Joshi
@Joshi@aussie.zone
Clean hands, Cool head, Warm heart.
GP, Gardener, Radical progressive
- Comment on One million Australians missing specialist doctor appointments due to cost, report finds 2 weeks ago:
To be clear most professors are senior in their field and usually indicates research as well as teaching, I was in a cantankerous mood this morning. But regardless Medicare needs to take access to specialist treatment seriously.
- Comment on One million Australians missing specialist doctor appointments due to cost, report finds 2 weeks ago:
Nationalise the mines and be done with it
- Comment on One million Australians missing specialist doctor appointments due to cost, report finds 2 weeks ago:
Yes, obviously medicare would need to increase the rebate and private insurance fees would necessarily increase(as they would now be actually paying for care rather than acting a a gatekeeping mechanism)
Rebate for a short consult with a specialist is $81.55, a long consult is $236.65.
The title professor indicates that they hold a teaching position and says nothing about their clinical skill. Plenty of specialists take the piss leverage the title to charge ridiculous fees.
In my experience as a GP a reasonable standard fee for a specialist is around $300 with $80 back from Medicare. So yes the Medicare rebate would need to increase substantially but I doubt more than we will save when AUKUS falls through. It is within the capacity of a government with the right priorities. Also increasing the availability of public specialists would be a good companion policy.
- Comment on One million Australians missing specialist doctor appointments due to cost, report finds 2 weeks ago:
IMO there needs to be some regulation around this, a simple measure would be to tie Medicare payments to a pricing structure(eg. a specialist can only charge the Medicare rebate + 20%).
If a specialist wants to charge more then that’s fine but the patient(or insurance) will have to pay the full cost
- Comment on Is Google about to destroy the web? 2 weeks ago:
Exactly, it’s counter-productive to blame individuals for doing the best they know how in a broken system.
- Comment on Beckyland, for my fictional country! 3 weeks ago:
lemmy.ml is fine
The claim is that it is full of tankies. In fact what you’ll find is that instead of a small number of obnoxious teenagers with a liberal world view making obnoxious comments you’ll have a small number of obnoxious teenagers with a leftist world view making obnoxious comments.
People also claim that moderation is an issue on some instances, but hey, it’s all federated, jump across elsewhere.
Hatred for lemmy.ml is just an echo chamber quirk.
- Comment on Australian high-speed rail has barely left the station – some experts say a new US project shows a better way 4 weeks ago:
Has anyone ever suggested engaging Chinese companies to help develop Aussie high speed rail. Seems like an obvious option.
I understand there’d be some dog whistling around it but surely there’s no actual sovereign threat if we develop local maintenance capacity.
- Comment on Can deliberate noise harassment still be a crime if it's done every day from 7:30 AM till 10:30-11:30 PM? 4 weeks ago:
Escalating conflict with someone with delusions of persecution is exactly the wrong thing to do.
Not knowing the system in the UK means I can’t give very good specific advice. You may be able to contact a local mental health network and there is a good chance they will know him. Let them know what is going on in as much detail as possible and suggest that he is increasingly agitated and alienating himself from the community. It sounds like this gentleman needs a conpulsory treatment order or whatever the UK equivalent is.
- Comment on Opinion: Australians remain deeply sceptical about the value of private healthcare – it’s time for radical reform 5 weeks ago:
It’s kind of like providing a highly expensive, and logistically complex service requiring recruitment and retention of highly skilled professionals to provide an essential service to people who can’t possibly pay for it is not suited to privatization.
20/20 hindsight I guess :/
- Comment on What are your thoughts about AI? 1 month ago:
Like every new technology that is hailed as changing everything it is settling into a small handful of niches.
I use a service called Consensus which will unearth relevant academic papers to a specific clinical question, in the past this could be incredibly time consuming.
I also sometimes use a service called Heidi that uses voice recognition to document patient encounters, its quite good for a specific type of visit that suits a rigid template but 90% of my consults i have no idea why they are coming in and for those i find it not much better than writing notes myself.
Obviously for creative work it is near useless.
- Comment on 42 Free and Open Source Projects Receive Funding to Reclaim the Public Nature of the Internet 2 months ago:
I dislike this idea that government run is bad.
I recently changed my name and had to call several government agencies and found them competent and helpful every time.
