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Social Health: Only 1 positive out of 9 – shocking?

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By Leong Sze Hian

I refer to the article “NVPC releases report on S’pore’s social health” (Channel NewsAsia, Mar 27).

I find it extremely alarming that only one of the nine areas is positive, with five negative and three neutral.

Healthcare

It states that “the bed occupancy rate in acute hospitals has been increasing (80.6% in 2010 to 84.6% in 2012)”. In this connection, I understand that although the benchmark is to have patients wait up to a maximum of five hours to be given an available hospital bed in the ward class requested by the patient, the timing of the five hours is now changed to from the time of being informed that admission is necessary, instead of from the previous time of registration upon entering the hospial to seek treatment. In other words, a patient who may have been waiting for say four hours in order to be diagnosed and then waits another five hours for a hospital bed would now be counted as meeting the “five-hour” benchmark.

“Government spending on health as a percentage of total government expenditure fell from 1.3% in FY2009 to 1.2% in FY2011.” “The private expenditure on health has increased from 55% in 2001 to 64% in 2010″ – In this connection, people have been calling for years, for the gradual decline of the share of public healthcare spending from about 75 per cent in 1965 to about 33 (a third) per cent now, to be reversed.

According to the Department of Statistics’ “Singapore, 1965 – 1995 Statistical Highlights : A Review of 30 Years’ Development”, Government Operating Expenditure on Health as a Per Cent of Total Government Operating Expenditure, declined from 9.5 per cent in 1970 to 7.8 in 1980, 6.5 in 1990, and 6.3 per cent in 2005. (“Healthcare Costs“, Nov 22, 2006) (“Healthcare: Waking up slowly from years of slumber?“, Mar 12)

“The proportion of monthly household expenditure on healthcare has increased from 5.7% in 2002-03 to 6.0% in 2007-08 for the bottom 20%. The average bills for all ward classes saw a significant increase between 2006 and 2010. The biggest jumps were in the subsidised C class bills which rose from 60% to 90%, depending on the disease condition. Considering wage stagnation in the lowest 20% of the population, increasing expenditure on healthcare could perpetuate poverty. In addition,since Medisave is an individual responsibility and not a risk-pooling mechanism, the poor may nothave sufficient savings to pay for their medical bills.”

Transport

“The average monthly spending on transport among the bottom 20% of households ($195) was 70% below the national mean ($695), suggesting that high transport costs may be a form of social exclusion for the poor, and may limit access to jobs and services.” – There were nine fare increase in the last 12 years. As it is arguable whether the 2010 change to distance-fares was actually an increase or decrease, it may actually have been ten increases.

If we can decide to spend more than $1.1 billion on buses to help the transport operators, why can’t we spend a single cent to keep fares from increasing.

HDB

“From 2001 to 2011, the resale price index (RPI) increased at 7% per annum, whereas median monthly household income rose at 3.8% per annum. In the recent five years, the cumulative increase in RPI was double that of median monthly household income.” “It (also) found that in the 2010 housing resale market, prices exceeded 30% of life time incomes for the bottom 10%”

How many HDB flat-owners are in arrears over 3 months on their HDB loans and HDB bank loans?

How many HDB flats have been foreclosed by the HDB and banks?

Income

“Gross real median wages across the common occupations listed by the Ministry of Manpower fell in all nine occupation categories from 2007 to 2011.”

“The Gini coefficient for Singapore increased from 0.473 in 2011 to 0.478 in 2012. It is the second highest in the world according to the Human Development Report among “very high human development countries” – The estimated real median wage growth per annum was about 0.4 and 6.4 per cent, from 2000 to 2012 and 1990 to 2000, respectively. (“Real wage growth p.a. in 1990s was 16 times more than last 12 years?, Mar 5)

“Consumer loans have increased from $41.7 billion in 2000 to $179.5 billion in 2011. This is largely contributed by hefty home loans. Also, the total number of main credit cards crossed six million in October 2010 and the rollover balances breached the $4 billion mark in November 2010. Rollover balances have been growing at an average annual rate of 11.5% from 2009 to 2011. If the economy performs poorly and real estate prices decline, many individuals will be unable to pay off their debts. The bankruptcy rate has shot up by 28% between 2010 and 2012.”

