Someone please enlighten this poor soul.
Wait he happily pay taxes. 
Ministry of
Health: www.moh.gov.sg
JB Nursing Homes - MOH
Clarifies
Last updated 20 Feb
09
From feedback received and online discussion, it is apparent
that there is much misunderstanding on Minister Khaw’s comments on
nursing homes in JB. Some expressed objection to using the nursing
homes in JB for their elderly. They felt that this would tantamount
to abandoning the elderly overseas. We commend their
spirit. Indeed, we would like to state categorically that
nobody is advocating that the elderly be abandoned, here or
overseas. Minister’s comments arose from the requests by many
Singaporeans to use their Medisave for overseas hospital care where
competent care is available at lower cost. Unfortunately, his
comments have been twisted out of context. (MOH
clarifies:It is a matter of options and affordability (The
New Paper, 18 Feb)
Minister Khaw was only sharing an observation about the
different cost structures in JB and Singapore, and in fact this
option is something that those who want to stretch their budget are
already doing. On why nursing homes cost more in Singapore than JB,
it is a case of market realities arising from different stages of
economic development. This is not a failure of Singapore's
healthcare system, but a reality that our cost of living here is
higher. Our doctors and nurses are paid more their
counterparts there; likewise the cost of land and construction.(MOH
clarifies:Why nursing homes cost more to build and run in
Singapore (The Straits Times, 20 Feb)
We certainly encourage families to strive to help their elderly
age-in-place, i.e. at home. The vast majority of Singaporeans do,
and we commend and applaud their strong family bonds. The
fact is that not all patients can be cared for adequately at home,
while this may be the top wish of the patients and their
families. Sometimes, they do need to be admitted to a
hospital, if conditions are severe, or to a nursing home, if the
conditions are less serious. They are not "homes for the
aged" where the elderly has been abandoned by their children, with
no family to return to. Many commentators may have mixed up
nursing homes with homes for the aged. Ultimately, whether
the patients should be cared for at home, at nursing home in
Singapore, or at nursing home overseas, are decisions for the
family to decide. (MOH clarfies: Strong
families ties and values in care for the elderly. (ZB's english
translation, 23 Feb )
For the low income group, they do not have to worry as Government
subsidy ensures that nursing homes here will be affordable.
Each year, the Ministry of Health (MOH) provides about $110 million
in operating subsidies for the Intermediate and Long-term Care
(ILTC) services, which include nursing homes. Needy families will
get the subsidies they need, and even from Medifund.For those who
can afford unsubsidised nursing home care, keeping the borders open
provide them with options. This is the context in which
Minister Khaw made his comment.
In fact, some readers shared the view that the availability of
lower nursing homes in JB gives many Singaporeans more options. One
such reader is Mr. Dennis Teo who wrote a letter to The New Paper
“For some, JB homes could mean better
care” (20 Feb).
You can also view the context of Minister's comments in Parliament
in a video clip.