Like what you've read?

On Line Opinion is the only Australian site where you get all sides of the story. We don't
charge, but we need your support. Here�s how you can help.

  • Advertise

    We have a monthly audience of 70,000 and advertising packages from $200 a month.

  • Volunteer

    We always need commissioning editors and sub-editors.

  • Contribute

    Got something to say? Submit an essay.

 The National Forum   Donate   Your Account   On Line Opinion   Forum   Blogs   Polling   About   
On Line Opinion logo ON LINE OPINION - Australia's e-journal of social and political debate


On Line Opinion is a not-for-profit publication and relies on the generosity of its sponsors, editors and contributors. If you would like to help, contact us.


RSS 2.0

Too much health

By Tanveer Ahmed - posted Tuesday, 18 April 2006

A joke about general practitioners goes something like this. A little old lady who visited her GP every week stopped coming. The GP became worried, fearing he may have caused offence or that she had found someone else. When she returned a week later, the GP asked her where she had been.

“Oh, doctor. I was sick,” the little old lady replied.

While this is a joke, it probably represents the reality for a good portion of the day for the average family doctor.


The Royal Australian College of General Practioners estimates that around a third of patient presentations to a family doctor are what’s known as “psychosomatic ailments”.

This is technical speak for the worried well.

While the Productivity Commission’s report into the medical workforce released in January 2006 suggested that we need more doctors, particularly to supply the rural shortage, it did not look into the kind of work modern doctors are required to do.

The fact is that a good portion of the modern doctor’s work is to appease those who are feeling anxious, lonely or disconnected. They are on the frontline of a community where a large part of the old functions of the family, namely child care, care of elderly people and just plain emotional support, are increasingly being turned over to the market and the state.

The problem here is that doctors, even when they don’t bulk bill, are actually the cheapest form of social worker.

Another medical joke is that a little old lady called her doctor one night for a house call. When he arrived, she said that she needed her light bulb changed. When the doctor asked why he was called, she said that he was cheaper than the electrician.


A large part of the problem is that it is just too cheap to see a doctor. Even for doctors who don’t bulk bill, patients are barely forking out $20 after they receive a rebate. It is no financial disincentive to avoid seeing them.

Of course, this was the reason behind Medicare in the first place. A person shouldn’t have to think twice before consulting advice for their health, or so the reasoning goes.

But the question then arises how much extra health expenditure are we willing to sacrifice as a community in order to make health immune to the forces that make people think about how they spend their money.

  1. Pages:
  2. Page 1
  3. 2
  4. All

Discuss in our Forums

See what other readers are saying about this article!

Click here to read & post comments.

21 posts so far.

Share this:
reddit this reddit thisbookmark with Del.icio.usdigg thisseed newsvineSeed NewsvineStumbleUpon StumbleUponsubmit to propellerkwoff it

About the Author

Dr Tanveer Ahmed is a psychiatrist, author and local councillor. His first book is a migration memoir called The Exotic Rissole. He is a former SBS journalist, Fairfax columnist and writes for a wide range of local and international publications.
He was elected to Canada Bay Council in 2012. He practises in western Sydney and rural NSW.

Other articles by this Author

All articles by Tanveer Ahmed

Creative Commons LicenseThis work is licensed under a Creative Commons License.

Photo of Tanveer Ahmed
Article Tools
Comment 21 comments
Print Printable version
Subscribe Subscribe
Email Email a friend

About Us Search Discuss Feedback Legals Privacy