Poor subsidise the rich in Singapore healthcare costs landscape:

Poor subsidise the rich in Singapore healthcare costs landscape:
Gahmen subsidises medishield-life premiums based upon residence type based on registered IC address, but many rich Singaporeans can circumvent this categorization by owning a private residence under either a relative's name or else a corporate registration ownership vehicle so that the gahmen has the WRONG idea how rich one is, being deceived by the IC address declared by the citizen.

Partnering Bike rental companies in War Against Diabetes and MRT train breakdowns.

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.

24-hours bus-bicycle lanes are necessary for optimal road infrastructure use and a more livable Singapore.

Issues:
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 

Chronic lifestyle disease sufferers will have few future full-time job options.

"an ageing workforce and medical cost inflation in Singapore are projected to drive up average medical costs per employee by 108 per cent to S$1,973 per year in 2030, representing a mounting financial burden for employers.... ....What is worth noting is that 60 per cent of all medical claim costs will be attributable to 10 per cent of claimants, said Mercer..."

[NSL flooding] KBW "has failed us".

[NSL flooding] KBW "has failed us". 
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).

Badly worded 'Road Traffic (Bicycles) Rules' endangers cyclist's lives.

Instead of "8. Every bicycle shall be ridden close to the left hand edge of the roadway and in such a manner as not to obstruct vehicles moving at a faster speed."

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"

LTA must emphasize KEEP LEFT rule for harmony to prevail on shared footpaths.

Keeping left is a form of courtesy to other shared footpath users as it facilitates smooth overtaking with less delay and unpleasant encounters. Overtaking PMDs also have to exercise good speed control, judgement and polite warning so that pedestrians do not get startled by either close by or sudden overtaking.

NTUC should avoid using more value less waste campaign to bully/ exploit the poor.

Some of the $2 stuff is not even fit to feed the dogs. NTUC should pay more attention to the poor and ensure that detective fruits are extremely attractively priced for quick sale so as not to become cesspools of disease or attract accusations that NTUC is just using the 'value' option to cheat poor people because the defective stuff should have been binned/composted instead (diaposal costs are like 7cents/kg so by giving away such half rotten food free, customers are in fact helping NTUC reduce their disposal costs). 

PAP is playing the same tricks as the British in colonial Singapore.

Minority Presidential Elections in Singapore the baggage / curse of Singapore's colonial past.
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.

Mercenary PAP Ministers and MPs look down on SOS suicide hotline volunteers who work for free.

"The Samaritans of Singapore (SOS) ... has insufficient volunteers to man the suicide-prevention centre's 24-hour hotline, so more calls are going unanswered.
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."

Terrorist threat: Certis Cisco should not add to the confusion .

Terrorist threat: Certis Cisco should not add to the confusion .
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.

Obsolete and outdated USA vote counting method is a DANGER to the world.

Obsolete and outdated USA vote counting method is a DANGER to the world.

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.

Diabetes can easily BANKRUPT Singapore in under 12years.

Total reserves of Singapore (may include personal CPF funds being invested vz GIC and Temasek, incl foreign reserves (see 'PS' explaination below))= SGD363 + SGD275 + USD100 = SGD 363+275+134 = SGD772 billion (1USD=1.34SGD).

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').

>80% of NSmen are actually physically UNFIT for reservist military training/war...

(<20 actually="" fitness="" manage="" nsmen="" pass="" physical="" test="" to="">50% NSmen so terribly disabled/ infirm, they are excused from taking physical fitness test in SAF of any kind (no modified fitness options available (swimming, cycling etc) either)).

SAF should not be the Achilles heel in anti-DIABETES war

More research into relationship between IPPT score vs onset of diabetes mellitus needs to be done with massive SAF repository of pre-enlistment medical screening results, pre-IPPT FFI, FFI for regular servicemen, family history and smoking/ drinking habit data and not least, annual IPPT results for BOTH NSmen and ESPECIALLY regular servicemen vs their future medical outcomes: e.g. years since best IPPT result till onset of diabetes mellitus , healthcare subsidy consumption vs latest valid IPPT result.

Singaporeans just LOVE the 'privilege' of SERVING NS so much... they actually want more.

[Letter to Today] NS a duty, not a job — thus no ‘salary’: Mindef

Degeneration of workforce: the downfall of Singapore economy has begun...

[Slide Source][alt pict view]
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/ 
https://www.facebook.com/notes/theon...y/446633433963
http://www.straitstimes.com/singapor...-to-attend-ndp
https://edmwimg.wordpress.com/tag/le...-loong/page/5/

[quote]

Quote:

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: FOOD 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. EXERCISE 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. ALCOHOL 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. SMOKING Do not smoke. It is associated with a variety of health risks, including heart or liver disease and many cancers. Ng Wan Ching http://www.straitstimes.com/singapor...ronic-diseases

...Quote:

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) http://www.straitstimes.com/forum/le...ce-stroke-risk

Quote:

1 in 10 stroke patients here aged under 50 PUBLISHED NOV 19, 2016, 5:00 AM SGT Linette Lai 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'. http://www.straitstimes.com/singapor...-aged-under-50

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