Myth or Magic The Singapore Healthcare System edition by Jeremy Lim Professional Technical eBooks
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This book provides a comprehensive look at the political philosophy that has shaped Singapore's healthcare system over the last five decades, and the financing and delivery of healthcare in Singapore. It delves into different aspects of the Singapore healthcare landscape, including pharmaceutical cost management, medical tourism, doctors' remuneration, medical education, rules and regulations, workforce panning and health promotion. It suggests lessons that the Singapore healthcare story holds for healthcare policy makers and reformers and the challenges that the future holds.
Myth or Magic The Singapore Healthcare System edition by Jeremy Lim Professional Technical eBooks
The World Health Organization, with 191 member countries, in 2000, published a paper ranking healthcare systems, validated by mathematical and statistical methods, and based upon, disability-adjusted life expectancy (50%); responsiveness (25%) – speed of service, protection of privacy, and quality of amenities; fair financial contribution (25%)1 Bang for the buck, in Wikipedia, may be understood in the rankings of expenditure per person, with the United States, ranked number 37 (and tied with Costa Rica) spending more per person to achieve its dismal ranking. Singapore, spending 4% of its GDP on healthcare, is ranked 6th in the world in quality, and way down the list, at number 38, in expenditure. This is worth saying again. The United States is ranked #37 in quality and it spends nearly 18% of its GDP to achieve this ignominy.Having been enmeshed in the ignominy for the past 56 years, and a fervent advocate of Single Payer Health Care, yet cognizant of the frustrating fact that, even when free, 70% of my patients ignore my best efforts at advice in their best interest, and steadily progress toward the fate of death, renal transplantation or dialysis. Even when its free, there are obstacles to optimal health care.
Jeremy Lim, a colorectal surgeon, graduate of the Yong Loo Lin School of Medicine, National University of Singapore, and, with a Masters in Public Health, at the Johns Hopkins School of Public Health under the aegis of the Fulbright Program and the Senior Management Program, Civil Service College Singapore, and with a foot in the private health care sector as CEO of Fortis Colorectal Hospital, Singapore, is the perfect guide to the astonishing achievement of this amazing, youthful colossus.
I was really ready for him, as I had noshed on an appetizer. William A. Haseltine, via the Brookings Institute, offers “Affordable Excellence - The Singapore Health Care System” online, as a free download.2
In 278 pages, with an appendix added and 492 references, Dr. Lim explains the evolution, the financing structure, the ongoing modifications, the triumphs, the few shortfalls, the ministerial guidance that have led a third world British colony from despair and inadequacy, to a shining example of efficiency, in most areas, and achievement that leads the world. Between the lines, I read a dedication to the profession of medicine, an optimism and can do spirit, that, thankfully, is shared by the population as a whole, and by a largely beneficent government, that is, perhaps, the true secret behind the miracle.
As he states, nearly at the beginning: “In healthcare and social services, the more commonly articulated policy principles are: (1) the need for co-payments to mitigate moral hazard, (2) the potentially ruinous nature of subsidies, (3) a fundamental belief in economic theory and the power of markets to drive efficiency and deliver the greatest value to society. There are also others, chief amongst them: (4) productivist welfare capitalism and (5) the primacy of the state. (The emphasis is mine.)
This is a tasty curry, indeed, that Singapore has cooked up. It is not perfect, and Lim ends with an epilogue that enthusiastically welcomes the evolution and reformation of a system that appears to be responsive to criticism and open to the necessity for change to cope with the advancements that occur with regularity. Lim points to primary care as a focus for further improvement. I hope that he has set his sights on further analysis. This is the most influential book that I have read on the philosophy and the mechanisms of health care, and I recommend it. I would love to shake the author’s hand, as he brings an intellect, an organization and a critique to the obvious ethical conviction of medicine as a profession, and what might be achieved by the efficient use of resources.
What an embarrassment to listen to the debate over Obamacare, and what a clear insight as to what is missing in the healthcare environment in which I practice. Yes, “God bless Singapore,” and Jeremy Lim!
