Quite correct @warrenma, the government will pay for productivity enhancements, just look at new drugs and they often buy the cheaper version, same effect lower price, the introduction of new features on scanning technology, whilst helpful makes little difference to outcomes, so a limitation to image budgets. All said, its not really substantive to discuss Medicare, as RAP isnt targeted to Australia but the US, EU etc. Wish it was, however its irrelevant to the discussion other than to emphasise they will pay for productivity, which is the same world round
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