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Responsible Oversight, Not Cuts to the PBS

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The New England Times published a hit piece falsely claiming One Nation plans to remove medications from the Pharmaceutical Benefits Scheme (PBS). This is an outright lie. One Nation will defend the PBS, just as we defend Medicare.

Here is the truth.

Our 2025 policy promises a sensible review of medications fast-tracked during COVID to ensure safety and efficacy. We are looking specifically at just three drugs — Paxlovid, Remdesivir and Molnupiravir — to examine safer, cost-effective alternatives.

No Australian will be left without medication. We are not changing PBS charges, altering existing government payments, or tearing up legally binding contracts.

Society benefits when the sick are healed quickly and cared for with dignity.

Financial barriers shouldn’t stand in the way of care and One Nation will protect the 40-year legacy of the PBS against Labor and Big Pharma’s attempt to spin sensible scrutiny into fearmongering.

Transcript

Senator Roberts: Tonight I discuss the heart of Australia’s future: whether our higher education system is identifying and supporting excellence or whether elites have captured education to reward size, history and established reputation. How many Australians know that some of the highest rated higher education institutions in our country, in terms of student satisfaction, are not the sandstone Group of Eight universities or any public universities? They’re smaller, independent universities, one of which, Alphacrucis University College, records student satisfaction rates of 90 per cent for overall educational experience when the national average sits in the mid-70s. The national regulator recognises Alphacrucis as delivering superior quality education and granted it unlimited self-accrediting authority, in part because students studying a postgraduate teaching degree at Alphacrucis graduated with a job 100 per cent of the time. Until recently, I didn’t know that tertiary education institutions with this level of success existed. Australians need to know there are exemplary institutions leading our country, yet we’ve never heard of them. 

We need to reassess how our tertiary institutions are supported, because, if we don’t, we’re reinforcing the status quo, and that’s not working. Our universities have governance issues, financial issues, confidence issues and efficiency issues, yet there are higher education providers achieving excellent outcomes for students without the hundreds of millions or even billions of dollars in funding that our public universities receive, including grants and commercial activity. If institutions like Alphacrucis do not become well known, students who might have thrived in such a place will miss the opportunity. Students will be less satisfied with their education than they might otherwise have been. Students might be less likely to graduate into employment and less likely to leave their mark and their legacy on our society. Philanthropic foundations need to know that outside of the G8 there’s great teaching and research, and it’s worthy of support. Foundations need to be looking for opportunities to fund teaching and research institutions like Alphacrucis, because that’s where our future may well be. 

Government has set lofty aspirational targets for tertiary attainment through the Australian Universities Accord and has already acknowledged that public universities alone cannot achieve these targets. The system needs provider diversity and rewards for excellence. Our tertiary funding must move to a level playing field. We must allocate funds on actual performance, not past reputation. The government makes much noise of diversity, yet where’s the funding for real diversity in higher education? The G8 sandstone universities would benefit from increased competition. We must do all that we can to remove barriers from lesser known institutions to enable them to compete. Part of that is to raise their profile, and part of that is to shift funds from the sandstone G8s to institutions already delivering. 

One Nation is committed to greater scrutiny of tertiary institution funding and wants to know why funding favours established universities over new entries. I’m focusing on Alphacrucis, yet the issue is larger than one university college. It’s about whether Australia rewards performance or prestige. These are not the same thing. Reward is about working for today’s students. Prestige is about what’s been done for students in days past. It’s about whether new institutions with fresh ideas are given the opportunity to compete or whether the system remains tilted towards those who have always held advantage. 

Alphacrucis University College is a test case, an institution achieving outstanding student satisfaction, national recognition for quality and a growing reputation for excellence, yet most Australians have never heard of it. If we’re serious about innovation, competition and value for taxpayers, then institutions should be judged on what they actually deliver, not on how old they are, how large they are or how well connected they are. Australia’s future depends upon identifying excellence wherever it’s found and giving it the opportunity to flourish. The Australian people deserve a higher education system that rewards achievement, encourages competition and invests in results. That’s beneficial for students, for taxpayers and for Australia’s future. 

