GP fees are now higher than rebates, leading to urgent calls for Medicare reform

I think we can all agree when I say health care should be easily accessible, affordable, and available to all Australians. Unfortunately, with the current out-of-pocket expenses we are currently facing, we aren’t seeing an easily accessible healthcare system, with some Australians having to avoid going to the doctor because they simply cannot afford it.

Although Prime Minister, Anthony Albanese, has told us he'll have a plan or a solution to the problem by the end of the year (which we can all appreciate), the pressure is still on to make changes to the current system right now.



What many of us don't realise is that our most trusted and respected healthcare providers – General Practitioners – are the ones who, in many ways, bear the brunt of the burden.

Recent reports revealed that the way in which General Practitioners are being compensated for their services is perhaps a little outdated and unfair.


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For the first time in history, the average fee for seeing a general practitioner is now higher than the government rebate for Medicare. Credit: Pexels/Pixabay.



Data showed that for the first time ever, GP fees were higher than what the Medicare rebate was for a standard 20-minute consultation – which is $41 and $39.26, respectively – leading to Dr Nicole Higgins from the Royal Australian College of General Practitioners calling for an urgent fix.

'What we need is an urgent increase in the rebate. The money the patient gets back from the government when they see a GP hasn't kept up with the cost of providing that service,' she said.



Another issue directly related to this is the fact that bulk billing rates are at an all-time low.

Dr Danielle McMullen from the Australian Medical Association told a news platform that the official 83 per cent figure was likely only a quarter of the true number of people who are struggling to find a GP service that's affordable for them.

'We do think that those numbers around 83 per cent are picking and choosing the figures bit. We do hear from patients that it's more difficult than that,' she added.


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Doctors' groups say that federal payments haven't kept up with rising costs, so more and more general practitioners can't afford to offer bulk billing. Credit: Pexels/Gustavo Fring.



While these are crucial issues that all require immediate attention, Prime Minister Anthony Albanese says that the government's plan is to open 50 new urgent care clinics around the nation by July, to hopefully ease the burden on the health system.

Where these clinics will be located and if the timeline is on track is something the PM remains tight-lipped about.



This news comes after the premiers of New South Wales and Victoria, Dominic Perrottet and Daniel Andrews, have urged the Albanese government to substantially increase funding for Medicare.

A few weeks ago, the two leaders jointly initiated a campaign for the national cabinet meeting to address primary care with a sense of urgency, advocating for pay increases for GPs, an expansion of university places to train more doctors, and improved coordination with hospitals.

Perrottet told the press that he aspired to see an increase in bulk-billing rates to alleviate pressure on hospitals.
Key Takeaways

  • The latest data shows that the bulk billing rate for GPs reached a low of 83 per cent last year in Australia.
  • The average fee for a 20-minute consultation has exceeded the Medicare rebate for the first time in history.
  • The Royal Australian College of General Practitioners and the Australian Medical Association are both calling for an increase in the rebate.
  • Prime Minister Anthony Albanese has announced plans to open urgent care clinics to help relieve pressure on the health system. However, the locations of these clinics are yet to be confirmed.
Members, if you ever find yourself in an urgent situation, please do not hesitate to contact emergency services on 000 rather than going to a GP.

With respect to regular check-ups or other medical advice, we strongly recommend that you take the time to see a GP if you can afford it. Do your research beforehand to find one that is suitable for your needs and, most importantly, affordable.

What are your thoughts on this? Share them with us in the comments below!
 
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So agree with you. When we took out private medical in the 70's. It covered everything. All doctors and hospital bills. We didn't have to pay anything extra.
Now whatever insurance you have there is always a gap fee. A friend with multiple problems & her husband have Medibank insurance & they are paying a fortnight's pension for the privilege of having to pay enormous gap fees every time they have to see anyone except their normal doctor.
 
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These days medical students don't aspire to become a GP. They desire the high $$ being a surgeon.
With this outcome, we see Dr's who value the $, or else we see kind, caring Dr's who view it as a vocation with healthcare.
My GP was a heart specialist in Russia but to be one in Australia he evidently had to go through training here, so decided to become a GP, I no longer waste my money paying "heart specialists" By the by he was the name I was given by my old GP when he retired.
 
