New study reveals younger partners may ease menopause symptoms
Don't miss out on the headlines from Lifestyle. Followed categories will be added to My News.
Many women try everything to treat the frustrating and uncomfortable symptoms of menopause. According to new research, a younger partner may help.
From dryness, pain, and loss of desire, it can feel impossible to find treatments to alleviate the symptoms of menopause.
According to new research, symptom relief may come in a form none of us had considered.
A study funded by Womanizer's Pleasure Fund and conducted by London Metropolitan University found that younger partners may ease menopause symptoms.
Of 150 peri or post-menopausal participants, researchers found that women in relationships with a partner at least seven years younger than them reported 54 per cent fewer menopause-related local and sexual symptoms.
Participants also completed 'a 19-item measure of sexual pain, sexual desire, orgasm, lubrication, and sexual satisfaction' called the Female Sexual Function Index. Those in age-gap relationships scored 84 per cent higher in sexual functioning, particularly when it came to 'sexual arousal and desire'.
Women in relationships with a partner at least seven years younger than them reported 54 per cent fewer menopause-related local and sexual symptoms.
But another study conducted by Womanizer on over 1000 Australians found that only 8.3 per cent of women have been in an age gap relationship as the older woman, and only 2.4 per cent are interested in the prospect of being in one.
Women in consensual non-monogamy relationships also experienced fewer symptoms
Participants in relationships engaging in consensual non-monogamy also reported higher levels of orgasms, along with fewer menopausal symptoms, compared to those in monogamous relationships.
Perhaps another treatment option to look into?
Particularly 'vasomotor symptoms, tiredness and sleep disturbances, emotional symptoms, local and sexual symptoms, and other physiological symptoms.'
Perhaps another treatment option to look into?
Orgasm therapy
The researchers found that whether they occurred with or without partners, orgasms unsurprisingly helped to ease symptoms of menopause.
In some areas, orgasms were able to reduce women's symptoms by up to 36 per cent, with those using toys experiencing the biggest relief.
In some areas, orgasms were able to reduce women's symptoms by up to 36 per cent, with those using toys experiencing the biggest relief.
Those making use of their toys experienced a 59 per cent reduction in tiredness and sleep disturbances, and reported better mental wellbeing and self-efficacy.
The team says more research is needed into the area, but one thing's for sure, prioritising your desire and pleasure can deliver more benefits than we could've thought. Image: iStock
The researchers added that they found orgasms caused 'a total and direct effect of sexual satisfaction on reducing local and sexual symptoms of peri/menopause, including soreness of the vulva and vagina, discomfort on passing urine, urine leaks, sexual pain, and loss of interest in sex'.
The team says more research is needed into the area, but one thing's for sure, prioritising your desire and pleasure can deliver more benefits than we could've thought.
Originally published as New study reveals younger partners may ease menopause symptoms
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The Advertiser
12 hours ago
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Gen Z urged to not neglect dental care once they leave home
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The consequences of neglect are often invisible at first, but they build slowly - decay, gum disease, jaw issues, and costly emergencies that could have been prevented with a simple clean and check-up. Before kids move out, parents should make sure that dental health is part of the transition plan. Book that last appointment. Start the conversation. Help them understand that just because their teeth look fine doesn't mean they are fine. Of course, the transition to adulthood doesn't come with perfect hygiene habits but you often see adults in their forties present with problems that could've been prevented in their teens. A University of Melbourne study published in March revealed once people reach the age of 15 to 20, a significant drop in dental visits occurred. Researchers tracked more than 11,000 people over several years and found many patients didn't return once they became independent, and often for years. The pattern seen here in Australia isn't isolated. 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If you're a young adult reading this, remember, your health isn't on hold just because life got busier. By the time pain shows up, treatment can be complex and more expensive. The solution? Reconnecting oral health with the broader wellness narrative Gen Z already embraces. We talk a lot about mental fitness, skin care, and gut health - teeth need to be part of that conversation. As house prices and cost-of-living pressures delay young Australians from moving out, a growing number of parents are left with the burden of covering the essentials - including dental care - for much longer than expected. Parents need to keep dental care on the radar even after their children turn 18, especially when those children are still living at home. As a dentist, I see far too many young adults fall through the cracks once they leave high school. Regular dental visits, once booked by parents, paid for, and prioritised, suddenly disappear from the calendar. 