Massive Medicare overhaul proposal could drain taxpayers $12 billion—is it worth it?

Access to dental care has long been a sore subject for many Australians.

Under the current system, visiting the dentist and paying for treatments can put a big dent in many household budgets.

Now, a massive Medicare shake-up is being proposed that could change all that.



Medicare's potential expansion to include free dental care for all Australians is a monumental proposal that could redefine healthcare in the country.

However, this ambitious plan comes with a hefty price tag—an additional $12 billion per year from taxpayers' pockets.


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A proposal to include dental healthcare under Medicare’s coverage has been presented to Health Minister Mark Butler. Image source: prostooleh on Freepik.


The proposal, which has been presented to Health Minister Mark Butler, is the result of a senate inquiry into the current state of dental care in Australia.

The inquiry's findings have highlighted a significant gap in the healthcare system, with many Australians forgoing necessary dental treatments due to the prohibitive costs.

As it stands, except for children under 17 who meet certain criteria and some concession cardholders, dental services are not covered by Medicare, leaving the majority of patients to pay out of pocket.



Grattan Institute's 2023 report painted a concerning picture: 32 per cent of Australians who needed dental care chose to skip it, with cost being the primary deterrent for half of them.

This equates to millions of Australians neglecting their dental health, which can have far-reaching consequences for their overall well-being.

The report suggested that the upcoming revision of the National Health Reform Agreement could serve as a platform to negotiate a new dental scheme between federal and state governments.

The Parliamentary Budget Office has explored various models to integrate dental care into Medicare as part of a Greens-led inquiry, which also involved representatives from both Labor and the Coalition.



Four different systems were costed, with both capped and uncapped benefit options.

The most comprehensive approach, which offers coverage for all Medicare cardholders, would require an investment of $8.3 billion over five years for the capped version and $11.6 billion for the uncapped.

Another approach is the means-tested model which will target those on income support and pensioners would cost between $3 billion for the capped version and $4 billion for the uncapped version.

The third approach will provide full coverage exclusively for those over 65 and would cost $1.7 billion to $2 billion, while the fourth approach, which is a preventive care-only option, would range from $2.7 billion to $3.8 billion.



To put these figures into perspective, Medicare's budget for the last financial year was $31 billion, and the National Disability Insurance Scheme (NDIS) had a $37 billion cost.

The inclusion of dental treatments in Medicare has been a long-standing consideration, dating back to the program's inception in the 1970s, but was ultimately excluded due to budgetary constraints.

The average Australian currently pays around $230 for a standard dentist visit, according to health directory Cleanbill.

This cost barrier has led to a significant portion of the population neglecting their dental health, which can lead to more severe health issues down the line.
Key Takeaways

  • A Senate inquiry has proposed that Medicare in Australia be expanded to include free dental care, which could cost taxpayers an extra $12 billion a year.
  • Under the current system, most dental treatments are not covered by Medicare, with exceptions for certain children under 17 years old and concession card holders.
  • A range of options for expanding dental coverage under Medicare has been costed, including both capped and uncapped versions of across-the-board coverage, means-tested rebates, over-65s coverage, and preventive care coverage.
  • Dental treatments were originally intended to be included in Medicare when it was established in the 1970s but were cut due to budgetary reasons.
Members, what are your thoughts on this update to Medicare coverage? Let us know in the comments below!
 
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Not a very good comparison, compared to what the actual conversation was about.
Nothing to do with the original conversation, I'm simply stating the fact. Would you rather somebody gave you a mealy-mouthed observation or tell you exactly what the problem was?
 
Nothing to do with the original conversation, I'm simply stating the fact. Would you rather somebody gave you a mealy-mouthed observation or tell you exactly what the problem was?
Well you could just address the subject matter in dispute as opposed to the spelling or grammar. Would that not make more sense?
 
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Well you could just address the subject matter in dispute as opposed to the spelling or grammar. Would that not make more sense?
Might it be a bit better if the answers were put across using proper phrasing and correct spelling? Why continue to exhibit the downward spiral of the language?
 
Might it be a bit better if the answers were put across using proper phrasing and correct spelling? Why continue to exhibit the downward spiral of the language?
Some might say the veneer means nothing but pretence. Mutton dressed up as lamb?
 
