Australian taxpayers subsidise rising specialist fees as spending on Abbott-era Medicare safety net ‘explodes’

Exclusive: Health department data shows spending on the 2004 extended safety net has nearly tripled, from $324.9m in 2010 to $850.4m in 2024

Taxpayers are increasingly subsiding the rising fees of specialist doctors, as new data shows “explosive” government spending on the Medicare safety net, which has more than doubled in 15 years.

Total Medicare safety net benefits rose from $339m in 2010 to $871.4m in 2024, data requested by Guardian Australia from the federal health department shows, with an Abbott-era expansion causing the biggest blowout in costs while also increasing inequities in the health system.

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Many GPs ‘nervous’ about bulk-billing rollout under new Medicare scheme

Royal Australian College of General Practitioners says doctors concerned at being ‘100% reliant on government funding decisions’

Every electorate in the country will have a GP practice that bulk bills every patient after the expanded bulk billing incentive came into effect this month, the health minister has said.

The changes mean four out of 10 practices will be fully bulk billing, as the government vows it will bring the number up to nine out of 10 by 2030.

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Australia news live: Nationals set to formalise position after vote to ditch net zero; more rain forecast after storms and hail lash Queensland and northern NSW

Meanwhile PM says he’d like ‘more cooperation’ between China and US on artificial intelligence. Follow updates live

Watt says Labor doesn’t have a policy to end native forest logging

Asked if he wanted native forest logging to continue (it’s not banned in the legislation, despite the significant negative environmental impact that it has), Watt dodges the question by saying the party doesn’t have a specific policy of ending native forest logging.

What we have said, though, is that we will follow the recommendation from Graeme Samuel to apply national environmental standards to the regional forestry agreements that are used for native forestry, so what that means in practice is that native forestry would need to meet higher environmental standards than are currently required under the legislation. That’s a big step forward in terms of the environmental management of native forestry. But it doesn’t go as far as what the Greens party is seeking in being an all-out ban.

Not in its own right. We haven’t taken the approach of saying that particular projects are altogether banned. Every project will be assessed on its merits whether it be a coal and gas project, whether it be a housing and renewable project, they have all got to demonstrate they’re not having a significant impact on one of the nine matters of national environmental significance under the act.

If a coal or gas development was seeking approval, then it would need to meet the national environmental standards. It would need to avoid and minimise its environmental impacts and offset them to achieve a net gain. So they would be improvements compared to the criteria that apply to a project at the moment. If it was considered to have an unacceptable impact on the environment then it would get knocked back as would a housing development or a renewable project.

We’re not trying to sort of put in particular criteria for particular sectors. What we’re trying to do is put in a balanced package for all sorts of projects, for all industries, that deliver environmental and business gains.

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One million Australians missing specialist doctor appointments due to cost, report finds

Grattan Institute finds one in 10 Australians now paying $600 a year for specialist appointments

One in 10 Australians pay almost $600 each year to see specialist doctors, with 1 million delaying or skipping appointments due to the cost, according to new analysis.

A report by the Grattan Institute, released on Monday, revealed outpatient fees have soared over the past 15 years. The average initial out-of-pocket psychiatrist fee was $671 in 2023, with some “extreme fee” specialists charging more than triple the scheduled Medicare fee. It found almost 2 million Australians are delaying or skipping specialist appointments each year – about half due to cost – adding pressure to the country’s hospital systems.

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More Australians can’t afford specialist fees. Experts say it’s ‘not in the spirit of Medicare’

Exclusive: Report finds rebates not keeping up with specialist fee rises and experts say soaring number of people putting off care is easy to understand

The cost of an initial dermatology appointment is now up to nearly $300 on average, new data shows. It reflects a broader problem: that Medicare rebates are not keeping up with the pace specialist fees are rising.

Online healthcare directory Cleanbill, which has tracked bulk billing rates among GPs, is expanding to provide data on out-of-pocket costs to see other health professionals, starting with dermatology.

