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Class C wards are highly affordable

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suicidalpap

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Class C wards are highly affordable

MR LEONG Sze Hian seemed to disbelieve that C-class patients would know to ask for non- subsidised drugs and implants ('Puzzled by spike in unsubsidised items for C-class patients'; last Wednesday).

There was a time when C-class patients were largely lowly educated and ignorant of treatment options. This has changed over the years.

Many subsidised patients are now well-read and often come with Internet printouts about alternative treatment options. We welcome this development as better informed patients can participate more actively in their treatment, especially where lifestyle changes can make a critical difference to their health outcome.

With more than 42 per cent of all admissions to restructured hospitals opting for Class C wards, many are clearly not from low-income families.

To keep health-care costs low, our policy is to prescribe standard drugs and cost-effective implants for our subsidised patients. However, where the patients have expressed a strong preference for such non-standard items despite knowing that they will have to pay for them, we will meet their requests. They assess that they can afford these non-subsidised drugs and implants as they are covered by both Medisave and MediShield, subject to certain limits.

The reality is that Class C wards are highly affordable. Where is the evidence?

The average Class C hospital bill is about $1,600, equivalent to less than one week of the average household income. Eight out of 10 Class C hospital bills are fully covered by Medisave withdrawal limits. With MediShield, the vast majority of Class C patients do not have to pay anything out of pocket.

Mr Leong cited a $90,000 Class C bill. Such bills are rare and are usually the result of very long stays in the intensive care unit. The rational way to protect against such a catastrophic event is insurance. MediShield offers such coverage at very affordable prices.
Where patients have no or insufficient insurance coverage, we still have Medifund as a last resort.

Our 3Ms (Medisave, Medi- Shield, Medifund) approach to financing health care is the correct answer to rising expectations for high-quality health care.

Patients can do their part by staying within 3Ms and accepting their doctors' prescription of lower-cost alternatives. Most Singaporeans do.

Karen Tan (Ms)
Director, Corporate Communications
Ministry of Health
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Nothing is unaffordable in this sinkieland.:rolleyes:
 
When the MIW say anything or everything is affordable means it is affordable.If not happy,vote them out ! Unless u have no balls to vote them out ?
 
To vote them out need the cooperation of the populace. You think I myself will do?
 
To vote them out need the cooperation of the populace. You think I myself will do?

Ok.I know u got balls.But Let's see if majority of singaporeans got balls or no balls this coming GE.Vote for loyal opposition!Down with the traitor MIW!
 
Ah Ram is THE expert on class C wards - hospital specialist. Let's hear from him.
 
Ah Ram is THE expert on class C wards - hospital specialist. Let's hear from him.

I'm only experienced with TTSH wards, not SGH or other hospitals. But I know that SGH Class C is 9-bedded whereas that of TTSH is 6-bedded, but TTSH is correspondingly more expensive, about S$50+ to S$30+ at SGH.

At those rates, basic warding charges per night is the last of the patient's worry. It's the medical, surgical and nursing costs that rake up the bill. I estimate Class C bills to be subsidised at 60+% and B2 at 40+%. I don't think Class B1 is subsidised at all and I'm sure A isn't subsidised at all.

The implication of your class of ward on your subsidies is beyong just the bed charges per day. It applies across to all costs incurred on your bill. Nothing is free and every item is charged from X-rays, scans, tests, drip packs, operation, injection and medication right down to meals and even napkins. These can be very expensive even after subsidies.

One thing I find objectionable is charge for blood packs in case of blood transfusion not by direct donation. All the blood in the blood bank are procured through public donation. Why are they charging for it? I was a blood donor in my healthier days. It irks me that they're selling it.
 
[QUOTE=Ramseth:

Class C is only subsidized if your injury or illness is not as result of work.

The recent case of a Singaporean who was not given the subsided rate for his work related illness certainly raise some concern....Sin$147K for class C.

For eg I know of a lady whose father is a self-employed truck driver. What if he get injured in an accident while at work, then he will NOT be subsized even at class C ward.

This lady works for a kind of Singapore public medical admission dept and she even say, those who are paying FULL fees...like foreigners and richer patients...get their appointments slot into the full schedules bec. the specialists earn more from them.

I personally had that experience some 20 years ago. My daughter was admitted to a Singapore govt. hospital and we could afford the A class with enhanced facilities and so she was scheduled as the first patient to be operated on.

Those in the so-call class C subsidized category were scheduled in the late afternoon and their operations were postphoned 3 to 4 times because the excuse was they needed more test or the surgents operations took too much of their time and overlap into the late afternoon operation.

Any reader can always check those in the class C ward and see when their oeprations are sheduled and also check with the class A ward.
 
Class C is only subsidized if your injury or illness is not as result of work.

The recent case of a Singaporean who was not given the subsided rate for his work related illness certainly raise some concern....Sin$147K for class C.

For eg I know of a lady whose father is a self-employed truck driver. What if he get injured in an accident while at work, then he will NOT be subsized even at class C ward.

I only come to know about this work-related non-subsidised policy with this recent case you mentioned. It sounds very regressive and even repressive to me. It seems to be government policy that work-related injuries is between employee and employer and whatever insurance they have in place only. Government subsidies are only for naturally occuring illnesses.

