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According to the AMA, the system could already be outdated and showed signs of strain.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in the 1980s, but with our ageing population and growing chronic disease rates, GP consultation items have become out-of-date,' AMA president Dr Danielle McMullen highlighted.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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Let's be clear, Medicare is an underinsurance scam. The legislated Monopoly insurer (Government via Medicare) is taking ever increasing Medicare levy money, yet NOT properly increasing what individuals are covered for. They cynically call it "universal insurance", but it is NOT universally applied. And Labor are WORSE than LNP historically in this regard as no one will accept they cut back, so they get away with it. It's just a vote-winner white elephant to them!

Look up how much it costs to see another type of health practitioner. Naturopaths $140-350. Physios $135-200. Chiros $120 for an initial consult, might be under $100 for follow ups (we all know it takes several sessions!). Yet go to your GP, & Medicare cover you for the princely sum of $42.85. And remember, these aren't the GP's income. This is meant to cover the building, staff, consumables, etc, etc.

YOU DO THE MATH.

Now who is conning who? How much do you really expect you get for that? And people complain when doctors respond by trying to rush everyone through!

The health ministers tell GPs to bill the patients extra if they think it's too little. But they won't be honest & tell you they've told the doctors that!

Now the Labor response is to bring in a Bulk-billing incentive, but it's too little, & only some people are eligible. That's why it's no longer "universal" - only some get it, not everyone.

YOU, dear people, are being conned by any politician who tells you they are looking after you through Medicare. And if you dare to go along with their rhetoric & allege the GP's are rolling in it, explain how $42.85 a pop does that! Because that would explain why all our youngest & brightest are becoming GP's in droves. Oh, wait...
 
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It looks like voting for the ALP is part of the solution
The only reason for Albo to be shooting his mouth off is that he has nothing, his forte is blaming everybody else for any mistakes he makes I think he's doing to the country, what someone did to a single mother? GIVE ALBO - THE ELBOW
 
Did you have "Extras" cover, not just hospital?? Cataracts may be classed as an "Extras"
We had extras but cataracts still not covered. It was too expensive for us to include them. My husband went on the waiting list for public and got thrm both done.
 
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One thing that can be done is with certain medications can't be prescribed with repeat attachment so every month I have to make an appointment for a medication that prescribes 25 tablets another 28 now we all know that there 23 and 28 days in a month. But we all learnt this Thirty days hath September, April, June, and November, All the rest have thirty-one, Except February, twenty-eight days clear, And twenty-nine in each leap year. Now it would appear that a public hospital doctor can prescribe a repeat script for five repeats while a GP can't.
 
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Reactions: Josephine767
The AMA have traditionally kept entry marks for students wanting to study medicine very high ostensibly to keep the numbers down for obvious reasons. Many young people who would have made very good doctors have been denied entry to the discipline. This is probably still the case.0With 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?
 
We had extras but cataracts still not covered. It was too expensive for us to include them. My husband went on the waiting list for public and got thrm both done.
I needed cataract surgery and became legally blind in a matter of 6 months all during covid.It cost me $5000 for my surgery and$1000 for anaesthetic.Thisvwas mymout of pocket after paying $6000 a year for my husband and me top hospital with extras Oh and $500 excess to the medical fund.All for a 20 minute procedure and waited 6 months for the specialist eye surgeon.
Colonoscopy.....$500 excess to fund.
Out of pocket expenses to anaesthetist,what do you do At 68 and 64 respectively,we are too scared not to have private medical.If it takes this long to see a good doctor of your choice Id hate to see how long it would take in the pubic system.
I also see a psychiatrist after suffering 34 years from depression and anxiety.My new pychiatrist(waited 10onthd for the privilege )charges by the minute.Over 15 $450 under 15mins $375 my medicate rebate $130.85
Not to mention 28 tablets for $90 not on NHS,plus other meds and my husband also has a terminal illness of which he has constant huge out of pocket expenses for specialist and treatments.Dont go thinking he gets anything for free,be does not.
I always ask if I had a pension card how much would this cost.ANSWER
THIS IS A PRIVAYTE SPECIALIST ROOMS WE DONT GIVE DISCOUNT TO ANYONE OT ACCEPT ANY CARF WHAT SO EVER.Makrs me feel like I am just as ripped off.Gp $70 and out the door in 10 minutes.Even signs up saying don't bring up more than one ailment per appointment?!!!
It makes you want to cry not laugh


