REACH 399 - What are your views on Singapore's Healthier SG strategy to better manage the health of our aging population? How else can society work together to ensure affordable and quality healthcare for our seniors and those in need?
(SK)
28 Sep 2022 (10am - 7pm)
REACH
[9:59 am, 28/09/2022] +REACH: Dear Contributors,
Welcome back! ๐
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Thank you
Megan ๐
[10:01 am, 28/09/2022] +REACH: ๐ข Topic ๐ข
Under the Singapore's Healthier SG strategy, residents ages 60 and above would be invited to enroll with a primary care clinic of their choice as soon as the 2nd half of 2023. Citizens will get fully subsided national health screenings and vaccinations at enrolled clinic. All residents can use more from MediSave for chronic conditions, with cash copayment requirement removed.
๐ฌ What are your views on Singapore's Healthier SG strategy to better manage the health of our aging population? How else can society work together to ensure affordable and quality healthcare for our seniors and those in need?
Speaking at the 14th National Medical Excellence Awards (NMEA) Ceremony, Health Minister Ong Ye Kung shared details on the Healthier SG initiative, for our 3 healthcare clusters (NUHS, NHG and SingHealth) to step up as Regional Health Managers and improve their care for residents under their charge. He added that the clusters would have increased funding to cater for more preventive care initiatives.
Minister Ong explained that the Ministry of Health (MOH) would have to work with our healthcare clusters to take a 'strategic, holistic and system-level perspective' to improve the health of Singapore's population. Under the initiative, the Government would be able to link point of care data with community health data, and using research to identify 'social determinants of health' to draw insights on effective social interventions for better health.
๐ https://www.moh.gov.sg/news-highlights/details/speech-by-mr-ong-ye-kung-minister-for-health-at-the-national-medical-excellence-awards-2022-26-september-8.00pm
๐ https://www.moh.gov.sg/news-highlights/details/white-paper-on-healthier-sg
๐ https://www.channelnewsasia.com/singapore/healthiersg-regional-health-manager-healthcare-cluster-nuhs-nhg-singhealth-2965946
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[10:03 am, 28/09/2022] +L or BL: Prevention is better than cure. Annual health checks, twice annual for those at risk. Can we make this affordable at scale? Can we use tech to mass scan the population, eg AI image based diagnosis to identify possible risks to be highlighted to Dr's.
[10:04 am, 28/09/2022] +Rama: Agree
[10:14 am, 28/09/2022] +Smiley face: S'pore's population ageing rapidly: Nearly 1 in 5 citizens is 65 years and older
https://www.straitstimes.com/singapore/singapores-population-ageing-rapidly-184-of-citizens-are-65-years-and-older
"By 2030, around one in four citizens, or 23.8 per cent, will be aged 65 and above."
[10:42 am, 28/09/2022] +Smiley face: 28 September, 2022
To: Our Distinguished Leaders, Health Care Experts and All Honorable Members
"Working Against Time (ไฟ่ฏๅไฟๅฅ่ฎกๅ)"
"Treating a Patient is a zero sum game, either cure or not so or no! Caring for a Patient is a humanistic skill, importantly, CARE is the driver of a winning formula!"
- - annoymous
Targets:
It takes time to fine tuning our medical competency to a higher level of exceptional service.
If by 2030, 1/4 of our citizens will reach 65 years old (older for some). Let's target to enable (placement) this noble idea of personalized doctoring services starting 2025 onwards. It means we will capture our First batch of 60 years old citizens into 'early placement' this early medical interventions aka Healthier SG.
One key enabler is to identify up to 10 (or 20) most common chronic or recurring illnesses within our aeging population.
MOH has the historical data to turn and chunk these valuable medical data into AI to better focus on our deployments of medical, monetary and expertise resource. It will be a work-in-progress, a continuous data mining to achieve up to 95% confidence.
Recalling the concept of the "learning curve "cost model, hopefully in shorter time, we will emerge out of this learning process with a higher penetration rates and adoption rates. Importantly as a whole, a successful implementation of this Healthier SG!
- - in progress - -
[11:55 am, 28/09/2022] +REACH: Dear Contributors
We want to HEAR MORE from you!
๐ฌ What are your views on Singapore's Healthier SG strategy to better manage the health of our aging population? How else can society work together to ensure affordable and quality healthcare for our seniors and those in need?
