Woman with cancer receiving news from the doctor.

Reality check: cost of battling cancer in Singapore

This article is Part 1 of a two-part series on the realities of cancer in Singapore.

Talking about cancer has become less taboo in Singapore. This increased willingness to tackle the topic is understandable, with 35-36 people being told each day that they have cancer1.

It’s a long and tough battle, but more people are surviving for a longer time, both in Singapore2 and globally3.

Emotionally, no one will ever be fully prepared for a cancer diagnosis. But you have a say in preventing cancer, and lightening the burden of cancer treatment costs.


Cancer was the number one cause of death in Singapore

Cost of cancer treatments in Singapore

Cancer is expensive to treat in Singapore, as it is in most parts of the world.

As information about average treatment costs are not readily available, we’ve gathered the best estimates we can find for the common procedures and treatments:

  • Biopsies: a few hundred to a few thousand dollars
  • Operations to remove tumours: a few thousand to tens of thousands of dollars
  • Chemotherapy: a few thousand dollars to tens of thousands of dollars.

You’ll notice that it is a wide range. That’s because It’s difficult to generalise given the wide range of cancers, stages, and specific complications involved. The actual cost of treatment will depend on:

  1. The condition being treated;
  2. Length of treatment (for chemotherapy);
  3. How complex the procedure is; and
  4. Whether it is done at a public hospital (subsidised) or at a private hospital.

To give you an idea of what’s involved, we have compiled the cost of procedures related to some of the more common cancers in Singapore.

(Read more: Why cancer care insurance is something worth considering)


Cost of procedures related to common cancers in Singapore


Condition/Procedure Total bill paid by 50% of patients
(Typically includes doctor’s consultation fee, ward charges, medication, tests, etc.)
Public hospitals / centres (Subsidised) Public hospitals / centres (Unsubsidised) Private hospitals / clinics
Chemotherapy Ward B2: S$2,059
 
Day surgery: $51
Not available Inpatient: S$5,117
 
Day surgery: S$3,949
Lung scope (bronchoscopy) with biopsy and surgery to remove tissue Ward B2: S$3,008
 
Ward C: S$2,518
 
Day surgery: S$624
Not available Inpatient: S$20,422
 
Day surgery: S$3,999
Lungs with abnormal growth, but not very severe complications Ward B2: S$1,322
 
Ward C: S$1,223
Ward A: S$3,656
 
Ward B1: S$3,117
Inpatient: S$8,808
 
Day surgery: S$5,345
Lungs with abnormal growth, and very severe complications Ward B2: S$2,649
 
Ward C: S$2,202
Ward A: S$10,190
 
Ward B1: S$8,127
Inpatient: S$25,240
Colonscopy for diagnosis (with/without biopsy) Ward B2: S$1,765
 
Ward C: S$1,264
 
Day surgery: S$554
Ward A: S$4,737
 
Ward B1: S$3,429
 
Day surgery: S$1,865
Inpatient: S$6,327
 
Day surgery: S$2,528
Surgery to remove part of the large intestine Ward B2: S$5,391
 
Ward C: S$4,403
Not available S$ 37,903
Surgery to remove part of the end of the large intestine, and rectum Ward B2: S$5,569
 
Ward C: S$4,298
Ward B1: S$23,041 S$47,321
Surgery to remove cancerous growth in breast and underarm lymph nodes Ward B2: S$2,083 Not available Inpatient: S$23,423
Day surgery to remove single growth in breast S$919 S$2,863 Inpatient: S$9,125
 
Day surgery: S$7,279
Surgery to remove entire prostate and surroundings Ward B2: $10,590
 
Ward C: S$10,196
Ward A: S$26,244 S$53,326
Endoscopy with/without biopsy Ward B2: S$1,561
 
Ward C: S$1,298
 
Day surgery: S$321
Ward B1: S$3,079
 
Day surgery: S$1,026
Inpatient: S$7,302
 
Day surgery: S$1,915
Stomach, liver or pancreas cancer, but not very severe complications Ward B2: S$1,924
 
Ward C: S$1,401
 
Day surgery: S$870
Ward A: S$3,455
 
Ward B1: S$4,193
S$8,524

Source: Ministry of Health, ‘Fee benchmarks and bill amount information’, accessed on 15 July 2019.


What can you do to protect yourself and your family?

Firstly, reduce your risk of getting cancer. That’s because 30-50% of cancer cases worldwide could actually have been avoided5

And that means knowing these facts.

  1. Your genes are important, but are not everything

    Genetic factors may predispose you towards cancer, but it’s not the only important thing. Only 5 to 10% of all cancers are caused by genetic mutations that were passed down from our parents, according to the Singapore Cancer Society (SCS)6.

    To quote the SCS, “having an inherited genetic mutation does not mean you will definitely get cancer later in life.”

    Even if no one in your family has had cancer before, it doesn’t guarantee you immunity. After all, cancer is caused by gene mutations, and these can also happen through exposure to smoking, radiation, cancer-causing substances (e.g. asbestos), even viruses.



  1. Your behaviour and lifestyle choices matter

    According to the World Health Organization (WHO), making these lifestyle choices increases your risk of developing cancer:

    • Using tobacco, (this includes cigarettes and smokeless tobacco)
    • Being overweight or obese
    • Unhealthy diets with low fruit and vegetable intake
    • Lack of physical activity
    • Using alcohol
    • Sexually transmitted HPV-infection
    • Infection by hepatitis or other carcinogenic infections
    • Ionizing and ultraviolet radiation
    • Urban air pollution
    • Indoor smoke from household use of solid fuels

    Avoiding these 10 risk factors reduces the risk of developing cancer. Of these 10, tobacco use is the single most important risk factor for cancer, and is responsible for approximately 22% of cancer-related deaths globally.

    To prevent cancer, the WHO advises that people:

    • Increase avoidance of the risk factors listed above
    • Vaccinate against HPV and hepatitis B virus
    • Control occupational hazards
    • Reduce exposure to ultraviolet radiation
    • Reduce exposure to ionizing radiation (occupational or medical diagnostic imaging)


  1. Your vaccinations and health-screenings should be up to date

    Do not underestimate the power of a jab. 1 million cancer diagnoses could have been prevented by vaccination against the HPV and Hepatitis B viruses.

    In addition, do not underestimate the usefulness of health-screenings. That’s because medical advances have made many forms of cancer treatable. A cancer diagnosis is not necessarily a death sentence. Early detection through regular screenings can reduce mortality rates.

    If you’re wondering, the Singapore Cancer Society’s series of posters will help you decide if that lump, weight loss, or nose bleed is worth a doctor’s visit.



Secondly, familiarize yourself with the government schemes and private insurance that you can use to pay for cancer treatments.

That’s because cancer is the fight of a lifetime. Emotionally, it’s tough. Financially, there is help at hand from government schemes and private insurance.

Part 2: Why cancer care insurance is worth considering.

Sources
1 National Registry of Diseases Office, 19 June 2017. ‘Singapore Cancer Registry Annual Registry Report 2015’.
2 The Straits Times, 27 Nov 2015. ‘More in Singapore getting cancer, but survival rates also up’.
3 The Straits Times, 1 Feb 2018. ‘Global cancer survival rates up but progress uneven’.
4 Ministry of Health, retrieved 12 July 2019. ‘Principal Causes of Death’.
5 World Health Organisation, accessed 15 July 2019. ‘Cancer Prevention’.
6 Singapore Cancer Society, accessed 15 July 2019. ‘Cancer Myths Debunked’.

 

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