No-cost GP clinic shuts down, leaving thousands stranded without care

Canberra’s healthcare system has taken a hit with the closure of a key bulk-billed clinic.

The move has impacted around 5,000 patients, raising concern for those who rely most on accessible care.

Many are now searching for alternative healthcare options in a strained system.


For six years, the IHCO has been a beacon of accessible healthcare, offering a free service to patients through the Medicare bulk-billing system.

However, the clinic's noble mission to provide quality care without the financial burden has faced insurmountable challenges.

The clinic struggled to generate sufficient income to cover its operational costs and attract enough medical professionals to meet the service demand.


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The Interchange Health Co-operative has entered voluntary administration due to financial struggles. Credit: Depositphotos


For patients like Maryam Khazaeli Dobson and her mother Farah, the closure is more than just an inconvenience; it's a devastating loss.

'I was actually contemplating how to share the news with my Mum. She has chronic ongoing health issues, and we were very well looked after by the Interchange Health Co-operative over the past few years,' she said.

'We're devastated because we don't know where to go to now that would offer both quality and affordable GP support together with allied health, which the Interchange had.'


Maryam, who is her mother's primary carer, expressed her distress, noting that the IHCO had been instrumental in managing their health effectively.

The ease of making appointments and the quality of care they received were a stark contrast to their previous experiences, where financial constraints sometimes forced them to skip essential medical appointments.

The closure of IHCO is symptomatic of a broader issue within the Australian healthcare system, where the sustainability of fully bulk-billed services is in jeopardy.

Over the years, Australians' confidence in accessing bulk-billed healthcare has eroded.

'When I came to Australia 13 years ago, I got the green Medicare
, and I was confident that I could go to a local GP, be bulk billed, and my mental health would be looked after,' she added.

'Over a decade later, I don't have that level of confidence now.'

'I think change has happened over the past 12 years with Medicare not being funded to an extent that it should for this model of care to be sustained for everyday Australians.'


IHCO's reliance on Medicare rebates, government project grants, and membership fees was insufficient to keep its doors open.

Despite concerted efforts to recruit more GPs and offer competitive market rates, the clinic could not overcome the financial pressures that have become too common for bulk-billing practices.

The clinic's commitment to its patients remains steadfast, even in the face of closure.

IHCO has contacted the ACT government to ensure that the most vulnerable patients can transition to other public health services without disruption.

The clinic's board and staff work closely with administrators and government officials to facilitate a smooth transition, particularly for those with complex health issues.


Dr Rebekah Hoffman of the Royal Australian College of General Practitioners (RACGP) echoed the sentiment of disappointment.

'It really pushes home that bulk billing isn't a viable financial model for long-term quality general practice care,' she said.

'This is quite often a complex group of patients that need long medical care.'

The patients who rely on IHCO often require extensive and ongoing medical attention, which is difficult to sustain under the current funding structure.

The closure of IHCO raises critical questions about the future of healthcare in Canberra and Australia at large.


Patients like Maryam Khazaeli Dobson call on policymakers to recognise the value of primary preventative care and invest in services that allow for quality, long appointments.

Such care is essential for maintaining the well-being of the community, especially for those who face language barriers or have been impacted by trauma or disability.

As Canberra residents await a decision on the future of IHCO next month, the situation serves as a stark reminder of the importance of accessible healthcare and the need for a sustainable funding model that ensures all Australians can receive the care they deserve, regardless of income.
Key Takeaways
  • The Interchange Health Co-operative in Tuggeranong, Canberra, has entered voluntary administration due to financial struggles.
  • Nearly 5,000 patients are affected by the closure, including many vulnerable community members who relied on the clinic for bulk-billed healthcare services.
  • The clinic has struggled to raise sufficient income and attract enough doctors to operate under a fully bulk-billed business model.
  • Patients and health professionals have expressed devastation and concern, highlighting the importance of bulk-billed services for vulnerable populations and calling for greater investment in primary preventative care.
How can the government help keep bulk-billed services available for people who need them most? What can be done to make healthcare more affordable and accessible for everyone in Canberra? You can read more about it here.
 

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Health shoud be one item that is on the top of the list of priorities that the Australian Government needs to address. Appropriate funding will ensure that Australians have access to more early intervention programes with should reduce the developement of chronic diseases. How about Universal Health Care which is free health care provided by governments in other countries i.e mainly Northern Europe, where everyone has access to free medical care. It can be done and should improve the health standards for Australians especially those who have been locked out of our current system. How about the Government close tax loopholes for those who earn big money especially the 150 billionaires living in Australia who benefit from tax loopholes. What about the charities that pay no tax i.e religious organisations, the Catholic Church amoungst others that have become multinational businesses, no taxes.?? The Lib`s lean towards privatisation so the user pays. Labour plans to introduce 50 more free urgent medicare clinics, if you can get to them! this will not be enough to address the current health care issues. .
 
Well, we brought in a Million or so people under this Labour government, but, did we target people that we genuinely need, or, just pander to the Palestinian problem so we ensure Labour winning there Western suburbs seat again.
They were certainly front and centre when they made New Australian Citizens recently, why were they not front and centre at this Clinic to see what could be done to enable its continuance.
 
