3 ways to transform our ‘Soviet-style’ aged-care mess

Professor Stephen Duckett

Australia’s aged-care system is in sore need of transformation. This is becoming increasingly clear.

If the Royal Commission into Aged Care Quality and Safety — whose interim report was titled Neglect — was not enough to demonstrate the need for change, the tragic impact of COVID-19 on residential care has tipped it over the edge.

Many older Australians say they are not getting the care and support they need. Families complain of unchecked neglect and abuse. Many aged-care providers are saying the sector’s services are underfunded. Care staff say they are overworked and underpaid. And many older Australians are waiting more than a year to get the home care package they need.

At its core, Australia’s aged care is a Soviet-style, centrally planned and rationed system that controls availability of home care packages and beds from Canberra.