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Medicare and Priority Populations: Structural and Place‐based Considerations for Aboriginal and Torres Strait Islander Peoples and LGBTIQ+ Australians

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  • Karinna Saxby
  • Mike Stephens

Abstract

The past 40 years of Medicare have seen effective policy for reducing income‐related inequities in healthcare use. In this article, we describe how past and current Medicare policies have shaped, and continue to shape, healthcare access for other priority populations—Aboriginal and Torres Strait Islander peoples and LGBTIQ+ populations. Drawing on empirical evidence, we also document the importance of structural‐, place‐ and demographic‐specific nuance when designing and implementing such policies. We conclude by offering recommendations on how Medicare can strive for better and more equitable access for these priority populations over the next 40 years and beyond.

Suggested Citation

  • Karinna Saxby & Mike Stephens, 2024. "Medicare and Priority Populations: Structural and Place‐based Considerations for Aboriginal and Torres Strait Islander Peoples and LGBTIQ+ Australians," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 57(2), pages 149-159, June.
    • Handle: RePEc:bla:ausecr:v:57:y:2024:i:2:p:149-159
    DOI: 10.1111/1467-8462.12561
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    References listed on IDEAS

    as
    1. Karinna Saxby & Joshua Byrnes & Sonja C. de New & Son Nghiem & Dennis Petrie, 2023. "Does affirmative action reduce disparities in healthcare use by Indigenous peoples? Evidence from Australia's Indigenous Practice Incentives Program," Health Economics, John Wiley & Sons, Ltd., vol. 32(4), pages 853-872, April.
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    3. Jean Spinks & Susan Nancarrow & Sue McAvoy & Lisa Nissen, 2024. "Does Medicare Support Multidisciplinary Teams Working to the Top of Their Ticket?," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 57(2), pages 179-186, June.
    4. McNair, Ruth Patricia & Hegarty, Kelsey & Taft, Angela, 2012. "From silence to sensitivity: A new Identity Disclosure model to facilitate disclosure for same-sex attracted women in general practice consultations," Social Science & Medicine, Elsevier, vol. 75(1), pages 208-216.
    5. Saxby, Karinna & de New, Sonja C. & Petrie, Dennis, 2020. "Structural stigma and sexual orientation disparities in healthcare use: Evidence from Australian Census-linked-administrative data," Social Science & Medicine, Elsevier, vol. 255(C).
    6. Van Doorslaer, Eddy & Clarke, Philip & Savage, Elizabeth & Hall, Jane, 2008. "Horizontal inequities in Australia's mixed public/private health care system," Health Policy, Elsevier, vol. 86(1), pages 97-108, April.
    7. Morgan Carpenter, 2024. "From Harmful Practices and Instrumentalisation, towards Legislative Protections and Community-Owned Healthcare Services: The Context and Goals of the Intersex Movement in Australia," Social Sciences, MDPI, vol. 13(4), pages 1-18, March.
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