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The ACT government's new $250 health 'tax' a hard sell to Canberrans stuck on surgery wait lists

The ACT government's new $250 health 'tax' a hard sell to Canberrans stuck on surgery wait lists

Iftekhar Ahmed lives with obstructive sleep apnoea and has experienced the terror of waking during the night gasping for air.
"You wake up from breathlessness and go totally blank. Luckily, your body will tell you to wake up. But you can also have a stroke from lack of oxygen," Mr Ahmed explained.
"My wife is worried about me. She used to stay awake at night to see if I was breathing.
"I can't get enough oxygen in my sleep."
The Canberran is on an elective surgery waiting list with Canberra Health Services (CHS) for procedures to be done to his nose, sinuses and throat.
The system classed his surgery as Category 3, meaning there was a clinical need for it to occur within 365 days.
But, Mr Ahmed has waited 922 days and no surgery is scheduled.
In correspondence seen by the ABC, he emailed Health Minister Rachel Stephen-Smith in April last year, explaining his diagnosis and including a plea:
The minister's office responded to him on the same day, saying it had asked CHS to follow up with Mr Ahmed directly. But, he said that follow up never occurred.
As a ratepayer in the ACT, Mr Ahmed said he was "gobsmacked" when he learned yesterday's budget included a $250 health care levy.
And he was far from alone, with many members of the ABC Canberra audience sharing their frustration over the levy and stories of being stuck on blown-out surgical waiting lists.
One talkback caller, Marcie, said she had been waiting for eight months to access a procedure "to rule out cancer".
"I was told there was no prospect, zero prospect, of getting it done this year," she said.
She said she was forced to travel to Sydney to see a specialist who was trying to get her into the New South Wales public health system.
"I'm not after something for nothing. I am happy to pay for healthcare if I am actually getting healthcare," Marcie said.
Another person commented: 'I've been on a waiting list for eight months. Last week I was told there was no prospect of having the procedure done this year. And we're being slugged a $250 levy for what exactly?"
Conrad Farrell shared with the ABC how his "fantastic" surgery for a degenerative spinal condition brought relief, but only after an agonising wait.
"Every day felt like a week, so while I was waiting, it was excruciating," Mr Farrell said.
"I was heavily reliant on a walking stick. I couldn't walk from the couch to the toilet without a walking stick."
Mr Farrell is urging the government to make use of the levy to ensure no one else suffers a similar painful wait for help.
The territory's budget deficit is $1.1 billion for 2024-2025, with ratepayers told the new tax would help cover expected increased costs for delivering health services.
Ms Stephen-Smith conceded the government's new levy and other price hikes were unpleasant.
"It is a tough budget. We had to make some really challenging decisions," she said.
During an interview on ABC Radio Canberra, Ms Stephen-Smith heard stories of Canberrans who, like Mr Ahmed and Marcie, were stuck on blown-out surgical waiting lists.
She encouraged people with a grievance about the health system to contact her office.
The minister acknowledged that for some, the new $250 health levy would heap extra pressure onto already tight household budgets, but said across the ACT, the tax was appropriate.
"We have the lowest unemployment rate in the country. We have the highest average incomes in the country. Interest rates are coming down. Inflation has come down really dramatically and most people who are earning an income have received tax cuts in the last couple of years," she said.
"So, we're asking people for five or six dollars a week to contribute to budget repair … to provide the services that we all use and value.
"And when we talk to Canberrans about what they value and what they need, health is right at the top of that list."
But Canberra Liberals Leader Leanne Castley said the new health levy would not have been needed if the government had budgeted properly.
"They do have a spending problem and the way that they're getting themselves out of that this time is to hike up the taxes on Canberrans," she said.
"It's a health system that is in crisis and the services aren't improving.
In selling yesterday's budget, Treasurer Chris Steel suggested the Commonwealth government was partly to blame for the territory's need to introduce the $250 levy.
Mr Steel complained the federal contribution to the ACT's health spend was expected to fall to 33 per cent next financial year, despite saying there had been an agreed target of 45 per cent by 2035.
But Federal Health Minister Mark Butler did not share Mr Steel's view.
"I'm not sure there's ever been a bigger increase in Commonwealth funding to the ACT hospital system than the one we will deliver next week," Mr Butler said.
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Home births are on the rise in WA but access is limited for people who want one
