The Royal Australian College of General Practitioners has welcomed investments announced by the federal government and urged all Australian governments to put more resources into tackling racism to "ensure it is a not a barrier to Aboriginal and Torres Strait Islander communities achieving their aspirations".
The RACGP made the call in response to the federal government's latest Closing the Gap report. It comes following the release of a Lowitja Institute report highlighting the effects of racism on the health of Aboriginal and Torres Strait Islander children.
RACGP President Dr Michael Wright said the GP peak body congratulates the federal government on "recognising the inspiration and aspiration of Aboriginal and Torres Strait Islander peoples and acknowledging that community-led solutions work".
"They must now ensure that communities can fulfil these aspirations," he said.
"Racism is a determinant of health. Research is showing that it is the single biggest risk factor to impact the gap in health outcomes between Aboriginal and Torres Strait Islander people and non-indigenous Australians.
"Not only does racism in our communities have devastating effects on health, causing physiological dysregulation, immune system changes, disturbed sleep patterns and mental health impacts amongst those who experience it, it also costs almost $38 billion a year due to the health impacts.
"A report in the Lancet in 2024 found that eliminating Aboriginal and Torres Strait Islander children's experiences of interpersonal racial discrimination could reduce mental health and sleep inequities by 42.4 per cent and 48.5 per cent."
Dr Wright said on Thursday that the new report from the Lowitja Institute highlighted these inequities and lays out "clear targeted policy interventions" to address racism and protect Aboriginal and Torres Strait Islander children.
"Many of these interventions are echoed in the RACGP's position statement on racism in the healthcare system which calls on governments to implement the National Anti-Racism Framework developed by the Australian Human Rights Commission, develop a clear definition of racism in health, and co-design health policy with patients and healthcare providers from culturally and racially marginalised backgrounds," he said.
"We have the evidence and we have the solutions; it is time for all governments to commit to eliminating racism. This means not only addressing interpersonal racism but breaking down the systemic and structural racism that has plagued our health system and broader social systems for far too long.
"Elevating Aboriginal and Torres Strait Islander led health solutions and prioritising culturally safe environments is key. As is supporting GPs to have the time to care for patients who are experiencing the health impacts of racism."
The RACGP has long called for greater investment and more urgency in closing the health gap.
Dr Wright said the RACGP is "taking action to support the elimination of racism within our organisation, in general practice, general practice training and across healthcare as a whole".
"This includes acknowledging the ongoing impact of colonisation, listening to those who experience racism, and fostering a culture of truth-telling. It also includes challenging structural barriers and unequal power dynamics and doing better when it comes to combatting racism," he said.
"We are committed to co-creating a health system that is entirely free from racism and discrimination, and we hope to see the same commitment reflected in efforts from all levels of government in 2026."