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A University of Melbourne study published in March revealed once people reach the age of 15 to 20, a significant drop in dental visits occurred. Researchers tracked more than 11,000 people over several years and found many patients didn't return once they became independent, and often for years. The pattern seen here in Australia isn't isolated. A previous study from New Zealand reported a similar drop in regular dental visits among young working-age adults. These findings are consistent with patterns commonly seen in this age group, shaped by time pressures, financial stress and the false belief that you only need a dentist when something hurts. There's a belief that healthy-looking teeth don't need attention, which means too many people are missing the potential early signs of decay and gum disease. Changes in daily routines - moving out of the family home, taking on study and full-time work often marks the beginning of the decline in dental care. 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Regular dental visits, once booked by parents, paid for, and prioritised, suddenly disappear from the calendar. At a time when young people are navigating new independence, study stress, and tighter budgets, oral health often becomes an afterthought. But it shouldn't be. Dental care must be treated like any other essential, right alongside GP check-ups, mental health support, and nutrition. MORE OPINION: How different would Australians feel if the system was behind them? The consequences of neglect are often invisible at first, but they build slowly - decay, gum disease, jaw issues, and costly emergencies that could have been prevented with a simple clean and check-up. Before kids move out, parents should make sure that dental health is part of the transition plan. Book that last appointment. Start the conversation. Help them understand that just because their teeth look fine doesn't mean they are fine. 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There's a belief that healthy-looking teeth don't need attention, which means too many people are missing the potential early signs of decay and gum disease. Changes in daily routines - moving out of the family home, taking on study and full-time work often marks the beginning of the decline in dental care. Once children are out on their own, and in charge of their own health insurance, the health safety net can disappear. If you're a young adult reading this, remember, your health isn't on hold just because life got busier. By the time pain shows up, treatment can be complex and more expensive. The solution? Reconnecting oral health with the broader wellness narrative Gen Z already embraces. We talk a lot about mental fitness, skin care, and gut health - teeth need to be part of that conversation.
Courier-Mail
13 hours ago
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This woman isn't pregnant - but her belly is speaking volumes
Don't miss out on the headlines from Parenting. Followed categories will be added to My News. Scroll past the powerful photos on Chelsea BreeAnn Hardesty's 'Getting the Better of Endometriosis' Facebook page, and you might assume she's celebrating a pregnancy. That beautifully rounded belly, gently curved and soft, could easily be mistaken for a baby bump. But scrolling deeper, the caption shatters that assumption: this isn't joy - it's endo belly, the swollen, painful abdomen caused by endometriosis. Want to join the family? Sign up to our Kidspot newsletter for more stories like this. Chelsea BreeAnn Hardesty shared photos of her painfully bloated belly online. Image: Supplied The photos that stopped us in our scroll Look closely and you'll see a woman who appears joyously pregnant - but Chelsea is anything but. What you're seeing is massive endo belly, a symptom many describe as 'looking pregnant' even when there's no pregnancy at all. Chelsea suffers with bowel and urinary Endometriosis, her swollen abdomen a visual statement of a condition that's routinely misunderstood, under-diagnosed, and often brushed aside. What is endo belly - and why does it happen? The term 'endo belly' describes the sudden, painful abdominal swelling experienced by many people with endometriosis. But it's far more complex - and debilitating - than a bit of bloating. While endometriosis has long been explained as the presence of uterine-like tissue in places it doesn't belong, such as the ovaries, bladder or bowel, modern research shows that's not quite accurate. Speaking with Kidspot, Chelsea explains: 'The lesions caused by endometriosis are not just 'misplaced endometrial tissue' - they're structurally and functionally different, and don't behave like the uterine lining at all.' Instead, endometriosis is now better understood as a whole-body inflammatory disease. It can cause nerve involvement, autoimmune-like symptoms, and in severe cases, structural damage to organs. When it comes to endo belly, several factors are at play: inflammation from active lesions, scar tissue that restricts movement of the bowel, infiltration into the bowel wall itself, and even pelvic organ prolapse. Add in hormonal shifts, nerve disruption, impaired gut