Tonight I address media misrepresentation of One Nation’s policy to review some drugs on the Pharmaceutical Benefits Scheme, the PBS. The New England Times newspaper flagrantly lied to readers in a story just published last Saturday, giving the false impression that One Nation will be removing medications from the PBS. Author RK Crosby’s hit piece was titled ‘Concern brewing as buried Hanson policy threatens affordable medicines’. Only last week, I included the PBS in a list of social welfare institutions that One Nation would defend in government—not tolerate or be afraid to touch but defend. This pathetic piece of journalism shows the lack of research the New England Times conducted for its story. I understand that, like many regional newspapers, the New England Times is short of staff. This leads them to accept a hit piece that Better Access Australia most likely prepared. It’s quoted extensively, and its mission statement is to transfer as much taxpayer money as it can into big pharma’s pockets. 

One phone call would have cleared this up. The story stems from a two-line election policy promise in 2025 which said One Nation will review all medications fast-tracked during COVID to ensure safety and efficacy have been proven. It’s perfectly sensible and responsible. In fact, most of the drugs that were given emergency use authorisation, officially known as the provisional use pathway, have already been withdrawn or had their use reduced to insignificance. Only three remain of interest to One Nation, and these are the drugs we will review: Paxlovid; remdesivir, or ‘Run—death is near’; and molnupiravir. With each of these, there are alternatives which anecdotally carry a lower cost and better safety and efficacy outcomes. No Australian will be left without medication—not one Australian. This is actually a small promise that the pharmaceutical lobby has deliberately taken out of context. During COVID, big pharma benefited to the tune of billions of dollars and is terrified of any scrutiny. 

To open their story, RK Crosby offered a vignette suggesting One Nation will remove asthma medication from the PBS—an outright lie; a fabrication, pure and simple. One Nation threatening affordable medicines is an outright lie. One Nation will not change PBS charges nor change the amounts government pays under the existing arrangements. Contracts signed will be honoured. If we start tearing up legally-binding contracts, confidence in government will never recover. We’re not going to tear up contracts. Negotiate? Yes. Tear up? No. For clarity, no PBS contracts are in our sights. 

The COVID vaccines will be looked at in our terms of reference for a royal commission, although these were not supplied through the PBS. Perhaps the pharmaceutical industry didn’t want to mention their COVID products and instead chose to lie about our PBS policy. For the record, here’s the philosophy behind our policy. As I said last week in the Senate, One Nation supports the PBS for the same reason we support Medicare. Society benefits when our sick are healed quickly and returned to looking after themselves. For those with permanent conditions, the basic laws of humanity require society to care for those people with love and respect. The financial cost of medication and related devices should not detract from this care. 

Last week, Minister Butler made similar comments. On this, we’re in alignment. Over the last 40 years, the PBS has balanced prices paid to pharmaceutical companies against product benefits. Sometimes negotiation has delayed drugs, and the Pharmaceutical Benefits Advisory Committee displayed a sensible balance, making our PBS the envy of the world. We will defend the process of negotiating drug prices to ensure no compromise on the principles that have informed the PBS for 40 years. 

I’ll discuss two more policies. One Nation will introduce legislation in the next parliament for the right to try. This means that, if a person is being treated for an illness the outcome of which could be death and all existing measures have failed, the patient has a right to request from their doctor, or a doctor has a right to suggest, a drug not listed for that condition. It may be an alternative therapy or an unlisted drug. To put this simply, the patient has nothing to lose and everything to gain. This may expand the market for existing pharmaceutical products—who knows? That’s the point. It’s a free clinical trial that a patient has voluntarily entered into, reducing drug prices and saving lives. 

The other policy is to introduce an eight-year wait for new arrivals to access the PBS, unless you’re a citizen or a permanent resident. Under One Nation, there’ll be an eight-year wait for citizenship and for permanent residence. This will not be backdated. You can’t be unmade as citizen. This will not deny medical care for new arrivals, who will pay for that care themselves. Anyone on prescription medication can vote One Nation without fear of losing access to or paying more for their medication. I trust that’s clear.

