1/11/2008

Privatisation plays a major role in Singapore's success

Any public or govt organisations that is not performing or inefficient, privatisation will make them more efficient and more profitable. We should go ahead and privatise all govt hospitals, LTA and ERP operations. And all can be listed in the stock market.

As the worries mount

People are getting worried. There are all kinds of situations, conditions and permutations that will make any kind of mean testing inadequate. But we are behaving like the military. Once a decision has been made to go ahead, just go ahead, right or wrong, good or bad. Or else there will be a lost of faith, a breakdown in command and a sign of weakness in leadership. With whatever scheme that is going to be introduced, will C Class patients pay more or the same as B2 or B2 paying the same as B1 etc? Has the govt forgotten its primary duty of providing healthcare and let the people choose what they can afford? Or it is now the responsibility of the govt to determine who should eat what the govt thinks they can afford? Why is the govt thinking that it is its right to decide how people spend their money?

1,500 chicken culled in an exercise

This is the most realistic exercise we ever had to protect ourselves from bird flu. 1,500 chicken coming across the causeway were culled as part of a major exercise. As exercises become more serious, the more realistic the better will the participants learn and be prepared for the real thing. The next exercise on a building collapse will probably see the falling of a building with living people inside. The casualties will be collateral damage and necessary to make the exercise real. And the simulation of a terrorist attack, I can't imagine how real it can be. Wonder if any country will conduct military exercise involving live ammunitions and life being sacrificed? Iraq is a kind of life military exercise to test weapons and systems I supposed. Animals or lives are dispensable to achieve our aims of protecting more lives. All those who are protesting against cruelties to animals involved in lab test please buck off. If we can just culled 1,500 chicken for an exercise, what is a little pain and suffering. We are progressing very rapidly.

1/10/2008

What went wrong with the taxi fare hike?

The taxi drivers are the people on the ground who fully appreciate and understand the situation. They were hit hard and need to lower cost or maybe raise fare a little to cover the rising cost. They knew their customers well and how much they could afford to bear. Those who think that a hefty hike is the way are people with a lot of money and think that taxi passengers are as rich as them. This is the first out of touch premise. If they have listened to the taxi drivers, they would not push the limit that far. The second mistake is to forget the cardinal principle of little increases, bit by bit, and tell the passengers that the small increases are affordable. Then increase a little every few months to get the passengers use to the higher prices. This principle was forgotten in the heat of the moment. Insanity creeps in and we have the hefty and justifiable increases.

Secrets of Success - Raising fees or charges

This is another efficient and well tested formula. Whenever there is a need to raise fees or tariff rates, just offer a 3 month or 6 month rebate. This can be done right at the beginning or quarterly over a year. The customers will feel grateful that they have a rebate, a subsidy mentality, and actually feel good. They will forget that for a few months of rebates they will eventually pay the new rate for the rest of their lives.

ERP coming to your HDB carparks.

Well, ERP gantry is now at Lor 6 Toa Payoh. So if you think of escaping the Expressways, fat hope. Wherever you try to sneak away from paying, the ERP will come to you. Eventually the gantries will be erected in front of HDB car parks. And that will be the day when all the car parks will be turned into warehouses for brand new and expensive cars. Move out of the carpark you pay. Car ownership will still be a privileged. And driving around will be a bigger privilege. Paradise is looking beautiful where people will spend their time strolling along free walkways and enjoying the beautiful landscapings around their estates.

Who's views matter?

Several letters gone to the msm and a few were published in Today discussing why views from certain people from the establishment meant more than kopitiam talks or the masses. They took offence that the people's right of expression as entrenched in the constitution was poof poofed away. This reminds me of a Hokien song called 'kim pao ghin.' It means that only certain people's words are meaningful and certain people will only get into trouble when they open their mouths. That's life. This simple process is also very selective.

1/09/2008

$890k for a 5rm HDB flat

This is the best news today. All HDB hardlanders may find life not so hard after all. 4 rm flat should be around $700k and 3m may be $500k soon. Hey, who needs compulsory annuity with so much money in assets? Just liquidate and live the last few years in an abundance of money. Singaporeans are really lucky. So rich!

Social tension right before my eyes

I saw it last evening in the train. The apparent peaceful atmosphere was deceiving. There was this local sitting there with eyes closed and beside him was a FT. I did not see what actually caused the outburst, but probably a brush while sitting tightly beside one another. 'I know you are not Singaporean. Go back to your country.' The FT was stunned. And all was silent. Later the FT stood up to alight. The local stood up too. Both were at least 1.82m tall. Then smack smack, that was all the sound I heard as I was at the door. I turned and saw the FT standing motionless, too shock to react. The local muttered a few more harsh words and strutted off. With so many people crowding in the train or in public places, this kind of tension and violence will erupt more often at the slightest provocation. And it can become worst if it becomes a group thing.

