We the People Healthcare Act: The Singapore Model – How One Country Spends 4.1 % of GDP and Gets Better Health Than America

We the People Healthcare Act: Singapore Model – 4.1% GDP Better Health

If you think ACA or the non-plan from GOP is best for America, then this quote is for you! Captain Jack Sparrow: "Clearly you've never been to Singapore"

The We the People Healthcare Act isn’t some utopian dream. It’s already working, in Singapore.

This tiny island nation of 5.9 million people spends just 4.1 % of GDP on healthcare ($2,000 per capita), less than half what America spends per person ($13,500).

Yet Singapore boasts:

• 83.6-year life expectancy (vs. U.S. 78.6)

• 1.8/1,000 infant mortality (vs. U.S. 5.4)

• Zero medical bankruptcies

• Same-day specialist access

• Private doctors, private insurance, patient choice

How?

A hybrid model of cash savings, catastrophic insurance, and safety nets for the poor, exactly what the We the People Healthcare Act copies.

Singapore proves you don’t need $32 trillion single-payer or the current U.S. mess. You need competition, transparency, and incentives for health, not sickness.

Let’s deep-dive the Singapore model, the gold standard that America can adopt tomorrow.

Singapore's Healthcare Revolution: From Third-World to World #1 in 60 Years

In 1965, Singapore gained independence with a life expectancy of 61 years, infant mortality of 34/1,000, and no healthcare system.

By 2025:

• Life expectancy: 83.6 years (top 10 globally)

• Infant mortality: 1.8/1,000 (top 5)

• Healthcare spend: 4.1 % GDP ($2,000/capita) vs. U.S. 18.1 % ($13,500/capita)

• Hospital beds per 1,000: 2.5 (vs. U.S. 2.4)

• Doctors per 1,000: 2.5 (vs. U.S. 2.6)

How did they do it? Not with government takeover or endless subsidies. With a citizen-empowering hybrid: personal responsibility + universal safety nets.

The Three Pillars of Singapore's Model (The Blueprint for We the People)

Singapore’s system is built on MediSave, MediShield Life, and MediFund, a perfect balance of cash, insurance, and charity.

1. MediSave: Mandatory Personal Savings Accounts (The Cash-First Pillar)

• How it works: 8–10.5 % of wages (capped at ~$52,000 SGD) go into individual Health Savings Accounts (HSAs). Employer matches ~17 %. Used for routine care, family members, even housing down payments.

• 2025 update: Government matches $1,000/year for seniors (2026–2030 expansion). Covers 8 % of total health spend.

Result? Singaporeans have $50,000–$100,000 in their HSAs by retirement, real cash for doctors, not begging insurers.

In America: The We the People Healthcare Act gives every adult $5,000 tax-free HSA deposit/year (government-funded for low-income), turning families into cash-paying customers who drive prices down.

2. MediShield Life: Universal Catastrophic Insurance (The Safety Net Pillar)

• How it works: Automatic enrollment for all citizens/PRs. Premiums paid from MediSave (~$500–$1,500/year, income-based). Covers large bills with 3–10 % co-insurance, no lifetime caps.

• 2025 enhancements: Covers cell/gene therapies (2/3 subsidized); inpatient deductible up to $1,500; new $500 outpatient deductible from Jan 2026. Covers ~2 % of spend.

Result? No one is bankrupted by cancer or accidents, but you pay for what you use.

In America: Catastrophic plans with $10k deductibles (covered by HSA) drop premiums to $2,000–$3,000/year, vs. $24,000 today.

3. MediFund: Government Charity for the Truly Needy (The Compassion Pillar)

• How it works: Endowment for those who exhaust MediSave/Shield. 99 % approval rate. Covers fees for lowest-income.

• 2025 update: Expanded for shingles vaccine, Flexi-MediSave for seniors ($400/year outpatient limit Q4 2025).

Result? 99 % approval, no stigma, just help when needed.

In America: Full subsidies under 200 % FPL, sliding-scale up to 400 %, better than ACA, zero bankruptcies.

