20 Nov, 05:35AM in sunny Singapore!

Recent Posts by bic_cherry

Subscribe to Recent Posts by bic_cherry

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Singapore private Hospital seizes $300,000+ of assets from heart bypass patient to satisfy hospital bill.
      Wonder which private hospital cos CNA did not mention, wonder which insurer, collected the premiums but did not give effective counselling so patient MISTAKENLY chose private hospital cover when she was actually NOT insured for her very lazy and UNHEALTHY lifestyle (most like sleep little, didn't exercise, ate too much etc resulting in eventual need for heart bypass surgery... would have been worse if she were mean to others cos that is bad for personal karma (raises the blood pressure and cholesterol, eat too much sugar n get diabetes, makes one grumpy n quarrelsome and angry w everyone else all the time etc)... anyway, she has amassed a large amount of wealth on earth judging by all the expensive looking furniture in her big house, she should have been less greedy for physical possessions and done more charity which would have reduced her blood pressure and cholesterol (charity is actually good exercise since u have to physically visit the poor, patiently interact with them to understand their plight and brainstorm about effective ways of improving their plight and visit them countless times to make sure that your suggestions are properly implemented whilst training oneself to be a better person @the same time).

      Insurer won because arbitrator agreed that contract favoured the insurers case. They had written the contract in such a way that the client would not be covered for heart problems at private hospital.

      Hospital won the case because patient PURPOSELY chose private hospital to get princess treatment instead of going to a gahmen one unlike our faultless , teflon Singapore Minister of Transport who had his at National Heart Center @A1+++ class for just $8 in 2010. So clever, that is why can be Transport Minister to solve SMRT flooding n train collisions...
      KBW showing off his $8 urgent heart bypass to bypass life threatening levels of fat and cholesterol had been found built up over the years in his heart arteries.
      [Image: Khaw+Boon+Wan.jpg] https://www.facebook.com/notes/theonlinecitizen/khaw-boon-wan-pays-s8-for-bypass-surgery/446633433963
      Silly women, lost some of her possessions to the karang guni n court bailiff on 9th November 2017.
      ============
      Pay attention to exclusion clauses in health insurance: Experts
      By Kamini Devadass 19 Nov 2017 12:36AM (Updated: 19 Nov 2017 12:40AM)
      A 73-year-old woman thought her hospital bill for a heart bypass surgery in 2013 would be covered by insurance but her upgraded policy had an exclusion clause for heart-related conditions. To pay bills owed to the hospital, the High Court ordered an auction of some of her assets.

      Read more at http://www.channelnewsasia.com/news/singapore/pay-attention-to-exclusion-clauses-in-health-insurance-experts-9419058

      Peektures from CNA video (some annotations I added tongue in cheek though (based on my interpretation of the video)):
      [Image: xwVyqHY.jpg]
      Expensive lookin table:
      [Image: I6ro69b.jpg]
      Seized:
      [Image: fffBqAZ.jpg]
      I wonder how many microwave ovens make up S$300,000+...
      [Image: AgKzByU.jpg]
      Guys to do the seizing (look like professional karang guni men/ ex-ah loong san etc):
      [Image: FI6F6id.jpg]
      I believe that that's Mdm Tan showing the karang guni around although all her bank account statements are probably safely in her back pack sling bag.
      [Image: KxdjrAH.jpg]
      Very big landed property the Tan's own i assume (unless rented, if so, why cannot stay HDB?)
      [Image: cu1Goqm.jpg]
      Not my fault, I also did not put my HPB step tracker on legs of my dog, religiously exercised 150mins a week all my life, controlled my diet, shunned alcohol, helped the poor and interacted closely with them and never lost my temper... but just thought that the medical insurance company was Santa Claus whose job was to give me a free lunch...
      [Image: 8zDMmON.jpg]
      [Image: rBolHNP.jpg]

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Partnering Bike rental companies in War Against Diabetes and MRT train breakdowns.

      [​IMG]

      Tax bike rental companies $30/bike/annum to operate due to the fact that they incur public infrastructure costs for provision of dockless public rental bike parking bays and more frequently require PUB and police assistance etc for theft, flooding etc when the public, annoyed by them cause obstruction by dumping them in canals resulting in PUB anti-flood operations and canal maintenance costs.

      The notional licensing fee of $30/bike/annum would make rental companies more alert to providing good service since there would be per bike bottom line costs to operate unlike current uncompetitive market whereby obike charges $2/hour whilst ofo usual charge is $0.50/ride. Obike also demands $49deposit whilst ofo requires none: the disparate charges may cause some citizens to accuse obike of overcharging and even act out dysfunctionally by dumping obikes in canals and give PUB additional headache by causing flooding due to canal/drain waterflow obstruction : obike is unlikely to compensate for the subsequent flood nor retrieve a salt water damaged/corroded bike unfit for use resulting in PUB having to foot increased garbage disposal costs even for the dockless bike itself. The intent of the dockless rental bike license fee is thus to keep bike rental quality standards up, prices competitive and to maintain the public perception that rental bikes are indeed a genuine public good. Many would not hesitate to have bike abusers punished and also report damaged / illegally parked bikes promptly resulting in better user experience and public acceptance of dockless public rental bikes as part of a cosmopolitan city scape.

      The $30/bike p.a.licensing fees should be 100% recirculated back to Singapore citizens and PR vz a 10hours/ $10/month voucher (whichever higher) for use by every bike rental company (or an amt proportional to bike license fees paid by each company) for free use of bikes by citizens who will also NOT have to pay the $49 bike deposit (obike, Mobike) provided they register vz identity card number as verified by Singpass account 2 step authentication vz sms code to registered phone number. Utilization of quota of foc use vouchers by citizens would offset the bike rental licensing fees payable by ofo, obike, Mobike etc and convince all citizens that public dockless bike rental is a public good and thus here to stay. Ultimately, some dockless public bicycle hire companies would pay zero licensing fees (having been offset by citizens utilizing their quotas) whilst others may have their business sunk by license fee costs and poor public response due to uncompetitive charges / poor quality /non-existent service provision.

      LTA may also subsidise of waive all dockless bike rental each time the SMRT breaks down to alleviate public transportation woes or make bike use free during peak periods to alleviate the need for MRT use discounts to shift peak hour overcrowding issues. Early closure of MRT lines to facilitate maintenance work would also be less painful.

      Not to mention the tremendous strides in the War against Diabetes as more Singaporeans adopt a physically active lifestyle, improve environmental conditions due to lesser fossil fuel use and make Singapore a truely cosmopolitan capital where being able to operate a bicycle can be the most important passport to seeing the whole of Singapore.

      PS: "people who cycled to work had a 52% lower risk of dying from cardiovascular diseases, and a 40% lower risk of dying from cancer than those who drive or take public transport." http://www.ethozgroup.com/first-timers-guide-bike-sharing-singapore/ 


      PS: the licensing fee of $30 is just a ball park figure subject to adjustment as case may be. The most important thing being the RECIRCULATION of the licensing fee 100% back to citizens to use bicycle FOC within quota limits to improve the public perception of bike rental companies and improve mass adoption of a physically active and rugged lifestyle. In this process, PUB would also improve its anti-flood performance and reduce canal cleaning costs as fewer disgruntled citizens dump dockless hire bikes into canals and drains.

      PS: All dockless hire bikes should have a visible registration number and the rider particulars , geo position etc details should be traceable and retrievable by LTA in the case of dangerous or inconsiderate riding behavior.

      PS: 10 foc hours/month/citizen is derived as follows:
      Total dockless rental bikes in SG i estimate is 100,000. X 24hrs X 30days = 72,000,000 hrs.
      Tax 20%= 14,4000,000 hrs.
      Divide by 5m population = 2.88hrs.
      Approx only a quarter of population at best will use service, so 10hrs is a fair estimate to begin with. So dockless bike rental companies will be able to retrieve their dockless bike licensing fees if they show that they have done their fair share in war against DIABETES if citizens on average use dockless bike rental services 2.88hrs/month vz the 10foc hours/month rental scheme.
      Based on 10hrs/month @ $0.50/ride (estimated to last 1hr) ofo bike rental rate, a dockless bike licensing fee of $60/bike p.a. is fair and 100% redeemable if a bike company is able to attract citizens to utilise their bike rental quotas of up to 10 foc cycling hours/month.

  • bic_cherry's Avatar
    422 posts since Jul '05
    • SMRT bait and switch ruse is finally dead.
      Were the FOC train rides indeed for real?
      ---------
      DEFINITION of 'Bait And Switch'
      A dishonest marketing tactic in which a marketer advertises a very attractive price/rate/term that is really a teaser rate meant to attract customers. Once the customer comes into the store/office to inquire about the advertised price/rate (the "bait"), the advertiser will attempt to sell the customer a more expensive product (the "switch").
      Read more: Bait And Switch http://www.investopedia.com/terms/b/bait-switch.asp
      ---------------------
      Problems with the old 18 City free exit stations in the pre Dec28, 2017 scheme:
      1st, the scheme was UNFAIR because whilst I definitely helped cause congestion in MRT train when traveling in train right through the city area, i would purposely not travel off peak because even if i did so, my destination NOT being one of the privileged 18 stations located in the privileged CBD location, would yield zero discount, and thus the scheme was lost on me.

      2nd ly, the MRT was so plagued with delays that i would wonder if commuters were being swindled of their promised free trip: trips would not be free if due to train fault, the commuter exited AFTER 7.45am... which made the free trip like a lottery win: only achievable if the train system didn't breakdown due to ignorant MOT staff/ negligent design: i.e. the minister of transport didn't need to find somebody else to blame that day.

      =========

      Off-peak perks likely to ease rail crowds, say experts
      Transport experts said the new scheme has a better chance of getting people to travel earlier than the existing free pre-peak period initiative, which is only for city area stations. 
      [Image: ST_20171031_VNMRT3_3524982.jpg]
      Transport experts said the new scheme has a better chance of getting people to travel earlier than the existing free pre-peak period initiative, which is only for city area stations. ST PHOTO: ALPHONSUS CHERN
      PUBLISHED 31 October 2017
      Sue-Ann Tan
      Zhaki Abdullah
      Giving subsidies to commuters travelling throughout the MRT network during the morning off-peak period is likely to be an effective move to ease peak-hour crowds, said experts.

      The Public Transport Council announced yesterday that commuters who tap in before 7.45am at any train station on weekdays from Dec 29 will receive a discount of up to 50 cents on their fares.

      Transport experts say this is an improvement on the existing scheme, which gives free rides to those who tap out before 7.45am at 18 MRT stations in the city area.

      Associate Professor Michael Li, a transport economist at Nanyang Technological University, said: "This is the right move. By giving the off-peak incentive, it should encourage people to move towards that time bracket.

      "Commuters definitely would respond. If 5 per cent of commuters make the shift, I think it would be a success."

      He added, however, that the Government would need to do a trial and error of the discount quantum to reach a price point that is most attractive for commuters to distribute the load more evenly.

      Singapore University of Social Sciences economist Walter Theseira agreed that the new scheme would ease peak-hour congestion.

      He added that it had a better chance of getting people to travel earlier than the existing free pre-peak period initiative.

      "Previously, people had to tap out before 7.45am to get free travel, so it benefits those who already travel very early anyway. Now, by shifting 7.45am to the time people tap in, it is more targeted at those who travel around 8am to 9am, which is when there is a spike in commuters."

      He added: "It is now also nationwide rather than just the city area, including congested stations such as Jurong East. There are many travelling to work in commercial areas outside the city, so this will impact them too."

      Commuters interviewed had mixed views on whether such a move would make them change their travel patterns.

