Prime Minister Tony Abbott’s “biggest bonfire of regulation in our country’s history” will allow some organisations to opt out of state compensation schemes and instead operate under the Commonwealth’s scheme, Comcare.
This change is likely to be counterproductive in an already messy system and has the potential to further undermine the viability and fairness of workers’ compensation arrangements in Australia.
Workers’ compensation does need regulatory reform. It needs real, ‘big picture’ reform, not piecemeal cuts or politicking.
The government is claiming the planned changes will save employers A$32.8 million per year in compliance costs, but at the same time workers’ compensation costs appear to be shifting from the state to taxpayers, workers and their families.
Cost shifting arises from two key problems with current workers’ compensation arrangements. First, the negative consequences of regulatory duplication and inconsistency. Second, the impact of financial pressures on the ability of schemes to meet their primary objectives.
The high price of low cost
Competition among schemes on employer costs assumes that lower premium rates improve business prospects and jobs (albeit with no evidence of employers relocating to minimise workers compensation premiums).
Pressure on governments to have lower than average premium rates has seen those with higher rates politicised as inefficient and ineffective. Little attention is directed to the different protections those jurisdictions may offer injured workers. The result is the inevitable “ratcheting down” of premium rates around Australia.
Premium reductions are appropriate responses to reduced administrative costs, improved governance and advances in health and safety performance. However, our report looking at changes to NSW’s compensation legislation suggests reductions can also be made by eroding the protections available under the scheme.
NSW workers’ compensation reforms
The NSW government’s latest workers’ compensation scheme reforms were prompted by a 2011 actuarial deficit estimated at A$4.1 billion. The deficit was attributed equally to the impacts of the 2008 global financial crisis on scheme investments, the discount rate used for actuarial estimation, and the expected increase in future liabilities for payments to long-term, seriously injured workers.
The government determined the deficit had to be eliminated quickly. Premium increases were unacceptable. Instead, the reforms sought to truncate the “tail end” of scheme liabilities by ejecting the majority of long-term injured workers from the system.
The changes eliminated or severely restricted access to weekly and medical compensation for many work-related injuries and illnesses. Furthermore, insurers are now unilaterally able to decide an injured worker’s capacity to earn a hypothetical income from a job that need not exist, and reduce their weekly income accordingly. Accepting legal fees for advising clients about an insurer’s decision was also made illegal.
Together the NSW reforms not only managed to eliminate the $4 billion deficit in less than 12 months, but also enabled further reductions in NSW employer premiums of 7.5% in June 2013 and another 5% in January 2014. These came on top of an accumulated 33% reduction in premiums since 2005.
Who ultimately pays?
Our report for Unions NSW found reducing employer premiums and eroding systems of support for injured workers externalises the human and financial costs associated with poor work health and safety performance. That is, it transfers costs from employers to injured workers.
Without personal resources or family support, these workers can then be left to depend on a Centrelink disability support pension. Similarly Medicare provides a crucial safety net when compensation schemes (and private health insurers) refuse to cover ongoing medical treatment for work-related injuries. Together, these federally funded systems are subsidising premium reductions in workers’ compensation schemes.
Health minister Peter Dutton recently cited a 124% increase in Medicare costs over the last decade, calling the trend “unsustainable”. Social services minister Kevin Andrews made a similar statement with respect to “this relentless growth in [welfare] recipient numbers’. Yet the impact of cost shifting from workers” compensation systems remains unacknowledged.
In order to draw a direct line to increased welfare costs, more information is required. Broad quantitative data on scheme collections and expenditure, return to work, welfare and Medicare expenditure, along with specific case studies of individuals will help researchers establish the extent of cost shifting in the future.
Drift to failure
If government ministers are serious about reducing unnecessary regulatory duplication, they will focus on delivering nationally consistent arrangements. The recent efforts to harmonise WHS legislation was an important step in the right direction for ensuring the health and safety of workers and provides a clear example of what needs to be done.
It is time for a serious conversation in Australia about the value we place on workers and their health and safety. Competition is important but it needs to be driven by efficiency and effectiveness rather than the erosion of support for people who most need it.
The jurisdictional “race to the bottom” for lowest premium rates, arguably just shifts the costs of poor work health and safety onto federal social security systems (taxpayers), workers and their families, and reduces public policy incentives for investment in safe and healthy workplaces.