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Inpatient Downgrading Dear MOH, I felt that it is not right for the Ministry of Health to come up with a police of restricting private hospital patients who wish to transfer to government hospitals. The policy of no downgrading was to prevent private hospitals from dumping their patients to public hospitals once the patients have exhausted all their monies.

Private hospitals have the moral obligation to care for their patients and manage their conditions, regardless of their financial status. While the policy intent of not allowing patients transferred from private hospitals to downgrade remains valid, the Ministry recognises that there could be some lower income patients who have genuinely made the initial wrong choice in opting for private hospitals that are beyond their financial means.

Such patients and their families often face grave financial difficulties if there are any unforeseen complications that arise during their stay in the private hospitals. Copied from gerald tan. The Medical Social Workers in the hospitals will assess their requests on a case-by-case basis.

We wish to emphasize that patients must make their decisions carefully based on what they could afford. To help patients choose the ward class appropriately, the Ministry has already made it compulsory for all hospitals including the private hospitals to provide financial counselling to patients prior to admission.

To help Singaporeans navigate our healthcare system better, the Ministry has also produced a brochure on "10 Tips to Stretch Your Health Dollar" to explain how Singaporeans can obtain affrodable and good healthcare at the public hospitals and institutions.

The brochures are available at all public sector institutions and community centres. We thank you for your feedback. You must be able to provide income documentation of ALL your family members.

The hospitals will not process the application unless ALL the required documentation is in. This is the 1 reason for delays. The subsidy will NOT be backdated.

Note the reverse is NOT true if you upgrade - all charges, except daily ward fee, will be backdated. Do not confuse the two!

For further details, contact your friendly Medical Social Worker not me.

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They will try their best to help, but understand their hands are tied by Ministry policy and the administrators! HEALTH ON THE DRAWING BOARD Introduce selective means testing for allocation of health-care subsidies to target subsidies at the lower-income groups Introduce compulsory continuing medical education for doctors in and consider the need for regular re-certification of doctors National screening programmes for breast and cervical cancers and basic oral-health services for all secondary schools Start a system to detect and mitigate potential sources of medical errors Copied from gerald tan.

Pursue integration between the two health-care clusters and closer collaboration between the public and private sector Abridged, emphasis in red mine.

Healthcare financing should focus on the following aspects: Financing means which looks at extending the sources of financing the healthcare costs.

Perspectives on Affordability So far, the MOH is looking at this issue from the standpoint of whether our healthcare spending, in terms of percentage of GDP, is in line with that of developed countries.

At the same time, we have various schemes such as Medisave and Medishield to provide medical cover when a person needs medical services, particularly hospitalisation and surgery. The group made the following observations that might explain the perception: There must be an outreach programme.

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It should also be made readily available to people who need them. A half-hearted effort would not work. Subsidy is currently given to those who go to the polyclinics, but the polyclinics are overwhelmed by the demand. Subsidy amount should be used for primary care, so that the subsidy is widespread and whoever needs it will get it regardless of where they go.

Recommendations - This article has been plagarised Introduce a compulsory medical insurance scheme so that all will have enough money to pay for their illnesses. There should be a new paradigm in healthcare subsidy.

Consider new ways of distributing subsidy to the needy. Subsidy for Singaporeans should be made available to those who need it. They should not be restricted to pre-defined healthcare providers. As long as the provider can provide the same quality of services at the same cost, they should be acceptable.Easier than Visio ®.

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