Government won't 'speculate' on GP fee

THE federal government has refused to "speculate" about a proposal to make patients pay a $5 fee for bulk-billed GP visits.

A national Commission of Audit has received a proposal for a co-payment scheme for GP consultations.

Doctor groups and political parties have criticised such a move, claiming it would destroy Medicare and limit access to GPs for some community groups.

Co-payments would see patients pay a fee for bulk-billed GP consultations.

News Corp Australia reports pensioners and concession card holders would be exempt from the fee.

Families would also be granted up to 12 bulk-billed visits annually.

Federal Health Minister Peter Dutton said he would not comment on "speculation around what the Commission of Audit may or may not recommend".

"The commission's work is still being compiled and will be provided to the government in 2014," he said in a statement.

"The government will be able to consider any recommendations and respond after that time."

Mr Dutton said the government had committed to making sure the health system was sustainable and accessible in the future.

The Abbott government has been ridiculed for its refusal to rule out a GP fee.

The Opposition has called on Mr Abbott to immediately strike out the idea while The Greens say it will cause many to think twice about a GP visit.

Acting Greens leader Senator Richard Di Natale said on Sunday it was a step towards a two-tiered US-style health system and away from universal healthcare.

Dr Con Costa, of the Doctors' Reform Society, believes a GP fee would make emergency departments busier.

"Introducing a $5 co-payment is false cost-savings," he said in a statement.

"People would stop seeing their GP, ending up sicker and going to hospital - which costs thousands of dollars a day versus the current $36 to see a GP bulk-billed."

It has been reported a co-payment plan aimed to help ease unnecessary trips to the doctor.

But Australian Medical Association (AMA) president Dr Steve Hambleton said the majority of visits to the GP were very "reasonable and helpful" with only a minority causing doctors to ask why they came.

A co-payment scheme was introduced under the Hawke government in the 1990s but was scrapped.

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