It isn't just lack of money which makes for a shorter life - it's often discrimination by the health care professions

Last Monday morning I caught a news item on ABC radio concerning a study commissioned by Catholic Health Australia which reportedly showed that an affluent person lives longer than a poor person. Around three years longer.

I immediately looked down at my wristwatch and began to count the seconds - as surely as night follows day it came across the airwaves.

In this instance it was a certain Jesuit priest Fr. Frank Brennan (pictured opposite); who baldly stated "If you come from a poor, dysfunctional family without education, of course your health outcomes are going to be worse than if you are from a well-off, functional family which has a good education."

Yes, that's right, the bottom line is that it is all the fault of the dysfunctional family.

Never mind that Australian society subtlety discriminates against those who are obviously in the lower socio-ecomonic strand. That the social determinates of health and well being are a lot more complex than alleged family dysfunction.

When giving such a statement to the media don't make an effort to point out that the affluent and articulate are likely to be seen by the medical and related heath care professions as being the peers of people in these groups and, therefore more time and energy is frequently expended in exploring treatment options and providing medical care even within the public health system.

Stay silent on the fact unofficial medical service rationing is occurring in this country and that it is not often occurring to those with money. In fact it has already been admitted that living in regional Australia often results in lower life expectancy for some life threatening diseases and, there is some evidence that those with higher incomes may receive more referral to specialist doctors if New Zealand research translates to Australia as I suspect it might.

Do not even consider that such unconscious systemic discrimination (based on socio-economic status, ethnicity or diagnosis) leads to poorer health outcomes in our supposedly democratic and egalitarian society.


* A quick Google search using the term "discrimination by health professionals" displayed over 83,000 results including discussion of discrimination based on gender, ethnicity, diagnosis and income levels.