To give some background, I was born in Iran, immigrated to Türkiye and lived there for seven years, and then moved to Australia five years ago.
I'm genuinely happy with where I am today. I'm working, studying, adapting to Australian culture, and enjoying my life here. I feel incredibly lucky to have been given the opportunity to live in this country and contribute to society.
However, there's one thing about Australia that I genuinely struggle to understand: the healthcare system, particularly emergency departments.
My experiences with healthcare in both Iran and Türkiye were generally positive, especially when it came to emergency care. If your symptoms worsened or you were experiencing significant pain, you could go to the emergency department and generally receive prompt attention. Even in countries with limited resources and large populations, my personal experience was that emergency care was much more accessible.
Last night, I had one of the most disappointing experiences I've ever had with a healthcare system.
I was experiencing severe abdominal pain, nausea and diarrhoea. The pain was around 7/10, and I couldn't even sit upright. I contacted the hospital and was told the waiting time was around 4–5 hours. Unfortunately, I didn't feel I had another option, so I went to the emergency department.
After registering and undergoing initial tests, I waited for four hours. During that time, I saw only one patient being taken through for further care, and I was then told the waiting time could potentially reach 12–16 hours.
Thankfully, my pain gradually improved while I was waiting. I eventually decided to leave and arrange an appointment with a GP the following day.
But what really upset me wasn't just my own experience. It was watching other people sitting there in pain. People with broken knees, broken shoulders and other painful conditions were waiting for hours just to see a doctor. I felt terrible for them. I even questioned whether I should have gone to the emergency department in the first place, despite the severity of my symptoms.
I understand that emergency departments use triage to prioritise patients according to how urgently they need treatment, and I'm not suggesting that everyone should be seen immediately regardless of their condition. I also recognise that Australia's healthcare system has its own challenges and that my experiences in other countries don't necessarily represent everyone's experience.
But I genuinely want to understand why this happens.
How can countries with significantly fewer economic resources provide what feels like more immediate access to emergency care, while people in Australia sometimes wait 8, 12 or even 16 hours in an emergency department?
I know Australia has a universal healthcare system, and I appreciate that access to medical care isn't supposed to depend on how much money you have. But what does that mean in practice if someone is in significant pain and has to sit in an emergency department for hours before receiving treatment?
I'm not posting this to attack Australia or claim that healthcare in Iran or Türkiye is better overall. I'm genuinely trying to understand the underlying reasons, particularly from people who work in healthcare or have a better understanding of how the Australian system operates.
Why are emergency department waiting times so long in Australia, and what would need to change to improve the situation?
I'd really appreciate some informed perspectives. Thank you for reading.