      Ms Nadia Rosli, 24, a project manager at a food manufacturing company, said she would not wake up 30 minutes earlier for a 50-cent reduction. "Maybe I would do it once a week but definitely not every day," she said.

      mrt.jpg
      The new off-peak discount will apply to all stations and when a commuter taps in before 7.45am. 
      Related Story
      Discount for commuters who enter stations before 7.45am on weekdays; all other fares unchanged

      "I would also rather have fast, efficient trains that don't break down as much even if it meant paying slightly higher fares," she added.

      Mr Eugene Tay, 42, an executive officer, said: "I tap in at 6.45am, so I will get the discount but it's not a big deal. I would prefer that the trains are more frequent and on time."

      Ms Deanna Lim, 23, a lifestyle blog intern, said she would consider travelling earlier for the discount.

      "If I get to work an hour or so earlier, I can go to the gym and have breakfast before work. I wake up early anyway, so it isn't such an issue for me," she said.

      A version of this article appeared in the print edition of The Straits Times on October 31, 2017, with the headline 'Off-peak perks likely to ease rail crowds, say experts'.

      http://www.straitstimes.com/singapore/transport/off-peak-perks-likely-to-ease-rail-crowds-say-experts

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Chronic lifestyle disease sufferers will have few future full-time job options.
      "an ageing workforce and medical cost inflation in Singapore are projected to drive up average medical costs per employee by 108 per cent to S$1,973 per year in 2030, representing a mounting financial burden for employers.... ....What is worth noting is that 60 per cent of all medical claim costs will be attributable to 10 per cent of claimants, said Mercer..."

      Means that HR will also require submission of smoking status, waist-height ratio/BMI, impedance tested muscle to fat ratio https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842420/, IPPT / 2.4km run timing score, pre-IPPT SAF FFI results by interested candidates to qualify for job interview since a sickly employee can easily cause company purchased employee healthcare insurance premiums to rise stratospherically (~$12k p.a. /pax upwards) if insurance actuaries determine the employee population to be high healthcare service consumption risk at application / annual renewal of healthcare insurance policy. 

      Productivity loss (average $2-4000/pax p.a.) due to drowsiness @work or sick leave would also be high for employees with diabetes, hypertension, obstructive sleep apnea, high cholesterol, smokers etc.

      Personal health will be one key employee selection criteria towards the provision of future full-time job /employment.

      =========
      Singapore productivity loss due to sick leave may hit $3.3b by 2030: Mercer study
      [Image: officeworkers25.jpg]
      The study reveals that an ageing workforce and medical cost inflation in Singapore are projected to drive up average medical costs per employee by 108 per cent.
      The study reveals that an ageing workforce and medical cost inflation in Singapore are projected to drive up average medical costs per employee by 108 per cent.PHOTO: ST FILE
      PUBLISHED. OCT 25, 2017, 10:46 AM SGT
      Ann Williams
      SINGAPORE - Singapore productivity loss due to sickness absenteeism may reach S$3.3 billion by 2030, says Mercer in a study released on Wednesday (Oct 25).

      The study reveals that an ageing workforce and medical cost inflation in Singapore are projected to drive up average medical costs per employee by 108 per cent to S$1,973 per year in 2030, representing a mounting financial burden for employers.

      Mercer, together with Marsh & McLennan Companies' Asia Pacific Risk Centre (APRC), issued the report on Aging Workforce: Cost And Productivity Challenges Of Ill Health In Singapore.


      The segment of Singapore employees aged over 50 is projected to increase by 55 per cent, and to represent 40 per cent of the workforce by 2030. With an increase in demand for medical services, the ageing demographic will contribute to 41 per cent of the escalation in medical costs, as it will drive a rise in the utilisation of healthcare services, which together with healthcare cost inflation, will result in a significant surge in overall costs.

      "With improved management of health conditions permitting individuals to stay in the workforce longer, increasing financial needs in retirement, as well as more flexible employment options, such as working from home, and on-demand jobs in the gig economy, there is a growing trend for Singapore employees to postpone their retirement," said Neil Narale, Singapore business leader for Mercer Marsh Benefits.

      "However, health risks increase with age, ranging from diminishing motor and sensory functions to a greater incidence of chronic diseases, which will create challenges for employers."

      In Singapore, societal ageing is estimated to drive the prevalence of chronic diseases such as cancer and diabetes by up to 200 per cent by 2030, which means Singapore will face the challenges of stagnating productivity growth through increasing rates of absenteeism and presenteeism, said the report.

      Based on current trends, productivity loss due to sickness absenteeism per employee is projected to increase by 25 per cent based on GNI (gross national income). With an ageing workforce, at the national level this represents a cost of S$3.3 billion by 2030, a 43 per cent increase from 2016.

      [Image: mercer.png]

      What is worth noting is that 60 per cent of all medical claim costs will be attributable to 10 per cent of claimants, said Mercer.

      This highlights the value of interventions for high-risk groups, such as health and wellness programmes to reduce the incidence of disease, and screening for earlier detection of disease, it added.

      But while an ageing workforce may present challenges related to higher healthcare needs, older workers are associated with advantages such as greater firm-specific knowledge and lower turnover rates, Mercer noted.

      "If managed properly, diversity of age at work can serve to improve productivity and reduce the need for governments to tax corporates and the next generation to support the elderly," said Mr Narale.

      http://www.straitstimes.com/business/economy/singapore-productivity-loss-due-to-sick-leave-may-hit-s33b-by-2030-mercer-study

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Singapore Hospitals overflow due to citizens following leader's UNHEALTHY LIFESTYLE examples.

      See bottom for example to the bad, unhealthy lifestyle examples set by political leaders in Singapore.

      Can patients go to any hospital in an emergency?
      PUBLISHED. OCT 26, 2017, 5:00 AM SGT
      I read with some concern the report on the Gleneagles Hospital security guard who suffered a heart attack (Gleneagles to pay security guard's medical bill; Oct 14).
      The patient suffered the attack on the hospital's premises and was duly looked after there.
      There were attempts to transfer him to Singapore General Hospital (SGH) but no beds were available till several days later.
      The incident made me wonder if SGH is the only public hospital here with heart specialists.
      If the other hospitals do have heart specialists, did SGH attempt to get in touch with them to secure a bed for the patient?
      Also, if the patient had suffered the attack at home, should his family have taken him to SGH or the closest public hospital.
      Should a patient who suffers a heart attack be taken to one hospital and to another for, say, a stroke?
      Could the Ministry of Health help the public understand the protocol in handling life-threatening cases and how to react in such emergencies?
      Frank Yeo Yong Chong
      A version of this article appeared in the print edition of The Straits Times on October 26, 2017, with the headline 'Can patients go to any hospital in an emergency?'.
      http://www.straitstimes.com/forum/letters-in-print/can-patients-go-to-any-hospital-in-an-emergency

      =============
      Singapore parliamentarians need to be better paragons of fitness & health for the rest of society to follow.
      After all, all PAP MPs/ MP wannabes are bestowed by PA titles and gahmen funds for their campaign (brainwashing) activities in their post as "advisers to grassroots organisations" (in all INCLUDING opposition MP held constituencies), thus, for Singaporean population/ human resorces to be productive to begin with, such advisers also have to be fine examples of fitness and good health, no?

      "As of 2010, more than half of Singapore's adult population between 18 and 69 years old have high cholesterol, four in 10 are overweight or obese, a quarter have prediabetes or diabetes and about one in five has hypertension."

      [Image: yan7.jpg](alt pict view)
      [Image: yan1.jpg](alt img view)http://danielfooddiary.com/2014/06/14/yan/
      KBW showing off his $8 urgent heart bypass to bypass life threatening levels of fat and cholesterol had been found built up over the years in his heart arteries.
      [Image: Khaw+Boon+Wan.jpg]https://www.facebook.com/notes/theonlinecitizen/khaw-boon-wan-pays-s8-for-bypass-surgery/446633433963
      HSK sleeps much less than 4.5hrs/night, like his brain needs no rest:
      "Fellow Tampines MP Desmond Choo was also shocked at the news.
      "We've never heard anything like this. To me, he's like Superman," said Mr Choo.
      "The number of hours he works and the kind of attention span he has, it's amazing."
      The 2012 Hougang by-election candidate recalled the days when he worked closely with Mr Heng, whom he sees as a fatherly figure and source of inspiration.
      "During the by-election period, we would discuss issues until 2am and he would ask me to go home," said Mr Choo.
      "'As a candidate, you need rest,' he would tell me while he continued working with activists. When I returned in the morning, at about 6.30am, he'd already be there."
      http://www.tnp.sg/news/singapore/shanmugam-heng-was-carrying-incredible-load
      [Image: maxresdefault.jpg]http://www.straitstimes.com/singapore/finance-minister-heng-swee-keat-feeling-great-apologises-for-not-being-able-to-attend-ndp
      PM LHL, too much fried wings/chendol (fatty food) or skipped sleep before presenting NDR2016/ a mild stroke?:
      [Image: isetO2w.gif]https://edmwimg.wordpress.com/tag/lee-hsien-loong/page/5/
      [Image: Diabetic-Foot-1.jpg]
      [Image: slide_8.jpg]
      [Image: Lv5ToAs.jpg]

      Quote:1 in 10 stroke patients here aged under 50
      PUBLISHED NOV 19, 2016, 5:00 AM SGT
      Linette Lai
      While older people are far more likely to suffer a stroke, one in 10 stroke patients in Singapore is under 50 years old.
      Medical conditions such as high blood pressure or high cholesterol can make a person more likely to get a stroke, say doctors.
      Smoking, too, puts you at risk.

      Last Saturday, Singaporean businesswoman Linda Koh was found unconscious in her Hong Kong hotel room. The 36-year-old was rushed to hospital, where she died soon after.
      Doctors subsequently found that she had suffered a stroke.
      Her father, Mr Alan Koh, told Chinese newspaper Shin Min Daily News that his daughter had a history of high blood pressure and was taking medication for it.
      Strokes occur when part of the blood supply to the brain is cut off.
      The latest figures from the National Registry of Disease Office show that there were 6,943 cases of strokes in 2014, up from 6,642 the previous year.
      They are the fourth most common cause of death in Singapore, and tend to occur among men.
      The incidence rate for men aged between 35 and 44 who were admitted to public hospitals for stroke in 2014 was 58 per 100,000 people, compared with 24 per 100,000 for women in the same age group.
      Doctors who spoke to The Straits Times said there are rarely any warning signs before a stroke happens.
      "Some strokes may be preceded by severe headaches or neck pain," said Dr Carol Tham, a consultant from the National Neuroscience Institute's neurology department. "Unfortunately, most patients do not have any warning symptoms before the stroke occurs."
      During a stroke, people often experience difficulty speaking and walking, weakness on one side of their bodies, and even temporary blindness.
      Dr Ho King Hee, a neurologist at Gleneagles Hospital Singapore, said strokes that result in sudden death are likely to be due to bleeding in the brain from a ruptured blood vessel, rather than a blockage.
      "If you are older, it means that there is more time for damage (to the blood vessels) to accumulate," he said. "But a stroke can happen at any age."
      He advises people who have conditions such as high blood pressure, high cholesterol and diabetes to keep them in check.
      Dr Tham added that doctors may also prescribe blood-thinning medication for people whose blood tends to clot.
      "If a person has any symptoms of stroke... he should seek treatment at the emergency department immediately as early treatment can help to reduce the disability caused by strokes," she said.
      A version of this article appeared in the print edition of The Straits Times on November 19, 2016, with the headline '1 in 10 stroke patients here aged under 50'.
      http://www.straitstimes.com/singapore/1-in-10-stroke-patients-here-aged-under-50

  • bic_cherry's Avatar
    422 posts since Jul '05
    • [NSL flooding] KBW "has failed us". 

