Results for “singapore”
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What can be learned from Singaporean health care institutions?

Besides the usual, that is.  Max Thilo of the UK has a new and excellent study on this, here is one excerpt from the foreword by Lord Warner:

Second, and critical, the Singaporeans are not fixated on delivering services from acute hospitals – the most expensive part of any healthcare system because of its fixed overheads and expensive maintenance. As this report demonstrates “the reason why Singapore spends so much less on health than other developed countries is its low hospital utilisation.” Instead, Singapore has invested in highly productive polyclinics and low-cost telemedicine. The result is that Singaporeans can visit their GP more often than English patients. In their polyclinics they also improve productivity by separating chronic and acute care.

And from Max:

During a recent trip, I met with the CEO of the largest telemedicine provider in Singapore. He casually mentioned that UK patients were already using his service. This seemed surprising. No comprehensive data is available for the costs of UK telemedicine services, so I googled the cost of online appointments in the UK and Singapore. Singaporean appointments are less than half the price of those in the UK. The most affordable online appointment I found in the UK was £29. Yet, many providers charge significantly more – for instance, Babylon Health lists its price for private GP appointments at £59. In contrast, Doctor Anywhere, Singapore’s leading telemedicine provider, offers services for just £12.27 Doctor Anywhere has an app where patients can log on and see patients virtually. They make and then register the diagnosis. The rest of the process, including referrals and prescriptions, is automated.

Recommended.

Northern Virginia (Singapore) fact of the day

The data center cluster in Northern Virginia is three times the size of the next-largest data center area in the world, in Singapore. The industry saw a major boost during the pandemic, as more work and social life shifted online. Those boom times are expected to continue, with new artificial intelligence technology driving even more demand for server space. That’s significant for local governments increasingly dependent on the industry for tax revenue.

…Northern Virginia’s data centers had a 2% vacancy rate in the first half of 2023, and prices for companies looking to lease that space jumped by 15-20%, both signs of remarkably high demand for square footage in the massive complexes.

Here is the full story.

Happy Birthday Singapore!

Singapore is a wonderful instance of the advantage of the unrestricted enterprise of free trade: so late as the year 1822 there was scarcely a native hut, certainly not one European habitation on the island; in eight years it had not only grown into the most important settlement in the whole of the Malay Archipelago, but was the emporium of more trade than the whole of the other ports put together.  The trade is almost exclusively one of barter, the English merchant procuring profitable exports in exchange for English goods.  The annual value of importations in 1830 was five millions sterling.

The advantages the native merchants experience in finding free trade established at Singapore has withdrawn the whole commerce from the neighboring Dutch ports.  On my subsequently going to Batavia I found the harbour there perfectly denuded between 300 and 400 at anchor bringing produce from every island in the archipelago.

The society of Singapore was tolerably extensive, and most hospitable, and conviviality and good fellowship reigned pre-eminent.

That is from Major Thomas Skinner, Fifty Years in Ceylon, published in 1891, largely compiled in 1868.  Overall an interesting and forthright book, mostly about Ceylon of course.

More on Singapore and public sector talent development

From an anonymous correspondent, I will not indent:

“As a Singaporean, I appreciated your recent post on Singapore and the self-perpetuating nature of its establishment. I wanted to raise three points that may be of interest to you, which seem to also be under-discussed outside of Singapore.

The first is the Singaporean system of scholarships. You write in the post that “In Singapore, civil service jobs are extremely important. They are well paid and attract a very high quality of elite, and they are a major means of networking…” This is partly true, but the salary of civil servants at the entry level and most middle management positions is generally lower (by a small by noticeable amount) than that of comparative private sector employment, for the level of education etc. The real tool by which the government secures manpower for the civil service is a system of government scholarships. Singapore provides scholarships to high-school-equivalent students to fund their university education (either in Singapore or overseas), in exchange for which the student is bonded to work for the government for a period of 4 – 6 years after graduation. For talented low-income students, this is naturally an appealing option, and is win-win from the government’s point of view. What Singapore has successfully done, however, is create a set of social norms in which taking such a scholarship is seen as prestigious, and not something merely done out of need, such that many middle-class or even quite wealthy students take up the scholarship despite not needing it to fund their education. The incentive for them is the fast-tracking of scholars (relative to those employed through normal means) into higher positions within the civil service, a practice which is essentially an open secret. You could also think of this as a modern re-creation of the Chinese imperial exam system, without the bad parts, and I do think the cultural connection is not unimportant.