We have had good feedback and hope that we can keep the discussion robust and active!
Megan ๐
[0:01 pm, 28/09/2022] +Caleb: can consider TCM doctors also? or how TCM can compliment it?
especially the elderly
[0:01 pm, 28/09/2022] +Frankie Wee: By the year 2030 our CPF retire enough or not if not enough can we continue older work or not if not work can we live without foods of not.
[0:02 pm, 28/09/2022] +Caleb: Or people who prefer to see TCM then western doctors.
[0:02 pm, 28/09/2022] +Frankie Wee: 2030 GST increase more or not then what we should age 65?
[0:37 pm, 28/09/2022] +jimmy chew: Interesting quotes by anonymous. Who is anonymous?
[0:53 pm, 28/09/2022] +Rama: Exactly!?
[0:53 pm, 28/09/2022] +Rama: Fighter jets escort SIA plane to Changi Airport after passenger claims he has bomb in bag:: https://www.asiaone.com/singapore/fighter-jets-escort-sia-plane-changi-airport-after-passenger-claims-he-has-bomb-bag?utm_source=whatsapp&utm_medium=social-media&utm_campaign=addtoany
[1:58 pm, 28/09/2022] +REACH: Dear Contributors
We want to HEAR MORE from you!
๐ฌ What are your views on Singapore's Healthier SG strategy to better manage the health of our aging population? How else can society work together to ensure affordable and quality healthcare for our seniors and those in need?
We have had good feedback and hope that we can keep the discussion robust and active!
Megan ๐
[2:00 pm, 28/09/2022] +REACH: ๐ข Topic ๐ข
Under the Singapore's Healthier SG strategy, residents ages 60 and above would be invited to enroll with a primary care clinic of their choice as soon as the 2nd half of 2023. Citizens will get fully subsided national health screenings and vaccinations at enrolled clinic. All residents can use more from MediSave for chronic conditions, with cash copayment requirement removed.
๐ฌ What are your views on Singapore's Healthier SG strategy to better manage the health of our aging population? How else can society work together to ensure affordable and quality healthcare for our seniors and those in need?
Speaking at the 14th National Medical Excellence Awards (NMEA) Ceremony, Health Minister Ong Ye Kung shared details on the Healthier SG initiative,…
[2:23 pm, 28/09/2022] +Smiley face: 28 September, 2022
"An Enabling Health Care Ecosystem"
Backgrounds:
WHO assessed that the world is currently short of 9 millions or more nurses. In Asia alone, the wide spread, doctor and patients ratio from 77 one per thousand (Qatar) and 1 per five thousands (Cambodia).
Given a tight fitting ratio of doctors-patients-nurses scenario coupled with a medical system 'loosing' medical staffs to other countries. Try to visualize an ecosystem whereby patients are provided with early detections, medications and/or treatments to faster heal their illnesses? Is it important to plan ahead or a mindset of staying the same?
A person's health can be a sudden disruption to his or her family, when in multiple cases, it will become a social, economics and medical challenges. Isn't it wise to plan for "just in case" than doing the usual ways and wait for illnesses to arrive? Prevention is one of the keys (one chance) towards a healthier and prolonged lifespan!
Finally, what does the world learned from the Covid pandemic? One surest thing of all is never allow any calamity to compromise a health care system which is never enough prepared for any unforeseeable medical emergency!
- - in progress - -
[2:26 pm, 28/09/2022] ☸️ Danny ๅฟ:
1. Health screening is an important proactive strategy to monitor the health of the people and if detected any anomaly in health conditions can take early actions to treat the illness early - and result in better recovery.
2. Notice that health screenings are conducted by Government agencies, GLCs, MNCs and big Enterprises for their staff --- to ensure a healty workforce - where healthy workers are productive workers.
Except that SMEs will not have such health screening scheme for their staff - due to financial constraints.
3. Seniors are more susceptible to health issues - and health screenings become all the more important to detect health anomaly - and can provide treatment early or do preventive healthcare for better recovery.
4. Seniors are predominantly retirees that live on their savings. Hence financial assistance to make health screenings affordable will make seniors more willing to go for the screenings. Notably :-
a. fully subsidised national health screening subsidy - could mean seniors paying a small and affordable amount.
b. Allow using Medisave for chronic conditions without need for cash co-payment - will relieve many seniors of precious cash to buy food and other needies.
