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	<title>Comments on: MediShield should cover congenital illnesses</title>
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	<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/</link>
	<description>Alternative proposals for a better Singapore</description>
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		<title>By: Govt considers including congenital illnesses in MediShield &#124; geraldgiam.sg</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3127</link>
		<dc:creator>Govt considers including congenital illnesses in MediShield &#124; geraldgiam.sg</dc:creator>
		<pubDate>Mon, 21 Sep 2009 05:28:05 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3127</guid>
		<description>[...] glad to read that, in response to the calls from several Singaporeans, including Tan Kin Lian and myself, the government is now considering including in MediShield, the national health insurance scheme, [...]</description>
		<content:encoded><![CDATA[<p>[...] glad to read that, in response to the calls from several Singaporeans, including Tan Kin Lian and myself, the government is now considering including in MediShield, the national health insurance scheme, [...]</p>
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		<title>By: eternalhap</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3115</link>
		<dc:creator>eternalhap</dc:creator>
		<pubDate>Sat, 19 Sep 2009 06:09:56 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3115</guid>
		<description>&lt;i&gt;But if CPF Board can cherry pick who to insure and who to reject, then what makes it different from any profit-oriented private insurance company?&lt;/i&gt;

You are very right in saying this. Medishield, as a govt scheme, has some obligation to cover what the private insurance companies do not cover.

Unfortunately, people with pre-existing conditions, like the newborn mentioned in the forum letter, will have to pay higher premiums because the chances of them receiving larger insurance pay-outs are higher as well.

So how high should the premiums be to create an acceptable mixture of risk pool? Troubling question the govt should sort out.</description>
		<content:encoded><![CDATA[<p><i>But if CPF Board can cherry pick who to insure and who to reject, then what makes it different from any profit-oriented private insurance company?</i></p>
<p>You are very right in saying this. Medishield, as a govt scheme, has some obligation to cover what the private insurance companies do not cover.</p>
<p>Unfortunately, people with pre-existing conditions, like the newborn mentioned in the forum letter, will have to pay higher premiums because the chances of them receiving larger insurance pay-outs are higher as well.</p>
<p>So how high should the premiums be to create an acceptable mixture of risk pool? Troubling question the govt should sort out.</p>
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		<title>By: The Singapore Daily &#187; Blog Archive &#187; Weekly Roundup: Week 38</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3114</link>
		<dc:creator>The Singapore Daily &#187; Blog Archive &#187; Weekly Roundup: Week 38</dc:creator>
		<pubDate>Sat, 19 Sep 2009 03:19:15 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3114</guid>
		<description>[...] &#8220;..if CPF Board can cherry pick who to insure and who to reject, then what makes it different from any profit-oriented private insurance company?&#8221; Gerald Giam [...]</description>
		<content:encoded><![CDATA[<p>[...] &#8220;..if CPF Board can cherry pick who to insure and who to reject, then what makes it different from any profit-oriented private insurance company?&#8221; Gerald Giam [...]</p>
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		<title>By: Gerald Giam</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3089</link>
		<dc:creator>Gerald Giam</dc:creator>
		<pubDate>Mon, 14 Sep 2009 15:42:41 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3089</guid>
		<description>Jason - I see where you are coming from but disagree with your argument. MediShield should not collect surpluses now so as to fund deficits in the future. In and of itself, MediShield does not need to be profit-making or even break even any more than the CDCs should break even. This is all part of social welfare, which can and should be funded by our investment returns from our reserves.</description>
		<content:encoded><![CDATA[<p>Jason &#8211; I see where you are coming from but disagree with your argument. MediShield should not collect surpluses now so as to fund deficits in the future. In and of itself, MediShield does not need to be profit-making or even break even any more than the CDCs should break even. This is all part of social welfare, which can and should be funded by our investment returns from our reserves.</p>
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		<title>By: personally</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3088</link>
		<dc:creator>personally</dc:creator>
		<pubDate>Mon, 14 Sep 2009 03:56:41 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3088</guid>
		<description>haha - and the govt is worrying about why the reproduction rate is so low.

The govt wants the cake and eat it - sure - go reproduce - but we won&#039;t cover your child is she is &#039;less than perfect&#039;.

