Sunday, April 29, 2012

Justification for charing patients at SNEC


This is a follow-up post with regards to the
previous titled 'My Reply to SNEC', where I
find it inconceivable that SNEC may be
racking up $1.44million per year for a simple
eye check lasting last than 2 mins where most
optical shops do it for free. 
 
SNEC clarified that their $6 charge for the
pre-consultation evaluation test includes 3
tests and performed by 2 nurses :-
i) auto-refraction
ii)non-contact tonometry
iii)visual acuity
 
Going by my observation, most patients only do
the visual acuity test which is to read
alphabet/number chart.This could be easily be
done by those nurses who are attached to the
consulting doctors. 
 
Normally there is a few minutes lapses between
each patient consultation as the doctor needs
to complete their medical case note and read
up on the next patient's medical record.The
attending nurse to the doctor could complete
the visual acuity test within that time in
the doctor’s consultation room. The set up
is simple as it just required a simple eye
chart consisting of alphabet/number.
 
This will reduce waiting time for patients
who have to queue in different testing rooms
before being seen by the doctor. It will
improve efficiency and cut down the number
of nurse require for the evaluation test. 
 
It will be interesting to know what is the
percentage of patients who undergo all the
3 tests in the first place. If the majority
of patients only do the visual acuity test,
then why make them paid for the cost
incurred by minority patients? 

Saturday, April 28, 2012

$ in Biscuit Tin

When CPF Board announced recently that they will allow topping up of non-immediate family members' CPF account, there were lots of tongue in the cheek comments over the internet.

1) CPF is so desperate for fund that now we can top up our in-laws, great great grandparents ..etc a/c

2) Most prefer to give cash to their family members than top up their a/c. Money deposited into CPF may never see the light of day again. CPF is forever changing their policies to lock up our money.

3) It is more secure and comforting to keep the money in a biscuit tin than in CPF. At least we get to look at it and do what we want with it. Money in CPF is no longer ours, we have no control over it.

Those who has less than the minimum sum of $500 in POSB / DBS would be better off keeping their money in a biscuit tin too. Instead of earning interest, which is almost non existence since it is so low that it is close to zero, they are penalized and have to PAY the bank administrative charges.  Even if the banks paid interest, (which they don't) the admin charges will be much more that the interest paid !

Sigh ! Why penalized the poor ? Their saving will be depleted faster. Instead of saving for a raining day, their saving are being sucked away by these heartless banks.


Local vs FT

We can see the invasion of 'foreign talents' in all aspect of our lives.  During the annual meeting of a local Reits company, half the board of Directors are 'FT'.  There are many FT in their management team as well. Even their CFO is a FT. Is S'pore so lacking in talent ? Do FT gives us more confident in the company ?

For me it is a definite NO. At another Reits company meeting, locals form the bulk of the board of Directors and management team. This company has a much larger portfolio and diversify business. Their performance is much better.

There is this company which performance dropped drastically. They got a FT to helm the company. Looking at the way the AGM is conducted, letting go of this company's share will be my priority. He did not even bother to give a summary account the the company's performance and outlook. Went straight into the agenda and breezed through it. The AGM was over in 10 minutes though it had a whole list of items to be voted on, which other company's AGM would take more than half an hour to settle. There was not even a single question from the shareholders ! The reason could be this FT chairing the meeting did not encourage question. He looked down all the time and glance up briskly when he asked if there was question before quickly proceeding on.

The voting is by raising of hands. They don't even bother to adopt good practice in voting procedure but go for the easier way.

Low Fertility Rate and Mass Import of Immigrants

What is new ? Same old scare tactic story. Government form a new ministry and they repeat the same old wife's tale which we have been listening for the past decade. PAP is brain dead. They cannot think out of the box.  Just add more half truth statistics and paint a more frightening picture.

We the citizens are immune. It will not work.  We can see PAP is turning S'pore into a pressure cooker. Our young who have the capability and talent will leave S'pore with such poor quality of life. So they are creating a void which can never be filled up with mass import of immigrants. They will only get sub-quality immigrants as those super talent will be going for countries which offer better quality of life. Who wants to become citizens in a pressure cooker?

Thursday, April 26, 2012

Pathetic state of our Public Transport

What is happening to our public transport ? Our trains breakdown so often. Our bus knock down pedestrians and floor commuters with their dangerous and inconsiderate driving.

Looks like the recent record breaking of train break down within a week has not past. So far I have been reading about all these MRT unreliability reports and have not experienced it, until this week.

I took the train 25 Apr morning and there was announcement there would be delay as the train jerked its way slowly from Tg Pagar to Outram station. Then on 26 Apr morning, I had just arrived at the station boarding platform when the announcement was made that the train would be delay for 20 mins. On 27 Apr afternoon, the train terminated half way though the journey and passengers had to alight and wait for the next train. It was the same situation at the opposite platform.

Are we having train problems everyday ? Looks like our trains are chronically ill due to delay diagnosis and treatment. It is sneezing and coughing everyday.