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Some might say the veneer means nothing but pretence. Mutton dressed up as lamb?
Well-seasoned mutton. At least, I can tell the difference between good and poor use of the language.
 
Couldn't he have gone to a hospital oral clinic?
No. I have previously explained the Nerve of the Tooth was exposed and very painful
There was no way of putting in off, or getting it on a queue. I was just saying Dentistry is very expensive, but sometimes you just have to do it. Did the $500 dollars hurt the Budget sure did, but solving the problem was priceless.
 
That comment was absolutely not a personal one. Just saying, a story can be told quite eloquently and grammatically correct and still be rubbish.
No worries. This old skin doesn't take too much offence at anything. But, keeping the theme going, why should we tolerate such poor use of the language? I'll tell you why -- because, in general, we've lost control of the way it should be taught in the schools and we've definitely lost control of the discipline needed to ensure that all students receive the teachings in a proper manner. If a teacher dares to try things in the "old" way, using discipline to enforce the method, he or she would find themselves up in the principal's office quick smart facing some sort of discriminatory charge.
 
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No worries. This old skin doesn't take too much offence at anything. But, keeping the theme going, why should we tolerate such poor use of the language? I'll tell you why -- because, in general, we've lost control of the way it should be taught in the schools and we've definitely lost control of the discipline needed to ensure that all students receive the teachings in a proper manner. If a teacher dares to try things in the "old" way, using discipline to enforce the method, he or she would find themselves up in the principal's office quick smart facing some sort of discriminatory charge.
I understand how you feel about it and agree it can hurt the ears. I, for one, am a shocker. However, as per the 'Old English', it seems to me that it is not static, rightly or wrongly. In the case of social media use, either on a mobile phone or laptop, it is an accepted norm - a shorthand if you like and loose. I am unsure about the structure you speak of. I did, however, run with the Montessori schooling for my children, therefore less structure more levels of understanding.
 
Can't argue with the Montessori way of doing things -- it would have to be miles (I don't do metrucs) better than the way the modern education system struggles with trying to achieve the same result. My education was helped along by the Christian Brothers, a little while before they got their bad rep.
The language has to evolve, but not at the expense of basic rules and understanding the reasons why such rules are in place.
 
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No. I have previously explained the Nerve of the Tooth was exposed and very painful
There was no way of putting in off, or getting it on a queue. I was just saying Dentistry is very expensive, but sometimes you just have to do it. Did the $500 dollars hurt the Budget sure did, but solving the problem was priceless.
Sorry to hear that. Hope he has made an appointment at the hospital for a checkup, so it doesn't happen again,
Also, I believe if you go to your doctor with urgent dental issue, they can refer you to the hospital for urgent attention under Medicare.
 
Sorry to hear that. Hope he has made an appointment at the hospital for a checkup, so it doesn't happen again,
Also, I believe if you go to your doctor with urgent dental issue, they can refer you to the hospital for urgent attention under Medicare.
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Concession card holders​

Health Care Card, Centrelink Pensioner Concession Card or Department of Human Services (DHS) Card holders are often eligible for free dental through Medicare. State public dental services can cover you for general dental, emergency dental services and, in some cases, referrals to specialist hospital services like orthodontics.
 
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Obviously, the poor spelling shown in the replies on the SDC page can mean one of these things: we have a shocking standard of education these days; people don't read what they write; they don't re-read what they write; they don't use any kind of spell checking for their comments; they just don't know what they put down or they just don't care.
Pick one, or maybe all.
Perhaps one of your responders was named Smith, but continually received mail addressed to Smath, or Smeth, or Smoth, or Smuth. What's the problem? They're only vowels on a keyboard.
The biggest problem l see with this site & others l am a participant of is the word too. TOO means the same as ALSO but so often people write TO. This stands out like a sore thumb to me TOO.
 
The biggest problem l see with this site & others l am a participant of is the word too. TOO means the same as ALSO but so often people write TO. This stands out like a sore thumb to me TOO.
And, like, I would cheerfully, like, shoot the person who invented , like, the word "like".
 

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