5. Making medical data available for polyclinics and private clinics - will make medical care more holistic - as seniors will sometime need to see not only polyclinics doctors but also private doctors nearby their neighborhood.
6. Better tie up between private doctors with polyclinic doctors and even specialists in public hospitals --- will help to provide a more rounded comprehensive to the seniors - as private doctors can refer seniors to specialists in public hospitals or need to use the laboratory facilities in polyclinics when necessary.
7. Medication costs in private doctors if comparable to polyclinics will also be helpful to seniors - if seniors have problem travelling further distance to polyclincs - as seniors can get the medicine at the same price and quantities from the private doctors at the neighborhood private doctors.
[2:39 pm, 28/09/2022] ☸️ Danny ๅฟ:
1. I particularly like the idea of assigning a Regional Health Manager to manage and monitor the health of each seniors to ensure the health screenings and subsequent treatment are adequate - and will help the seniors to improve their health and well beings.
2. Regional Health Manager can intervene if seniors need further specialist treatment - but hold back because of cost or fear of more specialised treatment.
3. This will ensure seniors get all the necessary treatment needed - get well and live a healty fruitful golden age.
[2:58 pm, 28/09/2022] +RH: About time !!
Good initiative.
As this discussion clashes w my work timing, I can only comment now tt I esp like the incentives u hv thot of for the family doctors in points #9 & #10 under Family Doctor.
This wl help ensure tt our Primary care taker is also well looked after.
[3:02 pm, 28/09/2022] +Rama: Will the cost follow as referral from Polyclinic all the way up to specialist and hospitalisation!?
[3:05 pm, 28/09/2022] ☸️ Danny ๅฟ:
Don't know.
I think the cost now only cover the health screenings - not specialists treatment.
[3:08 pm, 28/09/2022] +Smiley face: 28 September, 2022
How can we afford, attract and CARE for all seniors to adopt to this Healthier SG?
Not more than $20 per GP visit with medicines or no more than $10 just for buying medications.
For Specialist consultations, up to $50 inclusive of medicine and consultation.
Additional Scan or Biopsy not exceeding $50 per service.
Do we need 'means' test OR 'all for one' approach, that is so long you are 65 yrs old, you will entitle to these privileged and heavily subsidised medical cares?
[3:08 pm, 28/09/2022] +Rama: A clearer picture is needed before implementation.
[3:12 pm, 28/09/2022] +Smiley face: For our vulnerables, can they tap on CDAC, MUIS, SINDA or Eurasian funds or other 'huay kuan-assiciation' for fundings?
[3:12 pm, 28/09/2022] ☸️ Danny ๅฟ:
Health screenings refer to:-
1. Lab blood test
2. Test high blood pressure, ecg eg got heart problem, strokes etc
3. Sugar level eg. Diabetes
4. Cholesterol levels
Etc
Give medications if got such problems.
If other conditions - more specialised test will need to be conducted, or even refer to specialists.
Not sure if the fully subsidised cost cover this or not.
[3:13 pm, 28/09/2022] +Ken Loh: Err they don’t have so much money… ๐
If not how to run other operations to keep the community?
Help the poor is not their key focus
[3:13 pm, 28/09/2022] +Ken Loh: Culturing the young and future generations
[3:14 pm, 28/09/2022] +Ken Loh: Who we are
CDAC is a non-profit self-help group for the Chinese community.
We offer programmes and assistance schemes to help the less privileged in the community to maximise their potential and strive for social mobility through self-help and mutual support.
[3:14 pm, 28/09/2022] +Smiley face: A concern is, one major and prolonged illness will blow one's medisave away.
Assuming this person does not buy extra medical insurance like a 'rider' program be which can be out of reach for many retired seniors.
[3:15 pm, 28/09/2022] +Ken Loh: The problem is many don’t have the ability to plan for future. Hence end up in the loop.
We can try to assist them, and this will be a increasing expense as our population grow older
[3:16 pm, 28/09/2022] +Ken Loh: The new MediShield suppose to reduce the need to tax on tax payer for the additional funding
[3:16 pm, 28/09/2022] +Ken Loh: Keeping them healthy for those that still can.. would be better prevention then helping them pay for future bills
[3:18 pm, 28/09/2022] +Ken Loh: Pek Kio have some elderly help program I think it is quite useful in keeping them constantly engage. See them having to talk to their peers and interact we can do more of that as well
[3:21 pm, 28/09/2022] +Smiley face: Hi Ken, Good afternoon!
