1Care Malaysia - why kind of care? (dwi bahasa)

Today Guang Ming Daily reported the hearsay received by relevant medical professional bodies and NGO for public health pertaining to 1Care Malaysia.
Pada hari ini, akhbar bahasa Cina Guang Ming Daily telah melaporkan maklumat-maklumat tidak rasmi mengenai 1Care Malaysia yang telah diterima oleh beberapa pertubuhan profesional perubatan serta NGO-NGO perihal kesihatan.


Caption: 1Care Malaysia: inconsistent messages, people deserve the truth

Tajuk laporan: 1Care Malaysia: maklumat yang saling bercanggah, rakyat berhak tahu apakah yang benar
The 5 key feature of 1Care Malaysia is as follows:
Antara 5 perkara utama dalam rancangan 1Care Malaysia adalah:
1.        Compulsory 10% deduction on all salaries, deduction is remitted to a public fund which is used to pay doctors and hospitals
Potongan wajib 10% ke atas semua gaji akan dikenakan, dan wang ini akan diagihkan ke dalam suatu dana umum untuk membayar doktor dan hospital
2.       Pay before service, consequently
Akibatnya, kita bayar sebelum menggunakan perkhidmatan perubatan
3.       A patient is limited to 6 visits a year, 1 disease per visit
Kunjungan seseorang itu ke doktor akan dihadkan kepada 6 kali setahun dan rawatan yang diberikan dalam setiap kunjungan akan dihadkan kepada satu jenis  penyakit sahaja
4.       The fund only cover basic medication
Dana ini akan membiayai kos perubatan asas sahaja
5.       An attempt is underway to privatize all medical services and deny quality health care to the poor; from only needing a Malaysian IC, in future, a patient has to produce apply for a medical card and a credit card.
Setiap cabang perkhidmatan perubatan akan diswastakan dan perkhidmatan perubatan berkualiti kepada setiap rakyat Malaysia akan disekat. Jika sekarang anda hanya perlu membawa IC untuk diberi rawatan, di masa akan datang, kita perlu memohon kad rawatan serta kad kredit.

MOH’s mission statement instead merely says that the health care service would continue to be available to all, regardless of status.
Kementerian kesihatan pula menyatakan bahawa perkhidmatan kesihatan ini akan terus diberikan kepada semua rakyat Malaysia tanpa ambil kira taraf.

The hearsay and the official terse statement contradict each other by going by experience of toll compensation, IPP subsidy, Indah (no free) Water, expensive internet services etc, the hearsay sounds more appealing.
Maklumat tersebut dan kenyataan pihak kementerian tersebut bercanggah tetapi pengalaman rakyat Malaysia yang sarat dengan bayaran gantirugi kepada syarikat-syarikat tol, subsidi kepada IPP, Indah Water, caj internet yang sangat mahal dan sebagainya, akan membuat kita lebih percaya kepada desas-desus tersebut.

