REACH 433 - What are your views on the changes to the healthcare system announced by MOH?
(SK)
06 Mar 2023 (10am - 7pm)
REACH
[9:45 am, 06/03/2023] +REACH: Dear Contributors,
Welcome back! π
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Megan π
[10:00 am, 06/03/2023] +REACH: π’ Topic π’
On 3 Mar 2023, the Ministry of Health (MOH) announced a suite of initiatives at the Committee of Supply (COS) 2023 debates, under the theme of "Empowering Healthy Lives". During the debate, Minister Ong Ye Kung explained that MOH now looks at healthcare as three interlinked systems. First is acute care system of hospitals and specialist clinics, focusing on the treatment of very sick people. Second is the population health system, which stresses preventive care through Healthier SG. The third is the developing aged-care system, which focuses on aged care taking place predominantly in the community.
π¬ What are your views on the changes to the healthcare system announced by MOH?
The key announcements include:
π Promoting healthier living for all ages and families
When Healthier SG launches in July 2023, Singapore citizens and permanent residents who enrol with a general practitioner (GP) clinic or polyclinic will get $20 worth of Healthpoints upon completion of the first free health plan consultation. The 3,000 Healthpoints, available through the Healthy 365 app, can be exchanged for vouchers or credits from participating merchants such as FairPrice or TransitLink. From early next year, Community Health Assist Scheme (Chas) cardholders who are enrolled with GPs will also have access to certain common drugs at prices comparable to those at polyclinics.
π Transforming aged care for seniors to live and age well
From the second half of 2023, MOH will extend the use of MediSave to patients receiving care at home, benefitting close to 6,800 patients a year. For instance, depending on complexity of their condition, those who receive treatment at home for the 23 conditions under the Chronic Disease Management Programme may use up to $500 or $700 of their MediSave to pay their home care bills. MOH will also undertake a review of the financing framework for palliative care services. Currently, only healthcare providers who provide specialised palliative care can help patients make Medisave claims. Under a pilot programme, patients receiving basic palliative care from MOH-supported medical and nursing care providers can also make Medisave claims.
π Health Information Bill (to be tabled in 2H 2023)
The upcoming Health Information Bill will seek to enable the collection of patients’ selected health data from healthcare providers, and allow healthcare providers to share health and administrative data with one another for specific purposes. This will enable the roll-out of Healthier SG by allowing data sharing between hospitals and GPs, for instance.
MOH is working with the Personal Data Protection Commission and the Cyber Security Agency of Singapore to identify areas where safeguards would need to be strengthened. The ministry has also consulted healthcare professionals, patients and IT vendors on data privacy and sharing issues.
π https://www.moh.gov.sg/cos2023
π https://www.straitstimes.com/singapore/politics/healthier-sg-participants-to-get-20-in-vouchers-after-1st-consult-choice-of-enhanced-chronic-drug-subsidies
π https://www.straitstimes.com/singapore/politics/patients-receiving-home-care-can-use-medisave-to-pay-bills-from-second-half-of-2023
π https://www.straitstimes.com/singapore/politics/new-bill-to-be-tabled-in-2023-to-enable-safeguard-patient-data-sharing-across-healthcare-providers
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[11:02 am, 06/03/2023] +REACH: Dear Contributors
We want to HEAR MORE from you!
π¬ What are your views on the changes to the healthcare system announced by MOH?
We have had good feedback and hope that we can keep the discussion robust and active!
Megan π
[11:45 am, 06/03/2023] +REACH: π’ Topic π’
On 3 Mar 2023, the Ministry of Health (MOH) announced a suite of initiatives at the Committee of Supply (COS) 2023 debates, under the theme of "Empowering Healthy Lives". During the debate, Minister Ong Ye Kung explained that MOH now looks at healthcare as three interlinked systems. First is acute care system of hospitals and specialist clinics, focusing on the treatment of very sick people. Second is the population health system, which stresses preventive care through Healthier SG. The third is the developing aged-care system, which focuses on aged care taking place predominantly in the community.
π¬ What are your views on the changes to the healthcare system announced by MOH?
The key announcements include:
π Promoting healthier living f…
[0:17 pm, 06/03/2023] +Smiley face: "To live healthier or to die or to slowly die...?
- - anonymity
[0:32 pm, 06/03/2023] +Rama: Eat healthier and die slowly
[0:46 pm, 06/03/2023] +~S: Eat more grass amd work longer till exhaust to death
[0:47 pm, 06/03/2023] +Rama: Looks like it!
[0:52 pm, 06/03/2023] +Uncle Law: I dont find accumulating points on health hugmb that attractive
[0:53 pm, 06/03/2023] +Uncle Law: Health hub
[0:55 pm, 06/03/2023] +Uncle Law: Living healthy, eating right should not be incentives driven
[0:55 pm, 06/03/2023] +Rama: I get one to five dollars every month from app for completing 6 to 10 k steps to offset senior citizens concession travel
[0:56 pm, 06/03/2023] +Uncle Law: Is a vicious cycle of working long hrs, not enough rest, no time for exercise, eating at late hrs
[0:57 pm, 06/03/2023] +Rama: Exactly!
[0:58 pm, 06/03/2023] +Uncle Law: Members just need to comment a bit for discussion. In point form.
