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t s like banging your head with a hammer so that you have an excuse to buy panadol ridiculous of course now they won t dare to use the p word as the rakyat had put up with so much hardship due to past privatisation policies the popular euphemism now is autonomy which allows indivdual government units to decide policies independently without government interference like pricing policies for example if that s the case what s to stop government healthcare facilities from acting like for profit organisations assumption 4 there will be enough high income earners to significantly contribute to the shi using gdp growth and macro economic data as an indication of citizens financial fitness for implementing shi is flawed we must take into consideration grassroots conditions such as income disparity inflation and cost of living as well right now the income disparity is widening cost of living is skyrocketing and official inflation rates do not reflect the realities on the ground but looking at macro economic indicators may give the impression that there is a large middle class that can afford a compulsory shi plus the government s economic indicators are highly suspect the official poverty level is determined as rm800 mth household income but in budget 2012 the pm acknowledges that households earning less than rm3000 mth have trouble making ends meet official figures show inflation at about 3 but independent studies show that urban inflation is probably at a rate of 10 this difference is because the government measures inflation rate with prices of goods that are not typical purchases of most malaysians implementing a univeral shi based on such vague and confusing financial data could prove disastrous to the rakyat who are already burdened by high costs of living the bn government s rush to implement 1care based on flawed financial assumptions without a proper study of the rakyat s situation only demonstrates their insensitivity and misplaced priorities clearly the rakyat s interest are the furthest from their minds besides the problems these flawed assumptions create 1care throws up several issues of concern as well issue 1 double taxation zero additional benefit the shi concept itself is ridiculous within the malaysian context as explained earlier we are internationally acknowledged as having achieved a reasonably efficient healthcare system at very low expenditure with the introduction of 1care malaysians will now be paying taxes and the shi and their private insurance premiums if the shi rates were reasonable and the benefits package covered all healthcare needs many people would probably have no problem with that the only people unhappy would be the private insurers as they will lose business to the shi but insiders have revealed that insurance companies are included in the moh s 1care technical working groups working out the details of 1care implementation and since we do not hear any complaints from them even when 1care implementation is halfway through we can safely assume that their business has not been threatened insiders also reveal that all our monthly payments to 1care s shi only gets us primary healthcare general practioners clinics even then the rakyat still has to share the cost co pay for medicines and medical accessories and tertiary care hospital specialist services is not covered at all by the shi so the rakyat will still have to pay out of pocket or depend on private insurance just like we are already doing now no wonder private healthcare insurers are not complaining their market remains undisturbed by 1care right how is this supposed to be an improvement over our present system does the bn government really expect the rakyat to roll over and accept being forced to pay twice for a reformed system that burdens them with higher healthcare costs but delivers zero extra benefit issue 2 integrating public private healthcare sectors will drive costs up since 1care integrates public and private primary care services and standardises their fees there will essentially no longer be any public gps all gps will be paid private rates under 1care latest information is that it will cost rm60 per visit billed to the shi so we can definitely expect primary healthcare costs to suddenly rise significantly 1care gps are also required to be jaga pintu gatekeepers no one can see any specialist or be admitted into any hospital without a 1care gp s say so this leads to the big question since public gp services and rates have been rationalised will public hospital specialist services also be integrated and their charges standardised this is very likely as it would not be fair for government specialists to be paid less than their private counterparts in this new integrated system the dep dg of moh himself hinted at this in one of his comments on the taknak1care page specifically he commented that for a specialist or doctor if i see 10 patients a day or i see 100 patients the salary is the same if you are efficient you be given more work this is the system we have now since 78 of hospital beds in malaysia belong to the government who also handles 74 of admissions imagine what would happen when all these government facilities start charging private rates under 1care healthcare costs will shoot through the roof it is also reasonable to assume that most of our uninsured population would no longer be able to afford healthcare under this new 1care scheme what s more this development will have multiplier effects one of the effects i foresee is in the insurance sector since 1care s shi benefits only cover limited gp services private insurers will have to raise their premiums and limit their payouts to ensure their profitability is not affected by the tsunami of rising costs in tertiary healthcare clearly the bn government s 1care reforms will dump the rakyat in the wayside in pursuit of a system that values money more than life issue 3 social safety net disappears our public healthcare system has always been the primary choice for lower income groups it is their chance to get good almost free healthcare however even before 1care is fully implemented government hospital charges are now no longer negligible rooms in some government hospitals now cost as much as private hospitals other fees may be much lower than the private sector but can still run into thousands for a even simple surgical procedure as it is now many poor household find it hard to pay for public healthcare and 1care hasn t even been fully implemented yet in budget 2012 the pm acknowledged that households earning less than rm3000 mth have trouble making ends meet and a rm500 one off cash aid makes a big difference with roughly 60 of malaysian households earning below this threshold how can they be expected to contribute up to 10 of their income into 1care s shi how will they be able to afford expensive long term tertiary care if there is no longer a public healthcare system where do they go if they have cancer diabetes or are seriously injured in an accident back to the dukun and sinsei in the villages with the floodgates of privatised rates thrown opened what s to stop our reformed 1care system from going the the free for all american way where any service within the healthcare industry has the potential to be monetised subdivided and monetised again now that the autonomy concept seems to be given free reign government owned units can freely make such decisions without interference from