Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-27T21:41:24.271Z Has data issue: false hasContentIssue false

Tax Expenditures and Public Health Financing in Australia

Published online by Cambridge University Press:  01 January 2023

Julie Smith*
Affiliation:
The Australia Institute, Canberra
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

At various times in Australia’s recent history, the Commonwealth government has used the tax system to support its public health policy goals. Tax concessions to particular industries or groups of taxpayers cost the government the same as direct subsidies. However, the income distribution of these tax ‘carrots’ and ‘sticks’ has not previously been analysed. This study breaks new ground by examining how the benefits of tax concessions for health expenditures were distributed among taxpayer income groups in the four decades since 1960, and how this affects the progressivity of Australia’s system of funding health care. It is found that around half of the $2 billion tax subsidy for private health insurance accrues to the taxpayer group with the highest third of incomes.

Type
Meeting Report
Copyright
Copyright © The Author(s) 2001

Footnotes

*

The historical data series used in this study was originally compiled in collaboration with Dr James Butler and funded by the Australian Tax Research Foundation. I am also grateful to Ian McAuley for helpful discussion and comments on drafts and data sources. Final responsibility for the paper rests with the author.

References

Australian Institute of Health and Welfare (AIHW) (2000) Health expenditure bulletin, Australian Institute of Health and Welfare, Canberra.Google Scholar
Australian Institute of Health and Welfare (AIHW) (2001) Health expenditure bulletin, Australian Institute of Health and Welfare.Google Scholar
Australian Taxation Office (ATO) various years, Taxation statistics, Commonwealth of Australia, Canberra.Google Scholar
Butler, J.R.G., Smith, J.P. (1992) ‘Tax expenditures on health in Australia: 1960–61 to 1988–9’, Australian Economic Review, no. 3, pp. 4358.CrossRefGoogle Scholar
Butler, J. (2000) ‘Estimating elasticities of demand for private health insurance in Australia’, Working Paper no. 43, National Centre for Epidemiology and Population Health, ANU, Canberra.Google Scholar
Butler, J.R.G. (1998) ‘Health expenditure’ in Mooney, G. and Scotton, R. (Eds.), Economics and Australian health policy, Allen & Unwin, St Leonards, NSW, pp. 4071.Google Scholar
Chesterman, M. (1999) ‘Foundations of charity law in the New Welfare State’, Modern Law Review, Vol. 62, No. 3 May, pp. 333–49.CrossRefGoogle Scholar
Collins, D., Hunt, P., Neville, J., Thomas, B., Gardner, L., Lanigan, P., Sendt, B., Tolley, J. (1988) Review of the state tax system; tax reform and NSW economic development, New South Wales Tax Task Force, Sydney.Google Scholar
Deeble, J. (1999) ‘Medicare: Where have we been? Where are we going?’, Australian and New Zealand Journal of Public Health, Vol. 23, No. 6, pp.563–70.CrossRefGoogle ScholarPubMed
Duckett, S.J., Agius, P. (2000) ‘The health system’s role in reducing health inequalities’, presented at “The social origins of health and well-being: from the planetary to the molecular” Conference, National Centre for Epidemiology and Population Health, Australian National University, Canberra.Google Scholar
Duckett, S.J., Jackson, T. (2000) ‘The new health insurance rebate: an inefficient way of assisting public hospitals’, Medical Journal of Australia, Vol. 172, pp. 439–42.CrossRefGoogle ScholarPubMed
Harding, A. (2000) ‘Lifetime distribution of public spending on health’, Discussion Paper no. 47, NATSEM, University of Canberra.Google Scholar
Industry Commission (IC) 1997, Private health insurance, Industry Commission, Canberra.Google Scholar
McAuley, I. (1998) ‘Coalition’s proposed rebates for private health insurance’, pp. 815.Google Scholar
Organisation for Economic Cooperation and Development (OECD) 1984, Tax expenditures: a review of the issues and country practices, OECD, Paris.Google Scholar
Organisation for Economic Cooperation and Development (OECD) (1996) Tax expenditures: recent experiences, OECD, Paris.Google Scholar
Owens, H. (1998) ‘Health insurance’ in Mooney, G. and Scotton, R. (Eds.), Economics and Australian health policy, Allen & Unwin, St Leonards NSW, pp. 172–91.Google Scholar
Richardson, J. (1998) ‘The health care financing debate’ in Mooney, G. and Scotton, R. (Eds.), Economics and Australian health policy, Allen & Unwin, St Leonards NSW.Google Scholar
Schofield, D. (1997) ‘The distribution and determinents of private health insurance in Australia, 1990’, Discussion Paper no. 17, NATSEM, University of Canberra.Google Scholar
Schofield, D. (1998) ‘Public expenditure on hospitals: measuring the distributional impact’, Discussion Paper no. 37, NATSEM, University of Canberra.Google Scholar
Segal, L. (2000) Submission to Senate Community Affairs References Committee re First Report — Public Hospital Funding and Options for Reform, Health Economics Unit, Centre for Health Program Evaluation, Monash University.Google Scholar
Smith, J. (2001) ‘The Medicare levy surcharge — tax penalty or tax subsidy’, Australia Institute Discussion Paper no. 38, Canberra.Google Scholar
Steinberg, R. (1997) ‘Overall evaluation of economic theories’, Voluntas, Vol. 8, No. 2, pp. 179204.CrossRefGoogle Scholar
Surrey, S.S., McDaniel, P.R. (1985) Tax expenditures, Harvard University Press, Cambridge, Mass.CrossRefGoogle Scholar
Treasury, Australian (1999) Tax Expenditures Statement, AGPS, Canberra.Google Scholar
Treasury, Australian (2001) Tax Expenditures Statement 2000, AGPS, Canberra.Google Scholar
Whitfield, D. (2001) Public services or corporate welfare: rethinking the nation state in the global economy, Pluto Press, Lonon; Sterling, Va.Google Scholar
Wilson, J. (1999) ‘An analysis of private health insurance fund membership in Australia, 1995’, Discussion Paper no. 46, NATSEM, University of Canberra.Google Scholar
Withers, G., Throsby, D., Johnston, K. (1994) ‘Public Expenditure in Australia’, Commission Paper no. 3, Economic Planning and Advisory Commission (EPAC).Google Scholar