Itemised billing ensures healthcare remains patient-focused, says Fomca
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PETALING JAYA: Itemised bills for every consultation and medical charges at private clinics do not undermine clinical practice but ensure healthcare remains patient-focused and ethically delivered, says the Federation of Malaysian Consumers Associations (Fomca).
Its chief executive officer, Dr T. Saravanan, said issuing a detailed bill empowers patients with the knowledge to compare prices or seek more affordable outlets.
“It dismantles the information asymmetry that has long allowed profiteering under the guise of medical convenience,” he said in a statement on Friday (August 8).
Saravanan added that consumers, especially the elderly, the chronically ill, and lower-income groups, have long been voiceless and disadvantaged due to opaque pricing.
“The government’s reform restores their agency, reduces unjust markups, and brings our healthcare system up to international standards,” he said.
Read more: Itemised billing ensures healthcare remains patient-focused, says Fomca
(BM) FOMCA SIARAN MEDIA: KETELUSAN DALAM PENJAGAAN KESIHATAN SWASTA - ‘PRESKRIPSI’ YANG SEKIAN LAMA DIPERLUKAN
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TARIKH SIARAN: 8 OGOS 2025
Kepada Ketua Editor,
SIARAN MEDIA: KETELUSAN DALAM PENJAGAAN KESIHATAN SWASTA - ‘PRESKRIPSI’ YANG SEKIAN LAMA DIPERLUKAN
Langkah kerajaan untuk mewajibkan pemberian preskripsi ubat dan bil terperinci di fasiliti penjagaan kesihatan swasta bukan sahaja wajar dipuji, malah perlu diberikan sokongan sepenuhnya. Malaysia sekian lama mengamalkan sistem kesihatan dua aliran: sektor awam yang bersubsidi dan mudah diakses, serta sektor swasta yang berasaskan kaedah pasaran di mana bayaran secara tunai oleh pengguna masih menjadi amalan utama. Malah, hampir separuh perbelanjaan penjagaan kesihatan negara berdasarkan daripada poket pengguna, dengan lebih kurang 35 peratus dibayar sendiri oleh pengguna (out-of-pocket)—situasi ini jelas menunjukkan betapa mudahnya pengguna menjadi mangsa dalam sistem yang tidak telus ini.
Dari sudut makroekonomi, inflasi kos perubatan di Malaysia melonjak kepada 12.6 peratus pada tahun 2023, iaitu dua kali ganda purata global sebanyak 5.6 peratus. Lonjakan ini banyak dipacu oleh caj tidak terkawal daripada sektor swasta. Bank Negara Malaysia telah menegaskan bahawa ketelusan harga yang lebih baik—termasuk pemaparan harga ubat dan prosedur serta bil terperinci—adalah penting untuk membendung kenaikan ini dan melindungi pengguna.
Dari segi mikro pula, keadaannya lebih membimbangkan. Kajian daripada sumber yang boleh dipercayai menunjukkan bahawa harga ubat untuk penyakit biasa di sektor swasta boleh mencecah beberapa hari gaji. Sebagai contoh, harga ubat antihipertensi tertentu dari jenama asal (innovator) di sektor swasta boleh mencecah sehingga 2.3 hari gaji, manakala versi generik pula antara setengah hingga satu hari gaji. Ini merupakan beban yang sangat berat bagi golongan berpendapatan rendah. Di sesetengah klinik, untung atas angin bagi ubat generik boleh mencecah melebihi 100 peratus—yang bermakna kos rawatan asas meningkat dua kali ganda disebabkan oleh keuntungan tersembunyi.
(ENG) FOMCA PRESS RELEASE: TRANSPARENCY IN PRIVATE HEALTHCARE - A PRESCRIPTION LONG OVERDUE
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DATE OF RELEASE: 8th AUGUST 2025
Dear Editor,
PRESS RELEASE: TRANSPARENCY IN PRIVATE HEALTHCARE - A PRESCRIPTION LONG OVERDUE
The government’s move to mandate prescription issuance and transparent, itemised billing in private healthcare facilities deserves not just recognition but wholehearted support. Malaysia has long operated a dual-tier healthcare system: the public sector, heavily subsidised and accessible, coexists with a private, market-driven sector where out-of-pocket payments continue to dominate. In fact, nearly half of all healthcare spending comes directly from patients’ pockets—about 35 percent is out-of-pocket—underscoring how vulnerable consumers are in this landscape.
On a macroeconomic scale, Malaysia’s medical cost inflation has surged to 12.6 percent in 2023—double the global average of 5.6 percent—significantly driven by unchecked private-sector charges . Bank Negara has emphasized that enhanced pricing transparency, including public drug and procedure prices and itemised billing, is pivotal in curbing this escalation and shielding consumers.