the government and the rakyat won t be able to do anything about it conclusion these and many other disturbing issues and concerns are turning up bit by bit as the scope and structure of 1care are revealed but so far the bn government has no answers for the rakyat the information gathered many from documents available online including government websites indicates that 1care will create more problems than it solves in fact the implementation of 1care s shi concept will actually destroy the efficient system we have now reverse engineer for us all the problems of the american privatised healthcare system and create all new problems because of its very limited coverage 1care could be the most dangerously ridiculous case of putting the cart before the horse that malaysians have ever been subjected to by the bn government the bn government should fix its own fundamental flaws and get its priorites right first before subjecting the rakyat to such dubious reforms the bn government should remember that they owe it to the rakyat to provide healthcare and other essential services instead of washing their hands in the privatisation basin and kicking back to enjoy less work and more money we ve had enough of privatisation policies that forced rakyat to pay through their nose for inefficient monopolies that control phone services water electricity sewerage waste disposal postal service public transport and the list goes on now the bn government wants to privatise and monetise another essential service healthcare the rakyat should not take this lying down anymore we must not be held ransom to this you money or your life 1care system we owe it to ourselves and our children to make sure 1care is stopped dead in its tracks tak nak 1care join the movement spread the word posted by eyes wide open 19 comments labels bn corruption gdp government healthcare insurance leakages malaysian privatisation public social tak nak 1care wastages saturday november 26 2011 malaysia is gonna privatise healthcare good god the people are getting poorer by the day as prices of essential items go up and up taxes are going up too with the imminent introduction of gst but despite the record earnings of petronas being funneled into the malaysian government despite the hundreds of glcs that are supposed to make money for the government despite the billions of ringgit of rakyat savings being held by govt via epf socso tabung haji etc the government is now telling the people we don t want to provide healthcare for you any more so if you don t have money to pay for your own healthcare you can go and mampus la why don t we the rakyat tell this government to go mampus themselves and vote their asses out completely come ge13 posted by eyes wide open no comments labels 1malaysia bn healthcare privatisation umno monday october 10 2011 1cop misbehaved at tung shin and no more malaysia seems to be stuck in broken record mode from goodie budgets designed to bribe voters presented since 2008 more on 2012 budget in a later post no empty feel good rhetoric to a million other issues that never seem to be solved the same old same old is repeating itself ad nauseaum in 2010 i wrote an article asking why only 1cop was charged for young aminulrasyid s killing and no other action was taken regarding the selangor then top cop khalid lying about the incident the subsequent official cover ups and denials and the other cops involved in the chase who manouvered their squad cars well enough to enable the shooters to take out all aminulrasyid s tyres and finally end his short life the official story now become a criminal conviction of a lone cop was responsible for the tragedy beggars belief but it seems this is the modus operandi of the police because we see the exact same process in the tung shin incident during the bersih rally first lies second denials and cover ups third absolve all cops from responsibility fourth single out one low ranking cop to take all the blame the malaysian insider reports city police chief datuk mohamad salleh pledged today that action would be taken against the police corporal responsible for the tear gas incident at the tung shin hospital during the bersih 2 0 rally is it true that only 1cop was responsible take a look at these videos this shows a squad of riot police standing outside the perimeter fence of tung shin firing several rounds of tear gas in the general direction of the hospital this clip shows 2 clouds of tear gas billowing out near the main tung shin hospital tower one towards the front the lobby area of the main tower and another at the building beside the tower this clip shows cannons shooting chemical laced water into the hospital compound as well as 2 clouds of tear gas one near the lobby of the main tung shin tower which was dissipating and another at the greenery at the back of the compound starting to billow another gas cloud billows at the chinese maternity hospital entrance this clip shows a tear gas canister in front of the building next to the tung shin tower this is a gas canister fired into the crowd standing near the entrance of the chinese maternity hospital next to tung shin this is a clip showing a cornered group deep in the tung shin compound at a dead end and a tear gas canister flies in from above this is another shot of the same group after the gas has dissipated it also gives a little background of the crowd s movement that caused them to seek refuge in tung shin if you had been keeping count that s at least four canisters triggered within the tung shin compound and one at the chinese maternity hospital entrance as far as i can place them based on the video footage the locations are roughly as follows there s one more location that i could not pinpoint the small chanting group but based on the design of the pillars lights in the carpark area it is definitely around the tung shin chinese maternity car park area that s helluva coverage by only one rogue cop and that s not all police have standard operating procedures sop and a strict chain of command coc during an operation this is absolutely essential partly to prevent personnel going berserk and doing whatever the hell they liked basically sergeants are in charge of the ground personnel who are lower ranked and coordinate their actions based on commands from higher ups use of force and type of force used are also subject to sop which dictates what to do and when ultimately these actions and commands are focused on one thing only to achieve the objectives of the operation decided by the commanders now does it make sense that a lone lance corporal second lowest rank in the force breaks away from the sop and coc running amok with his tear gas rifle and nobody notices or stops him when at that time there were hundreds of cops around the tung shin area together with their commanders where was his sergeant in charge why didn t he order the fler to stop or even physically restrain him if necessary what about the other cops if they had orders not to fire tear gas into the hospital compound why didn t they stop the so called rogue cop no the more likely scenario is that the objective of the operation that day was kick their ass show them who s boss that s why all along cops chain of command nobody gave a rat s ass that hospitals and religious buildings are internationally recognised places of refuge they didn t gave a shit what effects tear gas has on sick patients or rather they were not allowed to care because the objectives overrides all other...