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Bernard Keane

Aged care becomes strong point of difference between Labor and the Coalition

The issue in a nutshell

Regular scandals about conditions in aged care facilities led to the aged care royal commission, and the large number of deaths in aged care during the pandemic further concentrated attention on a growing problem with a lack of workers. A case to significantly raise aged care remuneration is before the Fair Work Commission.

What else? 

As the key funder of aged care services via grants to providers, the Commonwealth is crucial to lifting remuneration. It is also in a transition from the current soft-touch regulatory environment to one with more stringent requirements on aged care providers and a stricter regulator.

What the parties are saying

Unions and employers in the sector have called for a government commitment to funding the Fair Work Commission remuneration outcome. The Coalition has declined to state its position, despite requests from the parties involved. Labor has agreed to fund the outcome — the cost of which will be unclear until the commission makes its decision — and has stated that it intends, in line with the royal commission recommendation, to require nurses be on duty 24/7 in all aged care facilities, rather than the 16 hours a day the government proposes.

Discussion

Despite its significant increases in funding for home care services, aged care is a serious liability for the Coalition. The appalling performance of minister Richard Colbeck, and the government’s refusal to state its position on the Fair Work Commission case, have created a major opportunity for product differentiation for Labor, which itself was under pressure from unions to support the case.

Labor has sought to make aged care an election issue, branding it a major reform in the tradition of Medicare and superannuation, and linking it to childcare as an example of its commitment to funding care services. Its foreshadowed crackdown on providers will also appeal to voters, though rarely addressed is the complexity of enforcing higher standards in communities — such as regional and rural towns — where there are few alternatives to existing aged care providers.

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