The Online Citizen

SDP Proposes a Universal, Affordable and Sustainable Healthcare System

March 17
23:58 2012

 

~By: Kumaran Pillai~

Dr. James Gomez, head of the policy unit of the Singapore Democratic Party introduced the panel of doctors at the Launch of the SDP National Health Care Plan. It was a culmination of efforts and an enhancement of what the SDP team had put together in their shadow healthcare plan during the General Elections in 2011. With more inputs from a panel of 9 physicians, and from party cadres, members and volunteers, the SDP confidently proposed landmark changes to our healthcare system.

A check on the World Health Organisation Rankings showed that Singapore was ranked 6th globally [here]. Based on the same report, it seems like we are leading by miles compared to the healthcare systems provided by our neighbouring countries. Yet, listening to the presentation of A/Prof Paul Tambyah, it was apparent that, what we need now are not just tweaks to the current system, but a total overhaul.  It was disheartening to hear that under the current administration, a good portion of those who needed primary healthcare in Singapore were falling through the cracks.

While Minister Khaw has access to an $8.00 heart surgery [here], the medical costs for any heart ailment, according to SDP’s panel of doctors, can run into thousands for the man on the street. The crux of SDP’s healthcare plan tackles the issue of affordability and drives home the fundamental point that patients are irrational consumers and therefore a vulnerable group that needs State protection.

Under their plan, there are ‘no-compromises’ on either quality or speed of service. All patients, rich or poor will be treated equally – all patients will be in 2-beded wards. Hence, they plan to eliminate the current class structures with a single stroke.

 “Healthcare is a need and not a commodity,” said Dr. Gomez, to drive home the point that for-profit healthcare systems have failed to support citizens in the fringes of our society.

Currently, our hospitals are overcrowded and patients are waitlisted for their turns. It was also revealed in the recent budget debate that some patients who fall behind in their medical bills are harassed by debt collectors who were engaged by the hospitals [here].

In a recent article published by Asiaone [here], there was one Madam Tan Miu Muay that has not been receiving proper medical care for the last 10 years because she could not afford it. These were the kind of cases that SDP cited in their presentation.

There was also a call to increase the healthcare budget of what is currently proposed. Singapore’s current healthcare subsidies are far lower than what is provided for in other mature economies in Asia. (See SDP healthcare plan)

The main feature of SDP’s proposal is the single payer system, where the government underwrites 90% of the healthcare costs through a risk-sharing, state-funded insurance scheme. Under this scheme, each adult citizen needs to only contribute a sum of S$600 per annum through their CPF. For those who can’t afford that amount, the government underwrites the premium. 

It is noteworthy to mention what Dr. Chee Soon Juan said in his opening remarks, that some Singaporeans have told him, “it is better to die than to fall sick in Singapore.” He has taken heed and it seems like he has gone all out to ensure that no sick man goes untreated, no family needs to be financially burdened when their loved ones fall sick and most importantly, everyone in Singapore has access to basic healthcare.  

“The family and loved ones are already under stress and anguish when someone dear falls ill, we certainly don’t need them to go through the indignity of having debt collectors chasing them for monies accumulated through medical bills,” Dr. Chee said.

SDP’s healthcare plan is a total affront to the current practise of commercialization of healthcare in Singapore. With no representation in parliament, it makes one wonder why they are putting so much effort – it can’t be, as they put it, for PAP to plagiarize their plans. Or perhaps, it could be an indication of their larger plans, both for Singapore and SDP in 2016.

 

 
  • MP

    Our primary healthcare is expensive for those making $1k a month. We need to relook into this. Thanks for bringing this up. 

  • MP

    Our primary healthcare is expensive for those making $1k a month. We need to relook into this. Thanks for bringing this up. 

  • everlastingz

    to me, the main problem about healthcare is similar to insurance: moral hazard.

    suffice to say, many of health ailments are self-caused, for example, smoking, excessive consumption of alcohol and eating unhealthy food.

    i don't want to foot the bill for people who KNOWINGLY choose to harm their own bodies while i carefully plan my own diet and avoid harmful habits. 

    i'm a taxpayer too and i'll be at the losing end of such an incredulous deal.

  • everlastingz

    to me, the main problem about healthcare is similar to insurance: moral hazard.

    suffice to say, many of health ailments are self-caused, for example, smoking, excessive consumption of alcohol and eating unhealthy food.

    i don't want to foot the bill for people who KNOWINGLY choose to harm their own bodies while i carefully plan my own diet and avoid harmful habits. 

    i'm a taxpayer too and i'll be at the losing end of such an incredulous deal.

  • strike toto

    You are doing the same when you buy insurance, no?
    And there are cases where people living monk-like lives also get catastrophic diseases. 

  • strike toto

    You are doing the same when you buy insurance, no?
    And there are cases where people living monk-like lives also get catastrophic diseases. 

  • Lou Ja Boh

    Yes I like, where the like button?
    Better than even the N Korea healthcare system, even our minister will have to be warded in a 2-beded when they fall sick or someone earning $650 a month. Now even my maid is asking me to vote SDP in the next GE.
     

  • Lou Ja Boh

    Yes I like, where the like button?
    Better than even the N Korea healthcare system, even our minister will have to be warded in a 2-beded when they fall sick or someone earning $650 a month. Now even my maid is asking me to vote SDP in the next GE.
     

