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Key propositions
In seeking to establish the principles to underpin the Australian health care system, the people to ask are informed citizens, and this is best done through citizens’ juries.
Evidence to date suggests that, compared with the existing implicit principles, citizens are much more supportive of equity of access and of public health and preventive medicine.
A consultative process to establish a health service “constitution” should be set up with 20 citizens’ juries across the country, each with 15 randomly selected members (“20.15”), to be followed by a “National Citizens’ Summit”.
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John Menadue. What is the health service for? Med J Aust 2008; 189 (3): 170-171. [Health Care Reform] <http://www.mja.com.au/public/issues/189_03_040808/men10643_fm.html>
Martin B Van Der Weyden. Health policy and reform: gathering the evidence Med J Aust 2008; 189 (3): 169-170. [Health Care Reform] <http://www.mja.com.au/public/issues/189_03_040808/van10757_fm.html>
John M Dwyer. Fixing the problems that beset the Australian hospital system Med J Aust 2008; 189 (4): 220-221. [Health Care Reform] <http://www.mja.com.au/public/issues/189_04_180808/dwy10645_fm.html>
Michael R Kidd, Ian T Watts and Deborah C Saltman. Primary health care reform: equity is the key Med J Aust 2008; 189 (4): 221-222. [Health Care Reform] <http://www.mja.com.au/public/issues/189_04_180808/kid10646_fm.html>
Brian F Oldenburg and Todd A Harper. Investing in the future: prevention a priority at last Med J Aust 2008; 189 (5): 267-268. [Health Care Reform] <http://www.mja.com.au/public/issues/189_05_010908/old10649_fm.html>
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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377