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Health Care Reform

The people principle in Australian health care

Gavin H Mooney
MJA 2008; 189 (3): 171-172

As we are dealing with the people’s health, the people’s voice needs to drive the principles underpinning our health care system

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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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377