Member: “Yes, there are several real issues here. There is the issue of the Medicare rebate disparity. There is the issue of discrimination for employed roles and contracts. There is the issue of limiting the services that many psychologists are able to offer under Medicare. There is the issue of reports not being accepted by Centrelink and other entities. The aforementioned issues are all entwined, and seem to have their roots in the decision to rebate psychologists differently based on whether they have endorsement in clinical psychology. There is also the issue of GPs dictating services. I would hope that the APS is advocating on our behalf on ALL of these issues.
Until recently I was confident that they had been, but seeing the FOI documents has caused me to believe otherwise. I do have some hope that this is changing, but I will be watching much more carefully from now on.”
Member: “This is about the rebates again. A clinical psych can get the tier one rebate whether they got their endorsement yesterday or 40 years ago. A non-clinical psych cannot get the tier one rebate no matter how long they have been registered. No-one (as far as I’m aware) is arguing that a clinical psychologist with decades of experience is inferior, however the rebates imply that a non-clinical psychologist is inferior, even if they have decades of experience, even if they have plenty of training, and even if they have endorsement in other areas. The comparisons between experienced non-clinical psychologists and newly endorsed clinical psychologists keep occurring because this is the aspect that becomes upsetting to an experienced non-clinical psychologist.”
Member: “What seems to be most confusing is what is the real issues. It is delivery of service standards?; is it recognition as a professional?; is it money based on rebates? or what. Reading all comments seems to blur all these line with no discernible way forward. I go back to my other comments that the reality is the system was flawed right from the start.”
Member:“This is the issue myself and many othrs are facing. I was offered a job placement that inluded my 4th year and internship. I took it, not realising that it would then limit my options to specialise down the track. I’ve since become a single mum with my own practice in rural NSW. I would love to specialise in developmental psych, however my only options would be to shut my practice and move my family interstate. All at the end of it, id be no better off financially than I am now. Clinical psych would at least allow me the higher rebate but options are limited, and there is minimal subjects based on child and adolescents, which is my preferred caseload.
Hardly good options and I would not be the only one facing these difficulties.”