Is Medicare on the brink of collapse? See how it can affect senior care soon

For many Australians, Medicare has been a cornerstone of healthcare.

Medicare provides patients peace of mind and access to essential medical services.

However, recent concerns suggested that Medicare could flat-line soon, urging reforms to revive the dying system.


Established in 1984, Medicare offered universal healthcare to all Australians.

It was a system that revolutionised the way healthcare was delivered across the country due to its accessibility and affordability.

Yet, the Australian Medical Association (AMA) recently raised an alarm about the essential healthcare system.


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There has been a shortage of General Practitioners in Australia, particularly in rural areas. Image Credit: Pexels/Jonathan Borba


According to the AMA, the system could already be outdated and showed signs of strain.

'Medicare was revolutionary when it was introduced in the 1980s, but with our ageing population and growing chronic disease rates, GP consultation items have become out-of-date,' AMA president Dr Danielle McMullen highlighted.

'Now, of course, we're in a time where people have more chronic diseases, more mental illness, and even the treatment of simple health conditions is more complicated than it was back in the eighties.'

This mismatch led to inadequate care and increased pressure on hospitals to take care of patients.


One of the most pressing issues is the shortage of GPs, particularly in rural and remote areas.

Grattan Institute's Peter Breadon emphasised the importance of primary care in rural areas.

'People who live in GP deserts, these communities in many rural parts of Australia where there's just much less care and those people are sicker, they're much more likely to go to hospital for a condition that could have been prevented with good primary care,' Mr Breadon shared.

On the other hand, Australian National University's Sharon Friel believed that GPs could help patients prevent serious illnesses and reduce the financial strain on the current healthcare system.

'We'll see more people going into the hospital presenting with conditions that really should not be in the hospital; they should not be in the emergency department,' Ms Friel pointed out.

'The GP or the wide primary healthcare system is so important for equitable access, timely treatment, and reducing the financial cost to the system.'


To address Medicare's struggles, the AMA launched the Modernise Medicare campaign.

The campaign's main goal was to push for a series of critical changes in the system.

These changes included restructuring GP consultations to allow longer appointments, addressing workforce challenges, and an increase in funding and resourcing to support these initiatives.

The AMA also proposed a seven-tier standard consultation item structure to support longer appointments.

This structure should encourage a multi-disciplinary approach to general practice healthcare.

They also call for an additional 1,000 training positions for early career doctors to address the predicted shortfall of 10,600 GPs by 2031.


Dr Michael Wright, the president of the Royal Australian College of General Practitioners, echoed the need for longer consultations.

He also reiterated that the healthcare system should continue offering bulk billing services and increased rebates for extended appointments.

These changes could reduce out-of-pocket costs for patients and ensure that all Australians can afford a GP appointment.

In line with these proposals, the Health Minister's office responded to the healthcare sector's calls.


A spokesperson on behalf of Health Minister Mark Butler pointed at the Albanese government's investments towards the country's healthcare system.

These investments led to more bulk billing, the establishment of Medicare Urgent Care Clinics, and an increase in doctors across the country.

These efforts have resulted in an additional 5.8 million bulk-billed visits since November 2023, indicating some progress in addressing Medicare's challenges.

However, the AMA insisted that without significant changes in the system, the gap between the cost of providing care and the Medicare rebates could become insurmountable in the future.
Key Takeaways

  • Australia's AMA started advocating for substantial reforms to the outdated Medicare system.
  • The AMA proposed changes such as restructured GP consultations, addressing workforce challenges, and boosting funding and resources.
  • Experts highlighted the need for longer GP appointments to provide more holistic care and better health outcomes, particularly for Australia's ageing population with complex health needs.
  • The Australian government shared that its investments have resulted in more bulk billing, Medicare Urgent Care Clinics, and a significant increase in doctors joining the healthcare system.
Medicare is a lifeline for many, and its preservation is essential for our well-being. Have you faced challenges accessing GP services? Do you believe the proposed reforms will make a difference? We encourage you to share your thoughts about Medicare's situation in the comments below.
 

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With a lot of doctors not taking new patients anymore and the lack of GP's in certain places the only other place to go for treatment is the hospital. Emergency Departments are now a substitute doctors surgery. The doctors I go to don't bulk bill and I usually have to wait a month to see my doctor. The skin specialist we go to is booked up to July this year. Before you say go to another doctor or skin specialist all the doctors around this area are not taking any more new patients. We have been going to the same skin specialist for 15 years and after talking to people that go to other skin specialist we have the best one around this area. How did our country become such a mess?
 
Medicare is an ALP initiative and is in line to be dismantled by Dutton and the LNP if he wins government
Yes-- many people do go to hospitals because they can't doctor shop any more but the ALP set up "out of hospital" emergency clinics to help with that problem
WE must all remember that the AMA is not patient friendly, but is the union of doctors and is predominately LNP leaning so any complaints from the AMA must be taken with a large dose of salt
Doctors not making enough so the ALP raised the money to bulk billing and up went the doctors fees because the AMA told them to
Specialist fees gap too great , more money and the AMA recommends that they increase their fees--BUT it doesn't matter , The LNP is hell bent on getting rid of Medicare and making sure every body has private health insurance, the premiums of which will double and the pay outs halved-- exactly like in the USA
 
Our son struggles with his mental health and has a congenital heart condition. He often goes to the ER looking for help but they won’t provide any and just send him back home. The GP surgery that we all attend won’t treat him on Medicare as they are now called Private Surgery as are most nowadays and the cost to see a GP is too much for him to be able to afford. We are pensioners and struggling with our own health issues and cannot afford to always pay for him to be seen. It’s a complete and utter disgrace that you have to wait 8+ weeks to get an appointment.
 
