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MP Chia on hospital bed crunch: I was misquoted

makapaaa

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[h=2]MP Chia on hospital bed crunch: I was misquoted[/h]
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January 9th, 2014 |
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Author: Editorial

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CGH began housing patients waiting for beds in this large air-conditioned tent this week. (Photo: ST)


The media reported yesterday (8 Jan) that a severe bed crunch at Singapore’s public hospitals has forced several of them into taking some extraordinary measures.

Unable to cope with the overwhelming demand for hospital beds, some hospitals have begun housing patients in tents. Others are forced to set up beds along the corridors. Still others are resorting to sending patients to other hospitals which have spare beds for the time being.

Mr Liak Teng Lit, head of Alexandra Health which runs Khoo Teck Puat Hospital (KTPH), described the bed crunch as “abnormal”, since public hospitals usually experience a dip in patients during this time of the year. But numbers have gone up instead in the last few months.

The media then reported Dr Chia Shi-Lu, MP of Tanjong Pagar GRC, as saying that the crunch might be “due to the holiday season rather than a spike in illnesses”.

Mr Liak said this was possible. He explained how 20 KTPH patients at any one time refuse to be discharged. Some say their families are on holiday, and there is no one at home to take care of them.

The MP’s comment prompted popular blogger, Uncle Chua, to quip [Link], “Our hospitals are now as comfortable as a 5 star hotel and many people took the opportunity to stay in hospitals for R&R.”

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MP Chia Shi-Lu

Another prominent blogger, Andrew Loh, also commented on Dr Chia’s remarks in socio-political site The Online Citizen (TOC) [Link], “Dr Chia’s remarks are puzzling for the simple reason that the bed crunch is not a seasonal thing, happening only during the holiday season. In fact, in the past few years, news reports have highlighted the problem regularly.”

“None of these reports seem to have ascribed the shortages to the ‘holiday season’. In fact, shortage of beds seems to occur at all times of the year. The reasons for the shortfall according to these reports, however, are several: an ageing population, a larger foreigner population, and even the presence of medical tourists, all competing for resources.”

Andrew also quoted what the CEO of Changi General Hospital said in 2010, confirming that the population is increasing much faster than the government can create new hospital beds to cope with the demand:
The population in the east has been increasing. When we built this hospital, it was targeted to have a population of about 900,000. Today, we’ve already exceeded 1.4 million. By 2020, we are looking at about 1.8 million in this part of the island.
Dr Chia however protested that his remarks were misquoted. He replied to a netizen on his Facebook page [Link]:
TOC has a habit of misquoting and misrepresenting comments for their own agenda. Please read the article carefully. I just noted that these problems crop up during some holiday periods due to a variety of reasons, some of which are explained by others in the same article. Having worked in a public hospital for over 15 years, I understand when some patients find it difficult to be discharged during certain periods, and as a rule we do not press them to leave but this does cause a problem for others who may need a bed. Hope this clarifies.
In fact, Health Minister Gan Kim Yong himself acknowledged the shortage of public hospital beds in Singapore during the parliamentary budget debate in 2012 when he had to explain to the House his plans to expand hospital bed capacity [Link]:
Associate Professor Muhammad Faishal, Ms. Lina Chiam and Mr. Gerald Giam highlighted the shortage of hospital beds and asked how we are going to address it. Let me share with this House our long- and short-term plans to expand capacity across the healthcare sector…
Has Andrew misquoted and misrepresented Dr Chia’s “holiday season” remark? Or has Dr Chia misrepresented Andrew instead?

What do you think?
 

makapaaa

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[h=2]2014 begins with stark reminder of PAP’s gross incompetence[/h]
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January 9th, 2014 |
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Author: Contributions

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Changi General Hospital began housing patients waiting for beds in this large air-conditioned tent this week. (Photo: ST)

Patient beds in corridors and make-shift tents, a phenomenon normally associated with poor developing countries, are now a common sight in at least one of our world class hospitals (see attached report in today’s ST). How far down will Singapore descend into the Third World? If Mr Lee Kuan Yew had brought Singapore from Third World to First in one generation, then his PM son has outdone him by bringing us back to Third World in less than half a generation!
Severe bed crunch in Singapore’s hospitals is not a new sight. There were reports of it some years back. I had also pointed this out in my essay on the Singapore economy that was released in February 2011, nearly 3 years ago. The relevant extract is as follows:
“…The low Government health budget has resulted in over-crowding of public hospitals with newspaper reports of patients lying in beds along corridors of hospital wards……
Currently there are 32 hospital beds per 10,000 population, slightly more than half the average number of 58 beds in high income countries. Other indicators also show Singapore lagging far behind, for example, 17 doctors per 10,000 population compared to an average of 28 doctors in other high income countries, and 53 nurses and mid-wives versus their 81.
Doubling Hospital Beds, Doubling Healthcare Personnel
There is an urgent need to increase the number of hospital beds, doctors, nurses and other healthcare personnel to the levels of the high income countries in the First World so as to benchmark Singapore to the world’s best. Not only do our citizens deserve this level of service, but it is what to expect from an aspiring world class medical hub.
This means Singapore needs to roughly double the number of hospital beds, doctors, nurses and other healthcare professionals…… A modern hospital in Singapore costs an average of $1.27 million per hospital bed to build (based on the cost of $700 million in building KTPH) , so the Government will need to spend $10 billion to double the number of hospital beds in public hospitals……

