Funding Health Care

Bill O’NeillLevel 6 Students

Thursday November 29th 2012

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 careNo direct charges made

Health Spending at RMIT

• Medical services element of fees

• $62.24 per capita per year

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

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

Universal Health Care

1. Health Promotion– Information on risks of smoking

healthy eating

2. Disease Prevention– Vaccines– Stop Smoking

3. Access to Treatment– Drugs and surgery

4. Rehabilitation– Recovery from major accident

Universal Health Coverage

The Road to Universal Coverage

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

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

Leading Cause of Death in Vietnam

30 people die in road accidents each dayActions:• Compulsory helmets for all• Reduce drink/drug driving• Better care of road accident victims

Facebook: Dr Roy’s Quest

• Like the Page• Be his friend• Learn more• Leave a message

Created by Prof Comm Students 2012

Thank You

Questions?RMIT Health Centre 8am-6pm