motility, and bacterial overgrowths and the result can be extreme distension, pain, and dysfunction. For many, this bloating isn't just uncomfortable - it's disabling. Bellies can become so swollen and tight they resemble a late-term pregnancy. Some can't walk properly. Some can't eat. Some are stretched to the point of skin damage. Chelsea explains: 'This is what chronic illness can look like. It's humiliating, exhausting, and often ignored. You can't 'just drink water' or 'take a laxatives' or 'go gluten free' to fix this.' RELATED: 'Endometriosis has ruled my life for 24 years' Trending in Parenting 'I want another baby… but I want to stay alive' I cracked. I started a WhatsApp group. It's common - but still unseen According to Endometriosis Australia, endometriosis affects about 1 in 7 people with a uterus. Yet diagnosis often takes 6–7 years, despite patients seeing an average of seven doctors before a definitive answer. Symptoms like severe period pain, gastrointestinal issues and fatigue are still widely dismissed as "normal" or misdiagnosed as IBS, anxiety or simply stress. Why Chelsea's story matters Her images stop the scroll, but it's the raw honesty of her words that pierce through: 'If you're in a similar fight, you are not alone. Your symptoms are real. Your pain is valid.' Not only is she shedding light on symptoms rarely discussed, but she's also highlighting how often you must fight simply to be listened to - especially in a medical system that demands a label before it acts. 'This bloating photo was so much more than a visual,' says Chelsea. 'It is the result of years of being misdiagnosed, medically gaslit, and left to navigate a chronic illness that has taken a significant toll on every aspect of my life.' What to do if you - or someone you love - suspect endometriosis Recognise the signs Symptoms to be alert for include: Severe pelvic pain during and outside periods Bloating, nausea, constipation or diarrhea Pain during or after sex, or with bowel/urination Heavy or irregular bleeding Constant fatigue or unusual body swelling Track your symptoms Keep a journal or use apps like EndoZone. Record when symptoms appear, their intensity, and what you were eating or doing - that data empowers you and your GP. Find a GP who listens - and refer to specialists See a GP with experience or interest in reproductive and pelvic health. Ask for referrals to specialist clinics or gynaecologists, including public pelvic pain clinics. Advocate for investigations If symptoms persist, request imaging (ultrasound, MRI) and insist on a referral to a laparoscopic surgeon if warranted. Early intervention can reduce complications like cysts, adhesions and organ damage. Utilise support services Australia offers strong networks: Endometriosis Australia: symptom checkers, podcasts, support clinics QENDO (Queensland Endometriosis Association): 24/7 helpline 1800QENDO, peer support. Australian Coalition for Endometriosis: works with government to improve access, funding and training Explore treatment pathways Effective management includes: NSAIDs for pain relief Hormonal therapy (oral contraceptives, progestins—some on PBS) Laparoscopic surgery to remove lesions Pelvic physiotherapy, dietary changes (low FODMAP, anti-inflammatory), mental health support RELATED: 'My boss wouldn't have hired me if she'd known' Symptoms of endometriosis Endometriosis is a disorder in which tissue similar to the tissue that forms the lining of your uterus grows outside of your uterine cavity. The lining of your uterus is called the endometrium. painful periods pain in the lower abdomen before and during menstruation cramps one or two weeks around menstruation heavy menstrual bleeding or pain in the lower abdomen before and during menstruation infertility pain following sexual intercourse discomfort with bowel movements lower back pain that may occur at any time during your menstrual cycle Source: Beyond the photo Chelsea's story resonates because it defies expectations: her body looks pregnant, but it carries pain, not life. It spotlights a condition that demands emotional, physical and medical resilience. Her openness encourages others to step forward. In Australia, we're moving forward. Specialist clinics are expanding, access to pain-informed care is improving, and new PBS medications are helping reduce symptom burden. But stigma remains, and the timeline to diagnosis can still feel unreasonably long. Your next step If these symptoms ring true - whether for you or someone you care about - start tracking, speak up, connect, and push for answers. Endometriosis may be common - but being taken seriously shouldn't still be rare. Originally published as This woman isn't pregnant - but her belly is speaking volumes
The Advertiser
16 hours ago
- The Advertiser
Too many of us are not as lucky as me. And that's extremely risky
