Health economists have estimated that an injection of $250 million per year in Indigenous clinical care, and $50 million in preventative care, is required to provide services at the same level as for any other group with the health conditions of Indigenous Australians.

I have profoundly mixed feelings about the Affordable Care Act. What I love about it is its impulse. It attempts to deal with this intractable problem in American health care life, which is that a significant portion of the population does not have access to quality medical care.

Over 120 Aboriginal communities run their own health services - some have been doing so for 30 years. They struggle with difficult medical problems. They also try to deal with counselling, stolen generations issues, family relationships, violence, suicide prevention.

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