patients in 6 minute sessions [1] to maximise the rebate payments. Putting a more tiered structure into place probably wouldn’t be unreasonable so that GPs who take all the 10 minute cases (either due to harder cases or better care) earn about the same as the GPs who take the 6 minute cases [2]. But cutting it so strongly seems to be a silly idea on economic and political levels.
“Crucially, this move doesn’t need to go through parliament, so the government can effectively charge a rebate without getting senate approval.”
But there is some rule where the senate needs to approve it and enough senators have (totally predictably) promised to block it. So the government gets all the best features of looking mean and tricky with all the upside of not getting an decrease in the rebate either. Idiots.
On the topic of the Australian government spending there does appear to be long term structural issues that should be confronted (i.e. aging population, eternally increasing middle class welfare, endlessly increasing medical forecasts, stagnant productivity levels). These problems are still relatively distant (probably 10+ years before they become a real problem [3]) so while we’re steering towards an iceberg, it’s an iceberg miles away that any idiot could avoid.
The strongest argument I know of for faster reform is “If another GFC hits we’d constrained in how we could deal with it”. By that I mean Rudd had a ridiculously easy time dealing with the GFC. He just had to say “Let the rivers of money FLOW!”, by contrast the UK and Europe more generally had to throw everything they could at it without throwing too much. When the next recession comes, it’d be nice to be able to treat it like Rudd did rather than like Brown.
Of course structural reform in Australia is traditionally carried out by the Labour party, because when the Liberals are in opposition they are still economic rationalists. By contrast Labour are only rational while in power – in opposition they are bleeding hearts who believe that any cuts to government spending will bring about the end of the civilised world.
[1] “Uh, uh, uh, uh” *Ding 6 minutes* “It’s a cold, get lost”
[2] In practice, GPs can’t pick their cases like that but they can adjust the amount of care and record keeping provided. Determining the optimal balance for a GP is probably going to calculate for spherical GPs in a vacuum.
[3] 10+ years as a projection is pulled totally from a hat. The commentary I’m seeing isn’t forecasting imminent disaster, but does point out these long term trends as something to address.
January 15, 2015 at 9:57 am
I was slightly wrong about Rudd. He did in fact have a razor gang but in a rare departure from political style he announced it before the election, as a way of reassigning funding to his promised policies, so no one was surprised and no one who voted for him could complain that he cut something they liked, though I note he was vague about exactly what he was going to slash. So I guess only Hawke, Howard and Abbott used the “budget black hole surprise” trick. Remarkably coherent from Rudd, actually …
there is a reasonable argument that GPs can just churn through patients in 6 minute sessions [1] to maximise the rebate payments.
Well yes, but one could hardly then be claiming that the policy was aimed at improving quality of care, could one? And it’s a bit of a “cut-and-hope” approach – the GPs might prefer to extend their sessions to 11 minutes, ensuring they get paid more for less work. If one thought this was a productivity-boosting policy one would presumably also have to scale down the rebates for higher services to discourage GPs from doing this. As it is the government is basically telling GPs that if they want to earn the same salary from next week they have to provide more high-speed, probably lower quality care, or take the option of a higher paid go-slow … Also, the 6 minute idea would bring GP service times closer to those in the UK (average: 7 minutes), and GP service times in the UK are universally derided as too short!
While you could make an argument from a policy perspective only that the $7 co-payment would reduce pressure on GPs and lead to higher quality care without necessarily impacting waiting times or A&Es[1], what you’re basically doing with the rebate change is giving GPs a pay cut … or massively increasing the cost of ordinary care in either waiting times or money.
So the government gets all the best features of looking mean and tricky with all the upside of not getting an decrease in the rebate either. Idiots.
