Taking out health insurance is basically a gamble. You’re putting your coins in the slot every week or month, hoping it’ll be worth your while in the end.
Be grateful we haven’t got to this point
There are no flashing lights, and there’s a good chance your investment will only pay off if something goes seriously wrong.
The same principle applies for home and contents, income insurance, pet insurance, and all the other types of insurance daytime television pushes with sincerely concerned smiles and emotion-laden arguments. You might die and leave your family impoverished. So give us your money instead.
Insurance is an enormous industry and as we see when floods and bushfires strike, insurance companies are not really there out of the goodness of their hearts.
Today the Government finally won the numbers to means test the private health insurance rebate. The rebate will be phased out for singles on more than $83,000 and couple earning more than $166,000 and will cut out completely for singles earning $120,000+ and couples earning $258,000+.
If you believe Health Minister Tanya Plibersek, this means “we’ll no longer see poorer Australians subsidising the private health insurance of wealthier Australians”.
If you believe Opposition Leader Tony Abbott and the health insurance providers, millions of Australians will drop or downgrade their cover and flood into the public system.
If you believe independent Rob Oakeshott, who supported the means testing, the health insurance industry is hitting the “Chicken Little” button.
It’s a complex issue. It’s not fair to give subsidies to the rich. On the other hand it encourages them to stay out of the over-burdened public health system. But then people with private health insurance use the public health system anyway.
The problem with health is that unsurprisingly it’s all bound up with emotions. Things like births and accidents and deaths and illnesses have to be factored into financial decisions.
We are told we really should have private health insurance before we’re 30 or we’ll pay more later… so we pay more earlier instead. We hear horror stories about public hospital waiting times and botched surgeries. We don’t hear a lot about things going wrong in the private hospitals because they are less transparent.
On the whole, private health insurance is pitched as a sensible thing to have, and we nearly forget that we all have access to first-world public healthcare.
A friend tells me her parents’ advice is to buy an investment property and make that a ‘health insurance’ asset. Other friends have been discussing health insurance ‘co ops’ where you get a (hopefully) watertight legal agreement with a group of people to manage a shared investment and pay out when people need it, then share any profits.
If I look at the amount I spend on private health insurance, and the other side of the ledger where over six years I’ve only got money back on two dental appointments (shoosh) it doesn’t look like a smart thing to do.
But then, I suspect my knees will one day go, for want of a better word, bung.
And you could stick your monthly payment into blue chip shares and look back with a smug smile 20 years down the track. Or you could get cancer and wish you’d stuck with the private health care.
It’s a personal decision. But it really does pay to remember our public hospitals are not some dire hellhole, that we do have other options, and that the industry and the government do like to keep the emotions running high when it comes to healthcare.
Twitter: @ToryShepherd
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