The political Left worldwide seems to regard everyone but themselves as responsible for high medical costs. The vast load of paperwork that they impose on healthcare providers and drug companies is costless, apparently. And the high incomes of some doctors frequently come under jealous scrutiny.

A high income group in Australia is ophthalmologists. Everyone wants the very best chance of preserving their vision so people are prepared to pay for a high level of care in eye-doctoring. And Australia’s Federal Health Minister, Nicola Roxon, was determined to rein those rogue eye-doctors in.

As part of its socialized medicine system, called “Medicare”, the Australian government pays a large part of the cost of privately-contracted ophthalmological services, so Ms Roxon thought she had a good weapon to cut those rich eye-doctors down to size: She would halve the amount that her government pays for such services.

The conservatives in the Senate knocked back Ms Roxon’s “reforms” however, so she eventually had to accept a compromise deal which cut the government payment by only 12%.

As it happens, all this affects me personally to a minor extent: I will shortly be having a cataract procedure on my right eye from a well established and formidably equipped private ophthalmological practice a short drive from where in live in Brisbane, Australia. So my ophthalmologist explained the cost structure to me.

The cost now includes a “facility fee” — a fee for use of a private operating theatre that is common for most types of private medical procedures. I pay a similar fee when I go to my dermatologist to have skin cancers excised. The ophthalmologist remarked to me that they used not to charge such a fee. They used to absorb it into their general fees. But after Ms Roxon’s “reforms”, they have instituted such a fee.

So the income of the ophthalmologists remains largely the same. Ms Roxon’s attack on them has been futile. What they lost on the swings, they gained on the roundabouts.

But what about the patients? Here’s the catch: Facility fees do NOT attract any government refund. So the patient pays more. The government has indeed saved itself a bit of money, but at the expense of the patients, not at the expense of the doctors: A typical “unforeseen” result of Leftist intervention.

(For more postings from me, see TONGUE-TIED, DISSECTING LEFTISM, GREENIE WATCH, POLITICAL CORRECTNESS WATCH, GUN WATCH, EDUCATION WATCH INTERNATIONAL, IMMIGRATION WATCH INTERNATIONAL, FOOD & HEALTH SKEPTIC, SOCIALIZED MEDICINE, AUSTRALIAN POLITICS, EYE ON BRITAIN and Paralipomena . List of backup or “mirror” sites here or here — for readers in China or for everyone when blogspot is “down” or failing to update. My Home Pages are here or here or here. Email me (John Ray) here.)

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