Rage Against The Vagine

How Do We Fix the F*cking Systems? | Perimenopause, Policy & Smashing the Patriarchy with Senator Katy Gallagher

Sep 23, 2025
Senator Katy Gallagher, Australia’s Minister for Women, shares insights on how government policy is shifting to better support women's health, especially around perimenopause. Dr. Kelly Teagle discusses crucial changes in Medicare, advocating for telehealth access and better rebates for menopause care. They delve into the societal invisibility of perimenopause, workplace reforms, and the economic impacts of ignoring women's health issues. This conversation empowers listeners to engage in advocacy and push for real change in healthcare systems.
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INSIGHT

Root Causes Of Perimenopause Invisibility

  • Perimenopause invisibility stems from structural misogyny, medical gaps and community attitudes that assume gender equality.
  • Senator Katy Gallagher says change requires systematic dismantling and cultural shifts backed by funding and policy.
ADVICE

Policy Moves To Improve Care Access

  • The government funded longer GP rebates and PBS listings to improve menopause care access and encourage longer consults.
  • Free GP training and upcoming clinical guidelines and awareness campaigns will support better diagnosis and treatment.
ADVICE

Push For Better Medicare Item Design

  • Use the new Medicare menopause assessment item to improve care but push for higher rebates and telehealth inclusion to make long consults viable.
  • Advocate for extra tiers or chronic-care pathways so specialists can be properly reimbursed for 40–60 minute assessments.
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