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Guardian Essential poll: PM’s approval rating surges amid calls to hurry upd housing and health reform

More than 40% of voters say Labor’s large majority should encourage Anthony Albanese to get more ambitious with policies in key areas

Anthony Albanese’s personal approval rating has spiked off the back of his election win, as an overwhelming majority of Australians call on Labor to rapidly initiate health, housing and energy reform.

More than 40% of voters say Labor’s large parliamentary majority should encourage Albanese to set out an even more ambitious schedule of reform, according to the latest Guardian Essential poll. The prime minister’s popularity has risen to its highest level for a year, the poll showed.

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PBS-listed medicine to cost no more than $25 a script if Labor re-elected

Election pledge part of Albanese’s focus on cheaper medicines as a cost-of-living measure that will also help reduce inflation

A re-elected Labor government would reduce the price of PBS-listed medicines to no more than $25 a script, in a major new election pledge to be included in next week’s budget that builds on Anthony Albanese’s focus on cheaper medicines as a cost-of-living measure.

With the formal election campaign to start within weeks, where Labor will focus strongly on health as a key issue, Albanese will on Thursday deliver a major speech promising that four out of five medications on the Pharmaceutical Benefits Scheme would become cheaper under the plan which would cost the government $689m.

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Dutton says Coalition will pay to match Labor’s $8.5bn Medicare boost by cutting thousands of public service jobs

Opposition leader claims plan to reduce workforce by nearly all jobs added under Labor would save $6bn annually

Peter Dutton claims the Coalition would pay for a $8.5bn boost to Medicare by cutting thousands of public servant jobs, providing yet another different answer on the Coalition’s as-yet-undefined plans for the public service.

After weeks of contradictory statements from senior shadow ministers about how many positions the Coalition would cull if it wins government, Dutton has now stipulated his plan could save $6bn annually – potentially representing nearly all of the new positions created under Labor.

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Coalition to match ‘dollar for dollar’ Labor’s plan to make GP visits cheaper in $8.5bn Medicare boost

Less than half of Australians were always bulk billed when they saw a GP in 2023-24, government data says

The Coalition says it will match “dollar for dollar” Labor’s landmark $8.5bn proposal to dramatically increase Medicare bulk-billing rates for GP visits, pledging to meet Anthony Albanese’s commitment to make nearly all doctors’ appointments free.

Doctor’s groups have welcomed Labor’s pledge to fund 18m extra bulk-billed GP visits annually, but have warned some patients will still miss out because government rebates are sometimes still too low to cover the cost of all appointments. The health minister, Mark Butler, says nine out of 10 GP visits will be covered by 2030 under Labor’s plan, and has accused the Coalition of “cooking the books” on bulk-billing statistics during their time in office.

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How Australia’s ‘unfair’ dental system – and the way $1.3bn is spent – is driving inequality and leaving millions of people behind

Half of all government spending on dental care goes to private insurance rebates – meaning those without often skip treatment until things get worse

Patients bear the brunt of dentist fees. But of the $1.3bn the federal government spends on the nation’s teeth, more than half goes to subsidising the uptake of private health insurance.

The inequality of Australia’s dental care system can be seen in the numbers, says Peter Breadon, the health program director at the Grattan Institute.

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All the 1 January changes in Australia: Centrelink increases, import bans and pay rises

Bigger Austudy and carer allowance payments, higher Medicare safety net thresholds and mandatory corporate reporting on climate also in 1 Jan changes

With the new year comes new policies, laws, taxes and reforms. Here’s everything to know about changes on 1 January, 2025 that could affect you.

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All the 1 January changes coming to Australia in 2025: Centrelink increases, import bans and pay rises

Bigger Austudy and carer allowance payments, higher Medicare safety net thresholds and mandatory corporate reporting on climate also ahead

With the new year comes new policies, laws, taxes and reforms. Here’s everything to know about changes on 1 January, 2025 that could affect you.

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More than 5.4m extra doctor visits were bulk billed last year after incentives boost, health minister says

Increase follows Albanese government tripling financial rewards for GPs to bulk bill pensioners, concession card holders and children

More than 5.4m additional visits to the doctor were bulk billed in the last year due to a boost to incentives, according to figures released by the health minister, Mark Butler.

