As Malaysia and Thailand dominate medical tourism scene, is Singapore missing out?

Increasingly, a group of well-heeled tourists are choosing to head to Malaysia or Thailand over Singapore.They are not drawn to these countries simply because of the shopping or food scenes, but rather, for their cost-effective medical services.

Even though Singapore continues to be named among Asia’s top destinations for medical tourists, it lags behind Thailand, which has long been a popular destination for these tourists in Asia, and Malaysia, which has boosted its medical tourism industry in the past few years.

Others such as Vietnam are also eyeing a slice of the lucrative medical tourism pie, which market research and advisory firm DataHorizzon Research estimates will be worth US$79.4 billion (S$108.5 billion) globally by 2032.

Medical tourists typically travel overseas for services that are not available, too expensive or not of their desired standard in their home country. These can range from simple procedures such as health check-ups to complex treatments such as for cancer or knee stem cell therapy.

In Singapore, medical tourists are mostly from Indonesia, whereas in Thailand, they are typically from the Middle East.

Malaysia, which positions itself as a halal medical care centre for Muslims, draws most of its medical tourists from Indonesia, China and India. 

Malaysia is the only country among the three that has a government agency, the Malaysia Healthcare Travel Council (MHTC), backed by its health ministry, that manages the flow of medical tourists.

Singapore does not have a similar coordinating government body overseeing medical tourists, who are typically patients of private healthcare chains.

Thailand does not have one either, but it has made strides to woo such tourists. Last June, the country introduced a new visa category that allows medical tourists to enter Thailand multiple times for up to 180 days.

About 2.86 million medical tourists visited Thailand in 2023, spending US$850 million. RHB bank reported that the number of medical tourists who visited the country in 2024 is expected to be 3.07 million, a roughly 7.3 per cent increase.

Close behind, Malaysia saw growth of about 26 per cent in medical tourists: About 1.26 million such tourists visited the country between January and November last year, up from about a million in 2023. 

In contrast, Singapore shifted away from focusing on medical tourism in the 2010s in the midst of scrutiny that public resources were being disproportionately diverted to serve this patient segment.

Since 2015, it has stopped reporting data on the number of incoming medical tourists and their medical spending, but several market watchers have estimated that the country’s medical revenue last year was between S$200 and S$300 million.

Mr Tay Wee Kuang, a senior analyst from financial service firm CGS International, said that the figure could be as high as S$1 billion, based on reported revenue from listed firms IHH Healthcare and Raffles Medical Group.

Both are listed companies that run several hospitals and healthcare facilities in Singapore and around the world. IHH Healthcare has Gleneagles, Mount Elizabeth and Parkway as service providers under its wing, while Raffles Medical Group has a hospital and several clinics under its name.

They and most other private healthcare providers told CNA TODAY that roughly 20 to 30 per cent of their patients are medical tourists. This figure is either slowing in growth or has stagnated over the past five years, they added.

Industry players and analysts said that Singapore’s strong dollar has made medical services costlier for tourists.

This difference is especially pronounced when compared to neighbouring Malaysia and Thailand, where certain services are available at a third of the price.

With medical tourism gaining ground worldwide and analysts foreseeing that it will continue to be a fast-growing sector, is Singapore missing out on a lucrative business?

5 Free Travel Contests: Win 1 Million Points, Hello Kitty Planes Or Trips To Japan

Share to FacebookShare to TwitterShare to LinkedinTest your 2025 luck with these free-to-enter travel contests and sweepstakes. From credit card points to luxury ski getaways, entering takes only a few minutes of your time. Some of them allow you to enter once a day until the giveaway deadline.

10 Million Chase Points Up For GrabsHalong Bay view from Bo Hon Island in Vietnam; Halong Bay is a UNESCO World Heritage Site.getty
Ten lucky winners will score 10 million Chase Ultimate Rewards points, which can be spent like cash to pay for flights or hotel stays. They can also be transferred to major airline and hotel loyalty programs, too. The giveaway celebrates Chase Travel’s 25 Trips to Take in 2025, which includes destinations like Coastal Vietnam and Southern California. The deadline to enter is Jan. 31, but it is only open to primary cardmembers (as of Dec. 2, 2024) of one of ten Chase cards (including Chase Sapphire Reserve, Chase Freedom Unlimited and Ink Business Preferred among others).

