Liesel Ryan
@DrLiesel
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GP/ED (rural/regional & urban), medical educator, mother, wife, daughter. My views are my own #justaGP
Joined January 2022
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Thanks to all our UK colleagues for fighting so hard to highlight the PA debacle. We Australians were able to jump straight on it thanks to all of you
@DrLKVaughan
@iDrSunny
@drmattuk
@RACGPPresident
@ama_qld
This is how Australia just dealt with PAs:
Thank you to Health Minister
@ShannonFentiman
I’m glad lessons were learned from the UK
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Here is a list for
@hamishandandy
to excel at: metastatic prostate cancer masquerading as ‘back pain’; lymphoma presenting as ‘night sweats & fatigue’; an ectopic pregnancy described as ‘I think I have a UTI’. Go. Let’s see how well you do.
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Slander the medical profession on national TV then play victim when we are understandably taken aback and ask for proof
@MargaretFaux
@Mark_Butler_MP
@amapresident
@RACGPPresident
@stephenjduckett
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The result of decades of neglect by successive governments: ‘Fewer than half of GPs intend to keep practicing in 10 years); ‘Just 13.8% of medical graduates are choosing to become GPs’. ‘We’re haemorrhaging GP’s at all stages of the pipeline’
@RACGPPresident
@Mark_Butler_MP
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This. GPs are done. We are not to blame for patients’ out of pocket expenses. We won’t pick up the tab any more
@Mark_Butler_MP
@stephenjduckett
@amapresident
@RACGPPresident
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@ian_hickie
@RACGP
@Mark_Butler_MP
@MelissaLDavey
GPs are not moving away from bulk billing to ‘withdraw services to disadvantaged’. Such emotive, manipulative words, shame on you. As you point out initially: costs rise, Medicare rebates lag. THAT is the reason, Ian.
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GPs have finally set boundaries around what has been an abusive relationship with gvt for years. Gvt has gaslit & bullied, played on GP empathy. What happens when boundaries are set? Outrage, disbelief, attempts to destabilise. Hold those boundaries, fellow GPs, it’s the only way
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Watch out, Australia. Your GP out of pocket expenses are set to double, as you lose access to your Medicare rebate. Also watch as GP numbers plummet because no junior dr in their right mind will choose to train in GP
@stephenjduckett
@Mark_Butler_MP
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‘What Phenix was doing was illegal’ … but 30,000 claims were processed through Synapse before it was picked up … given that Synapse is Margaret Faux’s company, does the mean she is complicit in this illegal activity?
@MargaretFaux
@Mark_Butler_MP
@amapresident
@RACGP
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Is this the agenda: undermine confidence in GP’s ability to manage mental health, publicly denigrate GPs, call GPs’ integrity into question, then use that leverage to redirect funding from GPs to other ventures such as Innowell?
@ian_hickie
@Mark_Butler_MP
@RACGPPresident
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Spread the word. Australia is set to follow the UK ‘Physician Assistant’ debacle. Patients beware, your healthcare is at risk
@RACGPPresident
@amapresident
@brookmanknight
@Mark_Butler_MP
@qldhealth
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@HelenRSalisbury
I think ‘Clinical Assistant’ would be a much better term than ‘Physician Assistant/Associate’. The term ‘physician’ is very misleading
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@karenmitchell__
Unfortunately I was married to one and it led to absolute heartache and devastation for me. It took a lot to break free and rebuild myself. I’m getting there, with the love of a kind and empathic man who is the polar opposite of my ex
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‘ … a pharmacist is better than nothing .’ is hardly an argument to let pharmacists diagnose, treat & prescribe. Australians deserve better. Increasing patient Medicare rebates would be a start
@amapresident
@Mark_Butler_MP
@RACGPPresident
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@That1MedStudent
What a wonderful thing you did here. Sounds like you saved this young woman from a dangerous situation. My drink was spiked once, a long time ago, and I am eternally grateful a friend looked after me as I have no memory of it at all other than feeling like the ground was tilting
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Next level deflection, and a great way to worsen GP morale (which is already through the floor). How about not pinning the actions of a few bad eggs on the whole profession?
@RACGPPresident
@Mark_Butler_MP
@abcnews
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As many have said, the Pharmacy Guild is a powerful lobby group for pharmacy OWNERS & donate to govt (to influence policy?); on the ground pharmacy employees are NOT represented by the Guild, they have their own group. Not sure the public understand this, but they should
"Mr Butler said the change would save $1.2 billion in dispensing fees over the next four years, which would be "entirely" reinvested into community pharmacies."
