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medical cost: health net that was not there
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redbean



Joined: 07 Mar 2006
Posts: 13853
Location: singapore

PostPosted: Thu Oct 04, 2018 8:18 am    Post subject: Reply with quote

Govt hospital as profit making business
I wrote about this subject many years back, that with the increasing medical fees and profits in the health business many govt doctors and specialists would be attracted to leave for the private sector to make their millions. The smell of money is intoxicating. And there is no need to utter silly things like big sacrifices. This is only human nature. Everyone in any profession would be attracted and want to make as much money as they could. Staying and working in the govt hospitals would no longer be a good choice except for those that value their contribution to the bigger good of society and patients more than money making.
As such it would be expedient and practical for some sort of arrangement or combination to allow govt hospital doctors and specialists to enjoy some monetary perks by offering their expertise to private patients at market rate. Govt hospitals could set aside a certain percentage of hospital beds and doctors/specialists for this purpose to take a share of the medical tourism business.
A main benefit for such an arrangement is to retain more doctors/specialists in govt hospitals as otherwise they would leave for the more rewarding private sector. Another benefit is that the profits generated could be used to lower the cost of subsidised patients in govt hospitals. In this way, both the doctors/specialists and subsidized patients would be winners, and lesser staff turnover problems for govt hospitals. The govt doctors and specialists would be recognized and rewarded to some extent for their skills and expertise without having to envy their rich peers in the private sectors.
The caveat is that there must be enough capacity in govt hospitals to take care of full paying private patients and the general public on subsidized rates. This is basic in managing skills. Carefully tweaked this could be a win win solution for all parties.
I just read in theindependent that this scheme was actually in practice for a number of years but would be stopped because of the short supply of beds in govt hospitals. This is from theindependent.sg, ‘After nearly a decade of not banning such practices, MOH has now told hospitals that they are no longer allowed to “actively market themselves to foreign patients” since the priority of public healthcare institutions must be to serve Singaporeans’ healthcare needs.
MOH’s decision comes after the public hospital bed crunch across Singapore, in recent years.
In one notable case in 2014, CGH pitched tents on its hospital grounds to accommodate patients after reaching 100 per cent bed occupancy and despite renting wards from private hospitals to hold patients….’

With the termination of this arrangement, I think it would become a lose lose situation for all. And the cause of it, not enough hospital beds. Why? Don’t they plan ahead in view of the greater demands for hospital beds and services? I can think of the bicycle sharing schemes, a good scheme but short in planning. They never cater for more bicycle parking lots and regulations to stop littering of bicycles everywhere.
When there is high demand for such medical services, why don’t they build more hospitals and provide more beds? Not so simple? KNN, super talents with super out of this world pay cannot find a better solution than just simply stopping a good scheme that benefits everyone, including govt revenue, cannot plan ahead? This business is high value added, good profits, anytime better than promoting more kopitiams and hawker centres for low and semi skill labour and low returns that befit third world countries aspirations, or building more shopping centres.
Medical tourism is good business, highly reputable and highly desirable business requiring high skilled professionals, and a little planning and foresight could avoid this simple logistic problem of demand and supply.
What do you think?
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what i posted is just my personal view. feel free to disagree.
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redbean



Joined: 07 Mar 2006
Posts: 13853
Location: singapore

PostPosted: Sun Nov 11, 2018 8:33 am    Post subject: Reply with quote

Better for senior citizens to have 2 flu jabs a year
A study by the National Centre for Infectious Diseases and Tan Tock Seng Hospital has recommended that the elderly should go for 2 vaccinations annually against flu and respiratory illnesses. This is a good advice as flu attack seems so common especially for the elderly and for me. This is one of the irritating things that happens to me regularly and I have tried many methods to prevent this from happening. With so many foreigners from little corners of the world, Singaporeans are now exposed to many funny and strange viruses that were not here before the open leg policy.
I dunno how much it would cost for the two jabs and for the pain that is part of poking a needle into the skin and flesh. Two instead of one jab would definitely be better as a protection. It was reported in thenewpaper that the second jab would provide better protection against 3 influenza strains.
I think protecting against 3 strains may not be enough given the number of foreigners from all corners of the world in our midst. Instead of going for the 2 jabs to be protected against the 3 strains, I have chosen to be exposed to more strains and getting free vaccinations without the pain and the cost, by taking public transport, especially the crowded trains. I am daily being vaccinated and should be protected by the numerous strains in the air in the confined space of trains when one has to share the air with everyone in the train. And if one is lucky to stand or sit beside someone with a running nose, the impact and exposure would be several hundred times more.
I know as it would hit me almost immediately. My experiment with these unwelcome attacks in the train is to pop a couple of paraceptamol the moment I reached the office. Sometimes I may need another two or four tablets to make sure the free vaccinations did not turn into a full blown flu attack. So far it has worked. Instead of having to suffer two weeks of flu, headache, slight fever and general discomfort and a couple of dozens of paraceptamol, so far I could make do with 2 to 8 tablets to keep the flu from becoming full blown.
What I know from my personal experience and experiment is that there must be many more strains in the train/air. This is confirmed by the discomfort and earlier signs of a flu attack everytime I sit/stand beside someone with flu/running nose, in the train.
Hopefully after a year or two of daily vaccination in the train, my antibody level will be high to protect me from all strains of flu. Unfortunately, after so many years being vaccinated in the train, the attack keeps coming on. I can only conclude that there must be many strains of flu due to the constant changing of foreigners from our open leg policy and the constant mutation of the flu viruses.
The only comfort from my experiment is that I did not have to keep going for jabs and to pay for them. I have them free, in the train, daily, being exposed to the latest strains when they arrived, in the train. And these are live viruses, not the dead viruses used in vaccination. Think my resistance system should be stronger, with stronger antibodies. But I am still being hit very often.
If being exposed to these deadly viruses daily, twice a day, and I am still getting the flu, would exposing to 3 strains of dead viruses help? Or would the daily exposure would be more than is needed than being exposed twice a year with vaccination jabs?
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