my recent experiences
Journalists can always find dreadful examples of people who have fallen through the cracks of a strained system, but most Australians are very supportive of Medicare, and want it only improved, not scrapped. The talk of an increased medicare levy is partly to finally include dental cover in the medicare system, which is well overdue.
I have three recent personal examples of Australia's system working well:
Within the last 5 years my problems with anxiety increased to become a serious problem. I won't go into detail here. I sought help from the local community health centre. GP prescribed some medication for short term relief. I had weekly home visits from a counsellor for assessment and early talk sessions. She drove almost an hour each way to the tiny country town where I live, we would meet at my house and go for a one hour "walk and talk" session. I was diagnosed as having anxiety and depression (they often go together.) Later I was enrolled in group sessions for anxiety/depression self-management based on cognitive behaviour therapy; and a small number of one-on-one sessions with a psychologist. Absolutely all of this was covered by medicare. The course and other help was fantastic, I now am completely well and coping well with some dramas in my life at present which would have sent me off the deep end in the past. No medication either.
The other two examples are not actually medicare, but they are TAC, the Transport Accident Commission, this state's compulsory, government owned car accident insurer for personal injury. (vehicle and property damage is privately insured.)
In March my nephew was in a serious car accident and suffered major head injury. He was flown by helicopter ambulance to the TAC trauma centre at Alfred hospital. He had serious brain injury, part of his skull was removed to ease internal pressure to avoid secondary brain injury. Over a couple of weeks the question changed from "will he survive?" to "what permanent disability will he have?" He slowly progressed from coma to Post-Traumatic Amnesia to fully conscious. He is now learning to speak again and to walk again. He still has a long way ahead of him and he might not fully recover but he is still making progress every week. He still lives full time in the rehab centre though he will soon be going home for weekends. The piece of his skull was replaced two weeks ago.
All his care to date, plus continuing rehab/physiotherapy, plus any disability equipment he may need in future, any modifications to the family home or car, are all covered. My sister, his mother, visits him every day, one and a half hours each way. Her fuel costs are reimbursed. Car parking at the hospital costs $26 per day, that is covered too. TAC is also very active in promoting road safety, including very graphic, confronting TV ads which are shocking to watch, but have helped dramatically lower Victoria's road toll in the last few years.
More recently my parents were in a bad car accident, Dad has only cracked ribs, Mum had a shattered pelvis and has been in hospital the last three weeks. They have reconstructed her pelvis and hip with plenty of glue, screws and metal plates. She is now in rehabilitation hospital, when she is home she will need modifications to the house fittings which will all be covered by the TAC.
I am both grateful and proud we have such an excellent system in this country. It is far from perfect but some of its problems, such as longer waiting times for minor surgery, are a result of its own success. I wish our USA friends luck in establishing something similar in their country.
chris.