@PharmGuildAus
- can we stop being alarmist now?
#healthbudget2023
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@DocOnSkis
@EM_RESUS
@joshmcgoo
100% this. I once had a farmer brought in with anaphylaxis .. he tried to intubate himself with a piece of hose because he really really didn’t want to come to the emergency department (calving season) 😳
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@ian_hickie
@_angemccormack
@amapresident
Ian, I am a GP. Right now I have patients with mental health needs, who cannot access public or private mental health services for love or money. They only have me. You are now painting me as irrelevant. What do you want to tell my patients? Where should they seek care?
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Australia, access to your patient Medicare rebate is at risk. Make no mistake, we are increasingly headed towards a 2 tier system. Free, low quality bulk billed service, or high quality medical care that you pay for entirely out of your own pocket
@amapresident
@RACGPPresident
Our thoughts: What if Medicare was restricted to GPs who bulk billed? This kind of reform is possible via
@ConversationEDU
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Deeply disturbing that pharmacists are pushing to be diagnosticians. This article explains the danger perfectly
@amapresident
@Mark_Butler_MP
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@Imi_cycles
@ketaminh
And vice versa, I reckon. If ALL specialties had to rotate through General Practice there’d be a lot more understanding of, and respect for the amazing job we do every day that keeps people of of EDs and hospitals
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Watch this space. 60 day dispensing will help patients (time & money wise) but The Pharmacy Guild wants it blocked. Time to make patient centred choices
@Mark_Butler_MP
and stare the Guild’s donations down
The million dollar question looms in front of us. Will the Albanese Government stand up to the powerful pharmacy owner lobby group The Pharmacy Guild and help patients access medicines while saving the health budget hundreds of million of dollars? Watch this space.
#medicine
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Headlines like this perpetuate the myth that Medicare ‘pays’ GPs. Medicare is an insurance scheme for patients. Not GP pay. Patients need to lobby for their rebates to be increased. Private billing & gap fees are here to stay
@stephenjduckett
@amapresident
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@DGlaucomflecken
Hahahahaa …. Hahahaha … same issues all around the world 🤣 .. potassium of 3.5 .. 🤣🤣
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This is a devastating article. Devastating because it is true. Devastating for GPs. Devastating for Austalians
@RACGPPresident
@amapresident
@MarkBurnettTV
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@DGlaucomflecken
Sounds about right .. but seriously, 50+ sunscreen every day, all over. And reapply during the day, especially if swimming. And a hat, sunglasses, & cover up. There’s a reason they call us the melanoma capital of the world ….
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@rpcounat
@cjbroadhead
@hamishandandy
100% I once treated as farmer who has tried to intubate himself with a piece of hose after an anaphylactic reaction to a wasp sting .. ‘because it’s lambing season, love, and I’m needed at the farm’ …
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@AlboMP
@thefox1019
Urgent Care Clinic average cost to Government per patient seen is $188 (taxpayers money); General practice cost to government per patient visit $41-80 approx. Why not funnel UCC funds into general practice, which is more efficient and cost effective?
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Watch that rate fall further. It’s too late - bulk billing will soon become a distant memory for most. Shame no one listened when GPs warned of this time & time again
@Mark_Butler_MP
@stephenjduckett
@amapresident
@RACGPPresident
New data has revealed that only 35% of medical visits to a doctor are fully subsidised, renewing calls for an overhaul of Medicare's system l
@KeziaDawn
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It defies belief that govt can override the TGA and risk patient safety in this way
@Mark_Butler_MP
@AlboMP
@amapresident
@RACGPPresident
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@mindbodymiko
‘Why should I pay ‘$50 or $60 dollars for a repeat prescription’ oh wow, the entitlement!! So disappointing, Natalie Barr. Who do you think SHOULD pay for your time with your GP then? Speak to your local MP if you have concerns, don’t begrudge GPs needing to make a living.
