24 July 2024

Let's take a moment to appreciate Australia's healthcare system

| Zoya Patel
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Hospital

The Children’s Emergency area at the Canberra Hospital. No health service is perfect, but Australia’s is better than most. Photo: Michelle Kroll.

According to some of my readers, I don’t have a positive thing to say about anything, so it might seem like a departure from my standard protocol for me to dedicate a column to celebrating something I’m grateful for. But after a harrowing week with a very sick baby, I am extremely grateful for Medicare, even while I can see and acknowledge the flaws in our health system.

Last Thursday, we had our first serious fright as new parents (not including the fright our baby gave us when he decided to arrive six weeks prematurely in December), when our son became very ill.

After anxiously monitoring his systems, we decided it was better to overreact than underreact, and took him straight to Canberra Hospital’s emergency department.

When we arrived and I saw how packed the waiting room was, my anxiety spiked. But I shouldn’t have worried – logically, babies are a priority, so we were seen almost immediately. A nurse checked my son’s vitals, issued him a teeny medical wristband, and we were whisked to the emergency paediatric triage. What followed was a very stressful 24 hours of tests, interventions, and a night stay in the ward with a very sick baby.

But while I stressed out about his breathing, his sleep, his coughing and whether or not he was dehydrated, one thing I didn’t have to worry about even once was whether or not we could afford his medical care. I knew that whatever my son needed – whether it was medication, surgery, tests, or more time in hospital – he would receive it, and it would be funded through our taxes.

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A friend recently gave birth to her first child in America. While I was in hospital with my son, I kept thinking about how, if she were to face the same circumstances, they would be anxiously checking if their insurance covered the baby’s needs and budgeting for a bill otherwise.

I’m not saying it was perfect. I know that there are overarching resourcing issues across the board in our health system, that waiting times for non-urgent surgery are very high, and that access to healthcare remains an issue for the most vulnerable in our society.

But I am still very grateful for the provision of free emergency healthcare and being able to walk out of the building with our much-improved baby a day later, knowing that we could come back if needed without having to worry about the cost. It felt like an immense blessing.

I don’t take it lightly either because I know how lucky I am, specifically as a migrant to Australia.

Unlike other Australians, who have never known any different, I am aware of how tenuous our access to vital services like medical care can be.

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Back in Fiji, where I was born, my uncle died last year in a private hospital where, even when we were paying for his care, they didn’t have the resources to provide the services he needed. My family members took shifts staying with him because they were advised there weren’t enough staff on deck to actively monitor him, and the hospital had a shortage of vitals monitors, so they were reliant on a person physically checking their patients and raising the alarm if their condition deteriorated.

In the public hospital where he was originally admitted, a lack of gurneys meant patients were lying on the floor, waiting to be attended to.

I know the ‘it could be worse’ argument doesn’t mean we shouldn’t continue to push for better services in our own context, but it’s also worth taking a moment to reflect on the many positives of our system. Having just experienced the benefits firsthand, I am incredibly grateful for the medical staff at Canberra Hospital and for Medicare for making them available to me.

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GrumpyGrandpa10:30 pm 25 Jul 24

It is true that the Public System, funded by Medicare, does provide value services, particularly in an emergency.

Sadly, if your situation isn’t critical, you are probably going to be on a long waiting list, or if you are treated by private specialists, your bank account will be drained very quickly. Even with private health insurance, I could have bought a small car for the out of pockets for my surgery, or have taken my chances on a waiting list. The issue was that neither the surgeon nor the anaesthetist had heard of a Medicare Scheduled Fee. The private insurance covered the hospital fine.

Of course, our primary health care is provided by GPs. Bulk-Billing virtually doesn’t exist in Canberra and gap costs are increasing.

I received a text today from the medical group where my GP hangs his shingle. They advised that as of next month, the private GPs who practice at their clinics, would be increasing their fees by $7 per appointment. These costs were to cover administrative charges levied by the ACT Government. I assume they are referring to the government’s decision to include self-employed GPs within a practice, as “employees” for payroll tax purposes? In any respect, it’s a government charge that is going to make medical services more expensive.

So yes, better than some countries, but not perfect.

Incidental Tourist11:38 am 25 Jul 24

If you are presented to a hospital with well known symptoms and you need short term intervention then you’ll be okay. In most cases. This is quite important actually and yes indeed Medicare is a great shared asset.
The problems start if you or your child develop chronic disease. Many chronic issues need tailored long term interventions. You will quickly discover that medicare hardly covers 20% of specialist costs and the gap is much larger than when seeing GPs. As to selective surgery like a joint surgery for example you can pay thousands or wait limping for a couple of years – the choice is yours. Dental care is more challenging topic for a future success story. If you have a simple teeth issue one visit to a dentist can cost you out of pocket as much as your tax on Medicare for a year. This is cheap. If your teenage child needs braces you can part with some $5-$10K. If you want tooth implants then you can skip on buying new car. Disability or elderly care is another challenging topic. If you need a place in a decent retirement village you will need proceeds from the sale of your house. So if your child will look after you when you get old, you can leave them your house and write here excellent positive article how lucky you are.

A bit patchy. I am an existing Act Health dental pensioner customer. No checkup recall service. Developing broken teeth. Rang Monday. 7th in queue for next available operator. Call took 46min 37sec. Outcome as no pain or swelling told 12 to 18 months on the wait list, and told now go to dental walk-in centre to be added to the wait list. I have already done my time on the wait list so not be subject to it again as if I was a new customer.
A system which is not pro-active and thus creating more complex treatment needs and more emergencies. Neither effective or efficient.
Contrast with annual eye health check as an existing customer at a local optometrist with a recall service. Called next and answered immediately. Appointment offered this week. Call length 2min 8 sec.

yes, Medicare has been disgracefully treated by all parties after Whitlam had the guts and heart to break with all the powerful forces who wanted an American-style medical system, as in other ways we ape America

Peter Graves9:10 am 25 Jul 24

“I knew that whatever my son needed – whether it was medication, surgery, tests, or more time in hospital – he would receive it, and it would be funded through our taxes.”

True – up to a point. BUT (e.g.) – People still complain about the “gap” costs of seeing a GP. That’s because Australia does not pay enough in tax revenue to bridge that gap, by increasing the standard fee(s) in the MBS.

That link is why annual tax cuts favoured by certain conservatives only make (e.g.) health care, aged care and child care more expensive. But the “voter” has received that extra money to pay for those gaps. If they can afford them. As so many cannot.

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