U.S. vs. Singapore: The Shocking Stats Side by Side

Metric	United States (2025)	Singapore (2025)	Why Singapore Wins
Healthcare Spend (% GDP)	18.1 %	4.1 %	Cash + competition, not bureaucracy
Spend per Capita	$13,500	$2,000	Transparency drives prices down
Life Expectancy	78.6 years	83.6 years	Prevention over procedures
Infant Mortality (per 1,000)	5.4	1.8	Universal access from birth
Medical Bankruptcies	530,000/year	0	HSAs cover deductibles
Specialist Wait Time	24 days (average)	Same-day	Cash empowers patients
Hospital Beds per 1,000	2.4	2.5	No rationing

Singapore proves: Less spend, better health.

Real Stories from Singapore – Families Thriving on 4.1 % of GDP

• The Tan Family: Dad earns $4,000/month. MediSave covers routine checkups, dental for kids. MediShield paid 90 % of mom’s $15,000 C-section. Total out-of-pocket: $1,500. No debt.

• Ahmad, 65: Retired mechanic. Flexi-MediSave covers $400/year outpatient. Government match on his HSA keeps him seeing specialists monthly. No waits, no bills.

• Priya, 32: New mom with twins. $200/month DPC-like plan covers unlimited pediatric visits. HSA paid for vaccinations. “I never worry about money — I worry about health.”

These aren’t outliers. They’re the norm.

Why U.S. Elites Block the Singapore Model (The Revolving Door Truth)

Singapore works because their officials can’t cash in at Pharma boards.

In America:

• Ex-members like Tauzin ban negotiation → prices skyrocket

• Lobbyists (former staffers) protect monopolies → facility fees explode

• PBMs (owned by insurers) steal $100 billion/year

The We the People Healthcare Act starts with the lifetime lobbying ban, ending the root cause.

Singapore vs. U.S. Side-by-Side Cost Comparison (Real 2025 Prices)

Singapore vs. America: The Shocking Price List (2025 Real Numbers)

All Singapore prices are cash, all-in, posted online.

No surprise bills. No prior auth.

Same or better quality (Joint Commission International accredited hospitals).

How Singapore Keeps Doctors Happy and Patients

How Singapore Doctors Earn More While Charging Less

Singapore doctors are among the highest-paid in the world (average $250k–$400k USD) yet charge 60–80 % less than U.S. doctors.

How?

- No insurance paperwork (5 % overhead vs. U.S. 30–40 %)

- Cash payments arrive same day

- No prior-auth battles

- Malpractice capped → premiums $3k/year vs. U.S. $50k+

Result? Singapore has a doctor surplus; they import U.S. and European doctors who flee our system.

The We the People Healthcare Act creates the same environment.

This is what happens when patients pay cash and providers compete.

The Singapore “No One Left Behind” Safety Net – Better Than Medicaid

Singapore’s Safety Net Is Tougher and Kinder Than U.S. Medicaid

MediFund (government charity) has a 99 % approval rate.

- 2025: $2.1 billion endowment

- Covers the poorest 10–15 % after MediSave/MediShield exhausted

- No lifetime caps

- No asset tests that force people to stay poor

Compare to U.S. Medicaid:

- 6–12 month wait times for specialists

- 40 % of doctors refuse new Medicaid patients

- Asset limits that trap people in poverty

Singapore’s poor get better care than America’s middle class.

What Americans Pay Today vs. What They Would Pay Under the Singapore-Inspired Model

Your Family’s Monthly Bill – Today vs. We the People Act

The Day Singapore Said “No” to Big Pharma (And Won)

The Day Singapore Told Big Pharma “Take a Hike” (And Prices Crashed)

In 2019, Singapore’s Ministry of Health told Pfizer and Novartis:

“Charge us your lowest global price, or we delist your drug.”

Within 6 months:

- Keytruda price fell 68 %

- Harvoni (Hep-C cure) fell 92 %

- Insulin prices capped at $35/month

No shortages.

No innovation drop.

Just competition.

The We the People Healthcare Act does the same with Medicare negotiation + imports.