I agree, it is afforable

9 out of 10 patients in B1 wards paid between $23,654 and $27,659 for the hospital bill. Assuming an average of 10 days stay, it works out to $2.300/$2,700 per day. The ward charge is about $160 and the rest must be professional fees and medications. I think this sum is still affordable. For that is all I can afford to empty my Medisave Account for one admission. People shall not grumble as they are paying for world class services and treatment. But when the money is spent, then how if another admission is needed? Don't worry, compulsory medical insurance may be the answer. No matter how expensive our medical fees are, Singaporeans will be able to afford them one way or another.

A mountain of political capital

Over the last 40 years the Govt has amassed a huge mountain of political capital for bringing development and prosperity to the country and people. This is an undeniable fact. Recently we are seeing the Govt drawing on this capital and spending on matters which no Govt would dare to dream of. Policies and decisions that were often an outright affront to the people were pushed out without a blink of the eye. They may think that they have a lot of political capital to spend. Political capital is very different from a savings account where $1000 spent is $1000k less and the rest remain. A single event or unacceptable decision can cause a mountain of capital to disappear overnight. Getting Chee Hian to announce the 21% pay hike and telling the people that it is not enough and another round is coming is banking too much on his individual political capital and clout. Does Chee Hean has that to carry this through? Yet to see. In my view there is only one man who has earned enough political capital to make such an annoucement and at most get a few bruises. Even Chok Tong is no longer in such a position to make such statements. He has spent all his political capital or his political capital has been spent. The rest of the cabinet, some may have a little capital, but not really that much to get away with outrageous decisions or policies.

1/08/2008

Serious flaws in the assumption on Mean Testing

Look at the numbers given on the charges incurred in B1 and B2 wards? $23,654 -$27,659 against $4,882 - $5,675 are what a patient paid. Any reasonable man will wet his pants knowing that this is what is going to cost him in B1 ward charges. His Medisave savings would not last more than one visit. How then can one blames anyone for trying to stinge and save as much money as possible in case he needs it or his family members need it? It is reckless for anyone to go for B1 and A wards to finish off his savings on one admission. And it is prudent and wise to opt for the cheaper wards. Then there is this assumption that the guy earning $10k a month will continue to earn that amount forever. He may lose his job for any weird reasons. And the self employed's income is variable. One month good and 9 months bad. I find it unbelieveable to hear that people are being demanded to spend all they can and forget about the rainy day or when money runs out.

Healthcare services profitability down

'The industry registered a surplus of $918m...but profitability and cost effectiveness ...decreased by 0.5% each.' Taking a number like this will quickly tell a story of ineffectiveness and the need to raise charges to improve profitability. Heck, how can profitability and cost effectiveness go up if rental and salary keep going up? Everyone is demanding higher pay, higher rental or just push them up and claim that the operation is not profitable. Then simply charge the higher cost to the consumers. This is a free economy running under a free wheeling supply and demand principle. The only people who are suffering are the consumers who just have to pay and pay.

Hacking away at a fundamental principle

All these talks of how much people have in their Medisave, CPF savings, how rich they are and the introduction of Mean Testing is hacking away at a fundamental principle, or a basic right of an individual. This is the right to determine your own life, how you want to spend your money, what services you want to indulge in and how much to save for the rainy day. It is not a crime to be frugal and prudence by squandering your hard earned money away. This right belongs to the individual and not to somebody else. No one has the right to tell someone to spend his money the way he wants him to. The govt should concentrate on providing services that the people need, put them on the shelf at the prices it wants to offer. Let the people choose, let the people decide what they want.

The poor rich Singaporeans

This is another secret to Singapore's success. The poor Singaporeans, many of them, are like fish in a dried out pond but there is water everywhere. Look at his assets. Probably owns a 3rm flat or bigger, except those on rentals, has a big savings in his CPF that is untouchable till 65 now, and a $30k in his Medisave which is really untouchable unless he is seriously ill. And he will have a housing insurance, fire insurance, probably life insurance, and a compulsory annuity insurance to boot, akan datang. And some will also have Medishield insurance. Give it a few more years down the road he will probably acquire another few compulsory insurance along the way. And if he is working, there will be employee insurance, Workman Compensation Insurance, and specific trade or profession related insurance. But in spite of all these, he is penniless.

Why all the big fuss?

