公仔箱論壇 - Powered by Discuz! Board

標題: [時事討論] 为什么我们要拒绝“1Care健保計劃”？ [打印本頁]

作者: wasimasterQ 時間: 2012-2-7 11:21 PM 標題: 为什么我们要拒绝“1Care健保計劃”？

本帖最後由 wasimasterQ 於 2012-2-7 11:22 PM 編輯 . z8 U! Y$ }! g: D

【为什么我们要拒绝“1Care健保計劃”？】

4 A1 c9 R/ j% U; T" n2 `+ d. L2 F

衛生部總監哈山阿都拉曼去年透露，“1Care健保計劃”會仿效公積金那樣像人民征費。
根據報導，建議中的計劃強制雇主和雇員各繳薪水的10%做健保費，每年限制你只可看6次病。

假設我的收入每個月2000元，10%健保費就是200元，那一年內我就還了2400元，加上雇主的部份，總共是4800元。$ {% L1 }! S; ^9 [5 t4 s- O

但我一年只可看6次病，那不等於說，每次看病的收費高達800元？
tvb now,tvbnow,bttvb) o5 x$ T9 g0 ]
一年的投保費4800元，這太昂貴了吧！不如我自己去買一個健保更划算！

提供人民醫藥服務，應是政府最基本的公共福利服務之一。tvb now,tvbnow,bttvb+ b4 Z  X4 Z: a, _" A' }
人民有獲得政府醫藥服務的權利。但如果现在你接受1care计划，你的收入愈高，你需繳付的健保費就愈高。
但你只能獲得與他人同等的醫藥服務水平。也就是說，你要替政府為他人承擔他人的醫藥費。5.39.217.762 @6 T3 T0 q6 W% ]2 M6 ~6 X' j
這本來是政府的責任，現在卻要全民大家一起來承擔。

說來說去，還是政府沒有錢了，所以只好出此下策。
公仔箱論壇! k4 N, Z9 C* F+ R& C
但如果政府沒有錢，何以在補貼派钱方面仍然那麼大方大手筆呢？
; t; Y0 X5 x$ p6 m; w' `( O* O  i
如果政府強制性實行這健保計劃，我可以想像國家的通膨會將惡化。爲什麽？
雇主無端端要為雇員繳付10%的健保費，等於是增加雇主負擔，提高成本開銷。
這些額外成本開銷是不是要轉嫁給消費者？物價是不是也要跟著高漲？
5.39.217.76% x+ Z0 q- c+ A  k: F
消費者還是我們這些也要繳付10%健保費的人民，薪水再少了10%，隨著物價高漲，人民的消費能力又被剝削，最後受苦的還是人民。

人民繳的費用還不夠嗎？
繳了公積金，繳了所得稅，還有遲早也要實行的消費稅，再來這個健保計劃，我不知人民還剩下多少收入可以過活。0 B; c/ [) |$ j2 p3 Y: C
5.39.217.76% A& }3 C  L/ Y% S5 _. _
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。4 O- ]5 O" c# U" @
注：大馬私人醫生聯合會（FPMPAM）已在網上發動一項運動，號召大家“拒絕一馬健保計劃”（taknak1care），因為它“將剝奪大馬人民的醫藥權利”。

作者: wasimasterQ 時間: 2012-2-12 09:48 AM

TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。; D9 ~" b4 B7 G* v# u" `7 M
虽然卫生部已经澄清，在“一马保健”计划下，人人每个月必须交付的款额还没决定，但是非常肯定的是，除了真正没能力者，人人每个月都必须要交出薪水一部分。

在这种情况下，如果你公司提供很好的医药福利，哪是你为公司服务得到的回酬的一部分，而现在你薪金中被扣的钱就等于是多给政府的税务。
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。6 w' O: H; |" q l H- e0 n
这个社会上，有能力者帮助、补贴低收入群是应该的，绝对赞同，这就是每年缴所得税和其他名堂税务的其中一个目的。

现在很多人给税给得不情不愿是因为看到纳税人的钱没有用在人民受惠的地方。
5.39.217.76& |7 |( F+ U) v& ~7 G0 u
其实如果政府有效管理这些征抽的税务，没有贪污，行政有效率，需要搞出这么多向人民刮钱的名堂吗？不够钱提高征税的比率就是了。

