There are a number of clear arguments the Government could rely on for means testing the Private Health Insurance Rebate. Health Minister Tanya Plibersek made some of them in Question Time yesterday afternoon.

“The total cost of this private health insurance rebate is about $5 billion a year, and if we do not make these modest changes, that leave around 20 million Australians unaffected, we will see the cost of this private health insurance rebate blow out by $100 billion over the next 40 years,” Plibersek told the House of Reps. That’s a good one.
Others include: Treasury estimates 99.7 per cent of people currently holding health insurance will keep it even if the 30 per cent rebate is means tested, a family would have to be on more than $250,000 a year before the rebate was fully withdrawn, and without this budget measure, worth $2.4 billion, hopes of a surplus are shot.
The Opposition questions the Treasury’s optimism about the impact of the measures, arguing more people will rely on the public system. All these points have been made, but they’ve been drowned out in the escalating class war being waged by both sides over a measure many reasonable voters would look at as a sound financial decision if they were given half the chance.
The Government, which has form in turning policy issues into moral imperatives, has completely overblown the us-versus-them, rich-versus-poor side to this debate. In doing so it has opened the door to an equally hysterical counter argument from the Opposition.
Both sides are arguing from the extreme corners of the ring, the Government for the downtrodden poor who’ve been carrying millionaires on their bent-over backs, and the Opposition for the persecuted silvertails who just want to get on with their well-heeled lives unmolested by Labor’s classist meddling.
Both sides have ignored that the vast majority of us exist somewhere in the space between the two extremes, and that we’d rather the public health system not be totally overwhelmed.
Yesterday Question Time was cut short by Tony Abbott’s attempt to suspend standing orders and compel the Prime Minister to explain her change in position.
``The politics of envy. The politics of the class war,’’ Mr Abbott told parliament as he accused the Prime Minister of hating the rich. ``That belongs back in the 1970s ... and isn’t it interesting that it should be trotted out again by this prime minister who, when she is under pressure, she goes back to the days of the old socialist forum?’‘
Ah, the old Gillard-is-a-commie gambit. It’s lame, but it has come after weeks of Plibersek and Gillard trotting out equally hackneyed class-based arguments that have veered well into the class war territory.
Plibersek is hammering the inflammatory argument that families on $50,000 a year are subsidising millionaires.
Last week it was the parliamentary cleaners subsidising the fat-cat front benchers.
“Why are we doing this?” Plibersek told Question Time last week. “We are doing this because we do not want a situation where the people who sit on this front bench or that front bench have their private health insurance subsidised by the people who clean this chamber at night.”
It’s as if high income earners don’t pay any tax.
Today it was bank tellers on $50,000 a year and their bosses on $5 million a year. You can’t go wrong bashing banks this week, but seriously, just how many people on $5 million are getting the health insurance rebate?
Even the name of the Bills invoke a moral element. All three of them start with “Fairer Private Health Insurance.”
Framing the debate in this way requires people to pick a side, rich or poor. The thing is, most of us are neither.
The Government would do better to stick to the numbers. If it wants to win the argument, it needs to better defend the Treasury modelling, which has come under concerted attack from the health insurance industry, which is relying on private sector analysis.
It also needs to convince voters this is not another Government initiative that is going to have serious unintended consequences, a la pink batts and school halls. A rush to public hospitals would put untold strain on the system.
It has nothing to do with “fairness” and everything to do with managing the budget. It’s best kept out of the moral realm.
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@AndrewCatsaras Agreed. Kills more people than AIDS. Yet tolerated. Meanwhile: Good Insiders piece again Andrew.
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