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Renovate Your Home, Not Your Wallet: 5 Essential Tips!

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I’ve seen what happens to old houses and flats. It’s like that documentary, Life After People, with the added misfortune that you’re around to see it. Take my buddy Aaron for instance: his interior decor is so old his grandpa saw it and got flashbacks to World War II. Or my newly-wed cousin, who recently bought an old terrace house; there were more things growing on the walls than in the garden. Yet they’re both hesitant to make changes, for the same reason: renovation is expensive. Well not any more. Behold, MoneySmart’s guide to affordable renovation!

“Is now a good time to tell you we’re in the wrong apartment”

1. Don’t Use Wallpaper

Wallpapering is, at minimum, 30 percent more expensive than painting. There’s an army of painters in Singapore, who will paint a four room flat for around $1200 – $1500. That includes the cost of the paint. Wallpaper, on the other hand, costs around $300 per roll (1.06m x 15.6m). You’d need about five to eight rolls for the average living room. And then you’d pay around $150 – $250 for installation.

On top of that, wallpaper raises your maintenance costs. If the sun hits the same spot too often, or the weather is too humid (and when isn’t it!), wallpaper starts to curl. Sometimes it also changes colour, and pretty soon it has all the texture and charm of Grandpa’s phlegm.

Oh, and wallpaper rips if you so much as stare at it too hard: a light bump will leave a tear the size of the Grand Canyon. When that happens, most people end up replacing all the wallpaper, not just the one spot. Why? Because the design they bought years ago is probably not available any more.

Spare yourself the agony; just paint the walls.

“There is no such thing as low res wallpaper okay? Now get the cheapest!”

2. Check the Renovator’s Qualifications

You need to hire an Interior Designer. Not a general contractor. Not an interior decorator. They are not the same. Interior designers are the ones who have passed actual, architecture-related exams.

Apart from showing off doodles on an iPad, they also know about plumbing and electrical wiring. Most importantly, they have no interest in making you buy the most expensive junk possible. Because unlike many contractors or decorators, they don’t get a cut from the stuff you buy. And because they have a portfolio job, they actually have something to lose if your house looks like an industrial accident.

Ask the renovators if any of them are interior designers. If they’re all contractors, and they’re offering “free interior design”, don’t walk for the door. Run.

Super Mario themed room“My budget designer says it’s very Italian.”

3. Don’t be Traditional

As a general rule, the cost of your renovation gets higher as your home gets more traditional. Contemporary styles are cheap for two main reasons.

First, they tend to be quite minimalist. Furniture will be cheap, because everything from IKEA will fit just fine. You won’t need antique older-than-grandma study desks or something. You can even get away with a few unfinished floors and walls. Decorations don’t get more elaborate than an obsession with glass and chrome (both quite cheap).

Second, contemporary homes have very straightforward colour schemes. Black, white, and red summarizes most of them. Traditional homes need varying shades of colours, wall motifs, maybe even wood panelling. Think of the difference between the inside of the parliament house, and the inside of the IKEA show house.

4. Ask for Custom Furniture

No, really, it can be cheaper.

Furniture shops aren’t too keen on selling individual chairs and tables. Unless you buy furniture sets, you won’t be getting the best deal in the shop. So rather than buy their coffee table at an insane price, just ask your interior designer to build one. Usually, they can build something quite close, for about half the price.

What’s that? Your renovator doesn’t know how? That’s strange. That sounds like something an interior decorator might say (see point 2).

Sleeping at IKEA“Don’t wake the showroom visitors! Pick his wallet and charge that bed.”

5. Minimize Carpeting

One of the original purposes of a carpet was to retain warmth. Another was to stop you sitting on the soil. You live in a house in Singapore. Neither reason pertains to you.

Carpets are very expensive stain magnets. Depending on the kind of material and stain, your cleaning costs can range from $400 to $2,500 (for the average living room carpet). Carpets also tend to tear and discolour.

Carpets are one of those luxury items you can do without. Save yourself the hassle and the money. Stone or vinyl floors look plenty attractive on their own.

Need Help?

If your house is in desperate need of renovation, or you are thinking of renting/selling your place and need some financing, you can always head on down to SmartLoans.sg. They’ll help you out with getting your renovation loan for free!

Are you renovating your home? Comment and tell us how much it costs!

