Yes yes, the LNP froze the Medicare rebates for years, pushing GPs away from being able to bulk bill all their patients, but many still chose to bulk bill, or offered bulk billing to kids and concession card holders. Others moved to private billing entirely, with some offering a slightly lower upfront cost if you’re a cardholder, but not all.
Absolutely given they froze indexation in 2013.
The Liberals predictably extended it. But make no mistake where it started.
Those 50 clinics don't make up for the 500 that stopped bulk billing in the last 12 months.
The offset is means tested, fucking over the working poor.
In all the cases where the GP is choosing to bulk bill or take a lower upfront payment they are effectively having to absorb that cost into the practice and have to covered by full fee paying patients.
It's woefully insufficient and over 500 clinics have dropped Bulk Billing in the last year.
In Tasmania less than 1% of clinics bulk bill and it's less tham 10% in WA.
I will also note it was a Labor government which froze the indexation on bulk billing leading to this crisis. pic.twitter.com/Acm4mxv3AU
But the changed to have a different bulk billing incentive for those that have a concession card and those that don’t has certainly stopped some bulk billing non-eligible patients, as they would then be worth $13 less per consultation, and where is the sense of obligation to bulk bill regular patients if they are worth less on the books than those with concessions and kids?
The RACGPs recommends a level B consult fee of just over $100. So, when they bulk-bill a patient, they are accepting a lower payment than if they charged them privately. If they private bill though, the patient will only get the regular rebate back, and that $20 is lost to the empty promises.
So, when Labor defend the stage three tax cuts with the bulk billing incentives and the chance they make a difference to people’s ability to access the medical care they need, I laugh and cry.
So, while the LNP starved Medicare, by creating a three-tier system, Labor are killing the last of the will for universal bulk-billing. So every time they tout the tripled bulk billing incentive, remember that it only applies to kids under 16, concession card holders and some eligible Indigenous Australians, and so leaves out the precious middle Australia that I thought they were trying to win over? No?
The famous quote I thought you should be going back to was Bob Hawke’s “By 1990, no Australian child will be living in poverty”. But that’s not today’s Labor party is it? The welfare state was already being disbanded in Bob’s days, but Labor of the new millennium have really gone for it, embracing the turns to the right of their opposition, while coming into power on weak words and impressions that they are there for those in need.
“Nobody left behind” was Albanese’s thing. But people are being left behind in greater numbers than ever. The lip service paid, forming an economic inclusion committee and ignoring its key recommendation to bring jobseeker to 90% of the pension. It wasn’t even a big ask really, the pensions are still below the poverty line and you though “yeah nah, let’s throw them $20/week” while costs of living spiraled for everyone. People who are working full time are becoming homeless, sleeping in tents and cars, dodging bushfires and floods. The rental landscape is bleak, and home ownership impossible when former public housing is going for a million plus in Sydney suburbs.
We saw the happy snaps at the Christmas lunches and hamper giveaways for poor people at your favourite charities. The ones that are meant to just fill a gap for the most needy, but are seeing record requests for help. Extending the single parent payment to kids aged up to 14 still doesn’t get those families out of poverty when you still have carers payments and the like below the poverty line. The $88 a day we’ve been asking for for a couple of years now is surely outdated, and rent assistance is a joke when it maxes out at $180 a week in a landscape where you take what you can et when you can get and hope your asthma isn’t exacerbated by the mold.
Healthcare costs are spiraling, and many GPs aren’t bulk-billing kids anymore, even with the increased incentives, so parents are forced to make some really tough decisions when it comes to prioritising healthcare of their kids, you wouldn’t want to be seen as neglectful because basic medical care is unaffordable. You won’t get more help from the system, because it’s already giving you all that’s legislated for, so you’d better make do and deal the the policing and more stress.
Medicines will go up again next week – 40c a script for concession card holders. But that’s fair right? we got indexation in one hand on our pensions, so the government ought to take away with the other hand.
No Aussie child in poverty by 1990? Those kids have had their own kids by now, some are even close to the next generation. But it’s only going backwards, and boosting charities and incentives for ladies who lunch, blokes on charity golf days and well meaning white women to drive their leased cars to negotiate donations isn’t the way to do it.
Raise welfare above the poverty line, build and buy more public housing, enough to house everyone who needs it, the effects will flow up, unlike the stage 3 tax cuts that will not trickle down.
Happy New Year, Andrew Leigh, I’m sorry you don’t see that you should be working to make the charities portfolio redundant rather than building up our country’s reliance on the whims of those with a dollar to spare.
I don’t know where to start and what to leave out?