Kikkoman Launches Grand Prize Trip To JapanCelebrate teriyaki sauce for the chance to win a free trip to Japan.getty

Teriyaki-loving chefs with a great recipe or creative types with a penchant for art, dancing or singing are in for a real prize. This Kikkoman contest, which goes live Jan. 22, will give one lucky winner an all-expenses-paid trip to Japan while two runners-up will win $2,500 each. There are other prizes for participating and showing your favorite teriyaki expression. Enter by uploading an image or brief video and caption showing how you love using teriyaki when cooking. You can also paint your favorite Kikkoman bottle, dance with one or write your own song. The contest runs through Feb. 16.

Hello Kitty Fans Can Win A Free Trip To Asia With EVA AirEVA Air Hello Kitty plane landing at Tan Son Nhat Airport in Ho Chi Minh City, Vietnamgetty
Last year, EVA Air added three more Hello Kitty-themed airplanes, bringing its fan-favorite-designed fleet to six. To celebrate, the airline is hosting a Hello Kitty trivia giveaway awarding themed merchandise like model airplanes and travel bags. One lucky winner will get the grand prize: two tickets to the Philippines, Indonesia or Japan. To enter, tag a friend while answering all three Hello Kitty-related questions correctly on EVA Air’s Instagram page across three consecutive days between Jan. 24 and 26.

Chips Ahoy! Cookies Trip To NYCThe Chips Ahoy!-themed hotel room at Arlo MidtownChips Ahoy!
Between now and Feb. 19, enter for a chance to win a pack of the new baked Chips Ahoy! cookies or an all-expenses-paid trip to New York with a stay at Arlo Midtown. The stay will be in one of the hotel’s immersive chocolate chip cookie-themed hotel rooms with cookie-themed blankets and duvets, Baked Bite-scented toiletries, Chips Ahoy! robes and a panoramic terrace with Chips Ahoy! furniture. The sweepstakes, which celebrates the brand’s new baked cookies, is free to enter with five winners heading to New York (and 5,000 receiving a free pack of the new cookies).
Winter Getaway Prize To WhistlerWin a trip to Whistler with this free contest.getty
Between now and May 5, the “find your winter” contest is open for free entry. The lucky winner will receive tickets for two to Vancouver, luxury transfers to Whistler and a six-night stay at the Westin Resort & Spa, Whistler. The prize also includes winter sports rentals, free food and beverage experiences, helicopter and zip line tours, spa treatments, and ski or snowboard clinic session.
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Love White Lotus, Yellowjackets and You? Read These Books After Watching Top 2025 Streaming Shows and Movies

We’ve got an embarrassment of riches coming down the TV, movie and books pipeline in 2025. From new seasons of marathon-worthy shows like The White Lotus, The Bear, The Last of Us, Yellowjackets and more, to long-awaited adaptations of beloved books like the final season of The Handmaid’s Tale and the movie version of Emily Henry’s bestseller People We Meet On Vacation, there are plenty of excuses to hunker down and turn on the tube.

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If you’re still craving more after the credits roll, don’t fret! Your bookshelf is right there waiting for you. We’ve paired the best premieres of the year with a book that has similar vibes to keep your 2025 TBR pile as full as your streaming schedule.

‘The White Lotus’ Season 3 and ‘See How They Fall’ by Rachel Paris

Lek Patravadi in ‘White Lotus’ and ‘See How They Fall’ by Rachel Paris.
Fabio Lovino/HBO; Courtesy of Scarlet

If you like mentally traveling to glamorous resort destinations for family and relationship drama with the possibility of murder sprinkled in, a la The White Lotus, you will love See How They Fall by Rachel Paris.

Skye thought she had hit the jackpot when she married a Campbell man. With his family’s enormous wealth, she and her daughter would be set for life. But when the Campbell patriarch dies and an unknown heir comes to claim the fortune, Skye and her family retreat to a seaside estate to sort out the mess. But the mayhem only intensifies when a dead body is found. Sergeant Mei O’Connor will stop at nothing to find the truth, even if it means tearing the family apart.