现在纳税人的钱用在哪里？首先我们纳税人需要养这么多的公务员吗？
tvb now,tvbnow,bttvb5 P. P' G5 w( o9 J) J4 a
在不消减公务员人数，有效打击贪污，铲除朋党，停止白象计划，提高行政效率…等等民间“堵烂”了很久的现象还没有改善之前，不要想再搞出什么伎俩来向人民搾钱！
5.39.217.766 t/ P2 Q! x- ^( J& k$ ~
奉公手法的好公民每年辛苦赚钱，然后交付了一大笔税务给政府，政府没有妥善管理这些钱，现在又强制规定人人交付部分薪金充作医药费，这是比 toll钱，“过路费”更离谱的搾钱方式。

TOLL 钱，你不过哪条路不需要给，但是“一马保健”计划下，一网打尽，除非你真的没有工作，否则一定要给，这和用枪指着你抢钱没两样。

作者: ahkeong09 時間: 2012-2-12 10:11 AM

这简直是A钱计划，这种烂政府那里还可以留。

作者: leess20my 時間: 2012-2-12 05:40 PM

简直是痴人说梦话

，他们当全马来西亚人都是笨蛋和傻瓜吗

！！！

作者: gohtk 時間: 2012-2-12 05:54 PM

A New govt idea  that  INVOLVES YOUR HEALTH AND POCKET
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。% _& ?7 U( S2 k' B5 @
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。7 h, ]# ^# K( N

EVERY ONE IS GOING TO BE SUCKED DRY公仔箱論壇8 Y2 _+ [- F7 J3 l, I, f' E; D+ j0 `
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。: G6 M& l, A: T/ N

5.39.217.76/ ]: V* p9 ]6 U, q# p0 n3 @2 `' S
They have been milking Malay-sia dry through EPF, Petronas, Sime Darby, CIMB, Magnum and 3+1D etc etc etc... Now another new scheme to rake in even more!!!tvb now,tvbnow,bttvb/ \* n! p7 }4 e4 X/ X% J, \

TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。: g. o" U, S4 _3 G7 U
This is real. We've had confirmation from president of PMPA (private medical practitioners Association) on this proposed scheme. A public Forum is being held chaired by MB of Selangor at Sunflower Room , Global Business and Convention Centre 8, Jalan 19/1, Section 19 Petaling Jaya on 12th Feb 2012.

Friends,5.39.217.764 |9 S9 B2 d' ?; _' Q$ x. Q# v
We are launching our 1Care Nak Tak Nak campaign. Please give your support byTVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。. _! W* v- [7 r& k% s% e( H
                  1. Attending the public forum
                  2. Spreading the word to encourage your family and friends to attend too.
# v, j' h) N: K. n
The Public Forum will be held at 4pm on 12th Feb 2012, at the Global Business and Convention Center, PJ sect 19, see map attached.公仔箱論壇0 }/ f! ^  J6 s, z  O& E  Y

Please spread the word.

Dr SC Ng
tvb now,tvbnow,bttvb3 s6 v; w% a7 J: m# w5 x' L
Date: Wed, 18 Jan 2012 16:23:11 +0800
Subject: Fwd: Fw: The VERY Scary future?

Salient points - 1Care
1. The government plans to introduce a new healthcare system called 1-Care. It includes an insurance system to fund for healthcare.5 O9 e4 c8 X- k6 J, @& R
" q' T# ^) R% N8 S
2. The National Healthcare Financing Authority will be in charge of 1Care - and it is likely to be turned into a GLC.
# u% y6 W8 J, D( \& z  t8 C
3. Based on available information, every household will be made to pay up to 9.4% of gross household income for social health insurance. The payers will be the individual, the employer and the government via taxes, exact proportion still being worked out)TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。; L: I3 X/ U$ W* x0 m. Z- i
4 Y/ ~) s6 R) I. i3 i# U5 z7 b
9 \" l  T  k/ M- w/ G; ~
4. There shall be no choice. Everyone has to pay. There is no opting out. We have to pay upfront. It will no longer be fee-for-service; it is fee-before- service.公仔箱論壇- F  s" o% y0 \9 W/ i8 |

5. There has been no information on exactly how this payment will have to be made or how the government will collect from self-employed people.5.39.217.76& p' Q, @- V* e8 N$ W! w( x9 v

6. The government will be expected to contribute to the insurance premiums of government pensioners, civil servants and five dependants.公仔箱論壇: q% T4 q/ V& m4 s: |
5.39.217.769 t8 O1 S, A2 ]# f% C
7. But the problem is: 1Care does not cover all your medical expenses. Only for a prescribed basic list of what "you can have" healthcare items. Anything more than basic you will have to pay your own.
1 e* f) `: C4 ~1 `& m" v7 o. v
8. Your long-serving independent family doctor will have to join the system or will not be allowed to see you under the 1Care scheme. The robust, cost- effective independent clinics serving the country will be replaced by 1Care clinics.# T  t$ c1 W1 N& C. t
9. You cannot pick your own doctor. 1Care will allocate a doctor to you.9 d) G: i+ h7 S5 ]" B! M