No need write essay and post at last min before chat is closed
[0:58 pm, 06/03/2023] +Uncle Law: What's there to discuss after chatroom is closed
[0:58 pm, 06/03/2023] +Rama: π³ππ€·♂️
[0:58 pm, 06/03/2023] +Uncle Law: Anyway I don't bother to read
[0:59 pm, 06/03/2023] +Uncle Law: This is not the place to compete who post more or long essay
[1:00 pm, 06/03/2023] +Uncle Law: Or even gain recognition
[1:00 pm, 06/03/2023] +Rama: Exactly!
[1:00 pm, 06/03/2023] +Uncle Law: *just saying
[1:01 pm, 06/03/2023] +Rama: Agree
[1:02 pm, 06/03/2023] +Uncle Law: Long essay should go to the newspaper
[1:02 pm, 06/03/2023] +Uncle Law: Here is a chat room
[1:02 pm, 06/03/2023] +Rama: Still edit!
[1:03 pm, 06/03/2023] +Uncle Law: Just speak up your mind at any juncture
[1:07 pm, 06/03/2023] +Boon: Who is focused on managing the cost of health care and health insurance? Does the 3 “interlinked” systems address the age limits, realistic criteria and effective claims system in insurance policies ?
[1:08 pm, 06/03/2023] +Smiley face: Ideal options...
Good afternoon Andrew!
[1:09 pm, 06/03/2023] +Smiley face: Yes Sir, good feedback!
Good afternoon Uncle Law!
Our 'moderator' at large...
[1:09 pm, 06/03/2023] +Uncle Law: Maybe we can organize monthly healthy lifestyle day. Last Sunday of each month.
Within neighborhood. By respective CC. A walkathon or something
[1:10 pm, 06/03/2023] +Boon: The uplift in medisave usage only means that a person can use more of his/her medisave to pay bills - and what if the size of bills keep increasing? Isn’t this policy only reflecting the increasing cost of health care?
[1:10 pm, 06/03/2023] +Uncle Law: Good afternoon emoji. Sorry don't know how to address you
[1:10 pm, 06/03/2023] +Uncle Law: Yes
[1:11 pm, 06/03/2023] +Smiley face: Anonymity, Sir.
Thank you.
[1:11 pm, 06/03/2023] +Uncle Law: Extension usage of medisave is applaudable.
[1:13 pm, 06/03/2023] +Boon: What does sharing of personal data mean for patients? Will the shared data be limited in the use or will the data shared data be also available for commercial medicine research, in which case, should the patients that contributed those data also benefit ?
[1:14 pm, 06/03/2023] +Boon: Singapore needs to avoid the curse of longevity.
[1:16 pm, 06/03/2023] +Uncle Law: Encourage healthy eating weekly. At least one day a wj
[1:16 pm, 06/03/2023] +Uncle Law: Wk
[1:18 pm, 06/03/2023] +Kenneth Lee WM: >Under a pilot programme, patients receiving basic palliative care from MOH-supported medical and nursing care providers can also make Medisave claims.
I hope that it will also extend to insurance claims. Currently insurance only covers patients that are warded in hospitals. Once patients are asked to nursing homes / hospice / palliative care facilities when there's nothing else hospital can do, insurance coverage stops. Because of this, families are very reluctant to discharge terminally ill patients and that uses up the hospital beds unnecessarily.
[1:18 pm, 06/03/2023] +Uncle Law: Publicity can be thru food centre, social media
[1:19 pm, 06/03/2023] +Uncle Law: Support
[1:23 pm, 06/03/2023] +Uncle Law: Currently we have this on going, eat with your family day. Where employees are released early. Coincide it with healthy eating day
[1:23 pm, 06/03/2023] +Uncle Law: Eat healthier with family day
[1:27 pm, 06/03/2023] +Frankie Wee: Singapore everyday same foods eat hawker alway cheap one.
Luxury rich ppl enjoy classic cuisine foods
[1:27 pm, 06/03/2023] +Frankie Wee: Rich and mid or poor no different who can enjoy healthy
[1:27 pm, 06/03/2023] +Dan: On the topic of Eating healthier
We have to ensure the elderlies are eating healthily and not be affected by rising cost of living in Singapore. I know that coffeeshops are asked to sell certain dishes at low costs and I hope that the stalls will maintain the stds of these meals to see that the elderly gets sufficient nourishment from the food.
[1:30 pm, 06/03/2023] +Uncle Law: Support
[1:30 pm, 06/03/2023] +Uncle Law: Food bank supply to these low income families are usually canned food
[1:33 pm, 06/03/2023] +Jimmy Chew: I saw an elderly person ordering rice and fried chicken bites. Didn't ordered vegetables not sure because she don't like it or she can't afford it. Brown rice is $1 a bowl and vegetables is $1 a serving. Friend fish is $4 to S5 per serving
[1:33 pm, 06/03/2023] +Jimmy Chew: *fried
[1:41 pm, 06/03/2023] +Dan: I recalled some cai png stalls used to give free veg soup. Like cabbage soup or carrot soup. But i dun see it nowadays.
[1:42 pm, 06/03/2023] +Stella Yip: Come Jalan Besar CC Saturday 11am, fresh vegetables are given out every week.
[1:42 pm, 06/03/2023] +Uncle Law: Good effort
[1:43 pm, 06/03/2023] +Uncle Law: Need volunteers?
[1:43 pm, 06/03/2023] +Stella Yip: U can go Jalan Besar CC to check on volunteer work there.
