Age and Health in Singapore
Chapter 6: Payment for Health: MediShield and Medifund
The previous chapter was about compulsory saving. The present chapter is about risk-pooling and discretionary relief. Section 1, MediShield, shows how health-specific savings can be invested voluntarily in medical insurance. Section 2, Medifund, reasserts that there is a public-sector safety net when savings dry up and the family is not enough. Section 3 returns from the parts to the whole. Examining the ‘Three Ms’ as a unified system, it lists the economic and social preconditions that make the Singapore system work. It asks if the tripartite attack is uniquely tied to Singaporean conditions or if, like the rubber tree, it can be transplanted elsewhere and flourish. A failure to copy international best practice means shortfall and neglect. Unthinking mimicry, however, is just as bad. The chapter ends with the template. Section 4 lists the criteria by which a good health care system can be evaluated. It says that the mix of savings, insurance and relief in Singapore can usefully be assessed in terms of that check-list as well as in the context of the five goals that the system has explicitly set itself. 6.1 MEDISHIELD Medisave may be enough for the hospitalisation of the median patient. The balances are not, however, adequate for the extraordinary cases where the patient falls victim to a high-ticket calamity such as a motorway pile-up or a chronic complaint such as renal failure. A heart patient in 2006 whose treatment was costed ex ante at S$15,225 ended up with a bill for S...
You are not authenticated to view the full text of this chapter or article.
Elgaronline requires a subscription or purchase to access the full text of books or journals. Please login through your library system or with your personal username and password on the homepage.
Non-subscribers can freely search the site, view abstracts/ extracts and download selected front matter and introductory chapters for personal use.
Your library may not have purchased all subject areas. If you are authenticated and think you should have access to this title, please contact your librarian.