10. If you want to see a doctor of your choice, you'll need to pay for that from your own pocket. Your allocated doctor will decide when and which specialist you can see if the need arises (a process called gate-keeping).
, k9 \$ S& x% s0 Y% _2 }; U* F* W
11. The NHFA will pay GPs RM60 (present proposal) for each patient as consultation fees. It does not include medicine. Compare this with presently, for cough and cold visit, the GP would charge RM20-RM30 for consultation and medicine. With 1Care: consultation for GP visit is RM60 and this does not include medicine.公仔箱論壇4 Z/ C. h6 T& Q! A( u4 M
12. You cannot see your doctor as and when you feel the need arises. There will be a rationing system in place as well. There will also be rationing for specialist care with the GP as the gate-keeper. Likewise if you wish to see the specialist of your choice or go to a hospital of your choice, unless referred by your allocated doctor, you will also have to pay out of your pocket.

13. Even if you only see the doctor once in a year, you will not get a refund from 1Care. Your medical costs are prepaid in advance irrespective of whether you become sick or not.
You are also expected to make an additional co-payment for your visit. This is to discourage you from seeing doctors too often.

14. You will be prescribed only medicines from a standardised list of not-the- original medicines in keeping with WHO List of essential Medications.. This will save cost for 1Care and maximise profit for the insurance companies. Insurance companies will have major say in the price and the range of this standardise medicine list. It will likely to be the cheapest medicine.TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。$ ~& T1 q% n  f9 W9 Z

15. The doctor will only give you injections. You'll need to get all other medicines from a pharmacist, even if it means hauling three sick children with high fever along a hot, dusty busy street looking for the nearest pharmacy.
5.39.217.76* Z5 w4 H# T" _: t" t, {/ G3 x0 @
16. If you do not like what is given to you, you can get alternative care by paying out of your own pocket.

The Big Picture
******* Each year, we all pay a total of RM44.24 billion a year for healthcare - now called National Healthcare Hospitals and clinics ( an integration of public hospitals and clinics, private hospitals and private GPs. which in essence is a privatisation of public and nationalisation of private healthcare facilities)
******* All this will now go under 1Care.
******* This means 1Care will get almost RM45 billion a year.tvb now,tvbnow,bttvb' u$ A( {% g% k: B' L% v
******* The administrative cost is likely to be 10% or about RM 4.5 billion
The poor公仔箱論壇. A1 j' b' l0 y5 S' y1 t
Who will then care for the poor and the marginalised population when the private and public healthcare corporatize and turned into independent commercial entities each competing with the other for business and profits?5.39.217.76* Y, g  F2 Y. E" H" r8 H
******* Public hospitals and clinics are service-driven will become corporatize/privatise and have to be profit-driven
******* So who will serve the people in remote places?TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。4 X4 {; h, {3 A% A: K0 O5 _
******* Who will serve the very poor people?8 ?6 v# p  R; x7 l- X9 H1 w* k
Situations
What happens when the government introduces 1Care?TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。8 H4 k. Z& z, ]! H+ h  Z/ J4 X& @

The whole system of independent one-stop GPs will be restructured and converted into 1Care clinics like the UK NHS general practitioner system.5.39.217.76- A8 X& ^% J5 m. e7 J7 u
公仔箱論壇9 y( }' D4 S' m5 S7 z
Before:
Ali has always having skin rashes for many years. He has to see his doctor once a month to get treatment. That would mean he will have to see his doctor 12 times a year just for this illness. What if he has other illnesses?TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。* X2 k) ]& p( j
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。& U2 C# @: ]- S& _
Now:
But now, Ali's doctor has allocated only a budget equivalent to six visits a year. Regardless of how many time Ali would need for his yearly treatment. What happens then? A rationing system will kick in. If the doctor sees Ali too many time, his "P4P" (Pay for Performance) profile will be poor and he will be paid less.# x& N4 F& H) {

To start with, Ali will probably cannot just walk in and expect to be treated. He will have to make an appointment. There will be a long waiting list. What if Ali needs to be treated for fever or some painful joints? He will also have to wait for his appointment. If he cannot wait and wants immediate treatment from another doctor he will have to pay on his own. This is what the NHS UK system is offering its patients.  m/ J1 j0 Y' e: w6 e: h+ A( S0 s7 L