- Comment on What is the best take your blood pressure to get the most accurate results? 2 months ago:
I’m a GP, here’s my opinion
Can’t have eaten/drank anything for the last half hour
- in principle could alter your BP but I wouldn’t worry too much unless it’s quite a large meal
Feet flat on the floor
- yes, this is important
Lying down but sitting up
- for some purposes docs want lying/sitting/standing but for home measurements do them sitting
Back against the chair
- yes
Don’t cross your legs/ankles
- yes, feet flat on the floor
Only use your left arm
- myth, if there is a significant difference between your left and right arms there is something funky going on with your subclavian arteries
Hand facing upward/downward
- not super important
Keep your arm down/raised
- keep your arm relaxed, ideally resting on a table or desk at 90deg or hanging straight down
Most important is be relaxed, sit still, don’t move your arm, of you get a high reading calm yourself and take it once more then leave it.
- Comment on What is the best take your blood pressure to get the most accurate results? 2 months ago:
I have taken my own BP manually, it ain’t easy
- Comment on Is there a new type of currency working to replace currency? 2 months ago:
You’re probably talking about the Chinese social credit score, not a replacement for currency but is up and working.
- Comment on Where will my vote go? 2 months ago:
This should be printed and mailed to every registered voter. Thankyou
- Measles was eliminated from Australia. Experts warn US and Asia outbreaks may bring back this ‘heat-seeking missile’www.theguardian.com ↗Submitted 3 months ago to australia@aussie.zone | 2 comments
- Submitted 3 months ago to australia@aussie.zone | 3 comments
- 'A solution in search of a problem': Doubts over Dutton's citizenship-stripping pushwww.sbs.com.au ↗Submitted 3 months ago to australia@aussie.zone | 0 comments
- Submitted 3 months ago to australia@aussie.zone | 2 comments
- Submitted 3 months ago to australia@aussie.zone | 8 comments
- Comment on What's easier to shoot, a bow or a firearm? 3 months ago:
Modern guns a extremely precisely engineered devices that are incredibly easy to use, for better or worse. I know modern sporting bows are also but it’s no contest in my opinion.
I’ve shot both, bows as a complete amateur and relatively competent with a rifle. There is no question that a modern gun is way easier to pick up as an amateur and hit what you want to hit and I cannot possibly believe there are anything other than extremely niche uses where a bow is superior.
- New report skewers Coalition’s contentious nuclear plan – and reignites Australia’s energy debatetheconversation.com ↗Submitted 4 months ago to australia@aussie.zone | 19 comments
- Comment on Neoliberalism is dead. So why haven’t Australia’s leaders got the message? 4 months ago:
Spoiler: The fact that the ALP is Neoliberal is kind of the point of the article.
- Neoliberalism is dead. So why haven’t Australia’s leaders got the message?johnquigginblog.substack.com ↗Submitted 4 months ago to australia@aussie.zone | 4 comments
- Comment on Colonial Frontier Massacres in Australia 4 months ago:
Cross post from lemmy.ml/c/dataisbeautiful
Thanks !aptoast@lemmy.ml
- Submitted 4 months ago to australia@aussie.zone | 2 comments
- Comment on Why do I laugh in my dream? 4 months ago:
It’s really common to get weird dreams when quitting smoking. Especially if you’re using nicotine replacement and extra especially if you’re using a patch and not taking it off before bed.
Changes in the amount of nicotine in your blood disrupts REM, it’s more fragmented and this seems to have the effect of more intense dreams.
- Comment on aussie pride worlwide 4 months ago:
It is fine, unless you want a brand that doesn’t have a deal with Bunnings, or unless you want garden furniture that is remotely durable, or unless you want some advice from someone who has experience in hardware.
Back when Bunnings was one of several large chains and small local hardwares were much more common it was easy, even Bunnings was made better by the competition. Monopolies are bad for consumers.
- Comment on aussie pride worlwide 4 months ago:
I don’t understand how the heck Bunnings manages to have so much public good will.
It’s a total monopoly that has run all of it’s competition out of business and over the past 20 years has become progressively shitter at customer service.
I miss other hardware stores 😔
- Comment on Australia (Act) Day (annual repost) 5 months ago:
I have always thought we should go back to our earliest national day of Wattle Day.
Australia day is hugely problematic, Jan 26 ought to be a National day of mourning and Jan 27 our national day of reconciliation.
