Roger Douglas

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Health : Security & Peace of Mind

Overview

Five Key Principles

  • Healthcare services that are more accessible and more convenient.
  • Healthcare services that are there when you need them.
  • Doctors and hospitals that are totally involved in providing care, not administration.
  • The maximum amount of healthcare services per dollar spent.
  • Healthcare services that provide real quality to consumers.
  • A Common sense health approach

    • Healthcare is personal and it affects the quality of life.
    • New Zealand has quality doctors and nurses. There is no reason why our healthcare can't be great.
    • New Zealanders want common sense, not Wellington to decide how they interact with doctors and hospitals.
    • Patients should be protected from Wellington intrusions.
    • Patients have the right to know.
    • New Zealanders should be safe and secure in the knowledge that if they have insurance they will be covered when they are sick. Government should enforce such a principle.
    • All healthcare insurance plans should have basic definitions and standards, so that there are no hidden loopholes that appear after a patient needs treatment.
    • All patients should be able to see the right doctor at the right time to treat their problems.
    • We must ensure New Zealanders receive quality healthcare, but do it without raising costs to the point that many people do not get treatment when they need it.

    Policy details

    • A tax credit will be provided to every family (single person no children = a family). This tax credit along with an employer subsidy for each employee (not family employee only) will be at least equivalent to what the government spends today.
    • Size of tax credit will be based on age, income, size of family and risk group individual falls into.
    • Individuals receiving tax credit will be able to spend them with any approved healthcare supplier.
    • Government will approve healthcare suppliers (generally an insurance company) based on the contract they will enter into with customers, and their financial position.
    • Tax credits and employer contributions will at a minimum be inflation proofed.
    • Ministry of Health will continue to carry out many of today's functions. All healthcare suppliers will be assessed each year.
    • Healthcare organisations will buy the services they require in the open marketplace.
    • Healthcare policy cover will be for catastrophic events only.
    • Tax credits not spent on the purchase of health cover to be available for day to day expenditure.
    • Tax credit balances at the end of the year can be carried forward; if not spent after 2 years paid out in cash to individual.

    Single person position

    • Tax credit for retirement each year $4,000.
    • Employer contribution for Healthcare.
    • Employer contribution for Risk Insurance (Accident, Sickness, Unemployment)
    • Tax reductions
    • Low-income earners would also receive a tax credit for Accident, Sickness, Unemployment Insurance Cover.

    Families as above plus

    • Low income/large family will receive a tax credit for healthcare (non working spouse and children)
    • Tax credit for education (pre-school, primary and secondary).

    Retired

    • Current super scheme locked in.
    • Healthcare tax credit whereby the retired can buy their own healthcare cover if they so wish, if not they will be covered by the government. The choice would be for each retired person to make.

    How do you pay for $4,000 Government contribution?

    Budget Changes - Year 1

    Tax reductions for superannuation contributions 2žm New Zealanders x $4,000

    $9,600

    Drop in investment income

    $700

    Low-income insurance assistance

    $800

     

    $11,100

     

    Paid for by:

    Tertiary education - super claw back and reduction in costs

    $1,500

    Welfare claw back

    $3,000

    Reduction in interest costs

    $2,300

    Reduction in general government expenditure (including allowance for future)

    $1,000

    Reduction in budget surplus

    $3,000

    Additional indirect and direct tax

    $500

     

    $11,300