[1:44 pm, 06/03/2023] +Stella Yip: Must be able to carry heavy staff
[1:44 pm, 06/03/2023] +Stella Yip: Stuff
[1:44 pm, 06/03/2023] +Khuan Yew: Uncle Law, is this WhatsApp Group supposed to be a chat room or for Reach to gather feedback?
[1:44 pm, 06/03/2023] +Stella Yip: Red mart is our regular sponsor
[1:44 pm, 06/03/2023] +Uncle Law: Feedback
[1:56 pm, 06/03/2023] +Smiley face: "The Universal Healthcare system, whereby it's almost free care to most people,...doing the impossibles?"
- - anonymity
Uncle Law and all, let's start the discussion.
Thank you.
[1:58 pm, 06/03/2023] +Uncle Law: Sry don't quite your level of English
[1:59 pm, 06/03/2023] +Smiley face: Universal Healthcare...
Thank you.
[1:59 pm, 06/03/2023] +Smiley face: ε ¨ζ°ε»ηδΏε₯
[2:00 pm, 06/03/2023] ☸️ Danny εΏ:
Healthcare screening in polyclinics and neighborhood clinics
1. I support the Government effort to encourage elderly to enrol in healthcare screening annually either with polyclinics or neighborhood clinics.
2. By doing so, it will help to identify health problems early for elderly and prevent more complication resulting in higher healthcare costs.
3. Also by spreading healthcare to both polyclinics and neighborhood clinics, it will help to spread the patient load - and not cause overcrowding at polyclinics whereby some elderly patients who are less mobile can get medical attention near their home.
4. However, for those patients that require more specialised equipment not available in private clinics, polyclinics will be a good place for medical screening.
[2:01 pm, 06/03/2023] +Uncle Law: Sorry pls put in layman terms/words
[2:01 pm, 06/03/2023] +Uncle Law: π
[2:02 pm, 06/03/2023] +Uncle Law: This worse, I need to put in Google translation
[2:02 pm, 06/03/2023] +Smiley face: Almost free healthcare to most people. More than affordable.
[2:02 pm, 06/03/2023] +Uncle Law: Thanks
[2:03 pm, 06/03/2023] +Smiley face: Always welcome, uncle Law!
Thank you.
[2:03 pm, 06/03/2023] +Uncle Law: I come out with essay too?
[2:04 pm, 06/03/2023] +Smiley face: Pls do so, more is better and more ideas will surface too.
Thank you
[2:05 pm, 06/03/2023] +Uncle Law: I don't think is necessary. Will just do in point form.
Welcome
[2:07 pm, 06/03/2023] +REACH: π’ Topic π’
On 3 Mar 2023, the Ministry of Health (MOH) announced a suite of initiatives at the Committee of Supply (COS) 2023 debates, under the theme of "Empowering Healthy Lives". During the debate, Minister Ong Ye Kung explained that MOH now looks at healthcare as three interlinked systems. First is acute care system of hospitals and specialist clinics, focusing on the treatment of very sick people. Second is the population health system, which stresses preventive care through Healthier SG. The third is the developing aged-care system, which focuses on aged care taking place predominantly in the community.
π¬ What are your views on the changes to the healthcare system announced by MOH?
The key announcements include:
π Promoting healthier living f…
[2:07 pm, 06/03/2023] +Uncle Law: Affordable to some/most, means comes with a slightly heavier burden for others. Maybe in the form of taxes and etc.
Subsidized health care should also be monitored closely to prevent abuse
[2:08 pm, 06/03/2023] +Smiley face: Is it necessary to overly tax all men and/or BURDEN the middle class and downwards just to make the ends meet?
[2:11 pm, 06/03/2023] +Smiley face: A metaphorical story.
"When a housewife goes to buy her groceries with a $300 budget in her purse. How to fill up one trolley and one basket full of goodies?"
You buy things that fills the stomach than things that fills the home! Is not about the chickens nor the eggs, it's about the chicks!
[2:18 pm, 06/03/2023] +Smiley face: "Unlike classical economists, who believe the cost of production is the most important factor in a product's price, neoclassical economists state that prices should be based on how consumers perceive the value of a product (healthcare). They also believe that consumers make rational decisions (not sick don't need doctor's care and comparing prices?) to maximize utility.
Keynesians believe fiscal and monetary policy should be used actively in the short run (efficiency) to manage aggregate demand. Neoclassicals believe that the economy is self-correcting, and attempting to fine-tune the economy through monetary and fiscal policies makes problems worse (not effective)."
[2:41 pm, 06/03/2023] +RH: Me too.
[2:57 pm, 06/03/2023] ☸️ Danny εΏ:
Home care and online medical clinics
1. Support for home care and remote medical clinics especially for less mobile elderly is a plus factor.
2. Less mobile elderly can get easy access to medical attention via online - without the hassle to physically go to the clinics or polyclinics to get themselves examine by the doctors and get regular medicine - especially for those routine medical care.
3. This will also free up queues in the polyclinics and clinics.
[3:03 pm, 06/03/2023] ☸️ Danny εΏ:
Sharing of medical data across GPs and hospitals
1. I support the sharing of patient medical data across GPs and hospitals - to facilitate more informed and better medical care for patients that are attended by different doctors and specialists.
2. This will prevent misdiagnosis - if differents doctors don't have access to the patient medical history.
3. However, safeguards must be in place to prevent patients medical records from being leaked or abused - through negligent or through malicious acts for unintended purposes - to protect patient's privacy and patient's interest.
