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More help for lone seniors under new eldercare system

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Island to be divided into zones, with each overseen by an anchor operator
By Janice Tai, The Straits Times, 19 Apr 2014

BY THE end of the year, seniors who live alone and need help will be more likely to receive it, with a more coordinated system helmed by key eldercare providers.

This is crucial because the number of seniors living alone is expected to grow from 35,000 in 2012, to 83,000 by 2030.

Under the new system, the island will be divided into zones. Community eldercare in each zone will be overseen by an anchor operator appointed by the Ministry of Social and Family Development (MSF).

Each zone will contain up to five senior activity centres, which used to mainly run social and recreational activities for seniors, and three senior group homes, where elderly residents with little or no family support live together.

Existing facilities run by other eldercare providers can continue to operate, supported by the anchor operators. But new centres and group homes in each zone can be set up only by its anchor operator, said eldercare providers.

In each zone, a main centre, with about five case managers who have social work experience, will support the others. The case managers will counsel vulnerable elderly and visit them at home.

Since 2012, the MSF has set up 10 such clusters from the existing 58 senior activity centres. Its target is to have 16 clusters by 2016 to support about 39,000 seniors.

This comes as more centres and group homes are being built. The number of group homes will rise from two now to 60 by 2016.

The Straits Times understands that at least three major eldercare providers are in talks with the MSF to form the first batch of anchor operators and roll out this system later this year.

Thye Hua Kwan Moral Charities is likely to take care of Ang Mo Kio and Bukit Merah/Outram. Lions Befrienders will probably lead Queenstown/Clementi, while Touch Community Services will head the central region.

Industry players say this is a landmark move as it changes the model of help from one that requires the elderly to take the initiative if they need help, to one that brings aid to their doorstep.

"Some elderly people may not be able to come to us even though they need help.

"So, if every block is covered within a zone where home visits are done, the likelihood of vulnerable elderly being overlooked is slim," said Thye Hua Kwan Moral Charities divisional director Joseph Cheong.

The centres did not do home visits in the past as they lacked expertise and manpower.

Under the new system, retirees and housewives will be roped in to do so a few times a week, for $5 per visit. They will refer seniors who need help to case managers.

The MSF said it is finalising the implementation details and will provide more information later.

The anchor operator concept has been tested in the pre-school sector. The five pre-school anchor operators get government grants to ramp up the number of childcare centre places, keep fees low and provide quality services.

However, their centres are not limited to specific regions.

Taking charge of certain zones will help eldercare providers better monitor frail or homebound elderly, and help them access the myriad of services in those zones, industry players said.

Senior activity centres and senior group homes in one area would have stronger synergy from being run by the same eldercare provider, Lions Befrienders executive director Goh Boo Han said.

For instance, a group home may house a centre in its void deck. "The seniors living in the home can come down to the centre for activities and its staff can look out for them," Mr Goh said.

The centres used to reach out only to rental flat residents, but with the extra hands on deck, some, such as Touch Seniors Activity Centre, now cater to others.

Its director, Ms Julia Lee, said: "If we want to enable our seniors to continue growing old in the community, then there needs to be enough support services for them at the estate level."



AID AT THEIR DOORSTEP

Some elderly people may not be able to come to us even though they need help. So, if every block is covered within a zone where home visits are done, the likelihood of vulnerable elderly being overlooked is slim.

- Thye Hua Kwan Moral Charities divisional director Joseph Cheong





Tap neighbourly spirit to help seniors in need
By Loh Keng Fatt, The Sunday Times, 20 Apr 2014

My first job was as a welfare officer at the then Ministry of Social Affairs, and one project my section rolled out in the mid-1980s was called the Befrienders scheme.

Even before Singapore's ageing population had become a major worry and talking point, it was noticed that older people who lived alone or with another elderly person could benefit from some form of community support.

The scheme roped in neighbours to keep an eye on the old folk whom most volunteers were already familiar with.

Since they lived in the same block or nearby, both parties were more likely to build and sustain rapport, with the befriender helping to care for the senior by also accompanying him to visit the doctor or on an outing.

My colleagues had found that this model worked better than having volunteers from outside the neighbourhood visit the seniors occasionally.

Some old folk were suspicious of such outsiders - even well-meaning ones. They had their pride and were not comfortable opening their flats and sharing their personal problems with unfamiliar faces.

But a neighbour was different and would be close at hand if needed in an emergency.

The scheme was rolled out in a number of places - Kreta Ayer, Tiong Bahru and Kolam Ayer, among them - and was handed over to three Lions Clubs in Singapore under a "many helping hands" initiative by the then Ministry of Community Development - in 1995.

Today, the Lions Befrienders - arguably the country's largest direct service voluntary welfare organisation - has about 1,000 volunteers who keep tabs on some 3,000 vulnerable seniors.

I was happy the other day to find out that a similar project had also taken root in the South East District since last July.

Called the Neighbours For Active Living Programme, it has signed up 50 volunteers to reach out to more than 200 elderly folk - including the frail and those who live alone - in Bedok, Siglap and Marine Parade.

Volunteers are matched with seniors in their neighbourhood and their responsibilities include reminding the elderly to take their medicines and go for health checks. I presume, if there's a need, they would not mind taking the elderly person to the hospital or helping to run some urgent errands.

While this scheme targets those who live alone or with another aged person, there is scope to expand it to include seniors whose children live with them but are away at work for most of the day.

The issue of adults looking after their aged parents has lately spawned the question of whether the Government should come up with eldercare leave.

Speaker of Parliament Halimah Yacob said the Government should seriously consider such paid days off for workers, especially those coping with caring for their children as well as elderly parents.

Here is where programmes like the Befrienders scheme could plug the gap by meeting the needs of elderly folk who are not entirely helpless but may welcome help to get to their medical appointments, for example.

The volunteers could step in when the elderly person's family members cannot spare the time from work or other commitments.

But what can a family with elderly members do if such schemes are not available in their neighbourhood?

The simple answer is that they can also depend on the goodwill of neighbours, but they need to invest time and effort to know them better besides exchanging rudimentary pleasantries.

My mother, who lives alone, does just that, to the extent that she and some neighbours have become close and exchange hampers for Chinese New Year and even go on holidays together.

I have no doubt that her friends can be relied on to come to her help in an emergency, if my three sisters who live nearby cannot be contacted immediately since they work.

And my sisters and I would gladly do the same for any of my mum's friends, if they were in need.



Colorectal cancer rates may have levelled off

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Hope of fall in cases in coming years as screening appears to have worked
By Salma Khalik, The Straits Times, 19 Apr 2014

THE rate at which people develop colorectal cancer - the most common cancer here - appears to have plateaued.

This suggests that preventive measures here, including screening, may be working and raises hopes that the incidence of colorectal cancer may decline in the coming years.

More than 1,700 people here are diagnosed with colorectal cancer every year and more than 700 die from it. It is among the top three cancer killers here.

The number of people getting such cancer had been rising steadily since 1973 - until a decade ago, said Dr Yong Wei Peng, a senior consultant at the National University Cancer Institute, Singapore.

Between 2003 and 2007, 40.6 men and 29.1 women per 100,000 were diagnosed with colorectal cancer, figures from the Singapore Cancer Registry show.

They dipped to 39.4 men and 27.1 women in the period of 2008 to 2012.

Dr Yong said: "It is too early to conclude if this represents year-to-year fluctuation or true reduction in colorectal cancer incidence."

But he is cautiously optimistic that a smaller proportion of the population will develop this highly preventable cancer in the coming years because screening rates here have been improving.

The number of people here who were screened for colorectal cancer grew from 27 per cent in 2011 to 34 per cent last year, Minister for Health Gan Kim Yong told Parliament this month.

Regular screening, which spots and removes abnormal growths called polyps from the intestines before they turn cancerous, can help reduce cancer rates, Dr Yong said.

In the United States, for instance, the incidence of colorectal cancer has dropped by 3.4 per cent a year in the past decade, pushing the cancer from top spot to third place.

An article in CA, a US cancer journal for doctors, said the fall is largely due to screening.

In 2000, about 19 per cent of Americans aged 50 years and older went for screening tests called colonoscopies. By 2010, 55 per cent did such screening every five to 10 years.

This has led to early discovery of the cancer in 40 per cent of the patients, giving them more than 90 per cent chance of surviving beyond five years.

Dr Francis Chin, a senior consultant in radiation oncology at the National Cancer Centre Singapore, said cancer trends here tend to follow those of the US, but lag by several years.

A possible reason is that the US has good medical practices, which Singapore then adopts later. It then sees similar outcomes of such practices years later.

Screening rates here look set to improve even further.

Mr Gan had said: "We will continue to step up our efforts to raise screening coverage."

From this year, colorectal cancer screening has become part of subsidised health screening for people aged 40 years and older.

Till the end of this month, residents aged 50 years and older can pick up a free colorectal self-screening kit at polyclinics, 73 Guardian outlets, and Singapore Cancer Society offices in Bishan and Realty Centre.

Survival rates from colorectal cancer have also improved significantly here. The Singapore Cancer Registry attributes this to better treatment available today.

In the US, 65 per cent of colorectal cancer patients survive beyond five years, compared with slightly over 50 per cent here.


System in place for private patients to downgrade

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WE THANK Mr Francis Zhan ("Create new 'pioneer patient' category"; Forum Online, March 28), Mr Ng Chee Kheon ("Good to allow easier patient downgrades"; March 28) and Mr David Kwok Ng Kan ("Make it easier for private patients to downgrade"; March 26) for sharing their views on making downgrading to subsidised status easier for private patients.

Patients who are referred from polyclinics, as well as holders of the Health Assist card who are referred by general practitioners under the Community Health Assist Scheme (CHAS), are eligible for subsidised care at specialist outpatient clinics.

This arrangement allows for better distribution of specialist resources, and more appropriate targeting of accompanying subsidies. When a patient asks to see a specialist of his choice, he would not be eligible for government subsidies.

Requests to switch from private to subsidised care are generally not allowed as such cases would lengthen the wait for other subsidised patients.

For private patients who start to face difficulties with their medical expenses and wish to switch to subsidised care, medical social workers are available at public hospitals to advise them.

Each request is assessed on a case-by-case basis, taking into careful consideration various factors, including financial means, bill sizes and medical conditions. These principles would likewise apply to members of our pioneer generation.

All Singaporeans who need to be admitted into a public hospital can choose to be admitted into subsidised ward classes, regardless of their existing status as a specialist outpatient clinic patient.

As our population ages, health-care needs and expenditure will inevitably grow. The Ministry of Health is committed to keeping health-care costs affordable, especially for lower- and middle-income Singaporeans, while ensuring that the system is equitable and sustainable in the longer term.

We will continue to refine our health-care financing system to ensure that it continues to meet Singaporeans' needs.

Bey Mui Leng (Ms)
Director, Corporate Communications
Ministry of Health
ST Forum, 19 Apr 2014





Create new 'pioneer patient' category

DOWNGRADING to subsidised treatment is not the solution to the issue of health-care affordability for senior citizens ("Make it easier for private patients to downgrade" by Mr David Kwok Ng Kan; Wednesday).

During our working years, we are referred by our company doctors to specialists to treat more complex medical problems, making us private patients who are ineligible for government subsidies.

To guard against high hospitalisation costs upon our retirement, we purchase private insurance policies, paying hefty premiums.

My 68-year-old neighbour has paid more than $60,000 in premiums over the past three decades, and made only three small claims. Yet his insurers hit him with a 70 per cent increase in premiums this year.

He has been seeing the same specialists over the last two decades or so. When he wanted to downgrade to subsidised treatment, he was advised against it because he would be assigned whichever doctors were available on his visits, and they might not understand his special needs.

While my neighbour can still afford the consultation fees during his visits, he is finding it hard to pay for the laboratory tests and medication, which are not covered by his insurance.

He is paying more then $4,000 in annual premiums for his hospitalisation insurance ,and is considering giving up his policies to pay for his medical expenses. But what if he were to be hospitalised in future and cannot be downgraded to the subsidised wards?

My neighbour was told he was not eligible for the extra 50 per cent off subsidised bills under the Pioneer Generation Package, because he is a private patient.

Downgrading to subsidised treatment is not the answer. The proper solution is to create a new patient category - pioneer patients - whereby patients pay the full consultation fees but are charged subsidised rates for lab tests, treatments and medication.

In this way, they get to see the same specialists who have been treating them, while paying less.

Francis Zhan
ST Forum, 28 Mar 2014





Good to allow easier patient downgrades

THE hassle for a private patient to downgrade to subsidised treatment, and allowing only patients referred by polyclinics or accident and emergency departments to enjoy such treatment, may have contributed to the persistent overcrowding at these facilities ("Make it easier for private patients to downgrade" by Mr David Kwok Ng Kan; Wednesday).

Most patients would not mind seeking a referral from private medical practitioners for treatment at specialist clinics in government hospitals, if they can easily downgrade to subsidised treatment after their conditions have stabilised, or when they are hospitalised.

This would help to alleviate the overcrowding at polyclinics and accident and emergency departments, and even out the number of private and subsidised patients at specialist clinics, leading to a shorter wait for an appointment.

Ng Chee Kheon
ST Forum, 28 Mar 2014





Make it easier for private patients to downgrade

RECENTLY, I was told that there were only two ways for a private patient to downgrade his status to receive subsidised treatment.

He can either be discharged by the health-care institution and re-register with a referral letter from a polyclinic, or obtain approval from a medical social worker - and this applied at all government hospitals.

Given the choice, who would not want to be a private patient and be able to choose his doctor and get priority in booking appointments?

Patients want to downgrade and enjoy subsidised treatment because of a change in their income status.

Can the Ministry of Health make it easier for private patients to downgrade?

David Kwok Ng Kan
ST Forum, 26 Mar 2014


Remembering Nicoll Highway Collapse in 2004

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Colleagues pay respects to "hero" Heng in Nicoll Highway collapse
By Eileen Poh, Channel NewsAsia, 20 Apr 2014

It has been 10 years since the Nicoll Highway collapse, but foreman Heng Yeow Peow's body was never found.

On Sunday afternoon, his former colleagues and bosses were at the place where the incident occurred to pay their respects to the man they remembered as a "hero".

"Say my thank you to Ah Heng..." says a Thai worker.



Ten years may have passed since the Nicoll Highway collapse, but emotions are still raw for construction worker Phornamdaeng Thiticha when he speaks of his former supervisor.

The Thai national was one of the eight workers Heng Yeow Peow pulled to safety.

The 40-year-old did not make it out himself and his body was never found.

In Heng's memory, his former colleagues from Kori Holdings have placed a memorial stone at the accident site.

And since then, it has been a yearly ritual for them to pay their respects to Mr Heng.

Mr Hooi Yu Koh, managing director of Kori Holdings, said: "Sometimes we meet up together, sometimes there may not be that many people. But probably because today is a Sunday. So many more came than previously before."

Among the prayer items were a pair of white gloves.

They were placed there by Mr Hooi, who said the gloves were given to him by the Singapore Civil Defence Force when he participated in the final attempt to locate Heng's body.

Mr Hooi said: "Those gloves have a lot of meaning to me. It is the last piece of gear I was holding in my hand. And it was the closest that I thought was nearest to him before the search needs to be called off. I still keep the gloves in my car throughout the 10 years till now."

Heng's colleagues said they hope to continue the yearly ritual for as long as they are able to.







SCDF officer looks back at 2004 Nicoll Highway tragedy
By Imelda Saad, Channel NewsAsia, 18 Apr 2014

They were working round the clock for four days under conditions described as the most difficult and dangerous operation since the Hotel New World collapse in 1986.

The Nicoll Highway cave-in, which happened 10 years ago, left an indelible imprint on Singapore's elite Disaster Assistance and Rescue Team (DART).

Since then, the team has enhanced its capabilities for under-water search and rescue operations.

