This is because it will lead to an inequitable distribution of health services. Australia already experiences huge economic disparities, where there is a very large gap between rich and poor. Australian citizens are the primary stakeholders in the Medicare program. It is therefore expected that an additional cost would negatively affect living standards. Efficiency, equity and quality should be the primary goals of Medicare. In essence, Medicare should ensure that in all its policies it is committed to providing payments and services at a very fair operating level. It should also show beneficiaries the value of their money through efficiency in the delivery of their services and quality in terms of the standards of their services and outcomes. The fact that the system is financed primarily through progressive taxation has ensured fairness; however, this is what mainly led to the economic aspect