Healthcare in Singapore

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The Bowyer Block at the Singapore General Hospital now houses the SGH Museum which was officially opened in May 2005. Bowyer Block, SGH.JPG
The Bowyer Block at the Singapore General Hospital now houses the SGH Museum which was officially opened in May 2005.

Healthcare in Singapore is under the purview of the Ministry of Health of the Government of Singapore. It mainly consists of a government-run publicly funded universal healthcare system as well as a significant private healthcare sector. Financing of healthcare costs is done through a mixture of direct government subsidies, compulsory comprehensive savings, national healthcare insurance, and cost-sharing.

Contents

The Singaporean public health insurance system is based on programs run by the Central Provident Fund, primarily Medisave, a mandatory medical savings account scheme. All working citizens and permanent residents are obligated to set aside a portion of their income into Medisave accounts, which they can draw upon to pay their own medical bills and those of their immediate family. The Central Provident Fund also manages the MediShield and MediFund insurance schemes, which cover people with insufficient savings or those who have depleted their savings. In addition, the government provides subsidies for the medical expenses of citizens and permanent residents who receive treatment in public hospitals.

Singapore generally has an efficient and widespread system of healthcare. In 2000, Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems. [1] Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. [2] The Economist Intelligence Unit placed Singapore 2nd out of 166 countries for health-care outcomes. [3] Bloomberg Global Health Index of 163 countries ranked Singapore the 4th healthiest country in the world and first in Asia. [4]

Development of life expectancy in Singapore Life expectancy in Singapore.svg
Development of life expectancy in Singapore

As of 2019, Singaporeans have the world's longest life expectancy, 84.8 years at birth. Women can expect to live an average of 87.6 years with 75.8 years in good health. The averages for men are lower, with a life expectancy at 81.9 years with 72.5 years in good health. [5]

According to global consulting firm Towers Watson, Singapore has "one of the most successful healthcare systems in the world, in terms of both efficiency in financing and the results achieved in community health outcomes". [6] For the most part, the government does not directly regulate the costs of private medical care. These costs are largely subject to market forces, and vary enormously within the private sector, depending on the medical specialty and service provided. [6]

History

Sir Stamford Raffles brought along a single doctor named Thomas Prendergast in Feb 1819 -- by most accounts accepted as the time when Western medicine first arrived on the island. StamfordRafflesSmall.jpeg
Sir Stamford Raffles brought along a single doctor named Thomas Prendergast in Feb 1819 — by most accounts accepted as the time when Western medicine first arrived on the island.

Early colonial years

Stamford Raffles arrived in Singapore in January 1819, with a single accompanying doctor, a sub-assistant surgeon named Thomas Prendergast, then the medical officer in Penang's General Hospital. [7] : 12  After a treaty was signed allowing the British East India Company to set up a trading post in Singapore, Prendergast oversaw the newly established post's medical needs until William Montgomerie arrived and served as Singapore's first surgeon. [8] Prendergast, as a military doctor, was put in charge of the first General Hospital on the island — a small shed erected near the junction of Bras Basah Road and Stamford Road in 1821. [7] : 12 

Singapore in the early colonial years was a poorly funded trading post with severe budget constraints due to Raffles' commitment to keep it as a free port, which meant that the administration was not able to raise funds through customs duties. [9] This made health care substantially more difficult to provide for in this new but bustling port. Diseases such as cholera, smallpox, enteric fevers, typhoid and venereal diseases were common. [7] : 12  Even the General Hospital building, which was supposed to be an "elite" healthcare institution in the early days, had to be replaced twice by 1830 because it was "dilapidated and full of holes". [7] : 14 

Healthcare providers

The healthcare system in Singapore is divided into two sectors; statutory boards and institutions (which are then divided into public and private streams). [10] There are a variety of statutory boards in place, including the Medical Council, Dental Council, Nursing Board, Pharmacy Council, and Optometrists and Opticians Board. [10] Healthcare institutions can be divided into public and private hospitals and healthcare providers. All hospitals in Singapore have been structured as government corporations since the 1990s, constantly competing with one another to have the most advanced services, and technology available. [11] There are multiple spheres and levels to both the public and private streams.

