Thursday, July 7, 2016

Private hospitalization experience for my toddler

My toddler had a persistent high fever of above 40 degrees for a few days and a loss of appetite. Being a first time parent, naturally we were worried and we wanted the best for our child. We therefore sent him to a private hospital as it was only 3 minutes drive to our house and we didn't want to waste time queuing at Kedang Kerbau Hospital (KKH), based on feedback from others.

Anyway, the feeling during the whole stay was just money, money, money, money. The nurses were good at their job but i was sorely disappointed at the lack of transparency and lack of communication in terms of administrative matters. Professional care giving was up to standard. For a 1 night stay for an uncomplicated stay, total bill including A/E fee, pediatrician bills, medicine, ancilliary et.c is $1584.80.  

Even though I have bought for my son the highest hospitalisation plan possible with a rider so its fully covered for by my insurance and medisave, i still feel its not right. The following is the interim bill ( estimated). 


Red box:
Biogaia Probiotic 5 ml drops cost $91.17. Buying from Guardian cost only $45 based on the screenshot below. This is more than 100% more expensive.

Green box:
Do you notice something wrong with the billing in the green box?
2 sachets cost $8.74 while 8 sachets cost $15.74. Am i overcharged or undercharged? Anyway, the fact that such thing occurs does infer that something is way off about billing issues.

During the admissions procedure, the executive clearly told me that a full night stay was from 6 July 12.01am to 7 July 11am ( about 23 hours). We admitted at 12.30 am 6 July. Another admissiions executive told me that if i was warded on 5 july 11.30 pm ( 31 minutes more to 6 July 12.01am), i would be charged a full days rate if i discharged on 6 July 11 am ( spending only 11 hours 30 minutes). As i love to read fine prints, i pored through the contract and it stated official discharge time is 11 am so there is not reason to doubt the 2 executives words. Being a paranoid, i further looked at the help file given beside the bed, and it stated that 11 am is the discharge time and if discharged after 11am , before 8 pm, an additional half day is charged.

But surprise, surprise, as the PD was good and her medicine effective, my toddler was told he could be discharged as he has stabilised. So we discharged at 10.30 am 6 July before 11am, thinking that it is considered half day, but alas we were charged full day.

Maybe im really stupid to not understand, after asking 2 different admissions executive, 2 different nurses and 1 accounts billing executive how it all works and after reading the contract and the help file.

My bill have been fully paid with no cash outflow so why should i bother? It bothers because the end result is us the consumers suffering when we end up paying more premiums if the insurers cant make their money with the private hospitals, doctors and dentists being the sole winners.

Why can't places for more doctors and dentists be offered locally? I understand the logic of having the best people for the job and we want only competent people to treat us BUT this logic is debunked when you see doctors or dentists who practice medicine here and can't get into local universities but get their degrees from recognised overseas universities just because their parents have the means to do so. Note: I have had my best experiences with overseas doctors, my main point is, is there room for opening up more spaces in local universities such that those without financial means but are able to get into overseas medical universities will still be accepted?

Friday, February 5, 2016

How to stop oneself from being greedy during bear markets

For some, allocating their warchest in tranches based on price level of an index helps them. For me, it helps slightly but not much. I am a sucker for sustainable dividends. So i need a reason to stop wasting money using up all my warchest too fast. I have been buying lately and i do feel very guilty.
The drop so far can be considered the 4th worst bear market since 1987 for the STI. 
The official definition of a bear market refers to a downturn of 20% or more.
The STI dropped 20% from its most recent peak and entered bear market territory in September 1997, May 2001 and February 2008. It reached the bottom roughly in the months of August 1998, March 2003 and February 2009 respectively.
Number of months to reach the bottom from the start of the bear market
Sept 1997 - Aug 1998 = 11 months
May 2001 - Mar 2003 = 22 months
Feb 2008 - Feb 2009 = 12 months
Average months to reach = 15 months
Sep 2015 - Don't know when = ??

So far, about 4 months have passed since STI reached bear market territory. I think i really have to make sure my warchest can last at least another 11 months and to hope for the market to fall very very steep as the steeper it drops, the faster the recovery process can take. The most 'sian' one will be if it turns out to be like May 2001- Mar 2003 where one will suffer many DEAD BIG CAT BOUNCES. 

Thursday, January 21, 2016

Lessons Learnt in this bear market

Sleep has been getting better. Surprisingly, i managed to not buy anything for the last 3 days. Is this the sign of investor fatigue which i need to be contrarian about against my own behaviour? As of today, total unrealized capital loss is 7.7 %. I am actually getting pretty ok about the further capitulation of the stock market as it just means there is less risk if i were to buy further but lets see how long i can be on cold turkey.
Lessons learnt
1) The role of bonds.
I have come to appreciate the presence of  retail bonds in my portfolio. Nearly all asset classes available to the common retail investor will fall in a bear market ( except US treasury bills, USD,JPY e.t.c) but unleveraged non-junk retail bonds will fall less. My bonds act as a stabiliser, it dampens returns in bull times and dampens losses in bear times. As of now, my bonds could be sold to add to my cash warchest, having helped me earn a higher rate of return as compared to fixed deposits in the past 5 years of ultra low interest rates . Now, the US Federal Reserve increasing rates is something i need to watch out for as it will affect my bonds.

2) The role of sentiment.
As much as fundamental analysis is important, the role of sentiment  is equally or even much more so. I really like the article written by Howard Marks of Oak Tree Capital recommended by investmentmoats and there is a sentence that says" a common behaviorial trait among investors is their tendency to overlook negatives and understate their significance for a while, and then eventually to capitulate and overreact to them on the downside..". I am now waiting for the overreaction patiently.

3) My psychology
I know for a fact that making a return of $50,000 brings me less joy than the "xian-ness" of losing $50,000. A terrible mistake is the failure to apply this knowledge. I must now keep telling myself, it is never a wrong time to take profits. NEVER. Forget the shit of selling for a profit and later regretting when the price shoots much higher. A profit is a profit.

4)The importance of market cycle investing
Warren Buffet said " Never fall in love with your stocks". I read but didn't internalize. Shit man. He is darn right. but of course. Buy and hold is quite a buzzword but does one really know what it means? Market moves in cycles, it had, has been, will always forever move like that. This is just nature. I fell in love with my stocks and now i'm dumped! I have to thank the late Dennis Ng for his knowledge shared in his forum, Masteryourfinance.

Anyway, if my memory is right, i remembered 2008/ 2009 we saw asset managers like Franklin Templeton, Schroders selling en mass, daily or weekly as their unit trust holder panicked but i don't see it this time which may explain why i'm not as calm and collected this time as i was then. This might be a long drawn process, no hurry to buy, so lets go to sleep , life goes on....