SHI systems actually do worse!
_This is 2009
World Bank study called "Social Health Insurance vs. Tax-Financed
Health Systems—Evidence from the OECD." It's a study spanning 46 years
of data collected from rich countries who have adopted SHI systems. They have some very interesting conclusions:
"The results of this paper suggest...SHI systems...MORE EXPENSIVE than tax-financed systems, do NO BETTER in terms of most health outcomes...may DO WORSE in...population-level public health programs, and DO WORSE in terms of encouraging informal labor markets and discouraging employment." "For...countries considering a wholesale switch between SHI and tax finance, broad-brush studies like this will continue to be helpful..." So rich countries with long experience of SHI have experienced no benefit but even WORSE outcomes. | SHI system in developing nations
This WHO study called "Community-based health insurance in developing countries" explores whether SHI achieved its touted effectiveness in developing countries which implemented it. The conclusion is ambivalent because the researchers are hard pressed to find concrete proof of its effectiveness. Excerpts:
"The performance of CHI, and its contribution to effective and equitable health systems, is modest, although many schemes are still relatively young and would need more time to develop." "The CHI thus still has a long way to go if it wants to strongly contribute to health system performance." Developing countries who have newly implemented SHI healthcare systems also have no real evidence of improved healthcare and better controlled costs. |
_World Bank and WHO studies show no evidence that SHI will improve healthcare or reduce costs!
WHY DOES MALAYSIA INSIST ON DESTROYING OUR GLOBALLY PRAISED SYSTEM TO CREATE ONE THAT HAS NO PROVEN BENEFIT?
__Pharmaceutical Association of Malaysia (PhAMA) - 1Care Health Reform
This was a briefing on "1Care Health Reform" by MOH, held on 5th January 2012 at Eastin Hotel, Petaling Jaya. How do you brief people if "nothing has been decided yet?"
MOH caught lying through their teeth about 1Care...and here's proof!
On February 9 Dr Rozita Halina Tun Hussein briefed the press about 1Care, saying “It is still in the conceptual stage. We are working out the details.” She added that the ministry was looking at existing models in other countries.
But in January 2012, Dr Rozita spoke at an international healthcare conference, where she shared specific details of Malaysia's creation of 1Care.
This excerpt is from the conference's introduction of Dr Rozita as a speaker:
"THE CONCEPT CALLED 1CARE FOR 1MALAYSIA HAS BEEN *ACCEPTED* by the Government of Malaysia. Currently Dr Rozita and other colleagues in MOH works and communicates with various stakeholders of the health system are developing the blueprint for phased implementation"
Equity in health care financing: The case of Malaysia
This is a research paper assessing the equity of health care financing in Malaysia. It concludes:
The paper evaluated each of the five financing sources (direct taxes, indirect taxes, contributions to Employee Provident Fund and Social Security Organization, private insurance and out-of-pocket payments) independently, and subsequently by combined the financing sources to evaluate the whole financing system.
Malaysia's two tier health system, of a heavily subsidised public sector and a user charged private sector, has produced a progressive health financing system.
Equitable financing is in line with the vision of a nation moving towards an egalitarian society
If independent research has found Malaysia's healthcare financing to be ALREADY equitable and progressive, why is the govt claiming that it is inequitable and unsustainable? Has Malaysia now completely abandoned the idea of an egalitatrian society and moving towards the dog-eat-dog world of privatisation?
Khazanah eyes US$3b Int Healthcare listing
Government says it has no money for Malaysians' healthcare but has billions to splurge on healthcare business overseas. Wang didahulukan, keuntungan diutamakan!
_
Costs soar after health services privatised
In 1996, health care support services were privatised to three companies: Faber Medi-Serve Sdn Bhd (FMS), Radicare (M) Sdn Bhd and Pantai Medivest Sdn Bhd.
For the 13 years from 1997 to 2009, the three companies were paid a total of RM8.7 billion, broken down as follows:
Faber RM4.0b
Radicare RM3.2b
Pantai Rm1.5b
Private healthcare, public expense
Letter to Malaysiakini, Apr 20, 2001
"Another Health Ministry contract worth RM60 million tendered to Faber was subcontracted to Propel-Johnson for RM40 million, and in turn subcontracted for RM25 million. Clearly, RM35 million was siphoned by crony companies. None of the EPU staff members present challenged the Hospital Director's revelations."
