Melbourne:
The Save Our Community Medical Service Committee has organised the first
of a series of weekly campaign meetings for anyone to attend who is
interested in
saving our community medical service at the Moreland Community Health
Centre.

The meeting has been organised for:
Tuesday, 13th July at 7.00pm
Warr Park Community Centre,
De Carle Street, Brunswick.

Then every week from Tuesday the 27th July at the
Warr Park Community Centre.
For more information contact Brunswick Progress Association
on (03) 9380 4463 or
Community Health Action Group on (03) 9386 2082 or
Email: [EMAIL PROTECTED]

----------------------------------------------------------------
For your information - the following  report of the public meeting on
last Wednesday night at the Brunswick Town Hall has been loaded to
the Save our Community Medical Service Webpage at:
http://www.users.bigpond.com/Takver/soapbox/jul99.htm


Thursday 8th July 1999:
Meeting of Moreland Residents Protests against closure of
community medical service

On a cold wintery night a meeting of over 300 angry residents at the
Brunswick Town Hall protested against the decision to close the
Brunswick Community Health Centre Medical Service. Several moving
statements were made describing the importance and the usefulness of
the service, and the necessity for its continuation. Helen Lee, the
person who initiated the community picket outside the Health Centre
for the previous 10 days, presented CEO Philip Moran with a petition
signed by more than 1,700 residents (more signatures were still being
collected at the back of the hall).

A number of motions were carried unanimously, including a motion that
the Board of Management at its next meeting rescind its decision to
close the medical service, and to setup an independant working party
to include representatives of Council and the Save Our Community
Medical Service Committee, to look at creative solutions for
maintaining the medical service.

Further motions endorsed a joint delegation of the Moreland Community
Health Centre Board, the City of Moreland and the Save our Community
Medical Service Committee to both the Federal and State Health
ministers seeking funding and support to enable continuation and
expansion of the community medical health service model.

It was also seen as very important that the Community Health Centre
involve the community much more in what services are provided and how
they are provided. Originally community involvement was an important
attribute of the centre which has been steadily diminishing over
several years. The fact that the local community no longer selects a
Committee of Management, but has a Board appointed by the State
Minister has substantially contributed to the feeling of community
disempowerment.

It was announced at the meeting that the Economics columnist, Kenneth
Davidson, had agreed to examine the past few years accounts of the
Health centre. This independant examination is important to reassure
the community that the Health Centre finances are being properly
managed.

One of the doctors employed by the service raised the issue of a
lack of consultation and cooperation between Management and the
doctors. In the past year three female doctors have left the service
(two of these doctors attended the meeting), which has precipitated a
staffing crisis. The problem of staff consultation and a suitable
working environment must be addressed by management.

The meeting was attended by Carlo Carli, State Member for Coburg, who
offered his assistance in finding a creative solution for the
continuation of the Medical Service. Kelvin Thompson, Federal Member
for Wills, was also in attendance, while Lindsay Tanner, Member for
Melbourne, Jenny Macklin, Federal Shadow Health Minister, and John
Thwaites, State Shadow Health Minister sent their apologies.

Kelvin Thomson has circulated a letter he has sent to Federal Health
Minister Michael Wooldridge on the closure of the medical service and
asking "advice about what can be done to help the MCHC continue to
provide its quality service."

Jenny Macklin, Federal Shadow Minister for Health, has sent out a
media release on 6th July to tighten up over-servicing rules for
Medicare rebates for Doctors. This obviously needs to be done to
reduce the abuse by some doctors of the medicare system by pushing
through as many patients as possible. Jenny Macklin said "more than
100 doctors are believed to charge Medicare for more than 80
consultations a day....This exceeds a reasonable level and it puts at
risk the quality of patient care."

However, our community Health Centre has the opposite problem - our
doctors often need long consultations with clients with complex
medical problems, which means while the quality of medical care is
high, the income rebate from medicare is proportionally low. The
medicare rebate discriminates against Medical Practices which bulk
bill and provide quality medical care to a client base with a
disproportional amount of complex medical problems. This needs to be
addressed through special funding programs or by changing the
medicare rebate system some way to take into account the financial
problems in providing quality community medical care.

Ultimately, the financial problems of managing the services of the
Health Centre can be attributed back to the policies of the Federal
and State Governments. As a community we must unite against the
extension of economic rationalism to community services, in whatever
shape or form.

Report by Takver

--
Takver
 Takver's Soapbox:
   http://www.users.bigpond.com/Takver/soapbox/index.htm
 War on the Wharfies - Radical Tradition, an Aussie History Page
   http://members.xoom.com/takver/history/index.htm
 Visit the People's Justice Alliance:
   http://home.vicnet.net.au/~pjan/

LL.VG

--

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