  • busybody

    It is easy said than done.
    Not so simple. We cannot create a permanent burden on the state to take care of the enormous bill presented in providing quality health care service and picking up the tab of the less fortunate. There must be moderation.
    Doctors and health care workers need to paid in line with other top professionals that is comparable with other first world countries. Will they be compromised with the SDP proposal? Have SDP addressed this issue in their proposal?
     

  • busybody

    It is easy said than done.
    Not so simple. We cannot create a permanent burden on the state to take care of the enormous bill presented in providing quality health care service and picking up the tab of the less fortunate. There must be moderation.
    Doctors and health care workers need to paid in line with other top professionals that is comparable with other first world countries. Will they be compromised with the SDP proposal? Have SDP addressed this issue in their proposal?
     

  • troppofino63

    Noeed to re-invent the wheel……just study how the Universal Healthcare model works in NZ and Canada – and then tweak it to suit the needs ot locals. PR's and foreigner should not , do not and will not qualify – it is only for Citizens of the nation administering this Healthcare model. The US system is totally flawed and priced out of reach of most Americans, so don't even go there and peek.

  • troppofino63

    Noeed to re-invent the wheel……just study how the Universal Healthcare model works in NZ and Canada – and then tweak it to suit the needs ot locals. PR's and foreigner should not , do not and will not qualify – it is only for Citizens of the nation administering this Healthcare model. The US system is totally flawed and priced out of reach of most Americans, so don't even go there and peek.

  • huhh?

    Did those 9 doctors and the A/P do pro bono? No? Then what the heck are they talking about the poor? Who are you kidding?

    Instead of slaughtering us directly as patients, they want to slaughter us indirectly as taxpayers.

  • huhh?

    Did those 9 doctors and the A/P do pro bono? No? Then what the heck are they talking about the poor? Who are you kidding?

    Instead of slaughtering us directly as patients, they want to slaughter us indirectly as taxpayers.

  • HighPriest

    Did they say increase tax? They only say increase CPF insurance. $600 per year is actually quite affordable.
    Our eyes should look else where. WP is not the only oppositon party!

  • HighPriest

    Did they say increase tax? They only say increase CPF insurance. $600 per year is actually quite affordable.
    Our eyes should look else where. WP is not the only oppositon party!

  • True blue

    Well done! SDP for the people!

  • True blue

    Well done! SDP for the people!

  • hi

    So what will happen to  private healthcare insurances?
     
     

  • hi

    So what will happen to  private healthcare insurances?
     
     

  • Thomas Tan

    I applaud the wayang and the populist notions the SDP always plays into.
    Probably very influenced in their thinking by the freee black hole system the UK National Healthcare System (NHS) has.
    Though with good intentions, I must say i am highly cynical and doubtful, especially with whatever track record and dirty linen the SDP has.

  • Thomas Tan

    I applaud the wayang and the populist notions the SDP always plays into.
    Probably very influenced in their thinking by the freee black hole system the UK National Healthcare System (NHS) has.
    Though with good intentions, I must say i am highly cynical and doubtful, especially with whatever track record and dirty linen the SDP has.

  • Lye Khuen Way

    I admire the effort put in to come up a proposal like this. We certainly are no where near a healthy state of affordable quality  healthcare system for our own people.
    All our citizens. No ifs, no buts. Yes, there are those who abuse their bodies/health. Take cigarette smoking. A simple ban will make it clear that the System will not tolerate  and support that industry.
    We did it for chewing gum. Sure, it is now relaxed for dental cases, but I have yet to hear of smoking helps to prevent any health issues. (except possibly the chances of catching the SARS virus !)

  • Lye Khuen Way

    I admire the effort put in to come up a proposal like this. We certainly are no where near a healthy state of affordable quality  healthcare system for our own people.
    All our citizens. No ifs, no buts. Yes, there are those who abuse their bodies/health. Take cigarette smoking. A simple ban will make it clear that the System will not tolerate  and support that industry.
    We did it for chewing gum. Sure, it is now relaxed for dental cases, but I have yet to hear of smoking helps to prevent any health issues. (except possibly the chances of catching the SARS virus !)

  • hi

    Income >$1,500 pays $600
    Income $800~$1,500 pays $300
     
    The bone of contention is always money.
     
    As in any proposal, there must be a worse case scenario.  What will happen if, say, the govt doesn't want to reduce defence spending by the full $5.75 billion or doesn't want to introduce luxury tax, etc.
     
    How much to pay then?
     
    P.S. Nice proposal.  It is a hard act for others to follow. No wonder they are so stressed up

  • hi

    Income >$1,500 pays $600
    Income $800~$1,500 pays $300
     
    The bone of contention is always money.
     
    As in any proposal, there must be a worse case scenario.  What will happen if, say, the govt doesn't want to reduce defence spending by the full $5.75 billion or doesn't want to introduce luxury tax, etc.
     
    How much to pay then?
     
    P.S. Nice proposal.  It is a hard act for others to follow. No wonder they are so stressed up

  • adam

    Thanks guys,the 39% plus an extra min 5% are right behind you come 2016
    Dr.Pat Kee is a well loved GP who retired.His fees were always reasonable and he is definitely a doctor with heart. God bless you doc for trying to do more even after retirement for the ordinary people.
     

