Since the introduction of Medicare in 1984, the proportion of the Aust
ralian population with private health insurance has declined considera
bly. Insurance for health care consumption is compulsory for the publi
c health sector but optional for the private health sector. In this pa
per, we explore a number of important issues in the demand for private
health insurance in Australia. The socio-economic variables which inf
luence demand are examined using a binary legit model. A number of sim
ulations are performed to highlight the influence and relative importa
nce of various characteristics such as age, income, health status and
geographical location on demand. A number of important policy issues i
n the private health insurance market are highlighted. First, evidence
is provided of adverse selection in the private health insurance pool
, second, the notion of the wealthy uninsured is refuted, and finally
it is confirmed that there are significant interstate differences in t
he demand for private health insurance.