So I pinged the pollies and Bill, my local politician, wanted to chat. The one illuminating aspect of our 45 minute conversation was that it was very hard (for politicians) to decide what other health programs should be cut in order to increase funding for mental health because of myriad vested interests.
Watching news reports around the world and back home I see similar difficulties arising. It is somewhat reminiscent of the ‘Yes Minister’ dilemmas that Sir Humphrey Appleby would put to his boss, thereby stymieing him every time.
Just last week in South Australia an identical furore erupted. There, the government was brave (or hassled) enough to announce increased mental health funding. The opposition was equally mean enough to demand to know what (more highly valued) general health programs were to be sacrificed for the increase. Read the report here:
http://www.abc.net.au/news/newsitems/200601/s1545360.htm
Now to get back to Yes Minister, Jim Hacker in his early days would have said ‘But we should just fund health needs according to the cost to the community, the individual and the carer. And that should be the minimum amount needed to restore the ill person’s health so as to function in relationships, at work and in the community.’ You wish!
The unfairness is obvious when authoritative reports state: ‘Stigma is systemic in decision-making at the highest political levels. Ultimate responsibility for mental health services lies with government leaders at Federal and State levels.
‘It is they who have ensured these services have had such a low priority in policy-making and funding…
‘The proportion of Australia’s health budget spent on mental health services is under 8%. In comparable OECD countries, the proportion is 12% or more.’ Dare to Care, SANE Mental Health Report 2004 at http://www.sane.org/images/assets/Research_reports_and_images/MHR2004text.pdf
A report by Access Economics for SANE Australia in 2003 calculated the costs of bipolar in Australia as being ‘$16,000 on average’ per year for each sufferer. Yet spending is ‘only $3,007 per person.’
It gets worse. The report states that this paltry $3,007 is even less than spending on the average Australian’s health care, even though ‘the burden of disease – the pain, suffering, disability and death – is greater for bipolar disorder than for ovarian cancer, rheumatoid arthritis or HIV/AIDs, and similar to schizophrenia and melanoma.’
And who makes up the shortfall? According to the report, ‘around half (i.e. $8,000) of this cost is borne by people with the illness and their carers.’
‘Mentally healthy’ public outnumber the mentally ill by a factor of 4 to 1. They want their subsidized spas and perfect teeth at the expense of us getting into hospital when we need it! But because they still view the behaviors of mental illness as not symptoms but as plain bad behavior, our health needs are viewed as less deserving than theirs, and funded accordingly.
Because of the ‘Yes Minister’ factor, I think we face an uphill battle persuading the politicians. They won’t shift until public opinion does, to say nothing of favors and kickbacks.
The 4 people in 5 who don’t have a mental illness have something much worse—prejudice. They are the ones who need persuading that mental health deserves equitable funding.
Australians who want to get involved in dismantling stigma can get involved in SANE Australia’s StigmaWatch program at http://sane.org/index.php?option=displaypage&Itemid=266&op=page
Visit www.twotreesmedia.com/links for other organizations around the world.
You can read a summary of the Access Economics report Bipolar Disorder: costs—an analysis of the burden of bipolar disorder and related suicide in Australia, an Access Economics Report for SANE Australia 2003 at http://www.sane.org/images/assets/Research_reports_and_images/bipolar_costs_es.pdf
More Post
New Medicines Available To Treat Rare Diseases
Music now we learn also on-line
Give A Heart Necklace This Holiday
Cure your Baldness & Alopecia the Natural Way (Chinese Herbs)
Teach Courses Online
Facts About Spirulina- Worlds Most Powerful Food
School Fundraiser Niche - Valentines Day
Hair Loss: Cosmetic Solutions For Good Cover Up
Dating Blindly
Sun Tanning Protects The Skin
Thay Call It "Dog Breath" For A Reason
Using Magnets To Fight The Pain
A Note From Saint Valentine - A First Person Tale Of This Wonderful Day
Spitting Up – And Other Joys Of Motherhood
Las Vegas: How to Ensure Your Vacation is Full of Adventure and Kicks
Is Self-Esteem Contrary to Christianity
What Educational Toys Do Kids Actually Enjoy Playing With?
MLM Success | Relationships in Two Minutes Flat
Are vent free gas fireplaces safe?
Domestic Violence Dr Jekyll or Mr Hyde