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    Ita Buttrose Oration

    Media release: 5 May 2021

    Portrait of Ita Buttrose

    Ita Buttrose warns proposed Medicare cut could blind 47,000 Aussies

    An additional 47,000 Australians will experience severe vision loss or blindness if the Federal Government approves a proposed cut to the Medicare rebate for sight-saving eye injections, according to data released by Ita Buttrose AC OBE on behalf of Macular Disease Foundation Australian (MDFA).

    The Medicare Benefit Schedule (MBS) Review Taskforce has recommended a 69 per cent reduction in the rebate for eye injections, used to treat several blinding conditions, including wet age-related macular degeneration (AMD).

    Speaking at the National Press Club in Canberra today, Ms Buttrose warned that many older Australians will no longer be able to afford this vital treatment if the Government adopts this recommendation.

    Australia is a world leader in the treatment of wet AMD. Patients receive injections to the eye every four to six weeks for an indefinite period, meaning costs can stack up.

    “This treatment is highly successful in saving sight,” Ms Buttrose said. “So why has the review taskforce recommended a reduction of 69 per cent in the rebate for these eye injections?

    “It’s a decision I find hard to fathom.”

    Ita Buttrose

    Ms Buttrose made the comments during the inaugural Ita Buttrose Oration, an initiative of MDFA. The speech will be part of an ongoing series presenting visions for a healthy ageing Australia. This inaugural Oration coincides with MDFA’s 20th anniversary and Macula Month – MDFA’s annual general awareness campaign held each May.

    The MBS review taskforce’s proposal to slash the rebate for eye injections was one of 19 recommendations in a report to the Federal Government delivered in late 2019. It is still under consideration.

    Ms Buttrose used the address to call on the Government to reject the recommendation, and to consider MDFA’s fully costed plans to improve access to sight-saving treatment.

    Currently, approximately 80,000 vulnerable Australians stop eye injection treatment within five years. While there are many reasons for this, access and cost are two of the primary ones.

    “Out-of-pocket costs for this treatment are already prohibitive.   

    “Economic modelling commissioned by MDFA, predicts the proposed rebate cut will result in out-of-pocket costs increasing from $1,900 to $3,900 a year on average – double for patients needing injections in both eyes.

    This translates to an additional 47,000 Australians experiencing severe vision loss and blindness within the next five years.

    Ita Buttrose

    “This rebate reduction, if approved, will deliver some savings to Government, but will effectively be cost shifting to other parts of the health and welfare system.

    “MDFA’s economic modelling forecasts an extra $168 million in direct costs to Government in primary health, mental health care and early admissions to residential aged care. It’s estimated the proposed rebate cut would also lead to an additional $2.6 billion in indirect costs through loss of patient and family carer productivity.”

    In response to the MBS Taskforce proposal, MDFA has developed three costed solutions to increase access to sight-saving treatment. These models can be implemented immediately by leveraging existing systems and infrastructure:

    • new low cost-regional clinics, so patients can access treatment without needing to travel to metropolitan clinics that are already at capacity,
    • increasing the number of healthcare workers who can give injections under the supervision of qualified ophthalmologists,
    • empowering patients to be better informed about fees so they can self-advocate if they can’t afford treatment.

    “These models need both Federal and State Government investment. But the cost of doing nothing is much higher. Every 1,000 wet AMD patients left untreated costs the health system $20 million a year,” Ms Buttrose said. “Today, on behalf of MDFA, I call on the Government to reject the recommendation to cut the MBS rebate for eye injections.

    “We also ask ophthalmologists to work with the Federal and State Governments, and MDFA representing patients, to increase access to public and bulk-billed treatment in more locations across Australia.

    “We simply cannot accept an Australia where we have a gold standard treatment to stop people from going blind, yet there are some Australians who can’t access it. Australians at risk of losing their vision can’t wait any longer – action is needed now.”

    About Macular Disease Foundation Australia (MDFA)

    MDFA is the peak national body representing the voice of the macular disease community and is celebrating its 20th anniversary this year. We provide a range of information and support services via our National Helpline 1800 111 709 and websites at and

    About the Ita Buttrose Oration

    The Ita Buttrose Oration is an initiative of Macular Disease Foundation Australia, designed to address a range of issues around a vision for a health ageing Australia. The inaugural Oration was presented by Ita Buttrose AC OBE at the National Press Club in Canberra on 5 May 2021, coinciding with the 20th anniversary of MDFA.

    The economic modelling

    The economic modelling analysis in response to the Medicare Benefits Review Taskforce Ophthalmology Draft Report 2019 was commissioned by MDFA and conducted by PwC. A copy of the report has been presented to Health Minister, the Hon Greg Hunt MP.

    About macular disease

    Macular disease covers a range of painless conditions that affect the central retina (the macula) at the back of the eye. The most common are AMD and diabetic retinopathy (DR), including diabetic macular oedema (DMO). AMD accounts for 50% of blindness in Australia. One in seven (approximately 1.4 million) Australians over the age of 50 have some evidence of AMD. DR affects between 300,000 and 400,000 Australians – the leading cause of preventable blindness among the working-age population.

    Posted: 5 May 2021

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