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Stopping the Latest “Mediscare” Lies

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One Nation supports the sensible reforms to let trained registered nurses prescribe common PBS medications — a practical step that will ease pressure on doctors, strengthen rural healthcare and improve access for everyday Australians.

This isn’t a thought bubble; it’s the result of decades of professional evolution in nursing.

I also put an end to the latest round of “Mediscare” nonsense. One Nation will defend Medicare and the PBS — full stop. We’ll crack down on the $3 billion in fraud the government refuses to confront, protect patients from bureaucratic roadblocks, and ensure no Australian pays more for a prescription under a One Nation government.

Our healthcare system must serve patients, not criminals, not fraudsters and not political spin.

One Nation will keep Medicare strong, keep the PBS fair and keep pressure on a government too timid to clean up its own mess.

Transcript

One Nation will support the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025. It amends the National Health Act and the Health Insurance Act 1973 to enable approved registered nurses to prescribe certain pharmaceutical benefits under the Pharmaceutical Benefits Scheme, the PBS. Australia’s health system is experiencing increasing demand due to an ageing population and rising prevalence of chronic disease, something we do need to better understand. Improving access to safe and effective medications is essential to meeting the health needs of everyday Australians. 

Registered nurses comprise around half the Australian health workforce and are the most geographically distributed health profession. They’re the best placed to prescribe certain common medications, taking the pressure off doctors while reducing travel and inconvenience to patients. This will support rural pharmacies. Registered nurses must complete a three-year bachelor’s degree in nursing. Nurse practitioners must hold a master’s degree in nursing and complete 5,000 hours of advanced clinical practice. 

The history of the idea of allowing nurses, suitably trained, to write prescriptions is quite long. It began with a trial in New South Wales between 1991 and 2000—a generation ago. This went national in 2001 with the advent of the national Nursing and Midwifery Board, designed to bring regulation of nurses closer to the system used for doctors. It was at this time that the pathway to nurse practitioner was introduced. In 2010, nurse practitioners were approved to write prescriptions under the PBS, although only while working in collaboration with a registered medical prescriber. Then, in 2024, the government removed the need for collaboration with a registered prescriber, allowing nurse practitioners to prescribe most medications under their own Medicare Benefits Schedule prescriber number. Finally, in 2025, the government introduced the ability of registered nurses to prescribe. There are suitable checks and balances. Nurses must meet specified qualifications, complete the course and maintain endorsement. The first cohort were enrolled and have now completed their training. 

This legislation will enable these health professionals to prescribe certain medications. Perhaps this could have been done the other way around, with the heads of power to allow registered nurses to prescribe written into law before we started training them, disrupting their careers and offering them a career path which didn’t yet exist. Maybe that’s just a sensible One Nation thing. 

This legislation is being supported across the chamber and could have been supported a year ago. The point of this history lesson is clear. The move to allow registered nurses to prescribe is not a thought bubble. It’s the result of a generation of evolution in the education and professional certification of and skill base within the nursing profession. 

The system they’ve put in place appears fit for purpose. Not all drugs can be prescribed by registered nurses, just certain ones: birth control; repeat prescriptions across a wide range of conditions. There are lots of opportunities to take the pressure off our doctors. This is particularly beneficial to regional and remote areas. 

For those who may be concerned about this measure—and One Nation is not concerned with it—I reference the PBS auditing framework. The PBS has excellent audit routines which scan all the prescriptions written across the system and zero in on any patterns out of the ordinary. These are then followed up with a phone call or, if necessary, a visit. Misuse will be detected. One Nation does contend medical professionals are given insufficient discretion to use their wealth of medical knowledge. In this case, it will provide an additional check. The initiative in part stems from the Strengthening Medicare Taskforce. One Nation is pleased to strengthen Medicare with this initiative. 

Next, I must address ‘Mediscare’ 3.0, which disreputable media have been promoting in the last few weeks. I say ‘Mediscare’ version 3 because the last two elections saw the Labor Party, or their supporters, smear the Liberals with a false ‘Mediscare’ campaign. Now it’s One Nation’s turn to be smeared, and Labor is smearing One Nation. They must fear us. While it has been only one week since the last time I defended Medicare and the PBS in a Senate speech, it seems I need to do it again. Very well. One Nation will defend the Pharmaceutical Benefits Scheme and Medicare. Both are part of a social-welfare safety net which maintains a healthy population and contributes to Australia enjoying a high standard of living. Medicare and the PBS are why people pay taxes—and don’t forget it, government. 

