Pacjenci będą korzystać z nowego programu profilaktycznego „Moje zdrowie” – w poniedziałek weszło w życie rozporządzenie ministra zdrowia. Zastąpił on dotychczasowy program Profilaktyka 40+, wprowadzony przez poprzedni rząd.
Osoby w wieku od 20 do 49 lat będą mogły zrobić badania w ramach nowego bilansu „Moje zdrowie” nie częściej niż raz na 5 lat, a osoby powyżej 49. roku życia nie częściej niż co 3 lata. Bilans zdrowia będzie można zrobić po upływie co najmniej 12 miesięcy od ostatniego badania w ramach programu „Profilaktyka 40 Plus”. Przy pierwszym kontakcie z pacjentem lekarz, pielęgniarka, położna lub profilaktyk przeprowadzi wypełni ankietę – kwestionariusz bilansu zdrowia. Będzie można ją wypełnić także samodzielnie przez Internetowe Konto Pacjenta. Jest to pogłębiony wywiad dotyczący stylu życia, czynników ryzyka chorób sercowo-naczyniowych, chorób onkologicznych, z uwzględnieniem wywiadu rodzinnego, stanu zdrowia psychicznego, wykształcenia i środowiska życia. Kwestionariusz będzie podstawą do wygenerowania zlecenia na badania podstawowe: morfologia krwi, stężenie glukozy we krwi, poziom kreatyniny we krwi wraz z oszacowaną wartością eGFR (parametr dotyczący nerek), lipidogram uwzględniający cholesterol całkowity, LDL, HDL, cholesterol nie-HDL oraz triglicerydy, hormon tyreotropowy (TSH – wykrywa zaburzenia czynności tarczycy), badanie ogólne moczu.
How RealMoneyCasinos Explains Real Money Gambling Regulation in Australia
Australia occupies a peculiar position in the global online gambling landscape. It is a country where millions of residents gamble regularly, where land-based wagering is deeply embedded in the culture, and yet where the legal framework governing online casino play remains one of the more restrictive among developed nations. Understanding why this situation exists, how it came to be, and what it means for Australian players requires a careful look at the legislation that has shaped the market over the past two decades. The regulatory environment is not static — it has evolved in response to technological change, public health concerns, and the commercial pressures of a global online gambling industry that does not always respect national borders. For anyone seeking to understand how Australian gambling law actually operates in practice, it helps to examine both the federal framework and the way that independent information resources have worked to make that framework comprehensible to ordinary players.
The Interactive Gambling Act 2001 and Its Lasting Impact
The cornerstone of Australian online gambling regulation is the Interactive Gambling Act 2001, commonly referred to as the IGA. Passed by the federal parliament at a time when online gambling was still in its relative infancy globally, the IGA was designed to restrict the provision of certain interactive gambling services to Australian residents. The legislation made it an offence for operators to provide „prohibited interactive gambling services” to people physically located in Australia. In practice, this meant that online casinos — particularly those offering real money table games, slots, and poker — could not legally operate from within Australia and target Australian customers.
What the original IGA did not do, however, was make it illegal for individual Australian residents to place bets with offshore operators. This distinction created the grey area that defined the Australian online gambling market for the better part of fifteen years. Offshore casinos, licensed in jurisdictions such as Malta, Gibraltar, Curaçao, and the Isle of Man, continued to accept Australian players without any meaningful legal consequence for those players. The law targeted the supply side — operators — rather than the demand side — players. This asymmetry was deliberate in some respects, reflecting both the practical difficulty of prosecuting individual gamblers and a policy preference for restricting commercial activity rather than criminalising personal behaviour.
The IGA also carved out explicit exemptions for certain forms of online gambling. Sports betting and racing wagering were permitted under a licensed framework, recognising the deep cultural significance of these activities in Australia. Companies such as Sportsbet, Ladbrokes Australia, and TAB were able to operate legally online, accepting bets on sporting events and races. This created an unusual regulatory asymmetry: an Australian could legally place a bet on a horse race or a rugby league match through a licensed domestic operator, but the same person could not legally access an Australian-licensed online casino to play blackjack or roulette. The IGA effectively preserved the dominance of the wagering sector while shutting the door on casino-style gaming — at least in terms of domestic licensing.
