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Singapore patients have good reasons to be afraid, says doctor

sense

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Singapore patients have good reasons to be afraid, says doctor
August 15th, 2014 | by The Independent

A doctor in private practice for 24 years has criticised his colleagues for overcharging and encouraging patients to go for surgery when they don’t need one.

In a letter to The Straits Times, Dr Tang Kok Foo gave examples of a vicious circle of doctor’s fee chasing higher rental cost with the poor patient the victim.

He concluded ominously: “Singapore patients have good reasons to be afraid.”

“I am amazed at how expensive it has become to be treated by doctors in private practice over the past years. The surgical fee for simple lumbar disc surgery has shot up from $5,000 to as high as $25,000, even when performed by junior doctors,” he wrote.

Dr Tang blamed the free market in health care as one reason for the astronomical rise.

The other is the professional fee system in public hospitals which allows doctors to surcharge by 400 per cent their foreign patients. This has become a good “training ground” for doctors, he said.

Then there are frightened patients eager to go for surgery even if there is no need for it. “For instance, many patients with bulging spinal discs that do not cause any health issues have agreed to surgery after being warned they could become paralysed if they have a fall,” he wrote.

Thanks, Dr Tang, for bringing to light such a trend of despicable greed. We hope somebody is listening

http://theindependent.sg/blog/2014/...s-have-good-reasons-to-be-afraid-says-doctor/
 

winnipegjets

Alfrescian (Inf)
Asset
Why did our minister got charged only $8 for heart surgery? And he was operated by the best surgeon in the public hospital, instead of junior doctors.
 

SgGoneWrong

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Operations win situation for medical staff. Operations fail still can earn extra to harvest your organs to sell.
 

po2wq

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Asset
... “I am amazed at how expensive it has become to be treated by doctors in private practice over the past years. The surgical fee for simple lumbar disc surgery has shot up from $5,000 to as high as $25,000, even when performed by junior doctors,” ...
nutting wrong ... u r paying talens ... u haf 2 pay mor 2 get talens 2 wok 4 u ...

imajin ... u pay obscene salaries 2 a bunch of burgers who has no experience in running a cuntry oso can ... so, no reason y u cant pay astronomical fees 2 a junior dogtor ...
 

numero uno

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Singapore patients have good reasons to be afraid, says doctor
August 15th, 2014 | by The Independent

A doctor in private practice for 24 years has criticised his colleagues for overcharging and encouraging patients to go for surgery when they don’t need one.

In a letter to The Straits Times, Dr Tang Kok Foo gave examples of a vicious circle of doctor’s fee chasing higher rental cost with the poor patient the victim.

He concluded ominously: “Singapore patients have good reasons to be afraid.”

“I am amazed at how expensive it has become to be treated by doctors in private practice over the past years. The surgical fee for simple lumbar disc surgery has shot up from $5,000 to as high as $25,000, even when performed by junior doctors,” he wrote.

Dr Tang blamed the free market in health care as one reason for the astronomical rise.

The other is the professional fee system in public hospitals which allows doctors to surcharge by 400 per cent their foreign patients. This has become a good “training ground” for doctors, he said.

Then there are frightened patients eager to go for surgery even if there is no need for it. “For instance, many patients with bulging spinal discs that do not cause any health issues have agreed to surgery after being warned they could become paralysed if they have a fall,” he wrote.

Thanks, Dr Tang, for bringing to light such a trend of despicable greed. We hope somebody is listening

http://theindependent.sg/blog/2014/...s-have-good-reasons-to-be-afraid-says-doctor/
this doctor is a farkup asshole. why blame garmen hospital as good training ground. what has garmen got to do with the private sector charging so high. we are talking about adult doctors who can make decision themselves. he is making is a moronic statement.
last I google his name he is in private sector mt e for many years and probably earned millions already and he is an old bird and probably got jealous about the young ones charging more and with a longer lifespan than him. sour grapes if I may say
 

sense

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Emphasise ethics in health care
Published on Aug 15, 2014 1:09 AM

I COMMEND Dr Tang Kok Foo for highlighting the reasons for soaring private health-care costs ("Reasons for soaring private health-care costs"; yesterday).

He cited the free market in health care as one of the factors. This is certainly a cause for concern. Although such a system has its merits, it can be abused.

I am appalled to learn from patients that some doctors and dentists are still charging hefty fees under the Community Health Assist Scheme (Chas). From the patients' point of view, their treatments are not being "subsidised", and they are in no position to know whether the medication and treatment they receive are really necessary.

Doctors leaving the public sector for the seemingly "greener pastures" of private practice are creating a vacuum in public hospitals.

Although Chas allows for subsidised rates for patients referred to specialists in public hospitals, the lack of specialists and the heavy patient load mean patients can be seen only after several months. Those in urgent need of treatment have no choice but to turn to private specialists.

There is a need to emphasise to health-care practitioners that compassion and integrity are essential in the practice of medicine and dentistry.

If they are in it just for the money, then there is always the risk of breaching ethical standards. Any system can be compromised if the motivation is not altruistic.

