• Zarobi@aussie.zone
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    3 hours ago

    It’s not that bad yet, but I feel like we’re on the way there. Luckily we still have a pretty good public sector for emergencies. But there is no public sector psychiatrists, at least not around here. So you’re covered for some things but not others, especially specialist treatment. That’s why I specified appointment, because most of the time appointment refers to private sector. And outpatient stuff, but the line is confusing and arbitrary.

    For example,

    • Dentists are essential but also elective.
    • The hospital will cast your broken leg for free but you’ll pay a lot for the rehab physiotherapy privately.
    • They’ll CT scan a tennis ball sized tumour for free, but refuse to remove it because even though it’s growing it’s “benign” i.e. if it won’t kill you then we don’t care.
    • Two doctors will cost wildly different prices even though both use Medicare.
    • You can go to the hospital 10 times for the same cardiac problem for free, but getting it investigated or fixed is private, unless you’re critically in danger.

    It’s hard to know whether something will cost you or not until you try and get it treated. It’s very “reactionary” instead of “preventative” is how I’d describe it. Like they’ll chop off a diabetic foot for free, which is hugely expensive medical procedure requiring a surgeon, but seeing a dietician to learn how to manage your diabetes costs $200+ per appointment.

    I almost feel like if I had to choose, the reverse should be true. Focus on preventing problems rather than putting out fires.