Not for profit hospital
January 12th, 2024 | 
Author: 
The Ministry of Health wants to set up a not-for-profit hospital.
I think that this is a bad idea. It does not address the underlying problem - which is to keep the health care cost affordable.
I prefer the following approach:
a) The ministry should set standard fees for the common treatments, and these should apply to all hospitals that wishes to treat public patients.
As the ministry has the data of the cost of large number of cases for each type of illness, it will be able to set the standard fees that are adequate for the doctors and hospitals, and fair to the patients.
b) The ministry should set a cap on the amount that the public patient has to pay for treatment and should pay for all expenses in excess of th cap.
The public patient or their family is not able to judge whether the treatment is necessary and is fair. This question is important for expensive treatment in "end of life" situations. If the government take over the excess expenses, the ministry can set up an impartial panel of medical experts to determine the limit of the treatment. There is no point in providing expensive treatment that prolong life, without any reasonable prospect of recovery. The family should not be asked to make this judgment.
c) All public hospitals, including the "restructured hospitals" should be operated on a not-for-profit basis.
I hope that you will agree with my approach and share your view on this matter.
Tan Kin Lian
Posted in 
We have already seen how the “not for profit” organizations work.
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Housing, health….the most basic and fundamental duties of any govt.
Papigs cannot get them right.
Not enough hospital beds.
Housing prices going through the roof—allowing 8 foreign workers to squeeze into tax payer funded public housing.
Maharajah Ministers living in GCBs have totally lost it.
Bring back Goh Keng Swee, Ngiam Tong Dow.
These Papig 3.0 and 4.0 are totally useless.
Money Lauderers not caught for years!
Where are the Good and Capable?
Unemployed ex-Generals ,tycoon son-in-law , MahaRajahs in GCB cannot run government.
Cronies are running the Party now!
”TheThe money laundering web extends to 105 properties valued at around S$831 million, ”
”How Suspects Laundered Billions in Singapore for Years
The city-state that’s embraced foreign wealth is reeling from an investigation that saw authorities seize cash, 62 cars, 152 properties and gold bars.
”
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The Regime is also ‘non-profit’ according to their manifesto. What has that got to do with making more money?
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HDB makes losses every year, many $billions every year.
Do people believe HDB is non-profit?
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Not too long ago our tax payer funded PUBLIC hospitals were used for medical tourism. Then kena exposed faster quickly go say that foreigners not allowed at PUBLIC hospitals. In the first place who was the idiot/idiots who allowed PUBLIC hospitals to be used for medical tourism hmm?
And this so called “not for profit” does not make sense. It gives the impression that the current PUBLIC hospitals that we have now are purely for profit. Why the need for “not for profit” in the first place if that isn’t the aim of current PUBLIC hospitals? Can’t even wayang right these days ah PAP? Your acting skills have certainly gone downhill rapidly compared to the past!
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We had a Kwong Wai Siu ‘Free’ Hospital at Serangoon Road earlier times.
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Hahaha…..when you inflate the population artificially in a small country like Singapore, it comes with unforeseen costs. Initially, you can push and massage away some of these costs (https://mothership.sg/2024/01/phv-singapore-new-coe-category/) but eventually what goes around comes around. In a small place like SG, the falling dominoes will eventually come crushing on top of you.
https://gutzy.asia/2024/01/11/desmond-lee-singapore-reclaimed-74-5-sq-km-of-land-costs-s13-billion-from-past-reserves-in-2000-2023/
Try increasing the land mass, there comes a time the sea bed is so deep, any land reclamation is exorbitant. Increase the GST, electricity tariffs and other indirect taxes to offset growing costs of an aging population?
https://www.malaymail.com/news/malaysia/2024/01/11/tengku-zafrul-what-happens-in-singapore-benefits-malaysia/111845
Businesses move to less expensive places, resulting in a drop in revenue collection from companies.
https://mothership.sg/2023/01/retire-in-penang/
The people too will move to retire in other countries, taking with them a substantial sum of their retirement funds. It’s SG’s loss. It’s a wack-a-mole situation caused by stupid, greedy and selfish leaders who are too short-sighted, exacerbated by selfish, timid and unthinking pro-PAP voters. What goes around comes around.
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Not for profits?
What about “$urpluses” that are more humongou$ than mere “profits”?
Not for (smaalish)profits,all for PROFITEERING?!