Pulling some figures off the top of my head from a long time ago, approximately 85% of the Australian adult population (i.e. voters) sees a GP at least once a year. Assuming a uniform distribution over the year and assuming it takes about 3 months for the senate to repeal the changes, this means that Abbott will have pissed off approximately 20% of the electorate, with a uniform spread across party lines since it will affect every surgery. These pissed off voters will then be rescued from further financial pain by the Opposition leader, who up till now doesn’t seem to have been overly impressive. It’s like Abbott is doing his absolute best to ensure his government lasts one term. Furthermore, he will have pissed off elderly voters and doctors more – two of his core constituencies! Worse still, some of those doctors will have had to set up cash handling systems, only to have Abbott’s move struck down … and you can bet that in 3 months even if it works as intended the rebate change will raise almost no money.
I don’t think this makes him look “mean and tricky.” Just “mean”.
there does appear to be long term structural issues that should be confronted
I agree that there are structural issues in long term care and health services management that need to be confronted. A lot of these are in the social care sector and the way it interacts with hospitals, not so much primary care (which seems quite functional in Australia). Many of these issues aren’t necessarily financial per se, though mismanagement of them can have financial implications – they’re about the correct balance of hospital vs. community care, proper coordination of hospital and social care, and increased funding for and diversity of nursing homes – something that I have strong memories of the last conservative government completely messing up. These issues are also being confronted in the UK, Europe and Japan, and most countries confronting the problems are trying to do it without spending more money. I think the solution to these problems won’t just involve price signals, but reorganization of the health system and better management, and a lot of these problems will be solved over time as people become more familiar with the nature of an aging population. I certainly don’t think that a single co-payment or price change is going to make any difference.
As for faster reform due to the need to keep debt levels low – there’s a lot could be said there. Australian debt is low, and would be lower still if either of the past two governments (Rudd/Gillard or Howard) had managed to put in a proper resources tax (too late now!), or a carbon tax. Also the current government has shown that fast reform is counter-productive for debt levels if it is implemented in a politically naive or aggressive way – the deficit is ballooning as the govt repeatedly tries to get the most ideologically radical spending cuts it can think of through a very difficult Senate. Measured, politically cautious reforms might actually have got through faster and been more effective at deficit reduction or stabilization. But on the bright side, at least now we get to find out exactly how much fiscal radicalism the Australian electorate will tolerate …
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fn1: I do think this is over-egging the value of a price signal. A lot of people will just wear the cost because it isn’t much, while those for whom it is a lot of money will simply use A&Es, increasing pressure on state-funded hospital services. In this regard I think the price signal of a co-payment is not as effective an instrument as Abbott and Ley wanted to suggest, and I think the absence of other options under consideration makes it pretty clear the price signal aspect of their policy is secondary to the money-raising aspect.
January 16, 2015 at 8:36 am
”it is the government is basically telling GPs that if they want to earn the same salary from next week they have to provide more high-speed, probably lower quality care, or take the option of a higher paid go-slow”
Sorry, I was agreeing that the government’s proposed cut was poorly structured. I can see an argument that “Some docs are providing poor quality care in short sessions then making out like bandits while better docs take longer and therefore make less. To fix this we should tier the payments.” But the governments proposed cut didn’t look like it was trying to do this at all because the $ and % cuts were both so harsh.
If they’d said “We’re cutting session rebates for <10 minute sessions by $2 as we think it reflects the effort doctors put in” then that may have been a better move (Plus doctors probably wouldn’t bother passing $2 on). That’s a reasonable argument (without bothering to check the data to see if it’s in any way fair). And it has nothing to do with the co-payment policy. But the government was (apparently) trying to get its co-payment in through the back door [1].
I can illustrate the proposal I’m describing above, but frankly it’s not worth it. No one is taking that policy stance. Except maybe the government and how the hell would we know with their appalling communication skills?
”this means that Abbott will have pissed off approximately 20% of the electorate”
“It’s like Abbott is doing his absolute best to ensure his government lasts one term.”
It looks like they’ve dropped it and the senate won’t need to reverse it. Still politically, the damage is done. The actual cash payment would only have been a minor reminder to 20% of the electorate that the government is incompetent and greedy. The other 80% would just have to remember it based on the blindly obvious.
