Wednesday, June 14, 2023

The rural health care problem

I've been hearing a few discussions recently on ABC radio about the seemingly never ending problem of getting enough health care workers to practice outside of capital cities and their adjacent areas.  This morning I heard that they can't get anything like the staffing they need even in Shepparton - a town only a couple of hours drive outside of Melbourne.  

One person suggested that the key used to be getting young doctors or nurses to work in remoter areas and hopefully they would find a spouse there - giving them an incentive to settle down in that town or region.   Sounds plausible, except it seems that younger folk are coupling at a slower rate than ever before.

Maybe we need media effort into this:  none of this "Farmer wants a Wife" malarky; more "Country Bumpkin wants a Doctor Spouse".   (Might you, I suppose the doctors might have to be persuaded at gun point to participate.)

One thing seems pretty clear:  increased money and allowances is not really at the heart of the problem.  It seems to be more about convenience, and a preference for living in places with a wide variety of things to do.   Hence, I have other suggestions:

a.    free drone air taxis for doctors and specialists who can't be bothered driving 2 or 3 hours for a day's work, but might put up with a fun 30 minute flight from their local park or footy field;

b.   government commandeering of penthouse apartments in prime holiday locations for free use by medical staff who work any more than 4 hours drive from a city or region with no medical staff shortages.  Sure, that might mean taking every penthouse apartment on the Gold Coast, for example, but times are tough;

c.   while we are talking the Gold Coast:  ban doctors and nurses doing cosmetic surgery.  OK, OK, I'm not totally against the free market - just that for every month they work in a cosmetic surgery practice, they have to work too weeks in a remote area dealing with real problems. 

d.   I suspect that relatively few doctors, or at least young doctors, are not Lefty inclined on most issues, and part of the problem may be that regional Australia remains the main hold out for conservative parties.  (Although, there is the Gold Coast and it's Florida-lite reputation too.)   Not sure how we solve that problem.  Even my  "reverse Pol Pot" policy might not help with that, if the handful of people left to manage the robot farms are still voting National and pining for an Australian version of Donald Trump.  Oh, that's right:  my plan was to have right to vote eliminated if you wanted to stay in the regional areas.  Well, there will be an exception made for medical staff.  Fair's fair.

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