      KBW vz LTA was fully aware about the irreparable state of the 5000cuM sump pool emptying pumps for the purpose of water drainage of the downwards sloping tracks between Bishan (ground level) and Braddell (underground) MRT stations (to prevent flooding of Braddell MRT station).

      LTA, being the Owner of all MRT assets, is fully cognizant about the safety aspects and mechanical details of main property infrastructure and their safe use thereof.

      LTA being owner of the main infrastructure is duty bound to state in contract when tendering for MRT train operating companies, the critical KPI CHECKLIST for the safe operation of train services in Singapore. Besides the periodic testing, maintenance of automatic float mechanism pump switches and pumps, sump water level monitors and alarms etc , the cleaning of the sump of debris and sludge is essential for the system to work.

      LTA in agreeing to pay for replacement of the entire pump system on 29September 2017, should also have studied the checklist to ensure that the sump was fully empty: corresponding to the LTA agreement with subcontractor transport operator that the pump system was beyond economic repair by the transport operator (SMRT).

      Had LTA provided the subcontractor with a proper sump+ pump system maintenance and assessment time table and checklist, then LTA would have been well aware and in control of the situation and totally averted the 7th October 2017 NS line shutdown for almost 20hours.

      Such an LTA provided CHECKLIST would have inspired LTA to seek SCDF assistance to drain the 5000cuM sump long BEFORE 7th October (rather than after) since a proper sump water level reading would itself have triggered all alarm bells.

      Incidentally, such a checklist would also provide sump+pump drainage operability / performance and determine the most economical options forward.

      Right from the start, it is LTA that was totally sleeping on the job and merely behaving like a mere shareholder / banker of the SMRT company and only depending on SMRT for revenue collection but having zero idea how the MRT is actually designed to operate /work.

      By blaming SMRT for what is essentially LTA negligence /fault from the start, LTA is making it hostile / unfavourable for other public transport sub contractors to bid competitively to run public transport route services and thus unnecessarily escalating public transport costs in Singapore.

      In this regard, Minister Khaw Boon Wan is a lousy workman with the habit of sleeping on the job and then blaming his tools. KBW has "failed us" and his continued appointment as minister for transport is "sad and unnecessary ". Again, in his own words, his appointment as minister "should not have happened"; he should be REPLACED ASAP with someone more capable and embracing a broader overview of public transport provision as a whole.
      -----------------
      Pls also see [Braddell MRT]One switch spoilt = change the entire pump system ... KBW must justify use of state funds!!! to see if total replacement of the entire drainage pump system is actually necessary / just a knee jerk, bazooka shot in the dark: i.e. IRRESPONSIBLE SQUANDERING of public funds by LTA under leadership of KBW.
      ===
      Khaw Boon Wan on NSL flooding: SMRT maintenance team 'failed us'
      Singapore
      Khaw Boon Wan on NSL flooding: SMRT maintenance team 'failed us'

      Train operator SMRT has apologised for the flooding at the Bishan-Braddell MRT tunnel which disrupted services along the North-South Line on Oct 7 and 8. Dr Zhou Yi, a council member at the Institution of Engineers in Singapore, says the situation was preventable.

      related media assets (image or videos) available. Click to see the gallery.
      By Justin Ong
      16 Oct 2017 06:30PM
      (Updated: 16 Oct 2017 11:07PM)

      SINGAPORE: Transport Minister Khaw Boon Wan on Monday (Oct 16) said the SMRT maintenance team in charge of the anti-flood system at Bishan station had “failed us”, in his first public address on the major North-South Line (NSL) tunnel flooding incident two weekends ago.

      On the evening of Oct 7 - a Saturday - torrential rainwater seeped in at Bishan station, causing the underground tunnel leading to Newton station to be submerged up to waist level.

      SMRT had to cut off trackside power supply as a safety precaution, causing service on six stops across the NSL to be disabled for about 20 hours. More than a quarter of a million commuters were affected.

      It was Singapore’s first disruption due to flooding and one of SMRT’s worst breakdowns in recent history, prompting much public unhappiness.

      The incident was “sad and unnecessary” - but preventable and should not have happened, said Mr Khaw.

      “We are all sorry it did ... Whatever follow-up action which needs to be done, has already started. Nothing has been covered up.”

      “The incident has pushed back the recovery of public confidence in us,” he acknowledged.

      “POORLY MAINTAINED”

      Mr Khaw said Singapore’s MRT tunnels were designed to handle local weather and cope with “very extreme storms far more severe than the last few weeks”.

      “The bottom line is they should not have been flooded. But on Oct 7, the stretch at Bishan and Braddell stations did.”

      “There are standard anti-flooding systems with huge stormwater sump pits,” he explained. “Our findings show that the anti-flooding system there was poorly maintained.”

      “In simple terms, the stormwater pit can hold more than 5,000 cubic metres of rainfall ... During that period over the catchment area, rainfall could not have exceeded 700 - let’s stretch it, 1,000 cubic metres.”

      [Image: infographic--how-the-mrt-tunnel-flooded.jpg]

      Said Mr Khaw: “If it were well-maintained, the reservoir should be empty before rain starts to flow. But it overflowed. The pit had not been maintained properly.”

      He later revealed that the Land Transport Authority and SMRT had in fact, on Sep 29, made a decision to replace the pumps.

      “So we are late by a few days. Had they proceeded to replace (the pumps) this thing might not even have happened.

      "But I suppose that is life."


      “WE’VE MADE SERIOUS IMPROVEMENTS”

      The Transport Minister said energies had been focused on rails and train signalling systems instead - which he pointed out had improvements to show.

      “At the beginning I said to give me four or five years. We are at the mid-point now,” he stated.

      “We wanted to close the gap with Taipei’s benchmark of 800,000 km without incident ... We have made serious improvements, we have exceeded next year’s target (of 400,000km) and that’s why I was confident enough to say let’s go for 1 million.

      “But I knew Singaporeans couldn’t relate, because they still hear delays here and there because of resignalling.”

      The main reason for this, said Mr Khaw, can be traced to two major projects ongoing at the same time - improvements to existing lines and resignalling for the NSL.

      “I did say the resignalling would have tonnes of problems. I said so in public, to bear with us,” he said.

      “So even when you evaluate our performance in resignalling, we have done well. That’s why I’m concerned when media reports conflate the two projects and draw wrong conclusions.”
      Source: CNA/am

      Read more at http://www.channelnewsasia.com/news/singapore/khaw-boon-wan-on-nsl-flooding-smrt-maintenance-team-failed-us-9315666

  • bic_cherry's Avatar
    422 posts since Jul '05
    • [Braddell MRT]One switch spoilt = change the entire pump system ... KBW must justify use of state funds!!!

      [Image: Pinnochio.png]
      What was the basis of the LTA urgent decision ("late by a few days") to change the pumps made on 29Sept given to the fact that it was just the pump activation switch (nothing wrong with any pump functioning) that was at fault? (Separate water level monitor and reporting system also spoilt).

      Were the pumps originally damaged due to the quantity of debris collected and uncleared over many years: such that new pumps would have shortened life due to debris build up. Was the pump switch failure due to debris build up too?

      What was the debris clearing protocol and was it strictly adhered to since debris build up is a main cause of RECURRENT switch and pump failure: even if a brand new pump system were installed. It is likely that debris since construction was never cleared since it is proven that the 5000cu m sump reservoir was almost full on 7October. 

      For how long were the water level sensors defective or were SMRT staff ill aware of their existence to begin with.

      Who did LTA discuss with wrt decision to replace the pumps? Had a tender for such an expensive replacement work even been called or was it just an in-principle agreement between some LTA director and seductively dressed vendors that some older water pump models need to be changed?

      Is the switch an ordinary OEM item, just like the water level detectors that NEA uses to detect high drain water levels: if so, would just a proper schedule of pump maintenance and reservoir sludge clearance be sufficient with replacement of the damaged switch (and a rewiring of switches since the pump triggering designed was ill planned in the current case) (one can only know if something really needs replacement if u actually perform maintenance work on it).

      Not all pumps are triggered at the same time due to their stepwise triggering design based upon amount of water collected: thus the pump last to be triggered is likely to be BRAND NEW since even the heavy downpour on 7th October was only 13% of the sump reservoir volume: besides during installation test, the last (3rd) to be triggered pump may be totally brand new (presuming that this is the first instance that the principal trigger switch has ever encountered a fault). The replacement of just the most used (of the three 85 L/sec pumps) would thus suffice (rotating lesser/ unused pumps to more frequent use positions) provided it is proven that replacement is cheaper than parts replacement / routine maintenance.... so what is the LTA's awareness and assessment wrt to the functional state of the pumps since ostensibly, neither LTA nor SMRT were aware of the functionality of the water level meter device, nor the functionality of the pump triggering switch.

      Whilst the LTA might have been aware about the need for water removal pumps to be periodically maintained (/replaced if too costly to fix), it seems CONTRADICTORY for LTA to both plan an urgent, entire pump system replacement (suggestive of beyond salvage pump system) as well as blame SMRT for poor performance when provided with beyond repair pump system since i believe that these industrial standard pump systems costs millions of dollars (not a $2 Diaso ornament/ product that many buy on impulse /fancy) and require regular monitoring, maintenance and some spare part replacement over the working life (like escalators and lifts).

      LTA needs to be hands on and aware about the functionality of its hardware properties such as the serviceability of expensive infrastructure such as heavy duty water pumps and should operate a routine with contractors like SMRT on the maintenance and periodic inspection of such public infrastructure.

      LTA is GUILTY of arm chair leadership and bureaucracy if it's decision to replace the pumps cannot be logically substantiated in the most environmentally friendly and economic way possible. By extension, LTA would be GUILTY of mismanagement of state funds if LTA just threw $$$ blindly at a problem, replacing a probably BRAND NEW pump when the original purpose of having 3 strong pumps with various water level trigger points must surely be for the economical replacement vz downwards pump rotation so that each replaced pump is indeed fully worn out and maxed out its original installation cost.

      "Said Mr Khaw: 'If it were well-maintained, the reservoir should be empty before rain starts to flow. But it overflowed. The pit had not been maintained properly.'
      He later revealed that the Land Transport Authority and SMRT had in fact, on Sep 29, made a decision to replace the pumps."



      Khaw Boon Wan on NSL flooding: SMRT maintenance team 'failed us'
      Singapore
      Khaw Boon Wan on NSL flooding: SMRT maintenance team 'failed us'

      Train operator SMRT has apologised for the flooding at the Bishan-Braddell MRT tunnel which disrupted services along the North-South Line on Oct 7 and 8. Dr Zhou Yi, a council member at the Institution of Engineers in Singapore, says the situation was preventable.

      related media assets (image or videos) available. Click to see the gallery.
      By Justin Ong
      16 Oct 2017 06:30PM
      (Updated: 16 Oct 2017 11:07PM)

      SINGAPORE: Transport Minister Khaw Boon Wan on Monday (Oct 16) said the SMRT maintenance team in charge of the anti-flood system at Bishan station had “failed us”, in his first public address on the major North-South Line (NSL) tunnel flooding incident two weekends ago.

      On the evening of Oct 7 - a Saturday - torrential rainwater seeped in at Bishan station, causing the underground tunnel leading to Newton station to be submerged up to waist level.

      SMRT had to cut off trackside power supply as a safety precaution, causing service on six stops across the NSL to be disabled for about 20 hours. More than a quarter of a million commuters were affected.

      It was Singapore’s first disruption due to flooding and one of SMRT’s worst breakdowns in recent history, prompting much public unhappiness.

      The incident was “sad and unnecessary” - but preventable and should not have happened, said Mr Khaw.

