Just my Observation
Not for love of money, but of Humanity. "Greater is he who works for the good of all, then he who works for the good of himself only" ~ Matthew 25:40: "The King will reply, 'I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me.'"- (NIV). I live in Singapore where the Emperor must not be disturbed.
Monday, March 12, 2018
The concept of any form of insurance is about insuring against the unpreventable and the catastrophic: i.e. the damage must NOT be self inflicted due to negligence like the lack of exercise resulting in a low muscle mass and accordingly a low basal metabolic rate resulting in high body fat % (meaning that all fat cells are already so saturated with fat that they cannot accommodate any more energy absorption in the form of glucose): resulting in insulin resistance and high blood glucose: aka T2 Diabetes Mellitus. The purpose of the insurance deductible and copayment are thus blunt/ minimal forms of controls upon the abuse of these restrictions/ liabilities that ALL members of the national healthcare insurance scheme must adhere to without exception (just like national service (NS) or obeying laws and rules such as returning one's library books before their due date arrives).
Wednesday, March 7, 2018
It is unjust for Ministry of Health (Singapore)(MOH) to be blindly subsidising medishield-life premiums REGARDLESS of whether a person has an integrated (upgraded/ enhanced) medishield-life healthcare insurance plan (+/- riders) because many integrated-life plan holders are actually/ relatively much more wealthy people who DO NOT DESERVE any medishield-life subsidies even if they satisfy the MOH sole 2 criteria towards their award: namely: low income and low annual value of residence address (the latter 2 criteria are easily faked by under-declaring one's salary scale and replacing one's residential address with a relative who stays in a cheaper/ smaller public housing unit).
Monday, March 5, 2018
(Ignorance, Mental-Stress and Ill-discipline are major subsidiary causative factors as well)
1st principles 1st:
Definition: Diabetes mellitus type 2 is a long-term metabolic disorder that is characterized by high blood sugar,insulin resistance, and relative lack of insulin. https://en.wikipedia.org/wiki/Diabetes_mellitus_type_2
Monday, December 18, 2017
Tuesday, November 28, 2017
Tax bike rental companies $30/bike/annum to operate due to the fact that they incur public infrastructure costs for provision of dockless public rental bike parking bays and more frequently require PUB and police assistance etc for theft, flooding etc when the public, annoyed by them cause obstruction by dumping them in canals resulting in PUB anti-flood operations and canal maintenance costs.
24-hours bus-bicycle lanes are necessary for optimal road infrastructure use and a more livable Singapore.
1) Sedentary lifestyle results in diabetes because lack of exercise results in reduced metabolism, caloric excess state and thus glucose overload state aka diabetes. Diabetes is associated with blindness, kidney dialysis, amputations, stroke, heart disease which will attract stratospheric medical and nursing care cost upwards of S$66billion p.a. by 2030. http://www.straitstimes.com/singapore/health/elderly-health-costs-to-rise-tenfold-by-2030-report
Thursday, October 26, 2017
KBW vz LTA was fully aware about the irreparable state of the 5000cuM sump pool emptying pumps for the purpose of water drainage of the downwards sloping tracks between Bishan (ground level) and Braddell (underground) MRT stations (to prevent flooding of Braddell MRT station).
[Braddell MRT]One switch spoilt = change the entire pump system ... KBW must justify use of state funds!!!
What was the basis of the LTA urgent decision ("late by a few days") to change the pumps made on 29Sept given to the fact that it was just the pump activation switch (nothing wrong with any pump functioning) that was at fault? (Separate water level monitor and reporting system also spoilt).
Saturday, September 16, 2017
Should be written as "8. Every slower moving vehicle shall be ridden close to the left hand edge of the roadway as safely possible to facilitate the safe and efficacious journeys of ALL road users"
And PAP is just using the same rule book and setting the same 'divide and rule' racially based (CMIO) rules that the British use to hypnotize /tame Singaporeans into obedience and submission to PAP rule no matter how corrupt/ immoral it might be (e.g. unmerited priority access to lift upgrading in very public bribes for votes scheme; turning People's Association into a political organization by having LHL as chairman and limiting the eligibility to be PA 'advisor to grassroots organisations' to only PAP party members and MPs; unnecessary formation of GRCs (+gerrymandering) when minority representation could equally be achieved with minority race/ religion NCMPs and NMP schemes as opposition politicians and minority PAP interests are admitted inclusively to parliament currently).
*CMIO= Chinese, Malay, Indian, Others.
