Healthcare is a challenge for policymakers all over the word. Singapore is no exception. The MOH budget has grown from about $1B twenty years ago to $11B in the current Budget. How we view healthcare remains vexatious. Do we view healthcare consumption as a societal cost or as an investment and economic driver? How does Singapore remain a regional medical hub? More importantly, do we want to remain a hub? What are the areas of healthcare where policymakers can and should focus on going into the future?