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    Full support – have been talking for years about maldistribution being the problem and that immense political courage will be required to implement restricted provider number access … the government already dose this to our overseas trained colleagues but this fear of “civil conscription” is castrating the necessary government response to encourage redistribution of Australian graduates.

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    Ewen McPhee

    For every complex issue there is a simple solution, yet sadly the wrong one. The perverse outcomes are creating two tiers of practices (city vs country) and two tiers of Doctors (Specialists — presumably not on Geographic provider numbers for obvious reasons — and Generalists) and destroying goodwill and value while assigning doctors who don’t want to be, nor are skilled to be, in the Country. Suggesting shutting down mechanisms that are in fact working hasn’t been addressed in the commentary; such as Rural generalist medicine program,s soon to be National. Knee-jerk reactions and simple solutions have plagued rural medical workforce in every country. Geographic Provider Numbers are not the answer, never have been and never will be.

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    I come from overseas, where we have the registration to work as dr according to State, not City or medical practice and not limited by period of 1 year,it`s unlimited! I have done my 10 years moratorium, then my rural pathway gp training, (not so terribly isolated as I was afraid of), I can see how very useful it was to rotate even for short period in a country site. I never could understand the need for one single medicare number/practice, it sounds more like a waste of time and resources and too much bureaucracy. Even a period as “locum” becomes a waiting game under mounds of paperwork. It certainly drops cold water on any more adventure and philanthropic spirit! I agree completely with geographic Medicare numbers, at least “per state”, giving flexibility for drs to offer care in quite a few cities around one geographic area. Not a definitive way to “retain” one single health professional in specific country site, but at least would alleviate the shortage of care and maybe improve the health status of those populations.

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    Mike Smith

    Great post.Sadly, 8 women lose their lives every day due to breast cancer. Together, we can make it zero. National Breast Cancer Foundation – is working with communities and researches to make breast cancer deaths zero by 2030


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