Singapore is often seen as a model for other developing countries for any number of the policies it adopts. But I think one truly underrated high impact policy is this scholarship system. It largely solves the problem governments in many countries face of keeping talent in the public sector, while redressing some degree of inequality (of course, the scale is limited). To a government, the cost of funding the higher education of a couple hundred students a year (Singapore’s birth cohort is small, after all) is relatively insignificant, even at the most expensive American colleges. I’ve always thought of this policy as one of the single lowest-cost, highest-impact things that other developing countries can borrow from Singapore: a marginal revolution, if you like.

The second point is on how the civil service is enmeshed with the elected government. The PAP often draws its candidates from the civil service, and because of its electoral dominance, it largely has the power to decide on the career pathways of its MPs and ministers. Unlike the UK, therefore, where ministerial promotions are largely dependent on political opportunity, the PAP does do quite a bit of planning about who its ministerial team a few years down the line is going to consist of, and often draws civil servants to fit into that system. If we look at the current Cabinet, for example:

  • Lawrence Wong (deputy PM and heir presumptive)
  • Heng Swee Keat (deputy PM)
  • Ong Ye Kung (Minister for Health)
  • Desmond Lee (Minister for National Development; probably closest to the US Department of the Interior in its scope)
  • Josephine Teo (Minister for Communications and Information)
  • S. Iswaran (previously Minster for Transport, though now under investigation for corruption)
  • Chee Hong Tat (acting Minister for Transport)
  • Gan Kim Yong (Minister for Trade and Industry)

[They] were all ex-civil servants before standing for election, and many more backbenchers and junior MPs could be added to that list. This contributes significantly to the links between the PAP and the establishment structure as a whole, because it means that MPs when coming into power have often been steeped in “the system” for many years before formally standing for election, and the process of selecting and promoting MPs is much more controlled than the relatively freer systems in liberal democracies.

The last point is about the army. It is not uncommon for ex-soldiers to serve in government in other countries, the US being a prime example, but while in the US this is largely a random process of ex-soldiers themselves choosing to run, in Singapore it’s a much more deliberate effort. First, the SAF (Singapore Armed Forces) awards scholarships too, in a manner similar to the general civil service. In a classically Singaporean way, the scholarships are aggressively tiered, ranging from the most prestigious SAF Scholarship (only around 5 of which are awarded each year) to the SAF Academic Award which funds only local university studies. The degree of scholarship one receives in the army thus determines one’s career progression. The Chiefs of Defence Force (in charge of the SAF as a whole) have all been SAF scholarship recipients, as have almost all of the Chiefs of Army, Navy & Air Force. The relevance of this to your post is the fact that recipients of the more prestigious scholarships are often then cycled out of the army into either the civil service or politics. In Cabinet:

  • Chan Chun Sing (Minister for Education)
  • Teo Chee Hean (Coordinating Minister for National Security)
  • Lee Hsien Loong (PM)

[They] all started their careers in the SAF, and this list could likewise be extended by considering junior MPs. Likewise, many of the heads of the civil service in the various ministries are ex-SAF soldiers, as are the heads of many government agencies like the Public Utilities Board (managing water and electricity) and Singapore Press Holdings, which publishes the establishment newspapers.

Taken together, these three features are I think what contribute to the sense of the “establishment” being a kind of self-contained system that you allude to in your post. In general, young people are attracted to either the civil service or military after leaving high school, and are bonded to the government in exchange for university funding. Although some leave after the bond period, many stay on due to the promise of career progression in both organisations. Eventually, some then become cycled out into the elected government, and the process repeats. This process has, I think, become very attractive to the government because it allows them to exert much more control over the selecting and nurturing of talent, than the more freewheeling British or American systems.”

TC again: Bravo!

Why Singaporean democracy is like a social media graph

The Singaporean polity is far more democratic than most underinformed outsiders realize.  Nonetheless it is frequently observed that the same party — PAP — keeps on winning elections.  Furthermore, there is an extreme method of gerrymandering, so PAP might win sixty percent of the vote and end up with ninety percent or so of the seats in the legislature.

Whatever you think of that arrangement, I expect it will prove difficult to undo.  In Singapore, civil service jobs are extremely important.  They are well paid and attract a very high quality of elite, and they are a major means of networking and advancing your own reputation, if only because so many other elites are in government as well.  (On top of that, the start-up scene is not so dynamic there, so the opportunity cost of public service is lower than in say CA or NYC.)

