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Mr Cai Yinzhou: Thank you, Chairman. Following the invisible costs highlighted in my Budget speech, I want to address the struggles of those with invisible conditions.

With the helping hands scheme supporting those on public transport, many with hidden medical, autoimmune or chronic diseases still face judgment in daily life. Will the Ministry consider expanding these initiatives outside of public transport to more settings like hawker centres and libraries to fostering a society that leads with patience rather than suspicion?

In Singapore, one in five children and one in 10 adults endure the constant, debilitating itch of this atopic eczema. While manageable, the cost of continuous treatment, including wet wraps and phototherapy, is a significant financial and emotional burden. Will the Ministry consider adding atopic eczema to the Chronic Disease Management Programme, which already covers similar conditions like psoriasis?

Lastly, some youths are deterred from sharing suicidal thoughts with school counselors because they fear an automatic, mandatory reporting to their parents, especially when those thoughts might stem from family circumstances. To encourage greater help-seeking while ensuring safety, will the Ministry implement a tiered reporting framework that allows for greater confidentiality in a risk-proportionate manner?

Chairman, we must ensure our infrastructure of care is robust enough to support the struggles we cannot see. I look forward to the Ministry’s vision for a more inclusive and empathetic healthcare landscape.

Mr Ong Ye Kung: This time, we will make further changes to the MediSave500/700 scheme. This scheme helps patients pay for their recurring costs of managing conditions on the Chronic Disease Management Programme (CDMP). Mr Cai Yinzhou and Mr Gerald Giam asked about this.

Today, individuals with a simple chronic condition can use up to $500 a year, while those with complex chronic conditions can withdraw up to $700 per year.  

To provide more support for preventive and chronic care in the community, we will raise MediSave limits from $500/$700 to $700/$1,000. This will benefit over 910,000 patients who currently tap on the scheme, roughly 20% of whom have annual bills exceeding the withdrawal limits.  

We will also expand the list of conditions covered under the CDMP to include hyperthyroidism and hypothyroidism. In addition, we are studying whether we can include other chronic conditions, such as eczema, in the CDMP. 

With the above enhancements, we will rename "MediSave500/700". It is actually a cumbersome name. Every time you change the limit, you change the name. We will rename it to "MediSave Chronic and Preventive Care Scheme", to reflect its scope of coverage. The changes will be effective January 2027. 

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Mr Cai Yinzhou: My last question is on social prescription. We do see the need for social prescription in combating loneliness, which, as Senior Minister of Tan had highlighted, is equivalent of smoking 15 cigarettes a day. My question is, as we measure medical prescriptions, how are social prescriptions therefore measured and interventions tracked?

My question also stems from how AAC participation is the current measure from a previous Parliamentary Question that I filed regarding attendance as well as participation. How can we better take into account other areas that the seniors might be active in, for example, in faith-based or Community Club or Centre events or course-based initiatives that they might be volunteering at? How do we take that into account? Senior Minister of State Tan also highlighted there were studies ongoing with schools and if he could share a bit more details about what that entails?

Mr Ong Ye Kung: I will answer the last question and for the first two questions, Senior Minister of State Tan Kiat How will answer.

Social prescription, can it be tracked? Realistically, it cannot be tracked, because it is your life. We are there to provide the support, the funding, to make it as easy as you can come to the AAC to participate. But as to what you do with your life, I am afraid I cannot track it and I do not think I should track it. But please enrol for Healthy 365 – at least, the app will help you track. 

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