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The issue around Medicare rebates and bulk billing is now squarely between patients and the government. Medicare is the patient’s rebate (not the GP) It is woefully inadequate and no longer covers the cost of quality care. GPs can no longer continue to subsidize patient care
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@DrRobgalloway
I’m Australian. I was in the UK in April & visited my uncle who was admired for leg cellulitis. He spent 4 out of 5 nights of his admission on a trolley in a corridor in the ED because there were no beds pn the ward. 3 other ‘admitted’ patients were in that ED corridor with him
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Had a chat with my local pharmacist yesterday, about 2 month prescriptions (which he supports); pharmacy prescribing (which he doesn’t); he muttered darkly about The Pharmacy Guild not representing employee pharmacists, or patient care, only concerned about profit
@Mark_Butler_MP
And most GPS would agree with you.
Patients need to be aware of the big business influence in politics as well as health. At this stage your GP is standing up for you and for quality healthcare. Despite a considerable PR campaign against.
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@stephenjduckett
Hmmmm that old chestnut: ‘GPs are under-remunerated’. No, it’s patients who are under-remunerated. Medicare is the patient’s insurance, and the Medicare rebate belongs to them.The patient Medicare rebate is inadequate. How many times do we have to repeat this before it sinks in?
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Sigh … still that old chestnut that doctors are paid the Medicare rebate.
THE MEDICARE REBATE BELONGS TO THE PATIENT, on repeat, until it sticks
@Mark_Butler_MP
@stephenjduckett
@amapresident
@RACGPPresident
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@YvetteDAth
That is excellent news, thanks to the diligent and hard work of the RACGP and AMA. It was a terrible proposition. Reduced level of patient care. Contraception visits to the GP are so much more than ‘just a script’.
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Interesting marketing strategy …
@MargaretFaux
maligns the medical profession, then invites them to participate in a course they must pay her for
@brookmanknight
@RACGPPresident
@amapresident
@Mark_Butler_MP
Australia’s first Medicare billing law and practice course is coming. A much-awaited collaboration between Leo Cussen Centre for Law and Australia’s expert in this area, Dr Margaret Faux. This course has been 2 years in the making – more details coming soon!
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Wow … I hadn’t realised it was quite this bad, certainly explains a lot about this past week’s attack on General Practice
@ian_hickie
@RACGPPresident
@Mark_Butler_MP
@ama_vice
In Australia, Prof Ian Hickie has equity/shares in Innowell/Project Synergy, funded $30 million by gov to transform MHS thr use of innovative tech. He advocated reduction of subsidised MH consults under Aust Medicare's Better Access to MHS. Conflict of interest becoming the norm?
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Confusing week of smoke & mirrors
@ian_hickie
@Mark_Butler_MP
@RACGPPresident
Tues: GPs are lazy & greedy & need to do more for less $$
Fri: GPs are irrelevant, we should scrap them altogether (subtext: all we need is an app! Here’s one I prepared earlier!)
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@SophieScamps
No. We need to increase patient Medicare rebates so GPs don’t have to subsidise patient care out of their own pockets. We need to make GP an attractive career choice again.
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‘Urgent Care Centres’ are a convenient gvt band aid strategy to deflect attention from the disastrous state of our public health system
Patients treated on the waiting room floor, critically ill patients not able to seen & dying as a result, no beds in the hospital, staff fear for their job if they speak-up. Sadly, it's all very familiar from my own experiences. "Urgent Care Centres" do nothing to address this
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Vindication is the right word. GPs have, in fact, been propping Medicare up to the tune of $350m a year, by routinely under billing. Would be nice to get an apology for the slanderous $8bn ‘rort’ allegations
@abc730
@smh
@MargaretFaux
@RACGPPresident
It’s vindicating to see that an independent review found no evidence of systemic Medicare fraud by doctors. GPs just want to deliver great healthcare to a community in which chronic conditions are on the rise. …/1
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This is a very important article about the critical role of GPs, the reality of the finite resources available for providing healthcare, the dangers of commercialisation of healthcare, & more
@Mark_Butler_MP
@RACGPPresident
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@DrSteveTaylor
And the problem here is the breaking up of symptoms into body parts and then seeking help for each of them from different people, when they may all be linked and the GP could sort all that out as a whole
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It’s about time every Australian understood that their patient Medicare rebate is woefully inadequate. I encourage all Australians to discuss this issue with their local Federal MP.
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@Asher_Wolf
@stationmum101
Unfortunately that’s what happens when your patient Medicare rebate is frozen for a decade and then not indexed to inflation. Politicians on both sides have a lot to answer for.
