Saturday, March 23, 2013

Healthcare Conundrum

If there is one thing that can surely risk sinking an advanced economy, that would be comprehensive and affordable healthcare.

I wished I have more time to study this more closely. I am angry that the people we trust to look into this is like everywhere else doing a bad job.

Now I see more and more badly thought proposals being floated and from their emotional appeal is gathering adherents.

The problem with healthcare plans is that it is quite easy to produce a good one but only viewed from a helicopter. The devil is in the details. Most times, the best looking healthcare plans are also beyond affordability. The most sinister are those you can pay for now but eventually go bankrupt. These plans are often bought or voted in.

Nothing, not even education forces us to choose between what we wish and what we can afford as healthcare do. It can't be helped. We get emotional and irrational when our loved ones are gravely ill. Even LKY was no exception when KGC was ill. Dollars and sense breaks down at the nexus of the infinite value of human life and economics. The full meaning of money is not everything but everything is money happens here.

This job is too big for the health minister. It is the PM and his Cabinet that must drive this. I don't understand the highly complex Obamacare but I haven noticed it was not a task left to the Health Secretary to drive.

Update: 10:15pm

Many thanks to the good doc for this. An example of uncountable ones across the world that healthcare plans look good on paper (from the helicopter) until you put them into action. The wrecking demons are in the details, the surprises as suggested earlier.





1 comment:

  1. Another aspect to contain healthcare cost is preventive medicine.

    Corrective medicine in hospitals is expensive.
    Being such a small island.
    We should build up a world class, comprehensive programme of preventive medicine;
    e.g.
    - comprehensive lifetime vaccination programme for flu, hepatitis etc.
    - proactive physiotherapy for the elderly
    - best practices & equipment in home safety for the elderly

    The idea is to reduce healthcare cost by keeping people out of hospitals.

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