Public health system

Since the 1990s, all public hospitals, polyclinics, and specialty centres have been restructured as government-owned corporations, and operate under three healthcare groups or "clusters":

  1. National Healthcare Group
  2. National University Health System
  3. SingHealth

The 10 public hospitals comprise eight general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). [12] In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). [12]

As of 2019, Singapore had a total of 14,297 doctors in its healthcare system, giving a doctor-to-population ratio of 1:399. The nurse-to-population ratio (including midwives) was 1:133, with a total of 42,777 nurses. There were 2,475 dentists, giving a ratio of 1 dentist to 2,304 people. [13] [14]

Approximately 70–80% of Singaporeans obtain their medical care within the public health system. Overall government spending on public healthcare amounts to 1.6% of annual GDP. As of 2013, this amounted to an average of $1,104 Government Health Expenditure per person. [15] Health-related spending is the third largest expenditure item, after defence and education expenses. [16] As the median age of the population increases, Singapore's healthcare spending is expected to rise. Healthcare spending has risen from $4 billion in 2011 to $9.8 billion in 2016. [17] [18]

Singapore has a strong reputation for health services and healthcare systems; in 2000, the country was ranked sixth in the world by the World Health Organization. [19] Public hospitals have autonomy over management decisions, and compete with one another for patients. [20] General hospitals have a variety of functions and services; they mainly represent multi-disciplinary acute inpatient and specialist outpatient services, have 24-hour emergency centers, and often specialize in a specific field of medicine (cancer research, neuroscience, dental care, cardiac care, etc.). [20] Singapore has an array of hospitals and health services available, as well as community hospitals that exist as an intermediate form of healthcare for people who do not require the services of a general hospital but cannot cope at home. [20] The funding behind Singapore's public health sector can be broken down into the Ministry of Health of Singapore, MediSave, MediShield Life, and MediFund.

Emergency Medical Services

Emergency medical services (EMS) in Singapore are provided by the Singapore Civil Defence Force (SCDF). SCDF operates a fleet of ambulances, "fast response paramedics" on motorcycles as well as first response fire-bikers. SCDF is characterised as a nationally funded, multi-tiered, fire-based EMS system. [21] [22] SCDF responded to 150,155 calls in 2013, of which 96.1% were classified as emergency calls. [22]

Financing

Comparison of income per person and life expectancy for some countries in 2015 Gapminder Life Expectancy in high income countries.png
Comparison of income per person and life expectancy for some countries in 2015

Singapore's healthcare system uses a mixed financing system that includes nationalised life insurance schemes and deductions from the compulsory savings plan, or the Central Provident Fund (CPF), for working Singaporeans and permanent residents. [23] This mechanism is intended to reduce the overuse of healthcare services.

MediSave

MediSave is a medical savings account under an individual's CPF account that is used for payment of future medical expenses as well as premiums of medical insurance policies. Funds can be pooled within and across an entire extended family.

The Central Provident Fund Board, a social security system, allows the citizens of Singapore to put aside funds for a variety of expenses including retirement, healthcare and mortgage. Citizens can make monthly contributions to three different accounts: 1) ordinary accounts for housing, insurance, investment, and education, 2) special accounts for retirement, and investment, and 3) MediSave accounts for hospitalisation expenses and medical insurance. [24] MediSave contributions are usually between 8-10.5% of an individual's wage, and is capped at a $52,000 limit. [24] This form of a health savings account is required by all workers; those below the age of 55 are required to deposit 20% of their earnings. [24] This contribution is partly matched by the employer who contributes 17% of the workers earnings. [24]

MediShield Life

Launched in 1990, MediShield is a low cost basic insurance scheme intended for those whose savings are insufficient to meet their medical expenses. [25] Premiums can be paid out of MediSave accounts. A new scheme, MediShield Life, replaced the MediShield in November 2015. Co-insurance payment rates are to be reduced from 10 to 20% to 3–10% and the lifetime claim limit is to be removed. [26] The scheme helps to pay for hospital bills and selected outpatient treatments. The government provides premium subsidies to lower- to middle-income residents, the elderly and new policyholders transitioning from cheaper policies.

