WEBVTT - How access to the pill is changing

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<v Speaker 1>Already and this is this is the daily Oh, this

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<v Speaker 1>is the Daily ohs oh, now it makes sense.

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<v Speaker 2>Good morning and welcome to the Daily OS. It's Friday,

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<v Speaker 2>the twenty seventh of September.

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<v Speaker 3>I'm Zara, I'm Lucy from tomorrow.

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<v Speaker 1>If you're a New South Wales resident aged eighteen to

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<v Speaker 1>forty nine, and you've been taking the contraceptive pill for

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<v Speaker 1>two years, you'll be able to get it from a

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<v Speaker 1>trained pharmacist without looking into CUGP more than once a year.

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<v Speaker 1>And New South Wales is not alone. Most of the

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<v Speaker 1>country is now trialing similar approaches and extending it to

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<v Speaker 1>other medications like treatments for UTIs and exma. In today's

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<v Speaker 1>deep dive, we'll explain what's driven this push to give

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<v Speaker 1>pharmacists more power over everyday medications and what it means

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<v Speaker 1>for you. But first, Sarah, what's making headlines.

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<v Speaker 2>A joint statement from twelve countries, including Australia, has called

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<v Speaker 2>for an immediate twenty one day ceasefire between Hezbollah and Israel.

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<v Speaker 2>The statement said the situation is quote intolerable and presents

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<v Speaker 2>an unacceptable risk of a broader regional escalation. This is

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<v Speaker 2>in nobody's interests neither of the people of Israel nor

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<v Speaker 2>the people of Lebanon. According to the Group of Nations,

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<v Speaker 2>a diplomatic settlement must be met that can quote enable

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<v Speaker 2>civilians on both sides of the border to return to

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<v Speaker 2>their homes in safety.

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<v Speaker 1>New data from the Australian Bureau of Statistics shows that

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<v Speaker 1>job vacancies are the lowest they've been in two years.

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<v Speaker 1>The ABS defines job vacancies as employee jobs that are

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<v Speaker 1>available for immediate filling, and uses this figure as an

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<v Speaker 1>indicator of unmet labor demand. According to the ABS, there

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<v Speaker 1>were three hundred and thirty thousand job vacancies in August

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<v Speaker 1>twenty twenty four, down by eighteen thousand from may.

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<v Speaker 2>New York City Mayor Eric Adams has become the first

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<v Speaker 2>sitting mayor to face criminal charges in the city's history.

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<v Speaker 2>The New York Times first reported that Adams had been indicted,

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<v Speaker 2>before he later confirmed that he was expecting to be

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<v Speaker 2>charged following a long running corruption investigation. It comes after

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<v Speaker 2>many senior staffers in his administration have resigned in recent weeks.

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<v Speaker 2>In a video after the New York Times report, Adams

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<v Speaker 2>said that any charges against him would be quote based

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<v Speaker 2>on lies and confirmed he would continue to lead as

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<v Speaker 2>mayor of the city.

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<v Speaker 1>And today's good news. Scientists have found a new species

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<v Speaker 1>of ghost shark that lives exclusively in waters of Australia

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<v Speaker 1>and New Zealand. Closely related to sharks and rays, ghost

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<v Speaker 1>sharks are an extremely rare type of fish found deep

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<v Speaker 1>in the ocean. While all ghost sharks around the world

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<v Speaker 1>were thought to be the same species, the newly discovered

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<v Speaker 1>Australasian narrow nosed spookfish is genetically different to its cousins.

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<v Speaker 1>Doctor britt Finucci from New Zealand's National in Institute of

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<v Speaker 1>Water and Atmospheric Research led to the team who made

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<v Speaker 1>the discovery. Finucci gave the fish a scientific name, Harriota Avia.

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<v Speaker 1>Avia means grandmother in Latin. The name was given in

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<v Speaker 1>honor of the research as late grandmother, who, she said,

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<v Speaker 1>quote proudly supported me through my career as a scientist.