Image Credits:
Freecall Property Services, Apartment Therapy, Furtherfield, Lily’s Antiques

Singapore Advocacy Awards falls victim to DRUMS day after launch

The following is a press release from the Singapore Advocacy Awards.

Senior government leaders in Singapore warned in late 2013 of a dire threat to the nation in the form of misinformation on the internet, which they termed DRUMS (Distortions, Rumours, Untruths, Misinformation and Smears). They noted that this could weaken the country’s resolve and cause disunity.

The Singapore Advocacy Awards (SAA) has become the latest victim of this scourge, a day after it was officially launched.

An unidentified party set up a Facebook page on 7 January, appropriating images and content from the official SAA Facebook site and passing off the fake site as the real one. The majority of the more than 1,000 “likes” on the page were directed there by well-known troll site “SMRT Limited (Feedback)”, itself a fake website purporting to represent the Singapore public transport operator.

While most of the content duplicates what is on the official site, important information such as the date for nominations and nominations received differs from the official version.

The Organising Committee of the Singapore Advocacy Awards is closely monitoring the matter and considering if it should take action.

Said committee chair Constance Singam, “I still can’t believe someone designed an entire fake site for this award and put it up so soon after the launch. The fake page looks almost like the real thing, except with spelling and grammatical errors. Civil activism has long been ignored and neglected in Singapore. The fact that someone feels this is important enough to put in such hard work to troll gives us great hope for the future. Whoever did this should certainly be nominated for the award, the real one, for their contribution to raising public awareness. If I find out who they are, I’ll treat them to a pot of my famous curry. Good job!”

Committee treasurer Fong Hoe Fang, however, had some concerns. “Do we need to pay them for designing and hosting the page? Everyone knows that civil society organisations, from the ones helping battered women to those assisting exploited workers, are always short of cash. Tell them we don’t want the fake site if they ask for payment. They don’t know we got tight budget meh?”

Possibility of court action not ruled out

Said committee member Yap Ching Wi, “This is a very serious issue and the committee is considering taking the matter to court. In fact, our committee members Noor Effendy Ibrahim and Siew Kum Hong are on standby to book the badminton courts at Hougang Sports Hall and Toa Payoh Sports Hall once the trolling party responds with the desired time they would like to face us. We will probably lose the match because of our age but adversity and overwhelming odds have never discouraged Singapore civil society activists in the past.”

Added Fong, “Make sure you tell them that we can only see them in court weekdays 7am to 6pm, when rental is $3.50 per hour.”

Related Information: What is Civil Society?

Public understanding of the term “civil society”, like civil society itself, is not very developed in Singapore for a variety of reasons.

An academic definition of “civil society” would be “non-governmental organisations, institutions and individuals that manifest the interests and will of citizens”. Or to put it another way, civil society includes anyone who is not part of the government who is out there helping others and making society better.

“Civil society” is not a “society” in the sense of the Thye Hua Kwan Moral Society, the Society for the Prevention of Cruelty to Animals, the Singapore Cancer Society, or even the Dead Poet’s Society. However, all of these organisations (and many more) are part of a larger “civil society”.

The Singapore Advocacy Awards is an effort by a broad cross-section of civil society players to recognise organisations and individuals from within the civil society space for excellence in making Singapore a better place (please visit the SAA website, the real one, for the rationale and the criteria).

Getting an award from the government is, of course, very nice. We understand that most even come with a free dinner. On the other hand, getting recognition from one’s peers, those who best understand the challenges and difficulties of advocating for positive change in Singapore, is, in every sense of the word, priceless.

The smell of money

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When it comes to smelling, chasing and pocketing money, Singapore has a way of punching above its weight. Ideology and principles take a back seat, human rights violations are not a bother and chaotic politics are not an issue. It is the honey pot at the end of the rainbow that matters.

Singapore’s business-minded government, its diplomatic corps well groomed in finding that next goldmine and the seamless way its politics mixes with business are all plus factors.

The newest honey pot is up in the northern tip of the world — in the Arctic Ocean — where the melting ice is opening up mouth-watering opportunities to exploit abundant supplies of oil, gas and minerals.

A recent U.S. Geological Survey estimates that 22 per cent of the world’s oil and natural gas could be hidden beneath the Arctic Ocean. There are also large gold, iron and zinc deposits in the region, not to mention the supplies of fish that can be found in the area.

