Health and inequality in Australia

Abstract Drawing on primary and secondary data, the article illustrates that whilst the health system in Australian certainly dissipates the social determinants of health and lessens health inequality, there remain significant inequalities in life expectancy, health access, utilisation and outcomes. The key argument is that class, gender, racial and spatial inequalities are mirrored in the health system. With respect to class, the weakening of bulk billing, where the full cost of the medical consultation is borne by the government, means that a proportion of low-income individuals defer visiting their GP. The problem is far more acute with respect to specialist, dental and mental health consultations where the out-of-pocket costs are greater. Again it is far more likely to result in low-income people deferring or avoiding necessary consultations. ‘Medical misogyny’ - the argument that the medical concerns of women are taken less seriously than those of men, is shown to be a major issue. The Indigenous - non-Indigenous health divide is acute; the life expectancy of Indigenous Australians is eight years less than non-Indigenous Australians. Spatial inequality is also significant; the health outcomes of people in rural and remote areas are shown to be poorer than those of people in the metropolitan areas.