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Myth or Magic The Singapore Healthcare System edition by Jeremy Lim Professional Technical eBooks Reviews
I have found this book to be extremely enlightening on the function of Singapore's healthcare system. In particular, it explains very well the fundamental motivation and perspective of healthcare policy planners in the Singapore government. It explains some of the policy initiatives and changes made in the few decades and what prompted policy makers to initiate or reverse some of the changes made.
An excellent read for policy buffs.
As a healthcare provider who has worked for many years in the Singapore system, I can attest that Jeremy's description of our healthcare system is accurate and insightful.
Dr. Jeremy Lim has broken through the hyperbole about Singapore and created a primer for understanding how the ultimate system run on health savings account principles really works. I would recommend this to anyone who wants to understand the issues surrounding healthcare delivery in Asia
The World Health Organization, with 191 member countries, in 2000, published a paper ranking healthcare systems, validated by mathematical and statistical methods, and based upon, disability-adjusted life expectancy (50%); responsiveness (25%) – speed of service, protection of privacy, and quality of amenities; fair financial contribution (25%)1 Bang for the buck, in Wikipedia, may be understood in the rankings of expenditure per person, with the United States, ranked number 37 (and tied with Costa Rica) spending more per person to achieve its dismal ranking. Singapore, spending 4% of its GDP on healthcare, is ranked 6th in the world in quality, and way down the list, at number 38, in expenditure. This is worth saying again. The United States is ranked #37 in quality and it spends nearly 18% of its GDP to achieve this ignominy.
Having been enmeshed in the ignominy for the past 56 years, and a fervent advocate of Single Payer Health Care, yet cognizant of the frustrating fact that, even when free, 70% of my patients ignore my best efforts at advice in their best interest, and steadily progress toward the fate of death, renal transplantation or dialysis. Even when its free, there are obstacles to optimal health care.
Jeremy Lim, a colorectal surgeon, graduate of the Yong Loo Lin School of Medicine, National University of Singapore, and, with a Masters in Public Health, at the Johns Hopkins School of Public Health under the aegis of the Fulbright Program and the Senior Management Program, Civil Service College Singapore, and with a foot in the private health care sector as CEO of Fortis Colorectal Hospital, Singapore, is the perfect guide to the astonishing achievement of this amazing, youthful colossus.
I was really ready for him, as I had noshed on an appetizer. William A. Haseltine, via the Brookings Institute, offers “Affordable Excellence - The Singapore Health Care System” online, as a free download.2
In 278 pages, with an appendix added and 492 references, Dr. Lim explains the evolution, the financing structure, the ongoing modifications, the triumphs, the few shortfalls, the ministerial guidance that have led a third world British colony from despair and inadequacy, to a shining example of efficiency, in most areas, and achievement that leads the world. Between the lines, I read a dedication to the profession of medicine, an optimism and can do spirit, that, thankfully, is shared by the population as a whole, and by a largely beneficent government, that is, perhaps, the true secret behind the miracle.
As he states, nearly at the beginning “In healthcare and social services, the more commonly articulated policy principles are (1) the need for co-payments to mitigate moral hazard, (2) the potentially ruinous nature of subsidies, (3) a fundamental belief in economic theory and the power of markets to drive efficiency and deliver the greatest value to society. There are also others, chief amongst them (4) productivist welfare capitalism and (5) the primacy of the state. (The emphasis is mine.)
This is a tasty curry, indeed, that Singapore has cooked up. It is not perfect, and Lim ends with an epilogue that enthusiastically welcomes the evolution and reformation of a system that appears to be responsive to criticism and open to the necessity for change to cope with the advancements that occur with regularity. Lim points to primary care as a focus for further improvement. I hope that he has set his sights on further analysis. This is the most influential book that I have read on the philosophy and the mechanisms of health care, and I recommend it. I would love to shake the author’s hand, as he brings an intellect, an organization and a critique to the obvious ethical conviction of medicine as a profession, and what might be achieved by the efficient use of resources.
What an embarrassment to listen to the debate over Obamacare, and what a clear insight as to what is missing in the healthcare environment in which I practice. Yes, “God bless Singapore,” and Jeremy Lim!
1.[...]
2.[...]
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