Category Archives: News Headlines

Christmas Message 2016

I hope all Australians have a Caring Christmas and a Healthy New Year.

Thank you to everyone who has in some way supported a stronger Medicare, even if it was just by chatting among friends.

During this festive time let us not forget Rural and Regional Australians:

  • They have worse health outcomes than their city cousins, have to suffer Fires, Droughts and Floods that impact whole communities and some have to travel huge distances to access needed health services.
  • Family Doctors and other health professionals battle rising costs to maintain bulk billing and purchase up to date equipment in the face of the rebate freeze.
  • Some Family Doctors will be impacted by the new rent controls restricting the rent they can charge the few large pathology companies that dominate the industry. The AMA says “The changes are being reported as saving pathology companies around $150 million a year, with most of this money being taken out of general practice”
  • After recent rebate changes some pregnant women may have to pay upfront  for pathology and diagnostic imaging to check their unborn baby before they get some refund.  Dont forget those with serious ageing and health issues who need many tests.
  • Some of the taxes paid by Rural communities (who include some of the poorest electorates in the nation) are used to subsidise the private health industry, whose services unfortunately tend to cluster around  wealthier city areas.

We have a huge challenge ahead, to have Medicare fully funded in the future, to give Australians confidence that the public health system will look after them and their children, in the times ahead.

I think early attention to health problems is a critical priority, before  those problems grow to clog hospitals and swamp other health services.

I also think properly addressing mental health and addiction issues are core needs of a revised funding strategy.

Mark Rogers

17.6% of the workforce don’t have enough work

In November … 17.6% of the workforce, were either unemployed (1,199,000) or under-employed (1,100,000).

http://www.roymorgan.com/

By themselves, unemployment figures are deceptive, just part of a bigger iceberg.

The government rarely acknowledges underemployment  levels (typically part time workers who cant get enough hours and people forced into part time work) because they are higher than in many other OECD countries .

From an OECD report 2014

oecd-2014

It is interesting that at face value, the Eurozone have less of their workforce “without enough work”

One third of Australians paying out of pocket to see their GP under Medicare Freeze

Department of Health figures released today prove that only 64.7% of patients were fully bulk-billed for all of their GP services in 2015-16, according to the Royal Australian College of General Practitioners.

Full details, external link RACGP media release 6th Dec 2016

Kate Aubusson (external link) Sydney Morning Herald, 7th Dec:   A report released in September suggested 69 per cent of GP consultations were bulk-billed, and patients were paying an average of $48.69 in out-of-pocket fees.

Further RACGP Comment, external link RACGP media release 12th Sept 2016

Out of pocket costs for patients visiting a GP have increased by 6% in the last year and by 89% over the last 10 years.

 

Another Bulk Billing domino falls, my Optometrist

My wife and I need glasses to see properly and to drive.

At our age we also need tests so Glaucoma doesn’t suddenly blind one of us.

Yesterday, for the first time, our Optometrist was forced to charge my wife one of the Abbott government’s copayments because he can no longer absorb rising costs with the government rebate frozen for years and other rebates cut.

We can afford to pay the copayment but the impact obviously falls on people with less money who will defer eye tests and hence: not change to better suited lenses and also will risk irreversible damage from Glaucoma, Macular Degeneration etc.

You and I will be at risk when drivers with unnecessarily impaired vision cause car crashes.

Potentially they will also run down school children walking home and its very unlikely governments will ever give us honest feedback: $x rebate saved, y school children hospitalised etc.

At the end of the day you and I pay for state government hospitals treating the many impacts of this freeze whether its people with irreversible eye damage, or the consequences of people with impaired eye sight.

We also pay the increased welfare bill for debilitating loss of sight and pay for other impacts which are wide ranging.

Its not your Optometrists fault, if you have a good Optometrist I suggest you pop in next time you walk by and tell them that you understand what they trying to deal with.

Christmas is close, it would be a nice thing to do.

Mark Rogers

Editor

Recovering (some) Community Costs of Obesity

Obesity costs Australian taxpayers more than $5.3 billion a year. Obese people are more likely to go to doctors and be admitted to hospital more often than other people. They are also more likely to be unemployed and therefore paying less tax than the rest of the population but the costs are borne by the whole community.

A report by highly credentialed Stephen Duckett and Hal Swerissen (published by the Grattan Institute) proposes that the best option is an excise tax of 40 cents per 100 grams of sugar, on all non-alcoholic, water-based drinks that contain added sugar.

A new tax is not a “silver bullet” solution, that would require a suite of new policies and programs. But the proposed tax would encourage healthier lifestyles.

The many countries that already have or are planning to introduce a tax on soft drinks include France, Belgium, Hungary, Finland, Chile, the UK, Ireland, South Africa and parts of the United States.

The Australian government would raise about $500 million a year.

One of the report’s key points:

  • Many factors are contributing to the rising prevalence of obesity in Australia. But the primary cause is excessive consumption of unhealthy processed food. This is, in part, driven by ‘market failures’, including consumers having a limited understanding of processed foods and behavioural factors that can limit self- control, and people not bearing the full costs of over-consumption of unhealthy foods.
External link to 76 page pdf, Grattan Institute: A Sugary Drinks Tax
External link, Authors respond to criticism in Pearls and Irritations, Is a tax on sugary drinks “bonkers”?

