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Healthcare in Singapore is mainly under the responsibility of the Singapore Government's Ministry of Health. Singapore generally has an efficient and widespread system of healthcare. It implements a universal healthcare system, and co-exists with private healthcare system. Infant mortality rate – a standard in determining the overall efficiency of healthcare. In 2006 the crude birth rate stood at 10.1 per 1000, a very low level attributed to birth control policies of the 1960s-70s, and the crude death rate was also one of the lowest in the world at 4.3 per 1000. In 2006, the total fertility rate was only 1.26 children per woman, the 3rd lowest in the world and well below the 2.10 needed to replace the population. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000.

Singapore has a universal healthcare system where government ensures affordability, largely through compulsory savings and price controls, while the private sector provides most care. Overall spending on healthcare amounts to only 3% of annual GDP. Of that, 66% comes from private sources.[1] Singapore currently has the lowest infant mortality rate in the world (equaled only by Iceland) and among the highest life expectancies from birth, according to the World Health Organization.[2] Singapore has "one of the most successful healthcare systems in the world, in terms of both efficiency in financing and the results achieved in community health outcomes," according to an analysis by global consulting firm Watson Wyatt.[3] Singapore's system uses a combination of compulsory savings from payroll deductions (funded by both employers and workers) a nationalized catastrophic health insurance plan, and government subsidies, as well as "actively regulating the supply and prices of healthcare services in the country" to keep costs in check; the specific features have been described as potentially a "very difficult system to replicate in many other countries." Many Singaporeans also have supplemental private health insurance (often provided by employers) for services not covered by the government's programs.[3]

Contents

[edit] Healthcare today in Singapore

The Bowyer Block at the Singapore General Hospital now houses the SGH Museum which was officially opened in May 2005.

Singapore’s well-established healthcare system comprises a total of 13 private hospitals, 10 public (government) hospitals and several specialist clinics, each specializing in and catering to different patient needs, at varying costs.

Patients are free to choose the providers within the government or private healthcare delivery system and can walk in for a consultation at any private clinic or any government polyclinic. For emergency services, patients can go at any time to the 24-hour Accident & Emergency Departments located in the government hospitals.

Singapore's medical facilities are among the finest in the world, with well qualified doctors and dentists, many trained overseas.

Singapore has medical savings account system known as Medisave.

[edit] Hospitals in Singapore

The Singapore General Hospital is the largest and oldest hospital in Singapore, of which the foundation of its first building was laid in 1821.

The Tan Tock Seng Hospital is the second largest hospital in Singapore after the Singapore General Hospital, but its accident and emergency department is the busiest in the country largely due to its geographically centralised location. Set up in 1844 by an entrepreneur and philanthropist, Tan Tock Seng, the hospital came into the international spotlight when it was designated as the sole treatment centre for the SARS epidemic which struck the country in 2003.

[edit] Means testing in Singapore hospitals

PATIENTS warded in B2 and C class wards in public hospitals with effect from 1 January 2009 will be means-tested to determine the level of subsidy they will be entitled.

  • Patient subsidy will be based on the average monthly income received over the last available 12-month period including bonuses for salaried employees.
  • Services such as Day surgery, A&E services, Specialist Outpatient and polyclinic visits will not be means tested and standard subsidies rate applied to citizens and PR as usual.
  • People with no income, such as retirees or housewives, will have their subsidy rate pegged to the value of their homes.
  • All unemployed residents of HDB flats excluding those in executive condominiums (EC) will be entitled to full subsidy.
Means testing in public hospitals will begin in 1 January 2009 [4]
Average Monthly
Income of Patient (SGD)
Citizens Subsidy Permanent residents Subsidy
Class C Class B2 Class C Class B2
$3,200 and below1 80% 65% 70% 55%
$3,201 - $3,350 79% 64% 69% 54%
$3,351 - $3,500 78% 63% 68% 53%
$3,501 - $3,650 77% 62% 67% 52%
$3,651 - $3,800 76% 61% 66% 51%
$3,801 - $3,950 75% 60% 65% 50%
$3,951 - $4,100 74% 59% 64% 49%
$4,101 - $4,250 73% 58% 63% 48%
$4,251 - $4,400 72% 57% 62% 47%
$4,401 - $4,550 71% 56% 61% 46%
$4,551 - $4,700 70% 55% 60% 45%
$4,701 - $4,850 69% 54% 59% 44%
$4,851 - $5,000 68% 53% 58% 43%
$5,001 - $5,100 67% 52% 57% 42%
$5,101 - $5,200 66% 51% 56% 41%
$5,201 and above2 65% 50% 55% 40%

1. No income declare and property with AV below $11,000.
2. No income declare and property with AV exceeding $11,000.
3. Foreigners no longer receive any subsidies at public hospitals since 01-Jan-08.

[edit] Crisis

[edit] References

[edit] External links

[edit] See also




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