The pandemic may guide the effectiveness of Medicare


During this time, it takes months to gain access to most specialists, even in affluent urban areas.

National President of the Pharmacy Guild, Trent Twomey, said she did not have a seat at the vaccine deployment table until June, when Lt. Gen. John Frewen took over.

Public hospitals across the country are reaching their caps and only need a small percentage increase to buzz and not squeak.

The initial rollout was too heavily physician-driven, relying on GPs as the primary distribution network. It was going to have its limits, even with an adequate supply.

State-based mass vaccinations praised for their effectiveness are largely focused on nursing care.

Highly qualified doctors are often misused, their skills deployed in relatively basic work.

A 2007 British medical journal An article titled “Why Doctors Are So Unhappy” found that GP’s frustrations were often related to seeing problems they were not in a good position to cure.

Almost a third of family physician referrals revolve around the mental health category.

Australian Medical Association President Omar Khorshid said the lack of increase in GP payments, combined with their high bulk billing rates, encouraged a five-minute in-company medical appointment.

“We want Australia to be the healthiest country in the world. General practitioners should oversee a sophisticated multidisciplinary team providing care. said Khorshid.

The problem is that pharmacists, nurse practitioners and other paramedics don’t want to be watched.

Likewise, the average specialist, after ten years of practice, has seen it all.

An anesthesiologist in the United States oversees multiple theaters simultaneously, leaving the mundane aspects of management to medical assistants, who are similar to Australian nurse practitioners.

In Australia, anesthesiologists are incredibly well trained and among the highest paid specialists, but have an unfair reputation for spending hours on crossword puzzles when surgeries are going smoothly.

A good balance

This overlaps the work of all medical specialists who have enormous training in a narrow area of ​​knowledge.

But the good news is that, like so many aspects of Australian life, we tend to strike a good balance between the most centralized welfare models in the West, including the heavily supervised British National Health Service and the American model more laissez-faire.

Despite our mixed public-private model, our total costs as a percentage of GDP are lower than the NHS – 9.3% compared to 9.8% before the pandemic.

This is done with a minimum of fuss, without sacralization of the system as in the NHS, nor at the expense of America. In the United States, health care costs are approaching 18 percent of GDP, threatening to eclipse the rest of the economy.

“The system has given great flexibility, including the ability to use excess capacity in the private sector.” says Rachel David, CEO of Private Healthcare Australia. His comments have taken on added weight since staff at private hospitals were redeployed for the NSW COVID-19 response.

Immediate steps to better manage patients in team-based care will allow family physicians to focus their skills on difficult clients and outsource more care to allied health professionals such as nurse practitioners.

Many of us could avoid the long wait to see specialists if GPs were funded enough to liaise with specialists for advice.

Public hospitals across the country are reaching their caps and only need a small percentage increase to buzz and not squeak.

The focus on public health also represents an opportunity to bring funding for preventive measures closer to the 5 percent level that advocates have long called for.

If we are particularly ambitious, we might even aim for a national dental plan and further digitization, spurred by the great success of telehealth during the pandemic. Electronic prescribing and health records are being used far below their potential.

As surveys show Australians prioritize the healthcare system, the pandemic has illustrated a more obvious appreciation.

Reform is still onerous, but the pandemic may just provide an opportunity to make our system a world leader in terms of efficiency and results.


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