My GP bulk bills me. My status has been grandmothered. It's a bloody miracle and I'm grateful. I'd personally like to thank former prime minister Gough Whitlam. Medibank, the forerunner to Medicare, was his brainchild. It began in July 1975. But after the Whitlam government was dismissed, the Fraser government buggered it up. Levies on incomes unless you were privately insured. Nine years later, former prime minister Bob Hawke (the National Museum of Australia calls him Robert. Way too formal) established Medicare. He said: "With this historic initiative, all Australians now have a new, simpler and fairer health insurance system." Well, kind of. Stephen Duckett, the absolute full-bottle on Medicare over decades, tells me that bulk-billing is crucial. We had a peak five years ago and it's been downhill from there. "There are good grounds not to have out-of-pocket payments for GPs. And right now, it's a lottery," he says. Duckett's right. When you front up at your GP, you don't automatically know whether you will be in the lucky group to be bulk billed. "You might be asking when you front up," he says. But it's the uncertainty, the possible embarrassment of signing up to pay money you don't have. He commends any government's attempt to get practices to be 100 per cent bulk-billing because then patients get 100 per cent certainty. And getting that 100 per cent certainty about your healthcare matters. Too many of us are not that lucky. News this week that Canberrans are now paying out an average of just over $62 in out-of-pocket fees to see their GPs is unnerving. If you don't have the sixty-odd bucks, you don't go. And that's extremely risky. British research shows us (and Australian research backs it up) that continuity of care is associated with higher life expectancy. If you don't get that care, you die. Well, we all die - but without regular contact with a regular GP, you have a shorter life expectancy. Good access, lower cost, the necessary number of GPs per head of population - these are all associated with longer lives. The cost of visiting the GP is putting many of us off from getting essential health care. Late last year, the ABS reported a rise in the number of people who reported not visiting the GP because of cost-of-living pressures. In the financial year ending June 22, 3.5 per cent of people either put off or didn't see a GP when they needed to because of the cost. Three years later, that number had risen to 8.8 per cent. In February, the gentle warming-up period of the election before everyone got stroppy and out of control, Labor pledged $8.5 billion for Medicare, so all of us would have access to bulk billing by 2030. The plan, according to Labor, would produce patient savings of up to $859 million a year by 2030. It's Medicare's 41st birthday and this investment, if the bulk billing strategy works, is a huge birthday gift to those of us who benefit from universal health care. That is, all of us. In 1984, the annual GP bulk-billing rate was 51 per cent. It hit a 40-year high of 94 per cent in April 2020, under a Coalition government. Of course, some of that was due to special COVID items. Don't want to go back there if COVID is what it takes. But what can we do to make sure our GPs are protected too? They need to be properly remunerated for what is often grinding work with long hours. Good thing I never ended up as a GP. Imagine having to be patient with patients for hours at a time. Having to be kind to the miserable. Just doing that with your own kids is quite enough, let alone with anyone else's. Now we also have to get to work on specialist fees. I've written elsewhere about the insanity of those fees. This week, the Grattan Institute revealed more than one in five Australians who saw a specialist in 2023 was charged an extreme fee at least once. It also said one in 10 Australians who saw a psychiatrist ended up paying $400 in out-of-pocket costs for their initial consultation alone. It also had a list of recommendations. My vengeful self enjoyed some of those, such as stripping Medicare rebates from specialists charging excessive fees, more than others. And I love the idea of the Medical Cost Finder website, designed so people can compare out-of-pocket fees doctors charge for specialist procedures. But last year it was revealed that five years after the site launched, just 20 doctors out of the 36,000 specialists nationwide provided their fees for listing. MORE JENNA PRICE: There are some useful bits, though. For example, your first specialist appointment will see you pay just under $200, and on average, $117 out of pocket. The rest is paid by Medicare. That's across the country. The most expensive is the ACT where the typical specialist fee is $285. Patients will find themselves two hundred bucks out of pocket. I am not entirely sure how the government will sort this out but we urgently need an overhaul of what we pay for our health. Jim Chalmers is talking tax reform and maybe we need some kind of a sliding scale for people whose super balances are above $3 million, more than he's proposing right now. Universities have a part to play too. Maybe they should let more students into medical schools. Maybe free tuition but then bond students to rural and regional areas for 10 years? Are specialist colleges acting in the best interests of Australians? Or in their own financial best interest? I dunno. But whatever we are doing isn't working. May the government's plans work - and once GPs are sorted, let's start working on the rest of the health industry. My GP bulk bills me. My status has been grandmothered. It's a bloody miracle and I'm grateful. I'd personally like to thank former prime minister Gough Whitlam. Medibank, the forerunner to Medicare, was his brainchild. It began in July 1975. But after the Whitlam government was dismissed, the Fraser government buggered it up. Levies on incomes unless you were privately insured. Nine years later, former prime