How do we fix the cost-shifting culture?

In short, we dont, writes Terry Barnes

Why does everyone ignore the mammoth-sized rort?

Medicare

The cost-shifting problem has been happening for 15 years. It is done at a localised level. We’re talking about tens of millions of dollars in costs being shifted from state to Federal Government. The feds do care about the issue. They would want to stamp it out — whether it’s a Liberal or Labor government.

But it goes on because state hospital budgets are usually fairly stretched and the hospital managers can get away with it. So yes, it’s a blatant rort: a deliberate breach of the terms of the National Health Reform Agreement.

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