Quek Koh Choon (Dr)

http://www.straitstimes.com/premium/forum-letters/story/emphasise-ethics-health-care-20140815
 

iluvgst

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Doctors are fast learners. They picked up the good ethnics of overcharging for their services from the country's leaders.
 

sense

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Consider fee guidelines, medical oversight
Published on Aug 15, 2014 1:09 AM

DR TANG Kok Foo has rightly pointed out some factors behind the rise in private health-care costs ("Reasons for soaring private health-care costs"; yesterday).

In 2010, the Competition Commission of Singapore ruled against fee guidelines set by the Singapore Medical Association (SMA), because they breached Section 34 of the Competition Act and interfered with free market competition.

The SMA is not vested with any official authority, and observance of the guidelines by doctors was not compulsory. The guidelines were just for reference - they provided variations within a range, and the fee set for a particular service was not absolute. Nevertheless, the guidelines were useful to both doctors and patients, and were largely workable.

It is a pity no substitute has been put forth, and abolishing the guidelines has partly fuelled today's runaway medical charges.

In this respect, the Government has overlooked basic human nature - self-restraint is rare when there are no restrictions - and it is time to review the need for fee guidelines.

Dr Tang also pointed out the trend of patients undergoing surgery that is not indicated.

An operation should not be done when conservative treatment yields equally good or better results. Even if a condition can be treated effectively only by surgery, the operation should not be done when pre-operative evidence overwhelmingly points to its futility.

And even when an operation is pre-operatively indicated, it should be aborted during the operation when new, unexpected intra-operative findings contradict the pre-operative judgment.

These surgical criteria are sometimes ignored by surgeons for monetary reasons. The complex nature of surgical decision-making is not easily appreciated by laymen.

In countries such as the United States, the hospital providing facilities to the doctors assumes certain responsibilities in oversight. Peer review and proliferating malpractice suits tend to keep doctors in line.

Peer review has limited effectiveness in Singapore because of the small medical community, where few people want to be the "bad guys".

The Singapore Medical Council (SMC) is a body with official authority but is passive in its functions. It does not actively initiate investigation of medical irregularities unless a whistle-blower comes forward with an affidavit.

The Government should either change the nature of the SMC or form a separate body similar to the Commercial Affairs Department for medical matters.

Ong Siew Chey (Dr)

http://www.straitstimes.com/premium...der-fee-guidelines-medical-oversight-20140815
 

Satyr

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Doctors are fast learners. They picked up the good ethnics of overcharging for their services from the country's leaders.

It's no surprise that doctors and lawyers are strong supporters of the ruling party. When the government started limiting the intake of medical and legal students and dictating which overseas institutions were recognized , their popularity went up in these two circles. Singaporeans are paying the price , literally.
 

escher

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The benefits of being in the PAPPY club.




They continue to laugh all the way to their banks
And all the way back from their banks

HA HA HA HA
HEE HEE HEE HE HEEEE
HOO HO HOOO HO HO


Plotzensee_nooses.jpg


Hang those PAP maggots cockroaches with piano wires from lamp posts to make them dance before it is too late and we have no more CPF to get back.
BBQ those PAP maggots cockroaches before it is too late and we have no more CPF to get back.
Cut a few more arseholes into those PAP maggots cockroaches to let out their shit before it is too late and we have no more CPF to get back.
Make those PAP maggots cockroaches eat joss sticks and candle wax before it is too late and we have no more CPF to get back.


PAP is finished.
The stinking glue and terror that hold PAP together is that old fart smear of shit on sole of shoe LKY. LKY is about to die in days or weeks.
LKY will never allow good decent people into the PAP and good decent people will not want to get into the PAP. Those in PAP are the most corrupt and moral degenerates and moral bankrupts and moral filths that are being presented to stinkaporeans as moral compasses.
None of those in PAP work for anyone but that smear of shit on sole of shoe LKY, to help him hold down Singaporeans to screw and fuck hundreds of BILLIONs from us all into smear of shit on sole of shoe LKY stinkapore sovereign funds.
Maggots and cockroaches are appointed as ministers in parliament
Kangaroos are frolicking in High Court instead of being allowed to wander and roam about in the Zoo
They are there in PAP because LKY know that they are a bunch of self serving greedy bastards and scrapings of scums of society. To call them maggots cockroaches will be to insult real maggots and real cockroaches.



WE ALL ARE NOW WAITING FOR THE DEATH OF LKY IN COMING DAYS OR WEEKS.
WE ALL WILL YUM SENG AND YUM SENG AND YUM SENG AGAIN AND AGAIN DANCING SINGING ON TABLE TOPS AND STREETS
WE THEN WILL SEE THOSE IN PAP WITH SHARPENED KNIVES HOOTING ARSEHLOON A DOZEN NEW ARSEHOLES AND THE DEATH OF THE ENTIRE LEE KWA CLAN
WE THEN WILL PICK UP PIANO WIRES AND HANG ALL THOSE REMAINING PAP AND THEIR COLLABORATORS FROM LAMP POSTS AND SEE THOSE BASTARDS AND BITCHES DANCE.
AND HAPPINESS WILL RETURN TO OUR LAND.
AND STINKAPORE WILL BECOME SINGAPORE ONCE MORE.
https://www.torproject.org/about/overview.html.en
 
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