  • adam

    Thanks guys,the 39% plus an extra min 5% are right behind you come 2016
    Dr.Pat Kee is a well loved GP who retired.His fees were always reasonable and he is definitely a doctor with heart. God bless you doc for trying to do more even after retirement for the ordinary people.
     

  • The Hollow Oppositions

    Is SDP trying to raise our WHO Health Care Ranking to 100th from 6th.
    What good health care can SDP reccommend with members who advocate drinking with a straw thru the nose?
    These jokers have nothing better to do.  We have excellent medical doctors in the PAP anyone of them can take the panelist of SDP back to earth.
    Thank you

  • The Hollow Oppositions

    Is SDP trying to raise our WHO Health Care Ranking to 100th from 6th.
    What good health care can SDP reccommend with members who advocate drinking with a straw thru the nose?
    These jokers have nothing better to do.  We have excellent medical doctors in the PAP anyone of them can take the panelist of SDP back to earth.
    Thank you

  • zero

    A very thought provoking and well thought out plan in my opinion.  I believe that 80% or more of the ideas are implementable and worth consideration.
    Surprisingly, the straits times ran a very balanced and reasonable write up of this plan in today's paper.
    The next step is for the intellegentsia and academics to discuss it as an objective piece of work . In any other ture democracy in the world, the intelligentsia and academics analysis of this thesis would have been given wide coverage including TV forums and so on. That is Responsible journalism, which is clear and objective and not specific political party serving. 
    I believe the Straits times would just limit the comments to one letter or two letter, than stop all discussion.  This is their way of doing things and it will be so for as long as their structure is not changed.
    Anyway i support the plan. Cutting down of defence budget is a great idea. Someone said that our defence budget is higher than the total of Malaysia and Indonesia put together.  This is ridiculous!!
    zero
     

  • zero

    A very thought provoking and well thought out plan in my opinion.  I believe that 80% or more of the ideas are implementable and worth consideration.
    Surprisingly, the straits times ran a very balanced and reasonable write up of this plan in today's paper.
    The next step is for the intellegentsia and academics to discuss it as an objective piece of work . In any other ture democracy in the world, the intelligentsia and academics analysis of this thesis would have been given wide coverage including TV forums and so on. That is Responsible journalism, which is clear and objective and not specific political party serving. 
    I believe the Straits times would just limit the comments to one letter or two letter, than stop all discussion.  This is their way of doing things and it will be so for as long as their structure is not changed.
    Anyway i support the plan. Cutting down of defence budget is a great idea. Someone said that our defence budget is higher than the total of Malaysia and Indonesia put together.  This is ridiculous!!
    zero
     

  • Tracy Tan

    Thanks, SDP, for this proposed Health Plan. Admirable indeed

  • Tracy Tan

    Thanks, SDP, for this proposed Health Plan. Admirable indeed

  • SDP vs Snakes

    @m'sia
    Like the saying, "I'd rather trust a live snake than a dead SDP member……should you in the unlikely event of ever shaking anyone of their hands, afterwhich, please count your fingers.
    Within their midst are even election's fraudsters besides snake-oil salesmen…..

  • SDP vs Snakes

    @m'sia
    Like the saying, "I'd rather trust a live snake than a dead SDP member……should you in the unlikely event of ever shaking anyone of their hands, afterwhich, please count your fingers.
    Within their midst are even election's fraudsters besides snake-oil salesmen…..

  • smarterthanangyongguan

    proposal seem good, but must address the income of good and hardworking doctor. Allow doctors also to practice part time in private hospital to supplement their income ,this will help to retain them in public hospital, and reduce cost for hospital too. Other way is to have a " small private hospital with a public hospital " for those who can afford to pay full without the subsidy if they choose to or they can go to private hospital . This way the rich can help out by  paying full without the subsidies.

  • smarterthanangyongguan

    proposal seem good, but must address the income of good and hardworking doctor. Allow doctors also to practice part time in private hospital to supplement their income ,this will help to retain them in public hospital, and reduce cost for hospital too. Other way is to have a " small private hospital with a public hospital " for those who can afford to pay full without the subsidy if they choose to or they can go to private hospital . This way the rich can help out by  paying full without the subsidies.

  • SALLY

    Thanks good efforts by SDP Hope all the doctors will stand in Tanjong Pagar GRC and win it

  • SALLY

    Thanks good efforts by SDP Hope all the doctors will stand in Tanjong Pagar GRC and win it

  • Multimillionaire

    So while Multimillionaire Khaw get to pay only $8 for his bypass, healthcare cost is shooting through the roof.
    Scarely part is that these multimillionaire in the Cabinet and civil service get free medical treatment for life.
    The peasants subsidising the multimillionaires in healthcare.  

  • Multimillionaire

    So while Multimillionaire Khaw get to pay only $8 for his bypass, healthcare cost is shooting through the roof.
    Scarely part is that these multimillionaire in the Cabinet and civil service get free medical treatment for life.
    The peasants subsidising the multimillionaires in healthcare.  

  • Kumar

    Thomas Tan 18 March 2012
    Probably very influenced in their thinking by the freee black hole system the UK National Healthcare System (NHS) has.
     