Boon Wan has briefly suggested how the new Mean Testing is going to work. Basically simple, practical and flexible. Ok, he has taken all the comments and reservations in msm and cyberspace into consideration. Good that he is listening. Mean Testing is not going to be an easy task. It is very difficult and would require a lot of manpower, effort and resources to make it effective. Then there is the demeaning and humiliating aspects that is quite inhuman in a way. So we are going to have a simple system. What for if it can't do what it should do? Why the effort for something that can hardly work? Would it be better not to have it if it is only to be so wishy washy? The old wisdom is that if it is not going to do a good job then don't do it. Is that so difficult? Why must there be this dogged commitment to carry it through? If it is a bad idea, it is a bad idea. Mean testing is going to go the way of the proposed compulsory scheme. Both won't work but will still be made to work. One is unnecessary and the other not going to work. Why all the fuss?

1/07/2008

Prices, cost of living high?

Wrong, everything is just right. The high salaries, high prices of properties, high prices of rentals, taxi fares, hospital fees etc, everything is fairprice. All the crying, all the kpkbs are just hysterics and based on a few exceptions. As long as the demand is there, as long as people are willing to pay, then the price is right. In a market driven economy, everything is determined by demand and supply. The supply will be there as long as there is demand. Let the prices keep rising until an optimum level, then it will stabilise. This is basic economics. No one shall interfere with the market mechanism. It will ruin efficiency and productivity. Our prices compare to the big cities are still very low and have a lot of rooms to go...up. The complaints are baseless.

Secrets of Singapore's success - Compulsory

Make it compulsory Stanley Jeremiah, a chartered insurer, suggested that with the high cost of medical bills, it is desirable to have compulsory medical insurance coverage. Hmmm, we are going to have compulsory annuity insurance, now this. Actually not a bad idea. It is good for the people and will protect them when it hits them. And with legal fees getting higher and higher, we should also make it compulsory for people to buy legal insurance in case they got into a lawsuit. Make it compulsory for people who keep killer dogs also. What does compulsory means? It means your money is not your money. People can just legislate it away and make you buy things or spend your money on things that you do not need or want. Other people will decide how you spend your money. Means Testing is not much difference. You must spend your money. This is another great secret to Singapore's success.

NLB archiving home grown blogs

Who says blogs are rubbish? At least the NLB is seeing value in them as part of our historical and political development. 11 such blogs have been archived and the library aims to archive some 100 blogs by the end of the year. Among the blogs that have been archived are Cherian George's cherian.blogspot.com, Alex Au's Yawningbread.org and Mr Brown's mrbrown.com. Associate Professor Lim Sun Sun of NUS 'described the NLB's efforts as "far sighted". This affirms the importance of blogs in adding to the public sphere and contributing to the growth of public discussion.' Alex Au said, 'It shows that the Govt considers even blogs known for their dissenting articles as valuable material for our future generations.' Cherian George added, 'It is part of a welcome movement in Singapore to recognise the value of multiple perspectives in telling the Singapore story.' So, who is still dismissing blogs and internet forums as whining and of no substance and irrelevant?

Mean Testing in frontpage news

This is a very serious topic for the day and days to come. I agree with Boon Wan that while there are different classes of wards, the standard must not be lowered just because it is C wards. But the fact is also that no top doctors or surgeons would be there at C wards level. Too expensive and it is a reality that people must accept. You can have good quality doctors but not necessarily the top. All our medical practitioners are the best and trained from the best medical schools. So have no fear. The intention of Mean Testing is to make sure that the richer people pay accordingly. Maybe we should do away with all the different classes and just make people pay according to their affordability. A uniform standard of service for all. From each according to his best and to each according to his needs and pay according to his pocket. Another way of doing it is marketing and branding. The richer and more face conscious people would not want to lose face by going for products and services that are deemed to be of low class. We can rebrand the different wards to reflect the service standards and social status. A Class can be called First Class wards for first class people. B Class be called Business Class. As for C Class, the class that we want to prevent the cheapskates from not paying their dues, we can call it Cheapskate Class. That should befit those going there and getting treatment. I n a way, the poorer people would not care a dime what they are called. Only those who have money and are more conscious of their status would not want to be seen to be there. If that is too direct, maybe call it No Class Wards. In this way we may be able to do away with mean testing. The thought of it is quite unpleasant to subject the poorer people to this kind of checks. Very humiliating actually. Ok the cheapskates will still go there as their skins are quite thick. Never mind lah. There is always karma to take care of them. But actually what is wrong if people do not want to pay so much? Our medical bills are cheap compares to the West. $1k, $3k or $4k! Cheap like hell. Every Singaporeans should be able to afford them. How much is their income? $800, $1000 or $2000? What the heck, just pay or borrow a bit. The most is only 2 or 3 months income for a stay in a world class hospital. Worth every cent spent.