The economics of the above 5 points is quite clear and simple.
Jika ditinjau dari segi ekonomi asas, 5 perkara tersebut boleh dirumuskan seperti berikut:
1.       Those who are not paying income tax, will now have to pay. Those who are paying taxes, will have to pay even more. The 10% or whatever is on GROSS PAY, while income tax is subject to various relieves.
Try to imagine the plight of a factory worker earning RM18 to RM25 a day, 10% of their hard earned basic and overtime pay forgone just like that. They are on suppressed pay rates because the allowed influx of cheap foreign labor.
Bagi mereka yang dulu tak perlu bayar cukai, dia kena bayar cukai sekarang. Bagi mereka yang sedang bayar cukai, mereka akan bayar cukai lagi tetapi jumlah yang dibayar adalah jauh lebih tinggi kerana 10% itu dikenakan kepada gaji pokok manakala bagi cukai pendapatan, ia dikenakan selepas pelbagai perlepasan.
Bayangkanlah pekerja kilang yang bergaji RM18 – RM25 sehari. 10% gaji asas dan lebih masa lesap begitu sahaja sedangkan mereka terpaksa menerima gaji rendah akibat kemasukan pekerja asing murah yang dibenarkan oleh kerajaan.
2.       If I have to pay before service, then I am penalized for being healthy.
Saya dipaksa bayar dulu sebelum guna, dan jika saya jaga kesihatan saya, seolah-olah saya dihukum pula dengan adanya potongan tersebut.
3.       How did the MOH expert decide on 6 per visit? If I have flu/fever/cut my finger in the kitchen/bitten my by neighbour’s dog….why am I subject to limitation over things I can’t control?
Bagaimanakah pakar-pakar di kementerian kesihatan merumuskan bahawa 6 rawatan setahun cukup? Mana tahu saya bila saya akan dapat selsema/demam/terpotong jari saya semasa memasak/kena gigit oleh anjing jiran saya…mengapakah hak saya dihadkan sedangkan perkara-perkara ini adalah di luar kawalan saya.
4.       If the fund covers everything, insurance companies would be worried and making noises, but all calm and aplomb. Perhaps without full and complete coverage, these insurance companies still have sizeable niche market then?
Jika dana ini membiayai segala kos perubatan, maka bisnes syarikat insuran akan hancur tetapi mereka ini selamba sahaja pula. Mungkin mereka masih ada peluang  bisnes lagi yang besar?
5.       In my previous posts, I have written about the economics of Malaysian healthcare, for example, financially unjustifiable outsourcing of linen washing to an unremarkable hotelier. If there is an avenue of milking public funds, Malaysian administration can claim itself to be world class, e.g. Alam Flora, Indah Water, IPP, MyEG toll concessionaires etc
Saya pernah menulis mengenai perkara-perkara kewangan dalam bidang kesihatan Malaysia, umpamanya penyerahan konsesi membersihkan kain kepada sebuah syarikat hotel yang tidak terkemuka. Jika ada jalan memerah duit rakyat, maka pencapaian pentadbiran Malaysia memang bertaraf dunia seperti kita lihat dalam pengendalian Alam Flora, Indah Water, IPP, MyEG, syarikat-syarikat konsesi tol dan sebagainya
We are already paying income taxes, EPF and SOCSO. Companies paying medical care for employees are building this into their overheads and selling price so we are actually paying for ourselves plus companies’ profits and government tax.
Kita telah dikenakan beban cukai, EPF dan SOCSO. Syarikat-syarikat yang membiayai kos rawatan pekerjanya akan mengambil kira belanja ini dalam pengiraan harga jualan mereka. Oleh itu, para pengguna pun sedang membiayai kos rawatan tersebut menerusi harga jualan barangan
 Many of us are also paying for medical insurance so is the federal government going to take over that fund? Otherwise, for some, we are paying multi-layer medical care!
Ramai antara kita yang membeli insurans perubatan dan adakah kerajaan persekutuan nan prihatin ini akan mengambil alih caruman tersebut? Jika tidak, pembeli insurans ini terpaksa membayar sekali lagi!
And why is there no public referendum and consultation? The MRT project was open to public scrutiny and perhaps because the subsequent objections put off MOH? Going by the much flawed and much maligned Peaceful Assembly Bill, there was no public consultation and was bulldozed through the rubber stamp parliament – BN MPs are subservient to the PM, not the voters in the constituency they represent.
Mengapakah pihak kerajaan tidak mendapat pandangan dan ulasan umum? Adakah kerana bantahan berikutan projek MRT yang dikemukakan itu telah menakutkan kemeterian kesihatan? Jika diteliti,  Rang Undang-undang Perhimpunan Awam Secara Aman yang banyak kepincangan dan dikecam itu telah diluluskan dalam parlimen dengan kuasa kasar majoriti telah menunjukkan bahawa para wakil rakyat BN akan akur kepada kata-kata perdana menteri dan bukanlah isi hati rakyat yang mereka wakili.
It is time for the BN administration to make a full disclosure of the 1Care Malaysia Plan to clarify the general panic and confusion. What is the coverage of that fund and what is not covered, is there going to be drastic improvement to the service level to the public, change in attitude and performance of public health care workers, reduced waiting time, full coverage etc.
Kini tibalah masa pentadbiran BN mengemukakan rancangan 1CareMalaysia secara terbuka dan lengkap untuk menjelaskan dan menenangkan kekeliruan dan kegusaran umum. Kita perlu tahu apakah yang akan dibiayai dan apa yang tidak dibiayai oleh potongan tersebut, adakah dengan pertambahan dana maka akan adanya peningkatan besar dalam taraf perkhidmatan kesihatan kita, perubahan besar dalam sikap pekerja-pekerja sector kesihatan umum, penurunan waktu menunggu yang ketara, pembiayaian kos perubatan penuh dan sebagainya.
Before full disclosure and written guarantee pertaining to 1Care Malaysia are available, the public should consider this when the next GE come.
Maklumat mengenai 1CareMalaysia terperinci perlu dikemukakan untuk tatapan umum dan segala jaminan  taraf perkhidmatan perlu dirasmikan sebelum pilihanraya umum akan datang. Jika kerajaan persekutuan tidak berbuat demikian, maka harap-harap para pengundi akan mempertimbangkan keengganan ini sewaktu mengundi nanti.

