Australia’s private health insurance in a death spiral as millennials cancel their policies

Expert reveals why the private health insurance sector is in a DEATH SPIRAL – as young Australians are smashed by rising costs

  • Young Australians are avoiding private health insurance due to exorbitant costs
  • Industry is finding it increasingly difficult to subsidise older and sicker patients 
  • Less people with private health insurance puts extra pressure on public system

Young Australians are avoiding private health insurance due to the exorbitant costs, sending the entire sector into what some experts have labelled a ‘death spiral’.

As millennials turn their backs on private healthcare, the industry is finding it increasingly difficult to cover the cost of subsidising older and sicker members.

Grattan Institute health economist Stephen Duckett said the private system is in the midst of a ‘death spiral’ and needs urgent reforms to repair it.

The amount of people aged between 20 and 34 with private health cover has plunged 11 per cent in the last five years.

Most experts blame rising costs in hospital treatments for forcing the increase in health insurance premiums – which young people in particular can’t afford. 

Young Australians are increasingly cutting off their private healthcare because they can no longer afford it (stock image of young woman looking over her budget)

But with the young and the healthy abandoning their policies, the sector is finding it less profitable because those that remain are often the old and the unwell – and likely to cash in on their policies more frequently.

Premiums are already increasing faster than inflation or wage growth, the Grattan Institute study found. 

Duckett concluded ‘Australians are increasingly unhappy with the private health insurance’ on offer in the country. 

As more people turn their backs on private care, pressure on the public health system mounts.

Extended waiting periods and customer dissatisfaction are predicted to continue getting worse if more people rely on the general, public sector.

This graph from the Grattan Institute study shows how much premiums have grown more than average wages

This graph from the Grattan Institute study shows how much premiums have grown more than average wages

Australia currently runs on a two-tier health system. 

The first care being the universal public health insurance scheme, known as Medicare, which gives all Australians access to taxpayer-funded health care.

The second is the voluntary private health insurance system. About 45 per cent of Australians have private healthcare.

Private health insurance should offer members more variety when it comes to choosing practitioners, expedited treatments and a place within private hospitals. 

Duckett’s study also discussed the ‘adverse selection spiral’, in which higher-risk people continue purchasing private insurance while low risk people choose to leave to avoid subsidising costs for high-risk patients.

In turn, the average risk profile for the insurer rises, meaning they boost premiums to reflect the change and even more healthy people drop their cover as a result. 

The lack of private healthcare is putting more strain on the public system (stock image of surgeons performing a surgery operation in a hospital operating room)

The lack of private healthcare is putting more strain on the public system (stock image of surgeons performing a surgery operation in a hospital operating room)



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