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Medicare is the publicly funded universal health care insurance scheme in Australia operated by the nation's social security agency, Services Australia.The scheme either partially or fully covers the cost of most health care, with services being delivered by state and territory governments or private enterprises.
Cataract surgery is one of the most cost-effective health interventions, since its economic benefits considerably exceed the cost of treatment. [ 130 ] [ 131 ] The 1998 World Health Report estimated 19.34 million people were bilaterally blind due to age-related cataracts, and that cataracts were responsible for 43% of all cases of blindness.
As of 2011, cataract surgery is the most frequently performed surgical procedure in the United States, with 1.8 million Medicare beneficiaries undergoing the procedure in 2004. This rate is expected to increase as the population ages.
Including these rebates, Medicare is the major component of the total Commonwealth health budget, taking up about 43% of the total. The program was estimated to cost $18.3 billion in 2007–08. [3] In 2009 before means testing was introduced, the private health insurance rebate was estimated to cost $4 billion, around 20% of the total budget. [4]
The cataract is removed from the capsule and anterior chamber using hydroexpression [Note 3] viscoexpression, [Note 4] or more-direct mechanical methods. [4] [13] [14] The extraction of the cataract must be done with due care so as not to compromise the integrity of the tunnel; the endothelium and capsule are also vulnerable to injury.
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