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新加坡的医疗成本不断上涨,究竟是什么导致的?_我的网站

会痛的十七岁

一 |     

    
Secretary of Defense of the Philippines, Gilberto Teodoro Jr., speaks during the 37th International Military Law and Operations Conference in Kuala Lumpur, Malaysia, on August 3, 2026. Photo: VCG
    Secretary of Defense of the Philippines, Gilberto Teodoro Jr., speaks during the 37th International Military Law and Operations Conference in Kuala Lumpur, Malaysia, on August 3, 2026. Photo: VCG
China's Embassy in the Philippines on Saturday rejected Philippine Defense Secretary Gilberto Teodoro Jr.'s renewed allegations over 70 Chinese workers at a steel plant in Mindanao who were arrested and later released, citing a prosecutorial resolution ordering their release while questioning the military's involvement, the workers' harsh detention conditions and possible selective law enforcement.
The statement came after Teodoro, who was sanctioned by China in June, accused the Chinese Foreign Ministry on Saturday of continuing to evade what he called the "crucial issue": whether the Chinese nationals arrested in the Philippines were involved in illegal activities, and whether Chinese embassy officials have intervened in local law enforcement processes, according to Philstar.
Ji Lingpeng, spokesperson for the Chinese Embassy in the Philippines, directly addressed both questions in Saturday's statement.
Ji noted that a May 28 resolution by Philippine prosecution authorities had found insufficient evidence to support allegations against the workers and ordered all 70 Chinese nationals to be released.
"Yet Teodoro continues to accuse them of engaging in illegal activities in the Philippines. Does he respect the rule of law and the decisions of the judiciary?" Ji asked.
Ji also questioned whether violations of Philippine law should be determined by the defense secretary or the country's judicial authorities.
"Secretary Teodoro's remarks are completely unfounded. They distort the facts and turn black into white," Ji said.
The embassy raised multiple questions about the May operation, which Ji said Teodoro had instructed the Philippine armed forces to join. The spokesperson asked why unarmed workers rather than those responsible for managing the plant had been detained, why only Chinese workers were arrested while Filipino employees were released at the scene, and why the Chinese nationals were transported to Manila aboard a military aircraft.
The embassy also said some workers had been instructed to put on personal protective equipment and pose for photographs during the raid, which were subsequently used in publicity surrounding the case.
Responding to Teodoro's claim that the embassy had intervened in Philippine law enforcement, Ji said anyone with a basic understanding of diplomacy would know that protecting the safety and legitimate rights and interests of its nationals is a fundamental responsibility of an embassy.
"Regardless of the reason a Chinese national is detained, the Chinese Embassy has the right and responsibility to conduct consular visits, provide consular protection, make communication with and demarches to relevant Philippine law-enforcement authorities to ensure humane, fair and just treatment of detained Chinese nationals," Ji said.
"We fully respect the Philippines' judicial sovereignty and the lawful handling of cases by its relevant law-enforcement authorities," Ji said. "If solid evidence proves a foreign national is in violation of Philippine law, he or she shall be brought to justice in accordance with the law. The same is true in China. However, we firmly oppose any discriminatory or selective law enforcement campaigns targeting Chinese nationals by the Philippine side out of political considerations."
The Philippine Department of National Defense responded in a separate statement on Sunday, claiming that "The Chinese Embassy's response does not contain any answers," adding that "this is, in legal practice, an implied admission of culpability," according to Inquirer.net.
All 70 Chinese nationals associated with the steel plant in Mindanao have been released, Xinhua News Agency reported in June. The Manila Times reported that they were released after authorities cited insufficient evidence of specific immigration and labor violations.
Renewing allegations against the Chinese workers after their release for insufficient evidence lacks justification, Chen Xiangmiao, director of the World Navy Research Center at the National Institute for South China Sea Studies, told the Global Times on Sunday.
Having a defense secretary personally direct the armed forces to participate in an operation targeting civilian workers departs from normal law enforcement procedures, Chen said. Teodoro's continued politicization of the case after the workers' release reflects an intensification of anti-China agitation by certain forces in the Philippines, he noted.
Selective investigations and enforcement targeting Chinese nationals are driven not by law but by political manipulation designed to cater to domestic anti-China sentiment, Chen said.
The trend shows that anti-China forces represented by Teodoro intend to continue fomenting hostility toward China, shaping negative public perceptions and provoking antagonism between the peoples of the two countries, with serious consequences for bilateral relations, he added.
The resulting hostile environment could also have severe negative consequences for Chinese investment in the Philippines and normal people-to-people exchanges, he said.
Chinese Foreign Ministry spokesperson Guo Jiakun said on Friday that "it's learned that it was exactly this defense secretary who personally led the armed forces to seize and detain Chinese nationals lawfully working in the Philippines. This person's consistent attacks and smears against China harm not only the bilateral relations. It is the interests of the Philippines and all its people that will bear the brunt."
。    新加坡的医疗成本不断上涨,引发了广泛的社会关注。而背后潜藏的主要问题——健康保险中的“按收费”模式,正逐渐成为国家金融灾难的潜在威胁。1. “按收费”计划的起源与问题2005年,新加坡健康保险领域的新秀Aviva引入了“按收费”计划,打破了健康保险市场的格局。该计划允许保险公司为医生和医院批准的任何治疗买单,导致医疗成本迅速上涨。这种模式让医生和医院可以选择最昂贵的治疗方案,而患者则因相信“最好的治疗”而积极参与。

二 | 结果,医疗费用激增,公共医疗支出大幅攀升,最终负担转嫁给了消费者。数据显示,自2009年以来,政府在医疗保健方面的支出已增加了四倍,这种不可持续的增长趋势引发了社会的广泛担忧。来源:clema risk solutions2. 成本上升的背后:谁在为“按收费”买单随着“按收费”计划的普及,私立医院的医疗费用远远超过了公立医院,导致整体医疗成本的大幅上涨。研究表明,有“按收费”保险的患者,其医疗支出比没有此类保险的患者高出25%。这一问题引发了政府的关注。

三 | 李显龙资政呼吁遏制过度治疗和过度开药,以控制医疗成本的攀升。然而,政治意愿的不足使得问题迟迟未得到根本解决。在这一背景下,政府近年来尝试了一些零碎的措施,例如限制医生选择,但这些措施效果有限,未能真正解决成本上升的核心问题。来源:联合早报3. 变革迫在眉睫:如何解决“按收费”问题要解决医疗成本上升的问题,必须从根本上改革“按收费”保险计划。我的建议是,取消在综合盾计划中使用MediSave资金的“按收费”覆盖范围,转而采用更具成本效益的计划。此外,保险计划的可移植性问题也需要得到解决。新加坡精算协会的研究表明,提升保险的可移植性将有助于增强市场竞争,允许新加坡人选择更适合的保险产品。总之,取消“按收费”计划和提升保险的可移植性,将是解决新加坡医疗成本问题的关键举措。这是一场必须进行的改革,为了全社会的利益,迫切需要采取行动。来源:联合早报面对日益严峻的医疗成本问题,新加坡亟需对现有的健康保险体系进行全面改革。只有通过各方的共同努力,才能为全体居民提供可持续的、负担得起的医疗保障。

四 | 参考资料:1. Commentary: To contain spiralling healthcare costs in Singapore, we must remove the original sin,channelnewsasia

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