Lieutenant-Colonel (LTC) Kadir Maideen, commander of 2nd Division at the Singapore Civil Defence Force (SCDF), said: "This is the same helmet that I used, cleaned up a bit, but many of the scratches are still here, the knocks that I had on the top of my head and all that."

LTC Kadir remembers vividly the day his team was activated on 24 April 2004. He was then commander of the DART team.

LTC Kadir said: "It was only upon reaching the edge of Nicoll Highway and when we saw the whole cavity created by the collapsed MRT structural works, then it dawned upon me... this is what we are going to work in, it's not really a bridge collapse but a collapse of a construction site, with the MRT tunnel and the beams and all that."

What greeted the team was a cave-in spanning the six-lane highway, resulting in a 30-metre deep cavity.

It was unlike any other structural collapse the DART team had faced.

LTC Kadir said: "We've done search and rescue operations in an urban setting, collapsed building and all that, but this... we've got a tide coming in, at that time the Marina Barrage was still under construction, so the tide was in, there's water, sea water."

The rescuers had to work in chest-high, turbulent, muddy water, amidst unstable sharp exposed metal and concrete structures.

At that time, they were not equipped with proper equipment to conduct underwater search and rescue operations, so they improvised by using masks worn for fire-fighting operations to dive into the murky waters.

They used their bare hands to try and search for bodies.

LTC Kadir said: "As you work, everything around you was creaking, the i-beams were moving and creaking and these were all safety challenges for us, the specialists on site took lots of calculated risks to perform the operations.

"The breathing apparatus sets, the cylinders are composite cylinders and they tend to float so we couldn't be having them harnessed to our backs. We had to again improvise, having longer hoses, have the cylinders somewhere else, the hose transports air to the face mask, so the user only has a face mask on him so that he can go under-water without having a composite cylinder push his body up."

Since then, the SCDF has implemented several measures to enhance its search and rescue capabilities. These include certifying all DART specialists in diving and water rescue skills, investing in sonar equipment to track its divers and detect drowned victims, as well as purchasing water pumps powerful enough to suck out silt ridden, muddy waters.

LTC Kadir said: "When you improvise, you may not work optimally but when you have good specific equipment for that work, then you can operate optimally in that situation."

Beyond enhancing its operational capabilities, LTC Kadir said the Nicoll Highway incident has left a deep impression among Singaporeans of the work the SCDF does.

LTC Kadir said: "One of the impact was the public perception of what SCDF is doing. We've always responded to many fire incidents locally, it's always featured in the media but for these three, three-and-a-half days, there was a lot of media focus on it and the public really got to see what SCDF could do. They also understood that we had specialist teams able and capable of doing specialised operations like the operations we did at Nicoll Highway.

"Over the years, post-Nicoll Highway, I also thought that people came and joined SCDF, made it their career because of what they saw at Nicoll Highway, they were inspired by the work that we did."

One stone located just a few metres away from Nicoll Highway was laid by the construction company involved in the Circle Line project.

It was placed there in memory of the victims who lost their lives during the Nicoll Highway collapse.

It bears the name of Mr Heng Yeow Peow, the 40-year-old foreman, whose body was never recovered.


New initiative to recognise low-wage workers for their contributions

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By Chitra Kumar, Channel NewsAsia, 19 Apr 2014

The labour movement on Saturday launched a new social initiative that aims to generate greater care and respect for low-wage workers.

Called the U Appreciate Movement, it comes after discussions held last year raised several issues over the lack of respect and appreciation for this group of workers and their jobs.

The first to be appreciated will be some 30,000 low-wage workers in three sectors.

The National Trades Union Congress (NTUC) said the efforts of low-wage workers – those in the cleaning, security and landscape sectors – very often go unrecognised and under-appreciated.

The U Appreciate Movement will call for employers and the public to respect and appreciate their contributions.

The aim is not only to raise awareness of their contributions, but hopefully, to improve wages and working conditions.

Zainal Sapari, assistant secretary-general of NTUC, said: "This social movement is very, very important to change the mindset of the public, to make them acknowledge that the work done by these workers are very, very important in terms of our cleanliness, in terms of security, in general making lives more comfortable for us.

“If we can change the mindset of the public of the importance of the work done by these groups of workers, it will make our effort to improve their wages, improve their working conditions."

Workers welcomed such efforts.

Hamzaim Yusof, a landscape worker, said: "The public treat us well... they appreciate our jobs, and that's what we want and it satisfies us when somebody says 'hey, what a beautiful landscape you have done' and we appreciate that."

As a partner in the effort, the Singapore Labour Foundation has committed a S$2-million fund for companies to organise appreciation events, possible national-level awards to recognise outstanding workers and social media campaigns to engage the public.

More details will be provided at a later stage.


What's your maid eating?

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Three daily meals are a basic human right that some maids are being denied
By Zuraidah Ibrahim, The Sunday Times, 20 Apr 2014

In simpler times, one of the most common greetings you would hear in Singapore was: "Have you eaten?"

"Jiak pah buay?"

"Dah makan?"

In whatever language, it expressed care and concern for the most basic needs of friends and strangers.

But times have changed. In an age of plenty, the question seems redundant. Whether we count consumption by calories, cholesterol or carbon footprint, less is more.

Yet, there is at least one group of people in First World Singapore for whom the old Third World question may still apply.

In a recent case of abuse, a maid lost 20kg in six months. In desperation, she jumped out of her employer's third-storey flat and injured herself during the fall.

She had eaten beehoon made for her but, five hours later, became hungry again and asked for more food. She was told there was nothing more for her. She then ate four slices of bread, and offered to pay for it. Her female employer's response was to punch her in the eye, slap her several times and kick her in the stomach.

This is of course an extreme, unrepresentative case. But apparently, I learnt from this episode, we cannot take for granted that foreign maids are being adequately fed.

It is even enough of a concern to merit a section in the official handbook for foreign domestic workers (FDWs). As obvious as it may sound, the handbook says that the employer must provide the maid with "enough food", which includes three meals a day.

The FDWs are also advised that if they are hungry after being given food, they are to "tell (their) employer nicely" that they'd like more to eat. The recommended phrasing: "Ma'am, I am still feeling hungry. Please give me more food so that I will have energy to do my work. Thank you."

It is rather sad that, to persuade "ma'am" to sympathise with her hungry maid, food has to be translated as "energy to do my work" rather than a basic human right.

Of course, there are many employers who treat their maids like part of the family. You sometimes see them at restaurants, sitting together and sharing all the dishes.

There are others who find this awkward, and have the maid eat separately. Such arrangements will differ from household to household but, at a minimum, the helper needs to be treated with dignity and given nutritious food.

Activist Braema Mathi, who has been dealing with such migrant worker issues for over a decade, tells me she often hears complaints about inadequate food for maids. "It is something we don't talk about, but it is a form of abuse when we don't give them proper food. It is a basic right."

She recalls how she once had to intercede when she heard about a well-known personality who was miserly with her maid's food. An observant neighbour had told her about the case. "I knew the person, so I decided I will make the call. I think there was a change because the neighbour has observed the change."

One common bad habit she knows of is for families to get the maid to cook their meals, serve them, and eat whatever is left over on the meal table after they have dined. "If your employer did that to you, would you like it?" asks Ms Mathi.

Sometimes, this is done out of ignorance or not being considerate enough to the maid.

Others say it is because of their tight budgets but, really, how much more can the maid add to one's grocery bill?

A senior executive says she has professional friends who count the slices of bread they dole out to their maid. A chief executive of a local company says he has seen landed-property neighbours give their maids not only leftover food but half-eaten rice packets. "They are not poor folk," he laments.

If we feel poorly treated by our employers, we can walk. But most maids are not in the same privileged position. They have large debts and they are in an asymmetrical relationship where the employer has the upper hand.

I once brought home a maid from the airport, instructing her to make do with what was in my almost-bare larder as we hadn't had time to go to the market. That night, after a long day at the office, I asked my husband what he'd had for dinner. Rice, chicken and stir-fried vegetables, he replied.

I was mystified. I knew there had been chicken in the freezer, but where did the vegetables come from, I asked our new helper.

Her suitcase. Her husband had given her a bale of kangkong from his Central Java farm for her long journey to Jakarta, just in case.

She hadn't needed it for her trip, but now whipped out these emergency rations when faced with a culinary crisis in her new employers' home. Too ashamed to serve her employer an incomplete meal, though this would not have been her fault at all, she quietly shared her home-grown veggies with us.

Through her considerate act, she also served us a humbling lesson in the care we owe to those who live under our roofs.

It doesn't take much to ask our maids every day: Have you eaten?


Sim Eng Tong: 'The salted fish that came back to life'

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School dropout battles poverty and bankruptcy to rise to the top of the heap
By Wong Kim Hoh, The Sunday Times, 20 Apr 2014

There is a piquant Cantonese euphemism to describe those who miraculously bounce back from a major catastrophe or big failure.

Ham yu fan sang. Literally translated, it means "a salted fish coming back to life".

That is an apt description for Mr Sim Eng Tong, who refused to keel over and die even after hitting rock bottom, personally and professionally, on more than one occasion.

Things got so dire he was made a bankrupt in 1989. But today, he is the chief executive of Biomax, a company which has developed a breakthrough technology that converts organic waste into premium grade fertiliser within 24 hours.

The company's annual revenue vaulted from $350,000 in 2010 to $9.5 million last year.

This year, Mr Sim - who has exported his technology to more than 15 countries - predicts a turnover of $25 million.

Unabashedly, the 56-year-old confesses it makes him proud. And understandably so.

"You've heard of school dropouts making it big in property and construction. But have you heard of a Primary 5 dropout, someone who can barely speak English, steering a company in research and development?" he asks in Cantonese, beaming.

Comfortably ensconced in an armchair in the coffee lounge of Shangri-La Hotel, the trim chief executive has the tangy "nothing- can-faze-me" manner of a trouper.

He is the second youngest of five children. His father sold pineapples in a wet market; his mother worked as a maid for the family of a British army officer.

Life as he was growing up, he says, was hard.

"Meat was a luxury. My father was famous for buying the occasional pig's head for my mother to braise or stew because we couldn't afford other cuts of meat," recalls Mr Sim, who spent his early years in a wooden hut in a Paya Lebar kampung, and attended the now defunct Hua Long Primary School.

"I was really scared of going to school because the teacher would be asking for school fees and I had nothing to give."

The race riots which rocked Singapore in 1964 saw the family moving into a small room in a shophouse in the Sungei Road area.

He was moved to another Chinese primary school in Middle Road, but dropped out two years later when he was in Primary 5.

"My mother said the family really could not afford to keep me in school and needed me to start working. She got me a job as an apprentice in a car workshop," he says. "I felt sad but there was nothing I could do."

Verbal abuse by older mechanics was a regular occurrence.

"They'd curse, throw spanners and chase the apprentices with hammers," he recalls. He earned $1.20 a day and worked six days a week.

After he threw in the towel a year later, his mother got him a job at a plastic factory in Owen Road. It was mind-numbing production work.

"I was the only male. All my colleagues were young girls or aunties," he says.

Reckoning that the job held no prospects, he left one year later and, on his own, found a job as an apprentice welder at an iron factory.

He learnt the ropes quickly, and was almost a master welder when he decided to strike out on his own at the age of 17.

"I borrowed $1,000 from my godma and set up a small workshop to do window grilles and gates with an older guy. He went out to get orders. I did the welding with two apprentices," he says.

Two years later, he sold his share, got back his $1,000, and started national service.

There were at least two unsuccessful attempts to be the boss of his own welding company after he came out of the army.

"I guess I was too young and too inexperienced. I fell flat on my face," he says.

A bleak period ensued in 1978 when he was 25.

His second sole proprietorship failed, he was a few thousand dollars in debt and his father died.

"When my father died, he only had $6 to his name. All his children got a $1 note as our inheritance," he says.

His was kept in his wallet.

But one day, jobless and hungry, he took out that note and spent it on a plate of char siew rice.

"I felt terrible doing it but I had no choice. I told myself that I would spend the $1, quell the hunger pangs and then think of what to do next. But it still haunts me. I'd never be able to get that same $1 note again."

Of everything that happened to him, he says, that was the episode that changed his life.

"Money was one thing but I told myself I needed to chalk up some form of achievement."

Mr Sim has spent the rest of his life chasing that.

Through a friend, he landed a job selling drugs for poultry and animals. "It was like starting all over again. I was dressed like a labourer in my previous jobs but now I had to wear an office shirt and proper trousers every day."

The job allowed him to hone his gift of the gab.

"Practice makes perfect. After a while, I could spin all sorts of yarns to help me achieve my monthly sales targets," he says.

But competition and the Government's decision to phase out pig farming in Singapore soon made the job less attractive.

With the savings accumulated from his commissions, he started a business importing bed linen and pillow cases from Taiwan.

"I would then sell to small shops in Kereta Ayer and other parts of Singapore," he recalls.

The early days saw him going around 15 hours a day in a van crammed with his merchandise. But the business grew, and he soon had a few employees and an office in Hong Leong Gardens.

Disaster struck, however, when one of his clients absconded with a very large order.

One thing led to another. His cash flow dried up, he started borrowing heavily, debtors pounded on his door and flooded his office with lawyers' letters.

"It was a case of me looking after the front of the house not knowing my backyard was on fire," says Mr Sim, who ended up with a debt of more than $1 million.

The inevitable happened; he was declared a bankrupt two years later, in 1989.

The trauma would have felled many a man but not Mr Sim.

"I didn't give up on myself. Perhaps it's because I'd failed before, although this was a lot worse than my failures in the past."

A friend then told him to try his luck in China.

"I went to a friend and asked to borrow $500 and money for a plane ticket. He made me wait six hours in his office," he says, shaking his head.

He arrived in Beijing in October 1989, four months after Tiananmen Square was rocked by violent clashes between students and the Chinese military. "There were still bullet holes in buildings," recalls Mr Sim, who stayed with the Chinese friend of a friend.

Those were tough times.

"In those days, every foreigner was thought to be rich in China. People refused to believe I was poor, they thought I was either very stingy or freeloading."

He had no clue what he wanted to do but spent his days making friends and getting to know Beijing.

To survive, he took on whatever came his way: giving advice to businessmen wanting to do business in Singapore, telling Singaporean visitors where they could get good exchange rates. No job was too small for him.

He also started visiting trade shows and exhibitions.

"That was when I realised there were many products in China and they were very cheap," he says.

A brainwave came: he would become a middleman and help traders in the West source Chinese products. Roping in friends who knew English, he got them to write letters offering his services to trading firms in Europe and the United States.

In 1995, he helped a Singaporean investor set up a trading firm dealing in foodstuff, clothes and other products.

There was an understanding: he would run the business; the investor would help him pay off his debts and get discharged from his bankruptcy. In 2000, he was discharged.

Two years later, he returned to Singapore.

"I was physically exhausted. It was time to come home. China was also changing, the renminbi was so high and the whole world was there because everybody thought it was a goldmine. When I first went, you'd be hard pressed to spot a Singaporean on the streets."

After a short hiatus, he set up another trading company, this time sourcing products from Thailand and Vietnam for companies in the West. "It wasn't a big business but I had regular clients. We traded in rice, frozen poultry, tinned food and many other products."

There was also a two-year stint with a German food firm, which he left in 2008. Earlier this year, the firm took him to court alleging that Mr Sim carried out unauthorised transactions during his time there.

The entrepreneur, however, countered that the transactions were made with the knowledge of shareholders, and were for "legitimate business interests".

Mr Sim says he cannot discuss the case as it has not been settled.

In the mid 2000s, he met Dr Puah Chum Mok, a former polytechnic lecturer and researcher.

Struck by the sheer wastage in the food industry, Mr Sim challenged Dr Puah to come up with a technology to convert organic matter into something useful.

"I challenged him to turn organic matter into something with no smell, and no pathogens and other virus in 24 hours. He said, 'Twenty-four hours? Are you crazy?" And I said, 'Look, in 1950, you would have said I was crazy if I told you that man could go to outer space. Now look what has happened.'"