Taxes are, of course, not the government’s money. Taxes are the people’s money and should only be spent accordingly. Hardworking Australians do not deserve to have their money wasted or handed over to fraudsters. One Nation will work with and better resource the Benefits Integrity Division and the Fraud Fusion Taskforce to ensure every cent of money spent through Medicare and the PBS goes to people who need it and who qualify for the benefit. 

It’s intolerable to me that new drugs, drugs that could save lives, are held back, despite agreement between the Pharmaceutical Benefits Advisory Committee and the drug maker, because of the cost, because billions are being taken out of the system in fraud. And, yes, some prescribers are complicit, although a tiny amount. No patient with a legally obtained Medicare card should ever be afraid of using that card under a One Nation government. No Australian will have to pay more for a prescription under a One Nation government. We will support and maintain the system of the Medicare urgent care clinics, and we will work constructively with all stakeholders to extend operating hours for service delivery to take further pressure off public hospital emergency departments—which we will be able to afford because we will remove the criminals and fraudsters from the system and ensure everyone who uses a Medicare card is entitled to use that card. The government knows who these people are—yes, you do. The government knows where the $3 billion a year in fraud is coming from. Their own integrity division said as much in Senate estimates recently. The fraud figure is the government’s, not One Nation’s—we didn’t cook it up; the government’s own agency told us. The Albanese-Burke government doesn’t have the guts to do anything about it. 

I’m concerned that the Health Legislation Amendment (Prescribing of Pharmaceutical Benefits) Bill 2025 could create a two-tier health system. Rural, regional and poorer suburbs would get registered nurses and nurse practitioners. Richer suburbs would get doctors galore. In fact, I’m sure that’s going to happen because it’s happening now. The Australian Institute of Health and Welfare and the federal department of health track their workforce using a framework called the Modified Monash Model. Their data shows a stark imbalance. Roughly 84 per cent of private hospital medical practitioners and the vast majority of medical specialists operate exclusively within major capital cities and metropolitan centres. Small, regional, rural and remote towns classified as MM4 to MM7 contain the lowest number of healthcare workers per capita. In these areas, access to medical care drops drastically. In these areas, GPs provide primary care and act as emergency doctors and hospital doctors, making up 60 per cent of the entire available hospital workforce because there are so few dedicated specialists. The bill before the Senate will help take the weight off those GPs, yet will not solve the issue of doctors gravitating to wealthy suburbs and cities. What may solve that problem is to do more to assist children from the bush to take up medicine as a career. One Nation’s health policy, to be released later this year, will add more detail to that statement. 

Finally, I’ll be moving amendments to this bill on behalf of Senator Lambie, who’s recovering after recently herself quality-testing our healthcare system. As it currently stands, properly qualified podiatrists and podiatric surgeons can prescribe specific medicines to their patients, although these prescriptions are not recognised under the Pharmaceutical Benefits Scheme. Patients either have to pay the full price or meet with the GP to get the same medicine prescribed under the PBS—or, worse, go without and suffer the consequences. That’s ridiculous. Podiatrists require a university degree, must maintain membership of their professional association and are affiliated with Ahpra, like other medical associations. Their medical expertise in their area of care is well capable of supporting improved prescribing rights. The focus of our healthcare system must be what’s best for the patient, and what’s best for the patient cannot include bureaucratic roadblocks and financial pain. The amendments I foreshadow do not reduce safeguards. They do not give podiatrists greater prescribing powers. They will ease GPs’ workload and make things easier for patients. They are commonsense amendments, and they should be supported. 

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Breaking the Silence: AHPRA’s Grip on Healthcare

I was invited to speak at ‘The Misdeeds of AHPRA’ conference held in Sydney on Saturday, 3 May 2025. As it was election day, I couldn’t attend in person and was asked to pre-record a video, which I happily did.

