Jimmy_041 wrote:am Bays wrote:As a public health service bureaucrat I can verify that if any "edict" compromises patient safety or knowledge no clinician will obey. Great delight is taken at raising the metaphorical two fingers at the "boardroom" by those at the "bedside" if there is no demonstrable clinical benefit or outcome.
FWIW I don't blame them, it sh!ts me when I see decisions made that create ease for administrators to report but complicate effective and efficient clinical care to patients..
Probably why so many are quitting after speaking out about the jab and then getting hauled in, and threatened, by AHPRA
https://gerardrennick.com.au/over-2000-medical-professionals-sign-letter-against-ahpra/
AHPRA is a government bureaucracy registering a wide range of health workers with a cooperative doctor nominally involved. The system worked better when Medical Registration was supervised by a panel of independent doctors, who understood what happened in real practice, not the bureaucracy which wants to expand itself and its power. Matters that arose against doctors used to be dealt with in a few months, but now even trivial matters can drag on for a year or more. Now we are lumped in with a wide variety of "Health Professionals" some of which have rather weird ideas about illness causation and treatments! (Like the philosophy that all disease is caused by misalignment of the vertebrae or the long bones.)
We also still have the ridiculous situation introduced by Paul Keating that we have to get a new Provider Number for every location we work at, even if only 100 metres up the same street, whereas in earlier days the PN was state wide. The reason for this was that Keating wanted the bureaucrats to be able to dictate to doctors where they could work. (The AMA took it to the federal court and his legislation was overruled as illegal Civil Conscription, but the new requirement of multiple provider numbers was kept - I assume because the bureaucrats still hope to pull that scheme off one day.)
I've already advised AHPRA, my medical college, and the AMA, that if further bureaucratic interference proposed by AHPRA for introduction during 2023 goes ahead I'll retire and not renew my medical registration when it falls due in September. Their new proposals will be unable to be complied with by people like me who take jobs in remote rural areas where the are no colleagues nearby and where you can't take home a copy of the location's clinical notes for future review.
I'm wealthy enough to not need to work, but I like to help out in undermanned locations. (Most of my wealth, by the way, came from family's and my own real estate investing, not medical practice, though the medical income did help me fund the investing in the early days.)
The Medicare rebate on doctors fees has risen by only about 65% of inflation each year since the introduction of Medicare and its predecessor version Medibank way back in 1975 - Medibank was later privatised and Medicare replaced it. This issue is one of the reasons only 15% of medical graduates now choose to be GPs - it used to attract 50% of graduates in the past. (GPs are under more pressure to bulk-bill than specialists.)
Posted: Thu Nov 17, 2022 9:31 am