The 2017 amendments to the IGA represented the most significant update to the legislation since its original passage. Driven in part by a 2016 review conducted by the Department of Communications and the Arts, these amendments tightened the prohibition on offshore casino operators. The revised legislation explicitly prohibited offshore providers from offering casino games, poker, and in-play sports betting to Australian residents, and it introduced a new enforcement mechanism through the Australian Communications and Media Authority (ACMA). The ACMA was empowered to investigate complaints about prohibited gambling services and to request that internet service providers block access to non-compliant offshore sites. This represented a meaningful escalation in enforcement intent, even if the practical effectiveness of website blocking remained debated among legal and technical experts.
How Regulatory Bodies Operate and Enforce the Rules
Australia’s gambling regulation involves a layered interaction between federal and state or territory authorities. The IGA operates at the federal level and sets the overarching prohibitions on interactive gambling services. However, land-based gambling — including pokies (electronic gaming machines), casino floors, and keno — falls under the jurisdiction of individual states and territories. This division of responsibility means that a player in New South Wales is subject to a different set of state-level rules regarding pokies venues than a player in Victoria, even though both are subject to the same federal IGA when it comes to online casino access.
The ACMA is the primary federal regulator for online gambling compliance. Since the 2017 amendments, it has maintained a public register of websites that have been found to be offering prohibited interactive gambling services to Australians. By mid-2023, that register had grown to include hundreds of offshore casino and poker sites, reflecting both the scale of the offshore market and the ACMA’s increasingly active enforcement posture. The agency has the authority to issue formal warnings and to refer non-compliant operators to the Australian Federal Police for further action, though prosecutions of offshore operators have remained rare given the obvious jurisdictional challenges involved.
State-based regulators include bodies such as the New South Wales Independent Casino Commission, the Victorian Gambling and Casino Control Commission, and equivalent authorities in Queensland, South Australia, Western Australia, and the Australian Capital Territory. These regulators oversee the licensing and conduct of land-based gambling operations, including the major casino properties such as The Star in Sydney, Crown Melbourne, and Sky City Darwin. They also play a role in responsible gambling policy, setting requirements for harm minimisation measures, self-exclusion programs, and mandatory pre-commitment systems for electronic gaming machines. The intersection between these state regulators and the federal IGA framework can create complexity for operators and players alike, particularly as the boundaries between online and land-based gambling continue to blur with the growth of mobile technology.
Resources like RealMoneyCasinos have emerged as important reference points for Australian players trying to navigate this regulatory complexity, providing detailed explanations of which types of gambling are legal under Australian law, how the ACMA’s blocking regime works, and what protections players can expect when engaging with licensed wagering operators. This kind of independent informational resource fills a genuine gap, given that the official regulatory framework can be difficult for non-specialists to interpret.
One area where enforcement has been notably more vigorous is advertising. The 2017 amendments introduced restrictions on the advertising of prohibited gambling services, making it an offence to broadcast or publish advertisements for offshore casino operators in Australia. This has had a tangible effect on the media landscape, with broadcasters and publishers required to exercise due diligence about the gambling operators whose advertisements they carry. The advertising restrictions have been more practically enforceable than the direct prohibition on offshore services, because Australian media companies are subject to Australian law in a way that offshore casino operators are not.
Responsible Gambling Frameworks and Consumer Protections
Beyond the question of what is legal and what is prohibited, Australian gambling regulation has increasingly focused on the harm minimisation dimension. Australia has one of the highest rates of gambling participation in the world, with some estimates suggesting that Australians lose more money per capita on gambling than residents of any other country. The social costs associated with problem gambling — including financial hardship, family breakdown, and mental health impacts — have driven sustained policy attention at both the federal and state levels.