Within five years, the researcher had come up with what is now Biomax's secret weapon: an enzymatic catalyst which can transform organic waste - everything from manure to dead poultry - into top- grade fertiliser within 24 hours.

Another challenge cropped up. They needed a machine capable of generating very high heat to carry out that metamorphosis.

"We started out by testing the enzymes in rice cookers, but I later came up with the idea for a machine" says Mr Sim.

He went to China and Taiwan and spent a couple of hundred thousand dollars to get prototypes made. They did not work.

After much improvising, a South Korean factory delivered the "digestor" Mr Sim wanted.

He founded Biomax in 2009 with Dr Puah and his food business partner Fion Chua. It had a paid-up capital of $50,000.

The first 18 months were a hard slog.

Clients were sceptical about Biomax's technology.

"We had to borrow money to keep the company afloat," he says.

But he refused to give up. Ms Chua helped him write letters to farms and waste companies in several countries - from Australia to Malaysia and those in Africa.

One year later, they got their first order from a municipal waste treatment agency from Dubai.

"They sent two high-ranking officials here. Within two weeks, they bought the machine," Mr Sim says.

Since then, the orders have not stopped coming in from clients as diverse as poultry farms, fertiliser manufacturers and abattoirs.

One recycling plant in China forked out US$3 million for Biomax's machines and technology.

He shakes his head and thumps his chest with his right hand when asked if he ever feels inadequate heading a company staffed by employees with degrees and post-graduate qualifications.

"No. I feel good. It's not just about education. It's about ideas and leadership and experience and I have those. I am willing to learn and I have the energy and the confidence. So no, I don't feel inadequate," says Mr Sim, who has three grown-up children.

Getting listed is next on the cards and he hopes to do it soon.

"Are we there yet? No, we still have a long way to go. I want to make this really international; I want the world to know that this is an original breakthrough and it came from Singapore," he says.




If at first you don't succeed

"I've failed but I'm not useless. Failure only comes to those who take risks and grab opportunities. If I were useless, I wouldn't have failed because I wouldn't have done anything."

MR SIM ENG TONG on how he felt after he became a bankrupt



Survival instinct

"People asked me why I succeeded in China when others failed. I succeeded because I was different. Rich people went there hoping to make it even richer, but I went with nothing. That's why I had to make it. I had to survive."

MR SIM, on his experiences in China


Punggol: 'Ulu' place now a leisure haven

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Punggol has shaken off its past to become one cool town
By Audrey Tan, The Straits Times, 18 Apr 2014

HORSE riding, "farm stays" inside wagon-like chalets, beautifully landscaped parks set amid lush foliage and a silver ribbon of a river.

It sounds like a portrait of a northern holiday spot or even a scene out of a childhood Enid Blyton book, but the description is of Punggol, which has shaken off a past steeped in pigs and poultry to become one cool town.

Housewife Jubell Thong, 39, a Punggol resident of 12 years, loves to take her two children, aged four and six, on her pedalling adventures along the meandering trail in Punggol Waterway Park.

"I really like this area, it's family-friendly and gives us an option to stay outdoors," Madam Thong told The Straits Times as she stopped for a breather during a solo excursion to the park on Wednesday morning.

Just six or seven years ago, many residents complained that Punggol was like the Sembawang of the north-east: "ulu" (remote), unglamorous and quiet with few residents. These days, Punggol is shaping up to be a leisure destination and has seen its population double from about 42,000 in 2007 to at least 83,300 living in flats as of last year.

Not bad for a former farming area also known for fishing and fruit trees - Punggol was, after all, most likely named after a Malay word that means "hurling sticks at the branches of fruit trees to bring them down to the ground".

Its transformation had quickened after Prime Minister Lee Hsien Loong announced the "Punggol 21-plus" masterplan to make it one of the first waterfront public housing projects in his 2007 National Day Rally speech.

Punggol would have features such as facilities for water sports, gardens and parks with jogging tracks, and eateries for al fresco dining, Mr Lee had said.

Many leisure amenities capitalising on Punggol's natural charms have since sprung up.

The cycling trail that Madam Thong loves, for example, is part of the Punggol Waterway Park - a green lung in north-east Singapore. Running through it is the 4.2km Punggol Waterway, which links rivers Sungei Serangoon and Sungei Punggol.

"The park is relaxing and you can enjoy nice views," said sales representative and Punggol resident Andrew Ng, 47.

Other new installations, such as Punggol Point Park, near Punggol jetty located at the end of old Punggol Road, have also added to the area's chic feel.

Instead of seafood restaurants under zinc roofs that used to line the area, Punggol Point Park now has lily ponds, a playground, and an elevated, ship-inspired viewing deck which offers visitors views of red and gold-drenched skies at sunset, Pulau Ubin and the Strait of Johor.

Al fresco dining on boardwalks by the sea, too, is now a reality.

What really underlines that Punggol has become posh is the arrival of Gallop Stable last year, to offer farm stays, pony rides and riding lessons that start at $65 for a private, 30 minute session.

Said Mrs Mani Shanker, the stable's director: "The development of Punggol has helped promote the place - people become more aware of the area and its facilities."

Mr Francis Ng, chief executive of the House of Seafood Group, sees Punggol becoming "an East Coast in north-eastern Singapore" where people go for a seafood meal by the beach.

That is why the 42-year-old picked Punggol for his sixth restaurant, which opens today.

"I also chose to open an outlet here because of the memory of the place too - 20 years ago, there used to be many kampung seafood restaurants here," he added.

While Punggol is shaping up to be a draw even for visiting dignitaries such as Ms Sun Chunlan, top leader of Tianjin Municipality which has a population of 14 million, some people view it as a less desirable place to live in, given its faraway location.

While Punggol residents are made up mostly of young couples who choose to start their families in non-mature estates, real estate agents say some of them are now moving out to mature neighbourhoods for amenities like malls and wet markets.

Dr Janil Puthucheary, an MP for Pasir Ris-Punggol GRC, said residents' common gripes include the lack of facilities such as shopping malls and childcare centres. But plans are in place to increase these, he added.

"The town is rapidly developing, and people have easy access to nature through the parks and reservoirs," he said. "Residents can see that (the facilities) are up and coming."

And as always, the development of an area has its downside. Said technician and avid angler Zulfazli Abdul Kadir, 28: "In the past we were free to fish anywhere, but now we can be fined if we fish in the wrong places."

Mr Derrick Ong, general manager at the Marina Country Club that has stood sentinel in Punggol for the past 20 years, said road accessibility is a challenge.

Crowds here have grown not just on weekends but also during the week.

Still, challenges aside, Punggol's appeal is as strong as ever, he added.

"Punggol is historical, with a World War II site located at Punggol End, has beautiful sunsets, and offers leisure activities with a seaview," said Mr Ong, referring to a beach area where many were killed by Japanese invaders.

"It's a unique place you cannot find anywhere else in the north-east."



3 years on from the 2011 General Election

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Transport still a major bugbear: ST survey
Most say progress made in handling housing, health care, elderly, the poor
By Robin Chan, The Straits Times, 19 Apr 2014

THREE years on from the 2011 General Election, a Straits Times poll finds the Government's shifts in social policy have boosted confidence in its handling of housing, ageing, the poor and health-care issues.

But dissatisfaction over transport and foreign workers still simmers, with more than a quarter saying government performance in these two areas is now worse than in 2011.


When asked to name the Government's biggest achievement since the country last voted, 26 per cent said housing, pushing it to top spot. As for its worst failure, 45 per cent said transport.

Those are some key findings of a Straits Times survey of more than 500 citizens aged 21 and above. It was conducted by research firm Asia Insight shortly after the end of the Budget debate on March 5.

With the Government now midway through its five-year term, more than six in 10 approved of what it has done for the elderly, the poor, health care and housing. Seven in 10 said that they had confidence in how these issues would be dealt with in future.

Political observers and MPs said it was no surprise, given the plethora of social policies rolled out over the past few years, headlined by an $8 billion health-care package for 450,000 pioneers in this year's Budget.

These are part of the new way forward that Prime Minister Lee Hsien Loong outlined at last year's National Day Rally, which will see the Government and community doing more to support individuals.

But on transport, with train breakdowns and soaring certificate of entitlement prices, only 39 per cent said they saw improvement. Almost as many said the Government's handling of transport issues has deteriorated.

In particular, one in two said train services have worsened since 2011, though two in five said bus services have improved.

With a slew of cooling measures and an increased supply of new homes, four in 10 said it has become easier for first-time buyers to own a home. A quarter disagreed, suggesting more price moderation is desired.

Survey respondents were asked to rate Singaporeans' overall satisfaction today and three years ago, and about seven policy areas: health care, housing, education, transport, the elderly, the poor, and foreign workers and immigrants.

One trend that emerged was of the young and old being largely more satisfied with government policy today, while those aged 35 to 44 and those on middle incomes feel strained and are less confident about the future.

These are indications of the challenges ahead for PM Lee and his team in the second half of their term.

In a Facebook post last week on Parliament's mid-term break, Mr Lee said Singapore is in transition and "we are adjusting to new domestic needs while navigating an uncertain international environment".

Against this backdrop, the Straits Times survey found six in 10 said Singaporeans are satisfied with policies today. Five in 10 thought that was the case in 2011.

Said Nominated MP Laurence Lien: "The Government has done relatively more in the areas of health care, the elderly, the poor and housing, and there has been better publicity of these government actions."

But when it comes to transport and foreign workers, fewer changes on a day-to-day basis have been observed, he added.

That is the experience of daily commuter Neo Yiling, 26, who said the trains are more crowded and have frequent delays.

National University of Singapore Associate Professor Reuben Wong said the survey results indicate that people feel more reassured that the Government is now taking social issues and the cost of living seriously, and "finding ways and means to resolve (them), especially for the most vulnerable".




Feeling the tight squeeze in the middle
ST survey shows middle-income, middle-aged S'poreans feel bleakest about their future and govt policies
By Robin Chan, Andrea Ong And Rachel Au-yong, The Straits Times, 19 Apr 2014

Assistant Manager Raymond Koh, 38, is a man with many worries.

He just sold his Housing Board flat below valuation to upgrade to a bigger flat for his growing family. He worries about the long hours his daughter, 14, spends in school; and about the primary school his six-year-old son will get into.

His car's certificate of entitlement runs out in 21/2 years and he wonders if he will be able to afford another one.

He frets about growing old, his children's future and whether they will have a better standard of living than he is having.

"It will be very tough for them, that's for sure, because their income and the things everybody would want (like a house or car) don't match any more. The gap is very big," he says.

"In Singapore, if you don't have a combined income of at least five figures, I think it can be quite tough to pay for everything- house, car, education, insurance."

Mr Koh is one of the many middle-income Singaporeans aged 35 to 44 who emerged as the group most negative about the future and government policies, in a survey by The Straits Times.

They comprise roughly 16 per cent of the resident population here, according to data from the Department of Statistics, making them the second-largest age group. The largest is the 45 to 54 age group.

The poll of more than 500 Singaporeans was done by market research firm Asia Insight over a week in March.

It asked them questions on how satisfied they think Singaporeans are with government policies and their confidence in the future, and found this group had the smallest share - one in two - of those who think Singaporeans are satisfied, and who are confident about the future.

When asked to rate how well the Government has handled issues like health care and transport since 2011, again this group consistently gave the lowest scores.

The survey sought to find out how Singaporeans view the progress made since the 2011 General Election, when many issues were aired and voters sent a strong signal by electing six opposition members into the House, the most since 1966.

The results show that the social shifts the Government has made since then seem to be resonating with the ground, and concerns over housing have abated.


Singaporeans have the most confidence in the Government's ability to handle issues related to the elderly, the poor, health care and housing, although there appears to be growing frustration over train breakdowns, and the foreign worker issue remains divisive.

But another picture that emerged was of a U-shape curve in satisfaction.

Young Singaporeans are generally happy and optimistic. Those in their mid-30s, 40s and early-50s are stressed and critical. And then those aged 55 to 64 become more carefree and happier again.

When told these results from the survey, Mr Koh agreed: "These (aged 35 to 44) are the people with the most burdens, the most worries. We're in a midlife crisis of sorts. We have schoolgoing children, so the commitment is very high, and we're also afraid of a sudden career change.

"If you're committed to the car, house and children, the burden is huge. We're the sandwich group. The costs are tremendous."

The phenomenon of the middle-class squeeze is not a new one. And neither are the stresses of the middle-aged. But when age and income intersect, the survey suggest a bloc of voters in the middle who are feeling increasingly squeezed and in need of more help.

Scholars on well-being have posited just this relation between age and happiness - with the lowest point usually coinciding with middle age.

American academics David Blanchflower and Andrew Oswald found that happiness among Americans and Europeans bottomed out in their 40s.

These findings are corroborated by a 2011 quality-of-life study by Professors Siok Kuan Tambyah and Tan Soo Jiuan from the National University of Singapore.

It found that those aged 25 to 44 were most likely among all the adult age groups to say that they did not have enough money to buy the things they need or do what they wanted to do in life.

Among the 1,500 Singapore citizens surveyed, this age group also enjoyed life the least and felt the least sense of achievement.

That same NUS study also found that the middle-income group, which used to be the happiest and enjoyed life in 2006 compared to other income groups, is now the least happy and enjoyed life the least.

That does not surprise Nominated Member of Parliament Laurence Lien: "The middle-income may have higher expectations that are unmet, and they do not get as much government support as the lower-income.

"The 35- to 44-year-olds are often having to juggle multiple responsibilities. Apart from work and parental responsibilities, they may also have to provide caregiving help to their parents."

The survey also found that the overriding perception is that the Government helps the poor the most.

Over three-quarters of respondents said the low-income group have benefited most from government policies in the last three years.

In contrast, only 3 per cent said the middle-income group had been helped the most, less than the 10 per cent who said the richest were being helped the most.

This despite more measures recently to support the middle-income group, including GST vouchers to offset cost of living rises, and also hikes in the income ceiling so middle-income households can buy four-room HDB flats with subsidies.

The findings suggest that while the Government has increased support to the middle-income groups, it is either not felt, or not sufficient.

The young and the old

The 55 to 64 age group, however, seems to be in a sweet spot. They were the most confident and satisfied on almost all policy issues.

This age group had the highest levels of approval for the Government's handling of the elderly, the poor, health care and transport issues.

Some 84 per cent of them said the elderly issues had improved since 2011, compared to the national average of 72 per cent. About 65 per cent also had confidence in their ability to pay for health care in their old age, compared to the national average of 50 per cent, and as low as just 38 per cent for the 35 to 44 age group.

This is borne out in the same NUS study, which found that those aged 55 to 64 were the happiest and enjoyed life the most among all age groups.

Said NUS Professor Chua Beng Huat: "It is the beginning of the end of a career and if they don't have sufficient nest eggs already in place, life can be stressful thinking about how to fund their retirement years. But most will be cushioned by the ability to monetise their housing for retirement."

But while the 55- to 64-year-olds seem content, it is not the case for the elderly aged 65 and above. This bloc of voters have been closely watched politically. An Institute of Policy Studies post-General Election 2011 analysis found that the elderly were increasingly swing voters.

This traditional PAP-voting base may have wavered due to concerns over the rising cost of living and lack of retirement savings.

These silver voters still have many concerns over their ability to pay for health-care bills despite the recent introduction of the Pioneer Generation Package, the ST survey suggests.

About 55 per cent of those 65 and above said they supported MediShield Life, lower than the national average of 64 per cent.

And 59 per cent approved of the $8 billion Pioneer Generation Package, again lower than the national average of 66 per cent.

Associate Professor Reuben Wong from the National University of Singapore said it was significant that "the people who are supposed to feel they matter, aren't feeling it".

He thinks the Government has to convince this group of seniors by effectively implementing the policies that are meant to give them a hand.

