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	<title>Comments on: Govt considers covering congenital illnesses under MediShield</title>
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	<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/</link>
	<description>Alternative proposals for a better Singapore</description>
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		<title>By: Evelyn</title>
		<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/comment-page-1/#comment-3754</link>
		<dc:creator>Evelyn</dc:creator>
		<pubDate>Wed, 04 Nov 2009 05:59:34 +0000</pubDate>
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		<description>My daughter has a congenital condition and we can&#039;t find a private insurance company to cover her. Initially i thought Medishield could be of help, but seems that i&#039;m mistaken. It does appear that Medishield operates just like any other private insurers. Just that they charge lesser premium and in turn gives lower coverage. It doesn&#039;t seem to be playing much of a social role.</description>
		<content:encoded><![CDATA[<p>My daughter has a congenital condition and we can&#8217;t find a private insurance company to cover her. Initially i thought Medishield could be of help, but seems that i&#8217;m mistaken. It does appear that Medishield operates just like any other private insurers. Just that they charge lesser premium and in turn gives lower coverage. It doesn&#8217;t seem to be playing much of a social role.</p>
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		<title>By: The Singapore Daily &#187; Blog Archive &#187; Weekly Roundup: Week 39</title>
		<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/comment-page-1/#comment-3151</link>
		<dc:creator>The Singapore Daily &#187; Blog Archive &#187; Weekly Roundup: Week 39</dc:creator>
		<pubDate>Sat, 26 Sep 2009 04:29:19 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=936#comment-3151</guid>
		<description>[...] H1N1 vaccine - areas of concern - Singapore M.D.: Residency Part II - Gerald Giam&#8217;s Blog: Govt considers covering congenital illnesses under MediShield - The Gigamole Diaries: The problem with slimming [...]</description>
		<content:encoded><![CDATA[<p>[...] H1N1 vaccine &#8211; areas of concern &#8211; Singapore M.D.: Residency Part II &#8211; Gerald Giam&#8217;s Blog: Govt considers covering congenital illnesses under MediShield &#8211; The Gigamole Diaries: The problem with slimming [...]</p>
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		<title>By: Lucky Tan</title>
		<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/comment-page-1/#comment-3137</link>
		<dc:creator>Lucky Tan</dc:creator>
		<pubDate>Fri, 25 Sep 2009 11:25:15 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=936#comment-3137</guid>
		<description>Yes agree. Even the absolute worst case is pocket change for this govt so what is this govt waiting for? 

I was at a Club Rainbow function once and spent considerable amount of time talking to the parents. It is so tough for them to cope with a child with medical needs in terms of man effort and all of them spoke of the high cost just adds to their burden. 

We have a low tax near zero welfare system so the govt passes the responsibility of taking care of the old to the children, passes the cost of medical care to the sick, paases the responsibility of caring for the elderly back to the elderly ...and so on. The unfortunate carry their own burdens...superimpose this on top of the big income gap. So where is the risk pooling mechansim in our society.....ITS EVERY MAN FOR HIMSELF...you make money you keep, you get a misfortune take care of it yourself, ...after a while you will get a lot of people who don&#039;t care, they will just leave when they can.</description>
		<content:encoded><![CDATA[<p>Yes agree. Even the absolute worst case is pocket change for this govt so what is this govt waiting for? </p>
<p>I was at a Club Rainbow function once and spent considerable amount of time talking to the parents. It is so tough for them to cope with a child with medical needs in terms of man effort and all of them spoke of the high cost just adds to their burden. </p>
<p>We have a low tax near zero welfare system so the govt passes the responsibility of taking care of the old to the children, passes the cost of medical care to the sick, paases the responsibility of caring for the elderly back to the elderly &#8230;and so on. The unfortunate carry their own burdens&#8230;superimpose this on top of the big income gap. So where is the risk pooling mechansim in our society&#8230;..ITS EVERY MAN FOR HIMSELF&#8230;you make money you keep, you get a misfortune take care of it yourself, &#8230;after a while you will get a lot of people who don&#8217;t care, they will just leave when they can.</p>
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		<title>By: Gerald Giam</title>
		<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/comment-page-1/#comment-3134</link>
		<dc:creator>Gerald Giam</dc:creator>
		<pubDate>Wed, 23 Sep 2009 16:05:36 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=936#comment-3134</guid>
		<description>I don&#039;t think it&#039;ll even cost that much, Lucky. Not all babies born with congenital illnesses will be so sick to have medical fees that high. As you&#039;ve said, the purpose of national insurance is to help those who need it, not to enrich the insurer.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think it&#8217;ll even cost that much, Lucky. Not all babies born with congenital illnesses will be so sick to have medical fees that high. As you&#8217;ve said, the purpose of national insurance is to help those who need it, not to enrich the insurer.</p>
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		<title>By: Lucky Tan</title>
		<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/comment-page-1/#comment-3131</link>
		<dc:creator>Lucky Tan</dc:creator>
		<pubDate>Tue, 22 Sep 2009 09:38:04 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=936#comment-3131</guid>
		<description>I&#039;ve written about the need to cover children at birth with congenital problems because of the high cost of treatment. Heart defect cases requiring long stays in ICU or babies born prematurely will incur very high bills - six figures bills are not uncommon. These children require extra care and very often the mother has to quit her job to care for the child. 

What good is a system that leaves out the most severe cases? We have about 33,000 children born every year and about 1.5-2% of them will be born with congenital problems. We are talking about 400 babies every year. Assuming the cost is $100K we are talking about $40M that is roughly $1K per child born. $40M...it is not that the govt cannot afford to solve this - it is what priority the govt gives to this problem. We spend billions every year on guns and planes that we probably won&#039;t use to fight but cannot do this for the parents of Singaporean babies who need our help the most...it is unconscionable.</description>
		<content:encoded><![CDATA[<p>I&#8217;ve written about the need to cover children at birth with congenital problems because of the high cost of treatment. Heart defect cases requiring long stays in ICU or babies born prematurely will incur very high bills &#8211; six figures bills are not uncommon. These children require extra care and very often the mother has to quit her job to care for the child. </p>
<p>What good is a system that leaves out the most severe cases? We have about 33,000 children born every year and about 1.5-2% of them will be born with congenital problems. We are talking about 400 babies every year. Assuming the cost is $100K we are talking about $40M that is roughly $1K per child born. $40M&#8230;it is not that the govt cannot afford to solve this &#8211; it is what priority the govt gives to this problem. We spend billions every year on guns and planes that we probably won&#8217;t use to fight but cannot do this for the parents of Singaporean babies who need our help the most&#8230;it is unconscionable.</p>
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		<title>By: The Singapore Daily &#187; Blog Archive &#187; Daily SG: 22 Sep 2009</title>
		<link>http://geraldgiam.sg/2009/09/govt-considers-covering-congenital-illnesses-under-medishield/comment-page-1/#comment-3130</link>
		<dc:creator>The Singapore Daily &#187; Blog Archive &#187; Daily SG: 22 Sep 2009</dc:creator>
		<pubDate>Tue, 22 Sep 2009 03:20:32 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=936#comment-3130</guid>
		<description>[...] Healthcare &amp; Healthcare Providers - Gerald Giam&#8217;s Blog: Govt considers covering congenital illnesses under MediShield [...]</description>
		<content:encoded><![CDATA[<p>[...] Healthcare &amp; Healthcare Providers &#8211; Gerald Giam&#8217;s Blog: Govt considers covering congenital illnesses under MediShield [...]</p>
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