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<v Speaker 2>Okay, so, Lucy oral contraception aka the pill, We're just

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<v Speaker 2>going to call it the pill from here on in.

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<v Speaker 2>It's been available to Ossie's for sixty three years now,

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<v Speaker 2>so statistically most of us really don't know what adult

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<v Speaker 2>life is without the pill, and for most of that time,

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<v Speaker 2>accessing the pills being this matter of seeing the GP

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<v Speaker 2>every so often and getting a script, then getting that

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<v Speaker 2>script filled at the pharmacy.

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<v Speaker 3>But that is now changing. Talk to me about it.

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<v Speaker 1>Yes, exactly. That is now changing across the country, but

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<v Speaker 1>specifically from tomorrow in New South Wales. It's what I

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<v Speaker 1>would call the biggest development in our relationship with the

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<v Speaker 1>pill since it went on the Pharmaceutical Benefit Scheme, the BBS,

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<v Speaker 1>which subsidizes medications. That happened in nineteen seventy two. Before that,

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<v Speaker 1>the pill was subject to a thirty percent luxury tax

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<v Speaker 1>and I think.

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<v Speaker 3>Got a luxury tax. Exactually, what a luxury? Your child?

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<v Speaker 3>What a luxury?

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<v Speaker 1>Well, at that time it really was a luxury. And

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<v Speaker 1>I think that shows you how our relationship with the

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<v Speaker 1>pill has changed, that it's become something that had a

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<v Speaker 1>hefty luxury tax to something that is such a necessity

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<v Speaker 1>that governments around the country are working to find ways

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<v Speaker 1>to make it easier and less complicated and more straightforward

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<v Speaker 1>and less of an issue to access. Is really what

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<v Speaker 1>I'm trying to say, taking up less time out of

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<v Speaker 1>our week really, so from tomorrow, certain people in New

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<v Speaker 1>South Wales, so if you're aged eighteen to forty nine

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<v Speaker 1>and you've been taking the pill for two years. You'll

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<v Speaker 1>only need to see your GP once a year to

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<v Speaker 1>get your prescription renewed, and the rest of the time

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<v Speaker 1>pharmacists those who carry out special training can dispense it

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<v Speaker 1>to you.

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<v Speaker 2>Okay, tak me through how this change came about, because

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<v Speaker 2>you know, as you intimated earlier, there hasn't been that

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<v Speaker 2>much change in this area for quite a while now,

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<v Speaker 2>So how did this happen.

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<v Speaker 1>I'll talk about New South Wales specifically first and then

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<v Speaker 1>we'll get to the rest of the country later. But

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<v Speaker 1>the first we heard of this idea in New South

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<v Speaker 1>Wales where we are is right before the state election

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<v Speaker 1>last year. So February twenty twenty three, the then coalition

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<v Speaker 1>government led by Dominic Perrote made an election promise to

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<v Speaker 1>trial allowing quote pharmacists to renew prescriptions for the contraceptive pill.

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<v Speaker 1>So that's really the first we heard of it at

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<v Speaker 1>this state level. The coalition did go on to lose

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<v Speaker 1>that election, but the idea stuck around and in September

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<v Speaker 1>last year, the new government, the Labor government, announced almost

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<v Speaker 1>one thousand pharmacies were eligible to dispense the pill without

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<v Speaker 1>a prescription to those aged eighteen to thirty five, again

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<v Speaker 1>with that same caveat of if you've been prescribed it

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<v Speaker 1>in the last two years. That trial which lasted a

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<v Speaker 1>year so September to September where we are now, women

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<v Speaker 1>only paid the cost of the medication.

