<*>[Attachment(s) from badiuzzaman included below]
>From: Henry Foong <[email protected]> >Subject: The VERY Scary future? >To: "Henry Foong" <[email protected]> >Date: Monday, 16 January, 2012, 23:10 > >Dear Colleages, You may be interested to know about 1Care. Rgds Henry > >FYI: From Msian Med Resources > >Salient points 1Care > >1. The government plans to introduce a new >healthcare system called 1-Care. It includes an >insurance system to fund for healthcare. > >2. The National Healthcare Financing Authority >will be in charge of 1Care and it is likely to be turnedd into a GLC. > >3. Based on available information, every >household will be made to pay up to 9.4% of >gross household income for social health >insurance. The payers will be the individual, >the employer and the government via taxes, exact >proportion still being worked out) > >4. There shall be no choice. Everyone has to >pay. There is no opting out. We have to pay >upfront. It will no longer be fee-for-service; it is fee-before- service. > >5. There has been no information on exactly how >this payment will have to be made or how the >government will collect from self-employed people. > >6. The government will be expected to contribute >to the insurance premiums of government >pensioners, civil servants and five dependants. > >7. But the problem is: 1Care does not cover all >your medical expenses. Only for a prescribed >basic list of what you can have healthcare >items. Anything more than basic you will have to pay your own. > >8. Your long-serving independent family doctor >will have to join the system or will not be >allowed to see you under the 1Care scheme. The >robust, cost- effective independent clinics >serving the country will be replaced by 1Care clinics. >9. You cannot pick your own doctor. 1Care will allocate a doctor to you. > >10. If you want to see a doctor of your choice, >you'll need to pay for that from your own >pocket. Your allocated doctor will decide when >and which specialist you can see if the need >arises (a process called gate-keeping). > >11. The NHFA will pay GPs RM60 (present >proposal) for each patient as consultation fees. >It does not include medicine. Compare this with >presently, for cough and cold visit, the GP >would charge RM20-RM30 for consultation and >medicine. With 1Care: consultation for GP visit >is RM60 and this does not include medicine. >12. You cannot see your doctor as and when you >feel the need arises. There will be a rationing >system in place as well. There will also be >rationing for specialist care with the GP as the >gate-keeper. Likewise if you wish to see the >specialist of your choice or go to a hospital of >your choice, unless referred by your allocated >doctor, you will also have to pay out of your pocket. > > >13. Even if you only see the doctor once in a >year, you will not get a refund from 1Care. Your >medical costs are prepaid in advance >irrespective of whether you become sick or not. >You are also expected to make an additional >co-payment for your visit. This is to discourage >you from seeing doctors too often. > >14. You will be prescribed only medicines from a >standardised list of not-the- original medicines >in keeping with WHO List of essential >Medications.. This will save cost for 1Care and >maximise profit for the insurance companies. >Insurance companies will have major say in the >price and the range of this standardise medicine >list. It will likely to be the cheapest medicine. > >15. The doctor will only give you injections. >You'll need to get all other medicines from a >pharmacist, even if it means hauling three sick >children with high fever along a hot, dusty busy >street looking for the nearest pharmacy. > >16. If you do not like what is given to you, you >can get alternative care by paying out of your own pocket. > > >The Big Picture > >Each year, we all pay a total of RM44.24 billion >a year for healthcare now called National >Healthhcare Hospitals and clinics (an >integration of public hospitals and clinics, >private hospitals and private GPs. which in >essence is a privatisation of public and >nationalisation of private healthcare >facilities) All this will now go under 1Care. >This means 1Care will get almost RM45 billion a year. >The administrative cost is likely to be 10% or about RM 4.5 billion > >The poor > >Who will then care for the poor and the >marginalised population when the private and >public healthcare corporatize and turned into >independent commercial entities each competing >with the other for business and profits? > >Public hospitals and clinics are service-driven >will become corporatize/privatise and have to be profit-driven >So who will serve the people in remote places? >Who will serve the very poor people? > >Situations > >What happens when the government introduces 1Care? > >The whole system of independent one-stop GPs >will be restructured and converted into 1Care >clinics like the UK NHS general practitioner system. > >Before: > >Ali has always having skin rashes for many >years. He has to see his doctor once a month to >get treatment. That would mean he will have to >see his doctor 12 times a year just for this >illness. What if he has other illnesses? > >Now: > >But now, Ali's doctor has allocated only a >budget equivalent to six visits a year. >Regardless of how many time Ali would need for >his yearly treatment. What happens then? A >rationing system will kick in. If the doctor >sees Ali too many time, his