An expert comments on Andrew Loh’s bill

In Uncategorized on 17/10/2016 at 4:52 am

Here’s the view of a regular commenter who has given valuable insights into our medical and healtcare complex, for example into Woodbridge and the SGH tragedy. He says he was a doctor, turned mecical administrator, turned fat cat. He’s anti-PAP but no nut.

Singapore’s high medical costs are mainly due to expensive medical equipment and staff costs (even with 80% foreigner nurses & 50% foreigner doctors in restructured hospitals). If we use 90% Sinkie nurses & doctors, govt budget for healthcare will be 15%-20% like in UK, US, Oz.
C and B2 bills cannot even cover the salaries of foreign nurses, let alone the doctors’ salaries, medical equipment, consumables, drugs, imputed rent, etc.

Total hospital bill for CABG (coronary bypass surgery) at 75th percentile:-
Natl Heart Ctr (SGH) C-class — $5,200
Natl Heart Ctr (SGH) A-class — $41,500
For private hospital like Mt E it will be at least $80,000.

Andrew’s bill for his CABG of $4,900 is about ballpark for C-class.

What I find can be improved is Andrew’s billing for angiography. Even with overnight stay, it should be about $2,500 in total, and not $4000.

It became expensive for Andrew becoz SGH is charging him the procedure for PTCA (artery ballooning). But becoz it was a failed procedure, SGH could have waived more of its charges on good faith, particularly since Andrew was to follow up with his CABG operation in-lieu of the PTCA failure. [CI’s note: Err maybe he anti-PAP, so no pang chance? Maybe he realises this and now brown-nosing the system to get the benefit of the doubt in future?]

As for the comments by N.Jungne* extracted from TRE above:
1. Andrew didn’t show the actual billing for his CABG, only the Medisave deduction notice which of course doesn’t show all the details about daily claimable limits and deductibles and co-payments etc. You’ll need Andrew to show the actual bill AND the Medishield statement for all that.

2. Btw it wasn’t all 7 days in C-class ward — it was 4 days in C-class ward, and another 3 days in ICU & high dependency (HD) ward. Andrew didn’t breakdown how many days in ICU and HD ward. Both ICU & HD ward are single class (same ward & facilities whether you’re A-class patient or C-class patient). But C-class patient gets the subsidies while A-class patient doesn’t. However consultants & registrars tend to push C-class patients quickly out of ICU & HD ward as long they won’t die immediately. Unspoken hard truth in Singapore’s hospitals.

Of course daily claimable for ICU and HD are higher than for general ward.



What was in the Bill is true, the devil is in the detail. It (the bill) does not reflect the detail of how they come about (summarized).
1). The maximum daily deduction per day in “C-class” X 7 days
2). The deductible for “C-class.
3). The half of 15% co-payment.
Now there is another NEW category (I can’t remember), even a few $$$ can be deducted from our Medisave.
Andrew is not WRONG, they change and change until we are confused.
The QUESTION is WHY (they change).

From Andrew Loh’s bill dissected

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