Medicare starts

01 February 1984

Universal healthcare is established in Australia.

Medicare provides all Australians with access to free or subsidised medical and hospital care, regardless of their financial situation. When Medicare launched, over 14 million Australians – about 92% of the population – had registered for the program. Medicare reintroduced ‘bulk billing’ allowing people to visit doctors and public hospitals at no cost. Although there was opposition to Medicare upon its introduction, it is now enshrined in Australian life and is a major component of the Australian government’s budget.

The movement towards universal health care in Australia started in 1974 with the passing of the Health Insurance Bill 1973 in the joint sitting of Parliament. From 1976 Medibank delivered two strands of health coverage: Medibank Standard covered all Australians and was funded by a levy on people’s income – similar to Medicare; and Medibank Private was a private health insurance company. Medibank Standard was limited to low income earners in 1978 but was reintroduced for all Australians in a different form as Medicare in 1984.

The provision of payments for medical services was included in the Australian Constitution section 51 (xxiiiA)) after the social welfare referendum of 1946.

The introduction of Medicare is another landmark in the history of my Government. Every Australian is now covered for 85% of the schedule fee in respect of all services provided by doctors and specialists. In times of acute illness every Australian can now receive free hospital treatment. With Medicare we now have a stable system which provides everyone with cover at a fair cost.
Prime Minister Bob Hawke, 22 February 1984
A brochure showing a patient using the Medicare system.

Medicare: ephemera material collected by the National Library of Australia

National Library of Australia, courtesy of Department of Human Services

Medicare: ephemera material collected by the National Library of Australia

A brochure showing a patient using the Medicare system.

National Library of Australia, courtesy of Department of Human Services

Description

This graphic from the 1980s was used to explain how Medicare worked for patients in Australia's healthcare system.  Note: the information contained in this image is out-of-date and should not be relied upon.