[3:04 pm, 06/03/2023] +Stella Yip: Some patients do not wish for this
[3:08 pm, 06/03/2023] ☸️ Danny εΏ:
I think if some patients do not wish to share their medical records across doctors, government should allow patients to indicate their choices.
But this could be detrimental to the health of the patients because misdiagnosis could become a possibility.
[3:10 pm, 06/03/2023] +Smiley face: 6 March, 2023
Two things to think about?
"Income and/or Consumption"
An effective (productive) person works for an income. He uses his income to consume goods and services.
While another person consumes more or less the same propensity as the above able person. The difference is income. This person may have savings and/or subsidies from welfare.
If the total GDP is MORE (20-25% of a population) of the latter case will result in the declining of a nation's GDP (slow growth) and the consequences of ratings and potential to borrow? Starts by borrowing more money or issues more longer term bonds or just print more money?
Will ageing and technological disruptions exponentially making things worse off or better off?
Presently?
What's the percentage of ho…
[3:19 pm, 06/03/2023] +Rama: Likewise
[3:32 pm, 06/03/2023] +Grace: I think health care is a multifaceted space. We should always encourage more diverse approaches. Some concerns are if the monopolistic way that information is held by certain companies (through links with MOH or HPB) may create more harm than help. I am all for diversifying approaches and reducing monopolistic approaches to health care.
There is a real worry that pharmaceutical companies who may have not-so-clean intentions can easily hijack a centralised system of data. My 2 cents.
[3:32 pm, 06/03/2023] +Rama: Agree
[3:40 pm, 06/03/2023] +Smiley face: https://www.weforum.org/agenda/2023/01/future-of-global-health/
[3:59 pm, 06/03/2023] +JC: π Promoting healthier living for all ages and families
While the intention of this is good, I wonder how much a real impact it will have as global research suggests that the impact of health promotion on actual long term health outcome is typically quite small (if any). There are also selection bias in many health promotion efforts, which causes population segments that need health interventions the most to be excluded. E.g. Programs incentivizing healthy diet tends to only attract people that are already eating healthy.
Furthermore, there are many diseases that are not lifestyle driven e.g. genetic diseases - OR genetic conditions that predispose certain unhealthy behavior. Other segments are predisposed to poorer health due to non-health lifestyle reasons (see WHO social determinants of health). What about these people?
My question for MOH is -> with so much money spent on Healthier SG, will govt continue to ensure those people for fall sick, still receive a good standard of care?
[4:04 pm, 06/03/2023] +JC: π Transforming aged care for seniors to live and age well
This is a move in the right direction but I wonder if it's sufficient to drive a significant shift to home-based care. Given our rapidly ageing population, there could be an argument that it is of MOH's longer term interest to "over-provide" financial incentives for home-based care in the short term in order to overcome entrenched behaviors within the system quickly AND to reward innovations that can support home-based care today. My worry is that we are not providing enough incentives yet (due to fears about budget constraints), hence hamstringing our ability to change population-wide behaviors.
[4:06 pm, 06/03/2023] +REACH: π’ Topic π’
On 3 Mar 2023, the Ministry of Health (MOH) announced a suite of initiatives at the Committee of Supply (COS) 2023 debates, under the theme of "Empowering Healthy Lives". During the debate, Minister Ong Ye Kung explained that MOH now looks at healthcare as three interlinked systems. First is acute care system of hospitals and specialist clinics, focusing on the treatment of very sick people. Second is the population health system, which stresses preventive care through Healthier SG. The third is the developing aged-care system, which focuses on aged care taking place predominantly in the community.
π¬ What are your views on the changes to the healthcare system announced by MOH?
The key announcements include:
π Promoting healthier living f…
[4:09 pm, 06/03/2023] +JC: π Health Information Bill (to be tabled in 2H 2023)
This is a no brainer - just focus on educating the public and mandate this change. If we can mandate changes to healthcare financing changes without consulting the public, why do we not do the same for data sharing given the very obvious benefits of this change? I find the double standards quite ridiculous - where we tip toe around privacy (when in actual fact, people are already giving up on their privacy all the time through social media, internet, etc.) when the benefits of an open system is so clear. We already have IT tools that can provide a "good enough" level of cybersecurity and privacy protections so lets not drag our feet over this and just implement. Hacking can happen to anyone, anywhere, anytime. The sooner we accept that risk as a population, the faster we can move in terms of healthcare transformation.
[4:09 pm, 06/03/2023] +Smiley face: Hi JC, good afternoon.
How to incentivise both short, mid and long term?
Any ideas for this interesting idea or potential pitfalls?
Thank you
[4:15 pm, 06/03/2023] +Caleb: Hope healthpoints can redeem Yuu points. Which took over the Tapformore rewards.
[4:17 pm, 06/03/2023] +JC: Tough question... I believe some health promotion can still be helpful but I'm more circumspect on how much it can move the needle, especially in the short to medium term. Lets not overestimate how much control we have over our own health. We are know people who tried their best to live healthy and end up dying young - while the smoker lives till ripe old age.
Just wanted to call out that no matter how successful healthier SG is going to be, we will ALL eventually fall sick -> and when that happens, we need the govt system to be designed and ready to provide the care that we need, in an equitable way.
