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.


compressed-pexels-healthcare worker.jpeg
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According to the AMA, the system could already be outdated and showed signs of strain.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in the 1980s, but with our ageing population and growing chronic disease rates, GP consultation items have become out-of-date,' AMA president Dr Danielle McMullen highlighted.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.
 

Seniors Discount Club

Sponsored content

Info
Loading data . . .
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!
 
  • Like
Reactions: Leenie and relljube
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.
 
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.
My GP prescribes repeat scripts for all my medications. If there are different rules for different states I don’t know. Is your GP your regular one? I have been seeing the same one, bulk billed, for about 40 years now.
 
My GP prescribes repeat scripts for all my medications. If there are different rules for different states I don’t know. Is your GP your regular one? I have been seeing the same one, bulk billed, for about 40 years now.
Some if not most he can however it depends on the class of drug, plus the fact that addicted tossers haven't helped.
 
  • Like
Reactions: Leenie
if the present Government put some honest to goodness money into this we wouldn't be in the spot now and that goes for our past Governments too.
 
GPs had at least two bulk billing increases this last year, a short 15min visit is now charged at $95 which is approaching $400/hr, and they are still not satisfied. Psychiatrists in NSW public hospitals threatened to strike over a 50% increase. Surgeons now set their own up front rates and disregard the rebate guidelines through greed, while the Health Insurers use the guidelines, so they pay next to nothing. The AMA, Health Insurers and LNP would have Medicare collapse if they had their way imo there is little doubt they want the American version of practice. The system is far from perfect, but it's all we have, so people need to protect, not abuse it. Hopefully Chemists will play a far greater role in prescribing rather than just dispensing for everyday ailments and free up practices, but the AMA will still resist this over greed, it's a Union after all.
 
  • Like
Reactions: Knell
if the present Government put some honest to goodness money into this we wouldn't be in the spot now and that goes for our past Governments too.
If Doctors were not so greedy we wouldn't be in the spot now, at around $400/hr, enough is enough.
 
  • Like
Reactions: Knell
The Government of both parties have done nothing to keep medicare up to date in the last 40 years
In the last year alone, bulk billing had at least two rate rises and GPs are on about $400/hr, my nearest doctor charges $95 for a short visit, this is why many now front up at hospital for minor ailments, but will the AMA approve Chemists to play a greater role, not on your Nelly. Many otherwise out of reach drugs have been put on the PBS, and all medicines prices are now on a 2 and 5yr freeze
 
  • Like
Reactions: Knell
AMA want yet another increase from Medicare, and then promptly charge patients more - which is double dipping. I don't hold much hope for them, due to a looming election.
 
  • Like
Reactions: Leenie
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.
Did you have "Extras" cover, not just hospital?? Cataracts may be classed as an "Extras"
Cataracts are covered clearly their level of cover was not adequate, if they uped it and did the wait period it could have been done. Veins I'm not sure of, it may depend on whether they are classed as cosmetic or necessity.
 
  • Like
Reactions: Knell
They couldn't think ahead...morons... sorry the can't think.....
 
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?
Politicians who don’t give a damn.
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.
obviously you had the wrong cover ,mine covered both, I do have top cover I dropped extras over 14 years ago as the guy atBupa told me I was wasting money as we had ,very little claims ,he said even if we spent $500 a year we would still be ahead. So there seems to be a rip off of health members.
 
It took Medibank/Medicare just 15 years to destroy Canada’s medical system. They saw what was happening, used their brains, and dumped it.
Labor knew this. Two years later, in 1975, bloody Labor foisted Medibank/Medicare onto us and they have stuffed around fiddling w it ever since bcz it was and still is a CRAP System! It shd NEVER hv been allowed to get to this stage, but Labor never admits its worst mistakes !
 
  • Like
Reactions: Leenie
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.
Keating used the public system and so did Peter Beattie then he finally owned up and joined a health fund.
 
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'.
Don’t understand the last sentence, could you explain please.
 
  • Like
Reactions: IAN3005
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.
Multiculturalism is what stuffed this country up .
 
  • Love
Reactions: Joydie

Join the conversation

News, deals, games, and bargains for Aussies over 60. From everyday expenses like groceries and eating out, to electronics, fashion and travel, the club is all about helping you make your money go further.

Seniors Discount Club

The SDC searches for the best deals, discounts, and bargains for Aussies over 60. From everyday expenses like groceries and eating out, to electronics, fashion and travel, the club is all about helping you make your money go further.
  1. New members
  2. Jokes & fun
  3. Photography
  4. Nostalgia / Yesterday's Australia
  5. Food and Lifestyle
  6. Money Saving Hacks
  7. Offtopic / Everything else
  • We believe that retirement should be a time to relax and enjoy life, not worry about money. That's why we're here to help our members make the most of their retirement years. If you're over 60 and looking for ways to save money, connect with others, and have a laugh, we’d love to have you aboard.
  • Advertise with us

User Menu

Enjoyed Reading our Story?

  • Share this forum to your loved ones.
Change Weather Postcode×
Change Petrol Postcode×