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<v Speaker 2>Okay, so they weren't paying any other costs, for example,

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<v Speaker 2>that they would have been with a GP previously. What

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<v Speaker 2>was the reasoning that the government gave for this trial,

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<v Speaker 2>Because it's interesting that this is one of those moments

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<v Speaker 2>where there does seem to be this bipartisan support. It

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<v Speaker 2>was first floaded as an idea by the former liberal

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<v Speaker 2>Premier Dom Perrote, but carried through by Labor Premier Chris Mins.

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<v Speaker 2>What are they saying is the reason behind this?

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<v Speaker 1>So when Perrote announced this election promise, he said it

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<v Speaker 1>was partly motivated by quote, making it easier and quicker

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<v Speaker 1>for people, particularly women, to access important prescription medications and treatments.

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<v Speaker 1>So making it easier to access. But governments don't tend

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<v Speaker 1>to do things just because it will make our lives easier.

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<v Speaker 1>They have to have other reasons. And another really important

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<v Speaker 1>reason that they gave was reducing strain on GPS over

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<v Speaker 1>the last couple of years. The Royal Australian College of

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<v Speaker 1>General Practitioners RACGP that the peak body for GPS has

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<v Speaker 1>really repeatedly flagged gps are overworked and burnt out.

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<v Speaker 2>And we've spoken about that so many times on this

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<v Speaker 2>podcast before we've spoken to GPS so are saying, you know,

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<v Speaker 2>they just don't have enough hours in the day to

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<v Speaker 2>get the work done exactly.

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<v Speaker 1>That's on top of the difficulty that lots of TDA

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<v Speaker 1>readers and listeners have also told us that they've had

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<v Speaker 1>difficulty finding gps who bulk bill, they have difficulty getting

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<v Speaker 1>into see a doctor when they need to. So that really,

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<v Speaker 1>you know, it makes sense if GPS are saying we're

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<v Speaker 1>having trouble getting to see everyone, and people are saying

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<v Speaker 1>we're having trouble getting into see doctors. So that's also

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<v Speaker 1>particularly true for people in regional and rural areas. According

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<v Speaker 1>to a government report last month, people in those areas

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<v Speaker 1>face a significant shortfall of GPS in the coming years.

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<v Speaker 1>It's only going to get worse year on year.

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<v Speaker 2>Okay, And so then was the logic that if a

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<v Speaker 2>woman doesn't have to go to her GP every so

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<v Speaker 2>often to get that script renewed, but rather could do

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<v Speaker 2>it at the pharmacy. That that would free up the

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<v Speaker 2>GP for other work. Is that what was the logic?

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<v Speaker 3>That was the logic?

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<v Speaker 1>Yes, And that it also would make it easier for

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<v Speaker 1>rural and regional people to quote get the help they

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<v Speaker 1>need without having to drive a long way to see

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<v Speaker 1>a GP who maybe doesn't have an appointment for three weeks.

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<v Speaker 2>Yeah, okay, And so those are the reasons why the

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<v Speaker 2>Government of the day and the previous coalition government both.

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<v Speaker 3>Thought that this was a good idea.

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<v Speaker 2>What about the other side, what are some of the

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<v Speaker 2>downfalls perhaps of this sort of policy.

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<v Speaker 1>So despite this being pitched as something that will help GPS,

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<v Speaker 1>the RACGP actually opposed this trial when it was first announced.

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<v Speaker 1>They suggested there wasn't enough information about how patients would

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<v Speaker 1>be kept safe. Another peak body, the Australian Medical Association,

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<v Speaker 1>which represents all doctors, not just GPS, campaigned against the

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<v Speaker 1>trial and others like it in other states, saying it

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<v Speaker 1>quote put patients at risk.

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<v Speaker 2>I know that one of the other ideas that I'd

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<v Speaker 2>heard was that you know, this is also revenue that's

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<v Speaker 2>then not going to GPS. Because those appointments are drying

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<v Speaker 2>up that some gps are complaining about the fact that

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<v Speaker 2>they then won't be able to, you know, have those

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<v Speaker 2>regular appointments that created some sort of revenue for their

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<v Speaker 2>practices exactly.

