Category: medicare

Step By Step – Labor Hoping to get a Second Time Around

Who remembers the 90s family sitcom Step By Step?

Step by step
Day by day
A fresh start over
A different hand to play
The deeper we fall
The stronger we stay
And we’ll be better
The second time around
SO we’re getting Labor’s election promises now, ahead of a probably March 25 budget and some time before May 17 election. Today’s was building on their increased bulk billing incentives for concession card holders and kids, something I described as killing universal bulk billing. lol. Was I wrong though? The announcement today is trying to extend that to all Medicare card holders, but only if the GP becomes exclusively bulk billing. I have a  few concerns.
The rate for GPs to bulk bill will be $69.56 in the cities. My GP currently charges $80 upfront for those one concessions and $100 for regular Medicare card holders. Those rates seem pretty standard, and are higher in some places. So you’re asking GPs to take a $30+ cut per session to become bulk billing again.
It only applies if ALL patients are bulk billed. I’m sure many of us have had doctors in the past that have sometimes bulk billed (especially for follow up appointments or if they’ve asked us back) but also sometimes privately billed. So they won’t have that flexibility.
I’m going to assume it won’t, but I hope that GPs currently only bulk billing concession patients won’t lose those current incentives if they choose not to add regular patients to bulk billing.
The Medicare rebate remains around $43 for a regular level B consult, and doesn’t look to be going up any time soon. So privately billed patients who are then claiming rebates will continue to be $35-$55 out of pocket a session (using my GP’s current pricing).
There’s also concerns that this won’t apply to Mental Health and Enhanced Primary Care health planning sessions and these will continue to be a barrier to people seeking mental health and other allied health care.
There’s been lobbying around increasing the number of mental health (currently 10) and general allied health (currently 5 total) session people can claim on Medicare. Haven’t seen much about increasing the rebates for those (HUGE gaps huge huge gaps) especially with trying to keep people out of NDIS who need these. We’ll see.
So those are my Sunday thoughts.
It looks like I’m going to be using my words for an Online panel on March 11 – “Talking about Poverty: How to have conversations online, in the community and in the media” as a leadup event to the People Against Poverty conference mid-year. It’s free to come! And I’m terrified!
Let’s go!

I just can’t, Jim. I can’t with your surplus.

You are the federal treasurer you can pull the lever at any time to reduce homelessness and poverty. however it means you won't be able to do a press conference boasting about a budget surplus. What do you do?

You’re repeating yourself, grinning over the same shit, so I’m going to repeat myself. I hate the surplus. I hate it when it’s 9 billion or nineteen. I hate it because it leaves my friends suffering with welfare payments below the poverty line. It leaves public school massively underfunded. It leaves public housing being sold off rather than being bought or built. It leaves you and your colleagues grinning at foodbanks, grinning because you’ve funded more charity, grinning while dental isn’t funded for adults. You’re grinning while women are rejected for domestic violence payments, when you could raise welfare above the poverty line and remove partner income tests. You’re grinning a year after the Disability Royal Commission handed down it’s findings while you’re holding your cards close to the chest on what will be allowed in NDIS packages after Wednesday. Grinning about Urgent Care Clinics while GP’s continue to walk away from bulk billing.

Grinning. Grinning. Grinning.

