Tuesday, February 16, 2010

Home: our planet Earth

Here is a 90 minute video about the earth and the need to protect our environment.

SCMP: Government may compete for insurance. Government may vie for insurance business. Proposal aims to keep private firms 'honest' in volunteer medical plan

17 Feb 2010
The government is considering setting up its own insurance company to compete for the proposed voluntary medical insurance scheme in an effort to keep the existing players "honest".

A government official said such a "public option" could ensure there was real competition in the market, to guard against price-fixing. But the official said the government did not plan to turn its new programme into a social insurance scheme with itself as the sole provider.

The proposal will be put forward during negotiations with the insurance industry over the voluntary insurance scheme, which is part of the coming health care reforms.

The government will launch a public consultation later this year about the voluntary scheme, which it sees as a way to relieve the financial pressures on the heavily subsidised public health sector.

Insurance providers are in talks with health officials about the scope of the coverage, and on how to use the scheme's HK$50 billion start-up fund to attract more people to sign up for voluntary insurance.

The South China Morning Post reported last week that the issue of whether patients with pre-existing conditions will have to pay a higher premium has emerged as the major roadblock in the negotiations.

Now the government "does not rule out the possibility" of setting up a subsidiary insurance company to compete with the private insurers. There are concerns among officials that, as the six biggest companies control 80 per cent of the medical insurance market, they could easily co-operate to control the market and push up prices.

"To keep the insurance companies honest, the government may set up a company to compete with them so if their prices are too high, consumers can choose the public option," the official said. The insurance company set up by the government would run on "commercial principles", he said.

But Chan Kin-por, the insurance sector legislator, criticised the idea. "The government is not good at insurance services. It should leave it to the private sector I can't see the extra benefits in doing it. There will be a transparent mechanism on premium adjustment in future, to guard against any possible cartels."

But Peter Tam Chung-ho, executive director of the Hong Kong Federation of Insurers, said the industry "would not feel threatened" by the public option. "It will be good to have more competition in the market {hellip} but we need to know the details before commenting further, such as if the company will operate on commercial principles or with a public subsidy," he said.

In a recent submission to the government, the insurance sector outlined an agreed "basic plan" that removes exclusions for mental illnesses and congenital diseases, and makes premiums age-specific. But the sector is standing firm on not including people with pre-existing conditions in the basic plan, meaning chronically ill patients would have to pay a higher premium for coverage.

The insurance sector has called on the government to use some of the HK$50 billion start-up fund to subsidise the higher premiums for people with pre-existing conditions. But the government official said that was unacceptable.

"The purpose of insurance is to share risk: what is the point of selecting only the healthy people in the pool? Before asking the government to commit to any subsidy, the insurance companies have to do their work in cost control first," the official said.

The government has also, for the first time, revealed some key ingredients for a "basic" voluntary medical scheme:

Clear, standard coverage and benefits large enough to pay for medical services in the private sector; Standardised claims structure providing packaged benefits for certain kinds of operations or illnesses, for higher transparency and predictability, such as fixed compensation for operations and hospital stays; Transparent premium adjustment mechanism; Savings element to encourage people to get prepared for their future medical expenses;



Various incentives to encourage policyholders to stay with their plans. For example, insurance companies should not terminate plans after claims or policyholders' retirement, and should provide no-claim benefits and discounts for those who enrol with the plan earlier; 
Insurance companies must share risks with each other through reinsurance; 
Patients will be required to pay part of the medical bills to avoid abuse of services;
Insurance coverage is limited to local medical expenses only. 


The official said the move by the insurance sector to remove exemptions for mental or congenital diseases has very limited benefit for the overall population. "People suffering from these diseases make up a very small portion of the population. Only a very small number of mental patients require hospital care and there is no such service in the private sector," the official said.

Difficult to cross Singapore roads

Singapore roads are wide. Vehicles travel quite fast, unless they are caught in a jam. It is difficult to cross the roads, especially for older people. The overhead bridges and traffic lights are not conveniently located and require a long walk.

The former athlete, Tan Eng Yeow, was knocked down and killed while crossing Upper Thomson Road, close to where I lived previously.

I prefer the traffic situation in Vancouver. In the city, there is a low speed limit. Most vehicles travel slowly. The drivers are courteous.

Toxic products and traffic control

Someone told me an interesting analogy.

The Authority allowed the toxic products to be sold but require the issuer to put into a statement into the prospectus, "This product carries risk. You may lose some or all of your money".

It is similar to making a statement, "If you are on the road, you may be knocked down by a vehicle". After making this statement, the Authority does not need to control the behavior of the drivers and the vehicles on the road, i.e no need for traffic controls, rules or their enforcement. After all, the Authority has discharged its responsibility by giving the warning.

Tan Kin Lian

Switching between guaranteed and investment linked returns

Over the past years, insurance agents have earned high commissions by getting their policyholders to switch from guaranteed to investment-linked returns and back again.

When the stock market is hot, they tell their customers to move to investment-linked returns by enticing them with high projected values (which were not guaranteed). When the stock market fell, they tell their customers to move back to guaranteed returns.

Each time that the customer took the advice to make a switch, the insurance agents earn a high commission on the new policy that was sold. The customers were not aware that they were exploited and given poor financial advice. They were "taken for a ride", time and again.

An ethical agent will advice the customer to stick to the existing policies. They can invest additional savings in the new policy, rather than move the entire savings from an existing policy to a new policy.

If you have been misled by an agent using this technique in the past, you can send an email to kinlian@gmail.com

Tan Kin Lian

Watching EPL in 2010

Singtel will take over the broadcast of the English Premier League in 2010 for 3 years. Soccer fans have to switch over to the Mio platform. Many homes will have to run two sets of cables to watch the TV channels provided by Singtel and Starhub. This is a costly and wasteful exercise.

Starhub has offered to run the EPL channels for free. I hope that Singtel will accept this offer and save the subscribers the hassle of running a new set of cables. It was also save Singtel the headache of handling large numbers of subscriptions, which is likely to lead to technical and customer service issues.

Here are the results of a survey carried out a few weeks ago. Among the soccer fans, 61% will switch over to Singtel but 39% will give up their sports subscriptions. 77% prefer that the EPL channels be made available on both platforms.

Tan Kin Lian

Resort World Sentosa

If you visited Resort World in Sentosa during the past few days, please share your experience here.

I have received a few negative comments, i.e. the resort is patronized mainly by foreign workers. Singaporeans are deterred by the $100 entrance fee.

REX mentioned that it is uncomfortable and hot to watch the shows in Universal Studio. I am surprised that the shows are performed outside. The heat is likely to deter visitors. We already had failures in Haw Par Villa, Tang Dynasty City and other theme parks - did not not learn from our past experience?

Someone circulated an e-mail with an image of the Straits Times photo, showing many visitors lying down at the entrance. He asked if this is a resort or a refugee camp?

Perhaps, we can have some positive comments?