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The Australian government is investigating the possibility of privatising the payment services associated with Medicare, the Pharmaceutical Benefits Scheme, aged care services and veteran affairs. It is understandable that the government would look outside of Medicare to get the efficiency-related changes it wants . If Medicare was capable of delivering those changes , it would have already done so. Finding another organisation that can deliver these services at a reduced cost with increased functionality, especially to the consumer of these services, makes absolute sense. The objections to making such a move will be about the potential loss of jobs from Medicare.