Despite its small size, Singapore has just been accepted as an observer-member of the Arctic Council, an important toehold for a country that has been in perennial pursuit of new economic activity after the traditional sources – the U.S., Europe and, to a lesser extent, China – have started to dry up.

In addition to Singapore, the other nations granted observer status at the Arctic Council are India, Italy, Japan and South Korea.

Singapore’s interest in the area surfaced seven years ago when one of its government-owned companies, Keppel Corporation, signed a S$135 million deal to build a floating storage and offloading system for a leading Russian oil company.

A Keppel statement at that time said: “The system is designed for operations in cold temperatures of up to minus 20 degrees Celsius in ice thickness of 60 cm.”†

Outside of deals like this, Singapore’s long-term interest is in making sure that it is not left out of the action if the Northern Sea Route becomes viable. Once just a wish, the route is now seen as a viable option to the traditional passageways of the Indian Ocean, Suez Canal and Mediterranean, especially during the longer summer months brought about by the effects of climate change.

More ships are already beginning to use the Northern Sea Route. Three years ago, only four ships carrying 111,000 tons of cargo made the northern journey; by last year, the number of ships had jumped to 46, carrying 1.26 million tons.

“As a small low-lying island state that relies on sea-borne trade, Singapore can be greatly influenced by what happens in the Arctic region,” Senior Parliamentary Secretary for Foreign Affairs Sam Tan said at the meeting where the country was accepted as an observer member late last year.

Another source of rich picking on the money trail is the vast riches of the South Asian diaspora, whose middle class is hitting one billion.

Last year, Singapore rolled out the red carpet to this group by holding its second convention on the South Asian diaspora. When the first conference was held in Singapore in 2011, Ambassador Gopinath Pillai said, “We hope that the conference will help the diaspora look at Singapore as a convenient venue where they can meet, interact and use as a base for future activities.”

“The conference would project Singapore as a modern city, Asian in its outlook, where the South Asian diaspora can fit in comfortably,” he added.

Government leaders and agencies are all behind this effort, with Prime Minister Lee Hsien Loong opening the 2011 conference and his deputy, Teo Chee Hean, doing the honours at this year’s event.

Ministries of Foreign Affairs and Trade and Industry, International Enterprise Singapore, Singapore Tourism Board, Economic Development Board and the Monetary Authority of Singapore have all been roped in to make the conference a success.

As Singapore faces domestic pressures from its public to open up space at home, its outreach into faraway lands and its ability to bring together people with business potential show no lack of vigour.

Hospital Shame

The Independent Singapore did an interview with Dr Tan Lip Hong on the bed crunch at some of our hospitals, with the Changi General Hospital setting up an air-conditioned tent to accommodate patients. Dr Tan has worked as a GP in the heartlands for the past 19 years. He is also one of the authors of the Singapore Democratic Party’s healthcare plan.

What was your first reaction when you read this?

I am not surprised by this report.

Why?

The Singapore government has been under-investing in healthcare infrastructure for decades. Our hospital bed to population ratio is way below that of developed country standards. And these standards are calculated based on resident population. Given that our non-resident population is 30% of our total population, this would mean that the our problem is even more dismal.

The total population of Singapore has increased by at least 35 per cent in the last decade, yet the total number of hospital beds has remained more or less constant.

The Health Minister has said that the ministry is aware of the situation, but said the extra beds will only come on-line in 2020 – in seven years’ time!

What can be done in both the short term and long term to prevent a similar situation from happening?

The government has started to build more hospitals. If there are no delays, the Ng Teng Fong hospital (700 beds) will be operational in 2014 and the Sengkang Hospital (500 – 600 beds) will be ready in 2018. These are very long lead times (Mount Elizabeth@Novena; a $2 billion 333-bed private hospital was built in just 3 years. Even with these two new restructured hospitals built, our hospital bed : population ratio will still be way below OECD norms.

We clearly have to put in more resources on increasing the number of our hospital beds. The SDP Healthcare Report has recommended about $1.5 billion a year to be spent on expanding infrastructure and manpower until sufficient capacity is achieved. Realistically, we need to almost double the number of hospital beds to reach an acceptable number.

