Imagine a world where you could easily find a local, bulk-billing GP. Imagine Medicare paying that GP enough for bulk billing to be worth their while. Imagine Australia doing all this and staying within budget.

It sounds like a pipe dream. But it is possible, according to new research.

When a GP doesn’t bulk bill, patients’ out-of-pocket costs can be astronomical. In Melbourne, for example, out-of-pocket costs range from $30 to $56, depending on the suburb. But outside metropolitan areas, out-of-pocket costs can be as high as $79 on the mainland, and $123 on Lord Howe Island.

So it’s easy to see why so many Australians skip seeing their GP during a cost of living crisis.

How much would bulk-billing all GP visits cost the government? Researchers from the University of Melbourne say it’s around $700 million a year if you’re just talking about bulk-billing in-person GP visits.

So if Australia can afford to bulk-bill all GP visits, why aren’t we doing it? And what else could we do to make sure the people who really need to see their GP can get an appointment? Health economists Yuting Zhang and Karinna Saxby explain.

Also today, US-watcher Emma Shortis, an adjunct senior fellow at RMIT, reflects on what the Trump conviction tells us about division in America. “The reality of American politics today is not a simple question of polarisation that can somehow be reversed,” she writes. “Rather, the stark division between the two camps – and their world views – is, for the moment at least, irreconcilable.”

Meanwhile, we are 40% of the way to our donations campaign target. If you have already given, thank you so much for helping to support our journalism. If you would like to do so, there is just under a month left to make a tax-deductible donation.

Anna Evangeli

Deputy Health Editor

Australia can afford to bulk bill all GP visits. So why don’t we?

Yuting Zhang, The University of Melbourne; Karinna Saxby, The University of Melbourne

The aim is to make health care affordable and sustainable. Our new research shows how.

What Donald Trump’s fiery reaction to his conviction says about this moment in US politics

Emma Shortis, RMIT University

The stark reality is the United States has never been one country. And Trump is better than anyone at exploiting that.

View from The Hill: Josh Frydenberg mulls political temptation after Kooyong gets new draft boundaries

Michelle Grattan, University of Canberra

Friday’s draft redistribution of Victorian federal electoral boundaries have opened a possible path for former treasurer Josh Frydenberg to make a comeback.

How should the skilled migration points test be reformed? It’s an $84 billion question

Brendan Coates, Grattan Institute; Natasha Bradshaw, Grattan Institute; Trent Wiltshire, Grattan Institute

Simple changes to Australia’s skilled migration points test could boost visa-holders’ earnings, government budgets and Australia’s productivity.

Migration has been in the news a lot lately. What’s going on?

Sara Dehm, University of Technology Sydney

High Court decisions, government announcements and opposition speeches have all discussed migration. It’s become a heated, sometimes panicked conversation.

The Delhi heatwave is testing the limits of human endurance. Other hot countries should beware and prepare

Liz Hanna, Australian National University

A record-breaking heatwave hit Delhi this week, hot on the heels of heat in Asia and Africa. Australians take note, we are not safe here. We need to prepare for heat to hit us just as hard.

Uncertain times for South Africa’s foreign policy as country heads for coalition government

Bhaso Ndzendze, University of Johannesburg

The country will see more foreign policy continuity if the ANC partners with smaller parties that share its world view.

All Eyes on Rafah: sharing images of war comes with a moral responsibility. What can we make of this AI-generated anomaly?

Sara Oscar, University of Technology Sydney; Cherine Fahd, University of Technology Sydney

The All Eyes on Rafah image has been criticised as being overly sanitised. How does it compare to other war images? And where is the line between performative solidarity and moral responsibility?

Why do we need a Net Zero Economy Authority? And how can it fulfil its promise?

Frank Jotzo, Australian National University; Llewelyn Hughes, Crawford School of Public Policy, Australian National University; Rebecca Colvin, Australian National University

The Net Zero Economy Authority will have a broad remit to support the net zero transition. Here are some pointers on how it could go about it, based on an assessment of best practice

Sue me, if you can. How laws that prevent directors being sued make firms less likely to recall potentially dangerous products

Arvid O. I. Hoffmann, University of Adelaide; Chee Seng Cheong, University of Adelaide; Ralf Zurbruegg, University of Adelaide

In the US states that have made it hard to sue directors, firms are 30% less likely to recall faulty products.

Why do so few people cycle for transport in Australia? 6 ideas on how to reap all the benefits of bikes

Melanie Davern, RMIT University; Afshin Jafari, RMIT University; Alan Both, RMIT University; Jago Dodson, RMIT University; Lucy Gunn, RMIT University; Qian (Chayn) Sun, RMIT University

We want healthy, liveable cities and to cut emissions to net zero. Getting more people to use bicycles instead of cars will go a long way towards achieving these goals.

‘I don’t feel gendered’: Rachel Cusk’s most radical novel yet makes the familiar strange – and moves beyond womanhood

Jane Gleeson-White, UNSW Sydney

Rachel Cusk’s twelfth novel is strange, compelling and ferociously intelligent. It explores artists, mothers and daughters, and the ‘blankness of spirituality’ on the other side of gender.

Politics + Society

Health + Medicine

Arts + Culture

Business + Economy

  • Business basics: what is comparative advantage?

    Martin Richardson, Australian National University

    One common oversimplification is that it’s just about countries making and trading what they’re best at. Yes, but there’s a bit more to it.

 

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