We scratch head.
Only can be attain by “WHITER THAN white” kind.
Please dont be $hy
Go Ahead and COLLECT MORE MONEY.
Like Village Boys sang a long time back@when this old sg uncle could still “joget”,” I cant stop the mu$ic…Nobody can stop the mu$ic…”
Money is mu$ic to PAPple’s ears.
They “jiang chua jee”, eat chua jee and some of them even “TOW CHIAK chua jee”???
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No Regime department ever loses money. Only the ballsless $heelple lose money. Whatever the Regime ‘loses’ will be recouped from the $heeple. That is what ERP, GST, IRAS, CPF etc. etc. are for.
So what is wrong with stealing more money?
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Before operation they will sit you down in an office and talk money first. Like how much can claim from insurance, medisave, subsidies. Then only the day of operation pay first. Cash $ and signed medisave form.
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The Hottest Spot in Hell are reserved for doctors and dentists that carry out unnecessary medical procedures for money.
Not the Insurance Salesmen that sell you stuff you don’t need.
Not the auto-mechanic that change the perfectly good part.
Not even for property agents/politicians that say HDB flats will forever rise
or 10,000 agents that come out to do ”new launch” to hoodwinked the blur.
All are going to HELL.
But the hottest spot are reserved for those that cause real physical suffering in the name of money.
Call it ‘physical torturers’!
We have many of these people in Sinkeland.
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Not for Profit ?
Stupid Tan Kin Lian, even religion needs profits.
No Profits (Money) No Blessing…go ask Pastor Kong/Pastor Sun and Venerable MingYi.
Of course they sugar coated it with a nicer name such as tithing or 香油钱?
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@”There is no point in providing expensive treatment that prolong life, without any reasonable prospect of recovery. The family should not be asked to make this judgment.”
Response: families should have the rights to decide for their love ones based on their wishes either to die comfortably with medical help or die with dignity. I don’t see treatment is to prolong life but is a final respect given to the love ones.
@”c) All public hospitals, including the “restructured hospitals” should be operated on a not-for-profit basis.”
Response: I thought all public hospitals in the 3 clusters are already operated on a not-for-profit basis?
Just wondering if the new hospital is meant to be private, so by tapping on the present resources of private hospitals and based on economy of scale, probably one-stop service might be cost efficient?
Maybe it’s time for some private hospitals’ investors to do a good cause since they have made so much profits during pandemic.
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NTUC supposed to be a Union Coperative. A non making organisation but went into Tac services. NTUC supposed to churn money for its Union members. But went further into investment. Today, things are not competitive as Sheng Siong. Even go into lucky draws and media broadcast on variety shows. Giving back to their customers .
It is sad that since NTUC supermarkets and taxi services are losing money or making profit comparison to Sheng Siong. Are NTUC giving concession in rental in heartland. Now going into Food Court business..
why go into business that the NTUC coperative are not familiar with. Food for the thoughts.
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Not-for -profit is noble.
Perhaps NTUC FAIRPRICE should look $eriously into it.
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Don’t waste time…MOH should be building the new Hospital and run it.That is their job and duty.
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I think if the policies for locals are sound, there would be no need for non-profit hospitals at all, because the coverage would be adequate.
I heard Malaysia and even China has very good safety net for medical, maybe can study and learn from them?
For example in China, there is a basic medical coverage (医保) of RMB 360 per year for all hospitalisation (maternal and some dental excepted) of up to 80%. Then there is an extra RMB 99 per year extra coverage (市保) for hospitalisation expenses, above and beyond the basic medical coverage, subject to a maximum of RMB 5 million.
As an example:
If someone is hospitalised for cancer and requires surgery and the surgery costs RMB 1,000,000, the basic medical coverage would cover RMB 700,000 (@70% depending on grade of hospital, say top hospital).
The balance of RMB 300,000 would then be required to be paid by the patient.
However, with the extra coverage, the patient would only need to fork out RMB 15,000 (免赔) and the extra insurance coverage would take care of the rest of RMB 285,000, up to a maximum of RMB 5 mllion.
I am currently covered by both and it does take a huge load off my mind as O do not need to worry about huge medical expenses should I kenna a relapse. My expenses in any case is limited to RMB 15,000.
I heard in Sinkieland there is a $8 plan that has been proven by a millister, but until today I still cannot find where to subscribe.
Anyone in the know? lol
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