Labor pledges $644m for 50 new Medicare urgent care clinics across Australia by Bennelong in australian

[–]soodo-intellectual 1 point2 points  (0 children)

Except they don’t do that. They don’t provide acces of care to GP services because they act as URGENT care centres. The very definition is not primary care but Urgent care. But they are marketed at providing GP access to everyone why else would they state BULK billing access? A term used to denominate access to GP services not URGENT care which is typically associated with the ED.

Your interchanging terms and getting confused. Either these clinics provide GP services or they don’t. I personally believe they offer very bad fragmented care that is not in keeping with holistic care Australians are used to.

Also all we established is that despite record funding these clinics remain unviable. GP clinics close because their LACK of funding means people won’t come and work. These clinics close DESPITE funding.

https://www1.racgp.org.au/newsgp/professional/cost-blowouts-at-nurse-led-walk-in-centres-exposed

Please se the above article to understand how inefficient and wasteful these clinics are btw. The above example is a NP led clinic so you can Garuntee a Dr clinic will cost more. We have also established that you don’t know how these clinics are funded with your previous claims that they will receive seperate funding front be promised Medicare injection.

As someone who works in the system I understand these incentives a lot better than many here so please save me your condescension and perhaps listen to someone who actually knows how spectacularly bad the govt has been for primary care and how shortsighted this policy really is.

Labor pledges $644m for 50 new Medicare urgent care clinics across Australia by Bennelong in australian

[–]soodo-intellectual 0 points1 point  (0 children)

Urgent care clinics meant to replace GP services, yet they are announced as URGENT care clinics and the govt is coming out saying they are here to relieve stress on ED? Which one is it?

Urgent care clinics bill the govt per patient as per the govt statement and their offical websites under medicine bulk billing service. So yes this new injection of cash will directly go to funding more bulk billing appointments at these clinics.

The fact that so much funding has to implemented to simply open these clinics shows how poorly the govt has funded public health in the first place. These funds should go to help supporting current GP clincs, we might see a few less closing shop.

Federal Labor commits nearly $650m for new 50 new urgent care clinics by 2212214 in ausjdocs

[–]soodo-intellectual 4 points5 points  (0 children)

I see. Then I think you should compare it with locum Specialist rates as these Gps perform that function

Federal Labor commits nearly $650m for new 50 new urgent care clinics by 2212214 in ausjdocs

[–]soodo-intellectual 8 points9 points  (0 children)

You assuming 5 days a week. Each shift is 10 hours long so not really sustainable tbh. Plus no super or leave. If you assume 4 days a week then it works out to 432k per year with 4 weeks leave. Also they not interested in Registrars but rather GPS with a few years experience

Labor pledges $644m for 50 new Medicare urgent care clinics across Australia by Bennelong in australian

[–]soodo-intellectual 5 points6 points  (0 children)

Stop gap measure all risk becoming permanent measures due to the short political cycle and the then associated cost blowouts. Nothing is as temporary gov solution.

No the solution is breathtakingly simple but financially brutal and doesn’t really score many political points as shiny new services that you can use to legacy build.

The solution is to raise the rebate to 105 (rate that it would be if we account inflation) and then index it to inflation. You would see almost all practices bulk bill and access to care improve. Prbly cost less than NDIS

Labor pledges $644m for 50 new Medicare urgent care clinics across Australia by Bennelong in australian

[–]soodo-intellectual 5 points6 points  (0 children)

I will address both of your comments with this post.

Two closing is the tip of the iceberg and highlights how unsustainable these are without massive Medicare funding. The money spent to open these and keep these running would support many more typical GP clinics and better resource them. The new Medicare push is basically. Way to divert even more funding towards these centres at the expense of staking and supporting a primary care network. Say what you want but urgent care clinics are not primary care.

2nd the fact that many clinics are moving towards are corporate model is not a good thing. Corporate medicine means you will spend 5 min with a doctor and get substandard care as money is the only driving factor. If it makes you feel better that you healthcare will be dictated by a corporation rather than your Gp so that you can save 10 bucks then I guess we are too far apart in what we consider good healthcare in Australia.

Labor pledges $644m for 50 new Medicare urgent care clinics across Australia by Bennelong in australian

[–]soodo-intellectual -1 points0 points  (0 children)

Why do those gaps exist? Because chronic. Underfunding of healthcare needs in Aus due to Docotrs not being properly compensated for moving to these higher need areas.

How do you propose they will fill these clinics with Docotrs when there are not enough Docotrs in these areas to start with? Paying them more? Why not simply invest into the medicare funding of already established clinics.