ned kelly hezbollah flag
Nedzbollah

Superhuman

Laying in the back of your carI’ve been thinking ’bout the ways that I took it too farIn pursuit of perfection, I lost my directionAnd now I gotta reckon with the shame of tomorrowSee I always wanted more from the world, more from myselfPiling on the good times, high from the top shelf, yeah yeah
I heard that everybody’s got a limit, manI think I hit, cuz I’mCuz I’m onlyGuess I’m only
HumanDon’t know what we’re doin’Fight because we’re stupidLife we just abuse itCrying in confusionI know I just ruinEverything I worked for now I’m sitting all aloneGuess that makes me superhumanGuess that makes me superhumanGuess that makes me superGuess that makes me super
Sitting at the top of LALooking out at all the billboards and highwaysGuess I answered the question, I’m not the exceptionAnd now I gotta reckon with nobody to blameSee I thought that I could fly to the sun, never get burnedPride is a, pride is a motherfucker
I know that everybody’s got a limitAnd one day, you’re gonna hit it, cuz you’reCuz you’re onlyYea we’re only
HumanDon’t know what we’re doin’Fight because we’re stupidLife we just abuse itCrying in confusionI know I just ruinEverything I worked for now I’m sitting all aloneGuess that makes me superhuman
a storiis screenshot of a bottle of pills for Katherine Falrety
Always have to come down from an event from a gig. At least I didn’t get strep throat like K.Flay, at least my (out of date) RATs I’ve been doing since the show in Sydney have been negative. At least all my aches and pains and stuff don’t deem to be the Covid I’d resigned myself getting after sweating it out in from of the stage. I seem to have dodged that bullet, still a chance I’ve got it of course. Or something else, but I’m back to being concerned about the bloods and ECG I had last Tuesday and the results aren’t on my health record, but at least the Medicare bulk billing’s been done for them as of yesterday.
I must be highly suggestible, or I don’t notice things that might be wrong until they’re suggested to me? I’m been listening to my heart more, paranoid it’s out of sorts because it was suggested it might be. And maybe the irregular number of beats I was hearing when I was deaf from ear wax for three weeks is something to be concerned about. But then maybe it’s nothing, maybe any of my dizziness or shaking can come down to blood sugar and general blood pressure issues and I’ll just go in for my next lot of scripts and the new GP will say it’s all fine and dandy. I’m still hoping to bring down my antidepressant levels if I can, but I still feel like routine will help me more than that. But it’s hard to get routine when things keep breaking – one car’s going in for transmission work tomorrow, Bruce needs one for work, there’s been little things breaking on the Corolla too, the door handle, the speedo, the windscreen repairs not actually repairing but making the crack worse. Just feels like we’re chasing tails. And spending a lot of time and money buying part on eBay.
Not that keeping the AU would have been much better. I hope it’s working okay for the guy that bought it, and he enjoys it before the rust becomes too fatal. We keep hearing people doing skids nearby, but it’s never been him.
Nine days til the promised NBN install. Another reason not to get covid is I really don’t want to have to cancel that time, because it’d prolly be ANOTHER six weeks after that to get a tech booked in :/ Making my little plans. I really wanna do some streaming, both because I miss my little online games (GTA, Red Dead) and I do feel like that’s something I could get into properly if I even got sorted with a few things. So add me on Twitch so you can find out when I do go live and try o help me figure all that out again. I’ve been playing with my overlays and alerts ready to go too.
So I’m doing a lot of not much, not enough of what I want to be doing, but not sure what all that it. But I’ve probably going enough lines up for once I DO get proper internet, and if I start putting up for more it’s gonna be too much.
So day by day. It’s raining again.

Stares at a wall

Monday?

Taylor’s boyfriend looks scary.

Watchin Rafah, watching people ignore Gaza, wondering what that siren is in our street, apparently they’re looking for a man with face tattoos in Toronto.

Saw a new GP in the same practice. She seems good, sending me for tests, talking about my medication levels with me. Gotta get some bloods check my kidney and liver, an ECG for my heart to see if the mads are doing me more bad than good. See if my shakes have anything to do with that and a trippy heart.

Wasn’t bulk billed. $76 upfront, a woman apologising profusely for not being able to pay the other day, signs saying fees for late payment, and man yelling at the practice manager because they weren’t going to see him because he was owing money and shouldn’t have been rebooked in until it was settled. A growing line.

I did the grocery shopped and waited for my ride with the other pensioners outside woolies. More than a dollar a can for on special Diet Coke doesn’t sit right for me. But I’ll pay it. It’s my only real vice. But cadbury was $3 a block too so that was good.

Forgot bacon and mayo.

Oh well.

With MPs heading back to Canberra, what’s on your wishlist this cost-of-living crisis?