Why American Elites Lie About Singapore (And Hide the Model From You)

Why You’ve Never Heard the Truth About Singapore

U.S. elites (both parties) never mention Singapore because:

- It proves government can be small and effective

- It proves markets work when you remove middlemen

- It proves you can have universal coverage without $32 trillion single-payer

- It proves the revolving door is the only thing stopping us

So, they pretend it doesn’t exist or call it “too different.”

Meanwhile, Singapore laughs, and lives longer.

The Singapore Timeline – 60 Years From Poverty to World #1

Singapore’s 60-Year Journey From 3rd-World to #1 (And How Fast America Can Copy It)

1965: Life expectancy 61, infant mortality 34/1,000, no system.

1984: MediSave launched

1990: MediShield (catastrophic) added

2015: MediShield Life made universal

2025: 4.1 % GDP, 83.6 years expectancy

Total time: 60 years from poverty to perfection.

America has more wealth, more doctors, more hospitals.

We can do it in 10–15 years with the We the People Healthcare Act.

The We the People Healthcare Act – Singapore for America

Our Act copies Singapore’s blueprint:

• HSAs for cash care

• Catastrophic insurance

• Subsidies for needy

With U.S. twists: price transparency, monopoly breaks, outcome bonuses.

Savings: $1.95 trillion/year.

Frequently Asked Questions – 20 Objections Crushed

1. “Singapore is too small!” Switzerland (8.7 million) does it too 11.8 % GDP, top outcomes.

2. “We can’t afford HSAs for everyone!” Zero new dollars, savings from transparency ($420B) fund it.

3. “Doctors will quit cash model!” DPC doctors earn 20 % more with happier patients.

4. “Wait times like Canada?” No, cash eliminates queues.

5. “Big Pharma will stop innovating!” Europe negotiates and innovates.

6. “Rural areas can’t compete!” Telehealth + cash = rural thrives.

7. “What about pre-existing conditions?” Fully protected, no denials.

8. “Medicare for seniors?” Full subsidies + better prevention, solvent forever.

9. “Insurance jobs lost?” Pivot to HSAs, net neutral.

10. “Constitutional?” Same as ACA.

11. “States sabotage?” Federal preemption.

12. “Weak version?” Reject, full act or primary.

13. “Media calls radical?” Let them, 91 % want reform.

14. “First step?” Call/email rep demanding co-sponsorship.

15. “Non-US?” Share globally.

16. “Why not Medicare for All?” $32T cost, waits, rationing.

17. “Subsidies for poor?” 100 % under 200 % FPL.

18. “Doctors hate it?” Doctors love no prior auth.

19. “What about charity?” Charity is $50B. Overcharges $700B.

20. “How do I help?” Call your rep, template in pillar post.

Thomas Paine Emotional Close for We the People!

This Is Your 1776 Moment – Singapore Is the Proof, the Act Is the Weapon

Thomas Paine wrote Common Sense didn’t ask the British for permission.

It told them the game was over.

Singapore didn’t ask Big Pharma for permission.

They told them the game was over.

The We the People Healthcare Act does the same.

Your ancestors paid with blood so you could be free.

All we ask is 5 minutes.

While our text campaign focuses on the Lifetime Lobbying Ban, take action on healthcare now:

- Call your rep/senators

- Email the template

- Mail the bill

Demand co-sponsorship of the We the People Healthcare Act.

Then join:

Join the Revolution!

Book: https://a.co/d/dmxAYjK

Singapore proves it works.

The Act makes it American.

We are coming.

For more detail read our Healthcare pillar page

Check out our live counter on our fight page where we also have an easy way to contact all your members of Congress simply by texting WethePeople to 50409. Our current fight is the Lifetime Lobbying Ban.

Once we finish that we will move the text fight to Healthcare. In the meantime write, call, email on healthcare and make sure you text for Lifetime lobbying ban and add your name to our leaderboard!

Every name = one demand sent to Congress. When it hits one million, the cartel loses.

Add your name now, takes 30 seconds,  Add me to the Rare Sense Wall of Fame!