Ms Christine Wong, executive director of SOS, told The Straits Times ahead of World Suicide Prevention Day 2017 yesterday that there has been a "significant" dip in the number of calls answered by Singapore's main suicide hotline."
Friday, September 8, 2017
pict sauce: http://www.davidmcelroy.org/?p=18926
We all know why the sportshub is searching patrons for water bottles and food items, that along with a no re-retry to venue policy, is ment to keep patrons at the MERCY of in-venue based F&B kiosks to charge $$$ as they please with Singapore Sportshub Pte Ltd. (SSHPL) probably getting a large cut of profit.
DentalFloss(PF) wroteYou realize that the allocation of electoral college votes doesn't require, or even allow, "voters" to have a say, right? As a practical matter, all 50 States have adopted that method, and most, but not all, use the "winner take all" method. But there is nothing that requires that. The State Legislature could decide to use ANY method they chose, the flip of a coin for example, or even only having the Legislature itself vote on the Electors. There is no right for the average person to have a vote at all.
Total costs of diapers, medical specialists appointments, dialysis, milk for tube feeding, 24/7 nursing care to wash and tube feed, baby sit +/- entertain the elderly who are handicapped because of irresponsible sedentary lifestyles resulting in diabetes = SGD66 billion p.a. ('Elderly health costs to rise tenfold by 2030: Report').
Thursday, August 31, 2017
Tuesday, January 3, 2017
Too many Singaporeans are suffering from chronic diseases which make them more suited to be hospital patients rather than active and employable PMETs. The days of the employable PMET are numbered as employers begin to find them untrainable and unadaptable due to senility/ silent strokes due to chronic disease the consequence of unhealthy lifestyles. "As of 2010, more than half of Singapore's adult population between 18 and 69 years old have high cholesterol, four in 10 are overweight or obese, a quarter have prediabetes or diabetes and about one in five has hypertension."
Thus, just from the slide shown alone, it is highly likely that the diabetic Singaporean will have difficulty seeking employment let alone be functional independently because of vision problems (diabetic retinopathy), cannot remember where he is going/ give useful suggestions (stroke/ dementia), has low effort tolerance/ easily out of breath (kidney + heart disease + smoker's lung), constantly on MC and giddy due to infections, weak kidneys and the diabetic ulcers on his feet (pict of foot below) etc etc.
In short, more lifts rather than escalators should be provided for the singapore population for which electric wheelchairs are a more suitable form of personalised short distance transportation.
And neither are our PAP leaders/ parliamentarians today by any measure paragon examples of good health:
(alt pict view)
(alt img view)http://danielfooddiary.com/2014/06/14/yan/
|Start now to prevent and manage chronic diseases|
PUBLISHED 27SEP, 2016, 5:00 AM SGT
Ng Wan Ching; Mind and Body Editor
The numbers do not look good.
As of 2010, more than half of Singapore's adult population between 18 and 69 years old have high cholesterol, four in 10 are overweight or obese, a quarter have pre-diabetes or diabetes and about one in five has hypertension.
Doctors and public health officials suspect that many people are yet to be diagnosed and, among those who have been diagnosed, many are not doing enough (if anything) to bring these conditions under control, said Dr Lim Su Lin, chief dietitian at the National University Hospital.
The sad thing is that because of the high rate of chronic diseases in the community, people think that it is normal as their friends also have the same problem, she said.
The burden of chronic diseases lies not only in bringing the physiological abnormalities (such as being overweight and having high blood sugar and high blood pressure) back to normal.
Left untreated, the associated complications may lead to disability, escalating healthcare costs and premature death, she said.
For instance, obesity is a risk factor for diabetes, heart disease, arthritis and stroke. Untreated and uncontrolled diabetes leads to coronary heart disease, kidney failure, blindness and limb amputation.
Chronic diseases are sometimes called lifestyle diseases.
A recent study found that unhealthy behaviour and lifestyles such as unhealthy eating, smoking, drinking too much alcohol and not exercising can shorten your life by as many as 12 years, she said.
If your chronic diseases are not controlled, you will likely suffer poor quality of health for 15 years before dying of complications of the diseases, she added. But do not just sit back and accept the inevitable.
There are positive steps you can take to prevent or manage these chronic diseases, one of which is to maintain a healthy lifestyle and weight.
Dr Lim gives some lifestyle tips on how to get there:
Choose food that contains minimal amounts of unhealthy fats, such as trans fats and saturated fats.
Foods that are high in trans fats include those made with "partially hydrogenated oils" such as pastries, confectionaries, fried food, pizza and cookies.