The Government should allocate a sum of $10 billion in a Hospitals Regeneration Fund to double the number of public hospital beds in the next 5 years or about 1,700 beds per year. The new hospitals should be spread out to the housing estates so as to facilitate easy public access……”
(from pp22-24 of essay in http://tanjeesay.files.wordpress.com/2011/06/new_economy_-_jobs_and_enterprise_singapore_15_feb_112.pdf )
The Hospitals Regeneration Fund is a key part of my proposed $60 billion plan to rejuvenate the Singapore economy. It will result in an additional 8,500 beds in public hospitals, many times more than the 1,900 hospital beds that the Health Ministry said it would build by 2020. Unless the Ministry plans and builds several times more beds, Singaporeans will continue to experience severe bed crunch for many years to come, even going beyond 2020.
Why has Singapore ended up in this state of neglect? Haven’t we been told ad nauseam that PAP ministers are the most talented and farsighted who can foresee problems far ahead before they surface? While the Cabinet must take collective responsibility, who was the key minister directly responsible for this problem?
Mr Khaw Boon Wan was Health Minister from 2004-2011. In this long period of 7 years, he would or should have realised the problem and could have implemented measures to solve it. But he didn’t or if he did, was not successful. Yet Mr Goh Chok Tong praised him as the “best health minister Singapore has ever had” (IES citation 17 Oct 2008). Obviously Mr Goh’s quality of judgement leaves much to be desired. It also casts doubt on all the other health ministers who preceded Mr Khaw, at least one of whom is still a serving minister in the current Cabinet.
Singaporeans are now living with and suffering from the consequences of PAP leaders’ lapse of judgement and competence, not just in the area of health but also in other key sectors such as transport, manpower, the environment and housing. We have a chance to change our fate in 2016. Will Singaporeans rise up to the challenge?

Tan Jee Say

* Jee Say was a candidate in the 2011 Presidential Election. This article first appeared on his Facebook page.
 

makapaaa

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[h=2]Analysing Dr Chia’s ‘hospital bed’ statement[/h]
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January 9th, 2014 |
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Author: Contributions

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As reported by the State Troll papers:
He described the current bed crunch as “abnormal”, since public hospitals usually experience a dip in patients during this period. But numbers went up instead.
Dr Chia Shi-Lu, a member of the Government Parliamentary Committee for Health, suggested that the crunch might be due to the holiday season rather than a spike in illnesses.
Firstly, he is telling the truth that hospitals, during the lead up to the Christmas and New Year holidays, usually see a dip in attendances. It is a known fact among hospitals that patients would ask to be discharged just before a festive holiday so that they could spend time with their families. To others, they prefer to be discharged because, as Asians, it is not auspicious to be admitted over festive periods.
The second statement by Dr Chia is a deceptive one. There were no major disease outbreaks we know of during the year end holidays. Therefore, to even mention the word ‘spike’, for no reason, is nothing but a cheeky attempt to draw readers to consider a non-factual occurrence.
The other point he made is the suggestion that the bed crunch was caused by the holiday season. This is again a thoughtless and careless remark.
He had conveyed that this period usually sees a dip in admission. Then he suggested that the holiday season was the reason for the increased admissions.
Err … which is which, may we ask?

The Alternative View

Source: www.facebook.com/pages/The-Alternative-View/358759327518739
 

Seee3

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In the past it is a fact that the wards will be empty during the year end festive seasons. People were more filial then and bring elderly home for celebration. Elderlies were in hospital because the children genuinely want them to get treatment.

Looking after elderly is 24/7, dirty and tiring. Currently, there is limited avenue for a caregivers to temporarily send their elderlies to so that they can take a break and go for a short holiday. Over time, they slowly develop the trick to admit bed-ridden patient with chronic illness to hospital and ignore request by hospital to bring them home. Simply call an ambulance and send them to A & E, these patients are seriously quite ill all the time.

I think this silly doc is not politically very smart. He didn't understand that the truth hurts as people do not wish to be viewed as uncaring for their elderlies and those who have not experienced it would not understand how tough it is to take care of bed-ridden elderlies. Under such situation, the hospital in a way is helping the caregivers, giving them a much needed break
 

Confuseous

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I think this silly doc is not politically very smart. He didn't understand that the truth hurts as people do not wish to be viewed as uncaring for their elderlies and those who have not experienced it would not understand how tough it is to take care of bed-ridden elderlies. Under such situation, the hospital in a way is helping the caregivers, giving them a much needed break

I think this doctor is just plain stupid, not just politically or otherwise. This is the calibre of MPs that the PAP has been dishing out. Like that DBS Snr VP Gan Thiam Poh and the Dr MP who said that ministers need high salaries in order to be respected.

Even ministers like No Porn Lui should be tucked away for 2016, with his self-serving comments (I find it a more pleasant drive on the MCE).
 

blissquek

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Looks like a makeshift refugee camp medical facility.

Next, trailer park homes along east coast? Or Shipping-containers-home?


Is this fact correct..?...The last 5 years, Singapore only add one Hospital to its list...i.e. Khoo Teck Puat Hospital...

whereas the population grew from 3.5 to 5.5 mio..????

If i remember correctly...this statement was made by a senior Public figure..(correct me if I am wrong..think it is
made by Dr. Tan Cheng Bok)
 

laksaboy

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I think this doctor is just plain stupid, not just politically or otherwise. This is the calibre of MPs that the PAP has been dishing out. Like that DBS Snr VP Gan Thiam Poh and the Dr MP who said that ministers need high salaries in order to be respected.

Even ministers like No Porn Lui should be tucked away for 2016, with his self-serving comments (I find it a more pleasant drive on the MCE).

In the PAP system, fools and flatterers rise to the top. It's only a matter of time before the entire system implodes from within and comes crashing down.
 
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