Yes, something needs to be done to upgrade the system we have atm. In late 2021 I had a mini stoke, which has affected my balance and vision ever since. Now, around three and a half years later, I am still waiting to see a neurologist about what might have caused it and possible treatments. All in all, I am not happy with how Medicare has gone in recent years. It needs to be sorted NOW. There are many people just like me, who have spent their lives paying taxes to support this system, only to find that they are no longer supported in later life.
 
Our son struggles with his mental health and has a congenital heart condition. He often goes to the ER looking for help but they won’t provide any and just send him back home. The GP surgery that we all attend won’t treat him on Medicare as they are now called Private Surgery as are most nowadays and the cost to see a GP is too much for him to be able to afford. We are pensioners and struggling with our own health issues and cannot afford to always pay for him to be seen. It’s a complete and utter disgrace that you have to wait 8+ weeks to get an appointment.
YES it is a disgraceful state of affairs bought on by the AMA telling doctors to stop using bulk billing--It is a problem that will get far worse when Dutton gets into power and closes Medicare down at the insistence of the private health insurance lobby
Struggle on and vote the ALP as they are the only ones who have your health at heart and are currently working at improving the situation
Yes, something needs to be done to upgrade the system we have atm. In late 2021 I had a mini stoke, which has affected my balance and vision ever since. Now, around three and a half years later, I am still waiting to see a neurologist about what might have caused it and possible treatments. All in all, I am not happy with how Medicare has gone in recent years. It needs to be sorted NOW. There are many people just like me, who have spent their lives paying taxes to support this system, only to find that they are no longer supported in later life.
you really need to be in private insurance as you would be in the surgery within weeks-- I hope you realize that all of the specialists that you wait for in the public system are in private practice first and only attend the public hospitals when Medicare can afford them
I hope you also realize that there is a very large portion of the public with private health insurance that attends the public hospitals for what they can get from the emergency clinics or they are so wealthy they do not have any insurance because public hospitals are free-- then they complain about the long wait times
Maybe medicare should introduce a means test and people with an income above a set amount have to pay for the medicare service
 
Many more Australians would have private health insurance if :

1, It was affordable,

2, Loose the 2% charge for every year over 30 for new members

3. There was not such a high out of pocket gap fee that goes with using your insurance.

People who are paying to have health insurance should not have out of pocket fees to pay.
This scheme is designed at the moment to encourage those who can afford to pay insurance not to use it and use the Medicare system instead as we all know if you are prepared to wait you will get the same service for free.
 
There is not enough Medicare Emergency Care Centres. If you call an After Hours Doctor Service you have a 4 hour wait. If the Private Hospital Emergency charges attracted a rebate more people would go to them instead of the Public ones. People are not going to pay Over $200.00 probably over $300.00 now. Pensioners have to pay about $40.00 less than normal charge. Even if you go to a GP and are given a letter addressed to a particular private hospital you still have to pay the fee. If they stop Medicare people will have to get the lowest private health cover - as people did before the introduction of Medicare.
 
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with the cost of liveing keeps going up light bill land rates water rates and now home insurance food and the rest people cant afford private insurance and gp prises go up every year
SA is the highest taxed state. Some services we pay Australian national taxes plus Tax levied by the State Govt.
 
My husband and I had private health cover for years and gave it up two years ago as I needed my leg veins done which weren't covered and my husband needed cataracts done which weren't covered. We had paid for years nit needing it and now not covered anyway and with cost of living as it is we tossed it away.
On the bulk billing front I came to WA in 1987 and have been fortunate to have a bulk billing doctor all the way through now.
 
Before Medibank/Medicare, 1975, everyone had membership to a private health fund. Those on Age Pension and other Social Security payments were issued with SHB cards they gave to their health fund. If they had cover higher than what Medicare is, they either paid nothing or just the difference between basic and the level they wanted.
Only reason I know this, I was Supervisor of a team in a health fund processing all the SHB (Subsided Health Benefits) cards.
We lost far too many nurses as a direct result of the COVID Mandate be vaccinated or no job. We lost those who did not get vaccinated and those who did and suffered burnout.
 
My husband and I had private health cover for years and gave it up two years ago as I needed my leg veins done which weren't covered and my husband needed cataracts done which weren't covered. We had paid for years nit needing it and now not covered anyway and with cost of living as it is we tossed it away.
On the bulk billing front I came to WA in 1987 and have been fortunate to have a bulk billing doctor all the way through now.
Did you have "Extras" cover, not just hospital?? Cataracts may be classed as an "Extras"
 
Many more Australians would have private health insurance if :

1, It was affordable,

2, Loose the 2% charge for every year over 30 for new members

3. There was not such a high out of pocket gap fee that goes with using your insurance.

People who are paying to have health insurance should not have out of pocket fees to pay.
This scheme is designed at the moment to encourage those who can afford to pay insurance not to use it and use the Medicare system instead as we all know if you are prepared to wait you will get the same service for free.
Yes, I agree we have private insurance we can't afford not to. The out-of-pocket gap is ridiculous. No wonder people line up to get their health issues done under Medicare.
 
I have multiple health conditions and am now unable to work. I rely heavily on Medicare and have appreciated the life saving interventions I have received. Maybe like most Assisted programs it could be means tested. Those who cannot work for health reasons and need the system should have priority.
 
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