I was at the Changi hospital, where the tent stands as a sore thumb, over the past week visiting a relative, and the A and B1 class beds were only about half filled. To fill A class beds, our restructured hospitals actually send missions to Myanmar, the Middle East and Africa to advertise our services.

At the out-patient level, appointments for B and C patients can take months, whereas those for A class patients only take a week.

There is clearly a very inefficient use of our current resources.

In the shorter term, taking into account our severely-stretched resources, restructured hospitals should no longer be in the medical tourism business and should concentrate on providing care for citizens. There should be only one standard of care. Private healthcare should be provided by private hospitals. This would leave our public hospitals with increased capacity to deal more efficiently with over-crowding.

However, the longer term solution for our bed crunch problem is to recognise the fact that we do indeed need more hospital beds urgently and the commitment has to be there to pour sufficient resources to providing these beds urgently.

Who will PM pick for Aljunied?

By Augustine Low

The more you think about it, the more it appears that Aljunied GRC is presenting the PAP with one big headache. The GRC system seemed like such a foolproof way for the PAP to secure its dominance. Who would have thought that it would end up haunting it, with that one loss opening up a can of worms?

As we inch ever closer to the next General Election, which could well be next year, Singapore’s 50th year of independence, the PAP needs to have its strategy in place real soon. How it plays its cards in Aljunied GRC will have wide-ranging implications, and will demonstrate the Party’s state of mind.

Will it be courageous and gutsy? Or will it cower and cut the risks?

Headache No. One: The Disappearing Act

All five losing candidates from the PAP team have joined the private sector. Four have confirmed that they have quit politics for good – George Yeo, Lim Hwee Hua, Zainul Abidin Rasheed and Cynthia Phua.

The fifth candidate – Ong Ye Kung – has not officially ruled out a return to politics. But the fact that he left his deputy secretary-general’s post at NTUC to join Keppel Corporation leaves a big question mark on his political ambition. And even if he returns, he might not be fielded in Aljunied GRC, given that he was touted to be of Ministerial calibre and the Party would want to ease him into Parliament.

All in, the disappearing act of the Aljunied team only fuels further criticism that PAP candidates are fair weather politicians who scurry off when the going gets tough. One electoral loss, and they do not have the will and the mettle to make a comeback to reclaim the slate! I can imagine the Opposition having a field day capitalising on this, not just in Aljunied GRC but elsewhere.

Headache No. Two: Go in with guns blazing or with a whimper?

One or two Ministers typically anchor each PAP GRC team. The last time around, the PAP lost two Ministers and one Senior Minister of State in one fell swoop in Aljunied GRC.

Who will it pick to helm the new team? Can it afford to lose more Ministers, who are already such scarce pickings?

But can it afford not to have a heavyweight or two anchoring the team? Fielding a team of newbies without any experienced Ministers at the helm would be an affront to voters of the GRC. It would show that the Party does not have the stomach for a fight. Singaporeans keenly wait to find out.

There is also the question of whether the Workers’ Party will spring another surprise. It took a huge gamble by sending its A-team to contest the GRC in 2011. What if it decides to split up its Aljunied GRC team to try and claim other GRCs? If the PAP trains its big guns on Aljunied, will it risk having depleted resources to defend other GRCs?

It’s a question of damned if you do, damned if you don’t. One dilemma after another confronting the PAP!

Headache No. Three: Managing Morale within the Party

Why me? Dispensible? Suicide mission? Lamb to the slaughter? It is entirely understandable that any experienced Minister or MP would not relish being arrowed to be part of the PAP team for a most formidable contest.

PM Lee would have his work cut out trying to manage morale and assuage feelings of those being yanked away from their comfort zone. Perhaps the likes of Hri Kumar, who has been fiercely critical of WP, would volunteer to take up the fight. This would make PM Lee’s task that little bit easier. But the rest of the candidates? Choose the most able or the most dispensible?

One battle plan may be to send the ex-army general Chan Chun Sing to lead the PAP charge. His Tanjong Pagar GRC has had a walkover in every GE, and if he pulls off a glorious Aljunied victory, it would cement his credentials and credibility to be the next PM. But with PM Lee’s track record of aversion to risk-taking, I wouldn’t bet on it. Defeat would be oh so devastating.

