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What do the proposed tax cuts mean for health and inequality?

After passing the House of Representatives today, the Government’s tax cuts legislation is heading to the Senate where the real negotiating will begin.

Stage 3 of the proposed tax cuts, which advantage high income earners over those on middle or low incomes, is being widely criticised for both its economic and social impacts.

This criticism was summed up by Crikey’s Bernard Keane as follows:

Stage three of the government’s tax package provides a windfall for high income earners, is unfunded and will increase inequality.” (Article is paywalled)

Below, Jennifer Doggett summarises some of the concerns about the impact of the proposed cuts and shares some health sector suggestions for alternative names for the Government’s legislation.


Jennifer Doggett writes:

It’s important to understand that the proposed tax cuts would be introduced against a backdrop of existing inequality in our society.

The report Inequality in Australia 2018, published by the Australian Council of Social Service in partnership with the University of New South Wales, makes it clear that while Australians like to think of ourselves as egalitarian, we actually have significantly higher income inequality than most OECD countries.

This means that the proposed tax cuts will increase existing inequalities, moving us even further away from the OECD average.

While the relationship between income inequality and health is complex, it’s worth noting that the country with the greatest income inequality is also a country where “the government operates fewer than 45 emergency ambulances for a population of 9 million and which has spawned an underground industry of for profit ambulances, often run by people with little or no training or certification,” according to the makers of the documentary Midnight Family.

The graph below, from the ACOSS/UNSW report, shows exactly where Australia sits.

Health expenditure

The truth about the impact of the tax cuts on health spending may already be buried in this year’s Budget papers,  according to Joe Zabar, director of economic policy and deputy CEO of Catholic Social Services Australia.

Writing for the Pro Bono website, Zahar is clear that the tax cuts will have some impact on services, stating:“…however you look at it, $158 billion in forgone revenue will have some effect on the capacity of the government to meet the needs of Australians”.

His detailed analysis of this year’s Budget papers shows that despite the apparent increase in government health funding, once it is adjusted for inflation and population growth, spending per capita is actually decreasing.

He writes:

Deep in the 2019 budget papers are two tables that provide some interesting data on government spending over the forward estimates. Health expenditure, for example, is set to increase from $81.7 billion in 2019-20 to $89.5 billion in 2022-23, or about 9.5 per cent. However, after inflation, the real growth in the health budget is about 1.8 per cent.

More alarming, though, when health expenditure is adjusted for the forecast increase in population, the amount spent on health per person will go backwards. This is similar for the social services budget, despite it having a marked increase in expenditure for the NDIS and aged care services.”

The need for a Senate Inquiry

The Australia Institute has produced a useful article summarising the case against the Stage 3 tax cuts, which includes the following:

Giving away a $95 billion dollar tax cut means billions of dollars less for schools, hospitals and other services.”

Tax revenue is what pays for community services and infrastructure, and this proposed tax cut for the wealthiest Australians represents one of the largest threats to Australia’s revenue base in recent times, dwarfing even Turnbull’s doomed big business company tax cuts, which were thwarted by the Senate.

The Australia Institute has also argued that these income tax cuts are the largest single budgetary measure not to face a Senate Inquiry and so have proposed some Terms of Reference for an Inquiry into their impact on the economy and the community.

Twitter titles

The Twittersphere has been pinging with helpful suggestions for renaming the Tax Bill to reflect the concerns people have about growing inequality in Australia and the potential for these cuts to increase the gap between the ‘haves’ and ‘have nots’.

https://twitter.com/alawriedejesus/status/1146278812721786881

https://twitter.com/coopesdetat/status/1146283849195954177

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Croakey Conference News Service 2013 – 2023
2023 Conferences
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Our Democracy Forum
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2022 Conferences
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GiantSteps22
Equally Well 2022 Symposium
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2021 conferences
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2020 conferences
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2019 Conferences
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2018 conferences
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#CPHCE
#MHED18
#NDISMentalHealth
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#OKToAsk2018
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#VHAawards
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#WISPC18
2017 conferences
#17APCC
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#AIDAconf2017
#BTH20
#CATSINaM17
#ClimateHealthStrategy
#IAHAConf17
#IDS17
#LBQWHC17
#LivingOurWay
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Australian Palliative Care Conference
2016 conferences
#AHHAsim16
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#ATSISPEP
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#CPHCEforum16
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2015 conferences
#CPHCEforum
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#HSR15
#NRHC15
#OTCC15
Population Health Congress 2015
2014 conferences
#IPCHIV14
AIDA Conference 2014
Congress Lowitja 2014
CRANAplus conference 2014
Cultural Solutions - Healing Foundation forum 2014
Lowitja Institute Continuous Quality Improvement conference 2014
National Suicide Prevention Conference 2014
Racism and children/youth health symposium 2014
Rural & Remote Health Scientific Symposium 2014
2013 conferences
Australian Centre for Health Services Innovation Forum 2013
Australian Health Promotion Association Conference 2013
Closing the Credibility Gap 2013
CRANAplus Conference 2013
FASD Conference 2013
Health Workforce Australia 2013
International Health Literacy Network Conference 2013
NACCHO Summit 2013
National Rural Health Conference 2013
Oceania EcoHealth Symposium 2013
PHAA conference 2013
Croakey Professional Services archive
#CommunityControl
#CommunityControl Twitter Festival
#COVIDthinktank21
Healthdirect Australia series 2019
Lowitja Indigenous knowledge translation series
Croakey projects archive
#PHAAThinkTank 2022
Summer reading 2022-2023
#CommunityMatters
#CroakeyFundingDrive 2022
#CroakeyLIVE #Budget2021Health
#CroakeyLIVE #USvotesHealth
#CroakeyLIVE Federal election 2022
#CroakeyYOUTH
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#LookingLocal
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#OutOfTheBox
#RuralHealthJustice
#TalkingTeeth
@WePublicHealth2022
@WePublicHealth2021
@WePublicHealth2020
AroundTheTraps
Croakey register of influence
Croakey Register of Influencers in Public Health
Croakey Register of Unreleased Documents
Gavin Mooney
Inside Story
Journal Watch
Naked Doctor
Poems of Public Health
Summer reading 2021-2022
Summer reading 2020-2021
Summer Reading 2019-2020
Summer Reading 2017-2018
Summer Reading 2016-2017
The Koori Woman
TOO MUCH of a Good Thing
Wonky Health
CroakeyGO archive 2017 – 2018
CroakeyGo 2018
#CroakeyGO #QuantumWords 2018
#CroakeyGO #VicVotes 2018
#CroakeyGO Albury 2018
#CroakeyGO Callan Park 2018
#CroakeyGO Carnarvon 2018
#CroakeyGO Marrickville 2018
#CroakeyGO Palm Island 2018
CroakeyGo 2017
#CroakeyGO Adelaide 2017
#CroakeyGO Melbourne 2017
#CroakeyGO Newcastle 2017
#CroakeyGO Sydney 2017
Elections and Budgets 2013 – 2021
Budget2020Health
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#AusVotesHealth Twitter Festival 2019
#Health4NSW
Federal Election 2019
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Federal Budget 2018-19
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Federal Election 2016
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NT Election 2016
Federal Budget 2015-16
Qld Election 2015
NSW Election 2015
Federal Budget 2014-15
Victorian Election 2014
Federal Budget 2013-14
Federal Election 2013
Federal Budget 2012-2013
Federal Budget 2011
Federal Budget 2010
Federal Election 2010
Federal Budget 2009-2010

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