Foods that are high in saturated fats include lard, fatty meat, cakes, fast food, pizza and full-fat dairy products.
However, your diet may include moderate amounts of healthy fats, such as polyunsaturated, monounsaturated and Omega-3 fats.
These should still be taken in moderation to prevent weight gain.
Limit your intake of sugar that is found in soft drinks, beverages with added sugar (such as coffee, tea, chocolate drink), processed fruit juices, sweets, cakes, desserts and pastries.
Choose wholegrain carbohydrates instead of refined carbohydrates. For example, choose wholegrain bread instead of white bread, and brown rice instead of white rice.
Choose fish, chicken without the skin, beans, tofu or lean meat for protein instead of fatty meat.
Choose foods that are prepared with healthier cooking methods. These include food that is steamed, grilled, baked, stewed, boiled or airfried instead of deep fried.
Include fruit and vegetables in your daily diet. And do not overeat - know when to stop.
Include exercise or activities as part of your daily routine. It is recommended that you exercise about three times per week for 30 to 60 minutes each time so that it becomes a habit.
You can also incorporate activities into your daily routine by taking the stairs instead of the lift, parking further away from shops and walking there instead, and taking a quick walk during your lunch break or walking to work or home.
Avoid or drink alcohol in moderation. Take no more than one standard drink (one can of beer, half a glass of wine or one shot of hard liquor) for women and two standard drinks for men per day.
Do not smoke. It is associated with a variety of health risks, including heart or liver disease and many cancers.
Ng Wan Ching
|Early treatment of hypertension can reduce stroke risk|
PUBLISHED NOV 21, 2016, 6:24 PM SGT
Doctors are increasingly seeing younger patients struck down by stroke in the prime of their lives, even as advancing age is the most common factor in strokes ("1 in 10 stroke patients here aged under 50"; Nov 19).
Obesity, smoking, stress, lack of exercise and other ills of an affluent society have contributed to the increasing incidence of this crippling and often life-terminating condition.
Fortunately, recognition and early effective treatment of hypertension reduce sufferers' morbidity down almost to that of a normal person's. Side effects of treatment are mostly minimal and are easy to manage.
The Community Health Assist Scheme and Pioneer Generation subsidies are immensely helpful for the financially needy and the pioneer generation in their combat against hypertension, while Medisave can also be utilised as copayment in private clinics.
No one should spurn modern, proven and efficacious treatment, even as traditional Chinese medicine and home remedies can be used as adjuncts.
Yik Keng Yeong (Dr)
|1 in 10 stroke patients here aged under 50|
PUBLISHED NOV 19, 2016, 5:00 AM SGT
While older people are far more likely to suffer a stroke, one in 10 stroke patients in Singapore is under 50 years old.
Medical conditions such as high blood pressure or high cholesterol can make a person more likely to get a stroke, say doctors.
Smoking, too, puts you at risk.
Last Saturday, Singaporean businesswoman Linda Koh was found unconscious in her Hong Kong hotel room. The 36-year-old was rushed to hospital, where she died soon after.
Doctors subsequently found that she had suffered a stroke.
Her father, Mr Alan Koh, told Chinese newspaper Shin Min Daily News that his daughter had a history of high blood pressure and was taking medication for it.
Strokes occur when part of the blood supply to the brain is cut off.
The latest figures from the National Registry of Disease Office show that there were 6,943 cases of strokes in 2014, up from 6,642 the previous year.
They are the fourth most common cause of death in Singapore, and tend to occur among men.
The incidence rate for men aged between 35 and 44 who were admitted to public hospitals for stroke in 2014 was 58 per 100,000 people, compared with 24 per 100,000 for women in the same age group.
Doctors who spoke to The Straits Times said there are rarely any warning signs before a stroke happens.
"Some strokes may be preceded by severe headaches or neck pain," said Dr Carol Tham, a consultant from the National Neuroscience Institute's neurology department. "Unfortunately, most patients do not have any warning symptoms before the stroke occurs."
During a stroke, people often experience difficulty speaking and walking, weakness on one side of their bodies, and even temporary blindness.
Dr Ho King Hee, a neurologist at Gleneagles Hospital Singapore, said strokes that result in sudden death are likely to be due to bleeding in the brain from a ruptured blood vessel, rather than a blockage.
"If you are older, it means that there is more time for damage (to the blood vessels) to accumulate," he said. "But a stroke can happen at any age."
He advises people who have conditions such as high blood pressure, high cholesterol and diabetes to keep them in check.