Micro-level data tell an even more alarming story. A trusted study revealed that medicines for everyday conditions can cost patients the equivalent of several days’ wages. For example, private sector prices for certain antihypertensive could cost 2.3 days of pay for innovator brands, while generics still cost half a day to a full day’s wage—a serious burden for low-income earners . In some clinics, generic drug markups exceeded 100 percent, meaning the cost of essential treatment was doubled by unseen profit margins.
Against this backdrop, requiring private clinics and pharmacies to issue a prescription alongside a detailed bill—listing consultation fees, drug names and prices, procedures, and materials—empowers patients with the knowledge to compare prices or seek more affordable outlets. It dismantles the information asymmetry that has long allowed profiteering under the guise of medical convenience. Studies show that if drug price caps were introduced, patients could realize savings of 40–50 percent on medicine costs—again demonstrating how much hidden room there is for fairer pricing.
Tax or total ban on vape products?
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PETALING JAYA: The recent revelation that the government may expand pro-health tax by taxing vape, tobacco and alcohol products has raised an eyebrow among activists, with concerns emerging that the proposal to ban vape may falter.
Anti-smoking crusaders are now demanding answers from the government on whether it will eventually move to ban vape, or just tax the substance, with Consumers Association of Penang (CAP) education officer NV Subbarow querying the recent announcement under the 13th Malaysia Plan (13MP).
“I am totally confused. What is the point of imposing tax on vape products?
“The Health Minister must immediately clarify the government’s position on banning vape and e-cigarettes,” he said, emphasising CAP’s support for a total ban.
Subbarow said the government could instead impose higher taxes on cigarettes and alcohol to reduce non-communicable diseases.
“The Finance Ministry must clarify the tax on vape,” said the anti-smoking activist, who argued that vape will lead to addiction problems that the government will have to deal with, including that of drug-laced vapes.
‘Trade deal unlikely to ease cost of living’
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PETALING JAYA: The reduction in US tariffs on Malaysian exports is a win for trade, but it would not ease the cost of living for consumers anytime soon, said the Federation of Malaysian Consumers Association (Fomca).
Its president Dr Saravanan Thambirajah pointed out that domestic policies, not foreign tariffs, are what shape household expenses.
He said the cut from 25% to 19% would boost export competitiveness and job stability but any relief for consumers would be indirect and gradual.
“The US tariff cut on Malaysian exports is mainly a trade move, with little direct effect on prices of domestic goods since it applies to exports, not imports,” he told theSun.
“As such, Malaysian consumers are unlikely to see an immediate drop in retail prices. But if it helps exporters maintain or grow market share, the resulting stability in jobs and incomes could indirectly support purchasing power over time.”
Saravanan said key cost-of-living pressures – food, housing, energy and transport – are driven by domestic policies, commodity prices and currency strength, not external tariffs.
‘Nuclear energy can wait’
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Govt should invest in other sustainable options first, say groups
PETALING JAYA: Malaysia should focus on developing safer, sustainable sources of energy production before even considering nuclear power, say interest groups.
“While nuclear energy is often classified as clean based on greenhouse gas emissions, this assessment overlooks other critical environmental parameters like radioactivity, toxicity and long-term environmental impact.
“When we measure nuclear energy together with these environmental parameters, we will see that it is not as clean as claimed by certain parties,” he said, adding that public acceptance of nuclear energy is low.
The 13th Malaysia Plan (13MP), which was unveiled on Thursday, stated that the government was considering the possibility of introducing nuclear energy as a clean energy source.
It also pointed out that the government would focus on developing and upgrading sustainable energy production infrastructure across the country, which include hydrogen hubs in Terengganu and east Malaysia.
FOMCA sambut baik pengumuman PMX, dapat ringankan kos sara hidup
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Gabungan Persatuan Pengguna Malaysia (FOMCA) mengalu-alukan pengumuman oleh Perdana Menteri Anwar Ibrahim khususnya perluasan bantuan tunai Sumbangan Asas Rahmah (SARA) kepada semua warganegara dewasa berumur 18 tahun ke atas.
Ketua Pegawai Eksekutif FOMCA, Dr Saravanan Thambirajah berkata pemberian tunai sekali bayar RM100 mulai 31 Ogos ini melalui MyKad dan boleh dibelanjakan di lebih 4,100 premis runcit itu sudah tentu memberi manfaat kepada kira-kira 22 juta rakyat Malaysia.
“Pemberian ini mengiktiraf realiti semasa bahawa tekanan kos sara hidup bukan lagi isu golongan berpendapatan rendah saja, malah turut membelenggu kumpulan pertengahan.
“FOMCA menyambut baik pelbagai inisiatif diumumkan Perdana Menteri hari ini yang dapat meringankan beban kos sara hidup rakyat termasuk pemberian bantuan tunai RM100 secara one-off, penurunan harga petrol RON95, pembekuan kadar tol serta peluasan program Jualan Rahmah Madani,” katanya dipetik laporan BH.