One disabler is income and years of low wages to start off with.
This person CPF and medisave will be limited too.
Having spoken with an elderly, she has spoken about her working history from 1980s (young woman) to today (senior). Her low wages did not help much in today's situation. So much so candidly she laughed and said, "better off die than in sickbed ๆญปๆฏ็็ ๅฅฝ"
That's life to many...
[3:30 pm, 28/09/2022] +Ken Loh: There is many social program behind the scenes..
I try help like old man on the streets. Which got cheated of CPF money. To be frank if they buy house last time they would all be done ok.
There are many people that did wrong finance choices or illness that drain them of their finances. There is a limit to how much we can help.
Every funding we use to help, will in turn lesser for future generations. Covid we had spend a lot to help the whole Singapore.
We are not a welfare state hence we all know rather die than fall sick. Human is our best resource, ensure the population is healthy to contribute in whatever way they can will go a long way.
There is no silver bullet that can solved all this issue. Empathy is key, but how we fund it? Those that refuse to work when they can and now just beg for handouts? I don’t assume all are like that. But still money don’t comes from trees ๐คฆ๐ป♂️
[4:04 pm, 28/09/2022] +Smiley face: "Empathy has no pre-condition, anymore is a test!"
- - annoymous
[4:05 pm, 28/09/2022] +REACH: ๐ข Topic ๐ข
Under the Singapore's Healthier SG strategy, residents ages 60 and above would be invited to enroll with a primary care clinic of their choice as soon as the 2nd half of 2023. Citizens will get fully subsided national health screenings and vaccinations at enrolled clinic. All residents can use more from MediSave for chronic conditions, with cash copayment requirement removed.
๐ฌ What are your views on Singapore's Healthier SG strategy to better manage the health of our aging population? How else can society work together to ensure affordable and quality healthcare for our seniors and those in need?
Speaking at the 14th National Medical Excellence Awards (NMEA) Ceremony, Health Minister Ong Ye Kung shared details on the Healthier SG initiative,…
[4:08 pm, 28/09/2022] +jimmy chew: It's a wonderful idea. It's been 12 years since I left my company. I have yet to find a community Doctor as good as my company doctor. If my company Doctor is level 10 then the doctors I met so far are level 3 to 6 in terms of care, knowledge and professionalism
[5:01 pm, 28/09/2022] +Smiley face: 28 September, 2022
"Waiting time and Time Wasted่็ๆถ้ดๆๅๅฐๆ้"
"Queueing is a process, is a division, is a multiplier, it can also be manufactured. Time is a ticking (variations) algorithm in sync with the process"
- - annoymous
Pre-conditiions:
Patients can be Singaporeans, PRs or Foreigners and medical service fees vary for each status.
What's the waiting time to see a Specialist? Assuming a person health condition is not too serious (means no urgent ops needed) and he or she is classified as 'C class' patient.
What if another person is classified as 'A or B class' patient, what's his or her waiting time to see a Specialist likely be?
Is it a 'class' based queue system or first come first serve system or is it based on medical seriousness or needs? What are the current level of protocols for consultation, testing or treatment?
Conditions:
One systemic improvement (queue) regardless of any queue methods is to shorten these waiting time for all category of patients. How to find smarter ways to reduce these 'time consuming' queues, restructuring of appointments/cases (repeat or unique or similar) and cost?
- - in progress - -
[5:05 pm, 28/09/2022] +Smiley face: Hi Andrew, thank you for sharing this fact sheet.
Capacity building in progress. That's good!
As for renumeration, cost of procurement would be lowered too. Thanks to CECA!
[5:05 pm, 28/09/2022] +Rama: Hope for the best
[5:08 pm, 28/09/2022] +Smiley face: It will become, rest assured!
[5:10 pm, 28/09/2022] +Rama: As per mediacorp news last night, our population is aeging much faster than predicted!
[5:14 pm, 28/09/2022] +Smiley face: 28 September, 2022
"Where are the ROOTS, aka problems..."
- - annoymous
Problem with ops management aka 'queue' theory for medical services model. It is a life vs death business!
