Showing posts with label Money Matters. Show all posts
Showing posts with label Money Matters. Show all posts

Friday, March 23, 2012

The True Value of American Dollar Bills in the Philippines: A Warning

The "small head" fifty dollar bill refused by banks in the Philippines.
Photo source: http://people.ku.edu/~kaf/pmoney/frn.htm

If a US dollar bill with a "small head" lands on your hands, beware. It's worthless in the Philippines. No bank would change it. No money changer would accept it. Not even the black market foreign exchange stalls in the sleaziest parts of town would trade it.  So I write this blog entry as a form of public service to fellow Pinoys who are still in the dark. If you have "small head" bills in your possession, toughen your hearts - be ready for heartbreak when you try to convert them here in the Philippines, or elsewhere in the developing world for that matter. They aren't worth a singkong duling.

Gone are the days when having dollars is a safe bet. I remember back in the 80's and 90's, when my parents would hold on to dollars as though they were lifesavers to keep us afloat when a currency crisis hits. I remember wads of dollars, tied with rubber bands, hidden under the bed. Hahaha, I know, I know, it sounds primitive. But there were 9 coup d'etats that year, and we were always ready to take flight at a moment's notice, so everything had to be transportable. Even our stash of cash.  Those days of political crisis, the preferred currency to stash was  the revered US dollar. GONE ARE THOSE DAYS. A dollar bill in your hand can be worth less than a wad of tissue to wipe your bum.  At least the wad of tissue is clean and can get the job done. The "small head" bill isn't even good enough for that. With so many versions and innovations on the design of US notes, banks and money changers have adopted policies on which kinds of bills are acceptable or not, and the public isn't always abreast with the latest standards.


Narra received a 50 dollar bill from a relative (thanks Tito! in case you're reading this) who was visiting from the US, and she was excited about it. I took her to the bank yesterday, with plans of opening her own little junior-saver's account with her own little passbook. I wanted to deposit all her cash gifts in her name, so she can grow up cherishing the rituals of saving. When I got to the bank, the dollar bill was refused. That was BDO. So I called my other bank, Citibank, where I had a dollar account. They said they accept old US bills for as long as I deposit it to my account and not encash it. So off to Citibank we went. And when we got there - "oh no!" said the bank officer when she saw the bill - "we don't accept this kind, this is older than the old version we accept" - huh? what? duh? come again? errrrrr? are you kidding me?  When is an old bill considered older than old? How infuriating. Apparently, bills published prior to 1991 are too old indeed. Those of the 1996 series are borderline cases - they must be in good condition - crisp, clean, and with no tears. If a 1996 series bill has the tiniest tear, it may be refused. The newer the series (2003) the better. Now is this fair? For banks to refuse to change money?

There's something we must remember about the nature of paper money as "legal tender" or a medium of payment allowed by law and recognized by a legal system to be valid for meeting a financial obligation. A US $50 dollar bill is legal tender in the US, and must be accepted there. Back home in the Philippines, which is its own independent country (Mabuhay and Inangbayan!), Philippine pesos are legal tender here and US dollars are not, which means the green currency can be refused. I can get mad all I want at the banks and money changers in the country, but by law, they are not obligated to accept US legal tender if they don't want to, after all, this land is NOT an extension of the US of A.

Now, before you think I am mad at the Tito who gave Narra that bill, let me set things straight - I treasure this gift and will keep it safe in her scrapbook for sentimental reasons. Many collectors are keeping their "small head" bills as they are becoming harder to find in the USA. I read a coin collector's forum, and followed their discussion on the perceived value of these rare bills.  I know the feeling of wanting to hold on to old designs of money. I was studying in Spain right before they converted to the Euro, and I diligently collected pesetas for posterity. The lovely thing about my coin collection is that the coins featured different parts of Spain. Every place I visited, I made sure to acquire and save a coin - and now, I have a way to relive my journeys through Spanish regions each time I view my collection.  I wish I also saved old 2 peso bills (the blue ones), and the old 5 pesos (with Bonifacio), and the old 10 pesos (the brown ones).... money of my childhood. Sigh, 10 pesos used to be my daily  baon in kindergarten.  So just like these pesos I feel sentimental about, many American citizens are becoming sentimental about the old "small head" bills from decades back. 