When we had a young family in the 60s most people had medical insurance otherwise they had bills from the doctor. I don't know how they coped without. We were not on a good wage and only one working so we had HBF in WA. our first son developed Asthma and the second had tonsillitis so we were constantly needing medical help so it was a godsend to have HBF. Of course, it was a struggle. As time has gone on there have been so many options with medicare etc that people have become used to using this method. I believe that all our hardship in those years has made us realise we should be considering just where we spend our money.
Definitely NOT on insurance. If Great Britain could have a free medical service why not us?
 
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Can I ask a question .

Who is no longer bulked bill and what state are you in.

What Ive been reading it seems Queenslanders are nolonger bulked bill

I'm in NSW and my doctor bulk bills except for Saturday's then you oay $75
We are in SA and now pay, no bulk billing...
 
Can I ask a question .

Who is no longer bulked bill and what state are you in.

What Ive been reading it seems Queenslanders are nolonger bulked bill

I'm in NSW and my doctor bulk bills except for Saturday's then you oay $75
Yes, I'm in Qld and my Doctor's practice has ceased bulk billing. This practice wasn't a sole bulk billing place as it only bulk billed pensioners & other Centrelink patients etc. I've read it's due to not getting enough $ since Covid raised it's unwanted head. Prior to this, it's never been an issue with Doctors not getting paid enough.
 
My GP was a heart specialist in Russia but to be one in Australia he evidently had to go through training here, so decided to become a GP, I no longer waste my money paying "heart specialists" By the by he was the name I was given by my old GP when he retired.
That's great & I would see him too.
My friend who is in her 60's has had eye vision problems for a few years. Her Optometrist told her she has the strongest prescription glasses there is, so nothing more can be done. With these glasses, she is unable to read. Her last eye test showed she had the start of cataracts, so the Optometrist recommended getting them removed with her eye lens replaced fixing her vision. Well, her health insurance has stated that her cataracts aren't bad enough, so this eye operation will be classed as elective. Her health insurance with cover the hospital charge, however her eye specialist is charging her $18,000 gap! Obviously, classes himself as a 'rock star' ophthalmologist.
 
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Reactions: Isabella
Yes, I'm in Qld and my Doctor's practice has ceased bulk billing. This practice wasn't a sole bulk billing place as it only bulk billed pensioners & other Centrelink patients etc. I've read it's due to not getting enough $ since Covid raised it's unwanted head. Prior to this, it's never been an issue with Doctors not getting paid enough.
NSW will be next
 
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Reactions: Penny4
Can I ask a question .

Who is no longer bulked bill and what state are you in.

What Ive been reading it seems Queenslanders are nolonger bulked bill

I'm in NSW and my doctor bulk bills except for Saturday's then you oay $75
NSW and no longer bulk billed from 01/23. I also have a complex medical history so there goes $115 with $75 rebate.
 
Now whatever insurance you have there is always a gap fee. A friend with multiple problems & her husband have Medibank insurance & they are paying a fortnight's pension for the privilege of having to pay enormous gap fees every time they have to see anyone except their normal doctor.
We always had to pay a gap as HBF did not pay the whole account
 
That's great & I would see him too.
My friend who is in her 60's has had eye vision problems for a few years. Her Optometrist told her she has the strongest prescription glasses there is, so nothing more can be done. With these glasses, she is unable to read. Her last eye test showed she had the start of cataracts, so the Optometrist recommended getting them removed with her eye lens replaced fixing her vision. Well, her health insurance has stated that her cataracts aren't bad enough, so this eye operation will be classed as elective. Her health insurance with cover the hospital charge, however her eye specialist is charging her $18,000 gap! Obviously, classes himself as a 'rock star' ophthalmologist.
I also have the start of cataracts my Optometrist told me I may need surgery in about 10 years and that they would keep an eye on it
What they did advise me was to always wear sunglasses out doors, this will help to slow it down
 
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I also have the start of cataracts my Optometrist told me I may need surgery in about 10 years and that they would keep an eye on it
What they did advise me was to always wear sunglasses out doors, this will help to slow it down
That's good to know.
She's going to go ahead & pay this exorbitant amount, as she can't read or drive due to her poor eyesight - not due to the cataracts which would have been better & saved her $ with her health cover.
Thanks for the tip though.
 

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