End of the golden film Run

by Tan Bah Bah

Run Run Shaw’s death brought to close an era of giant East Asian film-makers. Reports rightly describe the most productive period of the legendary Shaw brothers as part of the Golden Age of Hong Kong films. They also pioneered Malay film production in Singapore and Malaysia.

We may never see the likes of these unusual giants, as today’s more successful businessmen seem to be cut from the same cloth of property investments, oil-trading and corporate takeover manoeuvres. I can’t imagine any major private risk-taker putting his money into producing a film like The Titanic or Blade Runner (which incidentally was a Shaw production).

But guess who people will remember years down the road. Not your typical property tycoon but creative people like the Shaw brothers, Loke Wan Tho (Cathay Studio) and Raymond Chow (Golden Harvest). All have brought such pleasure and hours of cinema escapism to millions of film buffs in Asia.

For the record, there were four Shaw brothers. Runje Shaw started it all in Shanghai in the early 1920s. He was later joined by Runde and Runme and then Run Run. Runme was behind the launching of their chain of cinemas in Singapore. Runde went over to help organise their cinema business. Run Run subsequently arrived in 1957 to build a new Shaw studio. Thus began the Golden Age of Hong Kong films.

The rivalry between Cathay and Shaw and between Shaw and Raymond Chow fuelled the production of some of the best and most memorable martial arts films the world is ever going to see. Shaw popularised the genre. Among the films were The One-Armed Swordsman, Five Fingers of Death and The 36th Chamber of Shaolin. Jimmy Wang Yu was the standout swordfighter hero of the day until the entry of that king of all kungfu fighters – Bruce Lee.

Bruce was the superstar who propelled Raymond Chow, who used to work for Shaw, into an orbit of his own. Shaw ventured into TV production and had its highly successful TVB, the first wireless commercial TV station in Hong Kong. Some of the biggest filmstars and entertainers of Hong Kong cut their teeth on TVB.

Run Run Shaw and his brothers were remarkable for their impact on the lives of so many millions. From what I have read and known, they began with nothing more than a dream. They seemed to have an interesting mix of joie de vivre, frugality, ambition and a sense of wanting to give back to the community.

With ambition, they built an empire but they were never showy in that they did not need monumental structures to remind others of their achievements or status. I was a film reviewer when I was with the SPH group and I used to visit one C. Y. Chen, who was the Shaw’s media liaison person at that time. The office was a nondescript building in Robinson Road. The rooms inside the building were even more normal. Everything was functional.

Run Run, in particular, obviously enjoyed his job. He was ever willing to pose for photo-taking with his bevy of film stars.

In their quieter ways, the Shaws should be equally known for their generosity. The Shaw Foundation has dispensed millions of dollar to deserving charitable and other causes.

Perhaps the era of the Shaws may never return. These are boardroom-run days. Everything is operated on hard-headed consensus. What do you think will be the reaction should the deputy chairman of the board one day put a plan on the table and ask: “I have this plan to build a studio in outer space.”

He will be probably be kicked out at the next meeting.

But I ask: Why not? We have a scion of a local billionaire who has gone into film production and done well at that. He should have the resource to build a studio and make his lasting mark on the film industry.

Project Jewel: The hype we can do without

By Elvin Ong

A mini controversy has erupted over the development of Project Jewel at Changi Airport. First announced in Prime Minister Lee Hsien Loong’s National Day Rally speech in August 2013, a recent media statement about its impending construction through a tie-up between Changi Airport Group and CapitaMalls Asia has attracted much attention.

The Straits Times wrote an editorial, Project Jewel must really glitter, hailing it as a further example of the government’s far-sighted policy making. It touted the project as a “game-changer” that will allow the airport to compete for the “discerning traveller” with other expanding air hubs in South-east Asia such as Kuala Lumpur and Bangkok.

Yet, some have expressed scepticism and concerns at yet another shopping mall in the already-crowded Singapore. A letter to the paper suggested that its $1.47 billion price tag was not worthwhile, given that it could end up as another of Singapore’s many “vanity showpieces.” Changi Airport Group reiterated in its reply that Project Jewel was designed to be a “game-changer” in order to “capture mindshare at a global level.”

