17 April 2025

GPs under-resourced and under-valued, says independent Claire Miles

| Chris Johnson
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Claire Miles

Independent candidate for the seat of Canberra, Claire Miles, has released her federal election health policy. Photo: Supplied.

Independent candidate for the federal seat of Canberra, Claire Miles, says she will lobby hard to have her healthcare policy implemented if she becomes part of the crossbench in the next parliament.

If the federal election results in a minority government, independent and minor parties comprising the crossbench will hold significant influence over the government composition and parliamentary policies.

Ms Miles said general practitioners were the cornerstone of the healthcare system and, if elected, she would call for an urgent overhaul of how they were supported.

She said her policy would:

  • train more GPs by reforming medical degree entry requirements and boosting support for students entering general practice;
  • properly fund GP clinics so they could reduce out-of-pocket costs for patients;
  • double the Medicare patient rebate to reflect the true value of GP services;
  • treat GPs as the specialists they are, and ensure they have the tools to provide holistic, patient-centred care; and
  • decrease wasteful health spending that didn’t directly improve patient outcomes.

In releasing her policy, the independent insists “meaningful reform” is needed.

“GPs are the backbone of our healthcare system and are under-resourced, overworked and fundamentally under-valued,” Ms Miles said.

“Without immediate action to strengthen general practice, any attempt at meaningful healthcare reform will ultimately fail Canberrans.”

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She promised “bold and practical steps” to reinvest in primary care and address the escalating GP crisis.

These steps include: substantial funding increases for GP clinics enabling the recruitment and retention of staff; investment in equipment; and improved community access.

Ms Miles said she would seek to double the Medicare patient rebate for GP visits to bring down out-of-pocket costs and make bulk billing financially viable again for GPs.

She will also engage in reforming university pathways to expand GP training, including reworking medical degree requirements to make general practice an attractive career choice.

Her policy will push to recognise GPs as medical specialists, acknowledging their critical role in preventative care, chronic disease management and community health leadership.

Another policy focus is to strategically redirect resources by eliminating wasteful expenditure on programs with minimal patient impact and channelling those funds directly into frontline services.

“Too often, we see millions of taxpayer money wasted on bureaucratic programs or consulting reports, while patients struggle to get a GP appointment,” Ms Miles said.

“It’s time to stop funding systems and start funding actual patient care.”

She will also call for a review into the college system if elected.

Ms Miles described specialist training bottlenecks as the hidden healthcare emergency, highlighting it in her policy as “another critical but overlooked issue” impacting timely care and an “artificial restriction” on specialty training positions available to qualified doctors each year.

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She said hundreds of medical graduates competed annually for a limited number of specialty training spots.

“Not because of a lack of community need, but because of restrictive quotas,” she said.

“Only 29 new ear nose and throat surgeon trainees were accepted nationwide in 2022 despite overwhelming public waitlists and growing demand.

“Fewer than 60 haematology trainees were offered across Australia, while cancer and blood disorder patients endure extensive waiting lists for a specialist consultation. And dermatology programs typically admit fewer than 30 trainees annually across the entire country, contributing to the virtual disappearance of bulk billing in this specialty.

“This artificial bottleneck has direct consequences for Canberra residents who face unacceptable waiting periods for specialist appointments.

“Without decisive intervention, these delays will worsen as Canberra’s population grows and chronic disease rates continue rising.”

The independent is advocating for an end to “healthcare politics” and calling for a government commitment to rebuilding general practice.

“This fundamental issue transcends political divisions and speaks to core values of integrity, accountability and commonsense,” Ms Miles said.

“The same principles I will bring to parliament as Canberra’s independent voice.”

Ms Miles is challenging Labor’s incumbent member for Canberra, Alicia Payne, in this year’s federal election.

