A New govt idea that INVOLVES YOUR HEALTH AND POCKET' w# C1 U5 D* k9 C! a1 E
) ^ h' X9 h3 `% Vtvb now,tvbnow,bttvb
" u4 J# i* ]3 t+ y4 vtvb now,tvbnow,bttvbtvb now,tvbnow,bttvb. {' _ [ Q c* b
os.tvboxnow.com5 b! L+ d9 h: E' t+ ?4 Q
公仔箱論壇4 Z! W4 u9 ]; O! Z e" b( r5 S% K" P
EVERY ONE IS GOING TO BE SUCKED DRY
$ m9 |6 _8 k9 M- n& t& r5 T5 w" Z- @7 ?+ l- y' j2 N4 r2 f
) {2 d/ E" M. _' o2 n
" u# B- y; | A5 wThey have been milking Malay-sia dry through EPF, Petronas, Sime Darby, CIMB, Magnum and 3+1D etc etc etc... Now another new scheme to rake in even more!!!
) Y5 Q5 m- P+ v( A/ m( m公仔箱論壇7 h* C; k; n0 N& J
: k! Q9 r7 @- f2 E% c- Z* F1 [. d公仔箱論壇tvb now,tvbnow,bttvb1 r- u! |+ j( X& T
This is real. We've had confirmation from president of PMPA (private medical practitioners Association) on this proposed scheme. A public Forum is being held chaired by MB of Selangor at Sunflower Room , Global Business and Convention Centre 8, Jalan 19/1, Section 19 Petaling Jaya on 12th Feb 2012.
1 X" I7 N% ^( }) `: k5 H' t' t公仔箱論壇os.tvboxnow.com9 o: y! F" o# `8 \% G
Friends,
% _, B9 B% z. s" t9 g9 Mos.tvboxnow.comWe are launching our 1Care Nak Tak Nak campaign. Please give your support by
* d; x/ z2 }, r! _3 a 1. Attending the public forumos.tvboxnow.com& E8 p, s, k! X8 S# l" o1 v
2. Spreading the word to encourage your family and friends to attend too.tvb now,tvbnow,bttvb0 T, w. c3 n' b/ X% R5 I
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。- j% H2 O1 \: _" J
The Public Forum will be held at 4pm on 12th Feb 2012, at the Global Business and Convention Center, PJ sect 19, see map attached.
# F! K% M( x- n# Y( V. [公仔箱論壇os.tvboxnow.com3 c5 ~" c9 O2 V$ R
Please spread the word.
* x3 ~% Y. ~1 ?4 R3 e/ t0 \TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。公仔箱論壇! D- M, f* R5 ]0 r* l+ m1 ^
Dr SC Ng
k& E! A' l8 a! V/ R. }/ B% Ytvb now,tvbnow,bttvb
R+ Q/ |, |: Y% X9 Y8 dDate: Wed, 18 Jan 2012 16:23:11 +0800
+ y/ r! @8 z& [( H- BTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。Subject: Fwd: Fw: The VERY Scary future?
7 A- _! N7 V6 \2 r! c ]; m1 aos.tvboxnow.com9 P ]5 Y2 ^3 M H1 I# U( E' k/ p; H
Salient points - 1Care
# r' W8 @7 m. g: J& d9 e) w) d1. The government plans to introduce a new healthcare system called 1-Care. It includes an insurance system to fund for healthcare.
$ N4 E- z6 q; n& ?# d7 K- Y
0 h3 z, t; i7 d: Q& C6 i" t# Itvb now,tvbnow,bttvb2. The National Healthcare Financing Authority will be in charge of 1Care - and it is likely to be turned into a GLC.os.tvboxnow.com2 m9 E# Z* n: J3 n
' o- }: k" ^$ K4 i: Bos.tvboxnow.com3. 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)TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。1 x4 B+ B/ v% _) P7 r
+ m- p/ M0 G4 F h! R, p# Atvb now,tvbnow,bttvb3 y4 e! _# H$ a* d( }4 Z
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.tvb now,tvbnow,bttvb3 q+ b0 @9 L9 {9 q8 E$ G* o |
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。/ @# L& P3 `9 F2 a. h
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.
7 e) m# z7 ]( }. t# Otvb now,tvbnow,bttvb
& A# H9 {9 @; S4 z& a& Ptvb now,tvbnow,bttvb6. The government will be expected to contribute to the insurance premiums of government pensioners, civil servants and five dependants.
