@perkinsy
in 1972-74 the hostility to whitlam’s proposed new “medibank” scheme — from liberal party, press, AMA and others — was, imo, unbelievable. at first, doctors engaged in a campaign of non-co-operation, by refusing to accept “provider numbers”
australia was a nation resistant to change. we (whatever “we” means, given how many people had voted for whitlam) did not want socialist health care, and we did not want medibank creating a system of “ID cards by stealth”. (there were ID cards during WWII, administered by the local PO, but that was behind us.)
(indirectly related, but also a measure of attitudes and mindset, we were so resistant to change that when banks got together and created a credit card system — bankcard — people cut them up and returned the pieces to banks in protest. “we are NOT america, and we CAN pay our bills. we do NOT like debt or obligation”.)
medibank legislation (the original medicare) was at first modelled on the (presumably) practical health care system in canada, then gutted repeatedly before it could be passed. (and later scrapped by Fraser)
for a while, i worked in a section processing applications for medibank cards, and there was a whole campaign of people lodging dodgy applications (to clog up and discredit the system) which did not have very demanding ID requirements. there was a whole other section of the public returning their new medibank cards in protest.
if i remember correctly, the rationale for the cheque-to-doctor-via-patient was to re-assure change-resistant members of the public that doctors could not simply defraud the system by lodging excessive claims, and to allay fears australia would soon go broke because of whitlam’s mad plans. under this arrangement the patients were effectively providing an audit service.
to be fair, the world was very different in 1974, and to those who benefitted from it, the system probably didn’t seem anywhere near as inconvenient as having no health care at all.
but, yes, the world is very different now, and i’m astonished medicare are still doing things this way. i thought cheques were already done and dusted. if this doctor patient arrangement wasn’t so automated maybe someone would have found a way to change it, and save wages.
i guess politicians today are more inclined to tolerate medicare than to cherish it.
#Medicare #Cheques #Auspol #Change