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Incidental Tourist7:54 am 22 Apr 25

Decreasing wasteful health spending should be the top of the list, and not the last. The ink has not fully dried out on Region article “Outrageous: ACT Health may have paid for services not provided in $110 million contract…” and we hear again and again calls for increasing Medicare levies. More tax encourages waste. I don’t think federal can do much to waste on territory level as ACT government controls most of health expenditure and it is ultimately responsible for its inefficiency. Ironically they waste more than take in taxes. The Royal Australian College of GPs recently called on the ACT Government to step up with a solution to payroll tax and patient costs in the territory. So if you give them $1 more through Medicare, they grab it through more GP tax. We see ACT taxes sky rocketed since its tax reform 2012. But was this revenue windfall any good for housing, health, education or budget bottom line? STEM education standards are struggling, housing is in deep crisis and hospital queue is getting longer. Paradoxically ACT budget is much deeper in deficit and it is deep in debt than ever before despite doubling and tripling local taxes since 2012. And we see again more thirst for more tax and ultimately for encouraging more incompetence and more waste.

The government should set up and run central clinics, attached to hospitals, and hire salaried doctors to do what is now GP’s job. All doctors should “specialise” in something, and all must do general patient consultation.

We will have a more efficient, cost-effective system this way, and better management (not managerialist mgmt) of the doctors (and their attitudes). To be honest, there are so many mediocre GPs out there, and they charge you through the nose.

We must increase funding for Medicare, but must get rid of pork-barreling of the system before doing that.

Victor Bilow9:21 pm 20 Apr 25

The aditional health care costs due to the third party go betweens and HotDoc’s costs as well. Similar to all the holiday booking mobs taking a cut.

Ochre Health Competitors & Alternatives
Competitor Name Revenue
#1
Australian Heal… $81.1M
#2
Clinic to Cloud $13.1M
#3
Prospection AU $29.2M
#4
Health Professi… $47.8M
#5
Clinical Excell… $47.2M
#6
Ochre Health $85.5M
#7
Medlab Patholog… $22.4M
#8
Moran Health Ca… $34.8M
#9
Network Nursing… $44M
#10
Eastbrooke Medi… $22.4M

Peter Strong3:32 pm 20 Apr 25

Clair Miles is the real deal. And Knows more about environmental issues than most of the party politicians. Imagine David Pocock in the Senate and Claire Miles in the House – independents looking after Canberra not looking after the parties and their vested interests.

We have Labor fiddling around the edges of Medicare and tax reform and the scary prospect of a Liberal government under Dutton. I have vivid memories of Dutton as health minister in the Abbott government not too long ago. A Liberal party who have always been Medicare’s enemy and a health minister in a government whose mission was to take the hammer to Medicare and public health.

We now have independents who want to be everything to everyone with some even thinking GPs are under-resourced and under-valued for goodness sake. I have a better and fairer solution which will ensure Medibank’s viability into the future, with accessibility and the cost burden of its operations being shared equitably between rich and poor. Why not increase the existing Medicare levy on taxable income? Double, triple or even quadruple it from the current measly 2% if necessary. That way we all benefit with “meaningful reform”, returning Medicare to what it was originally intended to be. A progressive tax system that would ensure our health care needs are not guaranteed by one’s wealth with the extra cost burden shared fairly between those who can afford it and are willing to pay and accessible to those who can least afford it.

Better still and even bolder would be for our government to reform our tax system even further, making it fairer and bringing it into line to fund not only health, but those other important services our country so desperately needs. Negative gearing, franking credit reform and all those other unfair tax breaks which are crippling our country and currently benefit the wealthy and those least in need including doctors, retirees and politicians; unfair tax concessions and loopholes which benefit property investors allowing them to buy multiple investment properties with many sitting empty during this housing crisis; taxation reform targeting our largest companies including media and mining magnates such as Gina Rhinehart and Clive Palmer who currently pay little to no tax.

@Jack D.
I agree 100% with your call for wholesale tax reform, for both individuals and business, to ensure that the progressive nature of the system, is truly applied.

Such wide sweeping reform, which would take several years to architect and implement. This means it would need multi-partisan support, across the lives of at least two, if not three, parliaments.

Therein lies the issue.

The “fiddling around the edges”, to which you refer, is the most governments (of any flavour) are prepared to do, so that they don’t provide fodder for the opposition and their supporting media.

The last major tax reform taken to an election, was (arguably) John Howard’s GST proposal at the 1998 election. Howard took a record House of Reps majority (40 seats) to the “GST election” and the backlash to the proposed tax reform, saw that majority reduced to 13 seats. So, it’s understandable why governments, particularly their members in marginal seats, are loathe to do anything major, which would upset the status quo. These days, the business of politics, is about survival.

Claire Miles, “WHO” another obscene salary chaser.

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