The worst thing about the government’s behaviour on this is it’s like they’re shocked that the senate can block their plan despite the fact it’s happened before! I mean, this is government that knows it has a largely hostile but still manageable senate (It’s not like Labour and the Greens are the majority, even if the PUPs are organisationally insane). Despite that they keep floating ideas as if they forgot that someone else can block them unless the government has done the negotiation in advance. They have no negotiating positions ready or outreach prior to the media announcement. They just put up an idea, get it bashed in the media, try to force it through and fail. And they’ve done it on the budget, university prices and the co-payment (at least). Don’t they realise that doing the same thing and expecting different results is a definition of insanity?
”I think the absence of other options under consideration makes it pretty clear the price signal aspect of their policy is secondary to the money-raising aspect.”
The money from the $7 co-pay was earmarked to go into a medical research fund for a decade or so before going towards general revenue. It wouldn’t have helped the Abbott government in any material way (unless they were there for as long as Howard or Menzies). So I’m not convinced it was a money grab. But who can parse what they’re really up to? I’ve been blind, stumbling drunk and still had a better direction and judgment than they display.
”I think the solution to these problems won’t just involve price signals, but reorganization of the health system and better management, and a lot of these problems will be solved over time as people become more familiar with the nature of an aging population. I certainly don’t think that a single co-payment or price change is going to make any difference.”
The structural problems I was referring to was more simple budget projections showing Australia heading for a world of hurt (i.e. debt repayments being so great they exceed medical expenses or other trends like that). It’s really the broader picture that emerges from the generally poor trends in a number of areas. Part of the reason I’m not too worried about it is the same sort of projections show the US and Europe hitting the same problems a couple of years in advance and I’m expecting the resulting solution or disaster there to give us enough time to put our stuff in order (with fiscal brutality if necessary).
[1] Or given the grace and coordination displayed by the government, maybe they were trying to push it through a solid brick wall like a delusional moron. Idiots.
January 16, 2015 at 8:49 am
Given that it did need Senate approval and there was no chance it was ever going to get senate approval, this seems even more bone headed than their other policy decisions…
January 16, 2015 at 1:25 pm
“Even more bone headed” is a bit harsh. It’s exactly the same level of bone headed as their co-payment policy and increased university fees. Both of those were blocked by the senate.
Its slightly less bone headed than their fuel indexing change, which may be blocked by the senate or may not be as the money would need to be given back to fuel companies (and voting to do that would probably make the Greens combust from furious moral confusion).
January 16, 2015 at 6:10 pm
Technically, it was a regulatory change. These can be disallowed (ie annulled) by either house of parliament. So they were looking at a change which would come in, and then give the Opposition a chance to move disallowance, have a debate with lots of publicity, fail and then have to be unwound. This is a carefully staged Katyusha salvo to the head, and it led to open murmurs about tumbrils from the back bench. But, as Paul says, par for the policy course so far.
January 16, 2015 at 7:20 pm
You know your government is doing well when the discussion of your policy decisions immediately dispenses with the idea that they had a policy purpose, and rapidly descends into “was this even more bone-headed than the last decision”? When you can’t even scrape up “I agree/disagree with this in principle” you really are at the bottom of the barrel, aren’t you?
I wonder what’s worse for a party politically? A series of knives to the back, or a series of carefully staged Katyushas to the face?
January 18, 2015 at 7:07 pm
Come on, the Rudd government was also a series of poorly thought out moves proposed only for fleeting poll advantage. The primary difference with Abbott is he seems to be a series of poorly thought out moves chasing poll disadvantage instead.
I mean, it’s a little weird to be chasing poll downturns, but you can’t argue with results. I predict the next policy will be a senior government minister eating a baby on live TV.
They’re actually a very predicable government that has greatly decreased sovereign risk once you turn into their mindset.
January 19, 2015 at 7:22 am
“the Rudd government was also a series of poorly thought out moves proposed only for fleeting poll advantage. The primary difference with Abbott is he seems to be a series of poorly thought out moves chasing poll disadvantage instead.”
@paul – excellently put.