My brief video exposes the many serious conflicts of interest among Australian Health Practitioners Regulation Agency (AHPRA) board members. The conference organisers used it to open the day.

AHPRA faced heavy criticism during the COVID period. Established in 2010, AHPRA was meant to be an independent body overseeing medical practitioners. Yet its board members are deeply intertwined with government and academia, raising questions about its independence.

Recent surveys by the Australian Medical Professionals Society (AMPS) reveal that over 82% of healthcare professionals believe AHPRA lacks fairness and transparency. Investigations drag on for years, causing significant mental and financial strain on practitioners.

AHPRA’s actions during the COVID period, including prosecuting medical professionals for speaking out truthfully to their patients and the public, have eroded public trust and severely crippled our healthcare service.

It’s time for a thorough review and reform to restore confidence in our healthcare system.

Transcript

Hello, I’m Senator Malcolm Roberts, Senator for Queensland with One Nation.

Thank you for the work you’re doing at this conference.

AHPRA (Australian Health Practitioner Regulation Agency) was heavily criticised during the COVID period. And deservedly so. For those at home, I’ll give a quick background to AHPRA.

The national scheme for registration and regulation of medical practitioners that the Australian Health Practitioners Regulation Agency (AHPRA) administers, was implemented in 2010 under the Rudd-Gillard-Labour Government. The so called national law is not a Commonwealth law. Instead it is implemented by each state passing the same legislation, with Queensland acting as the host jurisdiction.

Any proposed amendment to the national law must be approved by the Council of Health Ministers, then passed by the Queensland Parliament, then other states. In 2010 the Federal Government legislated to recognise medical professionals licenced by AHPRA to prescribe under Medicare and the PBS.

AHPRA replaced state based powers with a national independent system of registration and standards for practitioners. AHPRA now hosts fifteen boards, each regulating one area of the medical profession.

AHPRA act as the independent administrator and the boards are the policy makers in their own area. Except that AHPRA is not independent.

AHPRA Chair – Miss Gill Callister – doubles as the Chief Executive Officer of Mind Australia, a commercial operation which provides mental health services, including under the bloated NDIS.

Mind Australia receives additional funding directly from state and federal governments. Board member – Miss Barbara Yo – doubles as Chief of Monash Health, a Victorian government department. In other words, a public servant.

Ari Freiberg is an Emeritus Professor of Law at Monash University, which receives half a billion dollars a year from the federal government. Linton Morris is on the board of Alfred Health, another public servant, as is Geoffrey Moffat, who’s on the board of WA Country Health. And so it goes on and on.

Everyone of the AHPRA board is an academic funded by the government, or is a bureaucrat funded by the government.

How can these people be considered independent? They are NOT independent.

As Kara Thomas pointed out in a January Quadrant article, the recent Bay versus Australian Health Practitioner Regulation Agency court judgement specifically noted that while the pandemic was “an extraordinary period of history,” it did not authorise AHPRA to “abrogate the right of persons to a hearing before an apparently unbiased tribunal.”

Or extend AHPRA’s role to “include protection of government and regulatory agencies from political criticism.”

That’s exactly what AHPRA did.

The spawn of the medical establishment rushed to defend the medical establishment at a terrible cost to the public’s confidence in the medical industry.

The Australian Medical Professional Society (AMPS) recent survey of medical practitioners found 82.6% of healthcare professionals believe AHPRA lacks fairness and transparency in handling complaints and 78.5 percent report unfair treatment.

Unfair treatment!

These numbers reveal and represent AHPRA damning failure. Unfair treatment includes investigations that last for years, career destroying delays and devastating financial and mental health impacts, including suicides.

Many health professionals contemplate leaving the profession entirely.

The acceptance of anonymous complaints and the punitive nature of investigations without proper vetting has created a culture of fear where doctors have said they now practise risk averse defensive medicine, which is not medicine.

This is not incompetent – it’s deliberate. The culture of fear has been created to rob medical professionals of their will to practise medicine in the best interests of the patient.

This is the opposite of care.

