"Disgrace" is the word Dr Andrew Gibson uses to describe the Medicare rebate in Australia.
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"The rebate of just $37 is a disgrace," the Batemans Bay GP said.
"The gap payment has to be made by the patient.
"It's putting the blame or anger on to the GPs ... it's just a joke."
Dr Gibson wants the rebate immediately increased and says it must be a key issue in the May 18 federal election - a call he also made in the 2016 election.
He said an increase was crucial for those aged more than 80 years.
"It needs to be more than $37 for 30 minutes," he said.
The aging population was the 'elephant in the room'
"They have more complicated problems, they take longer."
He said doctors couldn't afford to bulk bill anymore.
"We bulk bill Aboriginal people, veterans, those who aren't working. We reduce fees for pensioners," he said.
"Doctors (bulk bill) out of good will. No one else does."
Dr Gibson also wants more funding for mental health, more incentives for GPs working in aged care and "unnecessary" pharmaceutical red tape scrapped.
"The aging population is the elephant in the room," he said.
"We're not preparing properly for it.
"It needs to be properly funded and staff paid well for what they do.
"There needs to be incentives for doctors to care for patients in aged care facilities.
"Doctors need to be interested and involved. Care staff have to make it an attractive industry to work in."
Mental health crisis
Dr Gibson said mental health needed to be properly funded, coordinated and useful to the public.
He said the issue was increasing, underfunded and the scale of it had not been addressed.
In the Eurobodalla, there is no resident psychiatrist. He said psychiatrists could only be seen through the mental health program, making it less accessible to the public.
We have to call up and speak to someone who has no idea about medication
- Dr Andrew Gibson
Dr Gibson said the Pharmaceutical Benefits Scheme (PBS), where doctors call to obtain the PBS price for certain expensive medicines, was "unpopular" and "unnecessary".
"We have to call up and speak to someone who has no idea about medication," he said.
"It's just an impediment to people prescribing expensive medications.
"The whole service has been unnecessary."
He said general practice was the "gatekeeper" to specialist health services but the government did not see GPs in a positive way, which was becoming "tiresome".