    ______________________________________________
    NHS is not free, The British pay high taxes for it, but are very happy with it. The British also support their government in reducing their fiscal deficits through other means, like lower pensions & benefits for elderly, lower subsidized transport, higher education fees. And rightly so. When their health is take care of, they can focus  more on thier jobs & business. If you don't know how the British are dealing with their deficits and don't realize the importance of health, shut the FART up.
     
     

  • Kumar

    Thomas Tan 18 March 2012
    Probably very influenced in their thinking by the freee black hole system the UK National Healthcare System (NHS) has.
     
    ______________________________________________
    NHS is not free, The British pay high taxes for it, but are very happy with it. The British also support their government in reducing their fiscal deficits through other means, like lower pensions & benefits for elderly, lower subsidized transport, higher education fees. And rightly so. When their health is take care of, they can focus  more on thier jobs & business. If you don't know how the British are dealing with their deficits and don't realize the importance of health, shut the FART up.
     
     

  • Lee Kim Chew

    There is the real world – genuine mature opposition parties like the WP locking horns with the PAP to win the hearts and souls of the voters. Doing real work on the ground, fighting it out in Parliament, through their popularly elected reps.  Then there is the SDP doing its fantasy and fancy stuff, churnig out manifestoes and what not that no one reads or takes seriously, really. And it has been rejected again and again since its over-ambitious leader ousted one of the two most signfiicant opposition figures in Singapore's history, the redoubtable Chiam See Tong. People have not forgotten that act of betrayal and they still have the utmost respect for Chiam. In ousting Chiam, CSJ did Singapore a massive disavour because at that time the SDP could have ushered in a "new normal" much earlier than 2011. I say to SDP, chuck out CSJ and voters will take you seriously, it's as simple as that. 

  • Lee Kim Chew

    There is the real world – genuine mature opposition parties like the WP locking horns with the PAP to win the hearts and souls of the voters. Doing real work on the ground, fighting it out in Parliament, through their popularly elected reps.  Then there is the SDP doing its fantasy and fancy stuff, churnig out manifestoes and what not that no one reads or takes seriously, really. And it has been rejected again and again since its over-ambitious leader ousted one of the two most signfiicant opposition figures in Singapore's history, the redoubtable Chiam See Tong. People have not forgotten that act of betrayal and they still have the utmost respect for Chiam. In ousting Chiam, CSJ did Singapore a massive disavour because at that time the SDP could have ushered in a "new normal" much earlier than 2011. I say to SDP, chuck out CSJ and voters will take you seriously, it's as simple as that. 

  • a sickaporean

    my family and me are supporters of CST till this very day, altho the no of seats won by sdp never increase in any significance, under CST.
    CSJ, those who call U a betrayer are probably narrow minded ppl. no player is bigger than a club!
    with these narrow minded ppl around, spore will never change!
    as long as sdp is genuine and sincere in making spore better, true sporeans, will see and feel it. we are not daft!
    pls carry on the good work, and shame the ruling party.

  • a sickaporean

    my family and me are supporters of CST till this very day, altho the no of seats won by sdp never increase in any significance, under CST.
    CSJ, those who call U a betrayer are probably narrow minded ppl. no player is bigger than a club!
    with these narrow minded ppl around, spore will never change!
    as long as sdp is genuine and sincere in making spore better, true sporeans, will see and feel it. we are not daft!
    pls carry on the good work, and shame the ruling party.

  • Magic$

    Can we have David Copperfield do the trick . . . .

  • Magic$

    Can we have David Copperfield do the trick . . . .

  • joker

    MM = Multi Millionaire
    SM = Super Millionaire
    PM = Prosperous Millionaire
    DPM = Double Prosperous Millionaire
    Minister of State / MS = Millionaire of Suckers
    MP = Millionaire Politician

  • Thumbs Up!

    Thanks SDP and the voluntary team for taking the good efforts to do this to imporve our lot. Ignore all the empty noises and unappreciative people who only know how to open their mouth without any action.
    Your work will be much appreciated by the poor. 
    Well done CSJ and team!

  • joker

    MM = Multi Millionaire
    SM = Super Millionaire
    PM = Prosperous Millionaire
    DPM = Double Prosperous Millionaire
    Minister of State / MS = Millionaire of Suckers
    MP = Millionaire Politician

  • Thumbs Up!

    Thanks SDP and the voluntary team for taking the good efforts to do this to imporve our lot. Ignore all the empty noises and unappreciative people who only know how to open their mouth without any action.
    Your work will be much appreciated by the poor. 
    Well done CSJ and team!

  • chou Ah Lian

    SDP is great, making politics and running the country so simple. Should have started in 1965, guess we must have been missing a lot or we could be living in the world best country.

  • chou Ah Lian

    SDP is great, making politics and running the country so simple. Should have started in 1965, guess we must have been missing a lot or we could be living in the world best country.

  • iSURGEOUNgeneral

     
    everlastingz18 March 2012

    to me, the main problem about healthcare is similar to insurance: moral hazard.
    ……………….   
    and when you organs fail..you would had bought the pig's spare parts as replacement..right?
    do you think you HAD a perfect body system?