Family GPs to Subsidise Pathology Giants’ Profits

Australia’s Pathology industry is dominated by a few big players.

The government is moving forward with plans to introduce rent control to protect Pathology companies ie pathology collection centres located in general practices and other medical facilities.

“….saving pathology companies around $150 million a year, with most of this money being taken out of general practice.

GPs are already heavily burdened by a range of funding cuts….”

external link AMA Demads Fair Go for GPs with Pathology

16th May 2016

“..the Coalition’s announcement of a backroom deal to cap rent will create further strain on the ability of general practice to keep their doors open and provide patient services.

“…create an anti-competitive environment, where multi-national corporations who make hundreds of millions of profit each year are propped up, while GPs running small businesses lose funding.

Royal Australian College of GPs

16th Feb 2016

“Since deregulation the number of pathology collection centres has more than doubled from 2500 to more than 5000.

“It’s a substantial cost burden.

“The number of collection rooms has gone well beyond what would be regarded as reasonable access.

“…..There is “a degree of hypocrisy” in pathology companies complaining about the problem they created

news.com.au

The Rural Health Deficit

Extracts from fact sheet 13/5/2016:
  • There is a total health deficit in rural and remote areas of at least $2.1 billion a year.
  • This equates to a shortage of 25 million services, …
  • Adding the Medicare, PBS and ‘other primary care’ deficits …, rural and remote aged care deficit of some $500 million. ….
  • The total rural primary and aged care deficit is therefore likely to be around $3.0 billion.

external link National Rural Health Alliance Inc fact sheet 27

Extracts from fact sheet 23/6/2016:

The death rates for a range of diseases is higher in remote Australia.

Death rates from the major causes of death in Australia are significantly higher in remote communities when compared with major cities:

  • Land transport accidents – almost five times more deaths
  • Diabetes – three times the number of deaths
  • Suicide – twice the number of deaths
  • Chronic obstructive pulmonary disease – 60% higher death rate
  • Coronary heart disease – 40% more deaths
  • Lung cancer – 40% more deaths

People in remote Australia die around three years earlier than people in the city, this is despite there being fewer older people living in remote communities.

Accessing health care

• General practitioners

Access to a GP is one of the services that people living in remote Australia value as vital .. .there is around 20% less Medicare funded GP activity compared with the same population in the city.

• Specialists

There are 80% less Specialists in remote Australia when compared to the major cities.

• Dental workforce
Remote Australia has access to only one third of the number of dentists of major cities.

• Allied health professionals

Access to allied health professionals is also an issue in remote Australia, particularly with regard to ongoing treatment and management of chronic diseases and for rehabilitation and recovery from significant illness or injury.

Per 100,000 population, there are:
42% fewer pharmacists, psychologists (65% fewer), podiatrists (68% fewer), physiotherapists (51% fewer), optometrists (68% fewer) and occupational therapists (65% fewer)

• Nurses
In contrast to the poor distribution of most health professionals in remote Australia, nurses are fairly evenly distributed across major cities, remote and very remote Australia.

Difficulty accessing health professionals can have serious consequences.  Using diabetes as an example, we know that the role of allied health practitioners, particularly podiatrists, in preventing hospitalisations and amputations due to diabetes is critical.

Without access to health professionals, people in remote Australia may need lengthy stays away from home and may also jeopardise continuing recovery after returning home creating a vicious cycle of increasing ill health.

external link National Rural Health Alliance Inc The health of people living in rural Australia

Fact sheets on an extensive range of health topics, external link National Rural Health Alliance Inc

Concession to pathology companies

“The Turnbull government has neutralised a vocal opponent by promising to control spiralling pathology collection centre rents, which will boost margins for companies such as Sonic Healthcare and Primary Health Care.

………In the opening stages of a hard fought federal election, the deal is a win for the government, which has managed to pacify an opponent……..”

The government has in fact deferred the abolition of a bulk billing incentive until after the election.  The government’s attack on bulk billing has been criticised by many alongside comment that the pathology sector already makes handsome profits and the rebate system needs reform but that does not mean attacking bulk billing.

Disposable income per capita has been falling since 2011

……After years of growth upon growth, GDP per capita has turned pretty much flat in the last few years.

….In fact, GDP is not even the best measure of individual welfare. If you want to adjust for inflation and look at people’s disposable income, things are even worse.

disposable-income-per-capita2016

GDP …. flat

GDP per capita 2016

External link, the views expressed are not necessarily those of savemedicare.org news.com.au population boom’s hidden secret

Planning for Massive health, Medicare Privatisation

Reports emerge of “well advanced” planning for massive outsourcing of government payments with a view to making it a key feature of Treasurer Scott Morrison’s first Budget in May.

…the $50 billion-plus outsourcing would be the first time the private sector has delivered a national service subsidised by the government.

…would administer claims and payments while overseeing eligibility criteria, meaning they would require access to people’s sensitive private information.

….The Health Department 18 months ago asked for expressions of interest to deliver Medicare, PBS and Veterans Affairs payments. The three programs will dispense a combined $39 billion in 2016-17 — $22 billion in Medicare benefits and $10.5 billion in PBS subsidies.

Total payments for aged care, including home and community care programs, will be $15.8 billion this financial year.

external link The West Australian