minister Bob Hawke (the National Museum of Australia calls him Robert. Way too formal) established Medicare. He said: "With this historic initiative, all Australians now have a new, simpler and fairer health insurance system." Well, kind of. Stephen Duckett, the absolute full-bottle on Medicare over decades, tells me that bulk-billing is crucial. We had a peak five years ago and it's been downhill from there. "There are good grounds not to have out-of-pocket payments for GPs. And right now, it's a lottery," he says. Duckett's right. When you front up at your GP, you don't automatically know whether you will be in the lucky group to be bulk billed. "You might be asking when you front up," he says. But it's the uncertainty, the possible embarrassment of signing up to pay money you don't have. He commends any government's attempt to get practices to be 100 per cent bulk-billing because then patients get 100 per cent certainty. And getting that 100 per cent certainty about your healthcare matters. Too many of us are not that lucky. News this week that Canberrans are now paying out an average of just over $62 in out-of-pocket fees to see their GPs is unnerving. If you don't have the sixty-odd bucks, you don't go. And that's extremely risky. British research shows us (and Australian research backs it up) that continuity of care is associated with higher life expectancy. If you don't get that care, you die. Well, we all die - but without regular contact with a regular GP, you have a shorter life expectancy. Good access, lower cost, the necessary number of GPs per head of population - these are all associated with longer lives. The cost of visiting the GP is putting many of us off from getting essential health care. Late last year, the ABS reported a rise in the number of people who reported not visiting the GP because of cost-of-living pressures. In the financial year ending June 22, 3.5 per cent of people either put off or didn't see a GP when they needed to because of the cost. Three years later, that number had risen to 8.8 per cent. In February, the gentle warming-up period of the election before everyone got stroppy and out of control, Labor pledged $8.5 billion for Medicare, so all of us would have access to bulk billing by 2030. The plan, according to Labor, would produce patient savings of up to $859 million a year by 2030. It's Medicare's 41st birthday and this investment, if the bulk billing strategy works, is a huge birthday gift to those of us who benefit from universal health care. That is, all of us. In 1984, the annual GP bulk-billing rate was 51 per cent. It hit a 40-year high of 94 per cent in April 2020, under a Coalition government. Of course, some of that was due to special COVID items. Don't want to go back there if COVID is what it takes. But what can we do to make sure our GPs are protected too? They need to be properly remunerated for what is often grinding work with long hours. Good thing I never ended up as a GP. Imagine having to be patient with patients for hours at a time. Having to be kind to the miserable. Just doing that with your own kids is quite enough, let alone with anyone else's. Now we also have to get to work on specialist fees. I've written elsewhere about the insanity of those fees. This week, the Grattan Institute revealed more than one in five Australians who saw a specialist in 2023 was charged an extreme fee at least once. It also said one in 10 Australians who saw a psychiatrist ended up paying $400 in out-of-pocket costs for their initial consultation alone. It also had a list of recommendations. My vengeful self enjoyed some of those, such as stripping Medicare rebates from specialists charging excessive fees, more than others. And I love the idea of the Medical Cost Finder website, designed so people can compare out-of-pocket fees doctors charge for specialist procedures. But last year it was revealed that five years after the site launched, just 20 doctors out of the 36,000 specialists nationwide provided their fees for listing. MORE JENNA PRICE: There are some useful bits, though. For example, your first specialist appointment will see you pay just under $200, and on average, $117 out of pocket. The rest is paid by Medicare. That's across the country. The most expensive is the ACT where the typical specialist fee is $285. Patients will find themselves two hundred bucks out of pocket. I am not entirely sure how the government will sort this out but we urgently need an overhaul of what we pay for our health. Jim Chalmers is talking tax reform and maybe we need some kind of a sliding scale for people whose super balances are above $3 million, more than he's proposing right now. Universities have a part to play too. Maybe they should let more students into medical schools. Maybe free tuition but then bond students to rural and regional areas for 10 years? Are specialist colleges acting in the best interests of Australians? Or in their own financial best interest? I dunno. But whatever we are doing isn't working. May the government's plans work - and once GPs are sorted, let's start working on the rest of the health industry. My GP bulk bills me. My status has been grandmothered. It's a bloody miracle and I'm grateful. I'd personally like to thank former prime minister Gough Whitlam. Medibank, the forerunner to Medicare, was his brainchild. It began in July 1975. But after the Whitlam government was