I personally had that experience some 20 years ago. My daughter was admitted to a Singapore govt. hospital and we could afford the A class with enhanced facilities and so she was scheduled as the first patient to be operated on.

Those in the so-call class C subsidized category were scheduled in the late afternoon and their operations were postphoned 3 to 4 times because the excuse was they needed more test or the surgents operations took too much of their time and overlap into the late afternoon operation.

Any reader can always check those in the class C ward and see when their oeprations are sheduled and also check with the class A ward.

Class C patients of course must queue, unless deemed to be a life or death case. A life or death case is different from a mere serious case when the patient can wait and won't die. Class A of course needn't wait, the patient can even choose the doctor, and of course the doctor is better paid for that. It's like when you're defending a court case, you want a legal associate, partner or senior counsel? Some facts of life are just facts.
 
I have Medishield Plan B. Does that mean that I must opt for Class B1/2 if I'm ever warded? If I go to a polyclinic, would I be subsidised?
 
europe have high taxation, but their medical care are free,
what we have in singapore swiss standard of living, our taxes are high if you add cpf, and we still have to pay massive health bill. where does all the money goes? where else but salary of PAP.
 
I have Medishield Plan B. Does that mean that I must opt for Class B1/2 if I'm ever warded? If I go to a polyclinic, would I be subsidised?

You can opt for any class of ward regardless of your class of Medisave. The question is about the claim payout. Higher class of insurance has higher deductibles but higher claim limits. Lower class of insurance has lower deductibles but lower claim limits too. Generally, the insurance classes are designed to match the average needs of corresponding ward classes.

I think all polyclinic charges are rated at Class C equivalent subsidies regardless of patients, except perhaps children more subsidies and foreigners less subsidies. The real difference between class subsidies comes only when you visit the hospital outpatient clinics for follow-up treatments after being discharged from warding. I'm not too sure, you'd have to check.
 
hahaha....the most rediculous thing is that you have to pay GST for the medical services...........wtf pple are sick and they still have to pay GST...this is really nonsense.
 
hahaha....the most rediculous thing is that you have to pay GST for the medical services...........wtf pple are sick and they still have to pay GST...this is really nonsense.

I think GST applies for coffins too. Die die also want to make money from the dead. Crematorium I am not sure if have GST bo. Won't surprise me though.
 
I think GST applies for coffins too. Die die also want to make money from the dead. Crematorium I am not sure if have GST bo. Won't surprise me though.

Yes...GST applies to all your death expenses also.
But the killer is still GST for medical expenses......
 
Yes...GST applies to all your death expenses also.
But the killer is still GST for medical expenses......

Shit or pee also pay GST. Look at your PUB bill.

In Singapore, only fart is free.
 
Shit or pee also pay GST. Look at your PUB bill.

In Singapore, only fart is free.

If you suka suka fart, it may not be free. Someone may assault you, you see doctor, also must pay $ for consultation and medication, not forgetting the taxi or ambulance fee. Nothing is free!
 
Shit or pee also pay GST. Look at your PUB bill.

In Singapore, only fart is free.

Do not tempt THEM, the People's AFFORDABLE party, recent news, Malawi passed a law, making it illegal to FART in public.

You do not need to get out of the house, just lay in bed...you pay GST, you turn on the lights, wash you hands, pee or shit..GST!

Do not worry, help is on the way....wait for FEB 18 2011, help is on the way.....don't worry be happy, all is FIXED!:D
 
Do not tempt THEM, the People's AFFORDABLE party, recent news, Malawi passed a law, making it illegal to FART in public.

Enforcement may not be easy. If fart with noise, maybe easy. What if in a group and it was a silencer?
 
One thing I find objectionable is charge for blood packs in case of blood transfusion not by direct donation. All the blood in the blood bank are procured through public donation. Why are they charging for it? I was a blood donor in my healthier days. It irks me that they're selling it.

I used to be a regular blood donor, I sill have the card from BTS, Blood Transfusion service, what they are called now, I really don't know. I stopped, when someone close to me , needed blood tranfusion & at that time, they charge was it $200 or $300 a pack, in order for that person to save cost; I went down to donate a pint!.

From that time on, I stopped my blood donation to BTS, and only donate, when someone needs that kind of help.:p
 
I used to be a regular blood donor, I sill have the card from BTS, Blood Transfusion service, what they are called now, I really don't know. I stopped, when someone close to me , needed blood tranfusion & at that time, they charge was it $200 or $300 a pack, in order for that person to save cost; I went down to donate a pint!.

From that time on, I stopped my blood donation to BTS, and only donate, when someone needs that kind of help.:p

Yeah, my bill listed S$200+ per pack. Class C subsidised at S$70+ per pack. I needed two packs. I've donated blood and even platelets freely. Why are they charging for it, and so expensively? :mad:

Anyway, being both donor and recipient before, I'd still encourage people to donate blood to keep the blood bank in stock. It could mean the difference between life and death. Donating blood is not the problem. The hospital practices and charges are the problems to be addressed.
 
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