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Non-GP specialists decry Medicare ‘clickbait’


Jolyon Attwooll


7/11/2022 3:49:28 PM

Medical professionals outside of general practice in Townsville have written a heartfelt letter of support for their GP counterparts.

Non-GP specialists
The non-GP specialists said recent reports gave 'no context' to Medicare's complexity.

A group of 30 diverse Townsville doctors with roles ranging from cardiologist to neurologist have banded together to issue a strongly worded letter in support of general practice.
 
Writing to the Townsville Bulletin following the recent Medicare coverage in Nine Newspapers and the ABC, they said the blame for waste had been laid ‘broadly at GPs’ feet with unsubstantiated, non-evidenced based claims by a “Medicare expert”’.
 
‘The $8 billion [30%] claim has been debunked and is entirely baseless,’ they wrote.
 
Calling primary care ‘the backbone of our healthcare system’, the medical professions also described GPs as ‘the most indispensable healthcare professionals in our lives’ and made the case that the system has let general practice down.
 
‘From decades before through to and beyond COVID, general practitioners have been failed by systemic policy decisions and become the punching bag for mainstream media and social media posters who feel they know more,’ they wrote.
 
‘[The] reporting ignores past and present systematic accepted waste.
 
‘No context is provided to the complexity of the Medicare item numbers that dictate what can be claimed and when with the inherent compliance risk responsibility solely the practitioners.
 
‘Experiencing a day in a GP’s work would provide understanding and context before one publishes the next clickbait story.’
 
The doctors focused on the systemic problems of bulk billing, as well as pointing out the issues faced by many general practices during the pandemic – for example the contrasting approach to the supply of personal protective equipment to hospitals and general practices.
 
‘When was the last time you asked your hairdresser to throw in the foils, your cafe to give you coffee at cost, your tradie to throw in the materials, or your lawyer not to bill you? Never?’ the letter reads.
 
The doctors also raised concerns about the long-term sustainability of general practice, in particular highlighting how the popularity of choosing to become a GP has declined significantly over the past decade and a half.
 
‘If this is not corrected, the difficulties seeing a GP will only be worse and the viability of our health system will be jeopardised,’ they warned.
 
‘All issues currently in healthcare, ambulance ramping, increasing ED presentations, surgical wait lists, hospitalisation for chronic illness stabilisation are directly contributed to by [the] inability of people being able to access and benefit from high quality primary care.
 
‘We, non-GP specialists, without reservation support our primary care specialists and advocate for greater respect for this critical component of healthcare and necessary system reform including required funding to allow GP to once again flourish for the benefit of us all now and into the future.’
 
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Dr Gardiyawasam Lindamulage Chaminda De Silva   8/11/2022 8:20:51 AM

Well said and thank you all . It is good to know that we are not alone in this loosing battle


Dr Patrick Fergal McSharry   8/11/2022 10:25:16 AM

Yes , Dr. Lindamulage, it is delightful to see this and the I wonder how this arose? It is nice to see such altruism. Even though we as GPs bear most of the risks " GP Land" / Primary Care , perhaps we are just initial " target practice " and our (non GP ) Specialists Colleagues may see the writing on.the wall when the big guns come out and we are all in the firing line.


Dr Emma Keeler   8/11/2022 11:10:36 AM

What a well written response. It is nice to see the profession pulling together and respecting each other. Thanks for the support and a positive story in the past few years of negative media overload


Dr Maryellen Margaret Yencken   8/11/2022 1:17:35 PM

Hear hear. Thank you to these collective non GP doctors making a stance for primary care.
Without a solid primary care the whole medical system falls down and becomes more expensive. The government have come to rely on the good will of GP’s and that many absorb their patients medical costs by sacrificing their own incomes. Of course this suits the government , however all the indicators are there that that this is not sustainable. It will be our public and tertiary systems that will be the losers as the younger generations choose not to take on the great profession and older GP’s like myself who have been practice owners, been the HR through COVID and seeing a cohort of older and younger patients who are becoming more complex and require more time within a system that punishes your remuneration for spending that needed time. Rather than spending those extra years working , we will see a mass of GP’s with years of accumulative experience prematurely exit. Another blow to the system


Dr Maria Opacic   8/11/2022 6:46:41 PM

And where are all the Sydney, Melbourne, Canberra etc specialists to voice their support to GPs??