1. Funding Health Care
Bill O’Neill
Level 6 Students
Thursday November 29th 2012
2. RMIT Health Centre
• Routine medical consultations
– Acute conditions – coughs, infections
– Support for long-term conditions - asthma, diabetes
– Skin conditions – acne and eczema
• General health education and advice
– Staying health
– Sexual health and contraception advice
• Emergency care
No direct charges made
3. Health Spending at RMIT
• Medical services element of fees
• $62.24 per capita per year
4. Health Spend by Country
Vietnam Singapore UK US
% of GDP on health 6.8% 4% 9.6% 17.9%
Government 37.8% 36.3% 83.9% 53.1%
Private Funding 62.2% 63.7% 16.1% 46.9%
Insurance 0% 12.6% 6.5% 67.8%
Spend per capita $83 $1,733 $3,503 $8,362
5. Universal Health Coverage
Key Principles:
• Access for all
• No risk of health causing poverty
• 100 million people pushed into poverty each year
• Shared costs
• Efficient systems with minimal waste
• Globally 20-40% of resources are wasted
• Innovative systems for funding
6. Universal Health Care
1. Health Promotion
– Information on risks of smoking
healthy eating
1. Disease Prevention
– Vaccines
– Stop Smoking
1. Access to Treatment
– Drugs and surgery
1. Rehabilitation
– Recovery from major accident
8. Funding Universal Coverage
• Taxation –
– General taxation and better collection of taxes
– ‘Sin Tax’ – tobacco and alcohol
• Insurance – compulsory or voluntary
• External – WHO, World Bank
• Third Sector – Charities e.g.Oxfam
9. Review Government Spending
• Health allocation
– Spend more on health and less on arms
• Coordinated efforts
– Reduce road traffic accidents (Transport policy)
– Health education is schools (Education policy)
• Efficient use of resources
– Avoid inappropriate use of drugs
– Avoid inappropriate use of investigations
– Minimise length of hospital stays
10. Leading Cause of Death in Vietnam
30 people die in road accidents each day
Actions:
• Compulsory helmets for all
• Reduce drink/drug driving
• Better care of road accident victims
11. Facebook: Dr Roy’s Quest
• Like the Page
• Be his friend
• Learn more
• Leave a message
Created by
Prof Comm Students 2012
100 million people are pushed into poverty each year because of direct health care costs Globally - 20–40% of resources spent on health are wasted Innovative systems – taxation, efficient collection, sin tax
Increase health allocation, reduce spend on arms Coordination – education and transport Efficiency – drugs, investigations, hospital stay, consultation times
30 people die in road accidents each day Actions: Motorcycle safety/drinking and driving/care of the injured
