Rural, regional and remote Australians are dying at higher rates than their urban counterparts, with avoidable deaths in the regions nearly four times higher, according to new data released today by the National Rural Health Alliance (NRHA).
The Rural Health in Australia Snapshot 2025 paints a grim picture of health inequities between rural and metropolitan areas. The life expectancy gap is stark, with men in Very Remote areas dying up to 13.6 years earlier and women up to 12.7 years earlier than those in Metropolitan areas.
Indeed, nearly 18,500 people in Australia still have no access to essential primary healthcare services within an hour's drive of their home, although this is a significant improvement from the last data collection. This is as many people as Double Bay and Bondi Junction in NSW, or St Kilda in Victoria, or Cottesloe, Dalkeith and Claremont in WA, having to drive one hour to access healthcare.
The Snapshot compiles essential data on health risks, outcomes, disease burden, healthcare workforce, domestic violence, maternity health, and funding disparities - revealing how far rural areas lag behind their metropolitan counterparts.
"This data highlights the shameful failure to adequately provide funding and services to rural Australians, who contribute so much to our economy. Why are they treated like second-class citizens, with a staggering $848 less spent per person per year on healthcare?" said NRHA Chief Executive Susi Tegen.
Living in rural areas offers numerous benefits. People often enjoy a stronger sense of community and a healthier environment, surrounded by natural beauty. They have access to fresh, local produce and tend to report higher satisfaction with relationships, with a lower likelihood of experiencing loneliness. As interest in rural living grows due to these advantages, it is essential to ensure that people are supported by adequate infrastructure, including accessible healthcare, to maintain a fulfilling and holistic lifestyle.
"The Snapshot reinforces the urgent need for immediate action, especially with the Federal election on the horizon. It is a wake-up call to say enough is enough. For decades, we have known about the healthcare challenges, the additional costs, and the tyranny of distance, but there has been too little action.
"Rural Australia has its own identity and requires tailored, place-based solutions to meet its unique geographic and societal needs. We call for a National Rural Health Strategy under the National Health Reform Agreement. This will coordinate Commonwealth, State, and Territory policy, investment and service delivery to ensure tailored, sustainable solutions. We also call for 'block' and infrastructure funding, that is equitable.
"The solutions exist on the ground," Ms. Tegen concluded. "It is time to step up, allow for flexibility, prioritise equity and address these glaring disparities. The NRHA is willing to work with any government to rectify this as the health of rural Australia cannot wait any longer."
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