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So, in that respect it is not unlike National Insurance in the UK.
But it is designed to be big enough to fund retirement and health care.
There can be little doubt that most Western politicians envy Singapore’s position.
It has reaped the rewards of thinking ahead, while countries such as Britain are saddled with what David Cameron describes as an “unsustainable” system.
Additional state cover In addition to Medisave, there is an additional state “top-up” insurance plan, Medi Shield.
This can be used for chronic disease and some other conditions.
It has the lowest rate of infant death rate in the world by most counts.
“When it comes to prices, KL is still on average about a third of the cost of Singapore,” Dr Khemka said.
Dr Sneh Khemka, its medical director, believes that Malaysia, especially Kuala Lumpur, offers the new centres of excellence.
They are attracting patients from across South-East Asia.
Even though most hospitals are nationalised (29 are state-run and 14 are independent) people in the state units can buy extra services.
From single-bed wards to open multi-bedded wards, you choose and pay accordingly. The good health of Singapore’s population relative to its low spend prompts the question as to why others cannot match the efficiency of the former British colony with a vibrant commercial history.