Saturday, February 11, 2012

1Care, who are those our government cares?

I read the post from #taknak1care on Facebook, lead me to search briefly articles on Thailand's Universal Healthcare scheme.

I just want to do a simple comparison between the 2 countries on GDP and population, which is relevant to allocation of healthcare budget. To start with:

CountryGDP 2010(USD billion)Population 2010

What I am trying to show here is, given GDP over population, Malaysia has higher ratio, which means if tax are the same for both countries, Malaysian government would have collected more tax income than Thailand.

If the Malaysian government grumbling about not able to sustain high healthcare cost therefore 1Care is to ease the government burden, then we should ask if whether tax collected by the Malaysian government is spent wisely or otherwise.

Or it is just another proof that the current administration even more corrupted than the well-known corruption in Thailand that Thailand can still afford 30Baht healthcare project (see below), whereas we need to pay 10% of our income monthly to sustain our healthcare system.

Furthermore, Thailand's Universal healthcare scheme is not mandatory, citizen join the scheme will be given an identity allowing them to enjoy general healthcare, those who did not join have to foot their own medical bills.

This make me wonder what has gone wrong with the current administration?

Thailand's Universal Healthcare scheme

except from the above:

The majority of health care services in Thailand is delivered by the public sector, which includes 1,002 hospitals and 9,765 health stations. Universal health care is provided through three programs: the civil service welfare system for civil servants and their families, Social Security for private employees, and the Universal Coverage scheme theoretically available to all other Thai nationals. Some private hospitals are participants in these programs, though most are financed by patient self-payment and private insurance.

The Ministry of Public Health (MOPH) oversees national health policy and also operates most government health facilities. The National Health Security Office (NHSO) allocates funding through the Universal Coverage program. Other health-related government agencies include the Health System Research Institute (HSRI), Thai Health Promotion Foundation ("ThaiHealth"), National Health Commission Office (NHCO), and the Emergency Medical Institute of Thailand (EMIT). Although there have been national policies for decentralization, there has been resistance in implementing such changes and the MOPH still directly controls most aspects of health care.

Thailand introduced universal coverage reforms in 2001, becoming one of only a handful of lower-middle income countries to do so. Means-tested health care for low income households was replaced by a new and more comprehensive insurance scheme, originally known as the 30 baht project, in line with the small co-payment charged for treatment. People joining the scheme receive a gold card which allows them to access services in their health district, and, if necessary, be referred for specialist treatment elsewhere. The bulk of finance comes from public revenues, with funding allocated to Contracting Units for Primary Care annually on a population basis. According to the WHO, 65% of Thailand's health care expenditure in 2004 came from the government, while 35% was from private sources.[4] Although the reforms have received a good deal of criticism, they have proved popular with poorer Thais, especially in rural areas, and survived the change of government after the 2006 military coup. Then Public Health Minister, Mongkol Na Songkhla, abolished the 30 baht co-payment and made the UC scheme free. It is not yet clear whether the scheme will be modified further under the coalition government that came to power in January 2008.[5][6][7]


  1. My sister-in-law,who is Thai;just back for cancel treatment, only paid 30Baht!

  2. My sister-in-law,who is Thai;just back for cancel treatment, only paid 30Baht!

  3. Hello 吉蒂: the question is, with population about 3 times and GDP only about 0.5 times, Thailand can do it, why not us?

    This means, our leakage is very much worse than we are expecting. The government owes us an explanation.

    I am not against any scheme, if it is affordable, and not mandatory. But any scheme forcing everyone including new born and those who have no income (how to contribute 10% for these group of people?), then it is blatant daylight robbery.

    Might as well rob the bank than milking us if they want to be rich fast

  4. It is not the first time the elites who are holding power keep stealing wealth from the people. The national reserve must have already emptied otherwise they won't turn to the people. We must protect us from day light robbery. Thanks for showing the data to point out the flaw of so called "1Care". The only way to keep us from being robbed is to continue educate ourself from time to time. Stay alert and spread the words to friends and relatives. Keep up the good work Chin Yau.