Based on past knowledge from MIT ops mgt, there should be a provision of 10% slack or variations cater to emergency and many one-off medical situations that require faster interventions.
In summary, medical ops mgt is a different ball game day from manufacturing or service provider. It's all about efficiency...
(More details if anyone interested to implement or assess it's current business model)
[5:21 pm, 28/09/2022] +SL: Which quotes?
[5:32 pm, 28/09/2022] +SL: Funding is a valid point, and cost control effort is another area for sustainability. Medicine bulk purchase, tapping into the local high education resources on system integration planning and design, treatment process re-engineering, etc., Telemedical are able to sustain the sghealth initiative. My recent visit to the national dentist center and Sengkang hospital impressed me as they adopted technology for efficiency. The same can be adopted by the GP clinics, starting with data integration and treatment process reengineering.
[5:35 pm, 28/09/2022] +SL: With tech adoption, the goal of more with less can be achieved in theory in health care; the gap between the projection target and the real target is due to the project being implanted for a short-term or long-term goal.
[5:38 pm, 28/09/2022] +SL: In digitization of healthcare, the more community partners onboard the same system (data lake), the cost per unit for data will be reduced and benefit the all parties, e.g maintenance cost for GP clinics is low and future planned Upgrade would be sustainable.
[5:40 pm, 28/09/2022] +65 9226 2477: Has it been considered... Having a nodal based distribution of triage centers around the island or as some say telemedical video call where first touch point for patients are quickly met and thereafter depending on the seriousness of their condition, they are redirected to the various specialists. GPs should naturally assume this role but the distribution of patients aren't equal thus leading to disparate waiting times.
[5:40 pm, 28/09/2022] +SL: However, the project team needs to consider the defense in depth of securing the data and network and leverage this opportunity for the smart nation initiation and compliance with regulations
[5:42 pm, 28/09/2022] +SL: The majority of the population wear fitness wearable, and the information on these watches can be linked to the system, reducing the waiting hours for clinical test
[5:43 pm, 28/09/2022] +Smiley face: Based on mathematical equation translated into words, hopefully it spells the full meaning...
[5:44 pm, 28/09/2022] +Smiley face: Good, one possible synchronicity!
[5:45 pm, 28/09/2022] +SL: Once, I read an article related to an MD practicing in the USA. She mentioned that these type of routine detail should be syn realtime to the dashboard in front of her computer before she treats the patient
[5:45 pm, 28/09/2022] +Smiley face: Bit, byte can equals n or integers, odd and even numbers aka as 'n'..... finite or infinite...
[5:45 pm, 28/09/2022] +Smiley face: Another synchronisation... very good idea.. thank you!
[5:46 pm, 28/09/2022] +Smiley face: Repetitive can means similar type category aka as sickness or symptoms
[5:47 pm, 28/09/2022] +Smiley face: One off means unique situation or medical case requires further attention, means more time needed.
[5:48 pm, 28/09/2022] +Smiley face: Off peak and peak and intermittent is another paradigm, each is a queue sequencing!
[5:48 pm, 28/09/2022] +SL: Last time I saw the doctor vs patient ration is 2.5:1000, will this 60 doctors per year is for replenishment or new hire?
[5:49 pm, 28/09/2022] +Smiley face: It is paramount to identify these paradigms, each and work towards executing an ops plan or system.
[5:50 pm, 28/09/2022] +SL: I don't think the cost will be cheap, a doctor with experience commanded the market rate. They are able to practicing in European if I m not wrong.
[5:50 pm, 28/09/2022] +Smiley face: Ours is 2.3 per 1000 patients case...one excursion is the degree of difficulty and complexity aka Specialists!
OECD figures
[5:51 pm, 28/09/2022] +Smiley face: It takes up to 10 years of exposures to gain competency...like 'talented' doctors...
'Gifted' Doctors are different dimensional beings! Aka lucky touch!
[5:53 pm, 28/09/2022] +Smiley face: Life and death.... what's cost if saving lifes matter most or simply let it go?
[5:54 pm, 28/09/2022] +SL: Some patients with cholesterol, currently, if I m correct that they, still need to go hospital/clinic to see a doctor to obtain the same medication after 90 -180 days. Is this process really necessary if telemedical is deployed? Can the doctor see these patients after the usual 5pm time after the clinic/hospital shuts its door? This is one of the process reengineering I m referring to.