Cruel. But that is the PAP govt.</description>
		<content:encoded><![CDATA[<p>haha &#8211; and the govt is worrying about why the reproduction rate is so low.</p>
<p>The govt wants the cake and eat it &#8211; sure &#8211; go reproduce &#8211; but we won&#8217;t cover your child is she is &#8216;less than perfect&#8217;.</p>
<p>Cruel. But that is the PAP govt.</p>
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		<title>By: The Singapore Daily &#187; Blog Archive &#187; Daily SG: 14 Sep 2009</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3087</link>
		<dc:creator>The Singapore Daily &#187; Blog Archive &#187; Daily SG: 14 Sep 2009</dc:creator>
		<pubDate>Mon, 14 Sep 2009 03:33:36 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3087</guid>
		<description>[...] &amp; Healthcare Providers - Gerald Giam&#8217;s Blog: MediShield should cover congenital illnesses - The Secret Political Blog: MediShield: Cover your child with insurance before they are born with [...]</description>
		<content:encoded><![CDATA[<p>[...] &amp; Healthcare Providers &#8211; Gerald Giam&#8217;s Blog: MediShield should cover congenital illnesses &#8211; The Secret Political Blog: MediShield: Cover your child with insurance before they are born with [...]</p>
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		<title>By: Kaffein</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3086</link>
		<dc:creator>Kaffein</dc:creator>
		<pubDate>Mon, 14 Sep 2009 03:09:14 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3086</guid>
		<description>Thanks for pointing this out Gerald. It is alarming that many Singaporeans do not know what their benefits and rights are, especially in the mandatory fees that we pay to government bodies. Also I&#039;m surprised that the CPF can &#039;cherry pick and choose&#039;. So the begging question is: What is the Medishield for anyway? (please don&#039;t respond to this satirical question. I know what the Medishield does).

This is usually what happens in mandatory policies and no-competition scenario. The consumers usually get the bad end of the deal.

To add in what Jason wrote:
&quot;But the population pyramid’s shape is getting top heavy. There is thus a case to be made for collecting surpluses now to fund deficits in the future.&quot;

That includes &#039;squandering&#039; the surpluses and funds collected on bad investments to the tune of &gt;$50billion dollars.

Kaffein</description>
		<content:encoded><![CDATA[<p>Thanks for pointing this out Gerald. It is alarming that many Singaporeans do not know what their benefits and rights are, especially in the mandatory fees that we pay to government bodies. Also I&#8217;m surprised that the CPF can &#8216;cherry pick and choose&#8217;. So the begging question is: What is the Medishield for anyway? (please don&#8217;t respond to this satirical question. I know what the Medishield does).</p>
<p>This is usually what happens in mandatory policies and no-competition scenario. The consumers usually get the bad end of the deal.</p>
<p>To add in what Jason wrote:<br />
&#8220;But the population pyramid’s shape is getting top heavy. There is thus a case to be made for collecting surpluses now to fund deficits in the future.&#8221;</p>
<p>That includes &#8217;squandering&#8217; the surpluses and funds collected on bad investments to the tune of &gt;$50billion dollars.</p>
<p>Kaffein</p>
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		<title>By: Jason</title>
		<link>http://geraldgiam.sg/2009/09/medishield-should-cover-congenital-illnesses/comment-page-1/#comment-3085</link>
		<dc:creator>Jason</dc:creator>
		<pubDate>Mon, 14 Sep 2009 01:58:17 +0000</pubDate>
		<guid isPermaLink="false">http://geraldgiam.sg/?p=924#comment-3085</guid>
		<description>If the population pyramid stays the shape it has been (bottom heavy) forever, then Medishield can work without having to generate surpluses. 

But the population pyramid&#039;s shape is getting top heavy. There is thus a case to be made for collecting surpluses now to fund deficits in the future.</description>
		<content:encoded><![CDATA[<p>If the population pyramid stays the shape it has been (bottom heavy) forever, then Medishield can work without having to generate surpluses. </p>
<p>But the population pyramid&#8217;s shape is getting top heavy. There is thus a case to be made for collecting surpluses now to fund deficits in the future.</p>
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