     

  • iSURGEOUNgeneral

     
    everlastingz18 March 2012

    to me, the main problem about healthcare is similar to insurance: moral hazard.
    ……………….   
    and when you organs fail..you would had bought the pig's spare parts as replacement..right?
    do you think you HAD a perfect body system?

     

  • Cang

    No loan sharks should be used to recover medical costs ncurred by patients. Reason is simple. Id not believe anyone goes into a hospital to enjoy himself then dont pay for it later

  • Cang

    No loan sharks should be used to recover medical costs ncurred by patients. Reason is simple. Id not believe anyone goes into a hospital to enjoy himself then dont pay for it later

  • Spk5_

    @everlastingz
     
    do you own any insurance policy? i thought your remarks about many health issues are self caused are uncalled for.

  • Spk5_

    @everlastingz
     
    do you own any insurance policy? i thought your remarks about many health issues are self caused are uncalled for.

  • Affordable ? Manageble ?

    Noticed how HDB flats were never described as "Cheap" or "Expensive" ? They were always described as "Affordable", by the short  fook. Now we have the equivalent in healthcare. We all know healthcare costs are rising. Again, this is never described as "Cheap" or "Expensive". the new term is now "Manageable". Be very worried when they promise to make healthcare costs "manageable" ! 

  • Affordable ? Manageble ?

    Noticed how HDB flats were never described as "Cheap" or "Expensive" ? They were always described as "Affordable", by the short  fook. Now we have the equivalent in healthcare. We all know healthcare costs are rising. Again, this is never described as "Cheap" or "Expensive". the new term is now "Manageable". Be very worried when they promise to make healthcare costs "manageable" ! 

  • iWESTindiaHOLLAND

     
    James Gomes!!!!! Election Fraud!!!19 March 2012

     the generosity of the PAP government set him free from going to jail or maybe even from flogging?
    …………………..             
    wah! when did leekingyou become the governor of east india dutch company?
    floggin punishment? if liked that we would had many capitan jack scarlet online lioa…

     

  • iWESTindiaHOLLAND

     
    James Gomes!!!!! Election Fraud!!!19 March 2012

     the generosity of the PAP government set him free from going to jail or maybe even from flogging?
    …………………..             
    wah! when did leekingyou become the governor of east india dutch company?
    floggin punishment? if liked that we would had many capitan jack scarlet online lioa…

     

  • georgia tong

    Dear all – please read their executive summary before jumping into conclusion that the proposal is not implementablel.  As for tax, the panel recommended raising corporate taxes and NOT personal income tax. Their reason is that since govt is supporting medical cost  more, the company actually are paying less for their employee medical bill. So it is fair to increase corporate taxes.
    The panel has done us a great service coming up alternate plan which our PAP A team fails to do. 3M fails us big time. We still feel so insecure althought we have medisave , medishield, eldershield …etc. The fact is those plan will not be able to see us through should we or our immediate family suffer from serious chronic diseases.
     

  • georgia tong

    Dear all – please read their executive summary before jumping into conclusion that the proposal is not implementablel.  As for tax, the panel recommended raising corporate taxes and NOT personal income tax. Their reason is that since govt is supporting medical cost  more, the company actually are paying less for their employee medical bill. So it is fair to increase corporate taxes.
    The panel has done us a great service coming up alternate plan which our PAP A team fails to do. 3M fails us big time. We still feel so insecure althought we have medisave , medishield, eldershield …etc. The fact is those plan will not be able to see us through should we or our immediate family suffer from serious chronic diseases.
     

  • lim

    Do the people in the SDP live in the same world as we do? Under the proposed plan, we scrap health insurance to pay for basic healthcare but not critical illness. So if you get cancer, sorry, we're meant to go bye bye….?!
     
    In Singapore, we have insurance like NTUC incomeshield where people can pay a cheap premium. Up to age 70, one can still privately fund the insurance plan using medisave. That covers all critical illness including cancers, etc which will all disappear under SDP's plan.
     
    More importantly, such plans can still be covered out of medisave earned by a low income earner. $1000 per month = $1,080 in medisave contributions annually = more than the medisave contribution limits. The difference goes to paying insurance in old age when people don't work anymore.
     
    Even without private insurance, the SDP clearly does not understand the role of the far cheaper medishield as a "catastrophic" insurance cover (80% rather than 100% in private plans).
     
    People who live in the real world know how expensive cancer treatments are. And why do I emphasise cancer? Cos 1 in 4 Singaporeans die of cancer.

  • lim

    Do the people in the SDP live in the same world as we do? Under the proposed plan, we scrap health insurance to pay for basic healthcare but not critical illness. So if you get cancer, sorry, we're meant to go bye bye….?!
     
    In Singapore, we have insurance like NTUC incomeshield where people can pay a cheap premium. Up to age 70, one can still privately fund the insurance plan using medisave. That covers all critical illness including cancers, etc which will all disappear under SDP's plan.
     
    More importantly, such plans can still be covered out of medisave earned by a low income earner. $1000 per month = $1,080 in medisave contributions annually = more than the medisave contribution limits. The difference goes to paying insurance in old age when people don't work anymore.
     
    Even without private insurance, the SDP clearly does not understand the role of the far cheaper medishield as a "catastrophic" insurance cover (80% rather than 100% in private plans).
     
