As World Diabetes Day approaches on November 14, the focus turns to the importance of health-promoting environments, particularly in the workplace. Justine Cain of Diabetes Australia has endorsed the Productivity Commission’s proposed National Prevention Investment Framework, describing it as “a pivotal opportunity.”
“For too long, Australia’s health spending has focused on treating chronic conditions and complications rather than preventing them,” Cain emphasizes. “If we get this right – and invest in prevention – we’ll not only improve health outcomes but also strengthen our workforce and economy.”
Australia’s Public Health Milestone
Last week marked a significant moment for public health in Australia with the passage of new laws establishing an independent Australian Centre for Disease Control (CDC). This move aligns Australia with other developed nations and is a cause for celebration. While the CDC’s initial focus will be on infectious diseases, it raises a pertinent question: What more can be done about the chronic conditions affecting millions of Australians?
A healthy nation is inherently a productive one. As the Productivity Commission concludes its landmark five pillars inquiry, one recommendation stands out: the establishment of a National Prevention Investment Framework. This proposal is not merely a health policy; it is a strategic productivity initiative. A healthier population translates to a more robust and resilient workforce and economy.
Economic Implications of Preventive Investment
The Commission’s interim report highlights that “stopping problems from starting or getting worse – particularly for vulnerable populations – can result in better outcomes for individuals and the community.”
Investment in prevention pays off, reducing absenteeism, boosting workforce participation, and helping contain rising healthcare costs.
Diabetes Australia advocates for prevention initiatives such as type 2 diabetes awareness campaigns, school-based programs, and improved food labeling policies.
Focus on Workplace Health
The Australian Institute of Health and Welfare estimates that spending on chronic conditions totals around $82 billion annually. Yet, less than two percent of total government health spending is allocated to public health initiatives like chronic condition prevention and health promotion. This is not just a missed opportunity; it is a growing national risk.
This World Diabetes Day, the International Diabetes Federation is spotlighting diabetes in the workplace, encouraging environments that support and empower individuals living with diabetes. More than two million Australians live with diabetes, and another two million are at risk of type 2 diabetes, many of whom are vital contributors across every sector of the workforce.
Living with diabetes does not diminish one’s ability to thrive at work or in life. With the right support, including flexible work arrangements and inclusive workplace policies, individuals with diabetes can live well and contribute fully.
Strategic Investment in Prevention
Creating supportive workplaces is not only ethically right but also a strategic investment in people, productivity, and equity. The focus on prevention extends beyond reducing the risk or delaying the onset of chronic conditions. It also involves supporting those already living with diabetes to avoid complications and maintain their health and wellbeing.
For individuals with diabetes, prevention means avoiding serious outcomes like kidney failure, blindness, amputations, heart attacks, and strokes—many of which are preventable with timely care, education, and support.
Government and Community Action
The Australian Government acknowledges the importance of this shift. “Pivoting to prevention and early intervention” is a strategic priority in the Department of Health’s Corporate Plan 2025–26. Now is the time to act.
Eight in ten Australians have at least one long-term health condition. One in two lives with a chronic condition. The consequences of not investing in preventive health are too great to ignore.
Fortunately, effective strategies are known. Initiatives like Diabetes Australia’s KeepSight Program have helped over half a million Australians reduce their risk of diabetes-related blindness by more than 90 percent. Successful health coaching programs are also making strides in preventing type 2 diabetes and its complications.
Diabetes Australia is expanding its prevention efforts, including the launch of 1800PREVENT, a free phone and online service assisting those at risk of type 2 diabetes in navigating health information.
The Productivity Commission’s proposed National Prevention Investment Framework represents a crucial opportunity. For too long, Australia’s health spending has focused on treating rather than preventing chronic conditions and complications. By prioritizing prevention, Australia can improve health outcomes and bolster its workforce and economy. It is a call to action for Australians, businesses, and governments to seize this opportunity for a healthier future.
Justine Cain is the Group CEO of Diabetes Australia and has held senior executive and Board roles in the health, human services, and general insurance sectors.
