Raymond J. de Souza: What Canada can learn from the health crisis Down Under

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Raymond J. de Souza: What Canada can learn from the health crisis Down Under
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Australia is predicting a nationwide shortage of approximately 11,000 family doctors by 2032

News about the latest medicare deal offered by Ottawa to the provinces? No. Right crisis, wrong country. Actually, the same crisis in two countries, Canada and Australia. The latter’s experience might mean Canada’s crisis is worse than we think.Sign up to receive daily headline news from Ottawa Citizen, a division of Postmedia Network Inc.By clicking on the sign up button you consent to receive the above newsletter from Postmedia Network Inc.

“General practice, which is the backbone of our health-care system, is in a truly parlous state,” Butler said. “Not enough medical graduates, young doctors, are choosing general practice as their career because they see the difficulty of working as a general practitioner. We’ve got to turn this around,” Butler said.Article content

Called “extra billing” in Canada, and banned by the Canada Health Act of 1984, Australian GPs can charge what is called a “gap” fee. A GP can directly bill the government for a service, and the patient pays nothing out of pocket. That’s called “bulk-billing” Down Under, but doctors don’t have to do it. Instead they can charge the patient directly, who later claims back from the government the medicare rate for the visit. The difference is known as a “gap” fee.

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