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By-election candidate questions NCMP over remarks on medicare expenses projection

By-election candidate questions NCMP over remarks on medicare expenses projection
May 29
17:59 2014

koh poh koon medical comment

PAP Candidate in the Punggol East By-elections 2013, Dr Koh Poh Koon wrote on his facebook saying that Non-constituency Member of Parliament (NCMP) Gerald Giam from Workers’ Party had made it sound so simple when he said in Parliament that it was “relatively easy” to project the likely payouts for medical insurance and the trends in the cost of medical expenses can be seen over the years.

NCMP Gerald Giam said,

“Even a risk sharing scheme like MediShield, which is supposed to be a form of social health insurance, is run more on commercial than social principles. The MediShield Fund had a capital adequacy ratio of 161% in 2012, which is more than 40% higher than what the Monetary Authority of Singapore (MAS) expects commercial insurance funds to hold. The loss ratio of MediShield averaged just 63% from 2001 to 2012. This means that it is collecting a lot more in premiums than it is paying out in claims.

…While everyone will soon have health insurance, is the risk simply being distributed among all Singaporeans? Will the Government take on some of the risk by subsidising premiums and removing some claim limits, as I proposed in my adjournment motion on healthcare financing last November? I look forward to some good news in this respect when the MediShield Life committee announces its recommendations.”

See here for full speech of NCMP Gerald Giam.

He asked if NCMP Gerald Giam can predict the next targeted therapy for cancer coming on the market and whether did Mr Giam know that “10years ago we will be using PET scans instead of just plain old X-rays?”.

“He makes things sound so simple and that technological breakthroughs are predictable and occur in a linear fashion.” wrote Mr Koh.

A healthcare professional whom TOC spoke to commented,

“Healthcare inflation is predicted by every healthcare economist worth his or her salt. The Singapore government even predicts healthcare inflation by adjusting the Medisave minimum sum to take into account their predicted rate of healthcare inflation.

Dr Koh factored in the rate of healthcare inflation when he joined Fortis in the terms of the contract that he signed. While the costs of some items go up, the costs of many others go down – for example drugs which become generic and procedures which become simpler and cheaper – e.g. laparoscopic surgery vs open surgery.

These facts are all well known to anyone who does a little research and is not just trying to score political points.”


Update to the post

koh poh koon

  • Haffis Salim

    Can Gerald sue KPK? For libelous remarks on assuming that Gerald didn’t do his homework?

    • Samson

      Decent people talk, they don’t sue. I don’t think Gerald will bring himself down to that level.

  • Samson

    Punggolians have done very well. They must breathe a sigh of relief.

  • Steve

    Gerald giam made an excellent point in my view.

    If the loss ratio is 63%, it means tt the insurance scheme makes 37% surplus. The USA example he quoted has a loss ratio of 80-85%, which means tt the surplus is 15-20%. In other words, medishield makes double the surplus of the American scheme tt is run by profit oriented insurers. I repeat DOUBLE the surplus. If we run it like the Americans, our premium can easily drop by 20%. That will help us stretch the CPF dollars of the not so well off in our society.

    In one of Leong Sze Hian post, he said tt it was disclosed in Parliament that between 2006 and 2010, MediShield collected an average of $131 million more in premiums each year than it paid out in claims. At this rate, by 2013, the insurance will hv close to $1 bil. Yes, tt is close to $1 billion. That is not including the compounded interest on the the surplus.

    My God, even for this, they want to accumulate surplus?

  • liangjwc1

    He can’t even understand that Mr Giam is only saying predictable in comparison with earthquakes, etc.
    Lucky for Singaporeans he is not another useless MP.

  • Eugenetan

    A health care professional TOC spoke to … Is his name Roy something?

  • Soo Bon Yee

    Well, if Mr Giam had not said about this, you think you will voiced your opinion as an expert in this field…????? As a member of the ruling party, you should have give this advise and any related issue to help your party gain trust. Now I know why you lost in Pungol by-election, simply because you preferred to keep the important information…..!!!!!!