‘The Day of the Jackal’ and ‘The Ten Worst People in New York’ by Matt Plass

Eddie Redmayne as the Jackal; ‘ and ‘The Ten Worst People in New York’.
Marcell Piti/Carnival Film & Television Limited; Courtesy of Crooked Lane Books 

The Day of the Jackal and The Ten Worst People in New York are two gripping thrillers that will leave you breathless. The new TV adaptation of Frederick Forsyth’s classic by the same name follows a relentless assassin, played by Eddie Redmayne, who is hired to kill high-profile targets while evading an intelligence officer intent on capturing him.

The Ten Worst People in New York by Matt Plass takes a darkly modern turn, blending psychological suspense with social commentary as a list of the city’s most despised figures becomes a killer’s roadmap. With FBI Agent Alex Bedford racing to unmask the culprit and a British filmmaker tangled in the web of intrigue, this chilling tale will have you questioning justice, revenge — and who’s next.

‘The Gilded Age’ Season 3 and ‘The Queen’s Spade’ by Sarah Raughley

Christine Baranski in ‘The Gilded Age’ in 2022 and ‘The Queen’s Spade’.
HBO/Universal Pictures Television; Courtesy of HarperCollins

If you’re obsessed with the glamorous, dramatic world of The Gilded Age, but irritated that there is only a vague fall 2025 release date, we have the perfect book to hold you over.

The Queen’s Spade, introduces us to Sarah Bonetta Forbes (Sally), a 19-year-old princess of the Egbado Clan who was taken from her homeland and forced into upper-class England. Inspired by the true story of Sarah Forbes Bonetta, Queen Victoria’s African goddaughter, The Queen’s Spade is a lush and riveting historical thriller perfect for The Gilded Age fans.

‘The Handmaid’s Tale’ Final Season and ‘Sunrise on the Reaping’ by Suzanne Collins

Elisabeth Moss in ‘The Handmaid’s Tale’ and ‘Sunrise on the Reaping’.
Sophie Giraud/Hulu; Courtesy of Scholastic Press

Two iconic dystopian franchises return this year, bringing fans new chapters of The Handmaid’s Tale and The Hunger Games. Elizabeth Moss is back for the harrowing conclusion of Hulu’s must-watch adaptation and Suzanne Collins returns with another chapter in her beloved Hunger Games series.

Sunrise on the Reaping will follow a young Haymitch, who later becomes the cantankerous mentor of District 12’s famous tributes. The prequel visits the 50th Hunger Games and gives some insight into one of the most beloved characters in the trilogy.

‘You’ Final Season and ‘The Ghostwriter’ by Julie Clark

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The final season of You on Netflix is sure to deliver an epic conclusion and if you enjoy thrillers with morally gray characters and lots of twists, add The Ghostwriter by Julie Clark to your 2025 reading list.

When ghostwriter Olivia Dumont agrees to write her estranged father’s final book, she uncovers shocking truths about the night her siblings were murdered. This tragedy has haunted their family for decades and fueled her father’s career as a horror novelist.

‘The Traitors’ Season 3 and ‘One in Four’ by Lucinda Berry

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Euan Cherry/PEACOCK; Courtesy of Thomas & Mercer

The Traitors and One in Four by Lucinda Berry are the perfect pairing for anyone craving betrayal, deception and plenty of twists.

One in Four dives into the dark side of reality TV as Dr. Laurel Harlow takes on the challenge of treating a group of former child stars battling addiction, only to find herself at the center of a murder investigation. As secrets unravel in a house full of narcissists, Laurel must confront not only a killer but also the haunting truths of her own past.

‘Suits: L.A.’ and ‘Courtroom Drama’ by Neely Tubati Alexander

Bryan Greenberg as Rick Dodsen and Lex Scott Davis as Erica Rollins on Suits: LA and ‘Courtroom Drama’ by Neely Tubati Alexander.
David Astorga/NBC; Courtesy of Harper

This new L.A-based spinoff is perfect for anyone that couldn’t get enough of the original Suits series, and you’ll undoubtedly fall for Ted Black and his powerful, dangerous clients.

In fact, he would likely represent someone like Margot Kitsch from the upcoming novel Courtroom Drama. In this juror-centered romcom, Sydney is sequestered for a murder case involving the reality star of her favorite show. When she discovers her childhood best friend Damon is also on the jury, she hopes she’ll be able to keep their unfinished business a secret.

