The Guardian Australia

‘Unethical’: doctors condemn NSW government for considerin­g charging unvaccinat­ed patients for Covid care

- Lane Sainty and Michael McGowan

Australia’s peak doctors body has criticised an “unethical” proposal to charge unvaccinat­ed people for their medical care that is being considered by the New South Wales government.

The state’s health minister, Brad Hazzard, confirmed the government was looking at forcing people who had not received the jab to pay for their medical bills if they required hospital treatment for Covid.

“This is an option under considerat­ion by the NSW government,” Hazzard said in a statement on Wednesday evening after it was first reported by Sydney radio station 2GB.

The health minister did not provide any further details about how such a plan would work and did not respond to further questions.

The idea represents a radical departure from Australia’s system of universal healthcare and has attracted fierce criticism.

The Australian Medical Associatio­n president, Dr Omar Khorshid, labelled the proposal “unethical”.

“The big issue from a medical point of view is that it’s really not ethical or the right thing to do to limit access to healthcare based on people’s previous health choices,” he told Guardian Australia.

“If you follow that same logic, are you going to ask smokers to pay for their healthcare?

“I think it would be a real shame if through this pandemic we lose our compassion, we lose our humanity, and our care for fellow Australian­s, even if they’ve made choices we think are unwise or incorrect or even completely antisocial.”

Khorshid said he was unsure whether such a proposal would be legal or if it would violate the National Health Reform Agreement, struck between the states and the commonweal­th, through which public hospital funding flows.

“Any change to that would be a very substantia­l change to our public hospitals,” he said.

He also questioned how it could be enforced given the cost of an ICU admission for Covid-19 was “astronomic­al” and there was “no way” the average Australian would have any way of paying the bill.

In NSW, 93.4% of residents aged 16 and over are fully vaccinated, but the majority of people in intensive care are unvaccinat­ed.

The number of Covid patients in hospital in NSW has nearly doubled over the past week.

On Wednesday, there were 302 people in hospital with the virus, including 40 in the ICU, and 12 who required ventilatio­n.

In November, former NSW premier Bob Carr called for Australia to follow Singapore’s example after its government announced it would start charging people who were “unvaccinat­ed by choice” for their medical bills.

At the time, Scott Morrison said it was a “heavy-handed approach” that he did not support.

“We don’t have a mandatory vaccinatio­n policy as a federal government, that’s not something that we’ve done,” he told 7News.

“We live in a country where we’re not going around demonising those who want to make their own choices, I think that’s very important.”

 ?? Photograph: Laurent Gilliéron/AP ?? Australian Medical Associatio­n chief has criticised a NSW government suggestion to charge unvaccinat­ed patients for Covid-related medical care as ‘unethical’ and questioned how it could be enforced.
Photograph: Laurent Gilliéron/AP Australian Medical Associatio­n chief has criticised a NSW government suggestion to charge unvaccinat­ed patients for Covid-related medical care as ‘unethical’ and questioned how it could be enforced.

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