Unethical Doctors In Malaysia 6: Unethically Yours, Singapore’s Advance Medical Directive

We take a short break and take a look at things at our cousins in the south.

It was debated (of course without much opposition) in parliament yesterday. Singapore is now trying to simplify the Advance Medical Directive. How ethical is that?

With rising costs of medical care and with the knowledge that Singapore can no longer support those on palliative care, it is imperative that patients with very dim outlook should not be given a chance at living. Afterall, it should be about quality of life and not quantity.

The way Singapore government puts the Act in place is like telling Singaporeans, we have your interests in your heart. Of course rich people can live as long as they want, but poorer singaporeans will have to go. You don’t have money, you shouldn’t bother your younger generations. No need for artificial prolongation of life. If you did, and your younger ones refuse to pay, then government will have to NPL those treatments you received. So end up government losing. If government loses money, how do you think they have enough to pump prime their foreign banking investments? So it is important that those who do not have money to sign an advance medical directive telling the government they want to die if they find themselves troublesome in future. I really hope that the MPs who are talking about this bill to actually verify among themselves how many of them have signed AMDs and how many have actually sign up to HOTA.

The thing is, why are the million dollar dream team politicians telling you what to do when they themselves might not have the guts to do it? It is a realistic and practical team that will suck up on you when you are contributing positively to the economics but would not hesitate to send you to a corner when you cannot. Hence you can see how the Gini coefficient has grown of late.

The problem with AMD as with many other dumbo acts are who are to decide when it is deem a patient is longer viable for treatment. Though the ministry claim that they will not kill patients, but by withdrawing treatment, they are effectively killing them.

But I guess medical ethics are not an easy topic for anyone to understand as you can see how I have pin pointed many medical practitioners in Malaysia practising unethical medicine. So I doubt even the public has a clear position on certain issues. Stay tune to read more on other medical ethico issues.

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