‘The Studio’ and ‘Charity Trickett Is Not So Glamorous’ by Christine Stringer

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Similarly, Christine Stringer’s debut novel follows a talented costume designer navigating the glittery but cutthroat world of film. As Charity juggles demanding directors, diva actors and her own insecurities, she learns that the glamour of the industry often masks its gritty reality.

‘Sweet Magnolias’ Season 4 and ‘If Tomorrow Never Comes’ by Allison Ashley

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If you love the endearing and complex friendships of Maddie, Helen and Dana Sue’s in Sweet Magnolias then you’ll also enjoy If Tomorrow Never Comes by Allison Ashley.

This emotional novel about second chances follows Elliott Holland who is grappling with a leukemia diagnosis and decides to have one last hurrah before a stem cell transplant. After a magical night with Jamie Sullivan, she expects to never see him again. A year later, with her cancer in remission, she discovers Jamie is dating Carly, the woman who saved her life. As fate brings them together again, Elliott and Jamie are forced to relive the moment they shared a year ago.

‘Wake Up Dead Man: A Knives Out Mystery’ and ‘Marguerite by the Lake’ by Mary Dixie Carter

Daniel Craig in ‘Wake Up Dead Man: A Knives Out Mystery’ and ‘Marguerite by the Lake’ by Mary Dixie Carter.
Rian Johnson/Netflix; Courtesy of Minotaur Books

While much about the plot is still unknown, Wake Up Dead Man will have exciting twists, turns and secrets, much like Marguerite by the Lake by Mary Dixie Carter.

When glamorous garden designer Marguerite Gray dies under mysterious circumstances at her famed Rosecliff estate, her gardener, Phoenix, finds herself entangled in a web of secrets and danger. As a determined detective and Marguerite’s strikingly similar daughter close in, Phoenix struggles to navigate her growing ties to Rosecliff while reckoning with the truth that nothing stays buried forever.

‘The Witcher’ Season 4 and ‘Heir of Storms’ by Lauryn Hamilton Murray

A still from ‘The Witcher’ and ‘Heir of Storms’ by Lauryn Hamilton Murray.
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‘Too Much’ and ‘Unlikely Story’ by Ali Rosen

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Lena Dunham makes her TV return with a new romantic comedy on Netflix that she co-created with her husband, Luis Felber. Too Much follows Jessica, a New Yorker who flees to England for a new job after a painful breakup.

Similarly, Ali Rosen’s Unlikely Story features Nora, a relationship therapist secretly in love with J, the editor of her anonymous advice column. But then Eli, her client’s ex, moves in downstairs. As Eli’s gruffness gives way to vulnerability, Nora must decide if the perfect love story is the one she’s imagined or the one unfolding around her. 

‘Yellowjackets’ Season 3 and ‘Riot Act’ by Sarah Lariviere

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Riot Act is a rebellious YA novel set in an alternate 1991 following Gigi, a fearless theater kid rallying her classmates to stage Shakespeare in defiance of a totalitarian regime. When her friend is killed by the authorities and her theater teacher goes missing, she decides to put on a banned play at the risk of losing everything.

‘The Night Agent’ Season 2 and ‘The Oligarch’s Daughter’ by Joseph Finder

Gabriel Basso as Peter Sutherland in ‘The Night Agent’ and ‘The Oligarch’s Daughter’ by Joseph Finder.
Christopher Saunders/Netfli; Courtesy of Harper

Audiences can’t wait for the season two premiere of The Night Agent that follows AWOL CIA agent Peter Sutherland on a mission to uncover who stole government nuclear weapons information.

Another CIA agent is on the run in The Oligarch’s Daughter by Joseph Finder. Paul Brightman lives on the lam while evading Russian operatives. He flees to New Hampshire to avoid capture because he is close to unraveling a government conspiracy from years before that, if discovered, could change the entire world.

‘People We Meet on Vacation’ and ‘Great Big Beautiful Life’ by Emily Henry

Tom Blyth on the red carpet, Emily Bader on the red carpet and ‘Great Big Beautiful Life’ by Emily Henry.
JC Olivera/FilmMagic/Getty; Kate Green/Getty; Courtesy of ‎Berkley

While we wait for the official release date of Netflix’s adaptation of People We Meet on Vacation, we’ve got Emily Henry’s upcoming novel Great Big Beautiful Life to keep us busy.