This is why I’m leaning towards merely political commentary because if I say the wrong thing about the wrong person shit will hit the fan and maybe that’d be for the best.
So where to start?
It’s gonna be 40 degrees today. I’m hoping a storm comes through early so I can sleep tonight. I didn’t sleep enough last night, too sore from sore muscles and joints from moving, but I’m less sore than Bruce who shouldered most of the heavy work. I’m taking inventory of my bumps and bruises, like the ankle I rolled a few days before we did the main move and it’s still aching. Or the elbow I ignored in the same fall. Or the toes and ankles from kicking and tripping into things. Or the dehydration from moving in an official heatwave.
So I’m pottering around this morning having woken too early so Bruce can get a few hours of work in to catch up from the last week, money and tasks wise. Trying to bring some order to this chaos. Cleaning the kitchen. Sorting my clothes, doing some washing that will be dry five minutes after I hang in out.
I’m still pissed off at the lac of internet connection. I checked and I have more than 1000 gig spare data to use on my Aldi plan for us but it’s not as fast and it’s not the point. They’ve also said they’re going to credit me once the install in done, but that doesn’t help right now hey?
I’ve seriously not cried enough the past week or so. It’s all pent up.
I just wanna get myself into a rhythm again. Routine, not the time of year to try that but it really didn’t have top go up in the air like that.
I’ll put my clothes away today. I did the linen earlier. And more of the living room clutter. I’ve done the dishes since apparently no-one else will. At least I have a dishwasher here, but it needs to be loaded not just looked at.
At least I’ve yet again moved to somewhere beautiful. Have to walk down a street to get to the creek it’s not just in the backyard, but you can see it from the back deck and yeah, I love having cows and sheep and the RFS in the street.
Don’t listen to the polls unless they suit you, and then don’t listen then, but surely Labor finding themselves at a 50-50 two party preferred 18 months into what they hope to the be the first term of many should be a wake-up call for Albanese and co? The fear of many in my circles in they’re seeing it as a signal they need to be more like Dutton, and the rushed legislation to continue criminalising the immigrants that had been ruled to be detained indefinitely illegally doesn’t sit well. Labor needs to remember they’re not necessarily losing votes to the LNP by being shit-lite, but to Greens and Independents from across the political spectrum.
They saw it blatantly with the election of Dai Le in Fowler, Labor took a population for granted, and in more than one seat went against the wishes of the local branch to pick their candidate. And Keneally’s loss was spectacular, And State and Federal parliamentary Labor are thumbing their nose once more at voters they continue to take for granted – Muslim and Arab families, and those who love them, by ignoring their local branches – including the PM’s own Marrickville –Â calls for stronger language to be used when calling for Israel to stop their slaughter in Gaza and the rest of the region. The “pause” we have at the moment, Israel not receiving any condemnation for its blatant breaches and ridiculous actions that their army is willingly boasting about on Tik Tok of all places.
But what do I want from Labor? Have I given them enough time? Let’s look at their current 10 points they and their stans keeps talking up and letcha know how they’re working in reality.
For me in NSW, as a concession card holder, I get a total of $500 over this financial year credited to my account. This has ben $125 each quarter so far, but it has quickly disappeared and been absorbed by the doubling of the power bill by taking on the kids – who while they also have concessions can’t get additional support towards the bill, because it’s once per household. I hear that different places are rolling out more community batteries soon, which is awesome and really helps balance that load, but wouldn’t it be nice if renters were able to get their landlords to install solar and take advantage of that cheap cheap electricity?
2. Cheaper child care
Initial reports of fees going up with the subsidy going up abound, overall child care costs less per hour per child now than it did. But there’s many parts of the country where there are not enough places, workers are still underpaid for what they do to support the little ones and there’s still a requirement to be working or studying a certain amount to access the subsidy, which rules out a lot of precarious workers and kids who would benefit developmentally from attending childcare or preschool.
3. Increased rent assistance
*insert snorting milk out of nose gif here* – I’m getting a whole $13 a week extra in rent assistance now. And my rent is going up $60 a week in the upcoming move, not even taking into account the thousands we have to spend to move between bod, rent in advance, overlapping rent, and utilities, cleaning, petrol and van hire, time off work for Bruce and general stress expenses. “Fortunately” Bruce received his Nan’s inheritance earlier than expected, and instead of using that for car upgrades and tools for work we’re having to drop a lot on this move, and hopefully get some of it back when we get the bond, sell my AU and hopefully sell some of Bruce’s car parts. But it succcckkkkkkkkssss.
I was subject to a no-grounds eviction from my #NSW#rental property about 8 weeks ago.