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@cjbroadhead
@hamishandandy
Yes! The rural farmers. I spent many years in rural medicine … if a farmer complains, they are almost dead
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Confusing week of smoke and mirrors Tues: GPs are greedy and lazy and need to work more for less $$. Fri: GPs are irrelevant, let’s scrap them altogether (subtext: all we need is a app! Here’s one I prepared earlier!)
@ian_hickie
@Mark_Butler_MP
@RACGPPresident
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@stephenjduckett
I’m at a loss to understand where the idea that GPs are anti teamwork has come from. We work with teams every day. I regularly liaise with allied health about my patients with chronic illness, and our practice nurses are invaluable resources
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@amapresident
@DrPhoebeHK
@RACGP
@Mark_Butler_MP
@RACGPPresident
Thank you. It’s been a rough week for GPs, but we’re a resilient lot and stand united in calling out the highly unprofessional and unedifying attack on our profession this week.
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@Mark_Butler_MP
Where exactly are you going to find the GPs to staff these clinics, given the GP crisis? Is the ‘role substitution experiment’ beginning in earnest? Need a GP? Sorry, none available. Why not see a nurse practitioner/pharmacist instead? What could go wrong …
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Australia beware. Pharmacists with full prescribing rights. More fragmentation of care. The Pharmacy Lobby Group will buy their way into this in Canberra
@RACGPPresident
@brookmanknight
@Mark_Butler_MP
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@ian_hickie
@RACGP
@Mark_Butler_MP
@MelissaLDavey
Surely this public denigration and attack on the integrity of GPs, is of concern to bodies that police bullying and harassment on social media, within the medical profession?
@Ahpra
@SydneyUni
@Mark_Butler_MP
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I’m not sure Australians are aware of what lies ahead. A 2 tiered system where those who can afford to pay see fully qualified GPs & those who can’t get GP role substitutes & apps. Short sighted policy will lead to poorer outcomes & greater cost
@Mark_Butler_MP
@RACGPPresident
My comments on the budget. GP is dying due to prolonged financial neglect. Some can survive, but will abandon bulk billing. Another financial blow for poor Australians
At the same time we have $588 million for digital mental health.
That's 2350 full time GPs doing MH care.
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Aha, so Australia is looking to lure PAs from the UK and pay them more than the junior doctors here are paid? Surely this can’t be happening
@Mark_Butler_MP
@qldhealth
@RACGPPresident
@amapresident
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@k_eagar
@1RossGittins
Also: Medicare doesn’t pay GPs. I’m so sick of this propaganda. Medicare is the patients health insurance. GPs set fees. Patients pay those fees. Medicare rebates the patient. End of story. Patients rebates are inadequate. End of story.
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@nick_coatsworth
Oh c’mon, enough with the sensationalism. Tripling of the bulk billing incentive (BBI) in urban areas increases the BBI from $6 to $18. So $58 for a 6-19 minute consult. STILL well below AMA rates. Great for rural areas, where BBI is significantly more. Doesn’t cut it in cities.
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@nick_coatsworth
I’m so disappointed by this. Yet another blow to the morale of GPs, from within the medical profession this time! We have gone above and beyond for years, battling an unwieldy system, and doing much of the COVID grunt work for a pittance. Low value care? Really?
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When, oh when, is the media (and politicians) going to get this right … Medicare does NOT pay GPs!! The Medicare rebate belongs to the PATIENT. Patients need to ask their federal MPs why their Medicare rebate is so inadequate
@smh
@Mark_Butler_MP
@DanielAndrewsMP
@Dom_Perrottet
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@sunriseon7
@Channel7
@7plus
It’s also been revealed that patient Medicare rebates are completely inadequate; that GPs have been subsidising patient care out of their own pockets for years; that the game is up & govt needs to take responsibility for underfunding patient care. How about that for a headline?
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@k_eagar
@1RossGittins
You’re joking, right? Surely you have to be joking. We have been calling for change for a decade and more, and been ignored. Now WE are the ones causing the problem?!
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I fear the same will happen here in Australia. Role substitution is already kicking off at an alarming rate (eg pharmacists ‘diagnosing’ via algorithms then prescribing & dispensing to patients, with little clinical training)
@Mark_Butler_MP
@RACGPPresident
@brookmanknight
🚨 We are witnessing the RAPID replacement of GPs with non-doctors
Ppl who’ve NOT studied medicine- yet are permitted to diagnose & treat undifferentiated patients in 1° care
NHSE are telling the public they NEED these roles due to a “GP shortage”
This is a lie.