The updated "big head" version that's more widely accepted.
Photo source: http://people.ku.edu/~kaf/pmoney/frn.htm

The rest of the world, however, with no emotional attachment to things American, have no use for them.  From Cambodia and Myanmar, to Tanzania and Kenya - "small head" bills are systematically rejected. So what do you do if you have a wad of "small heads"? Look for US-based relatives and friends, and ask if they can take these dollars off you - or if they can exchange them for big head dollars that actually have value to you. They can use the "small heads" in the US where it is legal tender.  But for fellow Pinoys, please don't carry them with you as travel money elsewhere in the world - you may end up very, very frustrated indeed. 

And if family members and friends are planning to visit from abroad, do them the service of informing them beforehand to take only "big head" dollars with them. Because it's unfortunate when someone with a big heart gives a cash gift with a "small head" - for the value of the gift can be severely diminished,  in monetary terms, or otherwise.




Monday, October 10, 2011

How Much It Cost To Give Birth: The Anatomy of Our Hospital Bill


How much does it cost to give birth at Makati Medical Center? There is no straightforward way to answer this question because it depends on the particular birthing situation of each individual, but I will attempt to try to give a detailed description of what my bill looked like to help other pregnant women out there who are looking for info. My total bill was 7-pages long, with a summary on the first page, and a detailed list of all the things I paid for. If I were to simplify the components of the bill, I'd say they could be divided into the following categories: 1) Delivery Room Charges; 2) Room & Board; 3) Nursery; 4) Pharmacy, Central Supplies and Lab Tests; and 5) Professional Fees.

Signing paperwork in the birthing room.    
Delivery Room Charges constitute a huge part of the hospital bill.
1) Delivery Room Charges: This includes the use of the birthing room, the cost of using equipment, and all the materials and supplies used.  For 2 hours, the birthing room costs P3,465, with an additional P462 for every succeeding hour.  I used the delivery room for 2 hours preparation and 2 hours recovery, and 4 hours for labor, for a total of 8 hours (which means I paid P2,772 on top of the P3,465). Every companion you bring in also has a charge of P578/person.  I know of people who were in labor for much longer, and brought in more companions - so the cost of using the birthing room depends on how cooperative your cervix is :-D In addition, if you decide to use an epidural, you pay for the anesthesia (I paid P2,800); Then there's the use of equipment, such as the fetal monitor (P950), Infusion Pump (P808), Suction and Warmer (P800), and a host of other things like Criticare (P4,000), OB-Pack (P2,385), Espocan (P2,055), Supplies (P3,950), Sterile Instruments Pouch (P1,557), and for a Spontaneous Vaginal Delivery there's a fee of (P3,750). The rest of the bill listed small items like booties, gowns, thermometers, gloves etc. My total delivery room charges reached P30,000. I imagine it would cost more for a C-section. I got the biggest and nicest birthing room, so maybe there are cheaper options.

2) Room & Board: There's a range of options for private rooms, from the Small Private Room in the old wing (P3,220), to the newly renovated rooms (P4,700 or P5,200 depending on amenities). Cheaper than the small private would be the ward and semi-private options, but if you want privacy, the small private room is the most affordable option.  Those who want better rooms can opt for the large private rooms, or suites. A 3-day stay in a small private room can cost 9,660 - 15,600 depending on the room you choose. Some women choose to stay only 2 days, but with babies waiting for their newborn screening test to be administered 48 hours after birth, a 3-day stay is recommended, especially if mothers want to breast feed round-the-clock.  My room and board bill was at P9,660.  

Nursery Room & Board (P1,500/day). If your baby needs to be in the ICU it will cost more (P4,900/day).