It underlines the monumental job ahead for the task force co-led by Senior Minister of State for Finance Josephine Teo and Minister of State for Health Amy Khor, to communicate and coordinate the package for these 450,000 pioneers. But even while the 55- to 64-year-olds appear very supportive of government policies, Prof Wong also cautions that this group of elderly have to be handled with care.

Measures like the Pioneer Generation Package - for those aged 65 and above this year - may have created the expectation that they too will get something when they age.

Younger Singaporeans were harder to read. They expressed higher confidence in most issues except for education, housing and transport. This is likely because these are the issues they have most contact with now.

Among the 21- to 24-year-olds, 30 per cent said it had become easier to own a first home. Yet the same number said it had not.

This dichotomy of views, suggests SLP International Property Consultants' head of research Nicholas Mak, could be a result of perception and expectations.

As they are at the start of their careers and on low incomes, "I would not be surprised if they look at the price and feel overwhelmed", he says.

By the time they start their families, their income would have increased and he is confident housing will be attainable if they go for a Build-To-Order flat.

For education, Associate Professor Jason Tan from the National Institute of Education says that the findings bear out the belief that students today experience much more stress than their parents did in school.

He says: "Probably many of them (now) have had private tuition and the regiment of extra lessons, parental anxiety, and assessments."

While changes have been made to the education system, they have been incremental.

Larger changes such as how to grade the PSLE on a wider range beyond T-scores, and making every school a good school, as is the Education Ministry's slogan, will take time.

And Prime Minister Lee Hsien Loong pointed out in his speech last week, Singapore schools continue to hold up well globally, and must continue to do so, even as the Government seeks to reduce the level of stress placed on students and parents.

Overall, the survey findings suggest that even as the Government has moved to address many of the issues that had caused anxiety and insecurity among voters, there are still groups that remain sceptical, especially among the middle-aged and middle class.

The Government has to pay attention to their needs and aspirations, so as to make sure their dissatisfaction does not deepen further.





HEALTH CARE: Worry remains over ability to pay bills in the future
By Andrea Ong, The Straits Times, 19 Apr 2014

SINGAPOREANS, especially the middle-aged and the pioneer generation, continue to lose sleep over whether they can pay their medical bills in the future.

This finding of a Straits Times survey sounds a cautionary note amid the praise heaped on measures such as the Pioneer Generation Package and MediShield Life for easing the worries of seniors and their children over hefty medical bills.


Just half of the 500 citizens surveyed say they are confident or very confident that they can pay for health care in their old age. Some 16 per cent are not confident they could pay.

Said health economist Phua Kai Hong: "Many sense that increasing health-care financing through government spending, increased benefits and medical insurance for life may not be complete and lasting enough to tackle rising medical costs."

He called for greater control over supply-side costs such as hospital care and drugs. He also singled out the 34 per cent who chose to remain neutral as a group to watch. With MediShield Life and the Pioneer Generation Package still in the works, this group is reserving judgment until they see the results of these policies in the coming years, he said. "The test of the cake is in the eating."

Just two in five of those aged 35 to 44 and of those older than 64 are confident of paying for their health care in the future.

The two groups are also least positive when asked if they agreed with having MediShield Life and the Pioneer package. Just about half of those aged 35 to 44 and older than 64 approve of MediShield Life, against 64 per cent for all respondents. For the package, about six in 10 of those aged 35 to 44 and older than 64 approve, compared with 66 per cent overall.

Dr Phua said the results highlight the "hardest-hit sandwich group" who are most likely to have young children while supporting aged parents.

"They'd feel the pinch of not having built up enough in their CPF and Medisave accounts while depleting their savings for the care of dependants, thus are less positive about their own old-age needs."

Those older than 64 are the pioneers who started working when CPF rates were lower and Medisave did not exist. Many would have chronic conditions and suffered the drain of health-care expenses. This may explain their diffidence though they are the beneficiaries of the Pioneer Generation Package.

Associate Professor Tan Soo Jiuan of National University of Singapore said they may also not know about the package.

Ironically, the group that just missed out on the package - those aged 55 to 64 - are most positive about health-care affordability and the new measures. More than three- fifths are confident of paying for health care. Dr Phua and Prof Tan said this cohort of baby boomers benefited from CPF and Medisave and are either at the peak of their earning power or have just retired.





HOUSING: Measures to boost supply and ease prices lauded
By Rachel Au-Yong, The Straits Times, 19 Apr 2014

IN 2011, soaring housing prices was one of the hottest issues during the general election.

But an unprecedented number of new HDB flats and a slew of cooling measures have since reined in home prices.

More Singaporeans can now afford them, leading many to laud housing as the Government's biggest achievement.

This is the finding of a Straits Times survey of more than 500 Singaporeans, done over a week in March.

About one-quarter of them rated housing and measures related to it such as "cooling measures", "estate upgrading" and "housing for first-timers" as their top pick of what the Government did best since 2011.

Around 40 per cent say it is easier for first-timers to own a home, thanks to a rise in supply. This is near-double the 24 per cent who say it is not easier.

The HDB has launched more than 77,000 Build-To-Order flats between 2011 and last year - more than double that of the preceding three years.Coupled with seven rounds of cooling measures since 2009, the supply helped push prices down.

Preliminary HDB figures show resale flat prices fell 1.5 per cent in the first three months of this year compared with the preceding quarter. The slide is the third quarterly decline in a row.

Still, some groups struggle to own a home. They are lower-income Singaporeans who earn below $4,000 a month. About 25 per cent of them do not think it has become easier to buy a home. But only 11 per cent of those with bigger pay packets - those making over $6,000 a month - feel the same way.

Young Singaporeans, however, were not as optimistic, with one-third of those aged 21 to 24 saying they do not see home ownership being easier now than in 2011.

One reason could be their preference for a home in mature HDB estates, said analysts.

But four in five Singaporeans agree that the decline in property prices is beneficial.

Younger Singaporeans say it allows them buy their first home while middle-aged Singaporeans think prices are rising too fast.

Said Mr Simon Goh, a 66-year-old retiree who lives in a four-room flat in Queenstown: "It is good if my flat appreciates but not at the breakneck speed of the last few years. I'd rather my children and grandchildren have a roof over their heads."

While 26 per cent praised the housing moves, 18 per cent labelled it the Government's second biggest failure, after transport. Many among them point to high property prices.





TRANSPORT: Source of most angst since last elections
By Andrea Ong, The Straits Times, 19 Apr 2014

FRUSTRATED with rising car prices, train delays and fare increases, Singaporeans have dubbed transport the Government's worst failure since the 2011 General Election.

The label was given by 45 per cent of 500 citizens polled in a Straits Times survey.


Around 28 per cent rate it as bad or very bad. Only a tad more - 31 per cent - say the system is good or very good.

They reserved most of their ire for the MRT, with over half of the regular train commuters saying services have declined since 2011. Only 21 per cent say services have improved.

For bus services, it is the reverse: Two in five regular commuters say services are better while 19 per cent say they have deteriorated.

The bus score could have got a boost from the Bus Service Enhancement Programme, which started in 2012. The $1.1 billion scheme will put about 550 state-funded buses on the road by the end of this year.

Commuters' growing happiness with buses and unhappiness with trains can also be seen in the Land Transport Authority's latest annual satisfaction survey.Conducted by UniSIM last year, its poll of 4,200 commuters shows the proportion satisfied with buses went up to 88.3 per cent, from 86.4 per cent in 2012.

On the other hand, the percentage satisfied with the MRT dropped from 92.1 to 88.9 per cent - its lowest since the first poll in 2006.

The overall satisfaction with the public transport system also slipped to 88.5 per cent, the lowest score since 2007.

Nursing student Neo Yiling, 26, who takes the bus and train daily, can relate to both survey findings. "The trains have become worse because of more frequent delays," she said, but she finds both trains and buses have become more crowded since 2011.

Ms Neo has been in situations where the train doors remain open at a station for more than 10 minutes.

Indeed, train delays and breakdowns was one of the top transport-related government failures cited by respondents.

They also slammed the high car and certificate of entitlement (COE) prices, and fare increases.

A separate section in the survey asked car owners what would coax them to leave their cars at home and take public transport.

Their replies indicate push factors, such as higher COE prices and higher car prices, will have a greater effect than pull factors like public transport becoming more convenient and having fewer glitches.





FOREIGN WORKERS: Many still feel issue can be handled better
By Andrea Ong, The Straits Times, 19 Apr 2014

THE foreign worker influx remains a lingering source of unhappiness among Singaporeans.

A Straits Times survey of 500 citizens shows that among seven national issues, whether the Government has improved its handling of these workers and immigrants since 2011 sits at the bottom of the list.

The State did better on issues such as the elderly, health care and housing. But just as one-quarter feels the handling of these foreigners has got worse since 2011, one-quarter believes the opposite, that this group has been handled better. Half feel there is no change.

On the other hand, at least three in five say the Government's handling of other national issues - except transport - has improved.

In the 2011 General Election, the foreign worker influx and the strain it placed on infrastructure were attacked by opposition parties as a sign of the People's Action Party government's lack of foresight.

The release of the Population White Paper last year also led to much public angst over erosion of the Singaporean core.

The survey shows fewer than two in five are confident in Singapore's future on the issue of foreign workforce and immigration; 22 per cent are not confident. People aged 21 to 24 and those older than 64 are, however, more confident. On the other hand, middle-aged Singaporeans and the lower to lower-middle income group - those earning up to $4,000 a month - are less confident.

One surprise is that people see the foreign worker issue as less important than other national issues. Just 57 per cent say it was important to them when they voted in 2011, compared with 91 per cent who found the elderly and housing important.

Associate Professor Tan Soo Jiuan of the National University of Singapore said the finding does not mean people do not care about the foreign worker issue. It is, however, less immediate and personal than concerns such as the elderly, housing and health care, which cut closer to the core of one's personal well-being and family.

A survey she and Dr Siok Kuan Tambyah did in 2011 showed almost two-thirds of 1,500 citizens want the Government to restrict the foreign worker inflow to protect locals' interests. But stacked against other areas where people want the Government to do more, the foreign worker issue is at the bottom. Top priorities: ageing population and health care.

Dr Leong Chan Hoong of the Institute of Policy Studies said the ST survey is consistent with other data in indicating that people's resentment is targeted at foreign worker policies, not the foreigners themselves.





S'poreans want responsible and accountable government
They don't think of good governance only in terms of good policies
By Zuraidah IbrahimThe Straits Times, 19 Apr 2014

ACCORDING to conventional wisdom, voters tried to teach the ruling party a lesson in the 2011 General Election. If so, the People's Action Party could be said to have spent the past 21/2 years on make-up classes.

Its diligence seems to be paying off in some areas, going by the The Straits Times survey results reported in the previous pages. But they also show lingering dissatisfaction with certain policies, particularly public transport.

And, most intriguingly, the findings suggest that even a straight-A performance will not convince Singaporeans to hand unlimited power to the PAP.

In 2011, cost of living and housing were deemed thorny issues. The strain that foreigners were putting on infrastructure was also said to be upsetting Singaporeans.

The new survey finds Singaporeans reporting a shift in public sentiment. They perceive that their fellow citizens are more satisfied with the way the housing issue has been attended to. When they were asked to name the Government's biggest accomplishment since 2011, housing-related policies came out on top, cited by 26 per cent of respondents.

Most also feel that Singaporeans are now more satisfied with how low-income people's needs are being taken care of. More than two-thirds think that the Government's handling of issues related to the poor has improved compared with three years ago. The handling of elderly issues and health care also received especially high approval ratings, at 72 per cent and 66 per cent respectively.

On the other hand, transport was voted the Government's worst failure, with 45 per cent giving it the thumbs down. The $1.1 billion Bus Service Enhancement Programme, which has the Government paying for buses, was a major departure from previous policy and seems to have made a welcome difference. More than four in 10 of regular bus commuters said services had improved, compared with over half of regular MRT commuters who said train services had declined. The Government's overall grade for public transport could have been dragged down by the high-profile MRT breakdowns that have occurred since 2011.

Overall, many Singaporeans seem to acknowledge the PAP's efforts at responding to their demands. However, they are not entirely satisfied. The Government may have taken remedial action to address missteps and miscalculations in housing, transport and immigration policies. But Singaporeans may not be greatly impressed since these were seen as problems of the PAP's own making in the first place.

Reacting to problems after they are painfully apparent to everybody is not enough for a population accustomed to good governance. The PAP may need to recover its old penchant for anticipatory leadership - the ability to look ahead and tackle emerging issues decisively even before they surface to prominence.

This year's Pioneer Generation Package and the bold moves to introduce universal health-care insurance through MediShield Life are the kind of confidence-inspiring policies Singaporeans may be seeking from the PAP. The fact that public response has been positive even before the more potentially contentious fine print has been announced suggests that a reserve of trust in the PAP remains, despite rising cynicism.

In both these policies, the Government has tried to tackle looming problems before they become overwhelming, unlike the housing and transport problems that were allowed to fester for some years.

The Government can draw comfort from the finding that young people are brimming with hope. Those aged 21 to 24 expressed the most confidence in their expectation of the Government's handling of national issues in the future, consistently giving it high marks of above 70 per cent, except in education, transport and foreign workers and immigration.

The issue of foreigners continues to colour Singaporeans' perceptions. It is plainly an unresolved issue: consistently across all age groups, less than half express confidence in government policy. The issue did not rank as high in importance as the elderly, housing, health care, the poor or transport. This could be because Singaporeans are less bothered by the presence of foreigners as such than by how their numbers impact quality of life with respect to housing, transport and so on.

Address these symptoms and immigration may become less of an issue.

The most sobering finding for those who believe in undiluted PAP dominance is an unmistakable appetite for greater checks and balances. This is one of the most important factors Singaporeans say they will consider today when choosing their MP, alongside the state of national policies and a candidate's attributes.

The overall picture shows a Singaporean voter who is demanding but prepared to acknowledge good performance. Encouragingly for the Government, its policy reforms have been duly noted.

But the survey also shows that Singaporeans do not think of good governance only in terms of good policies, but also as a system that includes checks and balances.

Even in the so-called new normal, the PAP remains dominant, with 80 out of 87 elected seats in Parliament. It believes that a strong ruling party is good for Singapore, and many Singaporeans may well agree.

However, if the PAP is to keep abreast of people's aspirations, the survey shows that it would probably be smarter to focus less on the margin and more on the quality of that dominance - people want a ruling party that is both responsive and accountable.





Checks and balances high on voter's mind
By Andrea OngThe Straits Times, 19 Apr 2014

THE need for checks and balances on the Government is very much on the minds of Singaporeans when they vote for their Member of Parliament, according to a Straits Times survey.

It is ranked very important by 35 per cent of the people asked to rate the importance of six factors in their choice of MP.

They form the biggest group. In contrast, fewer than 30 per cent view each of the other factors as very important.

But going by mean scores, two factors are ranked equally as most important when electing an MP.

These are: the need for checks and balances and a candidate's attributes.

Both have a mean score - which is the average of the spread of sentiments for a factor - of 4.11 out of 5, four being important and five being very important.

Following them are three other factors: national policies and their impact on the voter (4.1), the candidate's party (4.09) and the need for more alternative views in Parliament (4.05).

Least important is local constituency issues (4.02).

Political scientist Reuben Wong of National University of Singapore said voters' emphasis on checks and balances is reflected in the Workers' Party's (WP) electoral success since 2011.

Campaigning on the theme of "Towards a First World Parliament" that year, the WP became the first opposition party to win a group representation constituency, the five-seat Aljunied GRC.

Later, it also won by-elections in Hougang and Punggol East, both single-seat constituencies.

Noting that the WP had found an effective formula, Associate Professor Wong said: "It seems the WP is reflecting a quite deeply held view that you get better government with checks and balances in place."

The survey of 500 Singaporeans done over a week in March also shows that having checks and balances is particularly crucial to the higher-income group, with almost half of those earning above $6,000 a month saying it is very important to them.

It, however, drops in importance for the older folk, particularly those older than 64.