[5:55 pm, 28/09/2022] +Smiley face: One , is our sample size is 6 millions (Including medical tourists)...the data needed to stack up into AI data will be a challenge. Unless there is collaboration with neighboring countries of similar ethnicities?
[5:56 pm, 28/09/2022] +Smiley face: Great insights, Hi SL.
Using Teledoc for repetitive activities aka as mild cases!
Thank you!
[5:58 pm, 28/09/2022] +SL: It is depended on the doctor's experience to judge the sickness of a patient with input from machine clinic test results.
[6:00 pm, 28/09/2022] +Smiley face: Ratio and costing.
Given one imported GP working at polyclinic daily.
60 patients per daily, that's 1200 cases.
As for the salary, let's say is $12,000 for a starter and basic package.
What's the cost per patient excluding the generic medicines?
[6:01 pm, 28/09/2022] +XaniceAfcai: To have a better manage of health for ageing population.
1. Promote healthy life style living.
a. Exercise to keep fit organised by cc/rc/community
b. Eating healthily starts with less oil, less sugar, salt etc.
C. Doc checkup regularly. Aka health screening.
D. Focus on preventative of health management
-> hence, Healthcare systems need to offer a range of services to meet senior needs, focusing on preventive care, long-term care, and care for chronic conditions.
More professional is required.
2. Improve health care system to support mental/physical emotional of well being
3. Care options eg TCM, train more caregivers, nursing home, social workers, welfare community
4. Retirement options
a. Oldies can contribute their work experience and talent by Working part time, doing flexible work hrs or as a consultant to the company.
b. can re deploy via job training
5.Modernize insurance
6.
[6:02 pm, 28/09/2022] +SL: No, AI is not part of the picture yet. These are solely data warehousing and integration to facilitate doctors deciding the treatment. Humans are still the main component in this clinical system.
On the other hand, if AI and ML are to be deployed, they will lighten doctor and nurse jobs by providing initial assessments and proposing to doctors the best medical treatment.
[6:04 pm, 28/09/2022] +SL: Each county's population may have a different disease. It doesn't need to use that extent of data set to train an AI
[6:05 pm, 28/09/2022] +SL: I don't understand why huge dataset is required, based on our current medical case and community input for the past 20-50 years, didn’t it sufficient to train one system? ๐ค
[6:06 pm, 28/09/2022] +Smiley face: Lack of variations, depth and length...
Collaborate with neighboring countries for data...
[6:07 pm, 28/09/2022] +Smiley face: Exhausted Data...
[6:07 pm, 28/09/2022] +SL: A to D maybe can be handle by community partners, leveraging on their expertise as part of smart nation
[6:09 pm, 28/09/2022] +SL: Regional and international collaboration may require new regulations and treaties to be signed. Not a low-hanging fruit yet, I would say.
[6:09 pm, 28/09/2022] +Smiley face: Medical insurance cost will escalate, it will become an affordability issue sooner than later...
[6:09 pm, 28/09/2022] +Smiley face: A few reluctants are privacy, religion and race....
[6:10 pm, 28/09/2022] +SL: I think we all experience when visiting a clinic that the rate for the insured patient and self-sponsor patient rated are diff.
[6:11 pm, 28/09/2022] +Smiley face: Going forward, insurance premium will go up... there are reasons to these uppings!
[6:11 pm, 28/09/2022] +SL: Privacy and data security are significant bottlenecks to resolve. It will take a very long time to agree.
[6:14 pm, 28/09/2022] +Smiley face: China not a good sample simply their medical protocols, medications and procedures aren't the same compared to Malaysia or Indonesia.
Google may be able to 'help'?'
[6:14 pm, 28/09/2022] +Smiley face: Ask Google to 'help'...
[6:17 pm, 28/09/2022] +SL: I m seeing this is a major initiative from.govt to help Singaporeans manage the cost of medical bills. Healthier SG not only awakens us in thinking about how we can maintain healthier and enlightens us in a discussion on how we can help each other as Singapore is our home. We like to see it prosper in the future. Healthier SG is also going to push forward the smart nation significantly.
