atans1

Diabetes: The real reason PM is worried?

In CPF, Political governance, Public Administration on 31/10/2017 at 6:50 am

In his NatDay Rally speech he worried that 22% of the population will get diabetes (from the present 11%). Maybe he worried that if that happens, then CPF Life Standard Plan will be in trouble?

The Standard plan surely will go bust because the Standard plan covers until death and diabetics could live longer than those without diabetes. There’ll be a public backlash because of the “Fund go bankrupt, yr problem”.


CPF Life die, Yr Problem

There is a provision in the law governing the CPF Life Plans which states that payouts are contingent on the Plans being solvent. This is because premiums that are paid in to get the annuities are pooled and collectively invested. If the plan you chose doesn’t have enough money to pay out, you die. This is unlike the MS scheme, where account holders are legally entitled to the monies in their CPF accounts.

More details. Note that there are now only two plans, not the menu first offered. Of the two existing plans, the Standard Plan, is the less attractive one because there is a lot KS in favour of the annuity provider. Of course if u  are confident u’ll live to 150, opt for it. But u still got the worry of “Fund insolvent, yr problem”.


There will also be problems at the Basic Fund that pays out annuities until people reach 90 if everyone lives longer because they got diabetes. And there could be a lot more 90-year old destitute S’poreans who are unlikely to vote PAP.

Diabetics live longer

Seriously, PM’s NDP rally speech on diabetes reminded me of shumething I read last year from which I concluded that diabetics are likely to outlive those wihout it, if the diabetics manage to keep their diabetes under control. Diabetes cannot be cured in most cases, but it can be controlled.

So it’s a good thing to have because the medication also works to prevent cancer, heart disease or cognitive impairment.

Metformin, the most basic medicine prescribed for diabetes, seems is a miracle drug helping those with  cancer, heart disease or cognitive impairment.

There is already a candidate anti-ageing drug, a generic called  that has been widely used by diabetics around the world. It works to lower insulin levels in the blood and triggers a range of other molecular pathways that are likely to influence the ageing process. The way it works inside the cell is not completely understood but it is thought to favourably influence metabolic and cellular processes associated with the development of age-related conditions such as inflammation, autophagy (when broken bits of cell are recycled) and cell senescence (when they are unable to grow and divide any longer). In humans, those who take metformin seem to have improved risk factors for cardiovascular disease. Epidemiological work suggests that its use is associated with reduced incidence of cancer and mortality. There is some evidence it may reduce the risk of mild cognitive impairment.

Nir Barzilai of the Albert Einstein College of Medicine in New York wants to test the drug in thousands of people who already have, or are at risk of, cancer, heart disease or cognitive impairment.

http://www.economist.com/blogs/economist-explains/2016/08/economist-explains-8

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  1. Cynicism noted. But surely the more diabetics there are, the greater amount of healthcare spending by the govie (and the less the “visible” handouts). Besides insurance premiums go up. In any case, am sure actuaries will adjust for diabetics living longer.

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