|Khoo Teck Puat Hospital - Singapore|
With Obamacare repeal talks ebbing and flowing in the States, conservatives mention Singapore ( as well as Scandinavian countries) as role models for well-managed healthcare systems. But is the Singapore model really that good? The thing is: Singapore is a really weird country, and generally it is a model that will be difficult to apply to other countries.
Singapore is an island city state, with 5 major hospitals which are largely government-owned
Singapore healthcare system is centralized and mostly government-run, albeit with the support of the private sector. Drug prices are controlled, as are doctors -- not entirely sure how it is compatible with conservative pro-business, free-market economics world view. Hospitals also make non-trivial income from medical tourism: visitors from Indonesia, Malaysia, and China come to Singapore for medical care and vacation at the same time, and the hospitals charge them premium over Singaporeans' subsidized prices.
Because of its geographic position in Southeast Asia, strategically located as a major trade hub, surrounded by developing countries, hospitals in Singapore can buy drugs relatively cheaply.
Singapore culture is also totally weird
People don't drive that much, due to affordable high-quality public transport in the city state. People walk everywhere, making obesity a non-issue. There is no drug problem, as drug trafficking is punishable by death. There is no guns whatsoever, despite the mandatory draft into the Singapore armed forces. The young population is highly health-conscious, and weekend biking is a popular culture. Air pollution can be a problem at times, but it's mostly due to smog from forest fires in neighboring Malaysia and Indonesia.
Economics also matter
The median Singaporean is also wealthier than the American. In terms of GDP per capita, both countries are at about US$50k, but because of Singapore's small population, there's just less poverty to deal with.
Main lesson: things are easier when costs are lower
Singapore historians highlight their young, immigrant-welcoming demographics, and well-educated population. Some also point to the country's sustainable healthcare financing system. But the main point is that all of the factors above reduce healthcare costs. And managing a healthcare system is that much easier when costs are lower, and buying powers higher.