Rather than continue to debate the obvious merits or demerits of Project Jewel itself, it is probably more important and insightful to address the underlying assumptions and tensions in perspectives between the earnest developers and the common Singaporean. While discussions about cost-benefit calculations are certainly important, they merely scratch the surface of any policy considerations. We can, and should, move beyond the most obvious.

As a start, it is fascinating to observe the type of words that Changi Airport Group has used in its media releases to publicise the project. Students of business marketing and public relations will be familiar with terms such as “game-changer,” “mindshare,” or “discerning traveller.” The competitive tender process among developers to market to Changi Airport Group as one kind of project (in this case Project Jewel) as opposed to other possible projects in order to be competitive with rivals (in this case rival airports) induces the need to generate words that caricature phenomenon and people. Hence, a new modern architecture becomes a “game-changer,” the act of thinking becomes “mindshare,” while the high-spending tourist becomes the “discerning traveller.”

Yet such words distort, misinform, and ultimately mislead, more than they enlighten. There is no elaboration on how the competition between airports will be changed with a “game-changer” like Project Jewel. There are no detailed explanations of “mindshare at the global level” along with any valid and reliable measurements of it. Moreover, it is not entirely clear that a larger “mindshare” is necessarily positive.

While the Burj Al Arab and the Burj Khalifa may capture lots of “mindshare” for Dubai, many people are aware that the country can only afford them because of oil revenues from other parts of the Middle East and the continued gross exploitation of migrant workers primarily from South Asia. Does Singapore want to be lumped into the same category? Arguably, a really “discerning” traveller would scoff at such simplistic attempts to lure his tourist dollar through crass consumerism.

In addition to the fact that such obfuscating descriptions are bad enough on their own, the analysis becomes more depressing when we consider how they permeate and translate into public policies for urban development. Not only do the pervasiveness of such rhetoric diminish other arguably more appealing values in urban planning such as environmental sustainability, family friendliness, or equitable access, their unconditional acceptance also means that any project’s negative consequences are routinely and wilfully ignored. The construction of yet another “iconic lifestyle destination” probably means that we have to import even more foreign construction workers when many existing construction workers in Singapore are already toiling away for the various massive government infrastructure projects.

With many of the current workers already accommodated in questionable living conditions, has there been any consideration for more and better housing for these foreign workers? What about their social integration into the country? Furthermore, the completion of another shopping centre probably means that we have to import more foreign workers under the S-pass to man the various leisure and shopping facilities given that many young Singaporeans actually do not aspire to become another sales assistant. There does not seem to be any consideration that the retailers who fill the shop spaces will probably continue with their existing low-productivity service operations, or that many of the jobs created will be similar low-paying service jobs.

These possible negative outcomes expose the reality that seemingly innocuous and simplistically attractive development projects like Project Jewel actually are in direct conflict with our current national imperatives to calibrate foreign labour immigration, develop a new social compact to mitigate rising inequality and socially integrate everyone already living on this tiny island. Another “iconic landmark” designed by a “world renowned architect” can add more fuel to the existing fire of social tensions that already threaten to tear the social fabric of this country as much as it can be imagined to “generate good jobs” or “capture tourism mindshare.” In this sense, then, the modernity of urban redevelopment in the form of another shopping mall is in direct conflict with, rather than supports, the continued social sustainability of Singapore itself.

Just to be clear, one should never be opposing just for the sake of opposing. Terminal One’s carpark is ripe for redevelopment to accommodate more. The question is in deciding more of what, and the values and principles that we bring in approaching that decision. The board and management of Changi Airport Group lost the opportunity to create a uniquely humane, sustainable, innovative and equitable redevelopment project by further losing themselves in marketing and PR rhetoric to choose to develop yet another plain old shopping centre with a man-made waterfall.

Elvin Ong is a PhD graduate student in the Department of Political Science at Emory University. He is a graduate of Singapore Management University and holds an MPhil in Politics (Comparative Government) from the University of Oxford.

Like in a Third World country

It was like a scene in a hospital ward in a third world country. But this was in the Changi General Hospital in Singapore, a country touted as one with excellent medical facilities.

The Straits Times Page One story and picture tell of  a hospital that has gone to extradordinary lengths to meet an emergency bed crunch. It is housing patients waiting for beds in a large air-conditioned tent. Tan Tock Seng Hospital is putting them in beds on corridors of  its wards.The hospital bed crunch is not new. Three years ago, when similar reports surfaced then Health Minister Khaw Boon Wan promised that Singapore will never be caught in such a predicament again.

