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Fees, Medicare and getting cut.
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Thought I'd post an overview.

Any doctor is an apprentice. If they are taught how to cut, they can cut.

Doctors graduate medical school into a mandatory hospital year, with generalist registration once passed. After which they can leave hospital, and do stuff like cosmetics or cannabis, hormones or even circumcisions if they learnt how to do one in hospital.(or gone to a weekend or online course of cutting)

All specialist doctors have been through a specialist college, there are only 21 authorised and accredited by the Aus medical council to train doctors to standards to be a specialist. You know a specialist, because a patient can't see one without a referral.

(If you are.going somewhere to someone who mashes the words specialist, and you are seeing them directly without a referral... Guess what, they are not a specialist.)

The more a doctor advertises, self promotes etc, the less genuine and skilled they are... Doctors are never short of patients, and good doctors have long waits...

Soooooo. RACGP - trains and examines g.p specialists. RACS -- does surgeons, and surgeon subtypes. And on and on it goes.

In a hospital, a senior surgeon, will train juniors wanting to get on training, or who have gotten on and preparing for exams.

These are the doctors you most often see, in emergency, wards, theatres. They are registrar's... Resident doctors are not on training. Only the boss / consultant is a fellow of a specialist college.

Juniors are being trained, and slowly released as competent to do stuff, pending exams

Circumcisions can be done by 1. General surgeons 2. Urologists

In public hospital, it's a simple operation the trainee often does. Or even the resident, or a very competent intern under close guidance.

Medicare offers item numbers for medically indicated circumcisions.

In public hospital, a referral will be a low.prirotiy category 3, unless your foresky is stuck -- painful and choking your nob to death. It will be done as an emergency theatre penis saving operation then.

Or you will be seen on the slow path, low priority, be assessed in an outpatient clinic, and then wait for a theatre slot. (There would be no latitude for style, outcome etc, it will be done as done as the surgeon needs to do)-- but it would be entirely covered by Medicare and no fee from a public hospital. It will need a physical reason and risk.

The entire other path, is Private insurance, hosptial only insurance is needed and avoids your tax Medicare levy. Referred to a surgeon or urologist, and book into a private hospital. Out of pocket according to your policy.

The third way, is a cutting enthusiast, a g.p or generalist, can learn to do a cut, and sit back and just do cuts. No Medicare item numbers for these. Small g.p attendance item numbers are essentially being misused, a d will be the amount of just consulting time like at any g.p.

This would be entirely on private fee basis.. either it is a generalist who has not trained or fully completed training as a surgeon, and is using some acquired skills to make a living. They .ight open a clinic for simple vasectomies or circs, or some complicated skin graft /excisions. They might fall back onto cosmetics, or skin cancer clinics.

Or a g.p, who has developed cutting skills, and again, trying to make a living out of a small business. Skin cancer, cosmetics, vasectomies, circs are all consider value add ons, done at clinics to earn money to make up for the low rates of Medicare bulkbill fees.

If you go down the third path, expect to pay,,, running a procedural clinic is expensive af. Work on $600 /.hr for the doctor to earn... 40% going to the clinic as contract fee.

They are taking a lot of risk of complication, higher insurance rates etc.

If you go down private hospital, expect a gap fee, and have it done in a theatre and general anaesthetic.

If you go public, it is for only physical medical purposes, a long wait, pay no out of pocket, and have it done on hospital time frames as they can accommodate.

Side note. ( .. And no there are no specialist cosmetic or cannabis colleges -- these are only money hungry monetisers preying on people coin, insecurities and illnesses)

I reckon a good cut, an hour in with a doctor, nurses etc, expect $800- $2000 K. Compare this to your other spends and priorities)

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