[6:18 pm, 28/09/2022] +SL: Google? I don't understand. China's medical protocol is diff as compared to the rest of western medical treatment
[6:19 pm, 28/09/2022] +SL: Better have a defense in depth and trust no one framework in data safeguarding
[6:20 pm, 28/09/2022] +Smiley face: Cancer treatments for example are different, that's an extreme example...
Tropical vs Temperate conditions
[6:20 pm, 28/09/2022] +Rama: My feeling is for both
[6:20 pm, 28/09/2022] +SL: Wow, what is the math equation?
[6:20 pm, 28/09/2022] +SL: Thanks
[6:22 pm, 28/09/2022] +SL: https://www.moh.gov.sg/resources-statistics/singapore-health-facts/health-manpower
2.5 in 2019, not sure about 2020-2021 ratio
[6:25 pm, 28/09/2022] +Rama: Photos of man who allegedly made bomb threat on SIA flight & fighter plane escort circulate online
https://sg.news/?p=872515
[6:26 pm, 28/09/2022] +SL: Dubai have 2.9:1000 doctor to patient ratio
[6:26 pm, 28/09/2022] +SL: https://gulfnews.com/uae/health/dubai-logs-high-doctor-resident-ratio-says-dha-report-1.2273853
[6:27 pm, 28/09/2022] +SL: In 2017
[6:32 pm, 28/09/2022] +Smiley face: Hi SL, one part of the equation for transformation...
[6:33 pm, 28/09/2022] +SL: Thanks lot
[6:35 pm, 28/09/2022] +Smiley face: Complete set of transformation required 6 others formula as a compact ops solution or a RESET of an existing ops plan...
Our PM and Min Chan will be both ideal person to crack these into small bits!
In finding Key ops solution, small bites always win...
[6:36 pm, 28/09/2022] +Smiley face: Plus DPM Wong, his econometrics skills....
[6:38 pm, 28/09/2022] +SL: Actually, telemedical can happen @ patient home. Patients do not need to leave their house to see doctor
[6:39 pm, 28/09/2022] +Smiley face: A baseline treatment protocol in play...
[6:39 pm, 28/09/2022] +SL: ๐๐Start with low hanging fruit
[6:39 pm, 28/09/2022] +Smiley face: PM is a gifted Mathematician, fyi...
[6:45 pm, 28/09/2022] +Smiley face: Simple one useful for many scenarios... clinic to polyclinic, Q1 and Q2 , so on
[6:45 pm, 28/09/2022] +REACH: Dear Contributors,
⏰ We will be closing the chat in 15 minutes ⏰
Thank you very much for being part of our WhatsApp chat and participating actively.
Goodnight!
Megan ๐
[6:45 pm, 28/09/2022] +Smiley face: Use it on currency war too...
[6:48 pm, 28/09/2022] +SL: Mathematical Genius
[6:49 pm, 28/09/2022] +Smiley face: New service protocol means new operations and the full spectrum of resetting and readiness or even abit of reverse methods...
- - annoymous
[6:50 pm, 28/09/2022] +Smiley face: Yes! Silent too!
[6:52 pm, 28/09/2022] +Smiley face: History is a lesson and a story telling; realtime is a continuous battle into the unknown till proven wrong or correct, itself becomes History!
- - annoymous
[6:53 pm, 28/09/2022] +Smiley face: Be brave! Step out of the circumference, that's the first step into the unknown!
- - annoymous
[6:54 pm, 28/09/2022] +Smiley face: In maths aka as infinity...
[6:55 pm, 28/09/2022] +SL: The current currency war is unique. The economic and mathematical model we study at school might not work and be relevant.
[6:56 pm, 28/09/2022] +Smiley face: To view the learning curve as a contiuum is the starts of the first possible breakthrough...
- - annoymous
[6:57 pm, 28/09/2022] +Smiley face: In a two party game coupled with the next few players, that's the game!
[6:58 pm, 28/09/2022] +Smiley face: Collaborate...to achieve stability in both currencies...this troubled times!
Where is the TRUST?
[6:59 pm, 28/09/2022] +Smiley face: ASEAN is a 6-8 players.... currency game, a tiny hint...
[6:59 pm, 28/09/2022] +SL: Games are more extensive than most of us thought; multi-dimension game
[7:00 pm, 28/09/2022] +REACH: Dear Contributors,
We will be closing the chat for today.
Thank you very much for being part of our WhatsApp chat and participating actively.
Goodnight!
Megan ๐
=====
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