The proportion of all doctors’ visits that are bulk billed has increased by 1.7 points from 75.6% in October last year to 77.3% this October, the data shows.

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Queensland LNP promise voters ‘cheaper GP visits’ but Miles government calls it ‘nonsense’

The state’s shadow treasurer, David Janetzki, says general practitioners would be exempt from payroll tax with David Crisafulli as premier

Queensland’s opposition claims visits to the doctor would be cheaper under an LNP government, but Labor said they haven’t explained how they will pay to make GPs exempt from payroll tax.

The shadow treasurer, David Janetzki, announced on Sunday that the party would make general practitioners a special category under the payroll tax act.

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Siya was born in Melbourne but excluded from Medicare. A coroner says this contributed to her death 23 days later

Victorian coroner finds baby’s death was entirely preventable after inquest hears Covid lockdowns also affected care

In the depths of Melbourne’s longest Covid lockdowns, Siya Patel’s parents knew something was wrong with their newborn daughter.

Yet despite their best efforts to navigate the state’s then heavily restricted healthcare system, their baby died from a brain injury caused by dehydration due to insufficient oral intake on 12 September 2020.

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Only 20 doctors listing fees on Australian government’s $24m medical costs comparison website

Disclosure in Senate estimates comes in response to David Pocock’s questions about ‘astounding’ out of pocket fees for private surgery in ACT

Only 20 doctors are disclosing their fees on the federal government’s $24m medical costs comparison website, despite the health department encouraging patients to shop around for affordable specialist care.

The Medical Costs Finder website was a $2.5m initiative launched in 2019 by the former Coalition government to help patients find and understand typical costs for private procedures.

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Bulk-billed GP visits rise after introduction of incentives for doctors, data shows

Doctors’ groups say improved rate is ‘encouraging’ but more investment in health system is needed

The federal government’s bulk-billing changes have helped more Australians see a GP, but peak doctors’ groups say the reforms are only a “down payment” on what they want to see in next month’s budget to help reduce healthcare costs.

New data from the health minister, Mark Butler, released overnight, shows 77.7% of all visits to general practitioners were bulk billed in March, a 2.1% rise since the Albanese government’s moves last November to triple incentives for doctors to take bulk-billed appointments.

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Online ads promote ‘simple’ access to super to pay for healthcare, despite strict rules

Peak consumer body and financial services minister warn against private providers encouraging patients to tap into super to fund medical procedures

Advertisements offering patients “simple” access to their superannuation to pay for medical treatments have been described by the peak consumer health body as a “worrying trend” amid the cost-of-living crisis.

The Australian Taxation Office (ATO) approved 37,400 individuals to access their superannuation early on compassionate medical grounds in 2022-23, releasing a total of $730m.

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New Zealand to be briefed on Aukus – as it happened

This blog is now closed.

The prime minister, Anthony Albanese, is speaking to ABC RN, and says news that the inflation rate has plunged to a two-year low of 4.1% is “welcoming, encouraging progress”.

… We know that people are still under pressure and we need to not be complacent about it. We need to continue to work as we have with our three point plan, having the surplus, making sure we deal with cost of living pressures without putting pressure on inflation, and dealing with … supply-chain issues as well.

With parliament resuming next week, this is a wake-up call that 2024 is the last chance for meaningful democratic reform ahead of the 2025 election …

Australians should go to the next election with strict political donation disclosure laws, truth in political advertising laws in force and information about who’s meeting ministers made public as a matter of course.

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Medicare turns 40: is Australia’s ‘little green card’ keeping up with changing health needs?

Medicare’s universality under threat as chronic disease, mental illness and an aging population increase out-of-pocket costs, experts say

When Dr Brian Morton became a trainee general practitioner in 1977, healthcare bills were the number one cause of personal bankruptcies in Australia.

On more than one occasion Morton provided treatment to patients who couldn’t afford to pay. “If someone turned up, you wouldn’t turn them away,” he says.

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