Oh yes. Quite bad and I don't know if things are getting slightly better than "bad" or the media is tired of reporting about it.
Up until a year or so ago, an appointment at a GP would take weeks of waiting. Specialist appointments were 1+ years waiting time. This is somewhat better now with the establishment of critical-care clinics operating after hours. This is from personal experience.
The emergency rooms often had waiting time of 12+ hours(or more). I know someone who has been waiting on a procedure at the public hospital for 6+ years. Another has a child waiting for an appointment with an estimated wait time of 3+ years. All non-urgent but a wait list in the years is no longer a wait list to me, it's a system that is not fit for purpose.
Initially all of this was attributed to the pandemic and the harsh lockdowns in Victoria. But a few years out, it seems difficult to still do that. When asked, our government just re-states that they've invested in this and that and then deflect. Recently, due to the horrible state finances, the healthcare system was being downsized with services cut and the bloodshed continues. This is without talking about the systemic issues and incompetence I've seen.
The funny thing is that outsiders think that public health care means free. It's really not. We pay for it on top of our income tax(1-2% on top, more if you're above a certain threshold) and it is not cheap. It wouldn't be so bad if it was working like you'd expect but paying for a non-functional system is....I don't know what to say.
This isn’t an inherent flaw of public health care. A lot of the health care problems in this country (Australia) stem from a continued disinvestment in the public system after a decade (prior to the current government) of conservative mismanagement. Most state funding here comes from the federal governments standard sales tax. They intentionally gimped our public system to fund a private system that isn’t financially viable. Reversing that is going to take time. The problem exists it’s just important to attribute it to the correct sources. Medicare (our public insurer) is an incredible privilege that we should protect and hold our leaders accountable for managing.
That's not nearly true, at least for Melbourne as a metro area. I never heard of weeks waiting for GP appointment, and I never waited for more that 2-3 days for GP both in east and west suburbs. Usually you have at least 3-5 GP medical centres in 5 km radius, and in half of them appointments are avaliable same day or next day. That's the case now, and was the case 5 and 10 years ago, with only obvious exception during COVID.
6+ years wait could occur, but it would be ~1% of elective surgeries. Basically, elective surgeries are covered by private healthcare, that's the unofficial limitation of Medicare. I got an elective surgery twice, wait was 4-6 months. Just to stress, that's an elective surgery fo non-life threating condition that just affect your quality of life, so it's reasonable to expect people paying up private insurance/hospitals for getting this done quickly.
Emergency 12+ hours wait is not an ordinary situation - could be when there is a combination of very busy night (like Friday during long holidays) and lowest triage category. Every time I attended emergency I was almost immediately triaged and when things were serious, was admitted in minutes. When it was just a cut with bleeding stopped, I was advised after triage that I can wait for 4+ hours or just come back in the morning. All my friends had the similar experience with Melbourne's public hospital ERs.
2% medicare levy is cheap compared to taxes in other countries with free healthcare.
I'm actually very surprised that someone has such negative impression about Melbourne's medical system. There was a short period several years ago, related to COVID, when ambos ramping time could be hours, but that's not not typical for Melbourne, and was resolved pretty quickly.
Wow. I didn’t know that things are this way. I am a recent immigrant living close to the city and always seem to be able to see a GP on the same day. Is that because I have private insurance and I pay out of pocket anyways? If I were a citizen, I wouldn’t be able to go to those places (at least for “free healthcare”), and will have the same wait times? Or is it geography dependent with rural Victoria having issues and Melbourne city being well covered?
I pay ~500 US/mo for health insurance. Just for me, no dependents. Not an exotic low-deductible health insurance plan. 2% on top of income tax sounds like a dream.
What about helicopters? Does Melbourne not have/use theirs in those cases or is the system just overwhelmed?
Asking because (different country) when we had a person present with stroke symptoms and called 911, they sent both an ambulance and the helicopter. The heli came first but it had to land a ways off on a field and they had to walk over and basically arrived around the same time as the ambulance. A couple minutes earlier basically. No fire engine dispatched but that made sense too as it's volunteer based and while they would've been much closer, getting them to the station would've taken longer than the helicopter.
Driving time for the ambulance if it came from the same place as the helipad would've been about 15 min for the ambulance. Fire engine driving time from volunteer department: 2 min but no dedicated paramedic services, just volunteer firefighters. Heli time in air probably about 2 minutes given the "as the crow flies" distance I just checked, add whatever time is needed to get them in the air and such.