      “We are all sorry it did ... Whatever follow-up action which needs to be done, has already started. Nothing has been covered up.”

      “The incident has pushed back the recovery of public confidence in us,” he acknowledged.


      “POORLY MAINTAINED”

      Mr Khaw said Singapore’s MRT tunnels were designed to handle local weather and cope with “very extreme storms far more severe than the last few weeks”.

      “The bottom line is they should not have been flooded. But on Oct 7, the stretch at Bishan and Braddell stations did.”

      “There are standard anti-flooding systems with huge stormwater sump pits,” he explained. “Our findings show that the anti-flooding system there was poorly maintained.”

      “In simple terms, the stormwater pit can hold more than 5,000 cubic metres of rainfall ... During that period over the catchment area, rainfall could not have exceeded 700 - let’s stretch it, 1,000 cubic metres.”

      [Image: infographic--how-the-mrt-tunnel-flooded.jpg]

      Said Mr Khaw: “If it were well-maintained, the reservoir should be empty before rain starts to flow. But it overflowed. The pit had not been maintained properly.”

      He later revealed that the Land Transport Authority and SMRT had in fact, on Sep 29, made a decision to replace the pumps.

      “So we are late by a few days. Had they proceeded to replace (the pumps) this thing might not even have happened.

      "But I suppose that is life."


      “WE’VE MADE SERIOUS IMPROVEMENTS”

      The Transport Minister said energies had been focused on rails and train signalling systems instead - which he pointed out had improvements to show.

      “At the beginning I said to give me four or five years. We are at the mid-point now,” he stated.

      “We wanted to close the gap with Taipei’s benchmark of 800,000 km without incident ... We have made serious improvements, we have exceeded next year’s target (of 400,000km) and that’s why I was confident enough to say let’s go for 1 million.

      “But I knew Singaporeans couldn’t relate, because they still hear delays here and there because of resignalling.”

      The main reason for this, said Mr Khaw, can be traced to two major projects ongoing at the same time - improvements to existing lines and resignalling for the NSL.

      “I did say the resignalling would have tonnes of problems. I said so in public, to bear with us,” he said.

      “So even when you evaluate our performance in resignalling, we have done well. That’s why I’m concerned when media reports conflate the two projects and draw wrong conclusions.”
      Source: CNA/am

      Read more at http://www.channelnewsasia.com/news/singapore/khaw-boon-wan-on-nsl-flooding-smrt-maintenance-team-failed-us-9315666

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Healthcare policy in Singapore is like a headless chicken.
      [Image: TM9FSb.gif]
      ===========
      Oversupply of specialists is result of policy failure
      PUBLISHED: SEP 23, 2017, 5:00 AM SGT
      It is surprising that the Ministry of Health (MOH) is now shifting the onus of meeting the shortage of "generalists" on to the doctors, suggesting that doctors should either not specialise in certain fields or forgo specialisation altogether (Young docs urged to veer away from specialising; Sept 21).
      There is also the suggestion that the shortage is, in part, due to doctors not practising medicine according to an idealised set of moral standards.
      The scenario painted is very far from the truth.
      As recently as 2008, the MOH put on record that there is a lack of specialists here, and there is a need to produce more of them.
      For instance, in an article published by the Singapore Medical Association in January 2008, the then assistant chief executive officer of the National Healthcare Group wrote: "We are in need of more specialists in Singapore."
      This need for more specialists was the main reason for the adoption of the American residency system as the basis for medical training here in 2010.
      The American residency system is notably different from the British and Australian systems in that it has a pre-determined structure that, in theory, allows specialisation to be accomplished within a set period of time.
      This suggests that more specialists can be produced in a shorter time, compared to the other systems.
      Indeed, as a consequence, Singapore has seen a dramatic increase in the number of specialists among the doctors' ranks.
      Hence, it is not only surprising but also disappointing that the MOH is now pushing the onus on to doctors and their personal motivations.
      A short seven years after the system was implemented, we are already seeing exactly the problems as predicted.
      While no policy is perfect, it is unhelpful that instead of acknowledging failure and seeking a remedy to the problems, the MOH has chosen to obscure the issues at hand.
      Kenny Ching Hwee Seong (Dr)
      http://www.straitstimes.com/forum/letters-in-print/oversupply-of-specialists-is-result-of-policy-failure

  • bic_cherry's Avatar
    422 posts since Jul '05
    • zhihau (SBY) wroteIt's not as simple as input vs output kind of thing. Here's an analogy.

      You pump petrol in a car and it drives the car engine, the car moves. Just as it's like our bodies, the food we eat fuels our activities. The car is made up of many small parts which are subjected to wear and tear and may break down. Our bodies are made up of many cells, each cell having many chemical pathways and influence surrounding cells by biochemical signaling. The downstream cascade may go haywire.

      The choice of petrol can be high octane or low octane, the car can still break down for some funny reasons, just as how we get diabetes despite our high calorie or low calorie diets. It's more of understanding the process of pancreas producing and secreting insulin and glucagon and how these processes help moderate blood glucose levels.

      Genetic disposition, stress levels, diseases can all have a hand in causing diabetes. Pinning the blame squarely on the diet is not correct and very irresponsible.


      Of course it is primarily a CALORIC input and output issue. Every fat(adipose) and muscle cell has a finite limit where caloric content is concerned and any further increase would mandate creation of more fat cells since muscle mass is unlikely to increase without strength training or aerobic exercise .

      Thus the resistance to insulin due to already energy saturated cells.

      With insufficient demand for energy expenditure due to sedentary lifestyles, the pancreas has no choice but to go into overdrive to lower blood glucose levels because high blood glucose is TOXIC to cells (inflammation of blood vessels is what causes heart attacks (atherosclerosis), blindness, kidney failure, amputation etc). High insulin levels can also promote cancer because insulin and human growth hormone have similar origins/function.

      Finally, the system breaks down, firstly due to high blood glucose causing damage to the pancreas itself amongst others, secondarily due to overworked pancreas, fatigued to the point of failure due to the insulin production overdrive.

      Thus, diabetes is indeed a disease caused by caloric consumption being in excess of caloric expenditure resulting in all the excess energy accumulation in the body causing damage everywhere inside (just like how u damage a lithium battery when u charge it to ABOVE capacity).

      For those economically inclined, diabetes is simply a failure of caloric economics with the excess calories causing havoc being too much to properly be absorbed by cells already at their maximum caloric storage limit.

  • bic_cherry's Avatar
    422 posts since Jul '05
    • DIABETES is in essence a chronic caloric excess problem; marked by high glucose levels, insulin resistance caused by high visceral fat (fully saturated adipose cells) due to relatively insufficient activity (exercise) resulting in excessive caloric accumulation (visceral fat etc).

      (Just like traffic jams are harmful to Singapore).

      Both fat cells and muscle cells are instructed by hormone insulin to absorb glucose from blood. However, fat cells and undeveloped (atrophied+ fat saturated) muscle tissues have limited glucose absorption capability either due to fat saturation or else poor function (muscle volume lack due to lack of regular aerobic and weight bearing exercise) respectively.

      Marathon runners consume pure glucose during competitions as an instant energy source but all Olympic standard Marathon runners have minimal visceral fat (and ostensibly no insulin resistance) due to their high metabolism lifestyle in running long distance in training everyday.

      Due to the ready availability of high caloric food in Singapore and the encouragement to eat more ("cashless" payment options), Singaporeans need to exercise more to build more muscle volume and function to increase their calorie burning capacity vz increasing both their resting as well as maximum metabolic rate, as well as reduction of visceral fat so that glucose produced from food can be absorbed by muscles and unsaturated adipose (fat) cells.

      Singapore has done well to make our roads free from traffic jams by limiting the car population with limited COEs, scrapping cars with expired COEs so that roads are optimally used. Calories too can be controlled vz effective supply and demand adjustments: more non-digestible vegetable matter, complex foods: unprocessed natural fat and protein can lengthen the duration of digestion (satiety) and thus reduce between meal hunger pangs whilst increased exercise and measurable volumetric increase in muscle mass can increase baseline metabolic rate to allow unsaturated adipose cells to do their rightful job in responding to insulin and absorb glucose from blood.

      A high glucose level due to supply + demand imbalances is like a road jam-packed with cars causing road damage (excessive start-stop vehicle motions) and environmental damage due to air pollution due to excessive vehicle volume and travel duration).

      Diabetes is a disease of chronic caloric excess and sedentary life resulting in fully saturated adipose Cells and atrophied fat saturated muscle tissue: insensate to insulin due to physical limits in caloric storage being exceeded/ reached resulting in insulin resistance and consequent blood glucose excess which is self-destructive and in the long run, the cause of many diabetes related complications like blindness, cancer, kidney failure, impotence, heart failure, amputations, frequent infections and stroke (/dementia).

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Mercenary PAP Ministers and MPs look down on SOS suicide hotline volunteers who work for free.

      "The Samaritans of Singapore (SOS) ... has insufficient volunteers to man the suicide-prevention centre's 24-hour hotline, so more calls are going unanswered.
      Ms Christine Wong, executive director of SOS, told The Straits Times ahead of World Suicide Prevention Day 2017 yesterday that there has been a "significant" dip in the number of calls answered by Singapore's main suicide hotline."



      According to the PAP, volunteering at suicide hotline SOS as counsellors for free is the most disgraceful and undignified thing to do in Singapore because the top political leaders and CEOs like to compare salaries with each other and will only talk to/ obey the instructions of somebody whose salary is higher. (Ref: PAP MP Lim Wee Kiak: "If the annual salary of the Minister of Information, Communication and Arts is only $500,000, it may pose some problems when he discuss policies with media CEOs who earn millions of dollars because they need not listen to the minister's ideas and proposals. Hence, a reasonable payout will help to maintain a bit of dignity.").

      It is thus due to pervasive PAP mercenary philosophy and exhortations that those who volunteer for free are labeled shameful, stupid / UNDIGNIFIED that SOS has to leave desperate calls to its hotline UNANSWERED due to volunteer shortages because it is the PAP who made the volunteer job 'shameful / UNDIGNIFIED/ unattractive' to begin with.


      ===========
      SOS: More volunteers needed to lend an ear
      National water agency PUB has installed signs such as this at Bedok Reservoir, following a spate of deaths there.
      [Image: ST_20170911_SUICIDE11_3409516.jpg]
      National water agency PUB has installed signs such as this at Bedok Reservoir, following a spate of deaths there.ST FILE PHOTO
      PUBLISHED: SEP 11, 2017, 5:00 AM SGT
      Suicide-prevention centre needs extra hands to man hotline, as more calls go unanswered
      Toh Wen Li
      The Samaritans of Singapore (SOS) need your help. It has insufficient volunteers to man the suicide-prevention centre's 24-hour hotline, so more calls are going unanswered.

      Ms Christine Wong, executive director of SOS, told The Straits Times ahead of World Suicide Prevention Day 2017 yesterday that there has been a "significant" dip in the number of calls answered by Singapore's main suicide hotline.

      Last year, 35,832 calls were taken, compared to 39,310 in 2012.

      While the number of trained volunteers has remained stable over the years, the demanding nature of many full-time jobs means volunteers have less time to be in the SOS office to take calls, she said.

      Of the 173 volunteers on SOS' database as of last year, only 59.8 per cent could fully commit to the hours required of them, which includes some overnight duty.

      Most calls come in between midnight and 2am - which is also when there are fewest volunteers.

      SOS receives 100 to 120 calls every day and there is not always someone available to take them.

      Ms Wong said SOS used to have a number of volunteers who were stay-at-home expatriate wives but, these days, they also work.

      429: Number of people who took their own lives last year, up from 409 in 2015, 415 in 2014 and 422 in 2013.