Prof Wong also singled out voters' emphasis on a candidate's attributes over the party.

"The individual - whether he or she is likeable and can be trusted - seems to be as important or even more important than the party he or she represents," he said.

The People's Action Party will have to be more savvy in fielding candidates as qualifications and the party brand are no longer enough, he added. "You need that X-factor, you need personality, you need someone who walks the ground."

The survey findings are broadly similar to the post-election survey done by the Institute of Policy Studies (IPS) in 2011, though with some differences.

The need for checks and balances figures strongly in the IPS study as well, with 43 per cent of about 2,000 respondents finding the issue very important.

The demographic trends in income and age are similar to the ST survey.

But in terms of mean score, checks and balances was about the same in importance as cost of living and the need for different views in Parliament.

All three issues are second to the need for efficient government, which 54 per cent say is very important. The ST survey did not test for this factor.

But as with the ST survey, local issues such as upgrading and neighbourhood facilities score low in importance in the IPS study. Similarly, its separate section to find out how voters view candidates' characteristics shows qualities such as honesty, efficiency, fairness and empathy are more important than their party.





A tough sell to middle-incomers
By Lydia LimThe Straits Times, 19 Apr 2014

GIVEN the anti-foreigner vitriol of recent years and the howls of protests against the White Paper on Population last year, who would have thought that foreign workers and immigration matter to far fewer Singaporeans than the poor and the elderly?

But that is the finding of a recent Straits Times survey of 500 Singaporeans.

Nine in 10 said housing, the elderly, the poor, health care and transport were national issues that were either very important or important to them. Only 56 per cent said that of foreign workers and immigration. As for transport, it came in fifth, below even the poor, which is a surprise given the loud complaints over congestion and breakdowns.

Those surveyed also said that back in 2011, when many of them last went to the polls, the four issues they were most concerned about were also housing, the elderly, the poor and health care.

That, too, is at odds with the reading of most political observers, that the key issues of the May 2011 General Election were infrastructural bottlenecks, namely a severe shortfall in affordable housing, over-crowded trains and buses and a rapid influx of foreigners that had worsened the strain.

So what is one to make of this surprising survey finding?

First, voters may well have short memories when it comes to politics and policies.

After all, those are not the stuff of their daily lives; family, friends, work and chores are.

That was brought home to me by one Aljunied GRC voter, who struggled to recall if she had cast a ballot barely two years after she had. Elections may be high points in the political calendar but to the average voter, such events are quickly buried under the demands of daily life.

Second, public opinion shifts in tandem with political messaging. During an election campaign, opposition parties and online critics may well give the Government a run for its money in the contest for people's attention, but outside of campaign season, the Prime Minister and his Cabinet team still set the direction of national discussion.

The simplest explanation for the poor and elderly emerging front and centre in people's minds when asked about national issues, is that the Government has been highlighting, explaining and rolling out policies to help support those two groups.

Third, the level of noise on an issue may not accurately reflect its importance to voters.

The most challenging part of sussing out public opinion is to find out what the silent ones think, and work out whether their views coincide or diverge from those of the vocal class.

Interpreting survey findings is itself an art, one that is gaining in importance as growing political contestation feeds a desire to milk the predictive power of such polls. But the job of leadership remains to sift out the wheat from the chaff in such data, and make a judgment on how best to respond to the shifting tides of public perceptions.

Take for example the survey finding that Singaporeans experience a U-shaped happiness curve as they go through life.

Most start out happy and optimistic in their 20s, suffer a dip in positive feelings when they hit their mid-30s and responsibilities pile up, before re-emerging in their mid 50s when work pressures and the burdens of care-giving ease. The co-relation is not just with age but with income. The middle income are more likely to feel squeezed, dissatisfied and pessimistic.

This group of middle-aged, middle-incomers is sizeable.

The Government has in recent years extended financial help to them. That has been a significant shift in policy because previously, it had been very careful about targeting aid at those on low incomes.

In his Budget speech this year, Deputy Prime Minister and Finance Minister Tharman Shanmugaratnam said that the social initiatives of the last five years provide support to lower- and middle-income Singaporeans that is about 21/2 times what it was a decade ago.

But that has not taken the edge off the disgruntlement of many in this group, who feel that with rising costs, the good things in life that they aspire to are increasingly out of their reach.

That will continue to be a political pressure point on the Government, whose leaders must decide just how far to dip into national coffers to help middle-incomers achieve their version of the Singapore Dream.

Mr Tharman has been at pains to highlight Singapore's achievements in keeping incomes for this group growing so they can stay ahead of costs, and in keeping the tax burden on them lower than it is in many other countries.

In his Budget wrap-up speech, he also stressed that the Government must continue to target subsidies at those who need them most, and avoid universal subsidies. Such subsidies can become a serious drain on finances.

But what ST's polling shows is that the work of persuading middle-aged, middle-incomers that they are getting a fair deal will continue to be a tough sell.





Progress made in three key areas, but battle far from won
By Ignatius LowThe Straits Times, 19 Apr 2014

IN ANY country around the world, housing, health care and transport must rank among the most important bread-and-butter issues that a government must get right.

Not only do they fundamentally affect how happy people feel as they go about their daily lives, they tell you something about whether aspirations of the young can be achieved, and if society is there to catch them one day when they fall.

Almost three years on from the last general election, the results of The Straits Times' survey show a mixed bag of results for the Government in these key areas.

It is not for want of trying. Some problems like housing are dependent on external economic factors that the Government cannot entirely control, while others like transport will take more than one election cycle to fix.

But one thing seems clear: the bolder the move and the more unequivocal the message, the greater the payoff.

This is most apparent in the area of health care, where one- quarter of respondents gave the Government the highest praise. On a scale of one to five, they picked "five" - saying it was doing a "much better" job than in 2011.

It is all the more remarkable given that, relatively speaking, the unhappiness with health-care issues was not as palpable in 2011 as say, housing, transport or foreign workers. On the whole, the combination of health subsidies and the "3M" system in Singapore - Medisave, MediShield and Medifund - has generally worked to keep the cash cost of standard health-care treatment low, yet fairly decent in quality.

Rather, the discomfort was more about whether the system could withstand the ageing tsunami that will hit Singapore in the next 10 to 20 years. And there were sad stories of people who fell through the cracks somehow: perhaps having a pre-existing condition not covered by MediShield, yet not being poor enough to qualify for Medifund help.

Since 2011, however, the Government has moved decisively to head off these problems.

It has announced a major revamp of MediShield that will, simply put, offer near-universal health insurance coverage for life, while pledging to ramp up health- care spending to keep premiums low. This has given peace of mind not just to the very old and those with pre-existing conditions, but anyone who might one day fall into these two previously uninsurable categories.

Meanwhile, it has also forced employers to pay 1 per cent more in monthly salaries into older workers' Medisave accounts, and given a generous Pioneer Generation Package of health-care benefits to those above 65.

Mind you, much of this has not been completed or implemented yet. But the clarity of the Government's intent and the effort in forward planning has not been lost on Singaporeans, especially those aged between 55 and 64, which saw a big rise in confidence in health-care issues.

In the area of housing, the picture is less clear.

Two-thirds of Singaporeans felt that the Government was doing "better" or "much better" than in 2011 - a proportion equal to that of health care.

This is also due to a series of bold moves, this time targeting particularly newly-weds who felt they had to wait too long to buy new Housing Board flats, yet were being priced out of the market for resale flats and private property.

In response, the Government aggressively rolled out a record supply of new Build-To-Order (BTO) flats in the last three years, holding their prices low and giving top priority to first-time applicants. The backlog in demand has now been largely cleared. Most newly-weds are now successful on their first or second try if they opt for new, non-mature estates.

At the same time, the Government barred private property owners and newly minted permanent residents from the HDB resale market, and put in taxes and loan curbs that made it tougher for foreigners and local investors to buy private property.

So why is it only 41 per cent felt that owning that first home had become easier? Another 24 per cent even reckoned it had become more difficult.

The answer is in another survey statistic. Out of the 18 per cent who cited housing as the Government's worst failure, 8 per cent cited persistently high property prices. A five-room resale flat in a nice estate like Marine Parade still costs at least $700,000, and these days $1 million buys you at best only a tiny two-bedroom private condominium unit in the boondocks.

As long as these headline prices do not come down significantly, young people will compare their lot with their parents' and continue to feel that they are living in a country where property has become unaffordable to the mass buyer.

To be sure, the availability of the cheap BTO option now provides a fail-safe in terms of housing options. But unless expectations come down, this will not fully satisfy the aspirations of all home buyers.

In other words, in housing, the Government is clearly doing better - but is it doing enough?

Finally, we come to transport, which a whopping 45 per cent considered the Government's worst failure. More than a third said it has handled transport issues more poorly than in 2011.

To be fair, the Government has also been bold in this area. It has announced that it is building more train lines and adding more trains and buses to improve service frequencies and reduce congestion. It is even paying for this added capacity where it is not commercially feasible, and introduced free travel in the mornings to ease peak-hour loads.

Now, I believe that most commuters are reasonable and accept that adding capacity to the system will take time, so I reckon, all things being equal, the Government might have received a better report card at half-time.

Unfortunately, two other issues have come up - the first is more frequent and serious train breakdowns, and the second is resurgence of near record-high Certificate of Entitlement (COE) prices for cars.

The first issue was dealt with by a high-level Committee of Inquiry and a reset of the leadership at key train operator SMRT. But the breakdowns have continued.

The Government tried to fix the second problem by requiring high downpayments of at least 40 per cent on car purchases, but this only had the effect of making cars unaffordable to everyone but the cash-rich. A tweak of COE categories to drive expensive makes out of the entry-level small-car COE category also failed, as manufacturers found ways to circumvent the rules. A car COE today still costs about $80,000.

The result: fresh criticism about the inadequacies of planning and policy design, as well as the Government's seeming inability to troubleshoot.

Of course, we are only halfway through the election cycle and the Government still has some time to put things right. Conversely there is also time for sentiment to sour in areas like health care, for example, where there is an emerging bed crunch in public hospitals.

What is clear is that some progress has been made on these hot-button issues, though the battle is far from won.





More help but life still hard for old, poor
By Radha BasuThe Straits Times, 19 Apr 2014

CONCERNS over the old and the down and out in rapidly ageing Singapore are weighing on the minds of many here.

The elderly and the poor were two of the top three concerns among Singaporeans in a recent survey of key issues three years after the last general election.

Respondents were asked to choose from a list of seven hot-button subjects including housing, health care, the elderly, the poor, transport, education and foreign workers.

Interestingly, neither the old nor the poor grabbed centrestage in the run-up to the last GE. This could be because greying is an inevitable, slow and silent process and the poor are usually out of sight in a city often touted as among the richest in the world.

Besides, neither issue is as emotive as housing or foreign workers or as visible as overcrowding in public transport - all of which led to many verbal jousts between the ruling party and the opposition in 2011.

So how did two largely voiceless demographic groups suddenly seize the collective consciousness of the nation?

One factor may be an awareness campaign on poverty late last year. The Singaporeans Against Poverty campaign highlighted how more than 105,000 families here earned an average of just $1,500 a month.

Ironically, the old and the poor may also have begun dominating public discourse due to a plethora of high-profile government announcements since 2011, tweaking health-care, jobs and social policies to help prepare for a rapidly ageing Singapore.

Spending on health care, for instance, has almost doubled in just three short years - from $4 billion in FY2011 to $7.5 billion in FY2014. This does not take into account the $8 billion put aside for the pioneer generation.

Central Provident Fund contribution rates for older workers have been raised twice in two years. Companies that hire them have been given wage subsidies. Workfare, a scheme which tops up the wages of older and low-income workers has been expanded. And payouts from ComCare, the Government's main fund to help the needy, topped $100 million for the first time in the 2012-2013 financial year, more than double the $44.5 million given out just five years earlier. A total of 33,266 individuals and families were helped overall in FY2012, up from 19,072 just five years earlier.

Given this spate of measures, it is no surprise, that around seven in 10 Singaporeans polled by ST expressed satisfaction at the way the Government had handled issues related to ageing and the poor since the last GE.

Yet, perception has not fully mirrored reality. Worries remain on how well Singapore will ride the impending "silver tsunami".

Whether health-care infrastructure will be able to keep pace with rapid ageing is a key concern.

For instance, there are already an estimated 210,000 Singaporeans caring for the elderly, the sick and the disabled at home. Yet, homecare providers can now serve only 5,400 seniors needing home-based health care and 1,100 seniors needing home-based personal care.

There are around 2,500 places at day-care centres for the elderly and 10,600 nursing home beds islandwide. Still, these numbers seem low, given that Singapore is one of the fastest-ageing societies in the world. There are already nearly 250,000 people here aged 70 and above, a 55 per cent jump from a decade ago.

Costs are another concern. Despite increased subsidies, families living in five-room HDB flats, for instance, may not qualify for enough health-care subsidies and forgo services altogether. Full costs for respite care and home medical services, for instance, can be as high as $370 per day and $200 per visit respectively.

Meanwhile, even as social safety nets are strengthened, life remains hard for the poor.

Despite the tight labour market, for instance, the ranks of low-wage workers are on the rise. In 2012, the number of local workers who earned less than $1,000 a month despite working full-time went up by 4,000 to 114,000 from a year earlier.

And despite higher spending, ComCare payments still reach fewer than a fifth of families on the bottom two rungs of the income scale.

But with so many policies announced to better manage demographic drifts, there is hope that in its 50th year of independence, Singapore will share more fruits of its stellar economic success with those who once helped build a new nation, but are now too old or infirm to help themselves.




One in five thinks PSLE is redundant
By Sandra DavieThe Straits Times, 19 Apr 2014

EVEN as the Ministry of Education considers how best to adjust the Primary School Leaving Examination scoring system, a question gnawing away at the back of the minds of some is whether a national examination at age 12 is necessary at all.

A poll commissioned by this newspaper shows that only two in five Singaporeans think the PSLE is necessary. One in five stated outright it was redundant, while the others were neutral.

Significantly, more of the respondents with higher qualifications and incomes felt that the PSLE was not needed.

Stanford University education professor Linda Darling-Hammond, who was in Singapore last year to deliver an education lecture, also raised the same question while heaping praise on educators here.

She noted then that the PSLE debate had raised two important questions.

The first was the exam's purpose and whether it was being used in the right way. The second - whether it was appropriate for children to take a high-stakes examination at age 12.

She did not want to prescribe the age at which "a high-stakes sorting examination" like the PSLE should be taken, but noted that most school systems in the world do it at age 15 or 16.

"That's when most youngsters are beginning to discover what they are good at and where their interests lie," she noted.

Dr Pasi Sahlberg, the renowned Finnish educator who gave an interview to The Sunday Times last year, echoed her comments when he asked why Singaporeans were debating T-scores and bands when they should be debating if the PSLE was needed.

As he aptly pointed out, Singapore is one of the few countries in the world to have a high-stakes examination for children as young as 12. Places like Hong Kong that used to have a sorting examination for 12-year-olds did away with it a few years ago.

So, although the exam scoring system is being tweaked, this is a question that educators and policymakers should revisit, if not now then in the near future.

No doubt the PSLE may work well as a sorting examination to allocate priority for secondary school selection, but we have to carefully examine if it detracts from the more important purpose of educating young minds.

Education experts have heaped praise on Singapore for its well-designed examinations that test higher-order skills, but as all educators know, even the most well-designed examination is not able to measure what a student is capable of.

Some children are highly anxious about testing and that impacts their performance.

A system based on high- stakes examinations also disadvantages children who are late bloomers.

It also takes a deterministic view of ability and intelligence and flies in the face of recent research which suggests that ability, including academic ability, can be cultivated through effort.

Examinations also narrow the focus of education as it influences the teaching, learning and curriculum that come before it.

In theory, teachers consider the desired outcomes, plan a curriculum, teach and then assess students' learning to see if those outcomes have been met.

With high-stakes examinations such as the PSLE, the sequence is reversed.