Expect more of this, but with even less accountability as the public will have no right to demand accountability from "private entities" - the euphamism used by the government for healthcare facilities that are "privatised in practise, government owned in name".
Who Pays for Health Care?
This is an article about William C. Hsiao's healthcare reforms. Dr Hsiao is an American economist and Professor of Economics at the Harvard School of Public Health who is currently consulting for MOH to implement 1Care. He is the world’s leading expert on single-payer health care systems, which provides health care to all citizens through a single, publicly-financed insurance fund with uniform coverage and rates.
This is 1Care's model, so the government saying nothing has been agreed upon is nonsense. the model already been decided, just a matter of filling in the minor details.
The Health Ministry’s proposal
Aliran, 27 April 2006
From this article, we can see that the concept and structure of 1Care already existed in its present in 2006. Yet the government still says it is in conceptual stage in 2012!
This was a briefing on "1Care Health Reform" by MOH, held on 5th January 2012 at Eastin Hotel, Petaling Jaya. How do you brief people if "nothing has been decided yet?"
MOH caught lying through their teeth about 1Care...and here's proof!
On February 9 Dr Rozita Halina Tun Hussein briefed the press about 1Care, saying “It is still in the conceptual stage. We are working out the details.” She added that the ministry was looking at existing models in other countries.
But in January 2012, Dr Rozita spoke at an international healthcare conference, where she shared specific details of Malaysia's creation of 1Care.
This excerpt is from the conference's introduction of Dr Rozita as a speaker:
"THE CONCEPT CALLED 1CARE FOR 1MALAYSIA HAS BEEN *ACCEPTED* by the Government of Malaysia. Currently Dr Rozita and other colleagues in MOH works and communicates with various stakeholders of the health system are developing the blueprint for phased implementation"
Equity in health care financing: The case of Malaysia
This is a research paper assessing the equity of health care financing in Malaysia. It concludes:
The paper evaluated each of the five financing sources (direct taxes, indirect taxes, contributions to Employee Provident Fund and Social Security Organization, private insurance and out-of-pocket payments) independently, and subsequently by combined the financing sources to evaluate the whole financing system.
Malaysia's two tier health system, of a heavily subsidised public sector and a user charged private sector, has produced a progressive health financing system.
Equitable financing is in line with the vision of a nation moving towards an egalitarian society
If independent research has found Malaysia's healthcare financing to be ALREADY equitable and progressive, why is the govt claiming that it is inequitable and unsustainable? Has Malaysia now completely abandoned the idea of an egalitatrian society and moving towards the dog-eat-dog world of privatisation?
Khazanah eyes US$3b Int Healthcare listing
Government says it has no money for Malaysians' healthcare but has billions to splurge on healthcare business overseas. Wang didahulukan, keuntungan diutamakan!
_
Costs soar after health services privatised
In 1996, health care support services were privatised to three companies: Faber Medi-Serve Sdn Bhd (FMS), Radicare (M) Sdn Bhd and Pantai Medivest Sdn Bhd.
For the 13 years from 1997 to 2009, the three companies were paid a total of RM8.7 billion, broken down as follows:
Faber RM4.0b
Radicare RM3.2b
Pantai Rm1.5b
Private healthcare, public expense
Letter to Malaysiakini, Apr 20, 2001
"Another Health Ministry contract worth RM60 million tendered to Faber was subcontracted to Propel-Johnson for RM40 million, and in turn subcontracted for RM25 million. Clearly, RM35 million was siphoned by crony companies. None of the EPU staff members present challenged the Hospital Director's revelations."
Expect more of this, but with even less accountability as the public will have no right to demand accountability from "private entities" - the euphamism used by the government for healthcare facilities that are "privatised in practise, government owned in name".
Who Pays for Health Care?
This is an article about William C. Hsiao's healthcare reforms. Dr Hsiao is an American economist and Professor of Economics at the Harvard School of Public Health who is currently consulting for MOH to implement 1Care. He is the world’s leading expert on single-payer health care systems, which provides health care to all citizens through a single, publicly-financed insurance fund with uniform coverage and rates.
This is 1Care's model, so the government saying nothing has been agreed upon is nonsense. the model already been decided, just a matter of filling in the minor details.
The Health Ministry’s proposal
Aliran, 27 April 2006
From this article, we can see that the concept and structure of 1Care already existed in its present in 2006. Yet the government still says it is in conceptual stage in 2012!