      Keen on being an SOS volunteer?

      Volunteers play an integral role in the Samaritans of Singapore's (SOS) 24-hour hotline service. Applications to be a volunteer are open throughout the year.

      Those seeking meaningful, long-term volunteering opportunities can fill up an application form on the SOS website or e-mail [email protected] for more information.

      The next round of interviews for potential SOS volunteers will take place at the end of this month.

      Those who pass the interview will go through comprehensive training, starting in January.

      The three stages of training will last for nine to 12 months. Potential volunteers are assessed by trainers before they can move on to the next stage.

      Successful volunteers must be committed to their duties.

      Toh Wen Li

      •If you are having suicidal thoughts or are in emotional distress, you can call SOS' 24-hour hotline on 1800-221-4444.

      Then there are a few who, for various reasons, leave SOS immediately after training and never fulfil their commitment.

      If the trend of dwindling numbers of active volunteers continues, the not-for-profit organisation might have to consider employing more staff, or reassess if it can run the hotline round the clock. Ms Wong noted: "This is a worldwide issue with all hotlines and not unique to Singapore."

      The odd hours and emotional toll of listening to people in dire straits mean that many volunteers do not stay for long, a long-time SOS volunteer told The Straits Times. The retired nurse, 61, who has taken calls at the hotline for about 10 years, admits that there are times when she feels "very overwhelmed".

      "Anyone with the desire to help people, just listen and be empathetic, would be excellent (as a volunteer). The training is excellent, the commitment is very transparent, and it's flexible: You can choose when you want to volunteer."

      Mr Jonathan Siew, assistant director of Care Corner Counselling Centre, said the centre has about 130 volunteers managing the counselling hotline from 10am to 10pm throughout the week.

      While there has not been a sharp fall in numbers, the centre has found it difficult to recruit volunteers in recent years as most people are attracted to voluntary work that doesn't require long-term commitment, he said.

      Mr Siew added: "We are looking at the possibility of expanding the hotline service to support more callers, but it is challenging to get people to volunteer for the hotline."

      A total of 429 people took their lives last year, up slightly from 409 in 2015, 415 in 2014, and 422 in 2013.

      Over the weekend, some organisations commemorated World Suicide Prevention Day 2017. On Saturday, Shan You Counselling Centre ran a suicide awareness training session for the public called safeTalk: Suicide Alertness for Everyone.

      A 64-year-old retired engineer who volunteers at the centre's Mandarin-speaking Yuan Yuan Helpline for four hours a week said about 10 per cent of the calls he fields are from suicidal individuals.

      Ms Celestine Chua, a counsellor at the centre, stressed that training the public to look out for warning signs in loved ones was important, since not every suicidal person would call a helpline.

      "Instead of waiting for suicidal individuals to come to us, we are trying to train people in the community to look out for (warning) signs and render support," she said.

      A version of this article appeared in the print edition of The Straits Times on September 11, 2017, with the headline 'SOS: More volunteers needed to lend an ear'.

      http://www.straitstimes.com/singapore/sos-more-volunteers-needed-to-lend-an-ear

      ===========
      "If the annual salary of the Minister of Information, Communication and Arts is only $500,000, it may pose some problems when he discuss policies with media CEOs who earn millions of dollars because they need not listen to the minister's ideas and proposals. Hence, a reasonable payout will help to maintain a bit of dignity." 
      MP Lim Wee Kiak apologises for comments on pay(26May2011)
      [Image: YqUYU.jpg][IMG URL]

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Diabetes can easily BANKRUPT Singapore in under 12years. Total reserves of Singapore (may include personal CPF funds being invested vz GIC and Temasek, incl foreign reserves (see 'PS' explaination below))= SGD363 + SGD275 + USD100 = SGD 363+275+134 ...

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Obsolete US Prez Electoral college system : an anachronism of time.

      DentalFloss(PF) wroteYou realize that the allocation of electoral college votes doesn't require, or even allow, "voters" to have a say, right? As a practical matter, all 50 States have adopted that method, and most, but not all, use the "winner take all" method. But there is nothing that requires that. The State Legislature could decide to use ANY method they chose, the flip of a coin for example, or even only having the Legislature itself vote on the Electors. There is no right for the average person to have a vote at all.

      ===========

      I STILL THINK that the way electoral college votes are totalled and the result transmitted to Washington dc for the determination of whom should be president is more a product of LIMITATION BY DESIGN to the pre-1861 state of available communications technology (i.e. smoke signals, pony express mail service in the era BEFORE telegraph service) and perhaps the infant democracy that the USA was at (blacks and women weren't allowed to vote).

      Why else would a state not accede to accurate transmission of data to the benefit of minority interest but either due to TECHNOLOGICAL LIMITATIONS of the contemporary period or else because many states were ruled by BULLIES who would gratuitously (indecently/corruptly) exploit minority interest in favour of their majority rule. I am already being very lenient in blaming technological limitations for the perceivable injustice since to label state leaderships of being rogue BULLIES would be most incriminating. Costs of elections were also a concern so the focus was on state legislature, the vote for president having much lesser concern since USA was more concerned about intra-contentinental issues with few if any global concerns.

      Perhaps the fact that state legislatures across all states (to my knowledge) opt for statewide voter participation in presidential elections (rather than flipping a coin as u mentioned) alludes to the fact that contemporary justice supported by modern technological progress, the GROWING AMBIT OF GLOBAL ROLE OF USA PRESIDENT, demand for as widespread voter participation as possible. Both technological availability and voter interest mandate that a national vote BEYOND the election of mere state legislators be conducted.

      The 'winner take all' manner of state reporting towards total electoral college votes for president only serves to fuel extremes of citizen participation, from extreme obsession/expression to apathetic absence as 'my vote won't count': which itself adds fuel to creating divisions within a nation/ federation. The current method of USA presidential vote counting remains an anachronism of our time and urgently needs reform if the USA is to remain a leading thought/policy leader in the world, rather than an OBSOLETE /spent force, or a bully which others need to teach discipline to and be put back to its original humble place.

      Edited by bic_cherry 06 Sep `17, 5:05PM
  • bic_cherry's Avatar
    422 posts since Jul '05
    • bobby (SBY) wroteMore than 70% of the Certis Cisco aux police officers are non Singaporeans...go figure it out.


      Guess if they (through the hierarchy )just react on reflex/impulse/ like Singpost in allocating parcels and mail, then it would make zero difference if some fake robots were substituted instead. Maybe that is why Singapore Sports Hub is not doing good business (some VIP stall sponsors were reported complaining in news about the lack luster programme lineup)... people suspect that these big businesses are out to fleece patrons and don't trust the police either, whom they think are actually in cahoots with big business with the intention to rip off the poor, all this only fuels increased terrorism threat since there would be more disenchanted people about as terrorist fodder.

      Leaders of singapore really need to renew the social compact and do more to reduce the wealth divide rather than just getting sucked into private business interest, acting high handed and faking terrorist arrest by arresting innocent people to give the public impression that much is being done when all that they are doing is just making the situation worse by increasing the wealth divide amongst citizens of Singapore

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Terrorist threat: Certis Cisco should not add to the confusion .
      [Image: Chicken-Little-on-CNN.jpg]pict sauce: http://www.davidmcelroy.org/?p=18926

      We all know why the sportshub is searching patrons for water bottles and food items, that along with a no re-retry to venue policy, is ment to keep patrons at the MERCY of in-venue based F&B kiosks to charge $$$ as they please with Singapore Sportshub Pte Ltd. (SSHPL) probably getting a large cut of profit.

      Certis Cisco as a professional security agency should thus avoid getting caught up in the ruse and compromise their professionalism towards being pro F&B sales kpi since this does nothing to ensure spectator safety but adds to the unease as concert goers are bombarded with questions and surveillance targeted at CONFISCATING private/ personal food and and drink items.

      A sufficiently irritated elderly concert goer is ought to retort that he has a bomb on him when sufficiently agitated by security staff's misplaced focus on boosting in venue F&B sales, the concert entry ticket having been not cheap to begin with, why should attendees of an event at a premium world class venue be subject to the humiliation of having their private food and drinks confiscated from them but for security and fellow patron's consideration but for the extremes of food options e.g. curry can stain seats, durian stinks, metal cans are projectile hazard and clear liquid can be flammable substance. However, 600ml clear EMPTY plastic bottles should be encouraged for patrons to hydrate themselves at FOC water dispensers in venue and the security staff should emphasize the these rules whilst conducting physical bag checks and being unnecessarily accusatory to patrons concerned.

      Local measures to diffuse a misunderstanding with patrons agitated by the less than focused ground crew (who may assume that their salaries are linked to F&B sales KPIs) should be intervention by professional security companies like Atos and Certis Cisco to properly assess and MANAGE any security threat locally with proper procedures: pte room, interviews and strip search with consent if necessary, warnings against unruly behaviour, expulsion from venue etc and only request Singapore Police Force assistance where a GENUINE THREAT exists to minimise abuse of limited public resources.

      Certis Cisco should also have experienced police investigators on its management board so that ground staff training can include proper terror threat assessment and response, inter-personal communication skills, crowd control and public education etc and not immediately call for police assistance each time they hear the 'bomb' word uttered, even if it was a joke by an elderly citizen feeling humiliated like a F&B cheat; like kids being examined for for hidden sweets when exiting a candy store. 

      It should be the capability of Certis Cisco to provide the said irritated elderly with the proper education, apology and calming measures and the conduct of detailed security checks if Sportshub staff had been over zealous in promoting venue F&B sales and only escalate issues to police intervention if the patron is an obvious security threat, uncooperative or disruptive to the concert or its security operations. Certis Cisco guards on the ground out to be professionally trained to exercise discretion, otherwise a simple robot would be more than sufficient to replace Cisco staff on the ground.

      We all know that the SSHPL costs an exorbitant S$1.3b to build and that some management focus on recuperating original investment costs may be foremost on their minds. However, as a professional private security organisation, Certis Cisco should be ABOVE being in cahoots with such private business interest unless it is a mafia/ gangster organisation: professional security companies should above all, serve the public good.

      The genuine bomb carrying terrorist never reveals his bomb much less talk about it and people who joke about bombs are more than inconvenienced by venue entry delays, detailed interviews and physical searches and the potential for police intervention in the event of non-compliance with security procedures.

      The security threat is real and present and does not need to be proven by trumping up the arrest numbers of innocent citizens irritated by misplaced event venue business interests resulting in the Singapore Police having to rush to petty complaints by Certis Cisco staff sucked into client business interest and thus unable to professionally handle jokes from a stressed up concert goer without police intervention. The treating of the Singapore Police Force (SPF) by Certis Cisco like a sugar daddy, like Chicken Little who thinks the sky is falling, does not give me much confidence in the SPF to combat GENUINE terrorist threat to Singapore. 