Teachers look at what is being tested and align their curriculum and teaching to ensure that their students will score in the examinations.

In recent years Education Minister Heng Swee Keat has stressed the importance of teaching 21st century competencies, such as the ability to work in teams and connect with people from other cultures. Not to mention, nurturing values and character.

The PSLE does not test any of this.


Towards a new tax morality

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Many governments are taking heed of the public mood for taxpayers to pay their fair share of taxes; Singapore should also seek a fairer distribution of the tax burden.
By Willie Cheng, Published The Straits Times, 19 Apr 2014

WHEN I first met Mr Koh Yong Guan more than 20 years ago, he had just been appointed the Commissioner of Inland Revenue. One thing he said then and which has stuck with me ever since was: "Tax evasion is illegal - and tax avoidance is immoral."

The Inland Revenue Authority of Singapore eventually became a client of my technology consulting firm, and I would often caution my staff that we should be whiter than white in our personal tax returns, especially with a tax commissioner who thinks like that.

That said, my feeling then was that Mr Koh was unique in his view of tax morality. In fact, I knew, and still know, of more than a few chief financial officers and accountants who consider it not only fair, but their very duty, to minimise, as much as possible, the taxes they and their companies pay.

Indeed, a whole "tax planning" industry has sprung up to help individual and corporate taxpayers push the envelope in tax avoidance, and so, legitimately pay little or no tax.

Turning the tide

HOWEVER, events of recent years suggest that society may well be coming around to Mr Koh's point of view. There is a palpable change in public opinion towards each person and corporation paying their fair share of taxes, and not getting away with merely paying what might be within the tax rules of the game.

In the 2012 United States presidential election, one of the issues which dogged Republican Mitt Romney's campaign was how his tax bill was lower than the average American's despite his income placing him in the top 1 per cent of earners. "I pay all the taxes that are legally required and not a dollar more," he said in his defence.

In December 2012, Starbucks announced that it would voluntarily pay the British taxman about £10 million (S$21 million) more a year in 2013 and 2014 than it was required to pay by law. The company was not doing so under any pressure from the tax authorities. Rather, it was responding to British consumers, who were upset over the revelation that multinational corporations (MNCs) such as Starbucks, Amazon and Google were paying little or no taxes despite their massive sales turnover.

Ironically, it is governments who are encouraging this notion of minimising tax by dangling tax incentives and schemes in their quest to attract targeted individuals and companies to their countries.

During its first 14 years of operations in the United Kingdom, Starbucks, for example, paid a total of only £8.6 million in taxes. This was less than 0.3 per cent of its sales turnover of more than £3 billion. Based on its tax submissions, it was profitable in only one out of those 14 years.

However, Starbucks admitted that its British business made large payments for coffee to a profitable Swiss subsidiary and large royalty payments to another profitable Dutch subsidiary.

Among MNCs, it is common and legitimate for the cross-charging of goods and services between subsidiaries (known as "transfer pricing"), or for one subsidiary to charge another for the use of intellectual property and other rights (known as "royalty payments"). When the transfer prices or royalty payments are artificially high (or low), then what could be profits in one subsidiary is effectively "shifted" to another subsidiary - which is often located in a tax jurisdiction where that subsidiary pays little or no taxes.

By itself, a tax authority can do little as what the MNCs do taxwise are entirely within the rules of each tax jurisdiction. However, governments are recognising that, taken collectively, in effect, the total tax revenue is reduced (what is called "base erosion").

Perhaps encouraged by the public mood swing towards a new tax morality, governments are implementing tax reforms and banding together as they seek to recoup lost revenues from the economic downturn.

A key focus is the tax avoidance schemes enjoyed by MNCs and high net worth individuals.

OECD's action plan

IN JULY 2013, the Organisation for Economic Cooperation and Development (OECD) released an "Action Plan on Base Erosion and Profit Shifting (BEPS)" to address, in a coordinated and comprehensive manner, the issue of their collective tax loss and the integrity of their tax systems.

The plan identified 15 specific actions to give governments the domestic and international instruments to prevent corporations from structuring their finances so that they end up paying little or no taxes.

Some of the areas addressed are structural, for example, how to tax companies in the digital economy when transactions are conducted in cyberspace. Several areas relate to addressing aggressive tax planning and abuse of the tax system, especially the issue of transfer pricing. Other areas are to support the broader programme such as dispute resolution between countries and the renegotiation of tax treaties.

Even though Singapore is not an OECD member, there are significant implications for it as an international business hub. For example, our tax incentives to encourage MNCs to locate activities and business here can result in a very low tax rate and consequently Singapore being deemed a potential "tax haven" and one that facilitates BEPS. Other action items, such as those requiring greater transparency, transfer pricing and controlled foreign corporations, create both opportunities and challenges.

No doubt, Singapore will be closely following the OECD developments to ensure that our domestic tax laws are aligned with the new international tax rules.

The OECD Action Plan focuses on cross-border tax situations. Countries are also reviewing their tax systems to ensure that they can generate appropriate levels of tax revenues to finance needed government programmes, while ensuring that the tax burden is equitably shared.

A key reason that Mr Romney paid a smaller proportion of income tax than most Americans was because his income was from investments from his US$200 million (S$250 million) fortune. This attracted a lower tax rate than earned income. "Should it be so?" is a debate raging in the US and elsewhere.

In Singapore, the possibility of revenue shortfalls is not a serious concern. We are fortunate to have access to past reserves and the returns from investing those reserves.

Here, the question is whether the Net Investment Returns Contribution from our national reserves that is now available for the annual Budget should be an integral part of Singapore's operating revenue, thus allowing the Government to reduce the overall tax bill and still have more money for social programmes.

More equitable tax system

LEAVING aside the question of how much tax revenue is needed, the key question is how that tax burden should be equitably distributed.

Few can dispute that, until recently, our tax system has been slanted towards favouring the well-off. Consider the low personal income tax rates, no capital gains tax or estate duty, and tax exemptions on most forms of dividend and interest income. Meanwhile, the burden on the lower income is increased with higher consumption taxes, although this is ameliorated somewhat by transfers to offset the impact of the goods and services tax (GST).

A year ago, Deputy Prime Minister Tharman Shanmugaratnam signalled a change in direction in his Budget 2013 speech. He announced that the Government is "making our fiscal system more progressive, by tilting our taxes and benefits in favour of the lower- and middle-income groups".

A start has been made. Most of the measures thus far have been in providing increased subsidies to the poor and increasing the progressivity of property tax (higher taxes for high-end properties, especially investment properties) and vehicle tax (a tiered Additional Registration Fee structure for cars). The "wealth" taxes on high-end properties and luxury cars were seen as largely symbolic as it was only a small fraction of the overall Budget.

But the momentum for change was not maintained in the 2014 Budget, which was focused largely on the pioneer generation. Both the 2013 and 2014 Budgets also saw an increase in "sin" taxes (tobacco, alcohol, gambling) which affects the rich and poor alike but can be justified on moral grounds.

There are calls and room to increase the progressivity of income tax, bring back estate duty, and introduce higher taxes on investment income, while reducing the burden of GST and other consumption taxes which hit the poor the hardest.

The Government seems to be hesitant about moving too far or too fast in making the fiscal system more progressive.

After all, our attractive tax structures have been cited as a major reason for the many wealthy and successful people setting up home and business here. It is true that they contribute to the economy.

DPM Tharman has pointed that our low taxes are an important aspect of attracting companies and investors to Singapore in the competition that "is at the heart of a healthy global economy". Furthermore, he argues that low taxes are also enabled by low government expenditure.

Still, in the mood of the times, the question we should ask is whether as a society we can afford to have a more progressive tax system. Will the better-off be willing to shoulder more of the burden of paying more taxes?

And even if higher taxes make Singapore less attractive to a minority of rich foreigners, should we want Singapore to be home to such people, no matter how wealthy they are, if they do not subscribe to our stated philosophy of a fair and inclusive society?


The writer is a former managing partner at Accenture, a global management and technology consulting firm. He is currently the chairman of the Singapore Institute of Directors, and sits on the boards of several commercial and non-profit organisations. He is the author of Doing Good Well.

PM Lee thanks followers on 2nd anniversary of joining social media

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By Charissa Yong, The Straits Times, 21 Apr 2014

PRIME Minister Lee Hsien Loong thanked his online followers on the second anniversary of his joining social media yesterday, and included in his Facebook post a video that recounted "many special moments".

It has been two years since he joined Facebook and Twitter, and a year since he began using Instagram.

"It's been a fun journey sharing with you, things I have been doing, people I've met, places I've been, and once in a while, pictures I've taken," he said in the 31/2-minute long video.

"Thank you very much for reading my posts, commenting on them, liking them, sharing them with your friends. I appreciate it a lot. We hope you will continue to read and to go on a journey with us together."



Highlights of Mr Lee's posts include a selfie that he took with Malaysian Prime Minister Najib Razak at last year's Commonwealth Heads of Government Meeting in Sri Lanka, and one last month with celebrities Gurmit Singh and Michelle Chong at Singapore Day in London.

But aside from trying out self-portraits taken with his iPhone, Mr Lee noted that he has used social media to post "important messages", such as one that urged Singaporeans to stay calm after the riot in Little India last December. He has also posted photos of special moments, like one when he witnessed his father, founding prime minister Lee Kuan Yew, receiving an honorary degree from the National University of Singapore.

Mr Lee has about 322,000 "likes" on Facebook, and 68,000 followers on Twitter.

He has also garnered about 31,000 followers on Instagram, where he has 250 posts to date.


Good start to securing personal data

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By Irene Tham, The Straits Times, 21 Apr 2014

SINGAPORE'S new Personal Data Protection Act was more than a decade in the making. So when it was finally passed in Parliament in October two years ago, the public got excited.

They were especially happy with the national Do-Not-Call (DNC) Registry, which lets them block telemarketing calls, SMSes and faxes. They could finally say goodbye to pesky telemarketers.

The Registry went into force on Jan 2 this year and has 595,000 local numbers - there are about eight million local mobile numbers here.



The Personal Data Protection Commission, which manages the Registry, is investigating 3,000 complaints that are valid.

While the new law has been welcomed by consumers, does it give them enough protection in areas of the greatest need?

For sure, it does tackle one key annoyance: unwanted marketing phone calls, which have interrupted meetings, disturbed sleep at ungodly hours and even taxed consumers' wallets - one gets charged for incoming calls while roaming overseas.

With the new rules, telemarketers who call phone numbers listed in the Registry risk a fine of up to $10,000 for each offence.

But the protection does not fully extend to phone or fax messages though.

Some consumers are unhappy over a last-minute exemption that allows firms to send text and fax messages to existing customers without checking with the Do-Not-Call Registry. This is as long as customers are given an option to unsubscribe to the messages via the same channel.

Consumers criticised the Commission for caving in to business pressures - a charge it denied. They also took issue with the exemption being introduced without public consultation.

Despite some loud complaints, others say it may be useful to be kept informed via SMS of promotions and deals from companies.

A credit card user, for instance, may want to be informed by his bank about promotional tie-ups with retailers. Similarly, a mobile, pay-TV or broadband subscriber may want his telco to inform him of discounts or freebies for renewing his subscription.

Said 36-year-old engineer John Wong: "I would like to know if there is a discount in a bookstore. The channel of passing useful information like this can be killed by the DNC Registry but the exemption allows for some flexibility."

In any case, phone messages are deemed less intrusive and less painful on the pocket, as messages received while roaming overseas are free.

The Registry rules are only one part of the new Act though; other provisions that deal with the way organisations may collect, use and disclose personal data kick in only from July 2.

Here, it may be worthy to note that the new Act does not have long arms to protect the general privacy of individuals.

For instance, owners of buildings such as malls do not need the individual's consent to record security camera footage - even though the images are considered personal data. Shopkeepers who take smartphone pictures of customers for promotional reasons also do not need consent.

The Commission feels that camera phones are now widely available and their use can be "reasonably expected". So, a notice by shopkeepers or building owners informing customers that photographs might be taken would suffice.

Also, government agencies are exempted from the new law. Minister for Communications and Information Yaacob Ibrahim had said government agencies are subject to their own set of rules on protecting personal data and these are sometimes more stringent than the new law - but these rules have not been made public.

What the Act does cover is the indiscriminate collection of data.

For instance, a 7-Eleven counter employee verifying the age of customers buying cigarettes or alcohol may record in the computer system only customers' birth dates - but not other information such as identity card number or name.

In another example, a lucky draw organiser may not be allowed to ask participants to disclose their household income if the information is not necessary.

The Act also protects consumers from inappropriate use and disclosure of their information.

For instance, if the lucky draw organiser wants to disclose the personal data of contest participants to third parties or use it for marketing - differing from the original intent - it must get participants' consent.

Failure to do so could mean a breach of the Act. The fine for violating general data protection provisions goes up to $1 million.

One loophole, though, is that Singapore has no jurisdiction over overseas companies with no local set-ups. It will need to work with other countries in this aspect.

Overall, while the law will always play catch-up to theft and misuse, Singapore's new Personal Data Protection Act is a good start in trying to protect people's personal data.

And judging by how the Commission has gone after at least three organisations for violating the new rules, it looks like it is taking the protection of personal data very seriously indeed.





Firms can text, fax ads to consenting customers
By Irene Tham, The Straits Times, 21 Apr 2014

IN SINGAPORE, vendors are given one crack at texting or faxing customers - including those listed on the Do-Not-Call (DNC) Registry - with relevant promotional materials.

If the customer says no - by unsubscribing via the same channel the message is received - vendors have to stop the marketing.

This major concession was introduced a few days before the DNC Registry kicked off on Jan 2.

Some had criticised the exemption, saying it was back-pedalling on the Registry. But the Personal Data Protection Commission, which administers the Registry, defended its move, saying the exemption has a narrow scope and does not apply to voice calls.

Actually, Singapore's DNC Registry is not the only system in the world with exemptions. It is in line with practices in countries like Britain, the United States and Australia. In Britain, SMS marketing is treated the same way as e-mail marketing.

While the blanket rule states that consent from consumers is required before organisations can market to them, there is a "soft opt-in" exception to the rule.

This exception lets organisations send marketing materials as long as the information is related to what customers had bought.

But recipients must be given a simple means of refusing the use of their contact details for such marketing purposes. And it should be free except for the cost of transmission.

The US National DNC Registry, which covers only voice calls, also contains an exemption for businesses that have an existing relationship with customers.


Low-wage workers the new Spanish underclass

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They bear brunt of pay cuts and must fight for stable jobs for life
The Straits Times, 23 Apr 2014

MADRID - Ms Carmen Collado has laundered hospital linen in Madrid for 11 years. Now, almost half her colleagues have been fired and the 61-year-old grandmother is cleaning the same bedsheets, nurses' scrubs and towels as before - for half the pay.

Ms Collado is still working in a country where more than one in four out of 22.7 million people in the workforce have no job. But her job does her, and Spain, few favours in the long term.

"I've had to turn the heating off this winter. I can't afford to go out with friends, and I'm ashamed to say I have turned to my own mother, who is 91, to help pay for gasoline and car insurance," says Ms Collado.

New laws giving companies more flexibility to cut salaries and change contract terms for employees have helped Spain pull itself back from the brink of default two years ago, restarting export growth by letting companies push down prices.

But the shift in labour rules - promoted by the European Union (EU) as part of economic changes in the euro zone's more indebted nations - has also transformed Spanish society, with long-term consequences that could undermine the recovery.

Workers on low-wage, short-term contracts have borne the brunt of the salary reductions, creating a new underclass of Spaniards who are likely to struggle for the rest of their lives to find stable employment.

According to the International Monetary Fund, wage inequality rose faster in Spain than in any other EU country from 2007 to 2012, a divide that has escalated social tensions in a country that had only recently healed the wounds of a 36-year dictatorship that ended in 1975.

A recent poll indicated support for Spain's two leading parties would fall sharply at the upcoming European elections, often considered a protest vote, in favour of much smaller groups, due largely to their handling of the economic crisis.