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<v Speaker 1>So those are some of the concerns about this trial specifically.

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<v Speaker 3>Of course, we.

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<v Speaker 1>Should mention that there are and continue to be concerns

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<v Speaker 1>about the pill itself. Yeah, TDA listeners have told us

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<v Speaker 1>many times before about things like Migrain's, hormonal imbalances or

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<v Speaker 1>mental ill health that they traced back to taking the pill.

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<v Speaker 1>New South Wales Health's website notes that low risk pills,

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<v Speaker 1>the kind that can be dispensed under this trial that's

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<v Speaker 1>been made permanent, which can contain quote only small amounts

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<v Speaker 1>of estrogen, have been linked to a low risk of

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<v Speaker 1>blood clots and stroke.

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<v Speaker 2>Okay, And so with all of that said, with you know,

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<v Speaker 2>the risks of the pill obviously identified, but also the

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<v Speaker 2>fore and against about trial, we now know that the

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<v Speaker 2>government has moved to make it permanent. So if I

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<v Speaker 2>am someone who tomorrow Saturday want to go and get

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<v Speaker 2>the pill, what does that look like?

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<v Speaker 1>So you need to have been taking it for two

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<v Speaker 1>years and you need to find a pharmacy that has

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<v Speaker 1>a pharmacist that's taken the government's training to be able

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<v Speaker 1>to dispense the pill. If someone has been prescribed a

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<v Speaker 1>certain type of contraception by a doctor, a pharmacist won't

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<v Speaker 1>be able to change the kind that you're taking.

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<v Speaker 3>Okay.

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<v Speaker 2>So if I have been on a certain pill for

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<v Speaker 2>a year and a half and I want to change that,

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<v Speaker 2>I'd still need to go back to the GP to

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<v Speaker 2>get that script changed, yes, okay, And so then how

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<v Speaker 2>often would I then have to go to the GP

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<v Speaker 2>if not for that scenario?

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<v Speaker 1>So every twelve months, once a year is how often

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<v Speaker 1>you'd be going back to the GP to renew your

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<v Speaker 1>overall script. Then when you go to the pharmacist, now

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<v Speaker 1>that the trial has been made permanent, you'll be paying

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<v Speaker 1>what the government expects to be around twenty to thirty

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<v Speaker 1>dollars for a consultation with a pharmacist, and then you'll

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<v Speaker 1>also be paying for the medication.

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<v Speaker 3>What have pharmacists said about this?

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<v Speaker 2>I think I probably know the answer, but you know

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<v Speaker 2>now knowing as well that they will be paid for

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<v Speaker 2>that consultation as well, now that the trial is over.

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<v Speaker 3>What have we heard from the pharmacists themselves.

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<v Speaker 1>Pharmacists are in favor of the trial being made permanent.

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<v Speaker 1>The Pharmaceutical Society of Australia, which is the industry's peak

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<v Speaker 1>professional body, supported the measure. It's nytoth Wales's president, Luke

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<v Speaker 1>Kelly called it quote an important step kind of cementing

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<v Speaker 1>the role of community pharmacies in providing support to patients.

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<v Speaker 2>Now, Lucy, we've been speaking about the pills specifically because

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<v Speaker 2>you know there is this big announcement from tomorrow. But

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<v Speaker 2>I have read and heard about not just the pill

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<v Speaker 2>being accessible in these sorts of scenarios. What do we

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<v Speaker 2>know about the other medications that people can access in

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<v Speaker 2>this sort of way going through the pharmacy rather than

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<v Speaker 2>through a GP.

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<v Speaker 1>You're right, the pill is not the only one. Under

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<v Speaker 1>a similar pro New South Wales, pharmacists who've completed a

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<v Speaker 1>special training can dispense medication for uncomplicated UTIs to women

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<v Speaker 1>who are eighteen to sixty five who haven't had one recently.