    People who live in the real world know how expensive cancer treatments are. And why do I emphasise cancer? Cos 1 in 4 Singaporeans die of cancer.

  • Dr Chan Hiang Siong

    I was wondering what are the measures taken to arrest attrition rate among health care workers
    at present , its quite high, losing many to the private sectors

  • Dr Chan Hiang Siong

    I was wondering what are the measures taken to arrest attrition rate among health care workers
    at present , its quite high, losing many to the private sectors

  • GE Fraudster!

    Isn't this the James Gomes who was charged for General Election frauds?

  • GE Fraudster!

    Isn't this the James Gomes who was charged for General Election frauds?

  • Big Picture

    Isn't health insurance the chief cause of health care inflation? As long as the patient has means (insurance), health care providers can charge the sky…and the suckers who do not have the insurance umbrella can suck eggs.
    Remove the Insurance component…It will take time, but heaslth care costs will come back down to earth since no one will be able to pay the astronomical costs. Same applies to car insurance…repair costs and car prices will fall if very few can actually afford car maintanance w/o insurance.

  • Big Picture

    Isn't health insurance the chief cause of health care inflation? As long as the patient has means (insurance), health care providers can charge the sky…and the suckers who do not have the insurance umbrella can suck eggs.
    Remove the Insurance component…It will take time, but heaslth care costs will come back down to earth since no one will be able to pay the astronomical costs. Same applies to car insurance…repair costs and car prices will fall if very few can actually afford car maintanance w/o insurance.

  • Simon

    This is quite a good proposal,I hope that PAP government would seriously consider their proposal for the benefits of their citizens.

  • Simon

    This is quite a good proposal,I hope that PAP government would seriously consider their proposal for the benefits of their citizens.

  • Duh

    Prof Tambyah, didn't u receive yr gag order from the hospital management? LOLOLOLOL Still making public political statements?

  • Duh

    Prof Tambyah, didn't u receive yr gag order from the hospital management? LOLOLOLOL Still making public political statements?

  • lim

    SDP claims only 22% of Singaporeans got Medishield coverage (see page 17).
     
    Yet CPF claims medishield coverage = 3.497 million people as at 31 Dec 2011.
     
    http://mycpf.cpf.gov.sg/CPF/About-Us/CPF-Stats/CPF_Stats2011q3.htm
     
    I wonder if their math is accurate.

  • lim

    SDP claims only 22% of Singaporeans got Medishield coverage (see page 17).
     
    Yet CPF claims medishield coverage = 3.497 million people as at 31 Dec 2011.
     
    http://mycpf.cpf.gov.sg/CPF/About-Us/CPF-Stats/CPF_Stats2011q3.htm
     
    I wonder if their math is accurate.

  • ah pek

    |quote| SDP claims only 22% of Singaporeans got Medishiled cover|unquote|
     
    People make wild lies assuming 99.9% of readers will not go investigate. Unfortunately, I am one diligent reader. It took me quite a while though:
     
    On Page 35 SDP says, " In 2007,  it was found that  only 22% of aged inpatients had MediShield coverage" .
     
    The fact that people actually poured through pages of heavy stuff just to misquote in a wilful manner shows how vicious the IB can be.
     
    The above is just one example . There are many other examples like SDP is driving the healthcare system to bankruptcy like the Taiwanese system or SDP is proposing turning all wards into luxurious A Class wards.

  • ah pek

    |quote| SDP claims only 22% of Singaporeans got Medishiled cover|unquote|
     
    People make wild lies assuming 99.9% of readers will not go investigate. Unfortunately, I am one diligent reader. It took me quite a while though:
     
    On Page 35 SDP says, " In 2007,  it was found that  only 22% of aged inpatients had MediShield coverage" .
     
    The fact that people actually poured through pages of heavy stuff just to misquote in a wilful manner shows how vicious the IB can be.
     
    The above is just one example . There are many other examples like SDP is driving the healthcare system to bankruptcy like the Taiwanese system or SDP is proposing turning all wards into luxurious A Class wards.

  • fit2Bminister

    Bravo Bravo,
    This SDP healthcare committee should be in charge of MOH!
    What they presented is truly radical and workable.  
    Radical because they turn our citizens' health care needs on its head and came up with one that is not patchwork and incremental but one that is revolutionary.  
    Workable because they tap on their vast grass roots medical experience as GPs and also their inside knowledge of how our current system work or don't work.
    The best part is, this committe did it for free!  That is conviction and compassion at its ultimate.
    One sure indication of how good, and therefore how much of a threat this committee's proposal is, is when PAP launch personal or professional attacks against the committee's proposal or its members.  Lets watch.
     

  • fit2Bminister

    Bravo Bravo,
    This SDP healthcare committee should be in charge of MOH!
    What they presented is truly radical and workable.  
    Radical because they turn our citizens' health care needs on its head and came up with one that is not patchwork and incremental but one that is revolutionary.  
    Workable because they tap on their vast grass roots medical experience as GPs and also their inside knowledge of how our current system work or don't work.
    The best part is, this committe did it for free!  That is conviction and compassion at its ultimate.
    One sure indication of how good, and therefore how much of a threat this committee's proposal is, is when PAP launch personal or professional attacks against the committee's proposal or its members.  Lets watch.
     