Instead, AHPRA has engineered a situation where doctors practise in the best interest of the pharmaceutical industry that AHPRA works for. One example of this is the way in which AHPRA looks the other way when 1500 Australians die every year from an overdose of a medication prescribed by one of Australia’s 88,000 prescribing medical professionals.

In the last 12 months AHPRA prosecuted 31 people. Only two of these relate to prescription drugs of any kind. And yet in Senate estimates, AHPRA advised me they had prosecuted 21 medical professionals for speaking the truth about COVID.

AHPRA prosecuted one practitioner in part for their anti trans position. AHPRA is fighting a rearguard action against the overwhelming shift in public attitude away from invasive medical procedures on children.

Why? Because this will be a billion dollar industry next financial year. If you want the best pronunciation of AHPRA, try this one: cha-ching, cha-ching, cha-ching – the cash registers tune.

During Senate estimates, I asked AHPRA about their cultural safety strategy, which requires all registered health practitioners to acknowledge colonialism and systemic racism.

This is politics, not medicine. Wherever power has been consolidated into a single body, their power has grown.

They become a beacon for every self interested pharmaceutical company, attracting staff prepared to behave in the most egregious way in return for power and a public service salary.

A Senate review in 2022 made fourteen recommendations, including an urgent, in depth review of their processes. That review has never happened. None of the recommendations have been actioned.

Kara Thomas’s article in Quadrant contained a set of sensible recommendations, including devolving these powers back to the States. One Nation supports each of her recommendations.

In short, AHPRA is a failed, corrupting and destructive experiment and must be shut down immediately.

I’ll give the last word to Ms Callister, AHPRA’s Chair, who reposted this tweet in 2018 – “Power comes at a price. Those in the top job have made many compromises to get there”.

Clearly those compromises include absence of professionalism, care, accountability, fairness, decency, transparency, honesty and independence.

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Scrap Net Zero, Stop Waste, Restore Australia

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Australia watched the Treasurer turn the cabinet room into a stage for business and union bosses instead of using it for real cabinet deliberation. The roundtable wasn’t about shaping policy—it was about rubberstamping what the government had already decided. Their attempt to link productivity to higher taxes collapsed, and Australians are left wondering why this government keeps chasing revenue instead of fixing its spending problem.

One Nation will fight the Albanese government’s tax hikes and end the wasteful net zero transition that’s draining billions a year while driving private enterprise away. We will restore fiscal sanity by cutting unnecessary spending, imposing an eight-year residency requirement for Social Security, and cracking down on fraud in agencies such as Centrelink, Medicare, the NDIS, and the PBS.

Smaller government and a sensible energy policy will deliver real productivity gains and prosperity for Australians—especially our young.

Transcript

Last week, Australia watched the Treasurer host business and union bosses in the cabinet room. The irony escaped the Treasurer—using the cabinet room to hold a policy debate cabinet itself should be doing. The usual suspects were not there to help form government policy; they were there to rubberstamp the policies the government intends to implement in this parliament. The roundtable even failed to achieve that. We know this because the ABC leaked the outcome of the week before. That communique remains in Treasurer Chalmers’s drawer, abandoned and unloved. The core intent—making productivity about taxation—failed.  

One Nation will oppose the tax hike the Albanese government will still try to introduce to cover its growing financial black hole caused largely through the increasing use of taxpayer money to pay for a net zero transition from which private enterprise is walking away—indeed, running away. This government doesn’t need more revenue; it needs to spend less money. One Nation will abolish the net zero transition, saving the government $30 billion each year in direct expenditure and generating that much again in extra revenue from a revitalised economy. One Nation will impose an eight-year residency requirement on access to social security, taking tens of billions of dollars off the cost of Centrelink, Medicare, the NDIS and the PBS and giving auditors and police a chance to investigate and prosecute the rampant fraud. Net zero insanity, deficit spending and throwing cash at new arrivals are robbing our children of their future.  

Smaller government and a sensible energy policy are where productivity improvements will actually come from. One Nation’s policies will restore wealth and prosperity for all who are here, especially our young. The Albanese government will just take your money and leave working Australians with less—much less. A One Nation government, though, will restore Australia. 

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