Maybe ultimately, we need to support our govt to allocate more resources to fund healthcare as our population ages and accept a higher tax rates for more e…
[4:17 pm, 06/03/2023] +Rama: Agree
[4:20 pm, 06/03/2023] +Smiley face: Subsidised cancer patients previously fully covered by MediShield Life, MediSave may now need to pay out of pocket
https://www.straitstimes.com/singapore/subsidised-cancer-patients-previously-fully-covered-by-medishield-life-medisave-may-now-need-to-pay-out-of-pocket
Ms W added: “With cancer, my life is already uncertain. Every time I do the test, I worry that my cancer might flare up again. Now, I also face financial problems. I don’t know how I’m going to deal with it.”
Because of her illness, she has stopped full-time work and is currently working part-time. But this is enough to put her out of reach of MediFund aid, which is a government safety net for the poor.
“At least if insurance can’t pay for this, I should be allowed to use my MediSave. I may not have many more years to live. Why limit MediSave withdrawal to $600 a year?” she asked..."
"To live healthier or to die or to slowly die?"
[4:21 pm, 06/03/2023] +Smiley face: Is Health becoming an equality issue? Is it or nay?
[4:21 pm, 06/03/2023] +Rama: To die or to slowly die
[4:22 pm, 06/03/2023] +Smiley face: Hi Andrew, good afternoon.
"Die also needs money..."
- - coffee shop talk
Thank you.
[4:22 pm, 06/03/2023] +Rama: Look for free undertaker
[4:23 pm, 06/03/2023] +Smiley face: One enabler.
Thank you
[4:23 pm, 06/03/2023] +Rama: Yes
[4:26 pm, 06/03/2023] +Smiley face: A second-hand car dealer who has made it his life's mission to help strangers in need was named The Straits Times Singaporean of the Year 2022 on Thursday. Mr Anson Ng, 55, gets calls and messages throughout the day from friends and strangers who need help paying medical bills or covering funeral fees.
- - Straits Times
[4:26 pm, 06/03/2023] +Rama: God bless this man
[4:26 pm, 06/03/2023] +Smiley face: Yes, yea!
Thank you.
[4:40 pm, 06/03/2023] +RH: ππ»uncle Law ..
Hope this helps ...
[4:40 pm, 06/03/2023] +RH: Too verbose.
Even I had problem understanding it.
[4:42 pm, 06/03/2023] +JC: Nice video!
[4:44 pm, 06/03/2023] +JC: but I wonder what does it really solve though...
-> I don't always follow what my GP says about medicine, I wonder if I will follow his "health plan"? I think hard.
-> If I want cheap drugs, I can always go polyclinic to get mah. Need healthier SG meh?
-> no co-payment for chronic medication is good! but I'm already on the medicine and can afford, so what does this change?
[4:52 pm, 06/03/2023] +Rama: I believe so
[4:52 pm, 06/03/2023] +Rama: One's financial status may change suddenly!
[4:53 pm, 06/03/2023] +REACH: S$100 top-up in ActiveSG credit for children aged 4 to 12
To encourage more children to take up sports, those aged four to 12 will get an additional S$100 credit in their ActiveSG accounts on May 1.
MORE: https://www.channelnewsasia.com/singapore/activesg-credits-100-children-how-much-redeem-bookings-3327141
[4:54 pm, 06/03/2023] +RH: $$$ Never enough.
We need to also step up the education of our Seniors ...
Another pt ...
R we including those w Dementia or the not-so-abled in the mix ?
If so, then we wl also nd to incl caregivers for these grps of ppl.
On regular healthy individuals ...
... Old habits die hard eg. I may not like eating veg & hv nvr eaten veg all my life ... Now u tell me to eat veg at age 70 ... ??!!? What the ... ?! <--- example of diehards who wl nvr change.
Likewise w smokers ... Someone told me this anecdote of her grandpa who's a smoker since his teen days : "... If I stop smoking now, might die tmr! Smoking keeps me alive (and healthy)!"
I think the gov is moving in the right direction but ther wl always be diehards who never change.
Similarly, ther wl a…
[4:57 pm, 06/03/2023] +Rama: This is voluntary and for those still hesitant, I wish you all the best.
[4:59 pm, 06/03/2023] +Uncle Law: Nice
[5:12 pm, 06/03/2023] +JC: There's been studies that show that best predictor of behavior change is not health promotion, but only if the individual kena some serious illness (e.g. stroke, cancer, heart attack) - when things get real, people panic and that motivates change.
The problem is those who want to be helped, maybe are already helping themselves...
[5:14 pm, 06/03/2023] +Smiley face: First time GP consultation is FOC. Likewise for approved health screenings and free vaccinations.
Going forward, subsequent consultations free and how about other additional diagnostic tests?
What are the fees payable for all patients assuming no age difference?
How about 2024, the two initiatives?
Are there subsidies and what are percentage based on polyclinic fees structure?
[5:14 pm, 06/03/2023] +Rama: Yes
[5:14 pm, 06/03/2023] +Caleb: +1
[5:15 pm, 06/03/2023] +Smiley face: Subsequent visits? Cannot be FOC, then how would the fees structure be?
Specialist consultations? Fees?
[5:18 pm, 06/03/2023] +Smiley face: Are there any MOH experts or healthcare experts or doctors in this chat?
They will know the insights and depth of these coming health initiatives.
Overall based on this infor video, is a sensible move, a good starting point.
[5:19 pm, 06/03/2023] +Smiley face: Perhaps, the idea is to provide peace of mind to all citizens and importantly, an affordable quality healthcare?
