Pls change privatised govt hospitals to statutory boards
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The govt hospitals are called private companies.But the govt knows it is not quite right or appropriate to call them as private companies.So they call them as restructured hospitals but still retain the official names as pte companies.I suggest the govt change them to statutory boards but operate them as companies as much as possible.
Perhaps one of the govt hospitals can be remained as private company to cater for class 1 & 2A class patients. -
[quote]Originally posted by PRP:
The govt hospitals are called private companies.But the govt knows it is not quite right or appropriate to call them as private companies.So they call them as restructured hospital but still retain the official names as pte copamies.I suggest the govt change them to statutory boards but operate them as companies as much as possible.
Perhaps one of the govt hospitals can be remained as private companies which can cater exclusively for non-subsidised patients.[/quaote]
Too many essential government services for which people elected them to provide and look after from taxes have been corporatized in the name of avoiding welfarism.
In the course of such corporatization, all the previous assets and infrastructures already paid by the taxpayers were sold for profits by the government with the GLCs having to charge for such assets all over again.
This means the citizens will have to pay double for all the assets and infrastructure already previously owned by them.
After corporatization most of these privatised or corporatised GLCs did was to to jack up fees in order to pay for the assets and land as well as the higher salaries to all their government-linked CEOs some of whom are seconded from various retired army officers to earn a comfortable living for themselves.
May be another way is to de-corporatize all the essential services like medicare, utilities and housing so that the government privatised enterprises and GLCs by whatever name would not misbehave and start monopolising and jacking up all fees and costs of living at the expense of the people who elected government to look after providing such basic necessities. -
Robert,
I believe u agree with my view.Am I right? -
"What's in a name? That which we call a rose By any other word would smell as sweet." - Romeo and Juliet.
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I foresee your criticism.Even the govt doesn't say the govt hospitals are privatised and say they are restructutured hospital.Do u know why?Wha't in a name?Originally posted by charlize:"What's in a name? That which we call a rose By any other word would smell as sweet." - Romeo and Juliet. -
If another 9,999 people also could see through the ulterior motive behind such government's restructuring of hospitals in order to recover costs or to make monies at people's expense, then we all have arrived.Originally posted by PRP:Robert,
I believe u agree with my view.Am I right?
For now, I am banned. -
Robert,
The fact is the privatised govt hospitals require subsidies from the govt.So they aren't really private companies. -
The state got to provide for the ppl well being because afterall ppl make up the state and elect the gahment wad. So, it is the duty of the gahment to ensure that all the ppl get affortable healthcare. the ppl pay taxes, so gahment can serve to re-distribute income and do something to help the ppl with lower income. Currently, I think they got subsidse righ, this along with the existence of private healthcare where u dun get subsidise but u get the treatment faster la. i think got bad and gd. Gd, is that , this way, the system is more efficient comapred to universal healthcare although some ppl say it's unfair la cause got dual market wad. But then, argue this way not very gd. I mean, with the alternative of universal healthcare render the system to be more efficient?
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If another 9,999 people also could see through the ulterior motive behind such government's restructuring of hospitals in order to recover costs or to make monies at people's expense, then we all have arrived.
U hv 2 wait veri veri veri veri veri long 4 tat ......... yr 2020-2030 -
I posted this in another thread.
This was published in the Western Journal of Medicine a while back, but it explains the strength of our healthcare funding system, which remains true today
TO THE EDITOR: The American Medical Association has reported that over 40%of United States health care costs are directly attributable to American self-indulgence, coupled with our polyglot ethnic diversity and propensity to settle disputes with bullets. Tobacco, intravenous drug use, unsafe sex habits, excess alcohol and dietary fats, coupled with sedentary life-styles and lackadaisical driving habits, ratchet up health costs while Americans expect, nay even demand, that someone else pick up the tab. Singapore has evolved a health insurance plan based on individual responsibility, not rights and privileges.
Article 5 of the policy statement of Mr Yeo Cheow Tong, the Singapore Minister of Health, reads: "Our medical system is based on individual responsibility . . . no Singaporean has enjoyed or expects to enjoy health services for free. When hospitalized he pays part of the bill, more in a B class than in a C class ward. His Medisave is his own money. This gives him the incentive to be healthy, minimize his need for medical treatment, and save on medical expenses."'
