Published Letters

Published in The West Australian on Wednesday, October 10, 2012

The rate of caesarian sections in the private sector is a difficult issue and causality is complex. It is, however, very obvious to me as a GP that most patients who use private obstetricians end up with a section, and that the minority who do have a vaginal birth almost invariably have some sort of intervention. It is a concerning fact that obstetricians earn more when they intervene, and that they have to earn enough to pay astronomical indemnity (insurance) fees.

Obstetrics is a very difficult tightrope between watchful cautious waiting and jumping in – one I don’t choose to walk and I admire those who do. Knowing when to have the guts to hold back and wait, only intervening when really necessary, is the most admirable skill of all. Perhaps Medicare and the private funds should recognise this skill and pay the most when a labour is managed totally without intervention?

Dr Jane Ralls

Published in The Australian on Wednesday, July 18, 2012

THE reason people are dying while waiting to be granted a refugee space in Australia (“In the real world, people die in the queue”, 17/7) is because the government refuses to alter the cap of 13,700 refugees a year. It could increase the cap and regard the 500 to 5000 boatpeople who risk dying each year as a separate group from those who have managed to find the queue. 2005 Young Australian of the Year Khoa Do was a boatperson whose parents couldn’t find the queue. Why are we so afraid of these desperate people who must prove they are genuine refugees and then contribute so much to our society?

Tim Woodruff, Richmond, Vic

Published in SMH on Wednesday, April 25, 2012

Means testing access to services can be a very useful way to fund services. It can also be very mean. The reforms to Aged Care aim to increase the availability of services but at a price, easily afforded by the rich. On an income of $30,000, few Australians would regard themselves as rich. But those on such an income will pay an extra $3,000 to get help to stay at home rather than go to a nursing home. Such people frequently have medical problems in addition to difficulties looking after themselves. Federal Government has ignored the data which indicates that 32% of sick Australians don’t see their doctor when sick or don’t fill out all their prescriptions because it costs too much. Many of these people will be trying to find the extra $3,000 per year. Could the Federal Government really want such people to have even more difficulty accessing medical services? Users pay or they don’t get the services and die. Why are we rich Australians so mean?

Tim Woodruff
Vice President
Doctors Reform Society

31 Davison St
Richmond
3121

PH 0401042619

Published in The Australian on Thursday, January 12, 2012

It would be great if more people could see through the bulldust at 20 paces (Rough patch in third way Opinion 11/1). Whilst there have been reforms aimed at increasing social inclusion from the current Federal Government, such reforms are at the periphery and are fighting against socially exclusive structures. Any government with a genuine commitment to social inclusion would not bother with a social inclusion portfolio whilst continuing to support two tiered health and education systems and a tax and benefits system which has led to an increase in income inequality over the last decade.

Tim Woodruff
Vice President
Doctors Reform Society

31 Davison St
Richmond
3121

PH 0401042619

Published in The Australian on Monday, January 9, 2012

Whilst concerns about the effectiveness of the Social Inclusion Unit are valid (Editorial 7/1), the assertion that health, housing, education, and community services are programs that are better performed by the private sector and through the generosity of volunteers seems to be at odds with the facts. Most Australians who need hospital care or an education can’t get it from the private system or from volunteers. Many also depend on government to access affordable housing and community services because the private sector isn’t capable or interested in the most difficult and disadvantaged and there are insufficient volunteers to address their needs.

Tim Woodruff
Vice President
Doctors Reform Society

Published in The Australian on Thursday, July 7, 2011

Setting targets without providing adequate resources is not health reform. In fact, it promotes worse health care as clinicians and bureaucrats waste valuable time working out how to pretend to meet unachievable targets whilst leaving the real needs of patients unattended.

Whilst it makes a big play of reducing inefficiencies and inequities in the private health insurance rebate and the Medicare Safety net, the Federal Government is largely ignoring the fact that more resources and new structures are needed to reform the system so that all patients can afford to get the care they need and deserve

Tim Woodruff
Vice President
Doctors Reform Society

31 Davison St
Richmond
3121

PH 0401042619

Published in The Age on Monday, June 6, 2011

If Minister Roxon really does claim that the new hospital watchdog will not encourage manipulation she must be living in another world. Hospitals struggle to perform because they are expected to the impossible with inadequate resources. How do they get surgery done when the specialists are working next door in the taxpayer funded private hospital? How do they fit patients into beds when the beds are taken by patients waiting for aged care places? How do they stop patients coming to Emergency requiring admission for problems which could and should have been treated in the community? How do they manage a budget which is missing the fair and historical 50/50 Federal/State funding split? They manipulate data to avoid financial punishment and a worsening of their position. The struggle to perform is related mainly to Federal Government policy and we are still awaiting the Federal reforms to address the issues raised above.

Tim Woodruff

President

Doctors Reform Society

Published in Herald Sun on Tuesday, February 15, 2011

The Editor

Whatever happened to patients? They are faced with increasing out of pocket costs if they are fortunate enough to find a doctor, Then they have to negotiate a maze of systems to get tests, allied health , specialist assessment and surgery if needed, all funded in different ways, all charging differently. These are the problems which the new health deal ignores or to which minimal attention is given. A few bandaids are suggested like better after hours service. In hours service for the most needy in our community is unchanged.

The new funding arrangement for hospitals is a political deal which will not deliver any noticeable benefit to patients. The Commonwealth has refused to return to a real50/50 funding split with the States. Its tough performance markers are a joke with waiting times to just get on waiting lists ignored. It continues to support the growth of private hospitals with yearly increases but tells public hospitals they will have to wait for 3 years before there are extra funds for the majority of Australians who depend on public hospitals.

This is a political fix with some small incremental benefits for patients. It is not reform. The most needy will continue to receive the least care.

Dr Tim Woodruff
Vice President
Doctors Reform Society

31 Davison St
Richmond
3121

PH 0401042619