P4P (Pay for >Performance) profile will be poor and he will be paid less. > >To start with, Ali will probably cannot just >walk in and expect to be treated. He will have >to make an appointment. There will be a long >waiting list. What if Ali needs to be treated >for fever or some painful joints? He will also >have to wait for his appointment. If he cannot >wait and wants immediate treatment from another >doctor he will have to pay on his own. This is >what the NHS UK system is offering its patients. > >Lim has an appointment to see his doctor over a >knee ache. Just before his appointment, he has >an ingrown toe nail that has become painful. At >the clinic, after his doctor treats him for his >knee ache, he asks his doctor if he could look >into his ingrown nail. His doctor says No, the >system does not allow me to do that. You must >make another appointment. This visit I can only >treat and bill for your knee ache. 1Care will >accuse me of over-servicing my patients. I have >no discretion here, all is by SOPs This is what >the NHS UK system is like today. > >Mutu lives in a remote rubber estate. One day he >had chest pain and went to the nearby 1Care >clinic..He has blood pressure problems since >young and has had fits. A hospital assistant saw >him. Because of a change of his medications to >the cheapest not-the-original medications, his >blood pressure went out of control and his >seizures returned. He developed a fatal stroke >and died This is already what is happening when >essential original medications are replaced with >the cheapest .The cheapest medications is not >necessarily the best for the patient and certainly not the safest. I don't think so... You may consider the previous e-mail as 'half truth' mind provoking e-mail.. :-) That e-mail was forwarded to ppim-net forum by a doctor (not me!) but it seems many if not most of doctors joining that forum still clueless on that matter. The blueprint for 1Care as far as I could remember still not finalised...still open for modification, improvement..etc..etc.. I don't think you will watch the official gigantic launch of this new healthcare system but the preparation and the strengthening of current medical services towards it already took place...unnoticed to many if not most of us. :-) For those who want to get some idea about it, here is 'Pakatan Kesihatan Rakyat' advertisement: SELANGOR/KL HEALTHCARE PUBLIC FORUM Why pay more and get less for 1Care? The Federal government is introducing a new national healthcare system called 1Care, which will force you to give up to 10% of your monthly household income as your contribution under/via a national health insurance scheme. Whats worse, after paying so much . You cannot pick choose your own doctor. The government will assign one doctor for you. You still have to pay more when you see the doctor Your assigned doctor is budgeted to see you only 6 times a year You get only the cheapest not-original medicine You will not be covered for all illnesses especially expensive care under the insurance If you dont like your assigned doctor and/or the medicine given, youll have to pay more from your own pocket to see another doctor and/or get better medicine. Healthcare costs will shoot up! From RM 33.7 billion in 2009 to a proposed RM44.24 billion a year with 1Care. It will cost so much but will it be a benefit or a burden? Find out more about 1Care at this public forum, officiated by Tan Sri Khalid Ibrahim, Menteri Besar, Selangor. Date: Sunday, 12 February 2012 Time: 4.00pm6.30pm Venue: SUNFLOWER ROOM, GLOBAL BUSINESS & CONVENTION CENTRE No.8 Jalan 19/1; Section 19. Petaling Jaya 46300 Speakers: 1-Care for 1Malaysia why and what is it? (Ministry of Health Malaysia) Healthcare-what the rakyat want?: YB Dr. Xavier Jayakumar, State Exco Member for Health, Selangor The Doctors Perspective: Dr. Ng Swee Choon, FPMPAM The Patients and the Consumers Perspective: Dr. T Jayabalan, Patient Health and Safety Advisory Organization, Penang/Citizens Healthcare Coalition Moderator: Mr. Philip Koh Tong Ngee, FCIS, Senior Partner, Mah-Kamariyah & Philp Koh, Advocates & Solicitors Admission is Free. Organised by: Pakatan Kesihatan Rakyat (Citizens Healthcare Coalition) With invitation to: Ministry of Health Malaysia Selangor State Government Federation of Private Medical Practitioners Associations of Malaysia (FPMPAM) Private Medical Practitioners Association Selangor/KL(PMPASKL) Last but not least please put my reminder in your heart and mind: "Tiada agenda manusia yang sempurna tetapi amat merugikan apabila ada agenda yang sudah cukup baik tapi tidak dilaksanakan. Untuk menjadi lebih maju negara kita masih memerlukan rakyat termasuk pembangkang yang boleh memberikan kritikan yang membina tetapi negara kita tidak perlukan seorang pun yang mempunyai mentaliti membangkang.." Allah knows best. We human have to strive.. <*>Attachment(s) from badiuzzaman: <*> 1 of 1 File(s) http://groups.yahoo.com/group/islah-net/attachments/folder/1118374623/item/list <*> Health Sector Reform of Primary Care Towards 1Care.pdf ------------------------------------ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ JIMedia: Memurnikan Tanggapan Umum Melalui Penyebaran Ilmu dan Maklumat ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Nota: Kandungan mel ini tidak menggambarkan pendirian rasmi Pertubuhan Jamaah Islah Malaysia (JIM) melainkan yang dinyatakan sedemikian. 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