dismissed, the Fraser government buggered it up. Levies on incomes unless you were privately insured. Nine years later, former prime minister Bob Hawke (the National Museum of Australia calls him Robert. Way too formal) established Medicare. He said: "With this historic initiative, all Australians now have a new, simpler and fairer health insurance system." Well, kind of. Stephen Duckett, the absolute full-bottle on Medicare over decades, tells me that bulk-billing is crucial. We had a peak five years ago and it's been downhill from there. "There are good grounds not to have out-of-pocket payments for GPs. And right now, it's a lottery," he says. Duckett's right. When you front up at your GP, you don't automatically know whether you will be in the lucky group to be bulk billed. "You might be asking when you front up," he says. But it's the uncertainty, the possible embarrassment of signing up to pay money you don't have. He commends any government's attempt to get practices to be 100 per cent bulk-billing because then patients get 100 per cent certainty. And getting that 100 per cent certainty about your healthcare matters. Too many of us are not that lucky. News this week that Canberrans are now paying out an average of just over $62 in out-of-pocket fees to see their GPs is unnerving. If you don't have the sixty-odd bucks, you don't go. And that's extremely risky. British research shows us (and Australian research backs it up) that continuity of care is associated with higher life expectancy. If you don't get that care, you die. Well, we all die - but without regular contact with a regular GP, you have a shorter life expectancy. Good access, lower cost, the necessary number of GPs per head of population - these are all associated with longer lives. The cost of visiting the GP is putting many of us off from getting essential health care. Late last year, the ABS reported a rise in the number of people who reported not visiting the GP because of cost-of-living pressures. In the financial year ending June 22, 3.5 per cent of people either put off or didn't see a GP when they needed to because of the cost. Three years later, that number had risen to 8.8 per cent. In February, the gentle warming-up period of the election before everyone got stroppy and out of control, Labor pledged $8.5 billion for Medicare, so all of us would have access to bulk billing by 2030. The plan, according to Labor, would produce patient savings of up to $859 million a year by 2030. It's Medicare's 41st birthday and this investment, if the bulk billing strategy works, is a huge birthday gift to those of us who benefit from universal health care. That is, all of us. In 1984, the annual GP bulk-billing rate was 51 per cent. It hit a 40-year high of 94 per cent in April 2020, under a Coalition government. Of course, some of that was due to special COVID items. Don't want to go back there if COVID is what it takes. But what can we do to make sure our GPs are protected too? They need to be properly remunerated for what is often grinding work with long hours. Good thing I never ended up as a GP. Imagine having to be patient with patients for hours at a time. Having to be kind to the miserable. Just doing that with your own kids is quite enough, let alone with anyone else's. Now we also have to get to work on specialist fees. I've written elsewhere about the insanity of those fees. This week, the Grattan Institute revealed more than one in five Australians who saw a specialist in 2023 was charged an extreme fee at least once. It also said one in 10 Australians who saw a psychiatrist ended up paying $400 in out-of-pocket costs for their initial consultation alone. It also had a list of recommendations. My vengeful self enjoyed some of those, such as stripping Medicare rebates from specialists charging excessive fees, more than others. And I love the idea of the Medical Cost Finder website, designed so people can compare out-of-pocket fees doctors charge for specialist procedures. But last year it was revealed that five years after the site launched, just 20 doctors out of the 36,000 specialists nationwide provided their fees for listing. MORE JENNA PRICE: There are some useful bits, though. For example, your first specialist appointment will see you pay just under $200, and on average, $117 out of pocket. The rest is paid by Medicare. That's across the country. The most expensive is the ACT where the typical specialist fee is $285. Patients will find themselves two hundred bucks out of pocket. I am not entirely sure how the government will sort this out but we urgently need an overhaul of what we pay for our health. Jim Chalmers is talking tax reform and maybe we need some kind of a sliding scale for people whose super balances are above $3 million, more than he's proposing right now. Universities have a part to play too. Maybe they should let more students into medical schools. Maybe free tuition but then bond students to rural and regional areas for 10 years? Are specialist colleges acting in the best interests of Australians? Or in their own financial best interest? I dunno. But whatever we are doing isn't working. May the government's plans work - and once GPs are sorted, let's start working on the rest of the health industry. My GP bulk bills me. My status has been grandmothered. It's a bloody miracle and I'm grateful. I'd personally like to thank former prime