[5:21 pm, 06/03/2023] +Rama: Subsequent, applicable subsidy apply if any
[5:22 pm, 06/03/2023] +Rama: Not likely as it will duplicate official moh press release
[5:22 pm, 06/03/2023] +Rama: Exactly
[5:23 pm, 06/03/2023] +Smiley face: Subsequent visits,
So would it be cheaper to go to the polyclinic for consultations than private GP?
Assuming the cost difference between public and private?
[5:25 pm, 06/03/2023] +Rama: I believe strongly in basic primary health care cost as subsequently all referral to specialist will have a financial impact
[5:28 pm, 06/03/2023] +Smiley face: Is subsequent visits to the designated neighborhood GP the same fees and medicines as Polyclinics?
It's important especially for elderly not having to travel to the nearest Polyclinics to seek helps.
Thinking about ageing and mobility.
Thank you.
[5:30 pm, 06/03/2023] +Smiley face: How to SOFT LAND these foreseeable possibilities of financial impact, let's assume up to 30% of citizens by 2030 (30/30 of public Healthcare)?
Thank you
[5:41 pm, 06/03/2023] +Smiley face: 6 March, 2023
One trusted source of help and second opinion is perhaps our distinguished Professor Lam Chuan Leong.
With over four decades of exceptional civil service to SG, Prof Lam, well known locally and overseas, is an expert in competitions and the mechanics of pricing. His insights, foresight and experience will yield a balanced approach in this case of our future healthcare ecosystems of competence and values.
Thank you.
[5:55 pm, 06/03/2023] +Rama: A clear picture will emerg once the programme starts.
[5:57 pm, 06/03/2023] +Rama: The statistics has to come from MOH as they have the details.
[5:57 pm, 06/03/2023] +Smiley face: Perhaps, by then, recalibrate to smoothen the process.
Thank you, Andrew.
[5:58 pm, 06/03/2023] +Rama: Yes
[5:58 pm, 06/03/2023] +Smiley face: Within it's remains, the song goes...
Big data analytics will help in identifying key areas of help and costs to allocate into each identifier.
Thanks again.
[6:00 pm, 06/03/2023] +Smiley face: Healthcare can be a tricky business model of variations to play and to handle firmly, any less will shack peoples' confidence in this system of health care.
Is it true?
Thank you.
[6:02 pm, 06/03/2023] +Rama: I have been wondering if the basic and subsequent course for the new program will follow Polyclinic costs all the Way but have yet to see the data.
[6:02 pm, 06/03/2023] +Smiley face: Housing, Education, Health-care and good paying Jobs , fair laws are five pillars of comfort to all citizens.
[6:02 pm, 06/03/2023] +Rama: Yes
[6:03 pm, 06/03/2023] +Rama: Yes, it is!
[6:03 pm, 06/03/2023] +Smiley face: Pls escalate to Min MOH and his team...it's COMING faster and more furiously too.
Thank you.
[6:03 pm, 06/03/2023] +Smiley face: All over the world!
[6:04 pm, 06/03/2023] +Rama: 010523 for the age group 40 with chronic illness will reveal more.
[6:05 pm, 06/03/2023] +Smiley face: These are votes winning attributes.
Do these 5 things excellently, all roads ahead totally unblocked!
That's a guarantee!
Thank you.
[6:05 pm, 06/03/2023] +Smiley face: More or less the same "medicine"... aka protocols.
Thank you.
[6:05 pm, 06/03/2023] +Rama: π€·♂️
[6:06 pm, 06/03/2023] +Rama: Along with means testing!
[6:06 pm, 06/03/2023] +Smiley face: Costs are the least to worry about.
It's the actual deliveries of High quality of health care expertise and thereafter services to our ageing population.
[6:07 pm, 06/03/2023] +Rama: I see both
[6:07 pm, 06/03/2023] +Smiley face: Old school test system.
Use new methods of evaluation, aka affordability test kit!
Thank you.
[6:08 pm, 06/03/2023] +Rama: Hope for a tweaked means testing more favourable to the patient
[6:08 pm, 06/03/2023] +Smiley face: You can't have LOW COST yet expect to receive high quality care!
Up to 4 millions headcount. That's another way of seeing, it's a blessing too!
Thank you.
[6:09 pm, 06/03/2023] +Rama: Affordable price plays a part to some of the 4 million
[6:10 pm, 06/03/2023] +Rama: It helps to choose treatment
[6:10 pm, 06/03/2023] +Smiley face: Affordability test more exact to assess a person's financial status, including Socioeconomic Status too!
The entire human world has changed! All known demographics have changed too!
That's a big trick for policymakers to decide upon each policy whether it is micro or macro!
Thank you.
[6:11 pm, 06/03/2023] +Rama: How the changes is made known to those who see cost as a factor is equally important
[6:12 pm, 06/03/2023] +Smiley face: Subsidies come into play and an affordable index to determine the % of grants and so on.
The idea is NO ONE WILL BE LEFT BEHIND or over paying their medical bills!
You get what you paid for... this concept!
Thank you.
[6:13 pm, 06/03/2023] +Rama: That's why various tax increases has a bearing on subsidies and cost too.
[6:13 pm, 06/03/2023] +Smiley face: You pay peanuts and expect not Only the monkeys to perform but in return to sing-along with you!
Our people will comprehend this narrative of the sing-along monkeys theme!
Thank you.
[6:15 pm, 06/03/2023] +Smiley face: Tax increase is one aspect!
