• Sat
  • Oct 18, 2014
  • Updated: 3:13pm
NewsHong Kong
MEDICAL CARE

Government plans to offer tax break in bid to cut public health bill

Extra incentive will be offered to families who take out private medical cover to counter rising cost of hospital care amid ageing population

PUBLISHED : Monday, 13 January, 2014, 4:59am
UPDATED : Monday, 13 January, 2014, 2:16pm
 

Poll

  • Yes: 29%
  • No: 71%
13 Jan 2014
  • Yes
  • No
Total number of votes recorded: 174

Tax breaks will form the core of a government plan to cut spending from the swelling public hospitals budget and shift the burden to the private sector.

Government spending on the Hospital Authority has leapt 63 per cent to HK$44.4 billion in the 2013/14 financial year from HK$27.2 billion in 2006/07.

It is currently rising at about twice the pace of inflation.

Future expenditure could be even higher given the rapidly ageing population and an imbalance in the number of doctors in the private and public systems. About 40 per cent of doctors are in the public system and care for 90 per cent of hospital patients, while the other 60 per cent of doctors treat the remaining 10 per cent privately.

The government plan seeks to redress some of that balance.

Individuals who buy a health insurance package covering all dependents - including their spouse, children and parents - will get an extra tax deduction, a Food and Health Bureau spokesman told the Post.

"The measure [tax deduction] is effective and well-targeted in the sense that most of the taxpayers fall within the working population," he said.

The proposal is part of the government's Health Protection Scheme (HPS) under which all medical insurance products will have to meet minimum requirements laid down by the government. The aim is to ease the burden on public hospitals by encouraging people to take out private insurance schemes and use private health care.

The Post revealed last year that health bosses were also planning a HK$4.3 billion scheme to revolutionise the care of patients with long-term illnesses to further ease the burden on the public health system.

They would receive an annual government subsidy of HK$7,200 to buy medical insurance and use private care services.

The Food and Health Bureau estimates 69,800 people with chronic illnesses would qualify by 2016, according to a source.

But a lawmaker and a professor both believe the HPS will remain unpopular with the public and is unlikely to be approved by the Legislative Council.

The lawmaker for the insurance sector, Chan Kin-por, said the effect of tax breaks would be limited as only 37 per cent of the population pays tax and the average salary tax they pay is about 8 per cent. He said a tax allowance of up to HK$20,000 a year would be needed to persuade people to take out the insurance policies.

A professor at Polytechnic University, Peter Yuen Pok-man, said the HPS proposal was unlikely to be approved "under the current political environment".

"The scheme is unpopular and the government is in a weak position and has no mandate vote in Legco," said Yuen, director of the Public Policy Research Institute. He said Hongkongers were unlikely to support medical reform that required them to dig deep into their pockets.

"Mandatory medical savings are the most desirable financing mechanism for an ageing population. However, the political climate in Hong Kong is such that it is almost impossible to implement that at this stage."

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17

This article is now closed to comments

Urban kid
I seems that Hong Kong ranks first in terms of health care efficiency so why change the system at all? We have the lowest per capita and GDP cost and the highest life expectancy.
yellow_lynx_cat
Increasing spending on public healthcare solves only part of the problem. Today our system pays too much for the bloated management of the Hospital Authority, and mistreating the frontline staff who do all the hands-on job.
Time to slash the paychecks for the hospital management.
Urban kid
Please see this article for ideas for improvement. comparisons.****www.huffingtonpost.com/2013/08/29/most-efficient-healthcare_n_3825477.html
According to Bloomberg, Hong Kong spends just 3.8 percent of GDP on health care per capita, and it tied for the third-lowest among nations surveyed as being the most efficient health care system in the world.
Perhaps Hong Kong could follow Japan’s example and provide a more egalitarian health system for the public and health care providers.
Urban kid
I agree with most of the comments made so far. The cost of private medicine in Hong Kong is extortionate and far beyond the reach of most people, with or without insurance. The Government has no alternative but to increase the amount of taxpayers’ money that it pays for public health care.
How many of us can afford private health care these days? Only rich expatriates whose health care is paid in full by their companies. I too have private health care for a ward bed in a private hospital but it meets only a fraction of the cost.
The Government should be working for the hard working people of Hong Kong and not just pandering to the whims of the private sector.
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chuchu59
snip snip. Would someone from SCMP delete this post.
rpasea
A much better use of resources would be to include everyone in a single payer healthcare scheme managed by govt.
joyalsofi
"The aim is to ease the burden on public hospitals by encouraging people to take out private insurance schemes and use private health care." The aim is to move public money into private hands. There is no other reason why that is preferred over putting more public money into an upgraded, improved public health system.
robroy
How can they be discussing tax breakes? It's a matter of raising the tax for the working population to afford a reasonable level of health care, don't feed the private clinics and insurance companies who charge insane amounts with even more money.
The best way for a small population like HK is to insure the whole population for medical care through taxes. It's much more cost efficient for everyone.
captam
Govt is wasting its time. The benefits provided by most HK health insurance policies no longer match the high charges incurred in the private medical sector. Private hospital charges and surgeons' fees are loaded up disproportionately for any patient who wishes to pay for a private or semi private room in a hospital. Fair enough to pay extra for that private room but to charge more for the operating theatre, surgeons, anesthetists, nursing and other misc, charges is unfair and ridiculous because the levels of service and care provided are identical for a patient using a bed in a shared ward. 'captam' has paid for a private health insurance policy for over 30 years but as fast as the premiums have been increased year by year the level of surgical benefits claimable for an operation has fallen in percentage terms of the costs incurred in private hospitals. 10 years ago my insurers met about 85% of the cost of a major operation ( using a private bed ), last year I once again needed surgery classed as "intermediate" for benefits purposes but the insurer was offering only 25% of the estimated surgeon's, hospital & other costs. 'captam, has therefore been compelled to go back into the Government system and is considering dumping his insurance policy at the time of next renewal.
There has to be a shake up of both the medical insurance industry and the doctors and hospital charging mechanisms. Right now it is way out of match and insurers are not meeting costs. One side has to give!

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