      The Chicken Little story: https://en.m.wikipedia.org/wiki/Henny_Penny 
      ========

      Frustrated elderly concert-goer makes false bomb threat during security check
      Source
      TODAY
      Date 28 Aug 2017
      A 60-year-old man has been arrested by the police for making a false bomb threat at the Singapore Indoor Stadium on Saturday (Aug 26), the second such incident within a week.
      The police said in a statement on Sunday that they were alerted by a security personnel at the Singapore Indoor Stadium at 7.32pm that a man had been detained after claiming he had a bomb with him.
      TODAY understands that the man was going through a security check before attending a Wakin Chau concert with his wife and his friends.
      During the security check, the suspect was asked if he had a water bottle with him. In response, the man said he had a bomb.
      TODAY also understands that a Cisco security officer overheard the conversation and questioned the man as to why he made that comment, to which he replied that he was joking and was frustated that he could not bring water in.
      The statement added that officers from the Bedok Police Division responded to the incident and arrested the suspect.
      Preliminary investigation indicated that the suspect had no intention or means to carry out his threats.
      The police said that man was arrested under Regulation 8(1) of the United Nations (Anti-Terrorism Measures) Regulations, which states that it is an offence for a person to communicate or make available by any means any information which he knows or believes to be false to another person, with the intention of inducing in him or any other person a false belief that a terrorist act has been, is being or will be carried out.
      If found guilty, the suspect is liable to be punished with a fine not exceeding S$100,000 or with jail of up to five years, or both.
      This is the second time in a week that a false bomb threat was made.
      On Wednesday (Aug 23), a teenager was arrested by the police for claiming that he was a terrorist armed with a bomb, which caused a commotion at the Boon Lay bus interchange.
      The incident came to light when a video of the 17-year-old's act surfaced on Facebook. In the video, he was heard screaming “I am a terrorist” and “I want to die”.
      The police confirmed on Friday night that the teen had been arrested for causing a public nuisance.
      TODAY understands the teenager is mentally unwell.
      Copyright 2017 MediaCorp Pte Ltd | All Rights Reserved

  • bic_cherry's Avatar
    422 posts since Jul '05
    • SPH likes to publish fake news as well...
      Wanbao reporter Chan Yunn Horng testified in court that she had taken pains to hide any possible links to Certis Cisco by referring to them as an unnamed “insurance company”. 

      Shouldn't the reporter have just reported that somebody's stuff in a safe deposit box was missing? Unless there is proven malice (repeatedly /always targeting Certis Cisco over competitor) or the victim was imaginary /fake (out right malicious fake news), why should the reporter deliberately publish FAKE NEWS that an "insurance company" provided safe deposit boxes but to CUT CORNERS in proper news reporting?

      Shouldn't the report have carried more (common sense) information about usual safe box use related problems like how many people had access to the safe box to begin with (could be just a problem of miscommunication between 2 elderly people with authorised access but visiting box on separate occasions)/ some senile old people who repeatedly misplace their stuff. Certis Cisco could also be contacted for their usual procedures in cooperating with the police: duration of video footage of security areas available, usual security measures to limit safe deposit boxes to owners only, identity verification procedures etc.

      There is thus NOTHING WRONG with identifying Certis Cisco with providing the said safe-deposit box so long as the news is BALANCED and of public concern/ interest: rather than just a scandalous headline with little legwork and fake/ misleading information.

      How can the police investigate a case properly if even state media reporters report FAKE NEWS and send them off track, searching for an "insurance company" rather than a security company: to interview.

      Looks like the SPH Wanbao reporter took all the short cuts just to churn out more news scandals at the expense of truth by inventing "insurance company" providing the problematic safe boxes where indeed there were none: just to boost tabloid sales.

      So who says that SPH doesn't publish fake news to boost its bottom line too?

      ==============
      Court dismisses Certis Cisco’s defamation suit against former actress.
      By VALERIE KOH
      Published 8:15 PM, SEPTEMBER 01, 2017 
      SINGAPORE — A defamation suit launched by Certis Cisco against a former actress has been thrown out, with the judge ruling that her statements were fair comments, and which had not alluded to the security vendor.

      At the heart of the lawsuit — first reported in TODAY in August last year — was an interview that Ms Ho Seng Mui had granted Chinese-language daily Lianhe Wanbao in July 2013, in which she claimed that diamond jewellery had been stolen from her safe-deposit box and that only a pearl necklace, a gold medal and a piece of jade remained.

      In its case against her, Certis Cisco — relying on an English translation of the newspaper article — argued that although Ms Ho had referred to an unnamed “security company” in the interview, readers would draw the link to them. Law firm Drew and Napier, acting for Certis Cisco, noted that the article stated that Ms Ho had been using the company’s safe deposit box services since 1990. Certis Cisco was also the only security firm here providing safe-deposit box facilities since 1990, their lawyers added.

      On the final day of the trial in August last year, Wanbao reporter Chan Yunn Horng testified in court that she had taken pains to hide any possible links to Certis Cisco by referring to them as an unnamed “insurance company”.

      “The original intention of this article is to alert the public. If they want to put some valuables ... in a safe deposit box, they have to be very alert and careful,” Ms Chan had said.

      Ms Ho, who was represented by lawyers Choo Zheng Xi and Ng Bin Hong of Peter Low and Choo, had also expressed concerns over being on the receiving end of “trouble”, should the company’s identity be published in the article, added Ms Chan.

      Hence, an editorial decision was made to use the words “insurance company”.

      Scribers International director Quek Kwang Woei, who had provided the English translation, defended his choice of words in court. “From my personal knowledge ... I know that there’s no insurance company that provides safe deposit boxes. So we translate it as ‘security company’,” said Mr Quek.

      In his findings on Wednesday (Aug 30), District Judge Loo Ngan Chor ruled that the translation was inaccurate.

      “The use of the Chinese words meaning ‘insurance company’ would have had the result that a sizeable number of the readers would not have made any connection to (Certis Cisco),” said the judge. “Even if a segment of the newspaper readership might have been tempted to draw a connection with (Certis Cisco) by reason of having read the 2012 newspaper reports (on other safe deposit box users finding valuables missing), the fact that the article mentioned an insurance company ... would have led them to think that this connection was wrong.”

      Judge Loo also stressed that a literal translation of non-English words was needed in defamation cases. It would be impossible for the courts to rule on defamation objectively “when the translation is not literal”, the judge added.

      The first case of alleged loss of items from safe-deposit boxes was reported on July 18, 2012. A month later, a Cisco spokesperson was quoted in the press saying that eight customers had reported alleged losses since then.

      No follow-up action was taken by the eight customers, however, and none had made substantiated claims against Cisco, the company said last year.

      Ms Ho had checked her safe-deposit box on Aug 21, 2012, after reading newspaper articles on the loss of items stored in safe-deposit boxes.

      After discovering that some items were missing from her safe-deposit box, she made a police report in the same month.

      In June 2013, Ms Ho was told by the police that there was no evidence to conclude that theft had been committed.

      In concluding that the former actress had “no malice” in her comments, Judge Loo found that she had genuinely believed that her valuables were in the safe-deposit box, and that they had been stolen.

      Neither had she intended to cause trouble for Certis Cisco. In fact, she had “calibrated” her complaints privately “until she felt those avenues led her nowhere in the recovery of her lost valuables”, said the judge, ordering that costs be made out to her.

      Ms Ho told TODAY through her lawyers that she was relieved that the lawsuit has ended. “This lawsuit has taken 4 years, and I have had to fly back and forth from Hong Kong and Singapore to fight it,” she said.

      A Certis Cisco spokesperson said that the firm was studying the judgement before deciding on its next course of action.

      http://www.todayonline.com/singapore/court-dismisses-certis-ciscos-defamation-suit-against-former-actress

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Singaporeans just LOVE the 'privilege' of SERVING NS so much... they actually want more.
      [Image: MTy8nOC.jpg][Letter to Today] NS a duty, not a job — thus no ‘salary’: Mindef

      So unusual: They actually ask the gahmen to create more and more forms of NS liabilities for themselves , such as medishield-life, so that those who do not pay for the healthcare costs of their neighbors who eat too much, don't exercise and don't attend medical checkups can have the 'privilege' of GO TO JAIL, GET FINED, HAVE THEIR BANK ACCOUNTS FROZEN/ SALARY CONFISCATED, penalty 17% interest payments, debt recovery costs etc etc to pay Medishield-life insurance premiums Just so that their fat, greedy, lazy and inconsiderate neighbors with a sweet tooth and smoke too many cigarettes, pontang health screenings can have their cake and eat it (pun intended) vz premium access to dialysis, electric wheelchairs, maids levy waivers/ subsidies, multiple hospital visits and admissions for eye problems, foot decay, heart problems, strokes, VIP handicap parking spaces, gahmen charity donations, private 1-2 bedder rooms in dementia village, CHAS subsidy cards, Pioneer generation package and retire early because of the need to see the doctor too often (claim nobody wants to employ them).

      Singaporeans are even more faithful than mercenary Nepalese Gurkahs who serve their masters whims and fancy. Singaporeans however or one better in serving their master's whims and fancies but for zero salary.

      [Image: smoking.jpg]pic sauce : http://healthland.time.com/2009/12/02/u-s-life-expectancy-impact-of-smoking-and-obesity/
      =======================
      Refuse to pay MediShield Life premiums? You could be jailed
      Tough stance to address shortfall caused by those who can afford to pay but do not
      By Salma Khalik, Senior Health Correspondent, The Straits Times, 21 Jan 2015
      SINGAPOREANS or permanent residents who refuse to pay MediShield Life premiums once the universal health insurance is launched later this year could find themselves behind bars if they try to leave the country.
      The premiums will be compulsory - not just for people living here but also those who are living overseas for long periods - under proposals introduced in Parliament on Monday by Health Minister Gan Kim Yong.
      Singaporeans and PRs living overseas will be entitled to coverage should they fall sick in the future and decide to return here for treatment.
      The Bill also gives the insurance administrator the power to have money from a defaulter's wages and bank accounts diverted to pay the premiums.
      The maximum penalty for defaulters who try to flee the country, spelt out in the MediShield Life Scheme Bill, is a fine of up to $5,000 and imprisonment of up to a year, or both.

      The person would be allowed to leave the country on payment of the outstanding premium to an immigration officer or the police.
      But he might also have to pay a 17 per cent penalty for late payment, as well as any costs incurred in recovering the money. 
      The planned tough stance is to cover the shortfall caused by people who can afford to pay their premiums but refuse, resulting in a heavier burden on other policyholders.
      The MediShield Life scheme provides everyone with protection against huge subsidised hospital bills for all their life, and reflects a caring society where everyone pulls together to help those in need.
      But such penalties would not apply to people who have difficulty paying the annual premiums, which range from $130 for the young to $1,530 for people older than 90.
      Most people will not have a problem paying the premiums as they can be deducted in full from their Medisave funds.
      People from families with a per capita income of $2,600 or less - that is, a total income of $13,000 a month for a family of five - will also receive subsidies.
      The lower the family income, the higher the subsidies - which range from 15 per cent to 50 per cent.
      Pioneer Generation residents who were aged 80 or older last year will have their premiums covered fully by subsidies and Medisave top-ups.
      Younger pioneers - those 65 and older last year who have been citizens since 1986 - regardless of their incomes, will also get heavy subsidies and top-ups that should cover more than half the cost of their premiums.
      People who still have difficulty paying their premiums on top of these discounts can apply for additional help from the Government.
      The Ministry of Health has stressed that penalties are intended only for those with the means but are recalcitrant about paying their premiums.
      The MediShield Life Scheme Bill will be debated at the next sitting of Parliament.
      The scheme is due to launch by the end of the year.
      =========
      And the prime minister himself should start setting a better example I think:
      "As of 2010, more than half of Singapore's adult population between 18 and 69 years old have high cholesterol, four in 10 are overweight or obese, a quarter have prediabetes or diabetes and about one in five has hypertension."

      [Image: yan7.jpg](alt pict view)
      [Image: yan1.jpg](alt img view)http://danielfooddiary.com/2014/06/14/yan/ 
      PM LHL, too much fried wings/chendol (fatty food) or skipped sleep before presenting NDR2016/ a mild stroke?:
      [Image: isetO2w.gif]https://edmwimg.wordpress.com/tag/lee-hsien-loong/page/5/

  • bic_cherry's Avatar
    422 posts since Jul '05
    • SAF should not be the Achilles heel in anti-DIABETES war 

      More research into relationship between IPPT score vs onset of diabetes mellitus needs to be done with massive SAF repository of pre-enlistment medical screening results, pre-IPPT FFI, FFI for regular servicemen, family history and smoking/ drinking habit data and not least, annual IPPT results for BOTH NSmen and ESPECIALLY regular servicemen vs their future medical outcomes: e.g. years since best IPPT result till onset of diabetes mellitus , healthcare subsidy consumption vs latest valid IPPT result.

