Chitchat A 3rd world hospital experience.

[sbfuncle]

Below cases are fully preventable as long as protocols are being followed. Btw her case occurred in public healthcare? Coz I don't have the full picture.

She didn't state was it public or pte.
But I think it doesn't fully matter and it will not be preventable becos as I have mentioned, certain services are not covered by medishield and pte insurance.

This jab to save her father should be something that is placed inline with other services that I know of eg TAVI.

So even she went to meet mp, they cannot interfere as it is the moh and insurance companies rules.

 

[NanoSpeed]

 

[NanoSpeed]

Not every services are covered by medishield or even pte insurance.

A TAVI in sg cost at least $40k sgd in cash for a ter valve + $x for the surgery fee. Medishield and pte insurance only covers the surgery fee.

 

[True Believer]

I think saying sorlee is better than saying do you have 100k .

The first thing that doctors in private hospitals will ask you is if you have insurance, and then how much is your coverage. After that, they will insist that you need to have your surgery done straightaway.

 

[sbfuncle]

View attachment 223153

That means now moh has waken up from their previously fucking idea.
But it is better to clarify as it did not state the % of it.
Around 2021 and before, it was patient own pocket $40k, not allowable even medisave not to mention medishield.
This is a good forward step though.

 

[sbfuncle]

The first thing that doctors in private hospitals will ask you is if you have insurance, and then how much is your coverage. After that, they will insist that you need to have your surgery done straightaway.

If I'm not wrong, most problem comes when there are options.
Eg Previously besides tavi, there are cheaper open surgery.

In this thread lady case, if the jab was the only treatment that her father can receive, I don't think the loctor can talk about money with her first.

 

[sbfuncle]

View attachment 223153

I'm glad to hear that pap has improved 2 of the many common medical financial problems sinkies are facing.
1. Parenteral nutrition - implemented 2018
2. Tavi - after 2021

Next, they could be targeting on glaucoma, a rising disease faced by the aging population.

We are step by step closer to having a truly first world healthcare system .

 

[sbfuncle]

View attachment 223153

FYI I don't talk shit here.
Tavi needed $40k cash min, other than all the surgery expenses by medishield and medisave, back in 2021.
I don't know, they might have seen elderly patient dying from the open surgery, despite having many comorbilities, being not able to afford tavi then. And henceforth made changes to it.

 

[Boonsiong]

Nice

 

[NanoSpeed]

I'm glad to hear that pap has improved 2 of the many common medical financial problems sinkies are facing.
1. Parenteral nutrition - implemented 2018
2. Tavi - after 2021

Next, they could be targeting on glaucoma, a rising disease faced by the aging population.

We are step by step closer to having a truly first world healthcare system .

Even with state of the art clear-mindedness, it remains important and necessary that your software is constantly updated to the latest version.

 

[WangChuk]

View attachment 223098

so they non-citizens and no medishield to cover treatment in hospital? if so, doctor is good to advise them on the cost first so that they dont later kpkb say so expensive and no money to pay up and go into deep financial debt .... or at least they go source for possible fundings first before committing to the spendings. She and her family may not want to be heavily debted later without advance warning. Be understanding to the doctor too.

 

[NanoSpeed]

Next, they could be targeting on glaucoma, a rising disease faced by the aging population.

We are step by step closer to having a truly first world healthcare system .

 

[sbfuncle]

so they non-citizens and no medishield to cover treatment in hospital? if so, doctor is good to advise them on the cost first so that they dont later kpkb say so expensive and no money to pay up and go into deep financial debt .... or at least they go source for possible fundings first before committing to the spendings. She and her family may not want to be heavily debted later without advance warning. Be understanding to the doctor too.

If they are foreigners, it will be totally the right way to go.
SG Healthcare system should only protect sinkies and Noone else.

 

[sbfuncle]

View attachment 223161

There are still many glaucoma eye drops that are not subsidies and we are talking about per bottle, a few ml for upto $50 per bottle.

Most of the time, a patient is killed by the outpatient services.
For inpatients and surgeries, there are still medishield and medisave to fall back, although not all are covered.