Alice Scott, an optimistic writer chasing her big break, and Hayden Anderson, a Pulitzer-winning curmudgeon, find themselves on Little Crescent Island competing to write the biography of Margaret Ives, a reclusive heiress with a scandalous past. As secrets unfold, their time on the island might change the writers’ own stories forever.

‘XO, Kitty’ Season 2 and ‘The Broposal’ by Sonora Reyes

Gia Kim as Yuri Han in ‘XO, Kitty’ and ‘The Broposal’ by Sonora Reyes.
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Fans of XO, Kitty on Netflix will adore Sonora Reyes’ The Broposal, which brings its own brand of romantic chaos and charm. Just as Kitty juggles love triangles and the ups and downs of young love, Kenny and Alejandro fake their way to a green card marriage, only to find their longstanding friendship complicated by unexpected feelings. As the wedding date looms, Kenny struggles to resist their growing chemistry, while Alejandro wrestles with his own fears of putting down roots.

‘High Potential’ and ‘Finlay Donovan Digs Her Own Grave’ by Elle Cosimano

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High Potential on Hulu and Elle Cosimano’s Finlay Donovan Digs Her Own Grave are packed with dark humor, quirky characters and unconventional crime-solving. In High Potential, a messy but brilliant single mom uses her talent for cracking cases to assist the police, often stumbling into hilariously chaotic situations.

Likewise, Finlay Donovan and her nanny-turned-partner-in-crime, Vero, must uncover the truth behind a backyard murder that implicates their nosy neighbor. Both are full of unexpected twists, sharp humor and zany heroines.

‘The Bear’ Season 4 and ‘Hunger Like a Thirst’ by Besha Rodell

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Matt Dinerstein/FX; Courtesy of Celadon Books

The Bear is back with its fourth season coming out sometime in mid to late 2025 and audiences are salivating for the culinary chaos of this award-winning show. To tide you over until then, Hunger Like a Thirst: From Food Stamps to Fine Dining, a Restaurant Critic Finds Her Place at the Table, will make the perfect pairing for all the foodies who can’t get enough of the relationships and stories people create through food.

‘Last of Us’ Season 2 and ‘The Buffalo Hunter Hunter’ by Stephen Graham Jones

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Despite Rave Reviews ‘The Substance’ Is Actually A Pretty Bad Movie

“Internalized misogyny” is not a phrase you’ll hear me say very often, but I think it’s weirdly appropriate when it comes to Coralie Fargeat’s critically acclaimed body horror film, The Substance, which has become—rather bizarrely—a massive hit since its release last year. Demi Moore won a Golden Globe for her performance as washed-out celebrity, Elizabeth Sparkle, a name that’s about as subtle as the rest of the film.

The Substance is an on-the-nose parody of celebrity beauty standards especially as they apply to aging female stars. The entire movie—which is a grueling 142 minutes long, about half an hour longer than it needed to be, yet so poorly paced that the slog felt paradoxically rushed—reminded me of the 1992 Robert Zemeckis film Death Becomes Her, and it suffers from many of the same problems. Chief among these is the very peculiar tendency toward punishing the film’s female protagonists as frequently and horrifically as possible.

Both films are about the preposterous beauty standards foisted upon women in our modern culture, yet both films seem determined to make these same women suffer, while portraying men as mostly bumbling buffoons whose chief infractions are wandering eyes. The men in The Substance objectify women to a cartoonish degree, but it’s the women who fall apart, who turn violently on one another, who pay the highest price, all for our entertainment.

The Substance wants to have its cake and eat it, too, at least when it comes to objectification. It’s been a long time since I’ve watched a film that lingered so long on the alluring bodies of beautiful naked women. Demi Moore and Margaret Qualley are both on full display here, and sure you can say it’s all part of the satire, but it’s also very clearly meant to be titillating (before things go bad). Moore and Qualley’s beauty is dangled in front of us and then chipped away at relentlessly, grotesquely, in a series of mean-spirited vignettes that do nothing to engender sympathy for these women, who are also the ones most responsible for the abuse. By the time the movie ends, I mostly just despised everyone, male or female. That’s a feeling I had watching Death Becomes Her as well, though perhaps to a lesser degree. Both films tell us “These beauty standards are absurd!” and then gleefully destroy the women who are victimized by said standards. Is it parody or torture porn?

