Download - Tito wheatland presentation
![Page 1: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/1.jpg)
Funding for disability - broadening the horizons
Fiona Tito WheatlandPhD Scholar ANU RSSS(Law)
Presentation to the Centre for Public Policy, University of Melbourne
Thursday 15 July 2004
![Page 2: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/2.jpg)
People with disabilities
• Similar needs to other people without disabilities eg income, housing, health care, education, leisure
• Can include extra costs or services specifically associated with disability, depending upon level of disability
• Needs will vary over time, family circumstances and personal circumstances
![Page 3: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/3.jpg)
Funding the extra costs
• Traditionally seen in terms of Government provision
• In reality, sources of funding are much broader eg compensation schemes, damages awards and settlements, private insurance, superannuation disability provision, family and personal resources.
![Page 4: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/4.jpg)
Problems with current arrangements
• Often looks at cause rather than need• Policy focus has often been on cost-shifting
or double-dipping• Inflexible arrangements lead to over-servicing
based on crisis entry and fear of lack of provision
• Confusion for people with disability - many different rules - not consumer focussed
![Page 5: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/5.jpg)
All this leads to …
• Inequitable provision
• Economic inefficiency
• Systemic complexity
• Bureaucratic fear of endless demand - “if we let them have leg-bags free, everyone will want one”
• Silo administrative and funding empires
![Page 6: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/6.jpg)
Traditional Solutions
• Stop double-dipping
• Create broader “no-fault” compensation arrangements
• Argue about cost shifting and refuse to act because of fear of it
• Don’t do a serious policy analysis because of the fear of the flood-gates
![Page 7: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/7.jpg)
Let’s dream differently …
• Start with need
• Audit what’s already there
• Look at all sorts of funding and ways needs are met
• Make the money and service provision flows transparent and comprehensive
• Create a person centred approach
![Page 8: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/8.jpg)
Start with catastrophic disability …
• What everyone fears the most and is least able to cope with through private resources alone
• Have a “one shop stop” for person with disability, with funding sources coming in behind
• Decide what are the appropriate standards of “reasonable and necessary” assistance and ensure these are available through most effective means
![Page 9: Tito wheatland presentation](https://reader037.vdocuments.site/reader037/viewer/2022100600/556670d3d8b42ad5798b481f/html5/thumbnails/9.jpg)
Preliminary thoughts• Question basic assumption about who pays
and how• Recognise that the allocation of costs is a
public policy decision• Informed community discussion on what is
reasonable and necessary needs to be fostered
• Too often debate has not included the voices of those affected - models of service provision and assistance must also be shaped by these