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Official websites use. Share sensitive information only on official, secure websites. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. We first reviewed Singapore's LTSS policies through a comprehensive search of academic papers, governmental reports, parliamentary debate transcripts, print media, and official websites of LTSS providers.
Even though the United States and Singapore differ in size, culture, and political system, the two countries do share key common characteristics. Both countries also favor regulated market solutions and consumer choice. It concluded that there are two potential options—generating more private LTCI options or implementing social insurance—though without coming to a consensus on the best way forward. In an area slightly smaller than that of New York City, Singapore has a population of 5.
The resident population 3. In , it ranked fourth in gross domestic product GDP per capita internationally, 26 and its government finances are sound, with a long history of budget surpluses. Singapore spends about 4. Hiring foreign domestic workers FDWs to care for elderly relatives is a popular alternative. The quality of LTSS in Singapore is monitored by the Ministry of Health, which recently drew up official quality standards in consultation with the public. Amenities, however, are not regulated.
Although instances of poor care or elder abuse by FDWs and private nursing home care staff have been reported, the true prevalence of ill treatment is unknown. With the latter as the base, we estimated the relative sizes of charitable donations and of government subventions to support the operation of LTSS providers.
The policy most emblematic of the individual responsibility principle is that of mandatory savings through the Central Provident Fund CPF. These savings are funneled into 3 accounts: Ordinary, Special, and Medisave, on which their interest is pegged to market interest rates, with guaranteed minimum rates of 2.