What Makes Singapore’s Health Care So Cheap?

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What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Tue Feb 06, 2018 10:08 pm

Singapore’s health care system is distinctive, and not just because of the improbability that it’s admired by many on the American left as well as the right.

It spends less of its economy on health care than any country that was included in our recent tournament on best health systems in the world.

And it spends far, far less than the United States does. Yet it achieves some outcomes Americans would find remarkable. Life expectancy at birth is two to three years longer than in Britain or the United States. Its infant mortality rate is among the lowest in the world, about half that of the United States, and just over half that of Britain, Australia, Canada and France. General mortality rates are impressive compared with pretty much all other countries as well.

When the World Health Organization ranked health care systems in 2000, it placed the United States 37th in quality; Singapore ranked sixth.

Americans tend to think that they have a highly privatized health system, but Singapore is arguably much more so. There, about two-thirds of health care spending is private, and about one-third is public. It’s just about the opposite in the United States.

https://www.nytimes.com/2017/10/02/upshot/what-makes-singapores-health-care-so-cheap.html


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Re: What Makes Singapore’s Health Care So Cheap?

Post by Original Quill on Tue Feb 06, 2018 11:25 pm

NY Times wrote:All workers are mandated to put a decent percentage of their earnings into savings for the future. Workers up to age 55 have to put 20 percent of their wages into these accounts, matched by an additional 17 percent of wages from their employer.

Affordable Care Act wrote:Government Health Plans are those created and mandated by the Affordable Care Act.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Wed Feb 07, 2018 12:27 am

Original Quill wrote:
NY Times wrote:All workers are mandated to put a decent percentage of their earnings into savings for the future. Workers up to age 55 have to put 20 percent of their wages into these accounts, matched by an additional 17 percent of wages from their employer.

Affordable Care Act wrote:Government Health Plans are those created and mandated by the Affordable Care Act.

The affordable Care Act still left the US with some of the most expensive (unaffordable) care on the planet.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by veya_victaous on Wed Feb 07, 2018 2:40 am

In other words, Singapore discovered that, as we’ve seen many times before, the market sometimes fails in health care. When that happened in Singapore, government officials got more involved. They established the proportion of each type of ward hospitals had to provide, they kept them from focusing too much on profits, and they required approval to buy new, expensive technology.

Singapore heavily regulates the number of physicians, and it has some control over salaries as well. The country uses bulk purchasing power to spend less on drugs.

Yep More Gov't involvement and Regulation is the key to a successful health system

And Comparison to the US system is not apples and oranges, You guys spend heaps because you let Corporations charge more for drugs and other products. rather than doing as Singapore and Australia(etc) do and have a national purchasing scheme that makes use of Bulk buying.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Wed Feb 07, 2018 2:49 am

veya_victaous wrote:
In other words, Singapore discovered that, as we’ve seen many times before, the market sometimes fails in health care. When that happened in Singapore, government officials got more involved. They established the proportion of each type of ward hospitals had to provide, they kept them from focusing too much on profits, and they required approval to buy new, expensive technology.

Singapore heavily regulates the number of physicians, and it has some control over salaries as well. The country uses bulk purchasing power to spend less on drugs.

Yep More Gov't involvement and Regulation is the key to a successful health system

And Comparison to the US system is not apples and oranges, You guys spend heaps because you let Corporations charge more for drugs and other products. rather than doing as Singapore and Australia(etc) do and have a national purchasing scheme that makes use of Bulk buying.

Americans tend to think that they have a highly privatized health system, but Singapore is arguably much more so. There, about two-thirds of health care spending is private, and about one-third is public. It’s just about the opposite in the United States.

I don't think you have a clue how regulated our system is.

Now, maybe we have dumb regulations, but we are damn sure not lacking in regulations or regulators when it comes to our healthcare.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by veya_victaous on Wed Feb 07, 2018 3:22 am

No your confusing 'spending' with regulation, the US spends a lot because it gets ripped off because it allows industry bodies instead of the gov't boards to impose policies which may include regulations, but they are regulation created By the Industry for the benefit of the industries bottom line. Look up 'chargemaster' Wink (the important bits are from 1 min in)



this is NOT THE SAME as other nations regulation which come from the gov't for the benefit of the people.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Wed Feb 07, 2018 3:24 am

veya_victaous wrote:No your confusing 'spending' with regulation, the US spends a lot because it gets ripped off because it allows industry bodies instead of the gov't boards to impose policies which may include regulations, but they are regulation created By the Industry for the benefit of the industries bottom line.  Look up 'chargemaster'  Wink  (the important bits are from 1 min in)



this is NOT THE SAME as other nations regulation which come from the gov't for the benefit of the people.

No I'm not. We have massive agencies that regulate our healthcare. I'm sorry that you don't know that, but I'm not hardly surprised.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by veya_victaous on Wed Feb 07, 2018 4:06 am

Again NOT to the extent that we Or Singapore does.
Singapore doesn't let it's Private health care providers Determine the Price of Healthcare, the US does. I think it is You that is misinformed as to the extent that the US is Unregulated in comparison to other nations.