What do you expect for $41 rebate?
They call it universal health insurance, & the government spruik Medicare shamelessly, but only insure us for less than half what it costs.
What other businesses can survive on over 50% discount?
 
This is also means that people will wait until they are sick enough to go to Emergency at the Hospital.
Maybe if the gap wasn't so high more people would use the clinic. I overheard a conversation once at a clinic. Somebody called for an appt. and was told it was $110.00 on the day and the Medicare rebate was approx. only about 1/2 of that. Admittedly some patients go to the Dr. more for a chat than actual treatment.
 
how come albo did not tell this one while he was flashing his medicare card at the forum.
For him to win that debate is beyond me, but, it was stacked with idiots who are unable to make up their minds.
So you support Mr Dutton who will make sure you pay for all medical care, might as well get Private Health Insurance and that won`t even help you.
 
First thing is it should not be Political, they are only in for 3 years and our health is longer term. So, isn't it about time both Parties got on board and fixed the problem?
So, you either fix this so-called rebate system or you continue to have people who die as they can't afford to go to a doctor. Just maybe the Medicare card should have another level attached denoting Pensioners, unemployed or whatever the status of the person(`s) is and they get a discounted bill?
 
This is also means that people will wait until they are sick enough to go to Emergency at the Hospital.
Maybe if the gap wasn't so high more people would use the clinic. I overheard a conversation once at a clinic. Somebody called for an appt. and was told it was $110.00 on the day and the Medicare rebate was approx. only about 1/2 of that. Admittedly some patients go to the Dr. more for a chat than actual treatment.
Emergency care at a public hospital is like going to a crowded animal muster.
 
First thing is it should not be Political, they are only in for 3 years and our health is longer term. So, isn't it about time both Parties got on board and fixed the problem?
So, you either fix this so-called rebate system or you continue to have people who die as they can't afford to go to a doctor. Just maybe the Medicare card should have another level attached denoting Pensioners, unemployed or whatever the status of the person(`s) is and they get a discounted bill?
This is a political problem because the Goverment (whatever party) controls the purse strings, and makes decisions where our money is spent.
 
So you support Mr Dutton who will make sure you pay for all medical care, might as well get Private Health Insurance and that won`t even help you.
I have just had surgery and with private health I was only out of pocket $250 for the anaesthetist my surgeon accepted The gap as Bupa pays Dr s more than Medicare , with others you are out of pocket thousands .
 
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They Tax Fossil fuels in Scandinavian countries and put them into Health and retirement benefits for the Public.
We are blessed in this country with an abundance of Coal,Oil and gas as well as iron ore etc etc.
Both Political parties need to legislate and make sure that no matter which party rules the $ flow to this area for us all. They need to respect the people who put them there in the first place.
FYI. I am lucky enough to afford Private health cover, but I feel that we all need to pitch in to get our Medical service industry up to a world standard.
 
Well, we brought in a Million or so people under this Labour government, but, did we target people that we genuinely need, or, just pander to the Palestinian problem so we ensure Labour winning there Western suburbs seat again.
They were certainly front and centre when they made New Australian Citizens recently, why were they not front and centre at this Clinic to see what could be done to enable its continuance.
And not ONE immigrant or refugee entered Australia under an LNP government.

Give me a break!! :rolleyes:
 
What do you expect for $41 rebate?
They call it universal health insurance, & the government spruik Medicare shamelessly, but only insure us for less than half what it costs.
What other businesses can survive on over 50% discount?
Woolworths and Coles with their shonky "half price specials".
 
That just shot down one of Labor's Medicare plan. They have to approve more Dr's so these bulk billing practices survive.
The cost to run these GP practices is astronomical, Dr's nurses & reception staff all need to be paid a decent wage to stay open & more incentive/input from Medicare.
 
Like hell it is. The government fund it from our taxes, & it is shonky underinsurance even then.
The only reason they spruik it is because people don't get it, focussing on getting something supposedly for free, & so it's a vote-winner.
:confused:
They Tax Fossil fuels in Scandinavian countries and put them into Health and retirement benefits for the Public.
We are blessed in this country with an abundance of Coal,Oil and gas as well as iron ore etc etc.
Both Political parties need to legislate and make sure that no matter which party rules the $ flow to this area for us all. They need to respect the people who put them there in the first place.
FYI. I am lucky enough to afford Private health cover, but I feel that we all need to pitch in to get our Medical service industry up to a world standard.
I`m in private health as well, and paid taxes all my life, not to mention taxes like GST. We have pitched in, and although I did pay high taxes, did not care as long as the less fortunate got their needs taken care of. We seem to forget that the Government, any Government is managing our money. Just because we are no longer earning a wage we have pitched in and continue to do so every day.
 
Emergency care at a public hospital is like going to a crowded animal muster.
You are right on that, when I had my heart attack last year they sent me to Hervey Bay ED and it was like a cattle pen ,noise from visitors and staff was over the top, I thought I was in a third world hospital, and was stuck there for 3 days waiting for flyingDrs to pick me up and go to Sunshine Coast hospital,
By the way no out of pocket with cardiologist
 

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