As voter confidence in the main parties dwindles, the conservatives could lose their absolute parliamentary majority in next year's national election, making it harder to pass vital reforms through a divided legislature.

Despite clear signs of recovery, with output expected to grow around 1 per cent this year after having shrunk around 7 per cent since the crisis began, Spain's path to long-term prosperity is likely to be steep, economists say.

Though exports have swelled to one-third of Spain's overall output, up from 20 per cent five years ago, the country's economic health is heavily reliant on household spending, which has shrunk in the same period.

That means Spain will struggle to follow in the footsteps of Germany, whose labour-market reforms of the 1990s transformed it into an economic powerhouse fuelled by higher-end exports rather than domestic consumption.

Economists also question whether the cheaper, basic goods that have boosted Spain's export sector can in the long term compete with rival products in even lower-cost countries such as Turkey or Morocco.

"The way out for Spain is going to be painful and, overall in the short run, Spain is going to be a poorer country," says Professor Santiago Carbo Valverde, an economist at Bangor University in Wales.

Household spending, a major pillar for a service-oriented economy like Spain, has shrunk by more than 11 per cent since the burst of the property bubble six years ago.

While the speed of the contraction is easing, much lower wages mean a return to sustainable growth could take years.

With around six million people without a job, Spaniards are jumping at any chance of employment.

Jobs that were previously shunned are now hot property.

Mr Daniel Gismero, a 34-year-old road sweeper in Madrid, is part of a union that successfully fought to avoid a 40 per cent pay cut at the private company that is contracted by the city government to clean the Spanish capital.

Mr Gismero takes home €1,100 (S$1,900) a month and has agreed to a pay freeze and a reduced salary for six weeks of the year until 2017 to avoid more damaging pay cuts.

"Before, nobody wanted my job," he said.

"I feel like one of the privileged ones now."

Why Tharman should run for top IMF post

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By Meghnad Desai, Published The Straits Times, 23 Apr 2014

CHRISTINE Lagarde is more than halfway through her tenure as the managing director of the International Monetary Fund (IMF). She is the 11th consecutive European in the job. There is no shortage of talent as to who will succeed her in July 2016. This time, ample notice is required to prepare an open and transparent selection process. There must be no European monopoly.

I would like Mr Tharman Shanmugaratnam, the Singapore Finance Minister, to be a candidate. He is thoughtful, technically competent and well respected - and he would hit the ground running.

The IMF needs a managing director with equal doses of technocratic and political skills.

When Mr Dominique Strauss-Kahn, the overly high-flying previous incumbent, departed in 2011 because of extra-curricular activities, a feeble attempt was made to open up the appointment to a global contest, but the outcome was a foregone conclusion. A Frenchwoman followed a Frenchman. A French politician with presidential ambitions (sadly thwarted) was followed by another French politician with similar ambitions (always denied, of course).

For 38 of the 68 years in which the IMF has had a managing director, a French person has been at the helm.

I love the French. And I am all for women in top positions. But sometimes you can go too far.

In the previous round, the London-based Official Monetary and Financial Institutes Forum (OMFIF) backed Dr Zeti Akhtar Aziz, the highly accomplished governor of Bank Negara Malaysia, as a candidate. But she showed no inclination to join the contest.

Mr Tharman is an IMF insider. He has been the chairman of the International Monetary and Financial Committee since 2011. Its first chairman was Mr Gordon Brown, the former British chancellor of the exchequer and prime minister. Mr Tharman is Singapore's deputy prime minister and a previous chief executive of the Monetary Authority of Singapore (before he entered politics). He's a member of the prestigious Group of Thirty. You cannot get a better CV than that for the job.

In the past, when asked about the possibility that he might go for the position, Mr Tharman has shrugged his shoulders or murmured something self-deprecating. But if the possibility came into view, the Singapore Government would no doubt take it very seriously.

The IMF has just had its spring meeting in Washington. The world economy is in better shape than when Ms Lagarde took over. Losing Mr Strauss-Kahn was a shock. But the IMF is now on a more even keel. Its analysis of the world's experiments with austerity has been criticised, as has been its forecasting record. But that is not new.

The IMF has often got its macroeconomics wrong. Yet it faces challenges, as does the global economy. The US Congress, in its usual erratic manner, is holding up long overdue reforms, including quota rebalancing agreed by the rest of the world. The refusal to vote funds for reforms is entirely due to quarrels between President Barack Obama and Congress. Any movement is unlikely before November's mid-term elections.

The US needs some stiff talking to, now and in the future. This is where people like Mr Tharman can play a role. Someone has to tell the US that its days of hegemony are over in the global financial field, just as they are in the international political arena. Syria and Crimea have shown that the US lacks clout. The world may, or may not, be a better place for it, but that's a fact.

The IMF affords Ms Lagarde a bully-pulpit to tell the world how irresponsible the Americans are, in the hope of inspiring some activity in Washington. Thus far she has held her fire. This may be a shrewd calculation as to timing.

In the case of Mr Strauss-Kahn, his refusal to crack the whip at the Greek government in 2010 and his softly-softly approach on the euro were attributed to a desire to keep his presidential hopes bright for the 2012 election, which was eventually won by Mr Francois Hollande.

Ms Lagarde's relative hesitancy may reflect a desire to keep on the right side of a key French ally. France and the US are having an unusual honeymoon since the British failed to march into Syria. An old friendship has been revived. It may be that Ms Lagarde does not want the opprobrium of disrupting the mood music. Perhaps, at a time of her choice, she will act decisively. Equally likely, time for IMF reforms may run out.

Whatever the case, the IMF and its friends must begin thinking about the succession. The reasons why the managing directorship should no longer go automatically to a European are even more obvious than three years ago.

The emerging economies have traversed the Great Recession in better shape than the developed countries. They had better financial regulation. But they have been subjected to asymmetric shocks due to quantitative easing from the industrialised countries. First QE and now tapering have convulsed the emerging market economies. As Brazil has complained, the trade wars of earlier decades have given way to exchange rate protectionism.

Dr Raghuram Rajan, the new governor of the Reserve Bank of India, has urged developed countries' central banks to take the emerging economies into their confidence to alert them to forthcoming policy shifts. But this is unlikely to happen. The IMF has not been as alive to the problems of the majority of its members as it should have been. It continues to be a US-Europe club.

Let's hope that, as the horse-trading starts on Ms Lagarde's successor, there will be other candidates from around the world. The important thing is to begin the global discussion on how the IMF can be better run - and who should run it. The summer of 2014 offers the right opportunity. The discussion should start now.

The writer is Emeritus Professor of Economics at the London School of Economics and Political Science, and chairman of the OMFIF advisory board.


Related

$63m programme to boost Singapore's nuclear expertise

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By Grace Chua, The Straits Times, 24 Apr 2014

SINGAPORE is building up its expertise in nuclear safety, science and engineering, with a $63 million, five-year research and education programme.

The move, say experts, will help the nation keep on top of developments in the field, and what to do if a disaster should strike.

The new effort, announced yesterday by the National Research Foundation (NRF), comprises a Singapore Nuclear Research and Safety Initiative led by National University of Singapore physicist Lim Hock, and a Nuclear Education and Training Fund.

The fund will train undergraduates and graduate students, and support overseas attachments.

There are few nuclear experts here, and the fund aims to train about 10 people a year, and about 100 in all over the next decade.

While there are no citizenship or residency restrictions, the NRF - which sets the nation's research direction - wants to attract mainly Singaporeans.

The research will focus on three areas: Radiochemistry, which will look at how best to detect radioactivity in the environment and establish baseline data for Singapore; radiobiology, which will study how health is affected by the small doses of radiation in, say, a CT X-ray scan; and the safety analysis of nuclear power plants through models and simulations.

The programme will also include nuclear policy research, and public education on nuclear technology.

The announcement comes on the heels of Prime Minister Lee Hsien Loong's trip to The Hague last month for the Nuclear Security Summit. He had noted that despite the 2011 Fukushima nuclear disaster, the world cannot do away with nuclear energy entirely, especially as energy needs grow and fossil fuels pose environmental concerns.

In 2012, a two-year nuclear pre-feasibility study conducted by the Government concluded that while current nuclear energy technologies are not suitable for Singapore yet, it should continue to take part in global and regional talks on nuclear safety.

It should also be able to assess economic opportunities and safety aspects of various nuclear technologies, especially as neighbouring countries like Vietnam explore the use of nuclear energy.

Commenting on the new effort, Singapore Institute of International Affairs executive director Nicholas Fang said: "This allows Singapore to keep its finger on the pulse of what's happening in other countries in the region that are keen to develop nuclear energy capabilities."

Mr Kwa Chong Guan, a senior fellow at the S. Rajaratnam School of International Studies at Nanyang Technological University, said: "Singapore, if it is to participate in any regional discussion on nuclear energy, needs to build up its expertise on nuclear energy... The establishment of a Nuclear Safety Research and Education Programme is a step towards this end."



'Proactive ASEAN is key' amid power shifts

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Challenge will be in finding its strategic place, says Sultan of Brunei
By Salim Osman, The Straits Times, 23 Apr 2014

ASEAN must work proactively to shape its future in the face of renewed major-power rivalry and weakening confidence and trust in the region, the Sultan of Brunei said.

Speaking at the 34th Singapore Lecture, organised by the Institute of Southeast Asian Studies (ISEAS), Sultan Haji Hassanal Bolkiah noted the rise of China and India as economic drivers of Asia as the United States has remained engaged in the region.

"With the shift of the relative economic weight towards Asia, political power also follows correspondingly. New major and middle powers are emerging," he said, adding that the changes in relationships between these powers would influence the strategic landscape.

"The challenge for ASEAN will be finding its strategic place in this new configuration," he said at the lecture, a platform for statesmen and thought leaders to share their knowledge.



He also alluded to the rival territorial claims in the resource-rich South China Sea of China, Taiwan and four ASEAN states that have created tensions in the region, particularly in recent years.

"Historical and political divides still continue to fuel nationalistic sentiments between countries," he said.

"Difficulties in meeting economic commitments and unresolved maritime disputes are risking the region's potential," he warned.

"It is crucial that we address and resolve regional problems or issues through peaceful dialogues and initiatives."

The Sultan called for an open and inclusive arrangement, with countries in the Asia-Pacific rallying around ASEAN.

Apart from external challenges, ASEAN also faces an internal need to become more competitive and innovative to grow and prosper.

He stressed the need for the grouping to be a "people-oriented" organisation where its peoples have "a sense of regional belonging" through projects such as "new social media and cultural and educational exchanges amongst our youth".

"A successful community should not only be layers of structures and endless acronyms, nor as a vehicle for government officials to meet," he said.

Instead, it "should reside in the hearts and minds of our people - our youth and women, farmers and fishermen, and the many small and medium businesses forming an essential part of our economies", he said.

The Brunei ruler, who arrived here on Sunday, was on a three-day state visit to strengthen ties with Singapore.

He was hosted to lunch yesterday by Deputy Prime Minister Teo Chee Hean, with several younger Singapore ministers attending.


He met Royal Brunei Armed Forces personnel attending courses here during the tour.

In conjunction with the visit, two memorandums of understanding (MOUs) were signed between Singapore and Brunei yesterday.

The first is between the Monetary Authority of Singapore and its Bruneian counterpart, Autoriti Monetari Brunei Darussalam, and covers financial cooperation in areas such as capital market development, capacity building and the exchange of best practices, said the Ministry of Foreign Affairs in a statement.

The second MOU expands cooperation in broadcasting. It will see closer collaboration and greater sharing between the two countries, including the exchange of information officers and journalist visit programmes.








IDA steps in over 4G 'add-on' confusion

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Only new or re-contracting customers will be affected by service charges
By Irene Tham And Kenny Chee, The Straits Times, 24 Apr 2014

ALL three telcos have decided not to charge customers on contracts for their 4G "add-on" services after the industry regulator intervened.

The Infocomm Development Authority (IDA) is also looking to introduce new regulations to tighten the process of information disclosure by telcos when signing up customers.



This is after recent confusion over and complaints about the way telcos package 4G services, which offer two to four times the speed of 3G.

Unlike in most other countries, telcos here are choosing to package 4G services as an "add-on" to 3G plans, and many customers were unaware that the price of their 4G service could change even before their contracts ended.

Many were thus taken by surprise when StarHub announced plans on April 15 to charge for the 4G add-on, which it has been offering for free, as do SingTel and M1.

But after IDA's intervention, only new or re-contracting StarHub SmartSurf users will have to pay the promotional price of $2.14 a month from June 1 for the 4G add-on service.

SingTel and M1 also said yesterday any change in price plans or 4G promotions would apply to new or re-contracting customers.

In a statement late yesterday, the IDA said there was "significant consumer confusion" over the plans.



An online poll of almost 1,000 people by The Straits Times last Friday revealed that close to 90 per cent thought they had already bought a 4G mobile plan and did not know the service was merely an extra with a 3G plan.

The IDA noted that telcos "could have done more" at points-of-sale and customer interface channels to communicate their 4G pricing.

"Operators should not change prices mid-way that affect customers (on) contracts if they were not clear to customers upfront what those price changes might be," said the IDA.

The regulator noted it had clarified the matter with the three telcos, which "have since decided not to change 4G service prices for existing customers (on) contracts".

When contacted, StarHub said it has been "upfront with customers" since its 4G service launch in September 2012. Pricing and promotion expiry details have been made available in sales and marketing materials, as well as on its website, the telco said.

On a television talk show last night, Mr Leong Keng Thai, IDA deputy chief executive and director-general (telecoms and post), said: "We will be working on improving and tightening procedures at point of sale to ensure consumers are fully aware, and we will make it a regulatory requirement."

Specifically, the IDA wants telcos to highlight or provide a simple summary of the key conditions that may change halfway, and ensure consumers know what they are signing up for. This could include making consumers sign off on aspects of the contract that may change.

Mr Leong also defended the way telcos have been packaging 4G, saying since 4G networks do not carry voice today, with voice carried over 3G networks, 4G is "clearly an add-on".

Consumers Association of Singapore executive director Seah Seng Choon said not changing the prices mid-way "is a fairer way to deal with customers on contracts".





4G service: StarHub has been upfront with users

WE THANK Mr Albert Wong Kwan Wei ("Consider opening up telco market"), Mr Douglas Chow ("Can mobile users go back to 3G plans without breaching contracts?"; Forum Online) and Mr Foo Der Ho ("Telco's 'bait and switch' tactic?") for their letters on Tuesday.

We value our customers' feedback and understand their concerns about the new promotional rate for "4G Speed Boost". After careful consideration, we are further extending the free promotion to existing customers of our SmartSurf Lite/Value/Premium/Elite price plans till the end of their contracts.

With regard to this promotion, we have been upfront with customers. Details of the service, including pricing and promotion expiry, have been made available in our sales and marketing materials as well as on our website since its introduction in September 2012.

StarHub is committed to providing excellent customer service. We appreciate all feedback, which will help us improve our ability to serve customers better.

Philemon Foo
Corporate Communications Executive
StarHub
ST Forum, 25 Apr 2014





StarHub first to announce end to free 4G promotion
By Joyce Hooi, The Business Times, Apr 17, 2014

StarHub has become the first telco to bite the 4G bullet, saying on Tuesday that it will start charging mobile subscribers $2.14 per month for using its 4G service in June this year.

Currently, all three telcos - StarHub, SingTel and M1 - offer 4G access as a free value-added service (VAS) to their mobile subscribers.

StarHub, for example, had been doing so since September 2012, giving its 3G customers access to 4G services for free as a promotion that was originally to run until year-end. It was then extended until end-May 2014.

From June 1, StarHub customers on the SmartSurf Lite, SmartSurf Value, SmartSurf Premium and SmartSurf Elite 3G plans will pay an additional $2.14 a month for 4G access.

Existing users can opt out of the service by responding to an SMS notification.