  • Medical Angels

    I respect the SDP medical team , their hearts are full of concern for those who are strucked down and bankrupted by terminal illness
    One can have thousands of dollars in their CPF accounts but at any given time if they are struck down by cancer , stroke and chronic illness
    they are as good as DEAD !

  • Medical Angels

    I respect the SDP medical team , their hearts are full of concern for those who are strucked down and bankrupted by terminal illness
    One can have thousands of dollars in their CPF accounts but at any given time if they are struck down by cancer , stroke and chronic illness
    they are as good as DEAD !

  • SH

    How do a 2-bed ward reduce health-care cost??? I will rather pay less for class C ward and put up with the noise and less privacy, or B2 ward. What's wrong with having various classes of wards? You pay according to what you can afford or willing to pay. 
    And I certainly don't want to pay $600/year to subsidize this scheme. I buy my own insurance plan. How is it better than my current medisave scheme?

  • SH

    How do a 2-bed ward reduce health-care cost??? I will rather pay less for class C ward and put up with the noise and less privacy, or B2 ward. What's wrong with having various classes of wards? You pay according to what you can afford or willing to pay. 
    And I certainly don't want to pay $600/year to subsidize this scheme. I buy my own insurance plan. How is it better than my current medisave scheme?

  • Intellectual Property to corner them

    Bravo to SDP , one of the Contributing Opposition parties.
    I recommend this approach to take them down.
    You have many doctors.
    This means IQ for IQ, on par with pap.
    The thing about intellectual property is who declares it first in public.
    I urge you to continue your approach.
    Hold press conferences like this and use Internet to Viral your ideas and contents.
    Be the First mover.
    Announce to the public all you good ideas Better than the pap's.
    Follow Android. See what features Apple strong in.
    Make it better.
    If any of your solutions or ideas later used by pap, they should make it clear its taken from your ideas.
    Which of course will never happen ;)
    Imagine, if you propose all the possible solutions, there is nothing left for pap to propose without being found SAMA SAMA.
    Attack!
    Attack!
    Attack!
    Before it all goes to shit.
    Before its too late.
    FTA, Influx, New citizen and All.
    God bless the united states of america.
    regards
    Bama O
     
     
     
     
     
     
     
     

  • Intellectual Property to corner them

    Bravo to SDP , one of the Contributing Opposition parties.
    I recommend this approach to take them down.
    You have many doctors.
    This means IQ for IQ, on par with pap.
    The thing about intellectual property is who declares it first in public.
    I urge you to continue your approach.
    Hold press conferences like this and use Internet to Viral your ideas and contents.
    Be the First mover.
    Announce to the public all you good ideas Better than the pap's.
    Follow Android. See what features Apple strong in.
    Make it better.
    If any of your solutions or ideas later used by pap, they should make it clear its taken from your ideas.
    Which of course will never happen ;)
    Imagine, if you propose all the possible solutions, there is nothing left for pap to propose without being found SAMA SAMA.
    Attack!
    Attack!
    Attack!
    Before it all goes to shit.
    Before its too late.
    FTA, Influx, New citizen and All.
    God bless the united states of america.
    regards
    Bama O
     
     
     
     
     
     
     
     

  • Libran

    PAP collects so much in indirect and direct taxes, but still makes people pay for everything. As a result, PAP becomes very rich and starts splurging money on defence, high slalries for the ministers and elites, big budgets for the PA (totally non-productive spending), etc. It starts investing recklessly, and loses big money in the process.
    SDP’s plan is much better. It puts the govt. in the right place of caring for the people.

  • Libran

    PAP collects so much in indirect and direct taxes, but still makes people pay for everything. As a result, PAP becomes very rich and starts splurging money on defence, high slalries for the ministers and elites, big budgets for the PA (totally non-productive spending), etc. It starts investing recklessly, and loses big money in the process.
    SDP’s plan is much better. It puts the govt. in the right place of caring for the people.

  • lim

    @ the Ah Pek. And by stating it, what is the intent? Medishield only started in 1990, why would 22% coverage of 80-85 year olds be surprising or require the removal of medishield for everyone? lol. Yet that is used to argue for the fallacy of the entire 3M system?
     
    Who is trying to misinform who? lol.

  • lim

    @ the Ah Pek. And by stating it, what is the intent? Medishield only started in 1990, why would 22% coverage of 80-85 year olds be surprising or require the removal of medishield for everyone? lol. Yet that is used to argue for the fallacy of the entire 3M system?
     
    Who is trying to misinform who? lol.

  • Ranked No. 6 more than 10 years ago

    Now?

  • Ranked No. 6 more than 10 years ago

    Now?

  • shalom

    Can someone from Ministry of Health or whoever come out with a Government hospitals and healthcare charges comparison between Malaysian and Singapore? How far Is it true that Malaysian Government takes better care of their citizens' healthcare needs than Singapore Governments?    

  • shalom

    Can someone from Ministry of Health or whoever come out with a Government hospitals and healthcare charges comparison between Malaysian and Singapore? How far Is it true that Malaysian Government takes better care of their citizens' healthcare needs than Singapore Governments?    