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Laura Incognito still remembers the feeling of sharing her birth story with her mother's group. "We went around the circle of these 12 women and a lot of them had traumatic, negative experiences in the hospital system," Ms Incognito recalled. "Some didn't, some were fine, but as soon as I said that I had a homebirth I just felt a shift in the room to judgement. She is not alone in receiving that kind of reaction to the decision to give birth at home. Eliza Huck was confident in her choice to have a home birth with her first child last year after one of her sisters, a doctor, decided to have her fourth child at home, after not great experiences in hospital with her first few births, resulting in emergency caesareans. "Everywhere, except within my family, I had people saying, 'That's so risky,'" Ms Huck told Jo Trilling on ABC Radio Perth. But perceptions about the safety of home births are slowly changing and both women are part of a growing number choosing to give birth at home. 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Nisha Khot, president-elect of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) acknowledges the increased chances of interventions in a hospital setting and says that home-birth programs for low-risk pregnancies are safe. "The research tells us that things like stillbirth, death of babies after they're born, or mothers having significant complications, are as rare in a home situation as they are in a hospital situation, so there isn't really an increased risk of outcomes from a baby's perspective or the mother's perspective," Dr Khot said. "The real risk though is needing to transfer into hospital and what the research shows us is that for women who are having their first baby [at home] around 30 per cent, so 30 out of every hundred, will need a transfer into hospital for a variety of different reasons." But Dr Khot said the majority of those women transferring to hospital would not have life-threatening circumstances. 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Albanese government moves ahead with election pledge to cap prescription medicines to $25
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Cosmetic surgery, dentistry, heart surgery, fertility treatments, gender-affirming surgery, stem-cell therapy and cancer treatments are the most common medical reasons Australians go abroad. "We have a world-class health system in Australia, but it can't do everything for everyone at all times," Dr Michael Bonning told Insight. The general physician and Australian Medical Association (NSW) president says that, in addition to the unavailability of certain treatments in Australia, saving money also motivates many to participate in medical tourism. "Sometimes it is because of access; we just don't do some of these procedures. And the second part is sometimes because of cost." But seeking treatment overseas is riskier than sticking with Australia's highly regulated health system, he warns. "When you go overseas, you open yourself up to other challenges [such as] language barriers. Sometimes we also see the standards of care are not the same as we would expect here." The cost and personal toll of travel were two other factors people considering medical tourism should take into account, he added. 'A single purpose' Hannah and Simon lived in Singapore for five months while Hannah participated in the clinical trial. They celebrated Christmas, New Year and Hannah's 32nd birthday while she was in hospital. Simon said that there were many dark times for him during those five months but "obviously nothing compared to what Hannah was going through". "What made it simple for me was having a single purpose ... to look after Hannah, make sure she was comfortable and got the treatment that she needed," Simon said. "And ultimately to get her better and bring her back." Hannah received treatment at a Singapore hospital. Source: Supplied Upon completion of the trial, Hannah was discharged with no detectable cancer cells. They returned to Sydney where, after a second bone marrow transplant, the good news was confirmed again. "I'm in remission and I have been for the last 15 months, but I say that with caution because we still have tests every eight weeks … to check and see if the cancer is coming back." The impact of overseas treatment For Dianne's son Jordan, things appeared to be improving with the "amazing" Chinese medical team working with him. "He was going very well at the start … he felt 100 per cent supported." However, Jordan started to behave unusually towards the end of their three-month stay. Doctors then discovered he had brain swelling due to a growing tumour. After emergency surgery and changes to his treatment while in operation recovery, Jordan's cancer continued to metastasise. Although overseas treatment didn't wholly work for Jordan, Dianne doesn't regret her attempt to give her son a longer life. Source: Supplied The family returned home to Melbourne in October 2016 where Jordan died three months later at the age of 22. Dianne says she would have liked for all of Jordan's treatment to have taken place in Australia if more could have been done to save her son. "If you have to travel overseas for treatment, your life is disrupted in so many ways. And it's not just you, it's the impact on your family [and] your friends," she says. "You're living in a place where you don't speak the language, you're totally out of your comfort zone. You can't have all your support there." Although the treatment did not wholly work for Jordan, Dianne does not regret taking him overseas for experimental treatment. "He was happy, and he always had hope. "I wanted him to have hope right up till the last minute."

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