Political Variables: Health is one of the most vital and controversial issues in Australian politics and in this case it leads to the conflict between the Commonwealth and the state government. The 2009 report on primary health care reform in Australia, Report to Support Australia's First National Primary Health Care Strategy, states that Australia's health system is multi-tiered and is made up of organizations funded and organized through a range of methods different, including government (publicly funded) and private sector (privately funded). With the Commonwealth Government being the major funder, the National Accord on Health Reform (Council of Australian Governments, 2011) allocated responsibility for health in the hands of the Commonwealth Government, while the Commonwealth Government he State dominates the major responsibility for health. While the state and territory government is responsible for hospitals, the Australian government is responsible for the primary health care system. The Australian Government's responsibility includes promoting equitable and timely access to GP and primary health care services, system management, policy and funding of GP and primary health care services and the working with each state and territory on system-wide policy and state-wide planning. for general practitioners (Department of Health, 2013, p. 2). Their policy must therefore be based on the assumption that it promotes fair and timely access to GPs. Co-payment contradicts the concept of “fair” since its impact varies between different groups. Additionally, Rainford (2014) suggests this creates an additional $2 billion in expenditure for the state government due to changing demand for hospital emergency departments rather than general practitioners. Moreover,...... middle of document ......ions.Conclusion: In order to achieve health welfare, the co-payment plan should be rejected because it leads to negative effects on health, particularly for the disadvantaged, and a deterioration in health intervention due to the decline in the effectiveness of the primary health care system. This lack of short-term financial resources could not be filled by a $5 surtax. In the ABC news video (2014), health policy expert Jennifer argued that the key to maintaining health care budgets in other international countries is maintaining a well-resourced primary sector sufficient and cost-effective and to create synergy between general practitioners, nurses and other paramedical practitioners. This policy is therefore not effective and must be rejected in the future. A strong primary health care system yields positive long-term results as it saves funds and prevents disease worsening..