Dita De Boni: Bled dry trying to stay well
Illustration / Anna Crichton
Whoever said health was a sumphole for money was right on the, err ... money. It's also, according to people like commentator Bernard Hickey, helping to make our entire economy into a bit of a sinking ship.
He says public healthcare costs are projected to rise from 6.9 per cent of GDP in 2010 to 11.1 per cent by 2060; our budget deficit will triple by that time as well, partly as a result of those healthcare costs, combined with pension payments (assuming super continues to be paid out across the board at 65).
With total spending on health in the 2012-13 year projected to be $14.75 billion, it boggles the mind just how high this figure could become in time - and how we are going to pay for it.
While healthcare practitioners, especially those in the public system, paddle like hell to keep patients well cared for, money is pouring out at an alarming rate, into ever more costly treatments and procedures for a growing number of the afflicted. Diabetes alone is estimated to add an extra $1 billion to the health budget each year.
Even the Minister of Health Tony Ryall - this week anointed Best Health Minister God ever put a Skin Around in the yearly ranking of ministers - seems powerless to stem the tide of sickliness that will surely, eventually, bankrupt the country.
Still, we can probably all think of areas within health that seem to attract an almost lavish amount of spending.
Maternity, in my opinion, is one. In our major hospitals our birthing equipment and surrounds are state of the art.
The rational is compelling, though: stronger mother-baby bonds, healthier and happier childhoods, better prepared learners in schools, and well-adjusted taxpayers at the end of it all.
But surely fathers and their babies should bond as well? That's the conclusion reached by Britain's Health Minister Dan Poulter, who is weighing up legislating to ensure that all maternity units provide double beds so men can stay in with their partners in the first few days of new babyhood.
Birthing units will also have to build larger birthing pools - so men can also hop in during labour, giving more hands-on support - if they want extra funding.
The proposals come at a bad time for Vote Health in Britain, when the NHS has been asked to trim its budget by £20 billion ($38.9 billion).
The proposals to make men feel more at home in the birthing suite will add only a relatively small £25 million in the beginning - but the country is facing a baby boom, with this year's 700,000 babies being the highest number of births since 1971.
It's a perfect example of why health budgets are fiendishly hard to juggle to everyone's satisfaction.
An added investment in preventive measures here - in this case, family bonding with newborns - leads inevitably to a shortfall somewhere else.
Do we favour the new mother over the 75-year-old? Do we try to detect more cervical cancer while whooping cough prevention goes begging?
In the end it seems inevitable that patients of all stripes will bear more of the cost themselves, and no matter how much we spend, the system will continue to be found wanting.
* Illustration by Anna Crichton: illustrator@annacrichton.com
Yes, we might lose a few overseas, but, as now, imported replacements would be found for them.
Instead of blaming the average patient for the cost of their treatment, let's look at WHY medical costs have risen so much. What are we paying too much for? Could we produce it here more cheaply?
There are two major causes, fashionable illnesses and self inflicted illnesses. The former should be directed to private medical care.
People should be encouraged to lead more healthy lifestyles. We are talking about bad eating habits, smoking and drinking, not to mention drug use.
Surely the biggest saving would come from addressing these issues, leaving money to pay for those who will really benefit from treatment.
You have to fund everything as all medical conditions have costs on society. Leading edge surgery is expensive but becomes routine over time.