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<v Speaker 1>Interesting and under another trial, trained pharmacists can dispense some

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<v Speaker 1>medications to some people without a prescription for skin conditions

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<v Speaker 1>including exma and impetaigo.

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<v Speaker 2>Okay, and there's New South Wales because I think we've

0:12:25.120 --> 0:12:27.040
<v Speaker 2>only spoken about New South Wales so far, is that

0:12:27.080 --> 0:12:29.840
<v Speaker 2>the only state or territory where these trials are taking place.

0:12:30.160 --> 0:12:34.160
<v Speaker 1>So across the country, states and territories are undergoing trials

0:12:34.320 --> 0:12:37.760
<v Speaker 1>or have made these things permanent. In Wa, it's women

0:12:37.840 --> 0:12:40.479
<v Speaker 1>aged eighteen to thirty nine who can get a resupply

0:12:40.640 --> 0:12:43.000
<v Speaker 1>of the pill without seeing a GP more than once

0:12:43.040 --> 0:12:46.120
<v Speaker 1>a year. In South Australia, the same applies for those

0:12:46.200 --> 0:12:50.160
<v Speaker 1>aged seventeen to forty. In Tazi, for women aged sixteen

0:12:50.200 --> 0:12:52.480
<v Speaker 1>to fifty if you've taken it for two years. In

0:12:52.520 --> 0:12:55.720
<v Speaker 1>the Act, there's an ongoing trial for those aged eighteen

0:12:55.720 --> 0:12:58.800
<v Speaker 1>to thirty five, and a trial in Victoria for those

0:12:58.840 --> 0:13:02.520
<v Speaker 1>aged sixteen to fifty actually wraps up next month. Many

0:13:02.640 --> 0:13:06.600
<v Speaker 1>of those states also have similar programs for UTIs and

0:13:06.640 --> 0:13:10.439
<v Speaker 1>skin conditions, like New South Wales. Really leading the charge

0:13:10.480 --> 0:13:15.080
<v Speaker 1>here is Queensland, where a trial is underway allowing pharmacists

0:13:15.120 --> 0:13:19.240
<v Speaker 1>to prescribe, not just dispense, the pill to women and

0:13:19.280 --> 0:13:22.840
<v Speaker 1>girls older than sixteen. The state government said this is

0:13:22.880 --> 0:13:25.400
<v Speaker 1>aimed at making it easier for women in rural and

0:13:25.440 --> 0:13:29.280
<v Speaker 1>regional areas to manage their reproductive health. It is still

0:13:29.280 --> 0:13:31.240
<v Speaker 1>a trial, so we'll have to wait and see what

0:13:31.320 --> 0:13:32.000
<v Speaker 1>the results are.

0:13:32.640 --> 0:13:35.360
<v Speaker 2>Lucie, thank you so much for joining us on today's pod,

0:13:35.520 --> 0:13:38.040
<v Speaker 2>and thank you for listening to another week of The

0:13:38.160 --> 0:13:41.000
<v Speaker 2>Daily Os. We'll be back again with a good News

0:13:41.040 --> 0:13:44.760
<v Speaker 2>wrap tomorrow, but until then, have a brilliant Friday.

0:13:47.600 --> 0:13:49.920
<v Speaker 1>My name is Lily Maddon and I'm a proud Arunda

0:13:50.120 --> 0:13:54.920
<v Speaker 1>Bungelung Calcoton woman from Gadighl Country. The Daily Os acknowledges

0:13:55.000 --> 0:13:57.200
<v Speaker 1>that this podcast is recorded on the lands of the

0:13:57.200 --> 0:14:00.440
<v Speaker 1>Gadighl people and pays respect to all Abridge, Rejonal and

0:14:00.520 --> 0:14:03.520
<v Speaker 1>torrest Rate island and nations. We pay our respects to

0:14:03.600 --> 0:14:06.480
<v Speaker 1>the first peoples of these countries, both past and present.