minister Gough Whitlam. Medibank, the forerunner to Medicare, was his brainchild. It began in July 1975. But after the Whitlam government was dismissed, the Fraser government buggered it up. Levies on incomes unless you were privately insured. Nine years later, former prime minister Bob Hawke (the National Museum of Australia calls him Robert. Way too formal) established Medicare. He said: "With this historic initiative, all Australians now have a new, simpler and fairer health insurance system." Well, kind of. Stephen Duckett, the absolute full-bottle on Medicare over decades, tells me that bulk-billing is crucial. We had a peak five years ago and it's been downhill from there. "There are good grounds not to have out-of-pocket payments for GPs. And right now, it's a lottery," he says. Duckett's right. When you front up at your GP, you don't automatically know whether you will be in the lucky group to be bulk billed. "You might be asking when you front up," he says. But it's the uncertainty, the possible embarrassment of signing up to pay money you don't have. He commends any government's attempt to get practices to be 100 per cent bulk-billing because then patients get 100 per cent certainty. And getting that 100 per cent certainty about your healthcare matters. Too many of us are not that lucky. News this week that Canberrans are now paying out an average of just over $62 in out-of-pocket fees to see their GPs is unnerving. If you don't have the sixty-odd bucks, you don't go. And that's extremely risky. British research shows us (and Australian research backs it up) that continuity of care is associated with higher life expectancy. If you don't get that care, you die. Well, we all die - but without regular contact with a regular GP, you have a shorter life expectancy. Good access, lower cost, the necessary number of GPs per head of population - these are all associated with longer lives. The cost of visiting the GP is putting many of us off from getting essential health care. Late last year, the ABS reported a rise in the number of people who reported not visiting the GP because of cost-of-living pressures. In the financial year ending June 22, 3.5 per cent of people either put off or didn't see a GP when they needed to because of the cost. Three years later, that number had risen to 8.8 per cent. In February, the gentle warming-up period of the election before everyone got stroppy and out of control, Labor pledged $8.5 billion for Medicare, so all of us would have access to bulk billing by 2030. The plan, according to Labor, would produce patient savings of up to $859 million a year by 2030. It's Medicare's 41st birthday and this investment, if the bulk billing strategy works, is a huge birthday gift to those of us who benefit from universal health care. That is, all of us. In 1984, the annual GP bulk-billing rate was 51 per cent. It hit a 40-year high of 94 per cent in April 2020, under a Coalition government. Of course, some of that was due to special COVID items. Don't want to go back there if COVID is what it takes. But what can we do to make sure our GPs are protected too? They need to be properly remunerated for what is often grinding work with long hours. Good thing I never ended up as a GP. Imagine having to be patient with patients for hours at a time. Having to be kind to the miserable. Just doing that with your own kids is quite enough, let alone with anyone else's. Now we also have to get to work on specialist fees. I've written elsewhere about the insanity of those fees. This week, the Grattan Institute revealed more than one in five Australians who saw a specialist in 2023 was charged an extreme fee at least once. It also said one in 10 Australians who saw a psychiatrist ended up paying $400 in out-of-pocket costs for their initial consultation alone. It also had a list of recommendations. My vengeful self enjoyed some of those, such as stripping Medicare rebates from specialists charging excessive fees, more than others. And I love the idea of the Medical Cost Finder website, designed so people can compare out-of-pocket fees doctors charge for specialist procedures. But last year it was revealed that five years after the site launched, just 20 doctors out of the 36,000 specialists nationwide provided their fees for listing. MORE JENNA PRICE: There are some useful bits, though. For example, your first specialist appointment will see you pay just under $200, and on average, $117 out of pocket. The rest is paid by Medicare. That's across the country. The most expensive is the ACT where the typical specialist fee is $285. Patients will find themselves two hundred bucks out of pocket. I am not entirely sure how the government will sort this out but we urgently need an overhaul of what we pay for our health. Jim Chalmers is talking tax reform and maybe we need some kind of a sliding scale for people whose super balances are above $3 million, more than he's proposing right now. Universities have a part to play too. Maybe they should let more students into medical schools. Maybe free tuition but then bond students to rural and regional areas for 10 years? Are specialist colleges acting in the best interests of Australians? Or in their own financial best interest? I dunno. But whatever we are doing isn't working. May the government's plans work - and once GPs are sorted, let's start working on the rest of the health industry.
