The National Disability Insurance Scheme, now renamed DisabilityCare is a step closer to becoming reality after the Queensland Premier Campbell Newman signed an agreement with Prime Minister Julia Gillard in Brisbane. The agreement confirms the funding commitment of both levels of government to the disability scheme.
The deal will see Queensland contribute $1.9 billion dollars over the next decade and see the disability reform starting to emerge in 2016, before it is fully operational in 2019-20. In signing up, Queensland now joins New South Wales, Tasmania, Victoria, South Australia and the Australian Capital Territory as signatories to the funding arrangements. That leaves Western Australia and the Northern Territory as the only governments still to put ink on the page.
Understandably, excitement is growing about the future of disability care in Australia and that has accelerated with each individual agreement reached between the state and territory governments and the commonwealth. People with a disability around Australia, their carers and families, are slowly rediscovering a long lost hope, that their needs might be sufficiently met by government. Of course there is going to be palpable excitement. Of course there will be some celebration.
But we need to be very careful about how we view recent events. As advocates and supporters of this much-needed reform we must not allow ourselves to get too swept up in the emotion of important days like yesterday. There is no doubt that commitments like that agreed to by Julia Gillard and Campbell Newman are a big step forward, but a lot can still go wrong between now and 2018-19. In fact, there is a need to continue to be cautious until well after the scheme is fully operational across the country. Things can still go a bit pear-shaped.
The first, but most surmountable roadblock is getting the recalcitrant state of Western Australia and the Northern Territory to agree to a funding commitment for the rollout with the commonwealth.
Western Australia wants to sign up but wants more decentralised control of the scheme in the state and that is fair enough, because service delivery should be based on a largely decentralised bureaucracy. Negotiations between WA and the federal government will continue and a resolution of some sort appears inevitable. But caution is still the order of the day here and both the state and the commonwealth must continue negotiations with an open mind and a desire for compromise on the specific issues WA has with the policy.
The Northern Territory will also need to get the pen out and sign a deal with Canberra for the full rollout of DisabilityCare. The NT Government just recently penned a deal to have their own launch site in the Barkly Region. In light of this, realisation of the funding for the full commitment surely cannot be too far away. But again, all possible eventualities must be taken into account, including the negative ones. even though 6 of the 8 states and territories have agreed to terms with the Gillard Government.
Bilateral agreements aside, there is still the issue of where the commonwealth, even the states, will get the rest of the money for the disability insurance scheme, despite the commitments to fund the scheme. At present the agreements are simply words between two parties and in the interest of making sure DisabilityCare happens, the positive developments must be viewed with the utmost wariness until the full policy has actually commenced.
The Opposition too, who will almost certainly be in government come September, will need to be pursued just as relentlessly over its commitment to the NDIS. There is bipartisan support but it means nothing until we actually see the policy up and running.
Finally, we must continue to run a critical eye over the policy even when it is operational. There may be shortfalls in standards of delivery and even funding and we should not be particularly surprised if either of these possibilities arises. In fact, it is completely within reason to expect that both problems may exist, though hopefully the launch sites will allow enough time to remedy most, if not all potential issues.
With the agreements signed to date between commonwealth and state and territory governments, about 90% of Australians with severe and permanent disability and those that look after them can now have a little more hope.
We need to make sure over the coming years that the agreements are transformed from words on a page to deeds.
Tonight I sat and watched, as I always do, the nightly edition of The Drum. The topic turned to gun violence in our own backyard, with the Gillard Government foreshadowing plans to tackle the recent spate of highly publicised gun-related crime, mostly gang related, across Sydney’s west. It was an interesting discussion, coming so soon after the Newtown massacre in the United States of America and in the same week as a report which found that the level of gun ownership in Australia has returned to pre-buyback levels.
Ostensibly, what was actually announced by the Prime Minister today was an examination of what could possibly be achieved by the government under the present legal arrangements. Prime Minister Gillard has given Home Affairs Minister Jason Clare that task and has asked him to bring a list of options to the cabinet table.
Crime is an emotive issue. Talk about cracking down on crime and criminals plays to something deep in our psychological make-up. We as humans love to feel safe. We love to feel as if we are being protected not just by ourselves, but by others, by a sizable and powerful police force there to watch over us.
Now, we all know it’s an election year and law and order is often an election issue. The trouble is, that law and order, under the Australian Constitution, is a concern for the states to wrestle with. And state political parties do make battling crime a big focus at election time and throughout the electoral cycle. The commonwealth government does however have the Australian Federal Police and Customs under its purview, so in that sense, it is not strictly true.
