Another reason for the AMA’s response to this proposal is the lack of evidence. Modern medicine is evidence-based. We are trained not to accept blind assertions or opinion, or indeed ideology, in determining the best treatment without the supporting evidence.

 

For months, Australians were pre-medicated for the budget on the narrative that Australia has a budget emergency, with the finger of blame pointed at an out-of-control health budget. 

 

The health budget is not out of control. As a proportion of GDP, Australia’s healthcare spending has remained constant. In 2011 it was 8.93 per cent compared to the OECD average of 9.3 per cent. The proportion of this contributed by the federal government expenditure remains constant at around 41 per cent.

 

As a proportion of federal government expenditure, health expenditure has actually fallen - from 18.1 per cent in 2006-07 to 16.1 per cent in 2012-13.

 

The co-payment is unfair and unnecessary. Ideology has pushed this proposal too far. It is poor health policy. The Prime Minister should step in and scrap this policy. If not, it deserves to fail in the Senate.

 

Associate professor Brian Owler is president of the Australian Medical Association.