The individual Singaporean savings account, established in 1984 as "Medisave," is a system the United States could well copy. Each person contributes to his or
her own Medisave account-currently at 6% of income to meet future medical expenses of the immediate family.
Article 35 of the Medisave government policy reiterates and clearly defines the role of each citizen in terms of personal responsibility for health. "Every Singaporean has the duty to stay fit and healthy. A healthy life-style will reduce his chances of falling sick. He should save up for future medical needs by contributing regularly to Medisave. He should use his Medisave prudently, by choosing the class of ward which he can comfortably afford."
Adopting a Medisave system by US workers would dramatically increase the nation's saving rate, currently at an all-time low compared with competitors such as Japan and Germany. Invested savings provide the capital necessary for economic growth. Such a system would also establish in the minds of US citizens their own individual participation in, and accountability for, paying for their health care. The problems of the Scandinavian, British, and Canadian health systems have shown that centralized government control and administration of health care are unsustainable. Eventually they all collapse in the face of unremitting and escalating demands for more and more "free" care while the countries' economies flounder under the weight and burden of taxes, stifling job growth and economic expansion.
Medicine costs more because we can do more. People live. People live longer. The people should have the final say in how each cent of their health care is bought and paid for. Our government can help by setting up tax-free medical savings accounts.
CHRISTOPHER LYON, MD, PhD
Fashion Island, Ste 402
1401 Avocado Ave
Newport Beach, CA 92660
West J Med. 1993 May; 158(5): 537. -
Are u Mr Robert Teh?If yes,i have commented on your opinion.Originally posted by summer_fire:If another 9,999 people also could see through the ulterior motive behind such government's restructuring of hospitals in order to recover costs or to make monies at people's expense, then we all have arrived.
U hv 2 wait veri veri veri veri veri long 4 tat ......... yr 2020-2030 -
In a way,what u say is right.But when the name or rather the orgainsational type is inapropriate,should it be changed?Originally posted by charlize:"What's in a name? That which we call a rose By any other word would smell as sweet." - Romeo and Juliet. -
Govt hospitals are fully owned byt the govt and require govt subsidies.How can they be called as "Pte Ltd"????
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If the hospital is privatised, then won't there be any benefits to help needy patients?
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It is more appropriate to name the govt hospitals as "Public Ltd" instead of "Pte Ltd" because the govt money belong to the general public.
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I would love them to tell it to people with a genetic defect that their genetically linked disease is preventable . How about that?Originally posted by oxford mushroom:I posted this in another thread.
Singapore has evolved a health insurance plan based on individual responsibility, not rights and privileges.
Article 5 of the policy statement of Mr Yeo Cheow Tong, the Singapore Minister of Health, reads: "Our medical system is based on individual responsibility . . . no Singaporean has enjoyed or expects to enjoy health services for free. When hospitalized he pays part of the bill, more in a B class than in a C class ward. His Medisave is his own money. This gives him the incentive to be healthy, minimize his need for medical treatment, and save on medical expenses."'
The individual Singaporean savings account, established in 1984 as "Medisave," is a system the United States could well copy. Each person contributes to his or
her own Medisave account-currently at 6% of income to meet future medical expenses of the immediate family.