3) Nursery Fees: Room and Board for the baby costs P1,500/day, and a typical stay is 3 days or P4,500. Other Nursery-related expenses include: the nursery service fee (P2,500), transport incubator (P500), and since we had our baby boy circumcised, we paid extra for the use of the circumcision room (P1,000), and use of radiant warmer to help heal his circ faster (P1,000). There were other items in the bill, such as the vaccination (P250 for the BCG), use of a BP Monitor (P240). The total costs reached around P10,000.  Note: If your baby has an infection, or is suspected to have one, a stay in the Neonatal ICU may be in order, in which case the costs would be different. The daily rate in the NICU is P4,900/day, and if your baby has sepsis, a 7-day stay to run a full course of antibiotics is the usual protocol - this may mean an additional P35,000 to your total bill, on room and board alone, not including the cost of tests and meds.

4) Pharmacy, Central Supplies and Lab Tests: Pharmacy. For my 3-day stay I had to use a number of medicines, from the oxytocin used to speed up labor, to the pain killers and antibiotics which were given to me round the clock by the nurses.  In addition to the medicine I needed, there was the stuff for the baby such as Terramycin eye ointment (P750), Sterile water, Lactacyd baby bath wash etc. The total bill from the pharmacy: P6,245. Then there was the bill from Central Supplies: Everything I used, from cotton balls to the "tabo" (dipper), bed pads and alcohol, to latex gloves, as well as the things baby needed - which is part of a newborn starter kit (P1,941)...all these are sourced from central supplies and in my case, added up to a total of nearly P4,000.   And finally, baby's Lab Tests: We had a lab fee for blood typing (P529), Hearing Test to check baby's hearing (P550), Newborn screening test for some dangerous diseases (600),    All three combined (Pharmacy, Central Supplies and Lab Tests) cost around P12,000.

My total hospital bill for Delivery, Room and Board, Nursery Fees, and Pharmacy/Central Supplies/Tests reached nearly P65,000 pesos, excluding professional fees.

5) Professional Fees: In my case, I had to pay 4 professional fees, namely: First, my OB's fees for delivering my baby; Second, my Anesthesiologist's fees for the epidural; Third, my Pediatrician's fees; and finally, my OB's fees for my baby's circumcision. The combined total of all my professional fees cost more than the hospital bill I outlined above. Without getting into detail, I suspect that the professional fees I paid were rather on the high side, but I knew this beforehand since this is my second baby to be delivered by the same team - I was just very happy with my OB and Anesthesiologist because my experience with them was textbook perfect, with absolutely no complications, and I am also super happy with my pediatrician.  It is hard to benchmark prof fees because it will depend on the specifics of your situation and your baby's. One way to find out the range of fees charged by your doctor is to ask from someone who's worked with them before, or, ask the secretary who schedules their appointments and ultimately prepares their receipts.

I understand that Makati Med has birthing packages that pegs both Normal and C-section deliveries within a particular price range, these are published in an info sheet available at the Admissions office in the ground floor. Not all doctors in Makati Med do these packages. If you're keen on delivering in Makati Med and would want to keep within budget, look for a Makati Med practitioner that does the package. The room for the package is semi-private.  If however, you are keen on working with a particular doctor, and that doctor you choose does not do the hospital birthing package, be prepared to pay more. (If you need a ball park figure just so you know how to plan and prepare, I figure that setting aside P150,000 should be sufficient for a normal delivery, this would leave you with enough elbow room for a few extras - like circumcision if you're having a boy - or a safety fund for in case your baby has an infection and would need to stay longer in the hospital).   

So how much would it cost to give birth in Makati Med these days? After my very long, and detailed sharing of my experience, I'd still say: it depends. It depends on how fast your labor is, and whether you'd deliver normally or via C-section, and how expensive your Professional fees are, what kind of room you get, and whether your baby will require more expenses (either for an infection, or for an extra procedure like circumcision).

Related Posts:

On Our Baby's Circumcision: A Mother's Point Of View
http://nikki-mama.blogspot.com/2011/09/on-our-babys-circumcision-mothers-point.html