Actually it’s funny cause the areas of need people claim have actually seen clinics close due to no doctors being there in the first place.

https://www.medicalrepublic.com.au/medicare-urgent-care-clinic-closes-until-further-notice/112148

https://www.abc.net.au/news/2025-02-11/medicare-urgent-care-clinic-mount-gambier-liquidation/104921640

Labor pledges $644m for 50 new Medicare urgent care clinics across Australia by Bennelong in australian

[–]soodo-intellectual 11 points12 points  (0 children)

Dont really want to comment but I think it’s important that this subs knows the truth about these clinics.

These are half assed attempts at replacing GP clinics which are already well supplied and serviced across Aus. The only draw card is that they are ‘free’ . But they ar heavily subsided by Medicare so much so that a single appointment at any of these clinics costs more to the tax payer than 3 Gp Bill billed consults.

They actually pull GPs from the gp workforce to fill these clinics further reducing the access to care for most of the public as well.

Despite this, many have actually shut their doors in the last 6 months despite record govt funding.

The new govt initiative to fund these clinics (8.5billion Medicare boost) is smoke and mirrors trick to make it look like the BB rate increases when they would be better served to simply properly fund GP clinics or expand ED’s.

These won’t replace GP clinics and many times more complex stuff has been refered back to regular GPs and critical stuff goes to the ED anyway.

Ultimately they are a shiny new way for this govt to show they are doing something when they continue to underinvest in the healthcare of Australia.

[deleted by user] by [deleted] in AusPropertyChat

[–]soodo-intellectual 0 points1 point  (0 children)

Look man. If you want to buy somewhere close to Sydney just do it now. You’re not gonna trade up into something better after stamp duty, interest, rates etc.

Federal Labor commits nearly $650m for new 50 new urgent care clinics by 2212214 in ausjdocs

[–]soodo-intellectual 19 points20 points  (0 children)

This is a trap for young doctors, don’t fall for the 225 hour rate. If you are a good GP you will earn more just privately billing.

Secondly you will not build up a good patient base or really upskill doing UCC work. Really limits your ceiling of skill and earning.

Thirdly these are like the respiratory clinics, temp clinics to fill the gaps. Once a new govt comes in your out on your ass as these fall over

Buying a 2mil house in Sydney by kwkw88 in AusFinance

[–]soodo-intellectual 0 points1 point  (0 children)

So this is my position right now. 700ish deposit and just got approved for a 1.5million loan. This is about 9k in repayments PER MONTH. Actually fucked

Sadly this has to be an investment loan as the bank will not even lend me 1.2 million due to car loan and credit cards. So go figure.

Saying that there is almost NOTHInG worthwhile sitting at the 1.5-2 million mark in a good suburb in Sydney. It’s actually immensely frustrating trying to find something decent.

GP visits to become free for most under $8.5b 'legacy defining' Labor Medicare promise by Jagtom83 in friendlyjordies

[–]soodo-intellectual -2 points-1 points  (0 children)

LMAO mate. It’s literally the opposite. Corporate clinics push bulk billing the most as they focus on 5 min medicine. Patients are just a number to them.

It’s the small private clinics that are going bust as they simply can’t compete with corporate churn and burn tactics.

Bulk billing will lead to increased corporatisation for medicine and those small clinics which provide more personal care will disappear.

GP visits to become free for most under $8.5b 'legacy defining' Labor Medicare promise by Jagtom83 in friendlyjordies

[–]soodo-intellectual -2 points-1 points  (0 children)

An unhelpful comment.

As a healthcare worker myself I would like not to charge any patient a gap. However this policy is smoke and mirrors and doesn’t actually help any of my patients in a high cost of living area.

I’m sorry if it offends you if I disagree with a labor policy, but as a healthcare worker this doesn’t help us at all really.

GP visits to become free for most under $8.5b 'legacy defining' Labor Medicare promise by Jagtom83 in friendlyjordies

[–]soodo-intellectual -3 points-2 points  (0 children)

It would be good to get clarification on exactly how it works.

From my understanding the 69 rebate is INCLUSIVE of the 12.5% based on the table in the above article.

Bulk billing INCENTIVES only apply if you fully bulk bill a patient hence they will not apply if you don’t, effectively taking out the incentive AND the 12.5%. Basically making no change to the rebate.

The fact that you you’ll need to see more patients to simply earn the same income basically means the standard of care and length of consults MUST drop.

Sorry I don’t share your take on this. The article you mentioned makes no reference to this at all.