The National Consumer Protection Framework for Online Wagering, which was developed through a collaborative process between the federal government and state and territory governments and came into effect progressively from 2019 onwards, represents the most comprehensive attempt to date to establish consistent consumer protection standards for the legal online wagering sector. The framework introduced a number of significant measures. It established a national self-exclusion register, known as BetStop, which allows individuals to exclude themselves from all licensed Australian online wagering services through a single registration. BetStop became fully operational in August 2023 and represented a meaningful advance over the previous patchwork of operator-specific self-exclusion schemes.
The framework also introduced requirements around deposit limits, obliging licensed operators to offer customers the ability to set limits on how much they can deposit over a given period. It prohibited the extension of credit for gambling purposes, addressing a practice that had been associated with significant consumer harm. It also introduced restrictions on inducements and bonus offers, recognising that promotional offers such as free bets and matched deposits could encourage excessive gambling behaviour. These restrictions on inducements have been particularly significant given the aggressive promotional strategies that had characterised the online wagering sector in the years following the IGA’s original passage.
Mandatory pre-commitment for electronic gaming machines has been a more contested area of policy. The 2010 Gillard government’s attempt to introduce mandatory pre-commitment for pokies — under which players would be required to set a loss limit before beginning a session — ultimately failed to pass into law after significant lobbying from the gambling industry and from clubs and pubs that operate gaming machines. Voluntary pre-commitment systems have been introduced in some jurisdictions, but the evidence on their effectiveness in reducing gambling harm is mixed. The Northern Territory has historically had a more permissive regulatory environment for online gambling licensing, and a number of Australia’s largest licensed wagering operators, including Sportsbet and Neds, have historically held Northern Territory licences, reflecting the commercial advantages of that jurisdiction’s regulatory framework.
The treatment of in-play betting has also been a defining feature of the Australian regulatory landscape. The IGA prohibits in-play betting on sports events via the internet or mobile applications, though telephone betting on live events remains technically permissible. This restriction was designed to reduce the intensity of gambling engagement associated with real-time wagering during sporting events. In practice, it has created a somewhat anomalous situation where an Australian can bet on the outcome of a cricket match before it starts but cannot legally place a bet on the next ball bowled through an app — though the same bet might be available by phone. The practical enforceability of this distinction in an era of mobile technology has been questioned by industry observers and regulators alike.
The Offshore Market and the Reality of Player Behaviour
Despite the restrictions imposed by the IGA and its 2017 amendments, a substantial proportion of Australian online gamblers continue to access offshore casino sites. Research published by the Australian Institute of Family Studies and various state-level problem gambling research centres has consistently found that significant numbers of Australians report using offshore gambling sites, even after the tightening of the regulatory framework. The ACMA’s website blocking regime, while growing in scope, has not eliminated access to offshore sites — technically sophisticated users can circumvent blocks through virtual private networks, and the sheer number of offshore operators means that new sites frequently emerge to replace those that have been blocked.
The policy debate around the offshore market is genuinely complex. On one hand, there is a consumer protection argument for maintaining the prohibition: offshore operators are not subject to Australian responsible gambling requirements, do not contribute to Australian harm minimisation programs, and may not offer the same dispute resolution mechanisms available to customers of licensed domestic operators. On the other hand, there is an argument that the prohibition, to the extent it is ineffective in practice, may actually reduce consumer protection by pushing players toward less regulated environments rather than bringing them into a framework where standards can be enforced.
Some policy analysts have argued for a licensing regime that would allow offshore operators to obtain Australian licences and serve Australian customers legally, subject to compliance with Australian consumer protection and responsible gambling standards. This approach has been adopted in some European jurisdictions, most notably the United Kingdom, where the Gambling Commission licenses both domestic and foreign-based operators to serve UK customers, provided they meet the Commission’s standards. The argument is that a licensing model generates tax revenue, brings operators within the reach of regulatory enforcement, and allows consumer protection standards to be applied consistently across the market. Australian federal governments have not moved in this direction, though the debate has not been entirely absent from policy discussions.
