Comparative Health Care Federalism – Chapter 9 (“Australia”)

by Stephen Duckett

Published by Ashgate Publishing in Comparative Health Care Federalism
Released: June 2015

Stephen Duckett discusses the prospects for Australian federalism, especially in the health sector, in this recently published book chapter. In this essay Dr Duckett argues that Australia’s marble cake federalism hinders its ability to respond incisively and consistently to emerging health problems and that the peculiar nature of the Australian federal system militates against swift (or, sometimes, any) action. He concludes that Australia will continue to muddle through with its version of federalism, and pursue a non–strategy of lamenting the adverse consequences of its federal structure but taking no positive action to change the status quo.