There is something that the discussion seemed to forget and that is what John Howard did in the first year of his time as Prime Minister, after the indescribable horror of the Port Arthur massacre which saw 35 people gunned down. He was not a state Premier, but through discussions with his state colleagues, was able to secure a national ban on automatic weapons and a uniform gun buyback scheme.
By virtue of the fact that law and order and policing is largely a state issue, there really is little that can be done by the federal government on its own. The Gillard Government can however try to negotiate a package of measures with the states for them to implement in their own jurisdictions.
There is however one thing that the government can do unilaterally. They’ve cut funding to Customs and they can, since they no longer wish to return the budget to surplus, restore funding to the crucial agency. Alternatively, or at the same time, extra funds could also be directed to the AFP.
The question of what the states and the federal government can do in terms of powers in a more broad sense is interesting. It would appear that traditional state/commonwealth roles are becoming increasingly blurred, with the commonwealth appearing to want more power and resources at the expense of the states.
And that shift clearly extends to law and order issues, with politicians at the federal level wanting to affect change, or at least be seen to be trying to reduce crime.
Law and order will be an issue during this federal election year and beyond. We just have to get used to it.
Dear state and federal governments,
I do not believe that all of you, despite protestations to the contrary, are actually one hundred percent serious about pursuing the implementation of a National Disability Insurance Scheme. Furthermore, I am concerned that the bipartisanship at the federal level may well be in name only.
Labor: You announced, with great fanfare as a result of work precipitated largely by Bill Shorten as Parliamentary Secretary for Disabilities through the Productivity Commission, that a NDIS was needed. That report identified that the disability services sector is fragmented and under-funded. You pledged to work towards implementing such a scheme.
The Coalition: You announced swiftly, despite a perceived disposition towards opposing major reforms, that you wholeheartedly supported the idea to assist some of the most vulnerable Australians.
Since that wonderful day when you, our federal politicians gave a feeling of hope that many people with a disability and their carers have never experienced before, things have changed.
The future of the much-needed reform looks far less certain than it did this time last year and that worries me. I have no doubt it also worries many others with a connection to disability. We are used to disappointment and people with a disability are used to being largely left out of government calculations.
I acknowledge that the problem is not wholly because of you, the federal government. Blame for the uncertainty must also be laid squarely at the feet of some of our state governments. Yes, you did ignore, as governments generally do an important recommendation. This recommendation from the Productivity Commission said that you, the commonwealth should be the sole funding government of this important initiative.
To Tasmania, South Australia, the Australian Capital Territory and later New South Wales and Victoria: Thank to all of you for getting past the Gillard Government’s refusal to be the sole contributor to the National Disability Insurance Scheme. Your contribution is much appreciated, even yours NSW and Victoria. At least you were willing to remain at the negotiating table even if your government’s played it trickily for a while.
Queensland: Despite the dumping of the key recommendation from the report into the insurance scheme, you could have contributed a modest amount of funds toward a launch site.
You should have been able to get past that point and negotiate with the federal government from the viewpoint that they must be responsible still for the bulk of money contributed towards the establishment of a NDIS. We know and acknowledge that your revenue streams, as with all states, are limited. However, giving something was entirely possible.
To all the states: Please now operate on the assumption that the commonwealth government should provide the vast majority of the funds toward the NDIS. That includes you Queensland.
But back to you, the federal government: A half thanks for the $1 billion over 4 years in the May budget. You contributed something. But in the scheme of things it falls remarkably short of the mark. The meagre sum of $250 million a year for four years for a project that will cost over $13 billion in the first full year is a bit of a joke, especially considering how much more you like to waste in other areas.
To the federal Opposition: Thanks for what appeared, at least initially, to be earnest support for an essential new way of catering to the unmet needs of people with a disability.
Since that initial endorsement though, there have been mixed messages which make me and many others concerned that your professed interest in pursuing this in government might actually be a little on the fake side.
If this is a false assumption then please stop people like Joe Hockey from appearing to question the ability to fully fund the scheme years into the future. Please stop the Shadow Treasurer from referring to it in a negative light.
Contribution to the scheme will be more than possible by the time of implementation put forward by the Productivity Commission. Even the timetable of the ALP Government is within reason. It is only one year earlier.
Again to Labor: I hope you did not think that my concern over your actions, or lack thereof was limited to that already mentioned. It is not.
