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According to the AMA, the system could already be outdated and showed signs of strain.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in the 1980s, but with our ageing population and growing chronic disease rates, GP consultation items have become out-of-date,' AMA president Dr Danielle McMullen highlighted.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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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.
100% agree! Including myself, getting absolutely nothing in return & can't afford medical help or doctors so have resigned myself to the fact that when the time comes I'll jus lay down & die or take things into my own hands! Country is a disgrace & only seems to benefit those who contribute least, just like it protects crimibals & punishes victims now times!
 
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Must be gearing up for the Elections later this year Labour have already started with their fantasy bullshit, as soon as this gormless prat got into power my PBS meds went up over a dollar, my only saving grave the costs for meds are staggered over the month.
 
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I don't know a lot about politics so don't shoot me down but isn't Dutton shooting himself in the foot by saying he'll dismantle Medicare?
Surely people wouldn't vote for him if that's the case?
 
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
Nailed it! I was nursing in the emergency ward at St George Hospital in Sydney from 1972. There was a war in Lebanon around that time and the Australian government was bringing in refugees from the area.

Our workload increased considerably, not just because of the extra numbers. The reasons they would turn up demanding treatment were ridiculous sometimes. The most insignificant injuries were enough to bring them to emergency. Some were so insignificant, only a bandaid was required, and sometimes, not even that. The doctors were driven insane.

However, multiculturalism is a wonderful thing! As long as you don't have to cope with the actual people involved.
 

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