Retirement

“The 2012 Global Pension Index measuring the strength of retirement income systems ranked Singapore 17th out of 18 countries for the adequacy of its system and 13th in terms of its overall score. CPF alone is inadequate to meet the retirement needs of the majority of Singaporeans. According to a study, tertiary-educated Singaporeans who entered the workforce in 2010 with a pay of $2,560 and who go on to buy a five-room public housing flat worth about $560,000, would get monthly CPF payments of only 22% of their lastdrawn pay when they retire at age 65.

CPF was found to be adequate only for low income families, provided they do not withdraw money to buy property. Based on CPF’s retirement estimator, the current Minimum Sum of $139,000 is only sufficient for Singaporeans earning a gross monthly wage of $1,100 or less.

Individuals in this income bracket are most unlikely to be able to save the Minimum Sum amount. For the cohort who turned 55 in 2011, only 45% of active members attained theapplicable Minimum Sum.” – I understand that even this 45% includes about half who were only able to meet the Minimum Sum by pledging property, and as indicated in the report, it does not include inactive CPF members.

Work hours & job satisfaction

“According to The Conference Board, the average Singaporean worked 2,287 hours in 2012, the most number of hours in the world after Hong Kong. Findings from the Robert Half’s Workplace Survey in 2011 showed that 69% of Singapore employees still work when they are out of the office or on holiday, higher than the regional average of 66%.

This compares well with Jobstreet survey results which found that 88% of Singaporeans worked beyond office hours.  Singapore employees are also seemingly dissatisfied with work. A Hay Groupsurvey estimates that employee engagement stands at 62% in Singapore, marginally lower than the Asian average of 63%. Research findings from Accenture also found that Singapore ranked second lowest globally for job satisfaction. 76% of Singapore respondents are alleged to be dissatisfied with their jobs.”

 

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Lim Tean criticizes Govt’s rejection of basic income report, urges Singaporeans to rethink election choices

Lim Tean, leader of Peoples Voice (PV), criticizes the government’s defensive response to the basic living income report, accusing it of avoiding reality.

He calls on citizens to assess affordability and choose MPs who can truly enhance their lives in the upcoming election.

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SINGAPORE: A recently published report, “Minimum Income Standard 2023: Household Budgets in a Time of Rising Costs,” unveils figures detailing the necessary income households require to maintain a basic standard of living, using the Minimum Income Standard (MIS) method.

The newly released study, spearheaded by Dr Ng Kok Hoe of the Lee Kuan Yew School of Public Policy (LKYSPP) specifically focuses on working-age households in 2021 and presents the latest MIS budgets, adjusted for inflation from 2020 to 2022.

The report detailed that:

  • The “reasonable starting point” for a living wage in Singapore was S$2,906 a month.
  • A single parent with a child aged two to six required S$3,218 per month.
  • Partnered parents with two children, one aged between seven and 12 and the other between 13 and 18, required S$6,426 a month.
  • A single elderly individual required S$1,421 a month.
  • Budgets for both single and partnered parent households averaged around S$1,600 per member. Given recent price inflation, these figures have risen by up to 5% in the current report.

Singapore Govt challenges MIS 2023 report’s representation of basic needs

Regrettably, on Thursday (14 Sept), the Finance Ministry (MOF), Manpower Ministry (MOM), and Ministry of Social and Family Development (MSF) jointly issued a statement dismissing the idea suggested by the report, claiming that minimum household income requirements amid inflation “might not accurately reflect basic needs”.

Instead, they claimed that findings should be seen as “what individuals would like to have.”, and further defended their stances for the Progressive Wage Model (PWM) and other measures to uplift lower-wage workers.

The government argued that “a universal wage floor is not necessarily the best way” to ensure decent wages for lower-wage workers.

The government’s statement also questions the methodology of the Minimum Income Standards (MIS) report, highlighting limitations such as its reliance on respondent profiles and group dynamics.

“The MIS approach used is highly dependent on respondent profiles and on group dynamics. As the focus groups included higher-income participants, the conclusions may not be an accurate reflection of basic needs.”

The joint statement claimed that the MIS approach included discretionary expenditure items such as jewellery, perfumes, and overseas holidays.

Lim Tean slams Government’s response to basic living income report

In response to the government’s defensive reaction to the recent basic living income report, Lim Tean, leader of the alternative party Peoples Voice (PV), strongly criticizes the government’s apparent reluctance to confront reality, stating, “It has its head buried in the sand”.

He strongly questioned the government’s endorsement of the Progressive Wage Model (PWM) as a means to uplift the living standards of the less fortunate in Singapore, describing it as a misguided approach.