I am very concerned at your ability to appear to be doing something while actually doing little at all, other than mostly talking. You now say you will introduce legislation to establish aspects of the NDIS, including the transitional agency. That is great, but it is useless without money being funneled towards it.
You have said, or at least hinted over the past couple of days at more money being directed toward the policy, but only next year. If your hilariously small contribution in the May budget is anything to go by, then a contribution next year, keeping in mind the state of the budget and the fact that it is an election year, will either be inadequate or potentially peeled back upon change of government.
The disability community would appreciate it if all of you would address our concerns. Some of you are doing very well, some okay and one state, that’s you Queensland, doing terribly.
There are a lot of people now more cautious, some cynical and some even scared about the prospects of not having the NDIS going ahead. We need reassurance that our concerns are not based in reality. That can only be achieved through strong actions, not strong rhetoric.
A NDIS fan
The National Disability Insurance Scheme, NDIS for short that the Productivity Commission recommended in August last year was seen as the hero that could help people with a disability with the immense costs of living with an impairment. It promised to do this through meeting the costs of treatment and equipment and aligning the states and territories with the same level of assistance as fellow states. It was received well by both sides of politics at the federal level after being instigated by the Gillard Government through Bill Shorten, at the time the Parliamentary Secretary for Disabilities. Both sides of politics and the Greens committed to supporting the policy idea. Not only that, the states, all of them at least in principle agree and continue to agree with the policy, even if some of them believe that they simply do not have the cash to contribute to what could be a game-changer.
The idea then headed to the Council of Australian Governments (COAG) for discussion with the states who are needed on-board as service providers in the disability sector are currently under the purview of individual states rather than the commonwealth government.
It was just ahead of the debate commencing at COAG when the cracks started to appear in the bipartisanship and commonwealth-state agreement on the need to go forward with a the scheme. The federal Opposition committed to the NDIS, but only when the budget was back in “strong surplus” and not that long after, both before and at COAG the state consensus appeared headed for a small crevass, with in-principle support (read far from certain delivery) even starting to sound shaky.
Nonetheless, through all this time the ALP Government continued to hold up the NDIS as a must do and a great achievement of a Labor Government despite not even a trial or a strong agreement with the states to work toward a timeline or concrete progression on trials and implementation frameworks having been agreed to.
By then, the hopes of those with a disability and their carers and families had well and truly been raised, certainly too high for a policy that was and still is just a policy and at this stage a small step further to fruition.
At the NDIS rally the week before the budget and for a time before that, the Prime Minister and her government raised expectations even further, mentioning the insurance scheme at just about every opportunity, in just about every list of talking points for MP’s and ministers.
The highest level of hope was raised just 8 days from the budget at the Every Australian Counts rally in Sydney where the Prime Minister spoke, announcing that the NDIS would commence a year earlier with four launch sites providing services to 10,000 people with a severe and permanent disability, going to 20,000 the following financial year.
But the Prime Minister said we must wait until the budget for the digits on the funding allocation for the initial roll-out of the disability policy which we found out would be $1 billion over 4 years, $250 million per year for those awful at maths. This is not an insignificant amount of money, but in the scheme of things, a small allocation for the four year period which would need a significant further investment by the future commonwealth government who the Productivity Commission be the sole funder anyway.
Alas, since the budget the crickets have come out in force with the NDIS doing a vanishing act from the political discourse that any illusionist would be happy to achieve in their act. For a government which held up the scheme as a centre-point of their social and broader policy agenda, it has certainly fallen off the radar in a more comprehensive way than any plane that has disappeared in the Bermuda Triangle.
It could certainly be surmised that this amazing Copperfield like disappearing act is down to wrangling between the commonwealth and states over the policy which has spilled out into the public domain and certainly stymied the progress of what is an important, much-needed and well and truly overdue policy response to an issue that has lacked any major attention since de-institutionalisation.
If the National Disability Insurance Scheme really is as powerful and as certain to happen as we were made to believe up until just weeks ago when it was front and centre of the debate then it simply must return to the political discourse in as big a way as it was less than about a month ago.
This could certainly have been avoided by adopting the Productivity Commission recommendation on funding from the outset. The states though could still contribute existing funds allocated to service provision in areas covered by people the Medicare like scheme would capture and provide for.
The question that must now be asked would be, is this just an illusory disappearance from the political landscape of the NDIS or is this a case of a real disappearance without a trace? The cynic would say it leans toward the latter.