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Butler defends decision to cut Medicare-funded psychology sessions

The federal health minister, Mark Butler, is speaking to ABC Radio following his decision Monday to cut the number of Medicare psychologist sessions. He’s come under serious heat for the move which experts say is “appalling.”

This program has been around for a number of years, and it has for many years had a limit of 10 sessions for people to access over that long period the average person has used 4 - 5 of those sessions.

This is a good program, I’ve been familiar with it for many, many years, but its problem has always been one of equity.

The evaluation found that the lowest-income communities have more than twice the levels of mental distress as the highest-income communities, but they get the lowest level of support and, under this program, that inequality was substantially worsened by these additional 10 sessions.

People like Prof Ian Hickey said at the time that those additional sessions in a sector with a limit workforce, was going to have the effect of cutting out other people, meaning other people couldn’t get any support whatsoever.

And the evaluation I .. released on Monday showed exactly that, that it had the impact of cutting more people out of the system. Most of those people were in some of the poorest communities, where the evaluation said there is the highest need.

The recommendation of the report was we would consider additional sessions for people with complex needs, now this system was not designed to focus on people with complex needs.