In a Facebook video on Friday (15 Sept), Lim Tean highlighted that it has become a global norm, especially in advanced and first-world countries, to establish a minimum wage, commonly referred to as a living wage.

“Everyone is entitled to a living wage, to have a decent life, It is no use boasting that you are one of the richest countries in the world that you have massive reserves, if your citizens cannot have a decent life with a decent living wage.”

Lim Tean cited his colleague, Leong Sze Hian’s calculations, which revealed a staggering 765,800 individuals in Singapore, including Permanent Residents and citizens, may not earn the recommended living wage of $2,906, as advised by the MIS report.

“If you take away the migrant workers or the foreign workers, and take away those who do not work, underage, are children you know are unemployed, and the figure is staggering, isn’t it?”

“You know you are looking at a very substantial percentage of the workforce that do not have sufficient income to meet basic needs, according to this report.”

He reiterated that the opposition parties, including the People’s Voice and the People’s Alliance, have always called for a minimum wage, a living wage which the government refuses to countenance.

Scepticism about the government’s ability to control rising costs

In a time of persistently high inflation, Lim Tean expressed skepticism about the government’s ability to control rising costs.

He cautioned against believing in predictions of imminent inflation reduction and lower interest rates below 2%, labeling them as unrealistic.

Lim Tean urged Singaporeans to assess their own affordability in these challenging times, especially with the impending GST increase.

He warned that a 1% rise in GST could lead to substantial hikes in everyday expenses, particularly food prices.

Lim Tean expressed concern that the PAP had become detached from the financial struggles of everyday Singaporeans, citing their high salaries and perceived insensitivity to the common citizen’s plight.

Lim Tean urges Singaporeans to rethink election choices

Highlighting the importance of the upcoming election, Lim Tean recommended that citizens seriously evaluate the affordability of their lives.

“If you ask yourself about affordability, you will realise that you have no choice, In the coming election, but to vote in a massive number of opposition Members of Parliament, So that they can make a difference.”

Lim Tean emphasized the need to move beyond the traditional notion of providing checks and balances and encouraged voters to consider who could genuinely improve their lives.

“To me, the choice is very simple. It is whether you decide to continue with a life, that is going to become more and more expensive: More expensive housing, higher cost of living, jobs not secure because of the massive influx of foreign workers,” he declared.

“Or you choose members of Parliament who have your interests at heart and who want to make your lives better.”

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Political observers call for review of Singapore’s criteria of Presidential candidates and propose 5 year waiting period for political leaders

Singaporean political observers express concern over the significantly higher eligibility criteria for private-sector presidential candidates compared to public-sector candidates, calling for adjustments.

Some also suggest a five year waiting period for aspiring political leaders after leaving their party before allowed to partake in the presidential election.

Notably, The Workers’ Party has earlier reiterated its position that the current qualification criteria favor PAP candidates and has called for a return to a ceremonial presidency instead of an elected one.

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While the 2023 Presidential Election in Singapore concluded on Friday (1 September), discussions concerning the fairness and equity of the electoral system persist.

Several political observers contend that the eligibility criteria for private-sector individuals running for president are disproportionately high compared to those from the public sector, and they propose that adjustments be made.

They also recommend a five-year waiting period for aspiring political leaders after leaving their party before being allowed to participate in the presidential election.

Aspiring entrepreneur George Goh Ching Wah, announced his intention to in PE 2023 in June. However, His application as a candidate was unsuccessful, he failed to receive the Certificate of Eligibility (COE) on 18 August.

Mr Goh had expressed his disappointment in a statement after the ELD’s announcement, he said, the Presidential Elections Committee (PEC) took a very narrow interpretation of the requirements without explaining the rationale behind its decision.

As per Singapore’s Constitution, individuals running for the presidency from the private sector must have a minimum of three years’ experience as a CEO in a company.

This company should have consistently maintained an average shareholders’ equity of at least S$500 million and sustained profitability.

Mr Goh had pursued eligibility through the private sector’s “deliberative track,” specifically referring to section 19(4)(b)(2) of the Singapore Constitution.

He pointed out five companies he had led for over three years, collectively claiming a shareholders’ equity of S$1.521 billion.

Notably, prior to the 2016 revisions, the PEC might have had the authority to assess Mr Goh’s application similarly to how it did for Mr Tan Jee Say in the 2011 Presidential Election.