  • Mike

    @Intellectual Property to corner them
     
    Dude you are so drama … whats "God bless the USA" gotta do with all that is happenning here ???
    FYI …The GOOD OLD US of A is having so much problems and is a BAD example to follow  :(
    I ampathized and shared the predicament of the HIGH medical cost . However , to have a Direct taxation to fund ,  I would prefer a Indirect taxation instead (Revenue from the Corporate tax or Tobacco Tax..) .  
     
     
     
     
     

  • Mike

    @Intellectual Property to corner them
     
    Dude you are so drama … whats "God bless the USA" gotta do with all that is happenning here ???
    FYI …The GOOD OLD US of A is having so much problems and is a BAD example to follow  :(
    I ampathized and shared the predicament of the HIGH medical cost . However , to have a Direct taxation to fund ,  I would prefer a Indirect taxation instead (Revenue from the Corporate tax or Tobacco Tax..) .  
     
     
     
     
     

  • Mike

    And , I would like to add ….
    its time to scrutinized the so-called susidized Medical bill from  all Govt hospitals and Polyclinics…
    Why is mere consultation charged at $35~40 (when GP only charges $20~25) and later only to pay $10 andWE ALL  praised the system of HUGE subsidy ? Is it to INFLATE to justify the so-called Subsidy ???  This is AKIN to a department store raising all items by 50% on the eve of  50% storewide Sale days (tomorow) !  

  • Mike

    And , I would like to add ….
    its time to scrutinized the so-called susidized Medical bill from  all Govt hospitals and Polyclinics…
    Why is mere consultation charged at $35~40 (when GP only charges $20~25) and later only to pay $10 andWE ALL  praised the system of HUGE subsidy ? Is it to INFLATE to justify the so-called Subsidy ???  This is AKIN to a department store raising all items by 50% on the eve of  50% storewide Sale days (tomorow) !  

  • Godwin

    "Why is mere consultation charged at $35~40 (when GP only charges $20~25) and later only to pay $10…?"
     
    It is to make the difference between Singaporeans and foreigners greater, let them pay more to subsidise you, and to make it less attractive for them to go to polyclinic so your waiting time will be shorter lor.

  • Godwin

    "Why is mere consultation charged at $35~40 (when GP only charges $20~25) and later only to pay $10…?"
     
    It is to make the difference between Singaporeans and foreigners greater, let them pay more to subsidise you, and to make it less attractive for them to go to polyclinic so your waiting time will be shorter lor.

  • Libran

    Good work SDP. Please persevere. You'll be rewarded in GE 2016. The deafening silence from WP on so many critical issues, including the flawed ministerial remuneration packages (their recommendation to peg it to overpaid bureaucrats' salaries is a bad one), is not re-assuring.

  • Libran

    Good work SDP. Please persevere. You'll be rewarded in GE 2016. The deafening silence from WP on so many critical issues, including the flawed ministerial remuneration packages (their recommendation to peg it to overpaid bureaucrats' salaries is a bad one), is not re-assuring.

  • Devagi

    Can't even be elected to Parliament since the ouster of its Founder Mr CST, can now come out with the cost-free healthcare plan with the Government paying for 90% of the healthcare. Doctors are not economists. Talk is cheap. You can even promise paradise in heaven if the doctors cannot save the dying in hospitals. Put your house in order and get elected to Parliament first. Get your priority right, if you want us to believe you. 

  • Devagi

    Can't even be elected to Parliament since the ouster of its Founder Mr CST, can now come out with the cost-free healthcare plan with the Government paying for 90% of the healthcare. Doctors are not economists. Talk is cheap. You can even promise paradise in heaven if the doctors cannot save the dying in hospitals. Put your house in order and get elected to Parliament first. Get your priority right, if you want us to believe you. 

  • lim

    The funding structure has some issues. The NHICF is supposed to fund $2b. However, actual takings is likely to be 40% of that.
     
    Based on IRAS submissions, 1m working residents earn above $20k, 700k earn $20k and below. Based on those numbers, the likely revenue is ~$828m.
     
    Also, the proposal does not make clear what happens if wife is not working but the husband is working. In such cases, the contribution will likely exceed medisave contributions if the non-working wife is required to contribute as well.

  • lim

    The funding structure has some issues. The NHICF is supposed to fund $2b. However, actual takings is likely to be 40% of that.
     
    Based on IRAS submissions, 1m working residents earn above $20k, 700k earn $20k and below. Based on those numbers, the likely revenue is ~$828m.
     
    Also, the proposal does not make clear what happens if wife is not working but the husband is working. In such cases, the contribution will likely exceed medisave contributions if the non-working wife is required to contribute as well.

  • looes74

    What the hell you are smoking? Can I have some, please? Pronto! What the hell David Cameron doing reducing the NHS debt? Why Labour Party decided to charge prescription charges? 5 pounds (That's 1997's price. Gosh, it's been a long time). And britons going elsewhere in droves seeking for treatment.           Enough of all these idoits of sucking up to ang moh's ahem….

  • looes74

    What the hell you are smoking? Can I have some, please? Pronto! What the hell David Cameron doing reducing the NHS debt? Why Labour Party decided to charge prescription charges? 5 pounds (That's 1997's price. Gosh, it's been a long time). And britons going elsewhere in droves seeking for treatment.           Enough of all these idoits of sucking up to ang moh's ahem….

TOC TV

Archives