 

[WangChuk]

If they are foreigners, it will be totally the right way to go.
SG Healthcare system should only protect sinkies and Noone else.

hear say many permit holders who have no money can go ask for social worker to provide fundings from zhenghu to cover the costs ... dont know true or not

 

[NanoSpeed]

View attachment 223098

The doctor told her he had 5 minutes to decide to administer a clot-busting drug. The clot-busting drug was different from the $100,000 medical fee, and it was the clot-busting that eventually saved his life.

After administering the clot-busting drug, the doctor did the necessary scans and found a blocked blood vessel, and probably a thrombectomy would be necessary for a permanent fix. That was when the doctor said "the treatment is around $100,000. Do you have money ?"

The doctor did not say "I only have 5 minutes to decide, so you too. The treatment is $100,000. Do you have money? If not, let him die."

The $100,000 is for a permanent fix to the problem. The lady was attempting to moral blackmail the hospital by linking the cost of the treatment to saving a life. She thanked her friends for staying with her at the ICU, but not the doctor who saved his father.

 

[sbfuncle]

hear say many permit holders who have no money can go ask for social worker to provide fundings from zhenghu to cover the costs ... dont know true or not

It depends on case by case basis.
If that wp holder happened to have a work injury that leesulted him not able to get it treated fairly in his home cuntry, pap will bear some of the leesponsibiities.

I personally know a case, where the worker crushed his abdomen.
His intestine can longer function normally and needed parenteral nutrition.
As such, after exhausting his work insurance coverage, pap steps in to assist, as he needed to stay in the hospital to receive the nutrition, maybe the rest of his life.
And his home cuntry does not have the facility.

 

[sbfuncle]

hear say many permit holders who have no money can go ask for social worker to provide fundings from zhenghu to cover the costs ... dont know true or not

For that particular case, I read in news and even in sbf, after many years of hospital stays, like near 10years, he finally went to some cuntry for a transplant.

 

[sbfuncle]

The doctor told her he had 5 minutes to decide to administer a clot-busting drug. The clot-busting drug was different from the $100,000 medical fee, and it was the clot-busting that eventually saved his life.

After administering the clot-busting drug, the doctor did the necessary scans and found a blocked blood vessel, and probably a thrombectomy would be necessary for a permanent fix. That was when the doctor said "the treatment is around $100,000. Do you have money ?"

The doctor did not say "I only have 5 minutes to decide, so you too. The treatment is $100,000. Do you have money? If not, let him die."

The $100,000 is for a permanent fix to the problem. The lady was attempting to moral blackmail the hospital by linking the cost of the treatment to saving a life. She thanked her friends for staying with her at the ICU, but not the doctor who saved his father.

I think for this, we have to find out are they foreigner or sinkie first.

If they are foreigner, it will be straight forward, fuck back to own cuntry for the treatment.

But if it is sinkie, it will be a different and subjective problem.

Not many sinkies can afford this kind of medical cost. And pap as the gov will need to address this properly.

And if pap doesn't think this need to be addressed, can also, but they will need to change the official healthcare motto to - you die your business.
Instead of the current - Noone will be left behind.

 

[NanoSpeed]

I think for this, we have to find out are they foreigner or sinkie first.

If they are foreigner, it will be straight forward, fuck back to own cuntry for the treatment.

But if it is sinkie, it will be a different and subjective problem.

Not many sinkies can afford this kind of medical cost. And pap as the gov will need to address this properly.

The point is moral blackmail. She was trying to insinuate that the doctor demanded $100,000 to save a life.

That obviously was not the case. The doctor saved her father's life with a clot-busting drug at the first instance.

She made it clear the doctor was insensitive to have demanded for money while her father was still struggling to survive.

What if the treatment that was proposed was not $100,000 but $100. Would anyone have said the doctor was insensitive?

So it's the cost of the treatment that she was unhappy about and she took it out on the good doctor under the pretext of sensitivity.

If the doctor had not asked but had chosen to perform the $100,000 treatment immediately, would the doctor be sensitive by her standard? And she would not kpkb if she subsequently received a whopping $100,000 bill from the hospital?

This is the same as sinkies paying $15 for chap chai png and kpkb after that. We all know what she will do. Eh...The doctor didn't inform us beforehand that bill would be so expensive etc.

It has nothing to do with being sensitive or insensitive. It's all about money.