Yet, in its current formulation, the PEC is bound by the definitions laid out in the constitution.

Calls for equitable standards across public and private sectors

According to Singapore’s Chinese media outlet, Shin Min Daily News, Dr Felix Tan Thiam Kim, a political analyst at Nanyang Technological University (NTU) Singapore, noted that in 2016, the eligibility criteria for private sector candidates were raised from requiring them to be executives of companies with a minimum capital of S$100 million to CEOs of companies with at least S$500 million in shareholder equity.

However, the eligibility criteria for public sector candidates remained unchanged. He suggests that there is room for adjusting the eligibility criteria for public sector candidates.

Associate Professor Bilver Singh, Deputy Head of the Department of Political Science at the National University of Singapore, believes that the constitutional requirements for private-sector individuals interested in running are excessively stringent.

He remarked, “I believe it is necessary to reassess the relevant regulations.”

He points out that the current regulations are more favourable for former public officials seeking office and that the private sector faces notably greater challenges.

“While it may be legally sound, it may not necessarily be equitable,” he added.

Proposed five-year waiting period for political leaders eyeing presidential race

Moreover, despite candidates severing ties with their political parties in pursuit of office, shedding their political affiliations within a short timeframe remains a challenging endeavour.

A notable instance is Mr Tharman Shanmugaratnam, who resigned from the People’s Action Party (PAP) just slightly over a month before announcing his presidential candidacy, sparking considerable debate.

During a live broadcast, his fellow contender, Ng Kok Song, who formerly served as the Chief Investment Officer of GIC, openly questioned Mr Tharman’s rapid transition to a presidential bid shortly after leaving his party and government.

Dr Felix Tan suggests that in the future, political leaders aspiring to run for the presidency should not only resign from their parties but also adhere to a mandatory waiting period of at least five years before entering the race.

Cherian George and Kevin Y.L. Tan: “illogical ” to raise the corporate threshold in 2016

Indeed, the apprehension regarding the stringent eligibility criteria and concerns about fairness in presidential candidacy requirements are not limited to political analysts interviewed by Singapore’s mainstream media.

Prior to PE2023, CCherian George, a Professor of media studies at Hong Kong Baptist University, and Kevin Y.L. Tan, an Adjunct Professor at both the Faculty of Law of the National University of Singapore and the NTU’s S. Rajaratnam School of International Studies (RSIS), brought attention to the challenges posed by the qualification criteria for candidates vying for the Singaporean Presidency.

In their article titled “Why Singapore’s Next Elected President Should be One of its Last,” the scholars discussed the relevance of the current presidential election system in Singapore and floated the idea of returning to an appointed President, emphasizing the symbolic and unifying role of the office.

They highlighted that businessman George Goh appeared to be pursuing the “deliberative track” for qualification, which requires candidates to satisfy the PEC that their experience and abilities are comparable to those of a typical company’s chief executive with shareholder equity of at least S$500 million.

Mr Goh cobbles together a suite of companies under his management to meet the S$500m threshold.

The article also underscored the disparities between the eligibility criteria for candidates from the public and private sectors, serving as proxies for evaluating a candidate’s experience in handling complex financial matters.

“It is hard to see what financial experience the Chairman of the Public Service Commission or for that matter, the Chief Justice has, when compared to a Minister or a corporate chief.”

“The raising of the corporate threshold in 2016 is thus illogical and serves little purpose other than to simply reduce the number of potentially eligible candidates.”

The article also touches upon the issue of candidates’ independence from political parties, particularly the ruling People’s Action Party (PAP).

It mentions that candidates are expected to be non-partisan and independent, and it questions how government-backed candidates can demonstrate their independence given their previous affiliations.

The Workers’ Party advocate for a return to a ceremonial presidency

It comes as no surprise that Singapore’s alternative party, the Workers’ Party, reaffirmed its stance on 30 August, asserting that they believe the existing qualifying criteria for presidential candidates are skewed in favour of those approved by the People’s Action Party (PAP).

They argue that the current format of the elected presidency (EP) undermines the principles of parliamentary democracy.

“It also serves as an unnecessary source of gridlock – one that could potentially cripple a non-PAP government within its first term – and is an alternative power centre that could lead to political impasses.”

Consistently, the Workers’ Party has been vocal about its objection to the elected presidency and has consistently called for its abolition.

Instead, they advocate for a return to a ceremonial presidency, a position they have maintained for over three decades.

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