Final report of the National Health and Hospitals Reform Commission: will we get the health care governance reform we need?
Stoelwinder, J.U.
Medical Journal of Australia 191(7): 387-388
2009
ISSN/ISBN: 0025-729X PMID: 19807630 Document Number: 198964
The National Health and Hospitals Reform Commission (NHHRC) has recommended that Australia develop a "single health system", governed by the federal government. Steps to achieving this include: a "Healthy Australia Accord" to agree on the reform framework; the progressive takeover of funding of public hospitals by the federal government; and the possible implementation of a consumer-choice health funding model, called "Medicare Select". These proposals face significant implementation issues, and the final solution needs to deal with both financial and political sustainability. If the federal and state governments cannot agree on a reform plan, the Prime Minister may need to go to the electorate for a mandate, which may be shaped by other economic issues such as tax reform and intergenerational challenges.