The
Australia Institute, media release, 14 February 2023:
New
analysis reveals residents born in Far West NSW are suffering
substantially worse health outcomes than residents in Sydney.
People
in Far West NSW are dying earlier than they should, from avoidable
causes, and while suicide rates have steadied in Sydney, they are on
the rise in the most remote parts of the state.
The
report warns of serious and growing inequality in health outcomes
between city and country residents and recommends immediate
investment in the sector.
Key
points:
“Far
West NSW is in serious need of medical attention. Where you live
shouldn’t dictate how long you’ll live, but unfortunately in NSW
it does” said Kate McBride, Researcher at The Australia Institute.
“Those
in the Far West have significantly poorer health outcomes, inferior
access to health services and face substantial financial challenges
to access services.
“Life
expectancy, premature deaths, and ‘potentially avoidable’ deaths
are key statistical indicators of whether our health system is
working. It is clear from the analysis in this report, sirens should
be sounding from the Far West of the state.
“There’s
a compelling case for significant investment across the continuum of
care, from disease prevention to rehabilitation and ongoing care, in
regional NSW.
“The
first release in a series, this report reflects a wider national
trend: That the health system is failing those living in regional and
remote Australia” said Kate McBride.
~~~~~~~~~~~~~~~~~~~~~~
RELATED
RESEARCH
Kate McBride, The
Unlucky Country: Life expectancy and health in regional and remote
Australia. Part 1: NSW,
February 2023.
FULL
REPORT
~~~~~~~~~~~~~~~~~~~~~~
Excerpts
from the McBride report:
“Australia
has the world’s third highest life expectancy at 84.3 years.
However, this national average masks the fact that the ‘lucky
country’ has some rather less lucky residents. In every state and
territory, those in regional and remote areas have life expectancies
several years lower than in the city.
New
South Wales (NSW) is a stark example of this divide. Life expectancy
in Far West NSW is 79.1 years compared to 84.5 years in Sydney. This
more than five-year gap has grown from relative parity at the turn of
the millennium to the current gap. Today, a person in far west NSW is
more than twice as likely to die prematurely (under 75) than someone
in Sydney.
While
there are many possible reasons for this discrepancy, overall, people
die of the same causes in urban and remote parts of NSW; a comparison
of the top causes of death in each area reveals that the top 10 are
almost identical. However,
regional and remote people are dying younger and from preventable
causes at much higher rates than those in Sydney. Deaths considered
‘potentially avoidable’ are more than two and a half times as
common in the far west than in the state’s capital.
It
has been known for years that there is a suicide issue in regional
Australia. Suicide rates in far west NSW—already more than twice as
high than those in Sydney—are continuing to rise, while those in
urban areas remain steady. But while suicide is a significant
problem, it is only the tenth leading cause of death in the region.
Suicide tends to take people at a younger age than other causes and
as a result can disproportionally skew life expectancy, having said
this there are other factors likely at play.
In
2022, a NSW Parliamentary Inquiry into health outcomes and access to
services in rural, regional, and remote NSW found that people outside
urban areas had significantly poorer health outcomes, inferior access
to health services, and faced substantial financial challenges to
access services.
This
divide between life expectancy in the cities and in the country is a
problem that extends beyond far western NSW. The city/country divide
exists across Australia, and it is growing. Inequity between
Australians living in capitals and remote areas is a significant
problem that demands government intervention, particularly concerning
overwhelmed and under resourced health systems.”
NOTE: I draw to the attention of "North Coast Voices" readers, living in what is the Australian Bureau of Statistics' Coffs Harbour-Grafton Level 4 Statistical Area, the fact that the combined populations of Clarence Valley and Coffs Harbour City have a projected life expectancy at birth which is 3.9 years lower than that of the population of the Greater Sydney metropolitan area. Only the projected life expectancy at birth for the Far West and Orana region has a worse comparative figure.
The
only differences are dehydration and suicide (more below) in the Far
West being replaced by heart failure and breast cancer in Greater
Sydney. The similarity in causes of death suggests that the factors
driving lower life expectancy in the far west are not due to different
physical conditions or different lifestyles, but to how causes of
death are prevented and managed. [my yellow highlighting]
Sadly, what the preceding paragraph is politely hinting at is that there is a culture within governments which tolerates and, perhaps even relies upon, inequality of access to health care along with an acceptance of delivery of poorer quality health care to those living in remote areas of New South Wales, as one of the tools which allows the provision of a much higher quality of health care to those living in metropolitan centres and inner regional areas on the fringes of major cities.
That is where the bulk of the state's electorates and voter numbers are concentrated and, it will come as no surprise that ahead of the March 2023 state election little electoral growth was expected in the western half of New South Wales [Report of the
Electoral Districts Redistribution Panel
on the draft determination of the names
and boundaries of electoral districts of
New South Wales, 9 Nov 2020].