Customers on its SmartSurf HD plan will continue to have free 4G service.

A higher "usual price" of $10.70 per month also looms, as the monthly $2.14 fee is pegged as a "promotional rate" on StarHub's website. SingTel and M1 also cite a monthly subscription of $10.70 as their usual price.

StarHub's promotional rate of $2.14 will hold "until further notice", it said.

Over at M1, a spokesman said: "We waived our 4G VAS charge as a launch promotion of our 4G network in September 2012. We are currently reviewing our charges with the upgrade of our nationwide 4G network to support speeds of up to 150 megabits per second (Mbps) and the introduction of high-quality voice calls over our 4G network in the coming months."

According to M1's website, the monthly subscription for the 4G VAS is "waived until Dec 31, 2014".

At SingTel, the telco "regularly" reviews its price plans, it said yesterday.

"Our focus is on enhancing the mobile data experience for our customers by rolling out network upgrades, such as doubling the maximum speed of our 4G service to 300 Mbps later this year," its spokesman said. The SingTel website has the 4G service offered for free "till a date SingTel determines".





Competition in telco market set for a boost
IDA wants to woo more operators here and offer more airwaves
By Irene Tham, The Straits Times, 23 Apr 2014

MOBILE consumers can look forward to more choices and faster mobile surfing, if plans to introduce more telco operators into Singapore's market come to pass.

In a bid to woo more mobile operators to start up here, the Infocomm Development Authority (IDA) - Singapore's telecommunications regulator - is looking to lay down new rules.

It also wants to offer more airwaves to boost the capacity of mobile networks for faster surfing.

One way for a new operator to ease into the local market is to buy airtime in bulk from the existing dominant telcos SingTel, StarHub and M1.

Mobile operators who do this instead of building physical mobile networks are known as mobile virtual network operators (MVNOs). They are prevalent in the United States and Europe and include players like Britain's Tesco Mobile.


For instance, wholesale airtime prices, which are unregulated at present, could be regulated to prevent overcharging. The IDA could also offer discounts on airwaves to SingTel, StarHub and M1 if they are willing to sell airtime wholesale to MVNOs.

To date, there are six small MVNOs here serving niche markets. One is Philippines' PLTD, which bought airtime in bulk from M1 to launch Smart Pinoy prepaid card services, offering cheaper calls to the Philippines.

Together, MVNOs currently account for some 80,000 customers - less than 1 per cent of the 8.4 million mobile lines here.

An IDA spokesman said it wants to "inject more competition in the mobile market, which could lead to lower prices and more innovative services".

"Niche markets could also be better served," she added.

The MVNO model was first introduced here by British entrepreneur Richard Branson's Virgin Group when it launched Virgin Mobile in 2001. It closed down barely a year into operations, citing weak market conditions.

But a lot has changed since then, said the IDA spokesman. "There are more business opportunities now with many people using mobile data."

Fibre broadband service provider SuperInternet has said it is interested in bundling broadband plans with mobile data and mobile talktime. Managing director Benjamin Tan says mobile plans available today are "too similar".

The IDA is also looking to allocate up to 450MHz of airwaves that could become available in the next six years to meet the growing demand for mobile data services.

IDA estimates that Singapore may require more than 1GHz of spectrum for mobile broadband by 2025. The regulator has allocated 270MHz, or a quarter of the 1GHz Singapore will need, to date.

SingTel, StarHub and M1 are reviewing the recommendations.


Court car crash guide could help cut claims

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Culled from past cases, it gives drivers idea of where they stand
By Christopher Tan, The Straits Times, 24 Apr 2014

A GUIDE book launched by the State Courts yesterday could help keep a lid on claims arising from motor accidents, industry players said.

The 148-page Motor Accident Guide, written in simple English and illustrated by dozens of diagrams culled from past court cases, gives readers an idea of where they stand should they take an accident claim to court.

Judicial Commissioner See Kee Oon said at the book launch yesterday that the guide was meant to "assist the general public and key players in the motor industry to amicably and expeditiously resolve their traffic accident claims".

With it, "we have made available to the public... guidelines which the courts regularly use to assess liability", he added.

About 10,000 to 12,000 accident claims go before the courts a year, accounting for one-third of all civil cases.

Motor insurers have noted that the cost of accident claims invariably soar if they are brought before the courts, as claimants factor in legal costs. This can result in payouts trebling - more, if settlement is delayed.

Ultimately, the costs get passed on to motorists in the form of higher insurance premiums.

General Insurance Association (GIA) of Singapore executive director Derek Teo said the guide should "encourage people to settle out of court".

"In the longer term, the cost of claims will be contained," he said.

Singapore Motor Workshop Association president Francis Lim said the guide will help workshop operators "give better advice" to customers.

"Some customers may not believe the workshop because they think it is biased. But with this guide, things are clearer," he said.

Lawyer Monoj Kumar Roy said the aim of the guide book is sound. "It is always a good idea to settle out of court," he said.

But he added that he needed time to go through it to see how useful it was.

Still, the Consumers Association of Singapore (Case) welcomed its publication, calling it timely.

Case president Lim Biow Chuan said the association has been working with the Automobile Association of Singapore and the GIA on ways to keep claims costs - and consequently, insurance premiums - down.

One initiative being worked on now is for accident damage surveyors, who are usually former mechanics, to be registered.

He said the cost of repairs hinges largely on a surveyor's report, and right now, "there is no barrier on entry" for the profession.

Mr Lim of the workshop association also said it is working with the authorities to register and certify workshop operators to ensure better quality of work.

"We need motor workshops to be regulated and technicians and mechanics to be licensed," Mr Lim said.

"The entry level must be raised because a simple thing like how brakes are replaced can be a safety issue," he said. "Lives can be at stake."

He revealed that the association is working with the Institute for Technical Education to certify existing mechanics.

The association is also working with Case to have an accreditation scheme for workshops, so customers can be assured of quality at an accredited outfit.

The guide is available at the information counter of the State Courts building in Havelock Square at $15 a copy.


Message films reach out with a moving story

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Message films are being reshaped into stories to touch hearts
By John Lui, The Straits Times, 23 Apr 2014

Cancer. Dementia. Death and dying.

These topics, shunned in daily conversation, are being brought to life on the screen by a handful of Singapore filmmakers.

Message films - once associated with dull educational works or propaganda - are being reshaped into stories to touch hearts and, perhaps, alter how you live your life.

In the suspenseful feature-length drama 3.50, now showing at The Arts House, a documentary maker played by Singapore actress Eunice Olsen dives into the world of sex slavery in Cambodia. Recipe, shown on Channel 8 last year, features Zoe Tay as a chef trying to juggle a career while caring for a mother losing her mind to dementia.

The documentary Pink Paddlers (2007) tells the uplifting story of Singapore's first breast-cancer survivor dragonboat team.

What sets these works apart from others is they have a sense of mission. They seek to start a conversation, usually about a topic which most people ignore or find uncomfortable.

In the package of films which form the art project Both Sides, Now, launched last year, visitors to a hospital watch children and animated figures discuss death and dying, in all its shadings.

Sometimes, the call to action is more explicit. In family drama Love Cuts (2010), also featuring Zoe Tay as the lead, the message is for women of a certain age to get screened regularly for breast cancer.

The moving image is a powerfully engaging storytelling medium, says acclaimed Singapore film-maker Eric Khoo, 49, which is why the Health Promotion Board (HPB) commissioned a film to raise awareness of dementia as a supplement to other methods, he says.

He felt telling a moving story in the form of a fiction feature would "reach out to a lot more people" compared with a documentary, but it was crucial to get a narrative framework which would speak to everyone.

The director worked with screenwriter Wong Kim Hoh, also a senior writer with The Straits Times, to fashion a story "that could work on a universal level". They hit upon the idea of a hawker (played by Li Yingzhu) and her daughter, a chef (Zoe Tay), two people separated by a cultural divide but joined by their love of cooking and food.

"All Singaporeans love to eat, so food would be a strong component. We care about the hawker centres," he says.

Love Cuts, also commissioned by the HPB, opened in cinemas. But because dementia and Alzheimer's hit hardest on older adults, "it was important that this film got on TV, on a platform such as Channel 8, so we could reach the aunties and uncles", says Khoo.

Since Singapore's second film-making renaissance began in the mid-1990s, there have been films which address issues, but with, perhaps, a more muted sense of mission than either Recipe or 3.50.

Tan Pin Pin, for example, has released works such as Invisible City (2007) and The Impossibility Of Knowing (2010), highly personal meditations on people and places in Singapore which ordinary citizens blank out.

Singapore's rapidly changing landscape has also spurred other film-makers to commit to record sights and sounds which might vanish.

Eng Yee Peng's documentaries, Diminishing Memories I (2005) and II (2008), take a lingering, final look at rural Lim Chu Kang, where she grew up, while raising questions about its redevelopment.

Celebrated film-maker Royston Tan, maker of commercial romance-comedies 881 (2007) and 12 Lotus (2008), has made documentaries about Singapore's vanishing locations in Old Places (2010) and Old Romances (2012), both films jointly directed by Tan, Eva Tang and Victric Thng.

Remember Chek Jawa (2007) is a documentary by Eric Lim about the conserved wetland on Pulau Ubin, whose fate was still in doubt at the time of the film's making.

But where agenda-driven cinema could really be seen was in film festivals, featuring mainly imported works.

Since the early 1990s, there have been film festivals promoting visual arts and design as well as supporting social causes. The Love & Pride Festival, celebrating "universal love and sexuality" with a bias for lesbian, gay, bisexual and transgender themes, returned yesterday for its sixth edition.

Film-makers who spoke to Life! are well aware that marketing a message movie is an uphill struggle, as the work is seen as preachy or didactic. But that is a hurdle faced by any film-maker not making mass-market entertainment, not just by those making message films, they say.

Love Cuts is among the first message films to have a run in mainstream cinemas.

But despite featuring a stellar cast including Zoe Tay, Kenny Ho and Allan Wu, it made a paltry $150,000 at the box office here. It was directed by Gerald Lee, and it is not known how much funding the HPB gave the film.

But it must be noted that message films do not usually measure their success by box-office takings. Also, not all film-makers want their films to run in a chain cinema; Ms Eunice Olsen, for example, says she prefers the longer exposure that The Arts House would give 3.50, compared with that which a commercial exhibitor could provide.

For director Jasmine Ng, 41, it was crucial that Pink Paddlers had to work as a piece of action-driven entertainment, not a "women crying and bringing out the tissue boxes" story, she says.

"Knowing how hard it is to get the audiences' attention, we made sure there was a good story, an action-packed story," she says.

A group of determined women are seen trying to beat the odds to win the first Breast Cancer Survivor Dragon Boat World Championship, held in Singapore.

Ng made the documentary after learning about the teams and competition from Ms Suzette Cody, a volunteer with the Breast Cancer Foundation who went on to become the film's producer. Ng then secured a grant from the Khoo Foundation to make the film, which received several charity screenings in cinemas before moving on to television and DVD.

She was also involved in Both Sides, Now. Installed at the Khoo Teck Puat Hospital, it was commissioned by the Lien Foundation and the ACM Foundation to provoke visitors into thinking about end-of-life issues.

While there were no feature-length works at the exhibition, 15 short films were shown, all conceptualised, executive-produced or curated by Ng. Film-makers such as Tan Wei Keong and the Zhuang brothers as well as Ng herself contributed works.

It might be tempting to think of message films as commercials of another kind, ones which sell uplifting ideas rather than shampoo or cars, but Khoo and Ng would disagree.

Cancer and death are highly sensitive topics, they say; a hard-sell approach would backfire.

Ng adds: "It would reek. People would smell it from a mile away."

And that is why films, whether as short or featurelength works, are so powerful as tools for communication, she says. When message films work, the distance between the viewer and screen vanishes. The world of the film becomes the viewer's world.

"It gives you a safe space. It's a rehearsal for life," she says.


Anti-Vaccination Celebrity who twists the truth

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Actress Jenny McCarthy spoke against vaccines publicly for years but now says she has been pro-vaccine
By Frank Bruni, Published The Straits Times, 24 Apr 2014

New York - What do you call someone who sows misinformation, stokes fear, abets behaviour that endangers people's health, extracts enormous visibility from doing so and then says the equivalent of "Who? Me?" I'm not aware of any common noun for a bad actor of this sort. But there's a proper noun: Jenny McCarthy.

For much of the past decade, the model-actress has been the panicked face and intemperate voice of a movement that posits a link between autism and childhood vaccinations and that badmouths vaccines in general, saying that they have toxins in them and that children get too many of them at once.

Because she posed nude for Playboy, dated actor Jim Carrey and is blonde and bellicose, she has received platforms for this message that her fellow nonsense peddlers might not have. She has spread the twisted word more efficiently than the rest.

And then, earlier this month, she said the craziest thing of all, in a column for The Chicago Sun-Times.

"I am not 'anti-vaccine'," she wrote, going on to add: "For years, I have repeatedly stated that I am, in fact, 'pro-vaccine' and for years I have been wrongly branded."

You can call this revisionism. Or you can call it "a complete and utter lie", as the writer Michael Specter said to me. Specter's 2009 book, Denialism, looks at irrational retorts to proven science such as McCarthy's long and undeniable campaign against vaccines.

McCarthy waded into the subject after her son Evan was given a diagnosis of autism in 2005. She was initially motivated, it seems, by heartache and genuine concern.

She proceeded to hysteria and wild hypothesis. She got traction, and pressed on and on.

In 2007, she was invited on Oprah and said that when she took Evan to the doctor for the combined measles-mumps-rubella vaccine, she had "a very bad feeling" about what she recklessly termed "the autism shot". She added that after the vaccination, "Boom! Soul, gone from his eyes". In an online Q&A after the show, she wrote: "If I had another child, I would not vaccinate."

She also appeared on CNN in 2007 and said that when concerned pregnant women asked her what to do, "I am surely not going to tell anyone to vaccinate". Two years later, in Time magazine, she said: "If you ask a parent of an autistic child if they want the measles or the autism, we will stand in line for the measles."

I've deleted the expletive she used before the second "measles". And on The Huffington Post a year after that, she responded to experts who insisted that vaccines didn't cause autism and were crucial to public health with this declaration: "That's a lie, and we're sick of it."

I don't know how she can claim a pro-vaccine record. But I know why she'd want to.

Over the last few years, measles outbreaks linked to parents' refusals to vaccinate children have been laid at McCarthy's feet.

The British study that opponents like her long cited has been revealed as fraudulent. And she and her tribe have gone from seeming like pitifully misguided dissidents to indefatigably senseless quacks, a changed climate and mood suggested by what happened last month when she asked her Twitter followers to name "the most important personality trait" in a mate. She got a bevy of blistering responses along the lines of "someone who vaccinates" and "critical thinking skills".

Seth Mnookin, the author of the 2011 book The Panic Virus, which explores and explodes the myth that vaccines cause autism, noted that McCarthy had a relatively new gig on ABC's The View that could be jeopardised by continued fearmongering. What once raised her profile, he said, could now cut her down.

As she does her convenient pivot, the rest of us should look at questions raised by her misadventures.

When did it become okay to present gut feelings like hers as something in legitimate competition with real science? That's what interviewers who gave her airtime did, also letting her tell the tale of supposedly curing Evan's autism with a combination of her "Mommy instinct" and a gluten-free diet, and I'd love to know how they justify it.

Are the eyeballs drawn by someone like McCarthy more compelling than public health and truth?

Her exposure proves how readily television bookers and much of the news media will let famous people or pretty people or (best of all!) people who are both famous and pretty hold forth on subjects to which they bring no actual expertise.

Whether the topic is autism or presidential politics, celebrity trumps authority and obviates erudition.

There's also this: How much time did physicians and public officials waste trying to neutralise the junk in which McCarthy trafficked?

As Fred Volkmar, a professor at Yale University's medical school, said to me: "It diverts people from what's really important, which is to focus on the science of really helping kids with autism."

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