Article 35 of the Medisave government policy reiterates and clearly defines the role of each citizen in terms of personal responsibility for health. "Every Singaporean has the duty to stay fit and healthy. A healthy life-style will reduce his chances of falling sick. He should save up for future medical needs by contributing regularly to Medisave. He should use his Medisave prudently, by choosing the class of ward which he can comfortably afford." -
The danger
The danger of calling a govt hospital as private corporation is that staff (especially the frontline ones) of the hospital think that their aim is making profit.As u know the booking clerks reserve empty spaces for non-susidied patients while the subsidied patients have to wait very long to see specialist docs -- the empty reserved booking have gone to waste if they are not used by non subisdised patients. -
Genetic defects do not account for the bulk of our healthcare problems in Singapore. I doubt that is the case in Australia, unless you are suggesting it is a continent of genetic defectives...Originally posted by fymk:I would love them to tell it to people with a genetic defect that their genetically linked disease is preventable . How about that? -
There must be price discrimination of some form. If I pay more I expect to be attended to before others who are subsidized. It is for the same reason that First Class passengers are allowed to board and disembark first. Subsidized patients with life threatening conditions should be given emergency treatment regardless of class status, but apart from that, paying class patients should be treated first.Originally posted by PRP:The danger
The danger of calling a govt hospital as private corporation is that staff (especially the frontline ones) of the hospital think that their aim is making profit.As u know the booking clerks reserve empty spaces for non-susidied patients while the subsidied patients have to wait very long to see specialist docs -- the empty reserved booking have gone to waste if they are not used by non subisdised patients. -
As I mentioned a wastfulness in the exiting booking system to see speicalists,what have u to say?Originally posted by oxford mushroom:There must be price discrimination of some form. If I pay more I expect to be attended to before others who are subsidized. It is for the same reason that First Class passengers are allowed to board and disembark first. Subsidized patients with life threatening conditions should be given emergency treatment regardless of class status, but apart from that, paying class patients should be treated first. -
It is not a waste. Put yourself in the shoes of the specialist. I am sure you have been to a subsidised specialist clinic in a hospital or to a Govt polyclinic - subsidised clinics are extremely demanding to run. The no of patients to see is just endless. There is often no time to eat or even visit the loo on days that the specialists are in subsidised clinic. I know of subsidised clinics that have to run till past 9pm to finish, way past official 5pm clinic closing time.Originally posted by PRP:As I mentioned a wastfulness in the exiting booking system to see speicalists,what have u to say?
Is it fair to expect the specialists to have to see subsidised cases on their private lists if their private lists are not full? Since the subsidised cases are deemed non emergency, what does this achieve really?
My guess is if specialists were forced to bite the bullet and run these clinics, there'd be a mass exodus out to private practice...
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Do u mean govt specialists earn more income seeing private patients?Originally posted by cherry_garcia:It is not a waste. Put yourself in the shoes of the specialist. I am sure you have been to a subsidised specialist clinic in a hospital or to a Govt polyclinic - subsidised clinics are extremely demanding to run. The no of patients to see is just endless. There is often no time to eat or even visit the loo on days that the specialists are in subsidised clinic. I know of subsidised clinics that have to run till past 9pm to finish, way past official 5pm clinic closing time.
Is it fair to expect the specialists to have to see subsidised cases on their private lists if their private lists are not full? Since the subsidised cases are deemed non emergency, what does this achieve really?
My guess is if specialists were forced to bite the bullet and run these clinics, there'd be a mass exodus out to private practice...
If a specialist's private patients are not fully booked,i don't see why he shouldn't use his unused working time to see susidised patients. -
LOL...the specialist's clinic schedule is ALWAYS fully booked...I know cos' I used to work in a public hospital..An empty slot does not mean that a specialist is free during that time. We have other responsibilities apart from running clinics. Have you forgotten about the patients in the hospital wards, the operating theatres, hospital conferences with other specialists, meeting with relatives, administrative duties, teaching medical students and research?Originally posted by PRP:As I mentioned a wastfulness in the exiting booking system to see speicalists,what have u to say? -
U claimed a specialist clinic is ALWAYS fully booked,then u talked about "an empty slot".Aren't u contradict yourself?Originally posted by oxford mushroom:LOL...the specialist's clinic schedule is ALWAYS fully booked...I know cos' I used to work in a public hospital..An empty slot does not mean that a specialist is free during that time. We have other responsibilities apart from running clinics. Have you forgotten about the patients in the hospital wards, the operating theatres, hospital conferences with other specialists, meeting with relatives, administrative duties, teaching medical students and research?
Fair enuf,a govt hospital specialist is very busy and he has other resposnisblilities besides seeing patients in clinic.But the time alocated for him to see patients in clinic,i think he should spend the time there unless there is urgent duties he has to attend. -
You were the one who claim to see empty slots in a doctor's schedule. I am saying that some slots may be left empty because the doctor has to be deployed elsewhere. The staffing situation in government hospitals is so tight that if one colleague is on leave or sick, others will have to be re-deployed.Originally posted by PRP:U claimed a specialist clinic is ALWAYS fully booked,then u talked about "an empty slot".Aren't u contradict yourself?
Fair enuf,a govt hospital specialist is very busy and he has other resposnisblilities besides seeing patients in clinic.But the time alocated for him to see patients in clinic,i think he should spend the time there unless there is urgent duties he has to attend.