The Integrated Shield Plan (IP) includes both the MediShield Life component and an additional private insurance coverage component run by private insurers, to cover for optional benefits in public hospitals and private hospitals. Premiums for the IP can be paid by the MediSave funds. [25] As on 16 February 2021, 7 private insurers - AIA, AXA, Great Eastern, Income, Prudential, Raffles Health and Singlife are authorized by Ministry of Health to offer Integrated Shield plans to the consumers. [27]

In September 2020 it was announced it was being considered that treatment for drug addiction, alcoholism and injuries from attempted suicide would be covered under MediShield Life. [28]

CareShield Life

ElderShield is a severe disability insurance scheme which insures against the cost of private nursing homes and related expenses. Since 2002, members with a CPF MediSave account will automatically be enrolled in the scheme at the age of 40, unless they choose to opt out. Three private insurers, Great Eastern, Income and Singlife were chosen to manage ElderShield. [29] The Ministry of Health will run ElderShield from 2021 on a not-for-profit basis, taking over from the three private insurers. This arrangement will allow a smoother upgrade to CareShield Life. [30] It has 1.2 million policyholders as of 2015, with $2.6 billion collected in premiums, and around $100 million in payout claims and $130 million in premium rebates between 2002 and 2015. [31] [32]

MediFund

MediFund is Singapore's safety net programme, which covers only the lowest class of hospitalisation fees and services. [33] This form of coverage and insurance is only available to citizens of Singapore once they have depleted their MediSave and MediShield funds. [33] The amount of funding and coverage is dependent on the individuals' income, health condition, and socioeconomic status.

It is a government endowment fund for those who are unable to meet their assessed contribution. Risks are not pooled, so an individual may be exposed to catastrophic expenses. [34] A total of $155.2 million was allocated to patients in 2015. [35]

Subsidies

Singapore citizens and Permanent Residents warded in public hospitals receive government subsidies for their medical fees, which scale according to their chosen category of ward as well as their income. Since 1 January 2009, patients warded in B2 and C class wards in public hospitals undergo means testing to determine the level of subsidy they are entitled to, based on the average monthly income received over the last available 12-month period including bonuses for salaried employees. However, patients receiving services such as Day Surgery, A&E services, Specialist Outpatient and polyclinic visits receive standardised subsidies regardless of income without requiring means testing.

People with no income, such as retirees or housewives, will have their subsidy rate pegged to the value of their homes, whereas all unemployed residents of HDB flats excluding those in executive condominiums (EC) will be entitled to the highest tier of subsidy.

The following table details the subsidies available:

Means testing in public hospitals as of 1 January 2009 [36]
Average Monthly
Income of Patient (SGD)		Citizens SubsidyPermanent residents Subsidy
Class CClass B2Class CClass B2
$3,200 and below180%65%70%55%
$3,201 – $3,35079%64%69%54%
$3,351 – $3,50078%63%68%53%
$3,501 – $3,65077%62%67%52%
$3,651 – $3,80076%61%66%51%
$3,801 – $3,95075%60%65%50%
$3,951 – $4,10074%59%64%49%
$4,101 – $4,25073%58%63%48%
$4,251 – $4,40072%57%62%47%
$4,401 – $4,55071%56%61%46%
$4,551 – $4,70070%55%60%45%
$4,701 – $4,85069%54%59%44%
$4,851 – $5,00068%53%58%43%
$5,001 – $5,10067%52%57%42%
$5,101 – $5,20066%51%56%41%
$5,201 and above265%50%55%40%
1. No income declare and property with AV below $11,000.

2. No income declare and property with AV exceeding $11,000.

3. Foreigners no longer receive any subsidies at public hospitals since 01-Jan-08.

Community Health Assist Scheme

In 2012, the Community Health Assist Scheme or CHAS was introduced. It is a supplementary healthcare scheme that provides further subsidies for citizens from lower-to-middle income households, and the Pioneer generation, born before 1950, who need treatment for common illnesses, chronic health problems and specific dental issues. Beneficiaries get a blue or orange "Health Assist Card", depending on their household income.

In 2019, the scheme was extended. Orange cardholders who only received subsidies for chronic conditions now also get subsidies for common illnesses. All citizens are covered for chronic conditions, and the subsidies for complex chronic conditions have been further increased. [37]

Private sector

The increasingly large private sector provides care to those who are privately insured, foreign patients, or public patients who are able to afford what often amounts to very large out-of-pocket payments above the levels provided by government subsidies. The private sector consists of private healthcare, and private insurance. The private healthcare sector utilizes the network of General Practitioners (GPs) and Private Hospitals. And, the private health insurance sector utilizes Integrated Shield plans and private insurance. [38]

The government uses the capacity of the private sector to reduce waiting times in the public sector. In 2015 it planned to use the Raffles Medical Group to receive non-critical ambulance cases. [39]

Private healthcare

The private healthcare sector in Singapore has a large market, with a more exclusive clientele. [40] Private healthcare often attracts individuals in search of more advanced and complicated treatments such as stem cell therapy, or specialised cancer treatments. Private healthcare is more appealing and preferred by expatriate citizens as opposed to public for the short wait times, and greater availability of services. [41]

Two hospital groups operate the majority; Parkway Pantai and Raffles Medical Group. [42] These private hospitals are typically smaller, offer patients more privacy, and typically specialize in certain procedures or surgeries.

