澳大利亚政府计划自2027年4月起，取消65岁及以上人群享受的更高额度私人健康保险退税，未来退税金额将仅依据个人收入水平来确定 1。针对此项改革，卫生部长马克·巴特勒（Mark Butler）表示，节省资金将用于老年护理 1。反对党则批评该改革对低收入老年人“残忍” 1。
墨尔本大学健康经济学家分析认为该政策变动合理，且不会显著增加公立医院压力 1。研究团队通过分析约13万名澳大利亚人十年的税务数据得出结论，估计14,821至42,498名年长澳大利亚人将因此取消保险，占总投保人口的0.1%至0.4% 1。政府建模估计约44,000人将取消保险 1。在财政影响方面，联邦政府每年直接补贴私人健康保险约80亿澳元，取消额外退税预计每年为政府节省约7.3亿至9.4亿澳元（至2028-29财年） 1。此外，参议院调查预计于10月报告结果 1。
The Australian government intends to abolish the enhanced private health insurance rebate for citizens aged 65 and above beginning in April 2027, transitioning to a model where rebate entitlements are based exclusively on income 1. Health economists from the University of Melbourne have characterized the proposed adjustment as a "good policy change," asserting that it will not substantially escalate the burden on public hospitals 1. Health Minister Mark Butler confirmed that the financial savings generated by this move will be allocated to aged care, whereas the opposition has condemned the reform as "cruel" toward low-income elderly individuals 1.
In formulating their assessment, University of Melbourne researchers examined ten years of tax records for roughly 130,000 Australians 1. The study projects that the policy will lead to 14,821 to 42,498 older Australians canceling their private health insurance, accounting for 0.1% to 0.4% of the total insured demographic 1. Separately, government modeling anticipates that approximately 44,000 individuals will drop their coverage 1. Currently, the federal government provides direct subsidies for private health insurance totaling about 8 billion Australian dollars per year 1. By eliminating the additional rebate for seniors, the government expects to save between 730 million and 940 million Australian dollars annually up to the 2028-29 financial year 1. A Senate inquiry is scheduled to deliver its report on the issue in October 1.
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