11/08/2026
Forum: Help more patients accept palliative care via greater public awareness and insurance support
https://www.straitstimes.com/opinion/forum/forum-strengthen-palliative-care-through-better-public-understanding-and-insurance-support
Misperceptions about palliative care are that
1. Its NOT euthanasia. We are still managing their medical problems: chronic and acute
2. We DO NOT abandon. We are feeding patients, and providing comfort measures
I shared an example of a patient of mine, with advanced liver cancer and cirrhosis. I managed her ascites, encephalopathy. She was not in pain or discomfort till she passed away, about 1 year after diagnosis
For subsidised patients, government subsidy must continue when terminally ill patients are transferred for home or inpatient hospice care
For private patients with integrated shieldplans, insurance coverage should continue
Otherwise, patients with terminally illnesses would prefer to be managed in acute hospitals
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