To creatively create credits and pull some strings longer while pushing the shortest to materialize...
Thank you.
[6:15 pm, 06/03/2023] +Rama: We could possibly have expensive peanut eating monkeys drafting policy
[6:16 pm, 06/03/2023] +Smiley face: As long as the nations GDP doesn't fall 3-6% you.
Thank you.
[6:16 pm, 06/03/2023] +Smiley face: Calibrate and cherry pick these monkeys!
Don't need to sing, humming enough!
Thank you.
[6:17 pm, 06/03/2023] +Rama: Which is why our government is doing the level best to attract investment
[6:17 pm, 06/03/2023] +Smiley face: Thinking out of the forest and looking for them....
Thank you
[6:19 pm, 06/03/2023] +Smiley face: Addon new QUALIFIED CITIZENS age 40 and below with more than 2 children that are in primary school years and older.
Up to 500,000 headcount, that's will make folks hate it but NOT MUCH ECONOMIC choices to choose from unless otherwise another method...
Thank you
[6:19 pm, 06/03/2023] +Rama: Exactly
[6:19 pm, 06/03/2023] +Smiley face: The global demographics have changed drastically from the 1980s till today.
That's a FACT!
[6:21 pm, 06/03/2023] +Smiley face: Your loss is my immediate gain. These gains will propel my GDP and the rest is History!
History is history!
Thank you.
[6:21 pm, 06/03/2023] +Smiley face: Cherry pick carefully, Please!
Fake vs fact!
Thank you.
[6:21 pm, 06/03/2023] +Rama: Agree
[6:22 pm, 06/03/2023] +Rama: Definitely
[6:22 pm, 06/03/2023] +REACH: π’ Topic π’
On 3 Mar 2023, the Ministry of Health (MOH) announced a suite of initiatives at the Committee of Supply (COS) 2023 debates, under the theme of "Empowering Healthy Lives". During the debate, Minister Ong Ye Kung explained that MOH now looks at healthcare as three interlinked systems. First is acute care system of hospitals and specialist clinics, focusing on the treatment of very sick people. Second is the population health system, which stresses preventive care through Healthier SG. The third is the developing aged-care system, which focuses on aged care taking place predominantly in the community.
π¬ What are your views on the changes to the healthcare system announced by MOH?
The key announcements include:
π Promoting healthier living f…
[6:22 pm, 06/03/2023] +Rama: As goes our PR selection criteria !
[6:23 pm, 06/03/2023] +Smiley face: SG is one shining diamond .
We have the upper hands to cherry pick all sorts of talented folks elsewhere to join in to this enlarging new economics game!
"WHO NEEDS WHO MOST!"
- - anonymity
Thank you.
[6:23 pm, 06/03/2023] +Rama: Our government played its card well over time.
[6:25 pm, 06/03/2023] +Smiley face: Pls STOP at the PR level.
Unless proven otherwise, these PR that stayed for 5 years or longer need not prove anymore!
Time is the decider, they may have used up this TOKEN!
This world never waits for men but men must Search for their values and worthiness! True or harsh truth?
Thank you.
[6:26 pm, 06/03/2023] +Rama: It has a fa effect on being granted citizenship
[6:26 pm, 06/03/2023] +Smiley face: That's the subject!
[6:28 pm, 06/03/2023] +Smiley face: Citizenship nowadays has gotten expensive!
One COE is $100k, is either you have the competency or please do not try harder because it is not going to be lucky wise to strike it rich or be successful!
What's the odds of success? 5%, that's a fact!
Wanna Play this game?
Thank you.
[6:29 pm, 06/03/2023] +Rama: Your investment and its future potential for our country plays a important part. Not just any millionaire or billionaire.
[6:30 pm, 06/03/2023] +Smiley face: "Mixed with the best, you become better...mixed with the wrong company, you just wasted your time... token gone so do the chicks!"
- - anonymity
[6:30 pm, 06/03/2023] +Rama: Yes
[6:30 pm, 06/03/2023] +Smiley face: One aspect and how about the others....
Land, Labor, Capital...
Thank you
[6:31 pm, 06/03/2023] +Rama: Yes
[6:32 pm, 06/03/2023] +Smiley face: In the multitudes approach...
The money, the men and the land?
Adam Smith was perhaps a brilliant man...?
Thank you.
[6:33 pm, 06/03/2023] +Smiley face: Why our banks are "solid" nowadays?
Thank you.
[6:33 pm, 06/03/2023] +Rama: Money we may have. Men have to import to offset local shortfall. Land, how much can we reclaim!?
[6:34 pm, 06/03/2023] +Smiley face: Longer essay coming, for these days each issue or topic are complex.
Simple sentences or short tweets will not deliver the full intent to solve or resolve things.
Thank you.
[6:34 pm, 06/03/2023] +Rama: You are welcome
[6:35 pm, 06/03/2023] +Smiley face: "When you have MONEY, you will get plenty of HONEY..."
- - anonymity
[6:35 pm, 06/03/2023] +Rama: Weed out the sleazy kind! π³π
[6:36 pm, 06/03/2023] +Smiley face: "When you pay peanuts in hope to barter for more, you end up receiving plenty of apes..."
- - anonymity
It's more than the chicken or the eggs!
Thank you.
[6:36 pm, 06/03/2023] +Smiley face: Cherry pick
[6:37 pm, 06/03/2023] +Smiley face: Spoil fruits just throw away!
