EDGEFIELD SEC SCH 2019 4NA SS Prelim MS

EDG/PRELIM2019/HUM/4NA/CWE&ANDI 1 Edgefield Secondary School Humanities 2175/01 Paper 1 Social Studies Secondary Four Normal Academic 2019 Preliminary Examination Marking Guide Section A: Source-Based Case Study [35 marks] 1(a) Study Source A. What can you learn from this source about healthcare policies in Singapore? Explain your answer, using details from the cartoon. Target skill: Making Inferences [5] Level Descriptor Mark L1 Surface description of the source but no valid inference E.g. I can learn from Source A that an elderly lady with two other people who are talking about healthcare expenses in Singapore. 1 L2 Answers based on misinterpretation of the source i.e. positive impacts of healthcare policies E.g. I can learn from this source that improvements to the healthcare policies resulted in healthcare expenses being taken care of by the government and that Singaporeans do not need to worry about falling sick anymore. This is evident from Source A which shows the man in the cartoon assuring his mother that ‘Singapore healthcare system has changed’ and as a result, ‘they are sucking lesser of their blood.’ OR I can learn from this source that improvements to the healthcare policies are effective because the elderly do not need to pay any of their bills as the government has taken care of it. This is evident from Source A which shows the representative from the hospital assuring both mother and son that a ll of the treatments will be ‘fully paid for by government insurance.’ 2 L3 Answers based on valid interpretation of the source without valid inference made about how the changes in the healthcare policies do not benefit all Singaporeans / negative impacts of the healthcare policies E.g. I can learn from this source that changes in the healthcare polices do not benefit all Singaporeans . This is evident from Source A which shows the representative from the hospital assuring both mother and son that all of the treatments will be ‘fully paid for by government insurance’ with ‘Terms and Conditions apply’ when the patient says ‘how can I afford to pay the bills?’ This implies that the cost of healthcare may still be too high for some citizens because not everyone will benefit from the government insurance. 3

EDG/PRELIM2019/HUM/4NA/CWE&ANDI 2 L4 Answers based on valid inference made about the ineffectiveness of healthcare policies to keep healthcare affordable Award the higher mark for more fully developed answers. I can learn from this source that the healthcare policies are ineffective in keeping healthcare affordable in Singapore, as they do not help elderly Singaporeans cope with rising healthcare costs . This is evident from Source A which shows the representative from the hospital assuring both mother and son that a ll of the treatments will be ‘fully pa id for by government insurance’ with ‘Terms and Conditions apply’ when the patient says ‘how can I afford to pay the bills?’ This suggests that although government insurance is supposed to help all Singaporeans pay for all of the medical treatments, not ev eryone may qualify to use them, rendering the healthcare policies to be ineffective in ensuring the affordability of healthcare. 4 – 5

EDG/PRELIM2019/HUM/4NA/CWE&ANDI 3 1(b) Study Sources B and C. How different are these two sources? Explain your answer. Target skill: Making comparisons [6] Level Descriptor Mark L1 Difference, based on provenance / topic E.g. Sources B and C are different because one is from a letter written by the Ministry of Health’s Director of Corporate Communications and the other is from a news article published by the Straits Times. 1 L2 False matching E.g. Sources B and C are different as Source B tells me that the shared responsibility approach is effective in keeping healthcare affordable for all Singaporeans because they have various avenues available to tap on for the co - payment part of their bills. On the other hand, Source C does not tell me that the shared responsibility approach is effective in keeping healthcare affordable for all Singaporeans. 2 L3 Difference OR similarity in content (i.e. must be valid matches) Award the higher mark for clear similarity or difference, supported from both sources. E.g. Sources B and C are different in the effectiveness of the shared responsibility approach in keeping healthcare affordable for all Singaporeans. Source B argues that Singapore’s healthcare financing framework allows very minimal out -of-pocket cash paym ents for all Singaporeans. This is supported by ‘ The Government provides significant subsidies of up to 80 per cent to keep healthcare costs low, and all Singaporeans are protected against large healthcare bills through MediShield Life. Patient can pay for the co -payment part of their bills with their Medisave, Medifund and various forms of financial assistance at our public institution are also available for those in need.’ This suggests that the shared responsibility approach is effective in keeping healthcare affordable for all Singaporeans. On the other hand, Source C tells me that despite government subsidy and MediShield Life insurance, there is still a significantly large amount of cash payments by Singaporeans. This is evident from Source C, ‘ Since t he first $3,000 each year has to be paid by the patient, that left $5 of the bill that was claimable from insurance. MediShield Life paid 90 per cent of that, or $4.50. Mr Seow had to pay the remaining $1,472 himself.’ This implies that the shared responsi bility approach is not effective in keeping healthcare affordable, as Singaporeans would still have to fork out large amount of out-of-pocket cash payments. OR Source B and C are similar in telling me that multiple layers of protection such as Government Subsidies, MediShield Life and Medisave have to put in place to ensure affordable healthcare for all Singaporeans. This is evident from Source B which states ‘The Government provides significant subsidies of up to 80 per cent to keep healthcare costs low, and all Singaporeans are protected against large healthcare bills through MediShield Life. Patient can pay for the co -payment part of their bills with their Medisave .’ Similarly, Source C als o states that ‘ The government subsidy for the surgery was $7,559, leaving him with a bill of $4,477 … Since the first $3,000 each year has to be paid by the patient, that left $5 of the bill that was claimable from insurance …’ Both sources suggest that all Singaporeans do receive some forms of protection to ensure the affordability of healthcare. 3 – 4

EDG/PRELIM2019/HUM/4NA/CWE&ANDI 4 L4 Both aspects of L3 Award the higher mark for clear similarity and difference, supported from both sources. 5 – 6

EDG/PRELIM2019/HUM/4NA/CWE&ANDI 5 1(c) Study Source D. Do you trust what Source D says about the effectiveness of MediShield Life in keeping healthcare affordable for all Singaporeans? Explain your answer. Target skill: Evaluating reliability [7] Level Descriptor Mark L1 Makes assertion using source content/ Repeats information from the source E.g. I trust what Source D says about the effectiveness of MediShield Life in keeping healthcare affordable for all Singaporeans as the source tells me that MediShield Life was launched in 2015 to provide cradle -to-grave protection against big medical bills at subsidised government centres. Note: Answers without root word (trust) will be awarded 0 marks. 1 L2 Trust/ Do not Trust, based on Provenance with explanation E.g. I trust what Source D says about the effectiveness of MediShield Life in keeping healthcare affordable for all Singaporeans because the commentary is written by a Senior Health Correspondent from the Straits Times. Therefore, as the S