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United Future
Since: 2007-08-08 10:30:45.829588
Posts: 221

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BLOG: ACC and Elective Surgery

I wrote this thinkpiece for the National Business Review, which published it on 23 October 2009:

The emerging debate about the ACC scheme presents an opportunity to take a bolder and more lateral approach to the future provision of healthcare services in New Zealand.

Leaving to one side for the moment the philosophical arguments about whether ACC is effectively a form of social insurance or a comprehensive taxpayer funded scheme, the fact remains that it has been very successful at using its collective purchasing power to provide a wide range of services to the victims of accidents. This is an aspect of ACC that deserves far greater attention in the current review, as it has the potential to bring about far more significant patient gains overall. ... Read the full text of this blog post.

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Damian Light
Since: 2007-08-16 23:02:21.605
Posts: 36

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Peter - what would be the cost implications if we did go down this path? Would it be effectively cost neutral (ie would the levies cover the additional costs)?

I don't like the idea of people being forced to take out private insurance but a public insurance system like you describe makes a lot of sense to me.

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peter dunne
Since: 2008-05-28 21:33:29.649
Posts: 32

Yes, Damian, that would be the intention. Similar schemes that I have seen operating in Holland, for example, provide totally free health care (from doctors visits to surgery) and the levy cost - offset against taxes - is quite affordable - about 25 Euro a week, with state funding to cover those below a certain income level, the young and the very elderly. It would probably take us quite a while to get to that level of coverage, so what I am proposing now is a much more modest start in that eventual direction.

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peter dunne
Since: 2008-05-28 21:33:29.649
Posts: 32

Yes, Damian, that would be the intention. Similar schemes that I have seen operating in Holland, for example, provide totally free health care (from doctors visits to surgery) and the levy cost - offset against taxes - is quite affordable - about 25 Euro a week, with state funding to cover those below a certain income level, the young and the very elderly. It would probably take us quite a while to get to that level of coverage, so what I am proposing now is a much more modest start in that eventual direction.

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