1Care or just I dont care


byDr Hsu


Malaysian Healthcare system, notwithstanding the small inadequacies, has been functioning good in comparison to countries of identical living standards. In fact, the comforts of the small of the hospitals opposition which of the modernized nations.
In sure aspects, the complement is even better than most of the modernized nations. Malaysians can have immediate entrance to healing caring as well as treatment during your convenience they feel unwell, unlike in the small of the grown countries, where it may take the couple of days or even weeks to seek an appointment to see the doctor.
Government healthcare price has been upon the rise. Part of this we blame it onpiratetisationprivatisation as good as leakages as well as wastage in appropriation hardwares as good as softwares. Billions have been outlayed upon building brand new hospitals as well as healing apparatus as good as the program complement for the opeartion of such hospitals. But as in alternative aspects of Malaysian life, leakages as well as wastage could have amounted to 20-30% of altogether spending.
Because of the increasing price of the healthcare system, supervision is considering instituting the Health financing system, formerly call the National Health Financing intrigue ( i have created the paper upon this subject in 2006 search underneath the masthead of this blog or see the couple during the end of this post). This has right away been in the centre renamed 1Care.
Very small is well known about this 1Care. As in the Malaysian convention with regards to process matters, there is hardly any (or shall we say absolutely no) consultation with the end-users , the Rakyat as well as the consumer groups. Although the ministry is pronounced to be workin! g with t he Malaysian Medical Association (MMA), even doctors know very small about this scheme.
What small info which is accessible hints during the complement which will drastically alter the lifestyle. Unlike now, we cannot no longer choose the own doctors. Apparently underneath this 1Care system, each individual will be reserved to the doctor, presumably someone who is handling nearby. How this grant will be done as well as what criteria will be used have been unknown as yet.
Patients reserved to which particular alloy will have the limit as to how most times he or she can deliberate which particular alloy in the year. Those with chronic diseases similar to asthma, hypertension as well as diabetes will not be able to see their alloy as often as now, compromising their health.
All doctors will have to be in this scheme, as well as would be allocated patients. Doctors have been not authorised to dispense medicine. As the compensation, their consultation price is set to go up , as tall as RM60 per visit. This contrasts with the benefaction complement where for the fees of around RM30 40, we can deliberate the alloy as well as be treated with colour with medications for common ailments.
So who is to fund for this incredible scheme? The end users of march given there is no such thing as the free lunch in this world. From what is known, everyone will have to be in this scheme, as well as each residence reason is supposed to flare out 9 to 10% of their income to the National Health Financial Agency.
For those who have been young, tough as well as hearty, they have to flare out the same amount, which will probably be deducted from their compensate as in EPF scheme. Like all alternative insurance scheme, this essentially works upon the concept of the some-more healthy subsidising the less.
But for the reduction healthy, dont be as well happy yet. Apart from the limit upon the series of times they can visit their reserved doctors, they additionall! y have t o outlay extra time as well as ride price to get their healing supply from the pharmacy after saying their doctors. There will additionally be sure diseases which will be excluded from this scheme, as well as out of slot payments (OOP) will have to be done for these dieseases.
Because the doctors have been right away being paid the higher consultation fees as well as since extra costs have been incurred for medicines to be dispensed by pahramcy, the sum healthare costs will shoot up, as in the experience of most countries which have implemented illness financing scheme.
The income eventually comes from the people. When the healthcare price goes up, the NHFA is going to ask for some-more income as well as which will interpret to some-more deduction from the rakyat.
What is ironical is which the benefaction complement is fit as well as price effective. Malaysians in actuality outlay most reduction upon heathcare than their counter tools not usually in grown countries but building nations as well.
The above list ( charted by me regulating WHO statistics) shows the commission of Total Health expenditure of malaysia in 2002 as well as 2003 compared with most alternative countries.
Even countries with comparables GDPs in general dollars such as Mexica as well as Brazil outlayed most some-more upon illness caring than Malaysia. Developing countries with reduce GDPs such as China as well as India additionally outlayed higher suit of their GDPs upon the illness of their citizens.
Malaysia supervision has the duty to take caring of the citizens' illness care. As it ! is, it i s spending most reduction than the WHO reeommendation of 7% of GDP upon illness care. Our supervision spends around 6-7% of supervision budget upon health, which is most reduction than the GDP.
The aged saying which "do not try to fix anything which ain't broken" is apt in this case.
we have created the paper upon National Health monetary intrigue in 2006. In it we have extracted most census data opposite implementation of such the shceme as well as posted them in list forms. This paper was additionally published in FOMCA's publication final year, after obtaining my agree via email. For those who want to know because we oppose such the scheme, as well as the motive behind my opposition to such scheme, please read the paper "Malaysian Healthcare- the critical look during National Health Financial Scheme" in this blog:
http://hsudarren.files.wordpress.com/2006/10/malaysian-healthcare-a-critical-look.pdf
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