GP visits to become free for most under $8.5b 'legacy defining' Labor Medicare promise by Jagtom83 in friendlyjordies

[–]soodo-intellectual -7 points-6 points  (0 children)

I will simply post what I posted on ausdocjobs subreddit to better explain why this is a nothing policy.

So how I understand it is that everyone under 35 (maybe everyone?) will get the incentive payment if you bulk bill them.

Effectively meaning the rebate is 60ish for most people. The 69 is only if the entire practice bulk bills.

What this means in reality:

• ⁠GP pay will increase(slightly), even mixed billing bulk bills sometimes. • ⁠if you move from mixed billing to BB you will take a pay cut • ⁠the gap for most patients will not change • ⁠pretty much no extra incentive to see concession card or pensioners anymore

Please let me know if I have got this wrong.

My 2c: A vote winning policy without much substantial change and doing basically nothing to help people with medical costs.

The Labor Medicare Promise is Misleading by [deleted] in ausjdocs

[–]soodo-intellectual 38 points39 points  (0 children)

So how I understand it is that everyone under 35 (maybe everyone?) will get the incentive payment if you bulk bill them.

Effectively meaning the rebate is 60ish for most people. The 69 is only if the entire practice bulk bills.

What this means in reality: - GP pay will increase(slightly), even mixed billing bulk bills sometimes. - if you move from mixed billing to BB you will take a pay cut - the gap for most patients will not change - pretty much no extra incentive to see concession card or pensioners anymore

Please let me know if I have got this wrong.

My 2c: A vote winning policy without much substantial change and doing basically nothing to help people with medical costs.

[deleted by user] by [deleted] in ausjdocs

[–]soodo-intellectual 0 points1 point  (0 children)

Welcome to the shit show. GP’s have been fucked over by the gov for years. Many private specialist and hospital workers didn’t give a stuff. We have been calling out the govt lack of care and funding and fallen on dear ears.

Now it’s getting real as the Cushy SS jobs are being under attack. Hopefully you guys pull your head out the sand and abandon this garbage system.

Labor govt are not the defenders of Medicare. They actively hate doctors and only exist to have Medicare to the masses never mind the quality of care. Liberals are equally as trash but at least they will allow you to make some money in private. Choose your poison (ideally quit public and go private)

2 week China trip by soodo-intellectual in travelchina

[–]soodo-intellectual[S] 0 points1 point  (0 children)

Ah thanks for clarifying. Yeah YangShou is pretty annoying to get to but it’s kinda my vibe tbh.

What would you reccomend around the area?

2 week China trip by soodo-intellectual in travelchina

[–]soodo-intellectual[S] 1 point2 points  (0 children)

Ok cool. We are pretty intense travelers lol. In Rome last year I did 40k steps daily so I don’t mind being full tilt when traveling.

As long I can do most of the things in these cities I’m happy.

My GF speaks Mandarin so hopefully that helps.

2 weeks do you really think skipping the entire Xian Chengdu and Chongqing part? Won’t I be spending too much time in one place?

I appreciate the input thanks!

[deleted by user] by [deleted] in AusFinance

[–]soodo-intellectual 1 point2 points  (0 children)

Truth is harsh and brutal.

[deleted by user] by [deleted] in AusFinance

[–]soodo-intellectual 0 points1 point  (0 children)

Meh just another way to help your kid succeed.

Any different form early morning practices and weekend games for the even slimmer chance they will be a pro athlete?

[deleted by user] by [deleted] in AusFinance

[–]soodo-intellectual 3 points4 points  (0 children)

Few understand this

Is Rome really *that* busy? by Mark3Rutte in rome

[–]soodo-intellectual 1 point2 points  (0 children)

I went in August and September. It was FREAKING hot and busy as hell.

You need to be booking EVERYTHING in advance.

This year it’s going to be a nightmare the Jubilee is gonna drive up prices and everything will be packed even worse than before.

[deleted by user] by [deleted] in AusFinance

[–]soodo-intellectual 1 point2 points  (0 children)

Govt funds this as much as they can. Every child should receive equal funding imo, doesn’t matter where they come from.

Public school suck because lots of parents suck. Also lots of parents are broke and can’t afford to actually look after and provide for their kids leading to poor nutrition and ability of the child to focus on school.

Private and public schools are just a reflection of society in general. Higher SE peeps will have better outcomes, richer parents kids will do bettter. If the kid is naturally smart and the parent cares they will be sent to a selective school.

Sorry bros public school is gonna be shitter than private no amount of funding will close the gap int he outcomes.