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just had a doctors appointment where they said they weren't going to bulk bill over the phone, but then they did after it was all done. in conclusion, bulk billing is a land of contrasts.
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Nov 8, 2023 00:44
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alf_pogs posted:i can't imagine what it would be like to sit in a room and deal with unwell people's various medical problems all day. that sounds like hell. It's a government trick for clawing back money. It's a lovely trick. Economists, who don't even know what they're doing, will tell you attaching things to indexation doesn't track the true value blah blah blah. Yet we attach other things to indexation when it costs the government money or its a politicians pay rise.
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Nov 8, 2023 00:47
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Reading about how all these pensioners have been priced out of renting, really should get the RBA board to read their stories
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Nov 8, 2023 01:02
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bowmore posted:It could be as low as $17 an hour if you only bulk bill after the practice gets it share, insurance, paying your own super as a contracted employee etc'... just for fun I think the rate is 41.20 (https://www.abc.net.au/news/2023-11-01/why-are-gp-fees-increasing-medicare-bulk-billing-incentives/103038704) 41.20 * .65 (less fees to practice) = 26.78 * 4 (convert to hourly [15 min appt length]) = 107.12 * 8 (billable day) = 856.96 / 12 (actual length of work day) = $71.41 * .89 (paying super, lol) = $63.55 - (10,000 / 52 / 5 / 8 insurance estimate converted to hourly) = $58.74 Annual salary: $122,179.2 before tax For the 12 hours work day sounds pretty bad but my experience with doctors is that they do their notes and referrals during the appointment, so maybe not all doctors are doing 4 hours per day unbilled. Either way the rate should definitely be higher from medicare.
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Nov 8, 2023 01:07
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Nov 8, 2023 01:07
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swamp thong posted:just for fun Does that factor in any leave, any sick days, and any appointments that no show?
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Nov 8, 2023 01:15
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Finding it very hard to care about GPs "working hard" when your average aged care worker is working harder scrubbing the asses of elderly people for about $60,000 a year. Lots of jobs work harder.Capt.Whorebags posted:Pathway to a GP is medical degree of 5 years (mostly post-grad now but my wife did under-grad), 1 year of internship, 1 year of residency, and then 4 to 5 years of training as a GP registrar - you can't "just be a GP" anymore. And that doesn't seem like a problem to you?
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Nov 8, 2023 01:20
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Bulk billing existed. It was a thing you get everywhere. Howard used to boast that 90+% were on it. It’s been stolen from us.
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Nov 8, 2023 01:30
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Yeast posted:Does that factor in any leave, any sick days, and any appointments that no show? nope, you're also working 260 days of the year, so no holidays either.
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Nov 8, 2023 01:31
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Pleasant Friend posted:Finding it very hard to care about GPs "working hard" when your average aged care worker is working harder scrubbing the asses of elderly people for about $60,000 a year. Lots of jobs work harder. This is idiotic. When I go in to my doctor to ask if maybe I have answer I would like her/him to be an expert. This costs money and time, for (ideally) their whole career. I would like that to be paid for by society as a whole so you get the same quality of advice as me regardless of what we each earn or our personal circumstances as society benefits from both of us being healthy. The notion that the way we get here is cutting GP salaries and the revenue that funds practices while we have a shortage of GPs and practice costs are increasing - which is functionally what you are arguing for - is nuts. I have family running GP practices and it is a constant battle to keep them going, especially since many doctors ethically WANT to bulk bill but practices struggle to survive with it as a business model. This is just a fact. They work like hell to help people and it is often both intellectually and socially demanding work. They need to be good with people AND technical experts. We want good GPs to help with mental health, physical health, long term well-being. The scope of what they do is yes, considerably broader than many aged care workers and justifies a premium. Specialists - ok there can be arguments there for some fields. But Jesus Christ, when there is so much massive actual inequality in the financial and real estate sectors why the gently caress are you going after GPs?? Edit: also, GPs have lives and families and when they have the opportunity for more money sometimes they have to take it. Divorce, health crisis, parents needing aged care etc. a lot of GPS agonise over this but the reality is most of them can make far more money with better work life balance as a specialist. Your posturing doesn’t address this basic issue, that a major reason we need to financially incentivise GPs is to 1) keep access to primary health care affordable and accessible and 2) keep them in the profession by lowering the opportunity cost of staying in. Blamestorm fucked around with this message at 01:38 on Nov 8, 2023 |
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Nov 8, 2023 01:35
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swamp thong posted:just for fun Yes it varies a lot. If it was a simple day of check-ups than the notes would be minimal and maybe the doctor can get out of there quickly. They still likely had an in-tray full of results from pathology and radiology to review and decide if they needed to urgently get the patient back in or if the receptionist could just tell them over the phone that everything is fine or some other course of action. There are higher Medicare item codes for things like putting together a care plan for someone with chronic conditions, doing a review of something else. There would be government incentives for immunisations in areas of need, that kind of thing. So a great day (you did a bunch of care plan reviews) you could bill much higher - maybe even $2000 (before practice cut etc) but $1200-$1500 was typical. Note the higher billing codes are not a free for all, e.g. you could only do a care plan review for a patient once every three months. My anecdote is not data, and there are notorious big company clinics that conduct conveyor belt medicine. I'm not saying that GPs work harder than anyone else, but the solution is closer to paying the aged care worker more, not the GP less or shifting the burden to the patient with a co-pay/private billing.