7 {* s! [1 @# }( pTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。/ q' P" `) w% X% B) J: l7 m; b: f: D' E
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.tvb now,tvbnow,bttvb c f/ h+ k* d* i$ J* w
p2 t4 Y9 T# i7 s5 E4 K3 g6 r
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.TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。% w% h7 t4 X. d- r0 U9 e3 M
9. You cannot pick your own doctor. 1Care will allocate a doctor to you.
8 ~3 s% K U9 G9 N0 m) c- FTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。
" _5 n0 B% ?- b9 l10. 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).公仔箱論壇" t* ]1 J! j- I4 y) n* |9 _
公仔箱論壇4 C- d1 E# V* D; G
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.
' J. U) D. ~+ [% I9 \; E公仔箱論壇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.os.tvboxnow.com! [' j4 P& a1 H* F6 _: H
* s! g4 A a# W0 P13. 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.tvb now,tvbnow,bttvb# i4 J* x; h: [. ]% K
You are also expected to make an additional co-payment for your visit. This is to discourage you from seeing doctors too often.
+ q/ X( ^ {! Z9 X8 u5 [os.tvboxnow.com
1 K8 n2 h" m F2 o14. 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." g# J& p& X4 ?3 S5 r* z
4 g x4 k( n0 `- L8 ^TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。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.2 V m A) Q4 j6 [* }& A- _
tvb now,tvbnow,bttvb: {" J4 j! V4 T+ k
16. If you do not like what is given to you, you can get alternative care by paying out of your own pocket.tvb now,tvbnow,bttvb% A+ @7 y+ }; S/ }1 D" C. ?
tvb now,tvbnow,bttvb" R( @2 i6 h; D" b2 v, j: ]) ^3 d
% a2 J: o1 e- m% @- b5 [5 v公仔箱論壇The Big Picture
6 f+ I- i& A8 b0 \+ r* H7 mtvb now,tvbnow,bttvb******* Each year, we all pay a total of RM44.24 billion a year for healthcare - now called National Healthcare 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)
; ?/ X1 E/ V3 N8 V3 G5 c5 }* S7 p******* All this will now go under 1Care.( N1 a. }& ^9 K( O4 v$ [' u$ ^
******* This means 1Care will get almost RM45 billion a year.TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。8 v& b% k6 y6 i6 `# k
******* The administrative cost is likely to be 10% or about RM 4.5 billionTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。2 G- N1 d. X1 F8 {
The poor
6 R; }7 a+ V# u4 R9 lWho 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?
0 e' F7 A. A) h# x, d( {******* Public hospitals and clinics are service-driven will become corporatize/privatise and have to be profit-driven
1 H6 ?" F' p3 S3 G, M- |os.tvboxnow.com******* So who will serve the people in remote places?TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。4 G7 D* |6 K# B$ _
******* Who will serve the very poor people?tvb now,tvbnow,bttvb+ S2 A6 K) M! J9 V7 o
Situations
" ^+ L6 G" X! @" E/ F1 e# J; Ztvb now,tvbnow,bttvbWhat happens when the government introduces 1Care?0 \% {8 o6 {/ ^5 e% X
+ b6 d0 W0 o' Q qThe whole system of independent one-stop GPs will be restructured and converted into 1Care clinics like the UK NHS general practitioner system.
" D! c" }2 d9 v* |& ]/ {& _tvb now,tvbnow,bttvb% K& X/ ~/ N, O9 {
Before:tvb now,tvbnow,bttvb9 @7 v( |1 F T6 q. n5 u3 P5 c. V
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?
& e7 K9 X4 P' V9 D4 i
, F2 L" I# Q1 `- W& E9 g9 `5 Kos.tvboxnow.comNow:
l6 `) y& m. M3 H6 [& q8 r: T公仔箱論壇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.tvb now,tvbnow,bttvb/ ~6 l5 }. \1 G$ I+ q6 _
; s; V% ~3 A/ @7 sTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。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.# C9 h j0 |" W4 _
' k1 e$ O/ B- z I9 U) W0 I- `os.tvboxnow.comLim 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.
. Z5 L1 B5 p1 S
* {2 }" l* y, O7 H2 ~9 ?9 h0 S0 g$ C+ eMutu 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.
) ?6 @. G) o, s& h A3 {tvb now,tvbnow,bttvbTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。& o) ]9 e( F# G- E7 w# m
Every salary man must get a 5-9% deduction from his salary to fund this scheme. This money is taken and gone for good even if you don't see a doctor. |
發表於 2012-2-7 11:21 PM
| 
os.tvboxnow.com0 N# Y, y- F+ Y" t
，他们当全马来西亚人都是笨蛋和傻瓜吗 
！！！
5 F& N2 z3 s/ X& s$ ^/ Z; r
