Grattan: Private health insurance plunging into ‘death spiral’
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For years I have argued that Australia’s private health insurance industry is facing a ‘death spiral’. Every year, young and healthy people (the so-called “invincibles”) leave system, leaving a larger proportion of unhealthier, older, expensive users.
If this process is allowed to continue, then it will inevitably force premium up further, leading to a further exodus of the invicibles, and so on.
Australia’s private health insurance sector can only remain solvent if enough young and healthy people agree to sign-up, since they are the ones who are likely to pay more into the system than they take out.
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About the author

Leith van Onselen is Chief Economist at the MB Fund and MB Super. He is also a co-founder of MacroBusiness.
Leith has previously worked at the Australian Treasury, Victorian Treasury and Goldman Sachs.
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