Monthly Archives: March 2013


There have been many voices calling for move to a single payer government-led model of healthcare financing. The Singapore Democratic Party has made this the lynchpin of its healthcare proposal, while various parties have highlighted the potential benefits of a single payer, e.g. increased bargaining power with pharmaceutical companies, aligned incentives for health promotion and […]

Cross Border Health Services (2012)

Chapter contributed to Blackwell Encyclopedia of Health Sciences 2012 Cross Border Health Services (Blackwell) DRAFT

SGH Quality Convention 2013- ‘Radical Improvement’

I was the guest speaker at the Quality Convention earlier today. It was good to catch up with so many old friends but at the same time a little disheartening to hear of the challenges faced. My topic was “Radical Improvement” in Singapore healthcare- Desperately Needed (Slides used attached SGH20130327 SGH Quality Convention JL ). […]

‘Fundamental shifts’ for a truly national MediShield

I get a sense that the Government and many in civic society have a different sense of what are ‘fundamental shifts’. Health Minister Gan Kim Yong declared ‘fundamental shifts’ in our healthcare financing design in Parliament 2 weeks ago and revealed on Sunday that the Ministry of Health was considering expanding MediShield to cover more […]

Protected: SIGNET Slides for Day 2

There is no excerpt because this is a protected post.

‘Light of Hope’- A world-first in India

Who would believe a ‘first in the world’ advanced radiology project would occur in India? I am writing this in Chandigarh, India, home of one of India’s most prominent hospitals, PGIMER (Post Graduate Institute of Medical Education and Research) after a visit to the project site of Asha Jyoti (Hindi for ‘Light of Hope’), an […]

Protected: SIGNET Slides for Day 1 (Chandigarh India)

There is no excerpt because this is a protected post.

Promoting Policy Learning and Critical Thinking

One major challenge in ‘solutioning’ is the dearth of thinking. My time in government has taught me that policy makers want clean-cut, ‘elegant’ solutions, never mind that the real world is messy with diverse opinions and actions. The anecdote from former Head of Civil Service, Mr. Lim Siong Guan is refreshing (my emphasis added): “Once […]

Healthcare Financing Reform: Only One ‘Right’ Question

“What are you trying to achieve?” is the question we would ask clients embarking on new initiatives. Similarly, when we undertake a ‘fundamental’ review of the healthcare financing system, we have to go back to basics. Dr. Daniel Kim, whom I studied under in an intense series of workshops on systems thinking when I was […]

Private medicine in public hospitals- Thoughts on Low Thia Khiang’s parliamentary comments Mar 2013

The comments by MP Low Thia Khiang (Specialist Care and Hospital resource 12 Mar 2013) revisit a perennial question of the role of the public hospital in private medicine. It is a difficult issue with no fully satisfactory answers. No private medicine in public hospitals and too many doctors may leave (unless the government funds […]