Plus, Name the agencies? which Gov't Board regulates Costs?
here it is easy Department of Health, Medicare and PBS.
Department of Health BUILDS and Staffs hospitals, so beyond mere regulation it is direct operation. Medicare does the Finances and PBS negotiates with Pharmaceuticals to Bulk buy medicines.  

And Watch the Video it clearly explains how and why health care costs in the USA are so high due to the insurers Wink

and based on that it is obvious why the gov't regulation of prices and a gov't agency to Bulk buy drugs, that Singapore or Australia have are so important.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Wed Feb 07, 2018 5:54 am

veya_victaous wrote:Again NOT to the extent that we Or Singapore does.
Singapore doesn't let it's Private health care providers Determine the Price of Healthcare, the US does. I think it is You that is misinformed as to the extent that the US is Unregulated in comparison to other nations.

Plus, Name the agencies? which Gov't Board regulates Costs?
here it is easy Department of Health, Medicare and PBS.
Department of Health BUILDS and Staffs hospitals, so beyond mere regulation it is direct operation. Medicare does the Finances and PBS negotiates with Pharmaceuticals to Bulk buy medicines.  

And Watch the Video it clearly explains how and why health care costs in the USA are so high due to the insurers Wink

and based on that it is obvious why the gov't regulation of prices and a gov't agency to Bulk buy drugs, that Singapore or Australia have are so important.

We have a myriad of government agencies in the health care pie. It's a hell of a lot more than 3 I assure you.

Does that google thing work in Australia?

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Re: What Makes Singapore’s Health Care So Cheap?

Post by WhoseYourWolfie on Wed Feb 07, 2018 6:54 am

Maddog wrote:
veya_victaous wrote:No your confusing 'spending' with regulation, the US spends a lot because it gets ripped off because it allows industry bodies instead of the gov't boards to impose policies which may include regulations, but they are regulation created By the Industry for the benefit of the industries bottom line.  Look up 'chargemaster'  Wink  (the important bits are from 1 min in)



this is NOT THE SAME as other nations regulation which come from the gov't for the benefit of the people.

No I'm not. We have massive agencies that regulate our healthcare. I'm sorry that you don't know that, but I'm not hardly surprised.

Laughing

What use is a "massive government agency", though, when it's the big corporations that create policy, "regulate" themselves, and boss thoee agencies arround...

You're still skirting one central issue, Maddog  --  the sorry fact that the US guvm'nt allows the healthfunds and private hospital owners to pocket 50% of turnover in profits !!!  No wonder those private hospitals can keep on re-investing in themselves, at that rate.

Why do so many Americans believe that they should be able to profit off every single bare necessity of life   ?   No doubt those big corporations are already working on schemes to "privatise" Amerika's fresh water and fresh air supplies..

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Re: What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Wed Feb 07, 2018 7:40 am

WhoseYourWolfie wrote:
Maddog wrote:

No I'm not. We have massive agencies that regulate our healthcare. I'm sorry that you don't know that, but I'm not hardly surprised.

Laughing

What use is a "massive government agency", though, when it's the big corporations that create policy, "regulate" themselves, and boss thoee agencies arround...

You're still skirting one central issue, Maddog  --  the sorry fact that the US guvm'nt allows the healthfunds and private hospital owners to pocket 50% of turnover in profits !!!  No wonder those private hospitals can keep on re-investing in themselves, at that rate.

Why do so many Americans believe that they should be able to profit off every single bare necessity of life   ?   No doubt those big corporations are already working on schemes to "privatise" Amerika's fresh water and fresh air supplies..

No doubt cronyism is a huge issue. There's a reason those corporations donate all that money to crooked politicians. Wink

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Re: What Makes Singapore’s Health Care So Cheap?

Post by *THE Ben Reilly* on Wed Feb 07, 2018 7:49 am

Maddog wrote:
WhoseYourWolfie wrote:
Maddog wrote:

No I'm not. We have massive agencies that regulate our healthcare. I'm sorry that you don't know that, but I'm not hardly surprised.

Laughing

What use is a "massive government agency", though, when it's the big corporations that create policy, "regulate" themselves, and boss thoee agencies arround...

You're still skirting one central issue, Maddog  --  the sorry fact that the US guvm'nt allows the healthfunds and private hospital owners to pocket 50% of turnover in profits !!!  No wonder those private hospitals can keep on re-investing in themselves, at that rate.

Why do so many Americans believe that they should be able to profit off every single bare necessity of life   ?   No doubt those big corporations are already working on schemes to "privatise" Amerika's fresh water and fresh air supplies..

No doubt cronyism is a huge issue.  There's a reason those corporations donate all that money to crooked politicians.  Wink

Exactly. We should therefore take the one institution that the people could possibly use to defend ourselves against such cronyism out of the picture and just let the big corporations raw dog us.

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Re: What Makes Singapore’s Health Care So Cheap?

Post by Maddog on Wed Feb 07, 2018 4:10 pm

Ben Reilly wrote:
Maddog wrote:

No doubt cronyism is a huge issue.  There's a reason those corporations donate all that money to crooked politicians.  Wink

Exactly. We should therefore take the one institution that the people could possibly use to defend ourselves against such cronyism out of the picture and just let the big corporations raw dog us.

Not a terrible idea in light of morals of the typical politician. Wink

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