12 comments:

  1. My diabetic mum visits the doc more than 6 times a year, and add on to that, sometimes she sees the doc for flu, cough, etc. So how?
    Sometimes we see the doc for an ailment, and while in the room we also ask the doc to see another though less serious illness, eg, measure our bp while consulting the doc for cough.

    ReplyDelete
    Replies
    1. Sad to say after the sixth visit you are all on your own!! You may have to advise her to save some of the medicines not finished for the rainy seasons to avoid another hole in your pocket.

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  2. Time to kick this goverment out. Another scam to steal more money from the rakyat and enrich the crony.

    ReplyDelete
    Replies
    1. this is just another gov gimmick to telan duit rakyat!!!

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  3. While we're preparing to kick the government out, we should take care of our health by adopting healthy lifestyles. If healthcare is free-for-all, it's good, but it will not subside lost time for appointments, disability & etc. For example, If you take 1 hour for appointment, and you have a job that pays RM500-per-hour, you would theorectically lose RM500 X 8 = RM4000(provided you're on unpaid leave).

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    Replies
    1. take care of health? the gomen just increased sugar subsidy...what are friends for?

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  4. http://www.malaysia-today.net/mtcolumns/from-around-the-blogs/47056-1care-malaysia-why-kind-of-care-dwi-bahasa-

    written by sorham, February 06, 2012 00:24:31

    in Malaysia if u dont hv money, DONT FALL SICK!
    +0
    ...
    written by Mana PR, February 05, 2012 20:30:00

    Where is Lim Kit Siang, Hadi Awang and Anwar Ibrahim on this....

    Healthcare not important enough for you fellas....????

    Not one statement from any of the major PR parties including that loudmouth Tony Pua...

    This thing is really and literally going to kill a lot of Malaysians....

    PR better speak up if they want our votes..if they are not saying anything, I am abstaining...
    -1
    ...
    written by hplooi, February 05, 2012 17:51:05

    even without 1Care, the public health service is being slowly destroyed, same as the (once excellent) education system !
    +4
    ...
    written by resonance, February 05, 2012 17:12:11

    Does PR aware of this? They should have focused on this instead of the diversionary issues such as NFC etc.
    +2
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    written by syd, February 05, 2012 16:15:36

    its time for the rakyat to fork out and start paying for mahathir's MEGA projects. I foresaw many years ago this time will eventually catch up and cost us high taxes and mahathir induced inflation due to lopsided contracts that benefit the cronies.
    +6
    ...
    written by Bourne, February 05, 2012 13:06:58

    The most obvious example of how the BN government rapes its people. Already the economic downturn is affecting everybody. Lower increments, bonuses and limited choice for jobs. And yet the so called 'caring' govt impose a hare brain idea like this to penalise the people.

    This is nothing more than a sham to line the cronies with the rakyat's hard earn money. Already they want to put their filthy hands into the EPF, now they want to create another scheme to cheat the people. This will not be the last. Question is how do we put a stop to this nonsense???
    +12
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    written by Ministry of Cekik Darah , February 05, 2012 12:51:45

    This scam has all UMNO's fingerprints on it led worse still by one of the most incompetent organisations called the MOH in ths country The KKM has one of the highest number of corupted officers in this country just look at the number of medical schools that have mushroomed mana MACC still frightened of TBH's ghost? Why should we pay for substandard doctors, medicine and equipment somemore mati also, no accountability at all tangan hilang pun tak mau bayar tapi rakyat punya luit mau? Liow and co better have an answer for this this is going to be the largest scam in Malaysia's history. Malaysians have all made up their mind to kick this government out once for all enough is enough
    +17
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    written by FocukK, February 05, 2012 12:14:49

    daylight robberies I wonder how would the gomen goin to collect the fund Would they get those people in the rural areas (kampung-kampung) that support UMNO and also those FELDA lands which again providing votes for BN UMNO.
    +14

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  5. After selling out Kuantan people, the BN crooks want to privatize the health of all Malaysians.

    ReplyDelete
    Replies
    1. that will be double whammy, poison seafood and poison soil and higher health risks

      Delete
  6. After poisoning all Malaysians and subjecting them to excessive radiation, there is a grave need to privatize the health care services. Many people will fall seriously ill and the government cannot take care of them. So take care of yourself! Don't ask what the government can do for you, ask what you can do for the government!

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  7. is there anywhere that say the gomen gonna whack the 10% out of us?

    ReplyDelete
    Replies
    1. the minister yesterday back pedalled talked about some sharing basis, if I remember correctly, the people 1% employer 3%, government 6%

      which means

      -1% off your salary now
      -your employer's staff medical expense goes up to 3% of gross -payrill hence it will eat into your icrement and bonus
      you still pay the 6% from your salary

      Delete