Parkway Pantai

Parkway Pantai is Southeast Asia's largest private healthcare provider with hospitals in several countries such as Singapore, Malaysia and Brunei. It is a wholly owned subsidiary of IHH Healthcare and owns four hospitals in Singapore: Gleneagles Hospital, Mount Elizabeth Hospital, Mount Elizabeth Novena Hospital and Parkway East Hospital.

Raffles Medical Group

Raffles Medical Group (RMG) is one of the largest private healthcare providers in Asia, with hospitals and clinics located in several cities, including Singapore. [43] RMG owns Raffles Hospital in Singapore, which specializes in obstetrics and gynecology, cardiology, oncology, and orthopedics. [43]

Private health insurance

There are a variety of choices for private health insurance in Singapore, known as Integrated Shield Plans which supplement Medishield Life coverage. Depending on an individual, or families level of income, lifestyle, location, and medical history, there are monthly insurance plans ranging from S$75 SGD to S$400. [10] Companies include but are not limited to AIA, AXA, Great Eastern, Income, Prudential, Raffles Health and Singlife. [44]

Government initiatives

National University Hospital in 2008 KRW Facade2 final.jpg
National University Hospital in 2008

Medical tourism

In October 2003, then acting Minister for Health Khaw Boon Wan launched "SingaporeMedicine" to promote Singapore as a regional medical hub. He said more than 200,000 foreigners visited Singapore for its medical services in 2002 and that the Economic Review Committee reaffirmed its ambition of serving 1 million foreign patients annually by 2012. [45] In his speech, Khaw said,

"SingaporeMedicine that we are launching today shall be the rallying point and a powerful symbol of our collective will and commitment towards this ambition...

In three specialties alone, heart, eye and cancer, I see tens of millions of middle-class patients within a 7-hour flying radius, waiting to be served. If they can be attracted here, they will keep us all very busy...

This is my dream for Singapore as the regional medical hub, where regional doctors and nurses compete to work here to learn, and where international patients seek us out for care and treatment." [46]

National Electronic Record Programme

The National Electronic Record Programme was launched in 2011 and is used by more than 280 institutions to support telehealth and telemedicine. [47]

Pioneer Generation Package

The Pioneer Generation Package (PGP) is a S$9 billion package launched in 2014 aimed at helping approximately 450,000 Singaporeans born on or before 31 December 1949 and obtained citizenship before 31 December 1986 through a series of healthcare and social support schemes over an estimated 20-year period. [48] [49]

Issues

Shortage of hospital beds

Since 2010, the healthcare system has often faced shortages of hospital beds. [50] [51] This has been attributed to an ageing population, especially affected by the COVID-19 pandemic. [52] In certain situations, hospitals had to temporarily locate patients in other places or being transferred to community care facilities. [53]

Since then, the government has opened three general hospitals and three community hospitals to cater to the increasing demand for hospital beds, and temporary hospitals were and are being built at Changi, Jurong East, Sengkang, Yishun, Bedok and Pasir Ris. [54]