After 7.5 years in my property – never missing a payment or asking for a reduction during COVID – I was given 30d to get out.
I’ll letcha know Wednesday if I get bulk billed, but nothing on the doctor’s website indicates they’re going back to bulk billing kids and concession card holders despite the increased incentive, so I’m gonna rock up with that $69 to pay and hope they tell me nah, it’s on the government. But we’ll see.
UPDATE 29/11 – I wasn’t bulk billed.
5. Cheaper medicines
Not for concession card holders, ours were indexed with inflation on Jan 1. Happy for those without concessions who’ve seen some of theirs go down though.
6. Boosting income support payments
How’d my frens out there on youth allowance and jobseeker spend their extra $20 a week? Don’t know, it just got absorbed because the costs of essentials continue to grow faster than inflation? Yeah, if you see someone shoplifting, no you didn’t. And, no there was no increase to DSP, my $59 a day partner rate is doing some heavy lifting.
Centrestink bin fire by Jez Heywood
7. Fee-free TAFE training
In select courses and limited in number, and with Austudy and Youth allowance so far below the poverty line how can you even AFFORD to study even if the course itself is free? How do you pay for transport and internet and food and texts and course supplies?
8. Building more affordable homes
Hoping to see these happen, but wow, there’s a long time before we see any impact there. And how the fuck does one even define affordable when it just needs to rent out $10 a week lower than market rate. Which is unaffordable for essential university trained teachers and such let alone supermarket workers, students and disabled people. It doesn’t stop rents continue to go up, renters being in such a vulnerable position. State, Federal and Councils need to directly buy and build public housing. They only way to fix the housing stock is to build for those at the bottom, get the families out of the caravan parks and tents, allow families to live and stay in a community for their kids to grow up, not fear having to move at the next rent hike.
9, Expanding Paid parental leave
I’m incredible uninformed on this. Probably would have been awesome as a baby producing allied health worker on $100k a year. As the second parent of a newborn, the son in law was entitled to two weeks off mutual obligations when bub was born, and got cut off several times for missing appointments because the baby was up all night. At least parents next is gone, but hey all those parents who got to access single parent payment up to their kids turning 14 now have to do mutual obligations…
10 Creating jobs and getting wages moving again
Oooh is that the 3000 Centrelink jobs to deal with the massive call wait times, months delays in processing payments and the 180 staff leaving the agency each month? Union members are striking in the meantime because despite promises to restore the public service the government can’t agree to a pay seal for Services Australia staff. The government needs to set the standard it expects from the rest of the employers out there, and in this they are failing.
So yeah, I’m tired, stressed, broke and disappointed in the Albanese government’s first 18 months. I’m sad to see Palestinians being killed and the founder of the Friends of Palestine unwilling to put his neck out and condemn the slaughter.
I’ll get through this move, and vow to use the faster internet I’ve been promised by TPG to do what I can to continue to speak truth to power. We get the keys in a week, and hand back the keys for the current place on the 13th.
Well I hate it even more today that it seems to have grown $3 Billion. Not the figure itself, or why it’s there, but because the politicians are smiling and announcing it the same week that the long awaiting “biggest permanent increases to JobSeeker” ever and “biggest increase in commonwealth rent assistance in 30 years” are also on their brag list.
Because those might sound like good things, but in real dollarydoos, I’m getting an extra $13 a week in rent assistance. Those on Jobseeker single will be getting an extra $56.10 a fortnight – $14 of that from indexation. My DSP indexation is $26.70 for the fortnight. Bringing my grand total pension to $1000.70 a fortnight. I worked out my share of rent only takes up 41% of my pension now, not 44%, but we’re due for a rent increase so check back soon :/
All the rates are still below the poverty line measures we have at hand. Labor have chosen to keep the rates like they are. They have also chose to keep the Stage Three Tax cuts. The cost of living relief, while all been welcome – the doubling amount of meds you can get in a script for certain drugs, I’m getting $125 off each of the next quarters electricity bills – but costs have skyrocketed everywhere, from milk, to petrol to rent (if you’re lucky enough to be housed) and there is no discretionary funds anymore. You call us fixed incomes here on the pension, because the aged and disability pensioners shouldn’t have to do work that they can’t in order to be able to afford to live. Carers can’t do any more. Those on JobSeeker are doing their best to find jobs, but jobs go to those who can afford to present themselves well, that can afford a haircut, new clothes, not have their car break down AGAIN. And the students, well they’re somehow expected to do well in their studies while supplementing with got knows how much paid work to make ends meet. We’re tired, Jim.
