In November 2025, the federal government introduced ‘once-in-a-generation’ reforms: a new Aged Care Act and Support at Home program to prioritise the rights of ageing Australians.
Five months later, the system is not doing as well as initially imagined, with wait times doubled, costs surging, and over 100,000 older Australians remaining in limbo, whilst politicians from both sides call for urgent action and fixes.
This isn’t just a policy failure; it’s the harsh reality for grandparents, widows, and rural farmers who want to age with dignity at home. Instead, they must choose between a hot meal and a shower. Worse, they’re left languishing on waiting lists while their health deteriorates.
The median wait time for a home-care package has risen to 245 days, over double the 118 days a year earlier. Assessment waits are now 27 days. Despite promises of 83,000 new packages for 2025-26, the waiting list stays above 100,000, with estimates indicating a backlog of nearly 200,000 people.
Residential aged care isn’t an escape valve, with occupancy near 90% nationally and slow bed growth, just a few hundred last year, while we need 10,000 annually for the next twenty years. Demand surges as baby boomers retire, yet supply has barely increased.
The workforce crisis is another area of great concern. There are many struggles to staff due to low wages, long shifts, lack of quality training and opportunities to complete their training, burnout, hindering the delivery of mandated care minutes, and really just making them feel pointless without enough workers.
These new costs have surprised many with higher bills due to means-tested fees and rising living expenses. Service prices doubling force families to ration care or use funeral savings.
I’m not saying the reforms were pointless. The old Home Care Packages system was bureaucratic and inflexible. A rights-based approach focusing on individuals, not providers, was well overdue, especially after the Royal Commission revealed many incidences of neglect. But good intentions without proper funding and implementation are just costly window dressing.
What we see in March 2026 is reform theatre: big promises, complex rules, but not enough money or beds. The ABC’s investigation crowdsources stories from staff and families, asking whether the promised aged care reform is happening. Early answers are damning.
The human toll is devastating. Ageing Australians who fought for our country, raised families, and paid taxes now sit in hospital beds because there’s nowhere safe to go home to, or they lie in their lounge rooms in pain because the promised support hours are not affordable. Providers are warning of closures, and the Productivity Commission’s own data shows the system is regressing in access.
We urge the government to focus on providing further funding and support to providers, so they can focus on what’s most important: the care of ageing Australians.
So, what does this look like?
- Increase support at home packages beyond 83,000, including thousands more.
- Fast-track incentives to train and retain aged care workers with wage rises.
- Develop a national plan to build 10,000+ new residential beds annually, supported by low-interest loans and grants, and
- Review pricing under the new Act to ensure dignity and nourishment without forcing choices.
Ageing people, their families, supporters and providers didn’t demand a perfect system overnight, just one that works. Five months in, many still wait not for luxury, but for basic, compassionate care. If our ageing population deserve respect and security, excuses are over. Urgent investment is now.
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Author: Cathy Kerr BANurs, GDAET, Cert IV Training and Assessment.
Cathy brings over three decades of expertise in nursing education, with a distinguished career as a registered nurse, educator, and now aged care consultant. Her extensive experience covers clinical practice, training, and consultancy, where she has dedicated herself to improving care standards and supporting both older adults and healthcare professionals. With a deep understanding of the sector’s challenges and opportunities, Cathy combines her nursing background with a passion for education to promote positive outcomes in aged care.


