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on 8 October 2014
Singapore has apparently managed better than most developed nations to square the circle of how to provide quality health care, especially for an ageing population, yet without having to either ration it (as in Britain's NHS) or face ever soaring costs (as in the United States). One key reason is that in Singapore people have to pay towards their medical care through compulsory insurance scheme overseen by government - one reason why conservatives like British MEP Daniel Hannan have held up the Singaporean model as an example of how to reform, yet retain the best aspects socialised health care in their own countries.
Haseltine does an effective job of detailing how Singapore's impressive system has evolved, aided by a strong government with a long-term vision for health care, as well as a population accustomed to the habit of putting aside money for rainy days.
The only minor criticism is that, at times, his account can be a bit too fawning, and that those aspects of the Singaporean model that have not performed well (and to which he briefly alludes) could have been explored in a bit more depth, if only in the interests of balance.
However, 'Affordable Excellence' makes a worthwhile contribution to the ongoing debate about how to balance quality health care provision with the need to control the burden borne by the state in financing it.
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on 31 August 2013
The health system described is very prescriptive so it is only practical for a disciplined population willing to accept a lot of constraints, particularly at the outset.

The system in Singapore has been running for a number ofyears and has been improved step by step. It is now apparently impressively functional and still affordable.

I have no personal knowledge or experience so I am at a loss to know whether to believe everything written here.
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on 14 August 2013
Make's me proud to be South East Asian. OK, I'm Malaysian, but I still like to count Singapore as semi-allied to Malaysia, even though we were stupid enough to kick it out of the Federation in 1963. Anyway, a very very impressive achievement by the Singaporean government and people. Well worth reading and pondering about how any of this good stuff could be exported, or whether it's too dependent on the special circumstances that pertain to the city state.
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