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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
EDITORIAL

Reflections of a former Chief Economist on the past 25 years of Australian Government aged care policy

David Cullen A *
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A Macquarie University Centre for the Health Economy, Macquarie Park, NSW, Australia.

* Correspondence to: david_john_cullen@me.com

Australian Health Review 49, AH25202 https://doi.org/10.1071/AH25202
Submitted: 14 August 2025  Accepted: 14 August 2025  Published: 30 September 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

The Royal Commission into Aged Care Quality and Safety identified two key building blocks to aged care reform: independence from Government and a secure source of funding. It is telling that both the current and the previous Australian Governments rejected each of these in their response to the Royal Commission. A philosophical shift is required that places the people receiving care at the centre of quality and safety regulation. An independent Aged Care Commission with guaranteed funding though a hypothecated Aged Care Levy would, in my view, create the substrate upon which this change in philosophy can flourish.

References

Royal Commission into Aged Care Quality and Safety. Final Report: Care Dignity and Respect. 2021. Available at royalcommission.gov.au/aged-care/final-report [accessed April 2025].

Australian Government, Productivity Commission. Caring for older Australians. 2011. Available at https://www.pc.gov.au/inquiries/completed/aged-care/report