We have
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@CharlesAndrewMK
@stephenjduckett
Please can we all get the terminology right … Medicare does not ‘pay’ GPs. GPs do not ‘access’ Medicare. Medicare is the patient’s insurance & the Medicare rebate belongs to the PATIENT. GP sets a fee. Patient pays that fee. Medicare rebates patient. Semantics matter here.
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@Leo_Puglisi6
In the 1980s at my school we would get detention if seen outside of school without our hats and blazers on … even in the middle of summer. Seems not much has changed!!! Madness
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Succinct article. Now to spread this to mainstream media and warn Australians
@RACGPPresident
@brookmanknight
@amapresident
@qldhealth
@Mark_Butler_MP
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1/2 Absolutely horrified by Queensland Health’s decision to proceed with the North Queensland Pharmacy Trial. Patient care WILL be compromised
@qldhealth
@YvetteDAth
@Mark_Butler_MP
@RACGPPresident
@AnnastaciaMP
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@ellehardy
Politicians on both sides of politics froze patient Medicare rebates for a decade. GPs absorbed this extra cost for as long as they could until it became impossible, subsidising patient care out of their own pockets. No longer possible, or fair. Patients need to complain to MPs
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@amapresident
@TheBMA
‘Scope creep’ and it’s starting to happen in Australia too - pharmacists diagnosing and prescribing for a multitude of conditions without the requisite training. We need to be vigilant, or we will end up like the NHS.
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This is great news for patients. Thank you to all those advocating for change, it seems we are making progress
@RACGPPresident
@amapresident
@Mark_Butler_MP
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We need to fight hard to stop ‘managed care’ for profit organisations, from getting their foot in the door of the Australian health system. Horrifying
Wondering why the AMA went to court to oppose Cigna trying to bring US-style 'managed care' into Australia? Allow this to open your eyes.
@ASOeyesurgeon
@presidentaso
@RACSurgeons
@AOA_President
@acccgovau
@DGlaucomflecken
@priv8hospitals
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@ian_hickie
@Mark_Butler_MP
@SabraLane
@MelissaLDavey
@RACGP
$30 is a bargain, many GP practices need to charge more to make ends meet. PS still waiting for that list of bulk billing psychiatrists and psychologists, please, whenever you are ready.
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@AlboMP
With all due respect, this is a poorly thought out, knee jerk reaction designed to placate the electorate. It shows a poor understanding of what GPs offer on a daily basis: high quality, economical healthcare that saves lives & $$. Fund GP properly, via adequate patient rebates.
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‘Clinical reasoning is not taught in pharmacy schools and has been described by pharmacist researchers as difficult to describe and harder to learn.
Medicos call it medical training’
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@nick_coatsworth
Why are you so intent on fanning public mistrust of your colleagues? Do you not realise the damage you are doing, particularly to GPs? And by extension, their patients? GPs are leaving in droves, we’ve had enough of the scapegoating
@adele_ferguson
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@ian_hickie
@_angemccormack
@amapresident
Interesting to read Ian Hickie’s perspective on diabetes care, given that he is a psychiatrist. I’d be interested to hear how he manages: asthma, COPD, eczema, women’s health, LUTS, antenatal care, hypertension, IHD etc. GPs bread and butter. Perhaps he should stick to his lane.
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The PA issue has temporarily gone to ground in Australia, but I doubt it has been shelved permanently. When it resurfaces we must be vigilant. ‘Scope of practice’ is a malignancy we need to protect our patients from
@brookmanknight
@RACGPPresident
@Mark_Butler_MP
@qldhealth
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@DGlaucomflecken
G’day & Welcome!!! It’s pretty gloomy in Sydney this morning … but the UV will still be high, so please slip, slop, slap & wrap, Dr G!
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This is hugely concerning, after what we are witnessing the in the UK
@RACGPPresident
@brookmanknight
@Mark_Butler_MP
Australia has been sound on the thorny issue of workforce substitution until very recently.
Now it seems Queensland wants to experiment with PAs!
Let's have a quick canter through the proposal. 🧵
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@woodruff_tim
@drsreform
@MelissaSweetDr
@NC_Robinson
@AusHealthReform
@Mon4Kooyong
@Sop
Confused by the following: ‘linking doctors Medicare payments to their willingness to bulk bill’. Medicare is the patient’s insurance, not the doctors ‘payment’. This is a crucial concept & is widely misunderstood. Medicare is underfunding patients.
