MGC Bertie..... I was referring to the level of subsidisation the Govt pays for all drugs when they are released to the market. Some drugs get nothing (those are the $100k per year of treatment usually considered experimental drugs that hopefully very few people ever need) down to the fully subsidised PBS drugs at $8-$10. If the drug gets a Medicare item number for a particular use then it is heavily subsidised (or free in some cases). IVIG costs about $6000 to produce around 20g in Australia so if the average fertility patient pays $2500 - 3000 then we are getting it roughly 50% subsidised by the Fed Govt. The patients that have specific Immune diagnoses that are covered by Medicare item numbers usually pay no more than about $100 per treatment which is just as well as there are people out there having IVIG monthly for their entire life. IVIG is considered a wonder drug around the world and Australia can't make enough of it to meet our needs so we import about 40% of what we use from other countries. With demand so high there is no way the manufacturers are going to reduce the price so we are always going to pay a lot for it no matter the degree of government subsidisation !
Try not to get too worried about Dr M's 'cash' etc workings, he isn't cheating the system it is just that a lot of his therapies (like the IVIG and Intralipids) are not Medicare covered items and as most of us have found out talking to other FS's, his work is considered fairly 'left field' in Australia. G claims the cash system is because she doesn't like technology which also fits with their manual receipt system. At the end of the day he is a business who has enough clients that he doesn't have to offer an EFTPOS payment option and have the added cost of that. I have another doctor who only accepts cash or cheques and also does manual receipts! At least Dr M accepts bank transfer.