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According to the AMA, the system could already be outdated and showed signs of strain.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in the 1980s, but with our ageing population and growing chronic disease rates, GP consultation items have become out-of-date,' AMA president Dr Danielle McMullen highlighted.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

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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?
Overpopulation. We should be making sure we can accommodate all all migrants before they are able to enter the country. This includes housing and jobs.
 
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I remember when we were covered with all medical ,under Whitlam ,then Fraser and Howard were elected Health ins went up ,no gap disappeared,and out of pocket expenses went through the roof. To have those days back would be a godsend.
 
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I remember when we were covered with all medical ,under Whitlam ,then Fraser and Howard were elected Health ins went up ,no gap disappeared,and out of pocket expenses went through the roof. To have those days back would be a godsend
 
I have watched the UK. system at hospitals where a RN looks at the patient’s needs and if didn’t need a doctor would treat small minor injuries themself.
i think this could work here.
 
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.
No it's not,my levy wouldn't be close to _$7000 this april
 
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....??
 
I think you will find if it wasn't for immigrants we would benin recession.Hardly blame them for Centrelink and Medicare issues.
Aren't most of our doctors and dentist's and IT professionals all immigrants???!
Don't see too many of those down the beach on the dole and lying on a filthy hammock a d beaten up cars.🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
 
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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.
Totally agree…
I have private health insurance, top cover, but still I have to pay to have eye surgery…the only positive is that it is being done immediately!!!
 
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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

Well said 👌
 
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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
I believe that not only Medicare is under threat but everything which is government subsidised is also under threat. Mr Albanese thinks that by spending money to help overseas countries he is safeguarding this country but to my way of thinking it is a way to rob Peter to Pay Paul with no good results.
 
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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.
Not in
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.
Not in qld never heard of SHB cards
 
I think you will find if it wasn't for immigrants we would benin recession.Hardly blame them for Centrelink and Medicare issues.
Aren't most of our doctors and dentist's and IT professionals all immigrants???!
Don't see too many of those down the beach on the dole and lying on a filthy hammock a d beaten up cars.🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
B/s
 
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
Ok so if they are wealthy they probably have paid much more in tax than the average pensioner. So who should get to see the doctor in a hospital? Means testing means that those that pay are missing out again.
 
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.
As does mine 5 repeats.maybe states are different in their laws it should be uniform
 
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Some drs from overseas are duds. We had one at our surgery who was more interested in my ear rings ,and how young I looked for my age ,while my bp was 190 and thought nothing of it , and had a chest infection.He was from SAfrica. Yet Chinese ones were top of their class.Some Aussie ones are just as bad.
 
Totally agree…
I have private health insurance, top cover, but still I have to pay to have eye surgery…the only positive is that it is being done immediately!!!
I was out of pocket for cataract surgery by approximately $1600 each eye.
 
I think you will find if it wasn't for immigrants we would benin recession.Hardly blame them for Centrelink and Medicare issues.
Aren't most of our doctors and dentist's and IT professionals all immigrants???!
Don't see too many of those down the beach on the dole and lying on a filthy hammock a d beaten up cars.🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
Hey Leonie B/S? What's your opinion if you think what I have said is B/S.Backmup.your abbreviation(unless it's a typo)
Hey doggyday it’s Leenie not a typo ,immigration has clogged up the system , I remember years ago they were given housing ,and$10,000 To buy white goods etc while Aussies were homeless, sure bring in the qualifiedDrs ,they still have to pass tests before they can practice, but don’t open the floodgates as what is happening now. I agree with Gus they should only be allowed in when there housing etc not before.
 

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