Mengulas penurunan harga petrol RON95 kepada RM1.99 seliter, FOMCA menyifatkan ia sebagai langkah yang memberi impak langsung kepada berjuta pengguna, khususnya pekerja muda dan komuniti ekonomi gig.
Read more: FOMCA sambut baik pengumuman PMX, dapat ringankan kos sara hidup
Perluasan bantuan tunai langkah inklusif yang tepat- FOMCA
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KUALA LUMPUR: Langkah kerajaan memperluaskan bantuan tunai Sumbangan Asas Rahmah (SARA) kepada semua warganegara dewasa berumur 18 tahun ke atas tanpa mengira tahap pendapatan satu usaha inklusif yang tepat pada masanya.
Ketua Pegawai Eksekutif Gabungan Persatuan Pengguna Malaysia (FOMCA), Dr Saravanan Thambirajah, berkata bantuan yang akan diagihkan mulai 31 Ogos ini melalui MyKad dan boleh dibelanjakan di lebih 4,100 premis runcit itu sudah tentu memberi manfaat kepada kira-kira 22 juta rakyat Malaysia.
"Pemberian ini mengiktiraf realiti semasa bahawa tekanan kos sara hidup bukan lagi isu golongan berpendapatan rendah saja, malah turut membelenggu kumpulan pertengahan,"
"FOMCA menyambut baik pelbagai inisiatif diumumkan Perdana Menteri hari ini yang dapat meringankan beban kos sara hidup rakyat termasuk pemberian bantuan tunai RM100 secara one-off, penurunan harga petrol RON95, pembekuan kadar tol serta peluasan program Jualan Rahmah Madani," katanya ketika ditemui BH, hari ini.
Mengulas penurunan harga petrol RON95 kepada RM1.99 seliter, FOMCA menyifatkan ia sebagai langkah yang memberi impak langsung kepada berjuta pengguna, khususnya pekerja muda dan komuniti ekonomi gig.
Read more: Perluasan bantuan tunai langkah inklusif yang tepat- FOMCA
What’s next after one-off cash aid?
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PETALING JAYA: The special targeted relief announced by Prime Minister Datuk Seri Anwar Ibrahim must be complemented by long-term strategies to support those in need, says the Federation of Malaysian Consumers Associations (Fomca).
Its vice-president Datuk Indrani Thuraisingham said while Fomca welcomes the measures, including the one-off RM100 cash assistance for eligible individuals and the adjustment of RON95 ceiling price, the impact of such initiatives remains limited due to its one-time nature and the escalating cost of basic goods and services.
“In the long term, Malaysia needs a more resilient and inclusive economic model that puts the welfare of ordinary consumers at the centre of policy-making.
“While short-term aid is necessary during times of economic uncertainty, it must be complemented by structural reforms that reduce cost burdens, protect vulnerable groups including the lower middle class segments, and ensure a fairer distribution of national wealth,” she said when contacted yesterday.
Yesterday, Anwar announced several key initiatives as part of the Madani government’s appreciation for the people, including a one-off RM100 Sara aid via MyKad for all Malaysian adults, postponement of toll rate hikes for 10 highways, and a lower subsidised RON95 petrol price of RM1.99 per litre.
Kathleen Chem, an associate director in Fitch Ratings’ Sovereigns team, said: “Fitch estimates the total cost of these measures at RM2.3bil, or about 0.1% of GDP, which we believe can be accommodated within the Budget 2025 target of 3.8% of GDP.
Fomca welcomes RM100 one-off aid, urges stronger price control and wise spending
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GEORGE TOWN: The Federation of Malaysian Consumers Associations (Fomca) has welcomed the series of initiatives announced by Prime Minister Datuk Seri Anwar Ibrahim aimed at easing the cost of living burden for Malaysian consumers.
These include the one-off RM100 cash assistance under the Sumbangan Asas Rahmah (Sara) programme, the reduction in RON95 petrol prices, the decision to maintain current toll rates across major highways, and the expanded reach of the Jualan Rahmah Madani programme.
Its chief executive officer Dr Saravanan Thambirajah, said Fomca viewed the RM100 one-off assistance as a timely and inclusive step, especially given the persistent pressure of food prices despite the overall inflation rate remaining low.
"The government's move to extend this assistance to all adult citizens aged 18 and above, regardless of income level, is unprecedented and signals recognition that the cost-of-living crisis is affecting not just the lower-income group but also the middle class.
"This broad-based approach is commendable and shows the government's responsiveness to the realities on the ground," he told the New Straits Times.
Read more: Fomca welcomes RM100 one-off aid, urges stronger price control and wise spending
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