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Health Financing in Singapore

A Case for Systemic Reforms

Bibliographic Data

ID9971763
AuthorsMukul G Asher (National University of Singapore, corresponding author), Amarendu Nandy (0000-0002-7513-5415, National University of Singapore)
Year2006
Volume59
Issue1
Pages75-92
Publication date2006-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Social Security Review (JOURNAL)
Journal identifiersISSN: 0020-871X • E-ISSN: 1468-246X
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1468-246x.2005.00234.x
OpenAlexW2134990657
LanguageEN
Citations received10
References cited6

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

Business · Economic growth · Economics · Health care · Healthcare system · Mainstream · Political science · Pooling · Public economics · Quality (philosophy · Computer Science · Finance · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management

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Unique citing works10
Citations per year0.56
Citation span2008 - 2021 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 10

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