All that contributes to Singapore having an extremely high quality civil service.

But these networks have elements of natural monopoly to them.  If you are a talented Singaporean, of course you will view the PAP as the natural vehicle for your efforts, even if you disagree with a lot of PAP policies.  Working from within the PAP would be the most logical attempt to change the system, as there is “no other game in town.”  That is better for you, and it is better for Singapore as well.

So, if only for careerist reasons (put aside performance and reelection issues, though of course they are important), PAP is a self-replicating network that maintains a very high degree of influence over the Singaporean polity.  It is the network you have to join.

You could imagine the PAP someday suffering a shocking electoral loss, just as the election of Trump shocked many American elites.  But alternate parties would not have the talent infrastructure to staff their own regime with their preferred points of view, not with anything remotely resembling the current level of competence.  For better or worse, PAP affiliates still would be running most of the government.

And that is one reason — by no means the only reason — why it is difficult for Singaporean democracy to become truly contestable.

You will note of course that many American cities — some with roughly the population of Singapore — also keep on electing the same party repeatedly.  If you want to change Chicago city politics at the electoral level, working through the Democratic Party is probably your primary option.  And so this problem of natural monopoly political networks extends well beyond Singapore.

Singapore has less policy accumulation

…we find that Singapore (1) has only produced about one-fourth of the environmental policy measures of an “average” democracy and (2) is constantly the country with the lowest level of policy accumulation in our sample. These findings hold even when controlling for alternative explanations, such as the effectiveness of the administration and the government’s ability to opt for stricter and more hierarchical forms of intervention.

Here is more from Christian Aschenbrenner, Christoph Knill, and Yves Steinebach.  Via the excellent Kevin Lewis.

Singapore facts of the day, shareholder state edition

The government (through holding company Temasek) has a minority stake in DBS Bank which is the largest company on the Singapore Exchange. The government has a majority stake in the two largest telecom companies: Singtel and Starhub, it has a majority stake in the flag carrier Singapore Airlines and it is the owner of CapitaLand (the largest real estate company in Singapore).

Out of the 25 largest companies listed on the Singapore Exchange (as of 26th June 2023, excluding real estate investment trusts) 9 companies were started by the government. It still maintains at least a minority stake in all of them and a majority stake in Singapore Airlines and ST Engineering. For most of them, it is still the largest shareholder.

Singapore’s Government Linked Companies do not appear to get any special advantages according to this 2003 study, and some of them – like SIA, Singtel, DBS and Keppel – have achieved success out of the home market.

Along with this, the government of Singapore owns the vast majority of land in Singapore. I’m not sure of the exact number (this 2021 article says over 80% while this OECD site says 90% without citing it), but it is likely to be above 80 or 90%. Nearly 80% of Singaporeans live in government built housing.

Here is more from Pradyumna Prasad, mostly about how to construct freedom indices properly.

Can you help Max Thilo in Singapore?

Having experienced the strengths and weaknesses of the NHS firsthand — I recently completed treatment for Hodgkin’s lymphoma — Tyler kindly awarded me an Emergent Ventures grant to travel to Singapore to study their healthcare system. I would like to meet with health professionals and civil servants working in the health sector. I am looking for practical lessons that can be applied to the NHS i.e not user charges. I am particularly interested in industrial relations, the management of publicly-owned hospitals, and the cost-effectiveness of polyclinics. If you have insights to share or would like to connect, please feel free to reach out to me at [email protected]

The Georgist polity that is Singapore

Foreigners who have secured permanent residency in Singapore will only pay a stamp duty of 5 per cent, but they will pay 30 per cent — up from 25 per cent — if they buy a second residential property. Entities or trusts purchasing any residential property will now pay a rate of 65 per cent, up from 35 per cent.

Singapore’s minister for national development Desmond Lee called the increases “pre-emptive measures” to damp local and foreign investment demand during a renewed spike in interest. Singaporean citizens, who pay minimal stamp duty on house purchases, will now be prioritised, he said.

Here is the full FT story by Mercedes Ruehl.

