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?

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. 

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....

Controlling my emotions in this bear market

I unleashed my greed in August, September, October of 2015 and now with the market sell down again ....honestly, i finally feel sick. My capital gains from my greed in 2008 and 2009 has been totally wiped out due to my greed in the 3 months of 2015 and i am truly 'sian'.  My total portfolio of stocks and bonds is now down 5.5% . I still have a warchest of half my value of stocks and bonds and the dividends i get monthly helps alleviate the pain. The other painkiller that i use to remind myself is that the accumulated dividends over the years has more than made up the unrealized capital loss of 5.5%.

Seriously, i thought i could handle this bear calmly having been through the Lehman crisis but i still can't. Truly, i'm having some sleepless nights and its affecting my work slightly as my eyes are frequently glued to my bloomberg app.

Everyday is an emotional fight within myself to "hold On" ...don't press the buy button...dont be greedy...pace yourself...while the other 'evil' side in me tells me to buy,buy,buy,buy,buy,buy ... Its the greed of losing out on the opportunity of buying at cheap prices versus the fear of prices further plummeting.

Anyway, let's see how it goes and the big question is ...Is this just purely sentiment driven or is there some deep problem going on? George Soros has said there is a looming crisis, and he is a $27 billion networth big fish...who am i to disagree with him but then again, he is a hedge fund person and may do the opposite to what he says.......argh mental struggle again!

My experience opening an Australian bank account as a Singaporean resident

With the AUD/SGD dropping to a multi-year low on the back of a commodities meltdown, what better way to take advantage of this then to go for a 16 days holiday in Australia. Besides, Australia is an amazingly baby-friendly nation ( much more than Singapore) in terms of places to bring the Baby to. Milk and baby food is also darn cheap, being about 40% cheaper than Singapore. And so i thought i would be "saving" some money. BUT, my wife just had to change darn lot of money just in case we ran out , especially when the currency is cheap now. Naturally, there was excess and bringing back to Singapore to change back to SGD or just to keep it in a milo tin was a "SIN" to me. Money should always work hard, not rest and slack!Money as the spread going to the money changer should always be minimized too!

So the last week of the holiday, i opened an Australian bank account. Here are some lessons learnt.

1) As a Singapore Citizen who is just a tourist like me, DO NOT ever give an australian address to the banker to open an account for you. This is a major misconception! You do not need an australian address at all. If you give an australian address, you will automatically be deemed to be staying in Australia and your withholding tax rate will be  46.5% ( top marginal tax rate 45% + Medicare levy 1.5%)  on your savings account interest earned per year.  If you give a Singapore address, you will be deemed as a non-resident and withholding tax is only 10%. I reiterated many times to the banker that i was a non-resident just so he opened the account correctly. 

2) Go to the major banks like National Australia Bank (NAB), Commonwealth Bank of Australia(CBA), Westpac and ANZ. I was just passing by a community bank called Bendigo bank and thank GOD i didn't open with them as the banker asked me for an australian address and didn't even know the withholding tax rate. My suggestion is to go to an asian banker in one of the major banks as he or she has dealt with many asians opening bank accounts in Australia and so will be very experienced. 

3) Open the account at least 5 working days prior to your departure from Australia. The reason was because the atm card needs around 5 working days before they can be collected from the same branch you opened with. 

4) You have to have some activity in the account or else the account will be in dormant status and it will be swept to a government account. According to the asian banker i spoke to, he said it was HELL to get back that money with lots of paper work and time ( think months). He wasn't too sure about the span of time before dormancy starts but told me to open 2 accounts and transfer some funds between them once every 6 months just to be safe. As i can't have a peace of mind not knowing something for certain, here it goes:

Apparently it's 3 years ( i don't know if the 7 years one has be approved) and the Australian government takes about half a billion a year from these dormant accounts! That's free money!

So what's benefits

I opened the NAB reward saver account which currently has an interest of 2.85% pa, ( use to be 3.05% as can be seen in the pic below), After WHT of 10%, the net interest rate will be 2.565% pa (use to be 2.745%), which is better than any banks savings here and even better than our Central Provident Fund -Ordinary account of 2.5%. And this along with the belief that the AUD will appreciate in time to come.Going back to Australia is also certain and this will act as a holiday fund there.