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Nov 8, 2023 01:43
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the bulk bill subsidy needs to be at least double what it is right now imo - you could also nationalize/subsidize the office/admin portion of the industries costs and return money to GPs that way.. I think it would be preferable that the Government runs these offices and provides the tools in the same way they do hospitals, as at best you have someone stressing trying to make margin landlording doctors. At worst you have someone basically being paid rent by the taxpayer.
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Nov 8, 2023 01:45
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Sexism and malpractice is rampant with GPs, and making it so people have to go though 10 years of training/residency/etc clearly hasn't improved that. Health care is a society need, and while I sympathise with small businesses owners, their expertise is overrated and the gatekeeping is causing real harm by contributing to the shortage of GPs. Pleasant Friend fucked around with this message at 01:53 on Nov 8, 2023 |
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Nov 8, 2023 01:49
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Lol if you think that’s hosed up wait till you hear about the absolute fine mesh screen we put psychologists through. If you take the current shortfall of 3,560 full time psychologists (whatever that is) right now, we would take at least 3 years in order to train that many psychologists to fill the current shortfall. The issue of course is that the pipeline for training psychologists (provisionals) is not keeping up with population growth, which means we’ll likely be in a shortfall in the future due to increased demand.
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Nov 8, 2023 02:11
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swamp thong posted:just for fun That's a dreadful wage for a specialist medical professional.
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Nov 8, 2023 03:24
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I wonder if we're so hard line pro genocide because AUKUS is still in negotiations and politicians have been told not to say anything that goes against American foreign policy
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Nov 8, 2023 04:20
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Hasn't passed US congress, I mean, not still in negoch
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Nov 8, 2023 05:48
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drat gently caress off Al-Kateb!!! Hell yeah.
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Nov 8, 2023 08:14
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Optus CEO: We have some issue that we're working on. Some Network grunt 7 levels of management down: Oh crap we broke BGP and now I have to go out to the datacentre with a laptop and a console cable because we killed our remote access and it's taken management 8 hours to decide to do that. Dodo did that a decade ago but it took less than an hour to fix. The tech manager was in a meeting when the helpdesk guy interrupted him to say "Someone's on the line from the Telstra and they sound very angry". I didn't work that day, so I missed that call. Glad I'm not working tech support at a major hospital today.
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Nov 8, 2023 08:35
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Pleasant Friend posted:Sexism and malpractice is rampant with GPs, and making it so people have to go though 10 years of training/residency/etc clearly hasn't improved that. This is basically my argument. Widen the training pipeline, reduce the gatekeeping aspects of the selection process and ensure that training cost does not create a significant barrier to entry (I know it is not like the US where multi-hundred k loans are the norm but still), Look to double the number of registered doctors per capita in Australia. This would reduce the societal pressure on doctors to work such long hours as someone spelled out, help with the aging population and to stop Australia taking qualified doctors from the developing world in place of training our own. lih posted:did you just ignore the bit about how the incentives to become a gp are poor compared to most other medical specialists? But to fix it would require getting serious about increasing the capacity of the development pipeline and that would go in the face of the AMA and to get past that JBP posted:You're proposing breaking their labour organisation lmao.
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Nov 8, 2023 08:59
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My little brother is a gp in training at the moment in the UK (yes it's hosed) I've never quite understood the macho aspect of doctor training that seems to revel in 36 hour shifts as a rite of passage. We mandate truck drivers take breaks for a reason but apparently not people making literally life and death decisions on behalf of patients. Just spent 4 days with my 1 year old in the royal children's and I have to say they are a pretty incredible bunch of people who work there. The care he received was outstanding.
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Nov 8, 2023 09:20
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You haven't factored in training days, GPs can't just let their knowledge wither away. They need to do 50 hours minimum per year, so chop that out. And if they aren't billing patients, they're not making money, so take out an average 6 days per year for sick leave? I imagine it'd be more what with being around sick people every day.
