Showing posts with label medical care. Show all posts
Showing posts with label medical care. Show all posts

Wednesday, 12 October 2016

Health isn't free, you idiots

The best things in life are, in fact, free. Love. Relationships. Health. Personal growth. Contribution. Six-pack abs.

I read this status update on The Minimalists' Facebook page last week and it made me a little cross.  

I agree with most of it, but health? Health is free? What the hell!? Health is only free if you have the good fortune to be born healthy and able-bodied, and to remain so throughout your life. I wanted to reply "PLEASE CHECK YOUR PRIVILEGE!", but I refrained. 

What's particularly astounding about this assertion is that these guys live in America, where even a relatively short stint in hospital can (or could, pre-Obamacare) cause extreme financial stress or even bankrupt someone. In Australia, even with Medicare, health is most definitely NOT FREE. I went to see my GP last week and while I was waiting, I noticed a sign tacked to the reception desk advising of increased fees:

  • A standard consultation of 15 minutes is now about $90, with a Medicare rebate of around $38 (I can't remember what it was before).
  • A long consultation - which I'm assuming is 30 minutes long - is around $160, but I don't know if you get a larger rebate for it.
  • A "prolonged consultation" - anything beyond 30 minutes, I suppose - is a whopping $215!! Again, I don't know if the Medicare rebate increases commensurately. 
These are weekday fees too - they charge even more when you go on Saturdays, which is what I usually do because my GP doesn't work on my days off, dammit. I was flabbergasted. More than $200 to see a GP! That's more than I pay for a standard consultation with my neurologist!  

To be fair, it seems the clinic my GP consults at charges well above average. It's on St Kilda Road, in an affluent area, so I guess they figure they can charge more. According to research from 2014 by the Australian Medical Association, the average cost of a GP visit was only $51, with $47 paid for by Medicare, and $5 by the patient. I can't recall the last time I paid such a small amount to visit a GP. Maybe bulk billing (where the patient has no out of pocket costs) skews the patient contribution figure? 

I have thought about changing doctors - I went to a different clinic nearby recently with bronchitis when I couldn't get in to see my regular doctor and it was quite a bit cheaper - but I've been seeing my GP for years now and continuity of care is important to me (as it is for anyone with ongoing health issues). Although she's a little eccentric, she is a good, caring doctor.   

Without spending money on shoes and clothes and not including rent and food, health costs (including pilates/yoga class fees, osteopath charges, consultation fees for my GP and specialists, and medication/supplements) are my largest expense. They might have been before my ban started too, but I never kept track of my outlay on clothes etc.  

And it's not like I'm seeing my doctors weekly (or even monthly), or taking a dozen different expensive medications daily like many other people with ongoing health conditions (some cancer treatments cost THOUSANDS OF DOLLARS), so my health costs might be high as a proportion of my spending, but I'm sure they are quite low compared to what many others spend. I can imagine how these people would react if some privileged American idiot suggested to them health is free.