Now I can't really trust these numbers fully of course but according to "a quick AI analysis" :P Melbourne with millions of population has 0.08 helicopters and 8-10 ambulances per 100k population while the aforementioned location is at about 0.3 helicopters per 100k and 6-12 ambulances. Can it be true? It also says New York City has no emergency helicopters at all? Los Angeles has 0.18 per 100k? I know my current location definitely also has none at all. For millions of people.
Yes it's Hatzolah. It's a volunteer Jewish organization - run (and paid for) by the local Jewish community, but we respond to anyone who calls us, regardless of background or ethnicity.
(There are Hatzolah organizations all over the world, where there are Jewish communities.)
scorpioxy|3 months ago
Up until a year or so ago, an appointment at a GP would take weeks of waiting. Specialist appointments were 1+ years waiting time. This is somewhat better now with the establishment of critical-care clinics operating after hours. This is from personal experience.
The emergency rooms often had waiting time of 12+ hours(or more). I know someone who has been waiting on a procedure at the public hospital for 6+ years. Another has a child waiting for an appointment with an estimated wait time of 3+ years. All non-urgent but a wait list in the years is no longer a wait list to me, it's a system that is not fit for purpose.
Initially all of this was attributed to the pandemic and the harsh lockdowns in Victoria. But a few years out, it seems difficult to still do that. When asked, our government just re-states that they've invested in this and that and then deflect. Recently, due to the horrible state finances, the healthcare system was being downsized with services cut and the bloodshed continues. This is without talking about the systemic issues and incompetence I've seen.
The funny thing is that outsiders think that public health care means free. It's really not. We pay for it on top of our income tax(1-2% on top, more if you're above a certain threshold) and it is not cheap. It wouldn't be so bad if it was working like you'd expect but paying for a non-functional system is....I don't know what to say.
d0ublespeak|3 months ago
shushpanchik|3 months ago
Emergency 12+ hours wait is not an ordinary situation - could be when there is a combination of very busy night (like Friday during long holidays) and lowest triage category. Every time I attended emergency I was almost immediately triaged and when things were serious, was admitted in minutes. When it was just a cut with bleeding stopped, I was advised after triage that I can wait for 4+ hours or just come back in the morning. All my friends had the similar experience with Melbourne's public hospital ERs.
2% medicare levy is cheap compared to taxes in other countries with free healthcare.
I'm actually very surprised that someone has such negative impression about Melbourne's medical system. There was a short period several years ago, related to COVID, when ambos ramping time could be hours, but that's not not typical for Melbourne, and was resolved pretty quickly.
tecoholic|3 months ago
0_____0|3 months ago
softgrow|3 months ago
Since 1998, in Melbourne for anything that might need a defibrillator a fire engine is sent at the same time as the ambulance (EMR Emergency Medical Response Program). https://www.mja.com.au/journal/2002/177/6/cardiac-arrests-tr... Medical Journal of Australia article. There is also GoodSAM https://www.ambulance.vic.gov.au/goodsam/ for individual helpers
tharkun__|3 months ago
Asking because (different country) when we had a person present with stroke symptoms and called 911, they sent both an ambulance and the helicopter. The heli came first but it had to land a ways off on a field and they had to walk over and basically arrived around the same time as the ambulance. A couple minutes earlier basically. No fire engine dispatched but that made sense too as it's volunteer based and while they would've been much closer, getting them to the station would've taken longer than the helicopter.
Driving time for the ambulance if it came from the same place as the helipad would've been about 15 min for the ambulance. Fire engine driving time from volunteer department: 2 min but no dedicated paramedic services, just volunteer firefighters. Heli time in air probably about 2 minutes given the "as the crow flies" distance I just checked, add whatever time is needed to get them in the air and such.
Now I can't really trust these numbers fully of course but according to "a quick AI analysis" :P Melbourne with millions of population has 0.08 helicopters and 8-10 ambulances per 100k population while the aforementioned location is at about 0.3 helicopters per 100k and 6-12 ambulances. Can it be true? It also says New York City has no emergency helicopters at all? Los Angeles has 0.18 per 100k? I know my current location definitely also has none at all. For millions of people.
pugio|3 months ago
(There are Hatzolah organizations all over the world, where there are Jewish communities.)