IVF is a massive minefield. I still can't believe that clinics don't have to publish their success results, it's such an opaque field!
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Replying to @GidMK @liammannix
IVF clinics publishing results often discouraged as historically is one of most common areas of complaints for misleading and deceptive advertising. Successful "pregnancies" don't translate to successful births and can provide a picture that is far more successful than reality
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Replying to @wardlejon @liammannix
Fascinating. But then the reverse is also an issue - no successful birth results means that patients don't have any basis for comparison, but expense varies widely regardless
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Replying to @GidMK @liammannix
I agree, but until enforceable reporting standards are developed experience has generally been one of selective reporting for promotion rather than information. Civil conscription clause in Constitution makes it almost impossible to develop this kind of thing in most health areas
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Replying to @liammannix @GidMK
In short, it means Commonwealth can't compel medical doctors to practise or work in certain ways. It is reason a NHS-type system not possible in Oz (& why Medicare relies on FFS for private docs). Workarounds of this also responsible for many MBS, e-health inefficiencies we see
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Replying to @liammannix @GidMK
Though TBH it's an issue that is generally unknown until people hit a block (and even then, lack of clarity on how Clause impacts affects implementation just as much as the Clause itself does). There are other options (e.g. via States or associations) that aren't bound by Clause
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Replying to @wardlejon @liammannix
It's like the whole prison health thing - no one realizes that prisoners can't access Medicare because of an obscure clause until they actually dig into it. Most people don't even realize that's the reason that prison health is a state-funded service!
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Replying to @GidMK @liammannix
or the impact of funding blame game in health delivery. Practical example I give in lectures is when you go to a hospital they'll give you 1-2 days of tablets (State pays) and tell you to fill your prescription at pharmacy over the road (Commonwealth pays). So many inefficiencies
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Definitely. The state/commonwealth divide is a massive impediment in our health system
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