The broader context for this debate includes the ongoing evolution of gambling products themselves. The growth of cryptocurrency gambling, the emergence of esports betting, and the development of live dealer casino games that blur the line between online and land-based experiences all present challenges for a regulatory framework designed in 2001 and updated in 2017. The ACMA has acknowledged in its public communications that keeping pace with technological change is an ongoing challenge, and that the regulatory framework will need to continue evolving to address new forms of gambling that were not contemplated when the IGA was originally drafted.
Australia’s approach to real money gambling regulation reflects a genuine tension between cultural attitudes toward gambling, public health concerns about gambling harm, commercial interests in the wagering sector, and the practical challenges of regulating a global online industry from a single national jurisdiction. The IGA framework has succeeded in preventing the emergence of a domestic online casino industry while preserving a legal market for sports and racing wagering, but it has not eliminated Australian access to offshore casino services. The responsible gambling frameworks developed through the National Consumer Protection Framework represent a meaningful effort to raise standards in the legal market, and initiatives like BetStop demonstrate that coordinated federal-state action can produce practical outcomes. Whether the current framework represents the optimal balance of these competing considerations remains a matter of ongoing policy debate — one that will continue to evolve as technology, consumer behaviour, and community expectations around gambling continue to change.
Rozszerzone badania diagnostyczne będą zlecane w zależności od wieku i wyniku ankiety. Mogą to być: aminotransferaza alaninowa (ALAT), aminotransferaza asparaginianowa (ASPAT), gamma glutamylotranspeptydaza (GGTP) – to próby wątrobowe, PSA całkowity (wskaźnik przerostu prostaty) u mężczyzn powyżej 50 roku życia, anty-HCV (wirusowe zapalenie wątroby typu C), lipoproteina A – wykonywana w ramach bilansu raz w życiu między 20 a 40 rokiem życia (ocena ryzyka zachorowania na choroby sercowo-naczyniowe).
Wizyta podsumowująca odbędzie się w gabinecie lekarza, pielęgniarki lub położnej. Pacjent będzie miał mierzone ciśnienie tętnicze, tętno, wagę, wzrost, obwód tali, obwód bioder i wyliczone BMI (masa ciała do wzrostu) oraz WHR (obwód talii do obwodu bioder). Podczas wizyty podsumowującej ocenione zostanie „globalne ryzyko sercowo-naczyniowe”. Osoby od 60. roku życia będą mogły zbadać swoje funkcje poznawcze (z wykorzystaniem skali mini-COG, która pozwala na podjęcie decyzji o pogłębieniu diagnostyki w kierunku otępienia). Pacjent otrzyma analizę wyników badań laboratoryjnych i wyników ankiety, a także Indywidualny Plan Zdrowotny (IPZ). Znajdą się w nim: informacja o czynnikach ryzyka, które zostały zidentyfikowane podczas bilansu, zalecenia dotyczące zdrowego stylu życia. Pacjent dostanie także indywidualny kalendarz zalecanych szczepień i listę zalecanych interwencji prozdrowotnych np. porad edukacyjnych, a w przypadku pacjentów powyżej 50 roku życia – test na krew utajoną w kale (FIT-OC). Porad edukacyjnych będzie mógł udzielić lekarz, pielęgniarka, położna, profilaktyk, dietetyk.
„Moje zdrowie” ma poprawić wczesną wykrywalność chorób układu krążenia i cukrzycy, chorób nerek, zaburzeń funkcji tarczycy, wybranych chorób onkologicznych, wybranych chorób infekcyjnych (HCV – wirus zapalenia wątroby typu C), zaburzeń psychicznych i poznawczych. Celem jest też zwiększenie odsetka osób zaszczepionych.

































