      This is because SAF has a MASSIVE repository of IPPT results for the last 50yrs since 1967 (possibly unmatched by anyone of half the entire SG population):
      "When National Service was first introduced in Singapore in 1967, the physical fitness test included a 4.8 kilometres run to be completed within 30 minutes, and the completion of 9.6 kilometres within 70 minutes while wearing the skeletal battle order (a type of load-carrying equipment).https://en.m.wikipedia.org/wiki/Individual_physical_proficiency_test "
      According to https://www.mindef.gov.sg/imindef/press_room/clarification/14jun11_clarification.print.img.html
      "Before embarking on their IPPT, servicemen at age 25 and 30 will be required to pass a basic medical screening. From age 35 and above they will have to pass an annual basic health screening by the SAF medical doctors. The SAF will also commence annual advanced cardiac screenings from as early as age 40 for servicemen deemed to be at high risk for coronary diseases. "

      There is, btw, a pre-enlistment health screening to exclude everything from diabetes to congenital heart disease and hearing impairment in servicemenhttps://www.cmpb.gov.sg/cmpb/before-ns/pre-enlistment-process/medical-screening-and-psychometric-test/ , so there is actually voluminous and immensely valuable data relating physical fitness to morbidity and mortality data etc: revealing whether physical fitness/ lifestyle choices make any difference to future physical health and as a consequence, healthcare costs / subsidy consumption patterns amongst Singaporeans and PRs.

      As part of the usual meritocratic framework entrenched in the Singapore ethos, compulsory medishield-life insurance premium discounts could be given to those with good IPPT results in recognition for their personal commitment to keep their dependence on gahmen healthcare subsidies low, as well as a corresponding surcharge for smokers who would be at higher liability to consume greater healthcare resources.

      Secret tips to good health and fitness (diet, sleep patterns, lifestyle habits, pearls of wisdom etc) could also be sought from every serviceman at each medical review point and analysed through supercomputing methods to decipher which are the truly ideal habits/pearls based correlating with good fitness and health. 21km run timings of SAF sponsored Army Half Marathon now in its 25th anniversary could also add additional dimensions to the massive data collection.

      More IPPT test options like swimming and cycling need to be introduced to ensure wider participation; as well as possible roll out to the entire population to replace the current step tracker campaign wherein which the tracker is unable to differentiate if the steps had been made by the human owner or his dog.

      As is the current case, the IPPT pass rate of <19% is an embarrassment for any military, revealing that >81% of active NSmen are actually UNFIT/ un-deployable for service let alone war. http://forums.hardwarezone.com.sg/national-service-knowledge-base-162/80%25-nsmen-actually-physically-unfit-reservist-military-training-war-5677920.html 

      A greater credence of IPPT in promoting health warrants URGENT study if Singapore's military is to remain functional, and if Singapore wishes to avert bankruptcy from future diabetes and other physical inactivity related (unnecessary) healthcare costs. For a select few, test for insulin sensitivity /resistance could add accuracy to the overall results https://youtu.be/Gf4rVzVLBas .

      Perhaps if Singapore could show proven success in fighting DIABETES that is plaguing all parts of the world (and bankrupting so many from high healthcare costs) then the Nobel prize should be in order for Singapore; otherwise, facing bankruptcy from high healthcare costs , DIABETES might just be the last nail on the coffin for independent Singapore

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Horrors from advanced diabetes may be worse than horrors of terror attack.
      Patients will often share that they dread the short-term consequences of having a hypo more than the serious complications, such as kidney failure and blindness, which can develop over time from consistently high blood sugar levels.
      Some are so fearful of having a hypo that they can barely sleep, as they are afraid that they will go into a coma or die in their sleep.

      Flashbacks aside, at least many victims of terror attacks can overcome their physical disabilities (and maintain a fully functioning pancreas), however for advanced diabetics with insulin resistance and a dysfunctional pancreas, it is repeated amputations, dialysis, blindness, heart failure and the horror of unpredictable death during sleep.

      There are also far fewer immediate victims of terror attacks in general than there are greedy people who abuse their own health, eat excess calories which builds up as visceral fat causing insulin resistance and finally diabetes mellitus and the multi-organ failure state associated with it.

      ======
      DocTalk
      Managing the highs and lows of diabetes
      Ester Yeoh
      PUBLISHED 29August 2017.
      With proper knowledge, skills and tools, life need not be a roller coaster ride for diabetics
      The serious long-term complications of high blood sugar levels are much publicised. But for some people living with diabetes, it is the fear of very low blood sugar levels that can cause crippling anxiety.
      One such person is Ben, a self-employed 41-year-old who was diagnosed with diabetes 12 years ago.
      He was initially managed with oral medications but required insulin therapy after four years, when the oral medications stopped being effective.

      He had to inject himself with insulin before every meal. He wasn't sure of the amount of insulin to inject and often used too little or too much.
      His life became a daily roller coaster of high and low blood sugar levels as he grappled with the right balance of insulin and carbohydrates.
      By the time Ben was referred to the Diabetes Centre at Khoo Teck Puat Hospital a year ago, his drastic high and low blood sugar levels were causing him a lot of anxiety.

      ST ILLUSTRATION: ADAM LEE
      He tested his blood sugar levels 20 times a day and often woke up at night in panic, worried that he was having a low blood sugar attack or hypoglycaemia.
      A hypo, or hypoglycaemia attack, occurs when blood sugar levels fall too low because of a mismatch between the body's insulin level and the amount of food (carbohydrates) eaten.
      It results in unpleasant symptoms such as shakiness, sweating, palpitations, confusion and blurred vision.
      If left untreated, a hypo is a medical emergency as it can cause a coma and even death.
      This condition can happen to a person with diabetes, depending on the types of medication he is taking. It is often more common in those taking insulin, although certain oral medications can also result in hypoglycaemia.
      Other than too much insulin or diabetes medications for the amount of carbohydrates consumed, other causes of hypoglycaemia include delayed or missed meals, unplanned strenuous physical activity or exercise, or alcohol consumption.

      TOO FEARFUL TO SLEEP
      Patients will often share that they dread the short-term consequences of having a hypo more than the serious complications, such as kidney failure and blindness, which can develop over time from consistently high blood sugar levels.
      Some are so fearful of having a hypo that they can barely sleep, as they are afraid that they will go into a coma or die in their sleep.

      The usual responses to hypoglycaemia - such as sweating, palpitations and shakiness - are reduced during sleep, so it is harder for them to realise that their blood sugars are low and treat the hypo.

      Therefore, the risk and consequences of having a severe hypo are higher during sleep.

      However, it is possible for people with diabetes to swop the daily ups and downs of this blood sugar roller coaster ride for more stable blood sugar control with only occasional hypos.

      Normal daily activities such as eating, having a drink and exercise can impact diabetic control, so the key to success is patient empowerment.

      Ben's journey to improved self-care took commitment, self-discipline and the support of a multidisciplinary team.

      After determining that he required insulin injections for diabetes management, we went back to basics, teaching him how to estimate his carbohydrate intake at meal times and adjust his insulin dosage.

      Over the course of several months, he would send in his blood sugar charts for weekly reviews and recommendations.

      As his control improved, Ben suffered fewer blood sugar peaks and hypos, resulting in less anxiety.

      His confidence grew and he started playing badminton three times a week, which helps to improve both his blood sugar control and overall fitness.

      Diabetes technology has also improved Ben's control.
      Six months ago, he moved from administering insulin injections four to six times per day to using insulin pump therapy.
      An insulin pump is an insulin delivery device worn 24 hours a day. It delivers a small and steady rate of background insulin into the body through a fine plastic tube inserted below the skin, which is changed every three days.
      This avoids the need for insulin injections before every meal.
      During mealtimes, the user estimates the amount of carbohydrates to be consumed and keys it into the pump.
      The pump will then deliver a surge of insulin to cope with the carbohydrate load.
      Some insulin pumps are connected to a continuous glucose monitoring device, which senses glucose levels and alerts the user to high and low blood sugar levels.
      It can also stop insulin delivery from the pump if a hypo is predicted, thereby preventing a hypo even before it happens.
      This feature is particularly useful for patients who are no longer able to sense their hypo symptoms (due to repeated exposure to hypos) and to prevent overnight hypos during sleep.
      Diabetes technology continues to advance rapidly and it's hoped that an artificial pancreas that mimics the function of a healthy pancreas will soon become a reality.
      In the meantime, with the right knowledge, skills and tools, people with diabetes can adapt and manage their condition to fit their lifestyle, rather than allowing diabetes to control what they do.

      • Dr Ester Yeoh is a consultant endocrinologist at Admiralty Medical Centre, a new specialist outpatient and day surgery centre of Khoo Teck Puat Hospital.

      A version of this article appeared in the print edition of The Straits Times on August 29, 2017, with the headline 'Managing the highs and lows of diabetes

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Originally posted by redglue23:

      what is this.

       

      ownself create the statistics and than write to bluff chewren?

      Cannot blame me, all the figures are from state media aka SPH.

      I was just drawing the association to improve SAF NSmen outfield training SAFETY in Singapore because for the >60% who undergo ZERO form of medical/ physical fitness testing, they may have hidden diabetes, high blood  pressure etc and suddenly collaspe anytime : thus the benefit of expanding the IPPT system so that the untested >60% can also be tested to... cannot leave any stone unturned in the war against diabetes I guess. 

       

      Edited by bic_cherry 26 Aug `17, 1:28AM
  • bic_cherry's Avatar
    422 posts since Jul '05
    •  

       

       

      Safety of NSmen outfield reservist training needs urgent review 

      The >60% who are excused IPPT should be tested in some other way (swimming/ cycling options as are available to regular servicemen). With so many Singaporeans suffering from diabetes and the like and dropping dead @ work etc, all persons doing any outfield training should undergo a medical examination etc before ICT, the equivalent as if they were required to perform the IPPT test: otherwise it is only commonsense to permanently by default excuse them from running, marching, jumping, heavy loads since their physical fitness for reservist outfield activities is effectively suspect, dubious /unknown.

      ===========

      >80% of NSmen are actually physically UNFIT for reservist military training/war... 
      (<20% NSmen actually manage to pass physical fitness test; >50% NSmen so terribly disabled/ infirm, they are excused from taking physical fitness test in SAF of any kind (no modified fitness options available (swimming, cycling etc) either)).

      This image has been resized.Click to view original image

      Operationally-ready national servicemen (NSmen) running as part of IPPT Preparatory Training (IPT) programme in Maju Camp on Sept 8, 2014. -- ST PHOTO: ONG WEE JIN - 

      Calculation:
      '300,000-plus operationally ready national servicemen (NSmen) who form the backbone of the SAF': [SAF bends and stretches over IPPT: My Paper; 01Jul2014]

      '...Individual Physical Proficiency Test (IPPT)... ...The 2010 figures from the Ministry of Defence - the most recent available - showed that half of the 116,000 NSmen who take the test annually fail it.' [Tougher penalties for NSmen who skip IPPT; ST 31Oct2014]

      % of all NSmen who are able to achieve minimum pass @ IPPT =
      [(116,000/2) / 300,000+] = <<19.33333%
      Or much less than 20% considering that denominator is in excess of 300,000 personnel.

      % of all 'operationally ready' NSmen who are actually medically fit to take IPPT=
      116,000 / 300,000 = <38.666%
      Less than 40% NSmen are physically (medically) fit enough to qualify for IPPTtesting to have their fitness recorded and computed annually.

