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The tale of out-of-pocket spending on health care

Jane P Hall
Med J Aust 2013; 199 (7): . || doi: 10.5694/mja13.10844
Published online: 7 October 2013

We need to think past aggregate subsidies to provide equitable access to essential care

It is the best of times and the worst of times. Bulk-billing rates for non-referred attendances (principally general practitioners) have reached over 82%.1 Yet there has been renewed attention focused on the growing financial burden that out-of-pocket (OOP) payments impose on patients.2 The apparent contradiction can be reconciled, but to do that we need to get beyond the headline figures.


  • Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW.


Correspondence: jane.hall@chere.uts.edu.au

Acknowledgements: 

This represents work from the Centre for Research Excellence in the Finance and Economics of Primary Care, a project of the Australian Primary Health Care Research Institute, which is supported by a grant from the Department of Health and Ageing. The information and opinions contained in it do not necessarily reflect the views or policy of the Australian Primary Health Care Research Institute or the Commonwealth of Australia.

Competing interests:

No relevant disclosures.

  • 1. Australian Government Department of Health and Ageing. Quarterly Medicare Statistics. March Quarter 2013. http://health.gov.au/internet/main/publishing.nsf/Content/Quarterly-Medicare-Statistics (accessed Jun 2013).
  • 2. Bennett C. From the Consumers Health Forum of Australia. Australian health care – out of pocket and out of date. Med J Aust 2013; 198: 522. <MJA full text>
  • 3. Manning WG, Newhouse JP, Duan N, et al. Health insurance and the demand for medical care: evidence from a randomized experiment. Am Econ Rev 1987; 77: 251-277.
  • 4. Tamblyn R, Laprise R, Hanley JA, et al. Adverse events associated with prescription drug cost-sharing among poor and elderly persons. JAMA 2001; 285: 421-429.
  • 5. Yusef F, Leeder SR. Can’t escape it: the out-of-pocket cost of health care in Australia. Med J Aust 2013; 199: 475-478.
  • 6. Ellis R, Savage E. Run for cover now or later? The impact of premiums, threats and deadlines on private health insurance in Australia. Int J Health Care Finance Econ 2008; 8: 257-277.
  • 7. Chrisopoulos S, Harford JE. Oral health and dental care in Australia: key facts and figures 2012. Canberra: Australian Institute of Health and Welfare, 2013. (AIHW Cat. No. DEN 224; Dental Statistics and Research Series 60.) http://www.aihw.gov.au/publication-detail/?id=60129543390 (accessed Aug 2013).
  • 8. Van Doorslaer E, Clarke P, Savage E, Hall J. Horizontal inequities in Australia’s mixed public/private health care system. Health Policy 2008; 86: 97-108.
  • 9. Kenny P, Lancsar E, Hall J, et al. The individual and health sector costs of asthma: the first year of a longitudinal study in New South Wales. Aust N Z J Public Health 2005; 29: 429-435.
  • 10. Van Gool K, Savage E, Johar M, et al. Extended Medicare Safety Net: review of capping arrangements report 2011. A report by the Centre for Health Economics Research and Evaluation. Canberra: Commonwealth of Australia, 2011. http://www.health.gov.au/internet/main/publishing.nsf/Content/2011_Review_Extended_Medicare_Safety_Net/$File/Final%20Report%20-%20Review%20of%20EMSN%20benefit%20capping%20June%202011. pdf (accessed Aug 2013).

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