[6:37 pm, 06/03/2023] +Rama: Orange Utan or Chimpanzee!?
[6:37 pm, 06/03/2023] +Rama: No beyond expiry date!
[6:38 pm, 06/03/2023] +Smiley face: Worse than these two species...
How about those apes that see and do! Would you want them in your top notch urban zoo, day and nite too?
Thank you.
[6:39 pm, 06/03/2023] +Smiley face: Nothing last forever!
[6:39 pm, 06/03/2023] +Rama: The peanuts they get must be good!
[6:41 pm, 06/03/2023] +Smiley face: Reimagining, 8 millions in a 750sqkm .
The extra 30 sqkm will "intentionally" surface from mitigating the climate change ?
Looking BEYOND reality!
Thank you.
[6:42 pm, 06/03/2023] +Rama: Liu Tai Ker had 10 million in mind!
[6:42 pm, 06/03/2023] +Smiley face: No peanuts then feed on bananas or other wise edibles!
Adapt and move on...
Thank youm
[6:42 pm, 06/03/2023] +Rama: Lab grown nutrients!
[6:43 pm, 06/03/2023] +Smiley face: Let's try 8 million...
Given this gorillas, aka climate change.
For glory and never be greedy!
Thank you.
[6:43 pm, 06/03/2023] +Rama: π³π€·♂️π
[6:43 pm, 06/03/2023] +Smiley face: Also boleh.
Thank you.
[6:43 pm, 06/03/2023] +Smiley face: GDP is like a person's CREDIT WORTHINESS!
Thank you.
[6:45 pm, 06/03/2023] +Rama: Our country credit worthiness is AAA!
[6:46 pm, 06/03/2023] +Smiley face: ZERO to HERO or...
[6:47 pm, 06/03/2023] +Smiley face: "You see, this entire world is a GAME OF VALUATIONS and values!"
- - anonymity
[6:48 pm, 06/03/2023] +Smiley face: Much dislike longer essay coming...
[6:49 pm, 06/03/2023] +Rama: Can you do a e book on anonymity quotes!?
[6:50 pm, 06/03/2023] +REACH: Dear Contributors,
⏰ We will be closing the chat in 10 minutes ⏰
Thank you very much for being part of our WhatsApp chat and participating actively.
Goodnight!
Megan π
[6:50 pm, 06/03/2023] +Smiley face: There are many smarter people in this world (hiding)...!
Thank you.
[6:51 pm, 06/03/2023] +Smiley face: 6 March, 2023
To: Our Distinguished Leaders, Economists & Medical Experts, Entrepreneurs & Agencies, And All Honorable Members
To live healthier or to die or to slowly dies?
"The Universal Healthcare system, whereby it's almost free care to most people,...doing the impossibles?"
- - anonymity
Which World?
From the less developed, the developing and the highly developed nations, all are suffering from this 'parasitic' disease of equality! The magnitude of inequalities vary from one to the next (across), these three models of economic growth engines.
The Evils and the goodness?
After WW2, all things seems equal and inequalities was unseen (less talk able) not till the beginning of the 1970s. You see, the inequalities started 'exponentially' (explosions of wealth) in the 80s and into today's world! Then and now, a lowest cost strategy of the factors of production.
One surity that is the inevitable "culture" of digitisations will hit all of us! From renewable energy like solar and battery to EV, AV (autonomous) AI and med-tech. These new ways of lives and livelihoods will further broaden the inequality of the human race! This mad race has started and billions will lose, be left behind with limited avenues of bouncing back onto these faster and changing new economic and technological orders.
It is of paramount concern to mend this inequality gap between the able, the unable (future) and the disabled!
Arguably?
The current structure of healthcare ecosystems are not ready for universal care? Are citizens/residents of a country prepared to pay income tax rates like Europe and North America to sustain such a system in view of ageing and disruptions due to digitalizing the economies of tomorrow (by 2030)? Is it necessary to overly tax all men and/or BURDEN the middle class and downwards just to make the ends meet?
Possibility?
Frugality vs Free and Easy!
"When a housewife goes to buy her groceries with $300 budget in her purse. How to fill up one trolley and one basket full of goodies?"
You buy things that fills the stomach than things that fills the home! Is not about the chickens nor the eggs, it's about the chicks!
Spent on what is needed and avoid or even cut expenses elsewhere or freely spent to create the trajectory of growth, frugally?
One golden rule to equalize social inequality is to continuously hit 6% or more annual growth? (An annual growth of 3% or less will cause deficit to a nation's budget.) Besides education and healthcare, you create matchable jobs, you create equal opportunities and you enlarge the "living space" (a metaphor) for the 80% of your citizens.
How to equal that opportunity?
A non monopolistic model.
A business entity from the starting point of 100% ownership to the scaling of this business model to inclusively allocating up to 30% of equity to a group of deserving pioneering staff. Thereafter, in organic growth, this model of Inclusiveness and reward systems (replicates) shall mushroom to overseas markets from neighboring shores to crossing the ocean to the new hinderland!
Possible or self interests or fearful of failures and hurdles? That's ENTERPRISING 101!
- - in progress - -
[6:57 pm, 06/03/2023] +Rama: Yes
[6:58 pm, 06/03/2023] +Smiley face: "The world is like a game of chess"
- - anonymity
"δΈηε°±εδΈηζ£"
[6:59 pm, 06/03/2023] +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 π
====
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