Two pieces of news appeared recently:
1. Transport Operators seek fare increase [Link].
2. Govt finding ways to integrate private and public healthcare[Link]
In the past 2 decades, many govts including the PAP believed that privatisation of govt services will bring about greater efficiency in the provision of these services. While it is true for the initial years after privatisation, the efficiency gains quickly tampers off while the profit motive of these privatised enterprises stick around forever.
About a decade ago, the PAP govt had this idea to turn Singapore into a medical hub for the rich in the region. More private hospitals were build. Resources shifted from public hospitals to the private sector to treat foreign patients and the rich. If you go to a public hospital to visit someone today, you will find that the hospitals almost every single hospital bed is filled. If you visit a private hospital, very often you find that most of the beds are empty.There are private hospitals today allow rich patients to purchase private suites that are used only for themselves and their family members. The best specialists and surgeons move to the private sector because they get paid more for seeing fewer patients - one of them, a Dr. Susan Lim, billed her patient $20M for dedicating the entire resource of her practice to a single patient. Cost of medical care spirals up and begin to ampllify the effects of the widening income inequality in our society. In our eagerness to become a medical hub, we have made the some of the same mistakes as the Americans in believing that privatisation will lead to good results - we are seeing cost spirals and inefficient use of resources unter the present system. Minister Tharman now wants to fix it by tapping resources lost to private hospitals.
I'm not impressed by the transport operators request to raise the fares again. Why? I took a bus today and it was so packed, I stood on the steps at the entrance of the bus. The people behind me couldn't get on/ When the SBS was privatised, it was hoped that privatisation would bring about greater efficiency in its operations. All the gains in efficiency probably occurred its first few years as a private company. As a listed company, they need to answer to shareholders and the profit motive would dominate how it operates. Running a bus service that is frequent enough for passenger to be seated comfortably through the ride is not a profitable thing to do. Packing every bus to the limit is a lot better for the bottomline. Keeping to the minimum standards of quality of service laid out by the transport authority would be most optimal for profits - there is no motivation to do any more than that. Passengers have other no choice - our cars are the most expensive in the world and controled by a strict quota. Taking taxis during peak hours can be 10 times more expensive so there is no real competition for our public transport operators for force them to improve the quality of service further.
Suppose profits is not important and the comfort of bus passengers is the most important goal.
The flipside of privatisation....
Diary of A Singaporean Mind
Tuesday, July 12, 2011
-->>>>>>>>>> TO HELP ME, COMPLETE THESE STATEMENTS, THANKS: http://roberthorequestforstatements.blogspot.com/My wife, an accountant now a manager in an MNC drawing a 5-figure salary, can now confirm that I write the Truth in all these. <<<<<<<<<<RH: LKY LHL WKS ELECTION RIGGINGS EMAILED TO ALMOST ENTIRE GOVT:
ME ON VIDEO DESCRIBING lky lhl wks NUMEROUS ELECTION RIGGINGS + PoBoB and CCTV Ideas:
MY ACQUAINTANCE, MR DAVID DUCLOS, A FORMER POLICE INSPECTOR, AND HIS LAWYER FRIEND, EYEWITNESSED LEE KUAN YEW RIGGING THE 1997 CHENG SAN GRC ELECTION. READ MORE AT MY BLOG ENTITLED "I CAME, I SAW, I SOLVED IT" :http://i-came-i-saw-i-solved-it.blogspot.com/
MY ONLINE POLICE REPORT ON LKY LHL WKS CHEATING ELECTIONS:
a. MY SWORN AFFIDAVIT OF 16 JULY 2010:
http://i-came-i-saw-i-solved-it.blogspot.com/2010/07/my-sworn-affidavit-of-16-july-2010.htmlb. SWORN EXHIBIT IN SUPPORT OF AFFIDAVIT:c. SOME LEGAL PRINCIPLES ON WHICH I GROUND MY CASE:d. THE PATTERN OF CRIMINAL WRONGDOINGS THAT PROVES MY CASE;e. 3rd EMAIL TO UK PM FOR OBSTRUCTING, PERVERTING JUSTICE:"THE PRIMAL FEAR OF A SUPERIOR MIND"