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Nov 8, 2023 09:20
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Tomberforce posted:My little brother is a gp in training at the moment in the UK (yes it's hosed) I heard that the guy that kind of invented the system of crazy gruelling shifts for trainee doctors in hospitals was on meth when he did it himself, then decided that's what all doctors should do
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Nov 8, 2023 09:30
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algebra testes posted:drat gently caress off Al-Kateb!!! Hell yeah. you’re gonna marry al-Kateb!
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Nov 8, 2023 10:09
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Electric Wrigglies posted:This is basically my argument. Widen the training pipeline, reduce the gatekeeping aspects of the selection process and ensure that training cost does not create a significant barrier to entry (I know it is not like the US where multi-hundred k loans are the norm but still), Look to double the number of registered doctors per capita in Australia. This would reduce the societal pressure on doctors to work such long hours as someone spelled out, help with the aging population and to stop Australia taking qualified doctors from the developing world in place of training our own. There are more medical students and graduates than ever. The problem is that there are not enough intern/residency slots for them. I don't think this is gatekeeping, more just that interns, residents, and registrars need to work under a supervising doctor, who already have high workloads and so are unwilling to take on additional responsibilities for training junior doctors. Talk to any GP or practice manager about getting more GPs and they will say "please yes, tell them we're hiring, we need more doctors here". The gatekeeping isn't coming from frontline doctors. I don't know how you fix the training aspect as it's just such a huge body of knowledge to learn. The medical degree covers a whole range of stuff that a GP probably doesn't need, but you don't know that at the start of a career. Just like I've never thought about integral calculus since high school but advanced mathematics was a pre-requisite for an IT degree, which I didn't end up finishing anyway. Can the training be closer to an electrician than an electrical engineer? Possibly. But I think that could be a dangerous path. There is a push to give more responsibility to nurse practitioners although the AMA is probably resisting it.
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Nov 8, 2023 11:08
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It does not matter if you train more of them. Without increasing the bulk billing rate it will not help. We *HAD* a working system. One thing changed.
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Nov 8, 2023 11:24
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Word cloud for October: Thanks Posters
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Nov 8, 2023 11:56
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Urcher posted:Word cloud for October: is having words inside the boundaries of bigger words new?
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Nov 8, 2023 12:01
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early sausage
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Nov 8, 2023 12:24
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Spookydonut posted:is having words inside the boundaries of bigger words new? It's been happening since the very first word cloud, though it's been more obvious in the last year or so since I tweaked everything to make the biggest words bigger.
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Nov 8, 2023 13:01
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Urcher posted:Word cloud for October: It's no bear cloud, but it's still good
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Nov 8, 2023 13:04
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There should be a second, smaller Yes over the ACT
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Nov 8, 2023 13:07
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Urcher posted:Word cloud for October: voted australia racist
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Nov 8, 2023 13:12
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https://www.abc.net.au/news/2023-11-09/shire-of-harvey-considers-scrapping-acknowledgment-of-country/103079412 Hell yeah, this will now just keep happening forever.
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Nov 8, 2023 22:04
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Well fortunately there is something to make the racist drop kicks rage incoherently for a while. https://www.refugeecouncil.org.au/refugee-council-welcomes-the-historic-high-court-ruling-finding-indefinite-immigration-detention-unlawful/ Consider supporting these guys. They really upset the people who you probably dislike the most. Does it being unlawful mean the Kartofelfurher will be doing time?
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Nov 8, 2023 23:58
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Nah, they’ll just string a couple of public servants up and call it a day
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Nov 9, 2023 00:01
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Tomberforce posted:My little brother is a gp in training at the moment in the UK (yes it's hosed)
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Nov 9, 2023 00:49
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seriously didn't press post yet
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Nov 9, 2023 01:16
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Good news - people read, understand, and appreciate the article: https://x.com/scafaria/status/1721523541797900424?s=20 https://x.com/JamesFLoveIV/status/1719740546736853401?s=20 https://x.com/AlbLeVert/status/1722197094293987401?s=20 https://x.com/AlexAlvarova/status/1722398555225075872?s=20 https://www.reddit.com/r/Qult_Headquarters/comments/17lwkr0/how_q_actually_started/ The number one most energy-efficient thing you can do to fight capitalists and fascists at this precise time and place is to try and get journalists to look at it so this can begin to be covered correctly.
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Nov 9, 2023 02:13
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im glad your thing is getting noticed bucky
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Nov 9, 2023 02:17
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