Under Medicare, GP clinics that once could provide time and care for the most vulnerable now have to squeeze in as many patients as possible
Almost every patient I meet in my clinic is on aCare Card. This used to get them free or inexpensive medical care across the country, but this is getting harder and harder for all of them.
Community health services for the poor and needy were once small, grassroots clinics, and later supported by the Victorian government. Many had GPs, specialists and allied health working together. In recent decades, the state government tendered these services out, and over time many have morphed into large corporations good at responding to lucrative government tenders.
So how do we serve the people who cannot and do not easily advocate for their health needs? Those who have no stable housing. Those with a language barrier. People with complex disabilities. People with serious mental illness. Those living with chronic pain, or complex traumas.
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