Actually, medisave (incepted 1984) currently is ALREADY a form of PRE-FUNDINGsince u can only use medisave$$ strictly for only healthcare use, and only in strictly rationed amounts (e.g. withdrawal limits for everything e.g. $300 p.a. for chronic disease use, maximum hospitalization/day claim etc etc, so that sufficient funds remain for use in old age.
Unless the gahmen is able to track an individual's medishield(current)/ medishield-life premiums paid thus far, an individual joining late at say 45+yrs old is likely to pay exactly the same premiums as one who joined since birth and had already paid significantly increased premiums due to the prefunding rule; the 1st 10yrs 30% p.a. surcharge notwithstanding (which the gahmen might in future suspend once it has collected the premium surcharge from existing non-medisave insured Singaporeans and PRs so as to make Singaporean citizenship attractive to new immigrants).
My suspicion is that the gahmen is using prefunding as a carrot to show how robust the medishield-life reserves are and how relatively cheap it is for a new immigrant of say 45yrs it is to acquire medical insurance, in the gahmen's ill-conceived effort to achieve its target population of 6.9million Singaporeans come year 2020.
The best defence against high healthcare costs is a healthy lifestyle (good diet, exercise and no-smoking) which the Singapore gahmen has quite obviously failed miserably in promoting as defined by its perverse attempt to make Singapore the Mecca for all tobacco related promotion to the rest of this region if not the whole world):
(Pict from: '[Tobacco promotion] Is Bali governor less corrupted than ours???!!!')
Pray tell, please show me how my suspicions are wrong.
- Triple pre-funding of personal healthcare costs, How much pre-funding will settle the bill? (...to avoid tapping into medifund?)