Singaporean hawker centre in Manhattan

Urban Hawker, On 135 W.50th, 17 vendors  Here is a NYT review, good photos of the key dishes.  The Hainanese chicken rice was amazing, worthy of Singapore, get it poached of course.  Condiments!  The Malaysian lontong was quite good, the beef rendang decent.  The lamb biryani I enjoyed, with a thick sauce than you would not find in Hyderabad, laden with cloves and cinnamon.  Most of the people there are not Singaporean, but many have “that Singaporean look,” so it feels fairly authentic, except for the prices, which run about $20 a course.  Ordering your meal and finding/keeping a table can be difficult, also making it authentic.  (Choping needed!)  Ordering a meal and getting a drink of water on the same trip can be difficult, making it more authentic yet.  Overall, not as good as it could be but better than you might be expecting.  Some of the vendors verge on Pan-Asian rather than Singaporean proper, but ultimately Singapore itself is headed in that direction.  So I will go again, though I can’t imagine the chili crab is worth the price.  Most of all, you need to go early rather than at peak times.

And if you are wondering what “that Singaporean look” means, I suppose it refers to looking down a bit, earnest, and seeming not entirely happy, all the while focused on getting some excellent food.

The robot culture that is Singapore

The robot scans its surroundings also for offenses like Illegal hawking, improperly parked bicycles, assembly of more than five people in line with prevailing Covid-19 safety management measures and e-scooters and motorcycles driving on footpaths.

In case a suspicion arises, the robot takes video footage and sends it to a command and control center which feeds the material into a video analytics system programmed to recognise a person’s posture and other visual indicators of “wrongdoing.”

“Educating the public” with pre-recorded messages

Then, the robot blares out a pre-recorded message, for example, “Please do not smoke in prohibited areas such as covered walkways.” The message is meant to “educate the public and deter such behaviours,” according to a release by the project team.

The robotic watchdog is a joint project involving five public Singapore agencies, namely the Home Team Science and Technology Agency, or HTX, the National Environment Agency, the Land Transport Authority, the Singapore Food Agency and the Housing and Development Board. It will go on for a three-week trial phase for now.

During the trial, the robot will be used for education and deterrence, rather than enforcement, the authorities said. The aim is to collect data to improve the analytics system and fine-tune any kinks.

Here is the full story, via Jasper C.

Singapore sentences of the day

Singapore has developed a “globally inter-operable” standard based on blockchain technology to facilitate cross-border verification of health documents, such as pre-departure COVID-19 test results, said Minister-in-charge of the Smart Nation Initiative Vivian Balakrishnan on Friday (Feb 26).

Speaking at the Committee of Supply debate for the Prime Minister’s Office, Dr Balakrishnan said that these notarised pre-departure test results will be available on the SingPass mobile app. The Government will also look into extending this to vaccine certificates.

Here is the full story.  Of all those sentences and catch phrases, perhaps “Committee of Supply” is my favorite.

Singapore markets in some things not everything

Singapore Airlines (SIA) is looking to launch no-destination flights that will depart from and land in Changi Airport next month, in a bid to give its ailing business a lift.

Sources told The Straits Times that the national carrier is working towards launching this option for domestic passengers – dubbed “flights to nowhere” – by end-October.

They said SIA also plans to explore a partnership with the Singapore Tourism Board to allow interested passengers to partially pay for such flights with tourism credits that will be given out by the Government.

Singapore facts of the day

At Changi, one of the world’s great travel hubs, traffic plunged from 5.9 million passengers in January to a mere 25,200 in April — a 99.5 percent drop. The number of airlines serving the airport collapsed from 91 to 35. Two of the four main terminals have been temporarily mothballed; plans for a fifth have been set back at least two years.

Here is the full article, about the retreat of globalization.

The lockdown culture that is Singapore

S’porean man charged in court for leaving home 30 minutes before quarantine ended to get breakfast

And:

According to CNA, Tay is accused of leaving his home in Choa Chu Kang between 11:30am and 12pm, half an hour before his quarantine ended.

He thus breached his quarantine order by leaving his home to go to his neighbourhood shopping mall for breakfast without getting the permission of the Director of Medical Services, said the MOH release.

And:

The day prior, Thursday, Apr. 23, 34-year-old Alan Tham was sentenced to six weeks’ imprisonment for breaching his Stay-Home Notice (SHN) to eat bak kut teh.

To be clear, I am fine with Singapore doing this, but it hard to imagine the United States enforcing quarantine with the same vigor.  And on the other side, I might risk prison for laksa, but for bak kut teh?

For the pointer I thank Tuvshinzaya.  and Jeet Heer asks:

I have to confess I’m becoming more pessimistic since I don’t see much signs that most countries outside Asia & the Pacific are developing the testing-tracing-isolation capabilities needed. Am I wrong about this?