Lim has an appointment to see his doctor over a knee ache. Just before his appointment, he has an ingrown toe nail that has become painful. At the clinic, after his doctor treats him for his knee ache, he asks his doctor if he could look into his ingrown nail. His doctor says "No, the system does not allow me to do that. You must make another appointment. This visit I can only treat and bill for your knee ache. 1Care will accuse me of over-servicing my patients. I have no discretion here, all is by SOPs" This is what the NHS UK system is like today.6 G8 _8 o8 u: }5 S
公仔箱論壇! w2 z7 `5 U; o: ~, u. [+ o% |
Mutu lives in a remote rubber estate. One day he had chest pain and went to the nearby 1Care clinic..He has blood pressure problems since young and has had fits. A hospital assistant saw him. Because of a change of his medications to the cheapest not-the-original medications, his blood pressure went out of control and his seizures returned. He developed a fatal stroke and died This is already what is happening when essential original medications are replaced with the cheapest .The cheapest medications is not necessarily the best for the patient and certainly not the safest.tvb now,tvbnow,bttvb9 Q* ^* d8 Q  w8 K. \4 s8 b: m

Every salary man must get a 5-9% deduction from his salary to fund this scheme. This money is taken and gone for good even if you don't see a doctor.

作者: mowchienhung 時間: 2012-2-12 11:03 PM

我坚决反对是因为现有的公务员（包括医务人员）的态度真的很x100000000烂，加
上这样的经营方式，那它们不是更无法无天？？

作者: jiunnlee 時間: 2012-2-13 12:49 PM

我國的政府出名一意孤行...從lynas課題就可見一斑...這樣抽下去,薪水就剩更少了,然後東西就一直漲價,人民投訴部長就出來說人民應該想辦法增加收入(好讓震腐可以吃更多?) 當他們真的實行這個計畫....應該會跟这個國家說bye bye 了

作者: wasimasterQ 時間: 2012-2-13 05:28 PM

Beware of 1CARE..公仔箱論壇: g+ I- @) {7 F4 h. s

TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。" M+ L1 U" l+ x1 I) `
( T/ _ m& N0 Z$ ]; _
Even if you don't care about politics.. this is the result of politics! PPSMI is also the result of politics! If you CARE about the future, you should WAKE UP to the politics of the day. Everything in your life is the result of politics.
WAKE UP!
公仔箱論壇$ G& ^/ d% u; {4 ?% v1 S
pic via: New Straight Times Malaysia [-EL]

作者: hehe82 時間: 2012-2-13 09:08 PM

stupid asshole project, what kind of idiot's project? Useless government = Sucking citizen money !
Limited to 6 times per day + normal illnesses only? WTF, need to pay so much yet get this stupid lousy service?
We can get any normal illnesses for only RM 20 to 50 each time, for RM 200, we can go clinic at least 4 times per month !
Who cares to go to the stupid lousy government service clinic?

作者: wasimasterQ 時間: 2012-2-14 11:40 AM

TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。! d6 f7 W+ m9 L' u. v- C/ Y0 P
5 x( A9 N* o* p- s7 V8 x
雪州行政议员西维尔（Xavier Jeyakumar）指出，通过一马健保计划所取得的是一笔巨额。它甚至直逼公积金局这些年来（积累）的水平，每一年（的积累）是数以亿计的。
tvb now,tvbnow,bttvb5 P- A) Q" c* D& B( P
这样的一大笔钱落在国阵手中，非常叫人担忧，西维尔举例说明，政府已染指雇员公积金，在违反公积金会员利益的情况下，拨出15亿令吉来推动廉价屋业计划。因此，未来难保政府不会对一马健保采取同样的做法。
TVBNOW 含有熱門話題，最新最快電視，軟體，遊戲，電影，動漫及日常生活及興趣交流等資訊。8 {- ~3 t- z( x: L" N7 C
西维尔是公正党籍雪州行政议员，掌管卫生、园丘工人、贫穷与爱心政府事务。他过去曾是执业牙医。

一马健保计划强制雇员与雇主参加社会保险计划，根据薪资缴纳一定的额度，政府届时同样也会支付部分费用。9 {: U+ U6 @0 t L& q
tvb now,tvbnow,bttvb3 [% V8 z: ]) v+ ~+ j3 `4 j
西维尔表示，从过往无数私营化计划的纪录中，民众已无法相信政府真能透过一马健保来达致减缓医药开支。
8 S3 R3 Q: Z* v6 q: h) ^; v
政府历年的记录实在太糟糕，以致无法令人相信它能够妥善管理一马健保计划下，通过课税所取得的庞大金钱。

作者: mkteng1975 時間: 2012-2-14 01:39 PM

自己買的保險還不用付這麼多費用~~~~

歡迎光臨公仔箱論壇 (http://5.39.217.76/)