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@QLDCountryGP
@Mark_Butler_MP
@ABCaustralia
I feel early retirement coming on. I’ve already reduced my hours due to the endless changes and ridiculous Medicare rules. I’m rapidly losing my taste for it all. Which is a shame because I love being a GP. It’s just getting too hard to keep up with the bureaucracy and admin.
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@Katlab_UCL
I had similar on a flight. Flight attendant checking head count. Got to my row & looked confused. Apparently ‘Dr’ automatically registered as a male passenger. Yet here was a female sitting in that seat. Unbelievable.
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The freeze on patient Medicare rebates has resulted in millions of Australians forced to contribute $$ towards the cost of their GP healthcare. Bulk billing is on it’s way to extinction due to serial underfunding of patient rebates by successive governments
@Mark_Butler_MP
Our analysis shows that the freeze on Medicare rebates by previous governments resulted in $3.8 billion being stripped from the primary care system.
Read our analysis here:
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The future is here. For many years GPs have been warning that General Practice would crumble unless significant investment was made. Those pleas fell on deaf ears. ‘Strengthening Medicare’ is too little, too late
@RACGPPresident
@Mark_Butler_MP
A GP clinic shutting means that 4300 people, who live in (low SES) East Devonport, are without a local GP.
Most GPs aren't taking new patients and most don't bulk bill.
This country is failing poorer families. Many will now not have a GP, and will go to ED.
#primarycare
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It’s outrageous. Solidarity to my UK colleagues. We need to make sure this sort of thing doesn’t happen in Australia too …
"This isn’t an office job. They’re not photocopying the wrong document - they’re killing people."
Utterly staggering goings-on in the UK. 🤯 I struggle to understand why patients aren't up in arms about this. What are they being told?
@TheBMA
#NHSCrisis
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@ian_hickie
@crikey_news
‘Blah blah blah I’m an academic in a very narrow field, with no experience whatsoever of the reality of General Practice, but I definitely have all the answers’. Your poor GP (or do you self diagnose using an app?). So tired of this rhetoric.
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@sonialf
@imaanjoshi
@VickiSchofield5
@LennaLeprena
GPs don’t actually get wages. We are sole traders. We charge fees for our services. We then pay a service fee to the clinic (usually around 35% of our billings). GPs do not get holiday pay, sick pay or super. Medicare rebates patients.
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The ethics of certain media outlets need to be scrutinised. GP morale was indeed severely impacted by slanderous claims. We don’t deserve this kind of disregard & disrespect
@RACGPPresident
@abc730
@adele_ferguson
@smh
I urge certain Nine papers and 7.30 journalists to reflect on what last year's "rort" story did to GP morale. We battled through a pandemic and troubled vaccine rollout. We did all we could to help patients during a desperate time, only then to be slandered without warning.
#GP
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7
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Calling on all of my colleagues to spread the work about the threat of PAs in Australia. Have your say. Sign the petition. Patient safety is at risk
@ama_vice
@ama_qld
@amapresident
@RACGPPresident
@qldhealth
@Mark_Butler_MP
.
3
20
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Excellent & insightful article about inevitability of growth of Telehealth platforms like Eucalyptus in Australia. They disguise themselves as improving access to care but are really about maximising profit
@Medicalrepublic
@RACGPPresident
@nick_coatsworth
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@AnnastaciaMP
These clinics are being subsidised by government on top of Medicare rebates, tacit acknowledgment that bulk billing is not a viable business option. Why not funnel those $$ into patient Medicare rebates?
1
9
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What a waste of taxpayer’s money. $194 per visit, almost 5 x the amount than for a patient to see their GP. False economy. Better to funnel those $ into General Practice, the most efficient part of our health system
@RACGPPresident
@Mark_Butler_MP
1
12
27
The essence of the problem with the PA Experiment: training in the ‘medical model’ confuses patients, local supervision to determine ‘scope’ risks PA’s working beyond their training.
@RACGPPresident
@amapresident
@qldhealth
@Mark_Butler_MP
2
12
27
Brilliant writing by Dr Sue Velovski - the stark reality of what loss of general practice access does to the health of a community (& $$ cost to the health budget).
@amapresident
@RACGPPresident
@Mark_Butler_MP
@stephenjduckett
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