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Towards universal health coverage: the national health insurance in Singapore

Towards universal health coverage: the national health insurance in Singapore This paper investigates the factors resulting in Singapore's health insurance coverage expansion through MediShield Life. A questionnaire-based survey is used to identify these factors. It is found that the Singaporean Government is rolling out MediShield Life to enhance coverage, but it remains to be seen whether this will alleviate the health insurance cost burden for Singaporeans. In practice, MediShield has not provided adequate coverage owing to exclusions of people bearing congenital or chronic illnesses, the elderly, and those who cannot afford private health insurance; MediShield Life aims at addressing these issues. The social implications are that although Singapore's healthcare system has been recognised as world-class, the healthcare services there are not perceived by citizens to be affordable; MediShield Life attempts to alleviate this concern. This paper provides a discussion about the affordability vs. coverage of Singapore's national health insurance, optimal balance between public and private health insurance, gaps and necessary reforms. Keywords: MediShield; compulsory national social insurance scheme; universal health coverage; healthcare service affordability; MediShield Life; national health insurance; Singapore. Reference to this paper should be made as follows: Ulbinaite, A. and Wong, G.P.C. (2015) `: the national health insurance in Singapore', Int. J. Applied Systemic Studies, Vol. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Applied Systemic Studies Inderscience Publishers

Towards universal health coverage: the national health insurance in Singapore

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Publisher
Inderscience Publishers
Copyright
Copyright © 2015 Inderscience Enterprises Ltd.
ISSN
1751-0589
eISSN
1751-0597
DOI
10.1504/IJASS.2015.072484
Publisher site
See Article on Publisher Site

Abstract

This paper investigates the factors resulting in Singapore's health insurance coverage expansion through MediShield Life. A questionnaire-based survey is used to identify these factors. It is found that the Singaporean Government is rolling out MediShield Life to enhance coverage, but it remains to be seen whether this will alleviate the health insurance cost burden for Singaporeans. In practice, MediShield has not provided adequate coverage owing to exclusions of people bearing congenital or chronic illnesses, the elderly, and those who cannot afford private health insurance; MediShield Life aims at addressing these issues. The social implications are that although Singapore's healthcare system has been recognised as world-class, the healthcare services there are not perceived by citizens to be affordable; MediShield Life attempts to alleviate this concern. This paper provides a discussion about the affordability vs. coverage of Singapore's national health insurance, optimal balance between public and private health insurance, gaps and necessary reforms. Keywords: MediShield; compulsory national social insurance scheme; universal health coverage; healthcare service affordability; MediShield Life; national health insurance; Singapore. Reference to this paper should be made as follows: Ulbinaite, A. and Wong, G.P.C. (2015) `: the national health insurance in Singapore', Int. J. Applied Systemic Studies, Vol.

Journal

International Journal of Applied Systemic StudiesInderscience Publishers

Published: Jan 1, 2015

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