AMA accuses Morrison Government of deliberately constraining supply of public hospital services

ABC News, 24 May 2019:

"Have you got insurance?"

It is one of the first questions any patient is asked when they walk into an emergency room in the United States, no matter how sick they are.

And now Australian doctors are warning our own health system is shifting towards a similar US managed care model — a patchwork of private and public systems, where health insurers hold an increasing amount of power.

The president of the Australian Medical Association (AMA), Dr Tony Bartone, made the comments as he addressed the group's national conference in Brisbane on Friday.

It was the first time Dr Bartone has spoken since the Coalition was returned to power, and he gave an unusually scathing assessment of Australia's health system and the Federal Government.

He called for further private health reforms, telling doctors the increasing corporatisation of the private health system had given insurers unprecedented power within the health sector.

Dr Bartone warned that could lead to a system similar to the model in the US, where patients experience significant variations in care depending on their insurance cover.

"Insurers should not determine the provision of treatment in Australia, they should not interfere with the clinical judgement of qualified and experienced doctors," he said.

"Australians do not support a US-style managed care health system, and neither does the AMA."

The AMA has consistently called for more money for public hospitals, and on Friday Dr Bartone went even further as he accused the government of "making a choice" to constrain the supply of public hospital services.

"Let me be clear. Public hospital capacity is determined by funding," he said.

"The consequences are significant. They can include increased complications, delayed care, delayed pain relief, and longer length of stay for admitted patients."

Dr Bartone said the system was "stretched so tight" elective surgeries were being cancelled.

"Our public health system should be better than this. It is unacceptable our public hospitals have been reduced to this," he said.

"Our public hospitals are struggling and require new funding to be better tomorrow.....