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?

 

How Labor Ensured the Death of Universal Bulk Billing

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.

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.

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.

Who does the bulk billing incentive apply to? This incentive only applies to the following vulnerable patient groups, and only if they are bulk billed: Children under 16 years Commonwealth concession card holders (Centrelink or DVA cards): Pensioner Concession Card Health Care Card Commonwealth Seniors Health Card How much is the bulk billing incentive? The bulk billing incentive applies to eligible patients as per the following locations: Metro (MMM1): $20.65 Regional centres (MMM2): $30.15 Large-medium rural towns (MMM3-4): $31.95 Small rural towns (MMM5): $34.05 Remote communities (MMM6): $35.80 Very remote communities (MMM7): $39.65

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.

If you’re on $45k, you’re unlikely to have a health care card (you might if you have a family member with a disability) so your 43c a week isn’t exactly going to cover the $90 upfront my GP charges, or the $70 with concession. You might be able to buy some of that “summer sports gear” for a certain upcoming long weekend, but you won’t be able to cover the “$30” meds that went up to $31.60 on Jan 1.

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?

Who even is the Labor target market these days?

Spoiler alert: My GP didn’t go back to bulk-billing

Like, I wasn’t actually EXPECTING them to go back to bulk-billing pensioners, other concession card holder and children despite Labor members spouting on about the triple bulk billing incentive and how they were saving medicare and bulk billing and helping disabled people in this cost of living crisis. Or wait, they didn’t actually say disabled people, they only talk about us when it’s about us being all diagnosed with Autism and getting on the NDIS. 

So, I am again just before pension day with less than $20 to my name, because I had to hand over $69 this morning for my GP. Who is unfortunately moving to Queensland next year. Like, this might be a chance to attempt to find a bulk billing doctor near my new place, but ugh, I hate trying to suss out new doctors and feel like they actually want me there. 

We’ve been super stressed here with the move to, I was worried I was gonna take too long with the doctor today and have to pay for a level C consult, but fortunately we realised he could only give me my scripts, reassure me that things will be easier after the mood, and tell me it’s okay to take a little more Quetiapine til the move’s done since I’m so agitated.

I just wish it was all easier. And cheaper hey?

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Half-Term for Labor… and a 50-50 2pp?

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 –  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.

1. Energy bill relief

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.

4. More Medicare bulk billing

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.

Graphic design of a garbage dumpster on fire with bin juice pooling at the bottom above the text "centrestink"
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.

A red background with text 10 ways we are helping Australian with the cost of living 1. Energy bill relief 2. cheaper child care 3. Increase rent assistance 4 more medicare bulk billing 5. Cheaper medicines 6. Boosting income support payments 7. fee-free tafe training 8. Building more affordable homes 8. Expanding Paid parental leave 10 Creating jobs and getting wages moving again

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.

Send coffee, cleaning products and chocolate. So much chocolate.

Love you guys.