卫生部：新加坡人可享有高达70%的生育检查补贴

2024年3月6日，新加坡卫生部高级政务次长拉哈尤·玛赞女士关于生育检查的发言。

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以下内容为新加坡眼根据国会英文资料翻译整理：

我们之前已经回答了黄国光先生关于生育检查的问题。生育检查只针对有医学指示的夫妇提供，因为目前没有证据表明普通人群需要进行早期生育检查。在我们的公立专科门诊，这些夫妇可以享有高达70%的生育检查补贴。有经济困难的人也可以申请保健基金计划获得帮助。此举可为有需要的人士提供更有针对性的支援，同时保障保健基金计划也能应付其他需要，公积金的缴费率对所有人都合理。

共同资助也适用于在公立辅助生殖中心接受体外人工受精（IVF）的人群。这些公立中心目前有足够的接待能力，利用率约为61%。目前，如果您愿意接受我们的任何IVF专家的咨询，可以在公立辅助生殖中心预约一周内的第一次咨询。

针对黄国光先生的建议，我们不建议夫妇在IVF周期失败后更换提供者，因为这会破坏医生与患者之间的关系，并可能导致因反复进行调查和评估而产生额外的费用和时间。私人和公立辅助生殖中心的IVF治疗结果也是有可比性的，尽管如此，有些夫妇可能更倾向于在私人中心接受治疗，我们正在审查是否将共同资助扩展到这些机构中。

对于潘群勤女士关于为冷冻卵子寻求财政支持的请求，已婚妇女在使用冷冻卵子进行辅助生殖治疗时，将能够利用共同资助和他们的保健储蓄。这是为了援助那些已经决定要孩子但在受孕方面可能会面临挑战的夫妇。

我们认识到女性希望在年轻时冷冻卵子的愿望。这是一种预防性措施，也许与购买私人保险并无不同，为此提供财政支援在医疗政策上是前所未有的。我们认为更好的做法是将资源集中用于帮助那些试图怀孕但面临困难的夫妇。

主席先生，我已经分享了支持新加坡人采取更健康的生活方式的措施。我还分享了针对少数族裔群体的有针对性支持，以及确保有需要的人能够负担得起，这样所有新加坡人都可以获得更好的健康和所需要的医疗服务。

有新加坡人的大力参与，家庭和社会的支持，我们的努力才能取得成功。我们感到鼓舞的是，许多人已采取行动，拥有更健康的生活方式，例如那些参加了健康SG计划、改变了饮食习惯、参与了健康项目和活动的人。让我们今天为自己和我们所爱的人选择更健康的生活。

以下是英文质询内容：

We have answered Mr Louis Ng's question on support for fertility screening previously. Fertility tests are offered to couples who are medically indicated as there is currently no evidence to support the need for early fertility checks for the general population. At our public specialist outpatient clinics, these couples can enjoy subsidies of up to 70% for their fertility tests. Those who face financial difficulties can also apply for MediFund for assistance. This offers more targeted support for those with needs, while safeguarding MediSave to ensure it remains adequate for other needs, or wh and keeping Central Provident Fund (CPF) contribution rates reasonable for all.

Co-funding also applies to those who are undergoing In Vitro Fertilisation (IVF) at public Assisted Reproduction centres. These public centres currently have sufficient capacity, with utilisation rates of about 61%. Currently, you can get an appointment at our public Assisted Reproduction centres for a first consult within a week, if you are open to seeing any of our IVF specialists.

To Mr Louis Ng's suggestion, we do not advise couples to switch providers after failed IVF cycles as it breaks the doctor-patient relationship, and may result in additional cost and time from repeated investigations and assessments. The outcomes of IVF treatments at private and public Assisted Reproduction centres are also comparable. Nonetheless, we recognise that some couples may prefer seeking treatment at private centres and are reviewing whether to extend co-funding to these settings.

To Ms Hazel Poa's ask for financial support for egg freezing, married women will be able to tap on co-funding and their MediSave when using their frozen eggs for assisted reproduction treatment. This is to support couples who have decided to have a child, but may face challenges in conceiving.

We recognise the desire for women to freeze their eggs when they are young. It is a pre-emptive step, perhaps not different from buying private insurance. Providing financial support for it will be quite unprecedented in healthcare policy. We think it is better to focus our resources to directly help couples who are trying to conceive and who face difficulties.

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