What happened to the promise? And how did efficient Singapore get caught with its pants down in such an embarrassing way?

Dr Paul Tambyah told The Independent Singapore: “Hospital bed crunches … are a natural consequence of a healthcare model that depends to a large degree on payments from employers and patients. As such, there is a great reluctance to build “excess” or surge capacity. While “bed crunches” do occur in under-funded government systems without adequate resources, most developed countries with mandatory universal health insurance such as Germany or France traditionally do not have such problems.”

Hospitals out of bed, again

It is a field day at the local hospitals. Most of them have ran out of bed to house incoming patients, with patients in Changi General Hospital waiting for more than 24 hours for a bed.

The hospitals have resorted to housing patients in makeshift beds and in corridors, or sending them to other hospitals.

This is, however, not the first time public hospitals face a shortage of hospital beds for their patients. In 2010, similar reports have surfaced. Mr Khaw Boon Wan, the Health Minister then, said Singapore will never be caught in such predicament again.

Mr Khaw once described that the opening of Jurong General Hospital (even with the closing down of Alexandra Hospital) would bring in an additional 400 beds to the local hospitals in 2014.

Alexandra Hospital is the last few remaining public hospitals with spare beds and they take in around 11 such patients every day. Dr Chia Shi-Lu, part of the Government Parliamentary Committee for Health, believes that this is due to the holiday season, and not a spike in illnesses.

Health Minister Gan Kim Yong said he would be pushing to add 1,900 more acute hospital beds and 2,600 community hospital beds by 2020.

Mental health: More needs to be done

While a majority of children in Singapore have better material comforts than their counterparts elsewhere, studies on their mental health are not so encouraging

When some international surveys [read Gallup] proclaim that Singapore is the least emotional country in the world, the common rebuttal is because life here is tough, residents are too stressed to care. But if this stress is being transferred to the younger generation as well, it’s time to take note, and may be, initiate corrective actions.

Few years ago, a study had indicated that while one in eight children in Singapore have emotional disorders, and one in 20 have behavioural disorders, only 10% ever see a psychiatrist. The study, “Emotional and behavioural problems in Singaporean children based on parent, teacher and child reports,” also noted that up to 17.2% of primary school children have symptoms of depression. [Woo et al 2007 Singapore Med J]

In another study of 600 children aged between 6-12 years, “Suicidal behaviour in children and adolescents – prevalence and risk factors”, done by doctors of the Institute of Mental Health (IMH), Singapore, it was reported that 22% of those surveyed indicated having harboured suicidal tendencies. [Liew et al, 2009]

Daniel Fung, chairman of medical board at the Institute of Mental Health (IMH), in his presentation “Child Psychiatry without Psychiatry: developing a comprehensive youth mental health system that is cost effective for Singapore”, at the 8th public health and occupational medicine conference discussed the issue recently.

While discussing the state of mental health disorders in children, Fung noted the rise in number of cases from 533 in 1980 to 3051 in 2010. Fung also noted the number of potential patients with mental health disorders among children to be more than 87,000 as the population below 15 years stands at 878,148. [assuming 10 percent prevalence]

Fung has also co-authored a book, “Feeling blue – a guide to handling teenage depression,” with Rebecca Ang and Carolyn Kee. The authors have noted the worrying trend of young suicides over the last decade in Singapore.

Another startling figure comes from the IMH’s Reach scheme, which set up as a hotline for schools in 2007. The numbers of calls to the hotline reached over 8,000 in 2011 from a modest 306 in its initial year. Even the number of children refereed to Reach by schools rose to 739 from just 14 in the same four years.

Reach or Response, Early Intervention and Assessment in Community Mental Health, is a mental healthcare service, set up to work closely with schools, voluntary welfare organizations (VWOs), and general practitioners (GPs), to help students with emotional, social and/or behavioural issues within the community,” informs the Health Promotion Board.

While some increase in the number of cases reaching Reach can be attributed to the helpline being extended to more schools, studies by the IMH do indicate a worrying trend.

 

Click here to learn more on HPB advisory for your child’s mental well-being.

Credit: http://newzzit.com/stories/mental-health-more-needs-to-be-done