Admittedly, I don’t know the details of the Singapore health system. This link suggests Singapore has something valuable to teach us: http://stossel.blogs.foxbusiness.com/2009/12/23/the-singapore-alternative/.
When it comes to bringing down the cost of medical care in the United States, I think we need patients to have a financial stake in their health care decision-making. Once we do, there will be strong economic incentives to bring down the cost of care. This is such a basic concept, and I hope we will quickly see a “public option” based on health savings accounts.