
Health Minister Nicola Roxon answered questions on Q and A about the plans for health reform. Here is a small selection from the transcript:
NICOLA ROXON: Well, everyone has gone straight to the heart of the sort of difficult issues that I need to deal with and I think it is patently obvious to everybody that there are some problems in our health system, and I'm not here to pretend that everything is perfect. I think what we have, though, in that range of questions, is a mix of quite a few different things. I can tell you for sure that a Labor Government is not about to get rid of Medicare and move to where America is, as our second questioner indicated. In fact, when you look at the debate that Obama is going through, when you compare where our starting point is here, we've got the basics of a very good system.
The first question on when are we going to take it over or why can't we take it over, I don't actually think the question is whether we can or not, although the constitutional lawyers in the audience would have a lot of fun debating that. The question I'm asking, and we are going to be involved in this debate very closely and carefully, is: would changing the government governance actually deliver a better outcome for patients?
Ultimately there's a lot of reforms that are being talked about and we can get obsessed with which level of government does it or how much money should go in or what we should prioritise. Ultimately, I think we have to measure all of those questions against what will deliver a better outcome and I am worried that a lot of health professionals do feel that despondent about working in public hospitals when, in fact, we have a very good public hospital system. So we have to make sure we get rid of those frustrations, because we need our best and brightest in those hospitals.
TONY JONES: Can I just interrupt you? Can I interrupt you there because I'd like to bring you to the election promise...
NICOLA ROXON: Sure.
TONY JONES: ...which was that you should know the answer to this question by now?
NICOLA ROXON: No, well, the...
TONY JONES: Because you were...
NICOLA ROXON: Yeah.
TONY JONES: You were meant to have an investigation of this which finished halfway through 2009.
NICOLA ROXON: Yeah. Well, let...
TONY JONES: At which point you were going to decide whether or not the Federal Government would take over State and Territory hospitals. So why don't you know the answer now.
NICOLA ROXON: But let's be clear. The commitment was that we would assess whether the Commonwealth should take over financial controls of the hospitals by the middle of this year. We didn't promise that we would take them over. We didn't promise that we would announce it on a particular day. I actually think on - what's the date in the July at the moment? The 23rd. We're probably still in the middle of this year. We are very shortly to release a very detailed report from our health and hospitals reform commission and I don't think any person in this audience, no matter how frustrated, presumably wants us to rush into a decision like this. That report needs to be released. We have to have debate on it. We haven't been sitting still while that report has been being written. We've been investing massive amounts of new money in hospitals, in workforce training, in prevention, in a whole lot of areas that I'd love to go through but would probably bore all of your audience. But so the point...
TONY JONES: Okay, but very briefly, on the subject of...
NICOLA ROXON: The point is...
TONY JONES: But does that report - is that report telling you the Federal Government should take over state and territory hospitals?
NICOLA ROXON: Well, I know you would love to have an exclusive tonight...
NICK MINCHIN: Yeah, release the report, you know.
NICOLA ROXON: ..."Here's the report I bought with me."
TONY JONES: Just give us a hint.
NICOLA ROXON: But the hint that I can give you, Tony, is very shortly it will be released and I think there's going to be a huge amount of public debate. As we saw from the interim report, there are a lot of quite radical, quite interesting, quite innovative things talked about in that and I think our health system needs that. To be honest, we cannot afford to make some slapdash decisions, bits and piece decisions, when actually our system has been in trouble for some time. In 18 months I think we've started to turn that around, but when you've got your audience saying this has been for decades, I don't think it's realistic to expect that we can fix in 18 months.
NICOLA ROXON: We certainly could and I think that is part of the debate. Interestingly, when we try and re-jig things at all, like change the private health insurance rebate incentives so the people that earn more money contribute more to our health system, the Liberal Party blocks it every time we try to do anything like that. So the re-balancing isn't always easily done and I have a personal view that we actually need a good public and private system. I don't want the public system to be some poor cousin safety net, but I do actually think the system has benefitted in Australia from having a bit of competition between the two, and I think we could probably use that better and we could fund it differently. These are incredibly complex questions, which I don't think - no disrespect Tony, but this show cannot do justice to the vast range of issues we need to go through with training our workforce properly, making sure people have access, modernising Medicare and it has always been Labor that's taken these big, bold steps, but we usually do them carefully, make sure they're argued out properly and we want the public engaged. We committed...
TONY JONES: But we can hold you...
NICOLA ROXON: We committed we would take it to the public.
TONY JONES: But we can hold you to your promises and one of them was we should know the answer to this by the middle of this year.
NICOLA ROXON: No, one of them was we will consider it...
TONY JONES: On that subject....
NICOLA ROXON: ...in the middle of this year, which we are doing.