1/09/2008

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.