Dr Tham added that doctors may also prescribe blood-thinning medication for people whose blood tends to clot.
"If a person has any symptoms of stroke... he should seek treatment at the emergency department immediately as early treatment can help to reduce the disability caused by strokes," she said.
A version of this article appeared in the print edition of The Straits Times on November 19, 2016, with the headline '1 in 10 stroke patients here aged under 50'.
Thursday, November 24, 2016
Medishield-life needs to do much more to preserve health than just pass hat around to raise fund$$$$.
Incentivising physical fitness amongst Singaporeans is urgently necessary since the Singapore workforce is quickly aging and rather than have more citizens become even more dependent on foreign nurses and maids to care for disabled young Singaporean diabetics (stroke, amputations, blindness, heart problems, dementia, kidney dialysis) , investment in physical fitness would probably go a long way to keeping the Singapore workforce able and strong.
I do hope that the same silly IMDA director will reply to the latest forum letter by Ong See Fong... might not make any difference though considering that these sock puppet civil servants might be looking forward toward a cushy, overpaid directors post some day in our listed telcos I guess...
Friday, November 18, 2016
We are too dependent on foreign workers and MOM's contribution vz recklessness/ negligence to that problem:
Overdependence on work permit holders for Singapore's defence:
NSmen are too physically weak to even carry their own field packs when attending reservist: [Pict Source: Mr Brown]
Tuesday, November 15, 2016
Yet the PAP spends lavishly on its sock-puppets, cronies and other unsavories.
a) Smokers are given a waiver of the usual 70% loading on insurance premiums contracted vz private health insurance companies: yet SG gahmen compulsory healthcare insurance schememedishield-life does not load smokers with any market rt based rise in premiums: i.e. an implicit subsidy to put more money into the tobacco industry (do some PAP leaders own shares of tobacco companies???).
Monday, July 18, 2016
"Insurance is only scrutinised by the authorities when the work-pass term starts, according to Migrant Workers' Centre (MWC) executive director Bernard Menon. Afterwards, it is managed as a contractual relationship between employer and insurer.
A failure to service the insurance policy or other lapses might go unnoticed until something befalls the worker."
Shouldn't the presence of valid insurance be a criteria toward renewal of foreign worker levy annually? Or at least for the entire duration in which the worker's work permit is valid? Why does MOM leave the issue of valid worker insurance coverage to charity or chance? Is MOM's sole interest only in the timely payment of work permit levies?
Wednesday, June 29, 2016
In the b/m case of 'Ng Huat Seng and another v Munib Mohammad Madni and another', I cannot understand why the court would even have to focus on the issue of vicarious liability if the said contractor who damaged a neighbour's building was insured and would agree to compensate for the damages. Instead of focusing on whether Mr Munib Md was vicariously liable, wouldn't justice be more economically achieved if the courts focused upon placing an injunction on continuing any further damaging works and compelling the rectifications/ immediate compensation of damages caused to neighbouring buildings, especially if the contractor is not only solvent but also insured?
Shouldn't the issue of vicarious liability only arise if the contractor is either bankrupt or disputes the damages caused?
Perhaps the issue of vicarious liability would NOT EVEN HAVE OCCURRED if Singapore court judges (instead of dawdling on ivory-tower type superfluous issues), had heard the case at short notice an issued immediate stop work order injunctions so that the damages would not have grown so immense and severe at first instance.
It seems to me that Singapore judges have a lot of free time to kill (just churning out work for themselves) and thus perhaps, the Minister of Finance might consider REDUCING the funding to the Judiciary for the coming work year.
Thursday, June 23, 2016
Why Brexit referendum is a PLUS for WORLD PEACE: stale (rancid) agreements should be reviewed at periodic intervals.
Just my 2cents.
Judging by current world trends and the problem of too big to fail: but FAILED in the context of recent significant disasters the likes of Fukushima, Lehman Brothers 2008 (World Financial Crisis), Greek debt crisis etc: to me, all are syndromic of 'groupthink' and the concept of systematic and extensive whistle blower silencing.
Wednesday, June 22, 2016
SG gahmen rolls out long overdue insurance coverage for UNSALARIED NSmen and sugarcoats it as manna from heaven.
And whereas Wee Shu Min, daughter of PAP MP Wee Siew Kim, in Oct 2006 called fellow Singaporean Derrick Wee a "'stupid crackpot', belonging to 'the sadder class' and overreliant on the government. Her post also called for Derek to 'get out of my elite uncaring face'".