Health Financing in Singapore: A Case for Systemic Reforms

18 Pages Posted: 19 Apr 2006

See all articles by Mukul G. Asher

Mukul G. Asher

National University of Singapore - Lee Kuan Yew School of Public Policy

Amarendu Nandy

National University of Singapore (NUS) - Department of Economics

Abstract

This paper assesses Singapore's healthcare financing arrangements in terms of their efficiency, fairness, and adequacy. Singapore represents an interesting case study because it is perhaps the only high-income, rapidly ageing country to rely on mandatory savings to finance healthcare, thus eschewing extensive risk-pooling arrangements, generally regarded as efficient and equitable. The paper argues that parametric reforms, i.e. relatively minor changes in the parameters of current schemes which preserve the existing philosophy and system design, will not be sufficient to meet healthcare financing objectives. Systemic reforms, which will bring Singapore into the mainstream of health financing arrangements found in the OECD countries, are urgently needed. Their design and timing should be based on good quality, timely and relevant data, and an environment conducive to vigorous debate.

Suggested Citation

Asher, Mukul G. and Nandy, Amarendu, Health Financing in Singapore: A Case for Systemic Reforms. International Social Security Review, Vol. 59, No. 1, pp. 75-92, January 2006, Available at SSRN: https://ssrn.com/abstract=875044 or http://dx.doi.org/10.1111/j.1468-246X.2005.00234.x

Mukul G. Asher (Contact Author)

National University of Singapore - Lee Kuan Yew School of Public Policy ( email )

Singapore 117591
Singapore
(65) 6778 1020 (Fax)

Amarendu Nandy

National University of Singapore (NUS) - Department of Economics ( email )

1 Arts Link, AS2 #06-02
Singapore 117570, Singapore 119077
Singapore

Here is the Coronavirus
related research on SSRN

Paper statistics

Downloads
22
Abstract Views
1,045
PlumX Metrics