  • bic_cherry's Avatar
    422 posts since Jul '05
    • The National Service Warrant Officer Course (NSWOC) is designed to provide a general military education for all potential Army NS Warrant Officers to function as effective middle-managers imbibed with the appropriate level of military knowledge, military leadership and relevant administrative skills. The 2 week course conducted in SAFWOS equip students with the necessary attributes for a successful appointment as a National Service Warrant Officer.

      The objectives of the course will be attained through three main modules that would correspond with the duties that are expected of a National Service Warrant Officer.

      • Professional Awareness: Content under this module address broader professional issues that shape/impact the SAF and the Army in particular. It has the following objectives:


      • To update and acquaint students with the Structure, Organisation and Operational Functions of a Combined Arms Division and the Army in general with an understanding of the doctrine of military operations likely to be undertaken by the Army .This will include concepts of Un-conventional Warfare and its impact on the military forces.


      • To build an understanding of Army Battle Procedures and Operational Readiness with a keen eye with regards to the NS unit's In-Camp training and operations.


      • To familiarize oneself with technological developments which have an impact on Singapore’s survival and security and the shape of SAF operational doctrines and capabilities.


      • Leadership and Core Values: This module reinforce the fundamental philosophies of military leadership and expand on role of the SAF Core Values in building forces imbued with the ‘will to fight’. The roles and functions of Warrant Officers as ‘middle-managers’ will also be explored through fruitful dialogue and discussion.


      • NS Administration and Policies: This module provide updates on key policies and administration matters impacting NS and expand the knowledge base of potential Warrant Officers in areas they are likely to be involved in during In-Camp Training.


      Graduates will be on a fast track in becoming an NS Warrant Officer. Potential candidates for this course must have a minimum rank of SSG (NS) and must have completed at least 4 High Key In-Camp Training. 

      Edited by eac 24 Aug `17, 1:21PM
  • bic_cherry's Avatar
    422 posts since Jul '05
    • Rich people also have problems. I suspect that the diagnosis of 'kleptomania' was invented by psychiatrists as a bespoke diagnosis for rich people to excuse themselves temporarily from charges of theft and to help psychiatrist get rich $$$ in the process ...

      In reality, what is the big difference between the addiction (sadistic 
      fettish
      ) to seeing shop owners (/society/the poor) suffer unnecessary losses (from shoplifting) to fettish for drugs like heroin? Isn't there some possible anti-social element to 'kleptomania' as there is in drug addiction too? Yet for rich dependents before the court, psychiatrist are climbing over themselves to provide bespoke treatment programmes and glowing prognosis reports so that their rich (anti-social) clients can receive public sympathy and stay out of jail. (Maybe a more convincing solution would be for these wealthy 'kleptomaniacs' to promise to donate 10- 100x the value of goods stolen if caught to children's cancer charities and for their homes to be regularly searched such that any item not backed by receipt of payment would be deemed shoplifted)...

      In Goh Lee Yin's case, she was probably fooled by her own ruse and the $inspired attention and compassion by 'professionals': the many psychiatrist who supported her initial diagnosis who were probably driven more greatly by personal greed(wealth, fame from attentive Chief justices giving credit to bespoke psychiatric services for the RICH etc) than social good... only to PULL THE RUG FROM UNDER HER FEET when the charade (scandal) became too big to hide (turning the practise of psychiatry into a big joke (jeopardizing future $profitable use of 'kleptomania' as valid excuse)...

      Goh Lee Yin's suicide is thus a tragedy of 1st world proportions: a warning against the $driven invention of bespoke diagnosis favouring the rich, but which are more harmful to society than the innovative use of ESTABLISHED methods ALREADY present (e.g. rehab treatments inspired by established drug rehab programmes, onerous and punitive $penalties wrt discipline for continued shoplifting which benefit the poor+ needy).

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Elderly healthcare costs to top S$66billion p.a. by 2030 (5x the current annual expenditure of SAF btw)
      According to https://en.m.wikipedia.org/wiki/Singapore_Armed_Forces , the SAF budget in 2013 was just S$12.34billion, which is certainly dwarfed by the anticipated 2030 healthcare bill of S$66Billion p.a..
      And neither are Singaporean leaders by any long shot paragons of good health due to irresponsible / unhealthy lifestyles as the following facts show:[Image: isetO2w.gif]
      The result of eating too much fried food, too little sleep, no exercise perhaps:[Image: u362eyr_d.jpg?maxwidth=640&amp;amp;shape...elity=high] sauce: 
      http://www.asiaone.com/food/chicken-wings-even-pm-would-queue 

      ================
      Elderly health costs to rise tenfold by 2030: Report
      The findings on elderly healthcare costs could influence government policies and decisions on healthcare infrastructure spending as well as personal insurance and retirement planning.
      [Image: ST_20160825_JTELDERLY_2546954.jpg]
      The findings on elderly healthcare costs could influence government policies and decisions on healthcare infrastructure spending as well as personal insurance and retirement planning.PHOTO: TIFFANY GOH FOR THE STRAITS TIMES
      PUBLISHED AUG 25, 2016, 5:00 AM SGT
      Each senior in S'pore will need average of $51k a year, the highest figure in Asia-Pacific
      Janice Tai
      Elderly healthcare costs in Singapore are projected to rise tenfold over the next 15 years to more than US$49 billion ($66 billion) annually, according to a report.
      This means an average of US$37,427 will be spent on healthcare for each elderly person by 2030. This is the highest in the Asia-Pacific region, just ahead of Australia.

      The report was released yesterday at the launch of Marsh & McLennan Companies' new Asia-Pacific Risk Centre, which is supported by the Economic Development Board. The firm provides professional services such as risk management.
      The US$49 billion figure was derived by taking into consideration demographic changes, long-term care costs and medical cost inflation. It includes public expenditure, private insurance and out-of-pocket spending.
      The report estimated that US$5 billion was spent on healthcare for the elderly last year as a senior citizen's healthcare expenditure is estimated to be four times that of an average person's. By 2030, the healthcare expenditure for each senior is estimated to rise from US$8,196 in 2015 to US$37,427.

      MODEST ESTIMATE
      It's a conservative estimate given that the numbers do not take into account indirect costs, such as transport, and opportunity costs from caregivers' time... It also assumes that we have the same ready access to cheap foreign labour which may not be the case in the future.
      DR JEREMY LIM, a partner in Oliver Wyman global health practice, on the findings.
      "It's a conservative estimate given that the numbers do not take into account indirect costs, such as transport, and opportunity costs from caregivers' time," said Dr Jeremy Lim, a partner in Oliver Wyman global health practice.
      "It also assumes that we have the same ready access to cheap foreign labour which may not be the case in the future."
      Dr Ng Wai Chong, chief of clinical affairs at Tsao Foundation, agreed. He felt the figures might even be an underestimate if the current health and social care systems are not improved and people do not manage their own health more proactively.
      Deputy Prime Minister and Finance Minister Tharman Shanmugaratnam said last year that healthcare spending in Singapore is expected to rise from over $9 billion last year to over $13 billion in 2020.
      These are just public expenditure figures, the Ministry of Finance confirmed yesterday.
      The implications of these new numbers are wide-ranging, said Mr Wolfram Hedrich, executive director of the Asia-Pacific Risk Centre.
      "Our findings will influence government policies and decisions on healthcare infrastructure spending. Individuals need to carefully consider how well-prepared they are to fund their retirement healthcare needs, especially given the limited range of affordable insurance products," he said.
      Dr Lim said the proposed review of ElderShield - announced during last Sunday's National Day Rally - is timely as it covers only the severely disabled and the payout is modest.
      "We can also look at other new solutions such as having reverse mortgage schemes to allow people to monetise their housing assets to pay for healthcare when they are old or allowing the use of MediShield and Medisave overseas if their price points are lower," he added.
      Dr Ng said there is a "keen awareness of the risk of rising healthcare costs at the government, community and personal levels".

      When asked for its comments on the report, which it received yesterday, the Ministry of Health said it is studying it and will respond at a later time.

      Marsh & McLennan Companies has four operating firms - insurance-broking and risk-management firms Marsh and Guy Carpenter as well as consulting firms Mercer and Oliver Wyman
      http://www.straitstimes.com/singapore/health/elderly-health-costs-to-rise-tenfold-by-2030-report

  • bic_cherry's Avatar
    422 posts since Jul '05
    • Proof: Most Singaporeans are actually very stupid people
      It is very foolish to be greedy
      [Image: 0041dogshadow.jpg] sauce: http://fablesofaesop.com/the-dog-and-the-shadow.html 
      Like the dog with meat in his own mouth seeing his own image in the water whilst crossing the bridge. Overwhelmed by the illusion that another dog has a BIGGER piece of meat, he opens his mouth to grab it, only to achieve nothing but the loss of his own original piece (which is quickly swept away by the moving stream).

      One flaw of being Singaporean is to be kiasi, kiasu and kiabo (scared to die, loose, get nothing (or scared of wife in another translation) respectively). Unfortunately, this embarrassing, self serving trait is certainly over the top (if not an embarrassment) when Singapore gains notoriety for the barbaric act of tissue paper choping at hawlker centres, being the biggest losers internationally in terms of investments in public lottery systems.

      Sans this insane greed for obscenely more, Singapore is likely to do much better than it presently does now.
      ====================
      http://www.asiaone.com/singapore/small-country-large-stakes-sporeans-are-worlds-biggest-gamblers
      Small country, large stakes: S'poreans are world's biggest gamblers
      Small country, large stakes: S'poreans are world's biggest gamblers
      GODWIN NG
      THE NEW PAPER May 27, 2015
      [Image: 20150226_gambling_st.jpg]
      Wednesdays, Saturdays and Sundays are Mr Chan Kim Ban's favourite days of the week.
      At 7pm on those days, the retiree turns on his iPad and opens the SG Live4D application to check the latest 4D results.
      Mr Chan, 82, is an avid punter who has been betting with Singapore Pools since its inception in 1968.
      He told The New Paper: "I started gambling when I was 30. Back then, there was no Singapore Pools so I placed my bets with private operators."
      He estimates that he has spent over $100,000 in bets with Singapore Pools and spends close to $5,000 a year on 4D and the occasional Toto.
      While the national average spent by local gamblers last year is much lower at US$1,019 (S$1,361), it was enough for La Fleur's Magazine, which reports on the US$262 billion global lottery industry, to name Singaporeans as the biggest lottery spenders.
      That figure is close to 1.5 times that of the second-ranked Massachusetts State Lottery, where the average spent last year was US$730.

      One reason given for the high lottery sales is the large number of betting outlets here, which makes it convenient for local gamblers to place their bets.

      MOST POPULAR
      A 2014 survey by the National Council on Problem Gambling showed that 4D is the most popular gambling activity among Singaporeans.
      Of the 3,000 Singapore residents surveyed, 35 per cent bet on 4D while over a quarter bought Toto, making it the second most popular game here.
      In total, local punters spent close to $8 billion a year on games run by Singapore Pools and Singapore Turf Club.
      Although Mr Chan has lost more money than he has won, he told TNP that he will not be giving up gambling any time soon.
      He said: "I will continue to buy 4D until I die or lose my memory."
      [email protected]

      HELPLINES
      National Council on Problem Gambling
      1800-6668-668
      http://www.ncpg.org.sg
      Thye Hua Kwan Problem Gambling Recovery Centre 6576-0840
      http://www.thkmc.org.sg/thk-problem-gambling-recovery-centre/
      One Hope Centre 6547-1011
      http://www.onehopecentre.org
      We Care Community Services 6471-5346
      http://www.wecare.org.sg