Yes we all have our stories,it's a terrible state of affairs.I just thank god everyday that we can afford all these fees,(we go without a lot of things to allow for our medical bills and meds)
That's my rant and everyone above is correct with everything said here.Its just sad
 
It has been systematically dismantled by the LNP for two decades. They claim there is no money, yet they grant large tax cuts to mining companies and allow businesses to charge lunch meetings as a tax expense. Dutton wants to continue this practice. They continually provide richer people with more tax cuts and try to convince lower-income individuals that it is their benefit. Many other countries have a good free system; Europe is a good example. They are not afraid to pay for the benefit of free schools, medical care, transport, etc. You may call it socialist, but the alternative is what America is facing now.
 
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?
Immigration?
 
Well well, liebour created the cost of living crisis and blamed their incompetence on LNP. Now that yet another one of liebour's hobby horses has become lame, they throw $billions at to try to keep it alive at all cost and, you guessed it, blame LNP for the overspend. Run another lying scare campaign full of empty promises while spreading an exponentially increasing pile of 🦬:poop: about The Hon Peter Dutton and The LNP.
 
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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?
It’s the same in our rural town. We have a couple of part time GP’s. 6 month waiting list for an appointment and they only bulk bill pensioners. $100 for a consult. My husband went to the Emergency room in our town hospital with groin pain and they told him he had to go see a GP.
 
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

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
About the wealthy not having private coverage sounds suss as they get taxed a higher medicare tax rate at 1.5% and that actually costs them more, than they would get, covering themselves privately. Private insurance is cheaper than paying the medicare levy charge.
 
Well well, liebour created the cost of living crisis and blamed their incompetence on LNP. Now that yet another one of liebour's hobby horses has become lame, they throw $billions at to try to keep it alive at all cost and, you guessed it, blame LNP for the overspend. Run another lying scare campaign full of empty promises while spreading an exponentially increasing pile of 🦬:poop: about The Hon Peter Dutton and The LNP.
Albo has a lot to answer for because of his mass immigration experiment, there was no planning for schools, hospitals, doctors, nurses or housing. he has now let in up to 2 million people since he has been in power and in 2023-24 homelessness has increased by 22%. Now you know why we have doctors and hospital issues, As well as this the immigrants/backpackers are being told if they have a medical issue go straight to the emergency department as they wont be charged, in effect they are getting free medical aid (for a stubbed toe as an example)
 
I may be wrong my memory is not good but I thought Gough Whitlam started up Medicare and you didn’t pay anything to see a Dr provided they were charging the recommended fee. If they charged over you paid the extra . But as all systems have loopholes and there are greedy people it’s ruins a good scheme . Along came Geoffrey Eddleston , seem to remember he got jail time for ripping off the system . Probably a lot of other doing the same and never got caught.
 
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?
Easy,, the rorting and corruption within the medical arena ... how many private mongrels have cleaned it to the bone?
Don't expect any special treatment from the emergency... they are putting out registered nurses to prevent people from using the system..... I am one of them.
The last time I was admitted to emergency the Dr came outright and said if I was admitted again they had no choice but to let Me 'GO'.
 
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
 
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
Private health insurance is no help with doctors or specialist visits. It only covers in hospital care.
 
We have Platinum health fund which covers all dental cataracts hospital private for varicose vein surgery etc BUT costs over $800 per month and still doesn't cover everything very annoying
 
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Ahh so nothing to do with immigration rates of 500,000 people coming into the country per year- dodge around it again, but surely this has a major impact on the medicare system, especially if these immigrants are not paying taxes but taxing on/exhausting our systems /services (medicare, centrelink, housing, schools, roads, etc etc) big time- what a mess we are in & no one wants to admit they stuffed up! Were there 500,000 immigrants entering our country every year in the 80's & 90's....??? Hhmmm
 
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