See also

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References

  1. ↑ The World Health Report 2000 : Health Systems : Improving Performance . Geneva, Switzerland: World Health Organization. 2000. p.  154. ISBN   978-92-4-156198-3.
  2. ↑ "Most Efficient Health Care Around the World". Bloomberg. Archived from the original on 18 June 2020. Retrieved 25 January 2017.
  3. ↑ "Singapore ranked world's No. 2 for health-care outcomes: EIU". Bloomberg.com. 27 November 2014. Archived from the original on 14 June 2021. Retrieved 10 May 2018.
  4. ↑ "Singapore healthiest Asian country; Italy tops global list despite economic crisis". Bloomberg.com. 20 March 2017. Archived from the original on 8 September 2021. Retrieved 10 May 2018.
  5. ↑ "Singaporeans have world's longest life expectancy at 84.8 years". Straits Times. 20 June 2019. Archived from the original on 2 September 2019. Retrieved 2 September 2019.
  6. 1 2 John Tucci, "The Singapore health system – achieving positive health outcomes with low expenditure", Watson Wyatt Healthcare Market Review, October 2004. Archived 19 April 2010 at the Wayback Machine
  7. 1 2 3 4 5 Caring for our people: 50 years of healthcare in Singapore (PDF). Singapore: MOH Holdings Pte Ltd. 2015. ISBN   978-981-09-6201-2.
  8. ↑ "William Montgomerie arrives in Singapore - May 1819". HistorySG. November 2015. Archived from the original on 23 February 2020. Retrieved 11 November 2019.
  9. ↑ "Singapore - Founding and Early Years". countrystudies.us. Archived from the original on 3 November 2016. Retrieved 11 November 2019.
  10. 1 2 3 "Singapore : International Health Care System Profiles". international.commonwealthfund.org. Archived from the original on 3 April 2019. Retrieved 2 December 2018.
  11. ↑ Carroll, Aaron E.; Frakt, Austin (2 October 2017). "What Makes Singapore's Health Care So Cheap?". The New York Times. Archived from the original on 20 February 2021. Retrieved 28 November 2018.
  12. 1 2 "About Singapore public healthcare". Healthcare Scholarships. MOH Holdings. Archived from the original on 25 October 2020. Retrieved 8 March 2020.
  13. ↑ "Singapore Health Facts". Ministry of Health, Singapore. Archived from the original on 3 September 2014. Retrieved 29 August 2014.
  14. ↑ "Find a Doctor in Singapore - DoctorPage". 26 January 2013. Archived from the original on 26 January 2013. Retrieved 14 November 2018.
  15. ↑ "Government Health Expenditure and Healthcare Financing | Ministry of Health". 3 September 2014. Archived from the original on 3 September 2014. Retrieved 18 January 2023.
  16. ↑ Ramchandani, Nisha (21 February 2017). "A smaller budget surplus of S$1.91b likely for FY17". The Business Times. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  17. ↑ Britnell, Mark (2015). In Search of the Perfect Health System. London: Palgrave. p. 43. ISBN   978-1-137-49661-4.
  18. ↑ Basu, Radha (7 October 2017). "Long-term care: If this is so important, why aren't we putting our money where our mouth is?". The Straits Times. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  19. ↑ World Health Organization (2000). "The World Health Report 2000: Health Systems: Improving Performance" (PDF). WHO Library Catalogue. Archived (PDF) from the original on 9 April 2020. Retrieved 4 October 2020.
  20. 1 2 3 "News Highlights". www.moh.gov.sg. Archived from the original on 4 December 2018. Retrieved 28 November 2018.
  21. ↑ Lim, S. H.; Anantharaman, V. (March 1999). "Emergency medicine in Singapore: past, present, and future". Annals of Emergency Medicine. 33 (3): 338–343. doi:10.1016/S0196-0644(99)70371-9. ISSN   0196-0644. PMID   10036349.
  22. 1 2 Ho, Andrew Fu Wah; Chew, David; Wong, Ting Hway; Ng, Yih Yng; Pek, Pin Pin; Lim, Swee Han; Anantharaman, Venkataraman; Hock Ong, Marcus Eng (July 2015). "Prehospital Trauma Care in Singapore". Prehospital Emergency Care. 19 (3): 409–415. doi:10.3109/10903127.2014.980477. ISSN   1545-0066. PMID   25494913. S2CID   29089294.
  23. ↑ "Costs and Financing". Ministry of Health. Archived from the original on 6 July 2017. Retrieved 22 October 2017.
  24. 1 2 3 4 "CPF Overview". www.cpf.gov.sg. Archived from the original on 27 March 2019. Retrieved 28 November 2018.
  25. 1 2 Huang, Claire (15 July 2017). "The Good, the Bad, and the Ugly of Integrated Shield Plans". The Business Times. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  26. ↑ Khalik, Salma (31 October 2015). "MediShield Life coverage to kick in at midnight". The Straits Times. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  27. ↑ "CPFB | Private Medical Insurance Scheme". null. Archived from the original on 21 January 2021. Retrieved 16 February 2021.