Saturday afternoon saw a flutter of tweets speculating about what might be served up to us plebs after Labor MPs return to Canberra early to solve the cost-of-living crisis and their slump in the important but not important at all polls.

I have my theories about what is possible and likely. And since I have a personal blog I get to write about them, with no qualifications other than I, too, am here in this country at this time, reading news and feeling the vibes.

Extending the energy rebates – This is an easy one as they’re only set for this financial year, so Labor will pop them into the May budget and probably even further expanded. I know they vary by state, but people already receiving concessions on their bills here in NSW got $125 a quarter off their bills automatically, and it was recently expanded to more families, but you have to apply. Not sure if they’ll up the value, or give it to more people. But it will be there for 24/25 and in place for the 2025 election.

Increasing the energy supplement in welfare payments – This famously hasn’t risen since its introduction in 2013 is it isn’t indexed. I get $10.60 a fortnight as a partnered disability pensioner. Could I see them doubling that supplement? Maybe? No, it’s not a huge amount extra, but it’d be extra targeted at the poorest on a hot item. It wouldn’t come in immediately though, might not even be til September if it’s a May Budget item.

Back to school payments – Yeah, it’s always a hot topic at this time of year, how expensive it is to send kids to public school, uniform and shoe costs, materials, backpacks, laptops and more. But it seems more pointed this year, perhaps it comes alongside the increasing stories of families living in tents, when they then have to find money for a laptop, let alone a place to reliably use it or charge it. It would be popular and really couldn’t be criticised. Cash payments to parents of school aged kids, non-means tested would be the fastest way and the most effective – but they do love their vouchers :/ It would take immediate heat off the government too, because they’ll need sometime that looks like it’s happening NOW, and feeding a clothing kids looks good.

Welfare Payments – I don’t see an increase to base rates happening this budget outside indexation, which is why I think the energy supplement may be a way to go about increasing the amount people are getting slightly, without angering the usual. I mean I WANT them to raise all payments above the poverty line, and I will push for that and ask for that and make arguments for it. But I don’t see it coming from this meeting, and not in the May budget. Would we believe them in they take it the the election though without any significant movement in the previous years? Yeah nah. That ship has sailed for Labor and unless they do blindside us in May with significant increases, particularly at the JobSeeker and Youth Allowance rates, noone’s going to believe their “good intentions” come 2025.

Rejig of Stage Three – Greg Jericho and The Australia Institute have done the legwork for them, giving them a model that flattens out the cuts a bit more while not removing them completely. You need to remember Labor voted for the bill in the first place and have been extremely insistent on keeping that promise to the top end. It also leaves them with money to put towards those other payments. I mean, they COULD just bring back the Low and Middle Income Tax Offset that was so sorely missed last year, that hit a lot of people unexpectedly. It’s an option. They won’t scrap stage three though.

A picture of Lego Unikitty with a tie and glasses drawn on, speech bubble with the quote “Business, business, business. Numbers. Is this working?”

Business business business (is this working?) – I really don’t know or care what they do for businesses, I’m sure that there will be heaps. Yeah, my partner is self employed but we really don’t get any of the subsidies and such that are out there at this level *shrugs*

From the previous cost of living measures that haven’t excited me all that much, I don’t think this meeting will bring more rent assistance, and while personally more money is nice rent assistance is way too little too late and not given to enough people. They need to buy more public housing now, since building is going to take forever. Acquire vacant properties, put them in the public housing pool in a couple of months. Maybe they’ll extended the increased medicare bulk billing incentive? But to who and how? And is it too late with doctors dropping bulk billing as I type? They won’t do anything with medicines, that was already a big one. Unless they lower the safety nets? Personally I need less upfront costs for medical care and medicines, not rebates that kick in later. If I avoid the doctor cos the upfront cost is too high, I’ll never reach the safety net. And I’ll be more expensive down the track.

What do you think will come out of Wednesday’s meeting and the May budget and will it actually make a difference to you?