SINGAPORE: A majority of Singaporeans will get a full
subsidy if they choose a Class B2 or C ward when
hospitalised.
That's because those earning S$3,200 and below a month will now be
eligible for it.
Health Minister Khaw Boon Wan unveiled the benchmark for
means-testing in Parliament on Monday, after months of public
feedback on the issue.
Means testing will kick in next January.
The Ministry of Health (MOH) has made good its promise that it will
"err on the side of generosity" when it comes to deciding how much
subsidy patients get.
Mr Khaw said: "I have assured Singaporeans that we will take a
practical approach to means-testing. We will be flexible at the
margins to help those who may appear to be of high-income but who
have exceptional financial liabilities. We have decided to set the
criteria more loosely so as to mitigate the impact on those who may
be affected."
So patients earning S$3,200 and below will get the full 80 per cent
subsidy if they opt for a Class C ward and a 65 per cent subsidy
for a Class B2 ward.
Higher income earners will get subsidies on a sliding scale of one
percentage point, depending on their income range.
This is capped at 65 per cent for Class C wards and 50 per cent for
Class B2 wards for those earning more than S$5,200.
Economically inactive patients will also receive full subsidies
unless they live in a property with an Annual Value exceeding
S$11,000.
As for Permanent Residents, their subsidies will be 10 percentage
points lower than Singaporeans of equivalent income level.
But the Health Minister hopes patients will subscribe to MediShield
to help themselves further with the payment of their hospital
bills.
He said: "Those who earn more, say S$3,000 or S$4,000 per month,
should top up a rider which would enable them to use the higher
ward classes. If they do so, then they will not need to use Class
B2 or C and compete with low-income patients for such
resources."
MOH is working out the implementation details and has assured that
it will be automated and hassle-free.
As for those who feel the simplified approach has treated them
unfairly, a thorough means-test will be conducted upon their appeal
and will be based on the approach that is currently used by nursing
homes."
And there was more good news.
From 1 April 2008, Medisave can be used for the outpatient
treatment of two more chronic diseases - asthma and chronic
obstructive pulmonary disease or COPD.
The withdrawals will be capped at S$300 per Medisave account per
year. The existing deductible of S$30 and co-payment of 15 per cent
will apply.
This brings to six the total number of chronic diseases under this
scheme.
The other four chronic diseases are diabetes, hypertension, lipid
disorders and stroke.
Some 180,000 Singaporeans are expected to benefit from the
move.
Mr Khaw also revealed that the 19 per cent increase in healthcare
budget will be used for greater investment in infrastructure
development and boosting healthcare manpower.
Over the next five years, 40 per cent more doctors, nurses,
pharmacists and healthcare professionals will be added through
active recruitment and new scholarships for allied healthcare
professionals.
For example, a new scholarship to sponsor Nanyang Polytechnic
graduates for a one-year degree courses will be given out. S$1.9
billion will be allocated for this manpower recruitment.
Step-down care facilities, as well as existing hospitals will also
be upgraded.
And from April 2008, the Integrated Care Services will be upgraded
into an Agency for Integrated Care.
Starting with Changi General Hospital and National University
Hospital, this will equip public hospitals with resources including
additional care coordinators.
This is expected to cost the government S$20 million over four
years.
These coordinators will help ensure that patients who are fit for
discharge but who have multiple complex care needs are transferred
to appropriate step-down care providers.
But Mr Khaw also reiterated his belief that everyone has to chip in
to keep healthcare costs in check.
Mr Khaw said: “I will do my part to ensure that Singaporeans will
continue to enjoy healthcare that is among the best anywhere in the
world. But higher spending often does not guarantee better
health.
Indeed, as noted by Mr Yeo Guat Kwang, it is the basics that we
must continue to focus on which will bring about healthcare
improvement: prevention and better management of chronic
diseases.
“For this I need the full co-operation from all Singaporeans: don't
smoke, keep clean, don't spread bugs, don't overeat and keep
active."
The Health Minister was responding to MPs who asked about the
government plans to meet future healthcare needs.
-CNA/vm