  28. ↑ hermesauto (30 September 2020). "Experts welcome proposal to cover addictions, self-harm under MediShield". The Straits Times. Archived from the original on 3 October 2020. Retrieved 1 October 2020.
  29. ↑ Tan, Weizhen (7 July 2017). "Govt studying proposal to take over running of ElderShield". TODAY. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  30. ↑ "Government to take over administration of ElderShield from 2021". CNA. 7 January 2019. Archived from the original on 7 June 2019. Retrieved 7 June 2019.
  31. ↑ "S$90m paid out in ElderShield claims since its 2002 launch". Channel NewsAsia. 4 April 2016. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  32. ↑ "Parliamentary Debates Singapore – Official Report" (PDF). National Archives of Singapore. Archived (PDF) from the original on 24 October 2017. Retrieved 24 October 2017.
  33. 1 2 "MediFund". www.moh.gov.sg. Archived from the original on 24 May 2019. Retrieved 28 November 2018.
  34. ↑ Britnell, Mark (2015). In Search of the Perfect Health System. London: Palgrave. p. 42. ISBN   978-1-137-49661-4.
  35. ↑ "Medifund assistance dropped to S$155.2m last year". TODAY. 24 November 2016. Archived from the original on 24 October 2017. Retrieved 24 October 2017.
  36. ↑ "Means Testing at Singapore public hospitals" (PDF). Moh.gov.sg. Archived from the original (PDF) on 6 June 2016. Retrieved 14 November 2018.
  37. ↑ "What Chas expansion means for healthcare in Singapore". Today online. 26 February 2019. Archived from the original on 26 February 2019. Retrieved 26 February 2019.
  38. ↑ "Healthcare in Singapore | Kloodo Singapore". kloodo.com. Retrieved 16 February 2021.
  39. ↑ Britnell, Mark (2015). In Search of the Perfect Health System. London: Palgrave. p. 44. ISBN   978-1-137-49661-4.
  40. ↑ Pocock, Nicola S; Phua, Kai Hong (2011). "Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia". Globalization and Health. 7 (1): 12. doi:10.1186/1744-8603-7-12. ISSN   1744-8603. PMC   3114730 . PMID   21539751.
  41. ↑ "Healthcare in Singapore". Archived from the original on 4 December 2018. Retrieved 2 December 2018.
  42. ↑ Pacific Prime (6 October 2017). "Public and Private Healthcare in SINGAPORE". Pacific Prime. Archived from the original on 27 March 2019. Retrieved 4 February 2019.
  43. 1 2 "Hospitals and Other Healthcare Organisations - medtech.sg". medtech.sg. 3 May 2013. Archived from the original on 27 March 2019. Retrieved 2 December 2018.
  44. ↑ "Comparison of Integrated Shield Plans". Ministry of Health, Singapore. Archived from the original on 16 January 2021. Retrieved 21 January 2020.
  45. ↑ "SG medical tourism started by Khaw asking Philip Yeo to implement - Khaw exhorts Yeo with 'May the Force be with you' - The Online Citizen". Theonlinecitizen.com. 2 October 2018. Archived from the original on 7 October 2018. Retrieved 14 November 2018.
  46. ↑ "Speech By Ag Minister Khaw Boon Wan, At The Launch Of Singaporemedicine, 20 October 2003, 4.00 Pm". Nas.gov.sg. Archived from the original on 7 October 2018. Retrieved 14 November 2018.
  47. ↑ Britnell, Mark (2015). In Search of the Perfect Health System. London: Palgrave. p. 15. ISBN   978-1-137-49661-4.
  48. ↑ "Singapore Budget 2015 Annex B-1: Pioneer Generation Package" (PDF). Singaporebudget.gov.sg. Archived (PDF) from the original on 16 April 2016. Retrieved 27 March 2018.
  49. ↑ "PIONEER GENERATION PACKAGE". Archived from the original on 21 November 2018. Retrieved 21 November 2018.
  50. ↑ Lim, Jeremy (March 2010). "The Bed Crunch: A Systems Perspective" (PDF). SMA News. Singapore Medical Association. Archived (PDF) from the original on 11 February 2020. Retrieved 15 October 2018.
  51. ↑ Huang, Claire. "Hospital bed crunch a cumulative problem". Businesstimes.com.sg. Archived from the original on 7 October 2018. Retrieved 14 November 2018.
  52. ↑ Ng Jing Ying (21 January 2014). "Ageing society contributes to hospital bed crunch: Gan". TODAYonline. MediaCorp Press. Archived from the original on 15 October 2018. Retrieved 15 October 2018.
  53. ↑ Salma Khalik (8 January 2014). "Hospitals facing severe bed crunch take unusual steps". The Straits Times. Singapore Press Holdings. Archived from the original on 7 October 2018. Retrieved 15 October 2018.
  54. ↑ "New hospitals in the pipeline". The Straits Times. 15 February 2014. Archived from the original on 15 October 2018. Retrieved 15 October 2018.
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