I was scrolling through reviews of Death Becomes Her last night, and stumbled on this critique from David Denby of New York Magazine. “The target of the movie’s jokes is female vanity,” Denby writes, “but since Zemeckis exhibits not a trace of affection for the actresses (or for any of the men, either), one feels humiliated merely watching his crude-spirited wit.” This could be applied, after a fashion, to Fargeat’s film as well. There’s not a trace of affection for the female protagonists in The Substance, and the men are merely caricatures. We are here to watch the former suffer and to blame the latter. None of it feels particularly authentic.

The Premise Is Really Stupid When You Stop And Think About ItThe SubstanceCredit: Mubi

Let me be blunt: The film’s premise is absurd. It doesn’t make sense. Basically, Moore’s Elisabeth Sparkle is a washed out celebrity still doing, of all things, workout videos a la “Buns of Steel” which, I guess, is still a thing that famous people do? She overhears her gross, sexist boss, Harvey (Dennis Quaid) in the gender-free bathroom talking about how he wants to get rid of her and find someone younger. This is meant to inspire sympathy for Sparkle’s plight, but I have to ask: Aside from Harvey’s icky verbiage and lack of empathy, is he wrong? Is it reasonable to employ a 62-year-old hosting an aerobics morning show? This would have worked better if the role was in some kind of drama or even a soap opera where ageism might be a little less, well, practical.

In any case, Sparkle gets in a car accident and when she’s at the doctor, someone slips a thumb-drive and a note into her pocket. “It changed my life” the note reads, and on the drive is a brief video about a mysterious Substance that allows you to essentially clone yourself, only your clone will be a younger, better, more beautiful version of you. There’s a number to call and Sparkle calls it. The catch? You have to switch back and forth every week with your double. One week in your own old, sad body and the next as the better you. This involves a ridiculously grotesque cloning process where the new you is “birthed” out of a split down your back, followed by a regimen that really ought to require medical assistance to properly carry out.The SubstanceCredit: Mubi
Basically, “new” you has to stitch up “old” you’s back. Then there is a daily booster that has to be injected and the comatose body that just lies there in your totally not-sterile bathroom for a week, as well as a food pack that you have to set up, all intravenously, in order for the other version to survive. What an ordeal! Sparkle and her new self, Sue, have to do all of this without any instructions or assistance, which is the first time I really rolled my eyes during the movie. This is not exactly DIY stuff. If you haven’t set up an IV before, it’s not a sure thing. If you haven’t stitched a massive wound, you’re probably not going to get it on your first try. And what about antibiotics and disinfecting the wound and blood loss? Even a stitched wound of this size laid out in a bathroom for a week would almost certainly become horribly infected.
I know, this is a science-fiction horror film, and I suppose if I can accept the premise of this magical Substance I should be able to look past all these details, but that’s not how it works. I need the details to make sense so that I don’t have to think about them. When stuff like this doesn’t click for me, I just find myself annoyed and distracted.
It gets worse. Once Sue has been “born” and does all the medical stuff she needs to do to keep her old self alive, she heads to the studio where Sparkle used to work in order to audition for—you guessed it!—another aerobic workout show, which in this universe is apparently the big thing that gets you famous. Go figure! Of course, she gets the job because she’s gorgeous (we know this because we just spent five minutes watching her pose naked in the mirror above the inert form of a naked Demi Moore) and Harvey is vapid and shallow and only wants hot young women to star in his aerobic dance class shows. What a monster.
She gets the job and things are going well until she decides that instead of switching back after seven days, she’d rather extend that by a few hours so she can booze it up and get laid. She doesn’t know this will have terrible consequences because there are no detailed instructions included with The Substance. She sucks a little bit of extra fluid out of Elisabeth’s back and gets busy with a handsome lad and then switches back (at this point she’s also built a secret door in the bathroom which leads to a secret closet because I guess she has pretty amazing construction skills somehow, and just using a spare bedroom or something wouldn’t be as cool or use up a bunch of superfluous runtime).
When Elisabeth wakes up, her pointer finger has gone necrotic. It’s now the wrinkled talon of an old crone. She’s pissed. Her other self isn’t following the rules!The SubstanceCredit: Mubi
From here, it’s a back-and-forth between the two selves as the youthful Sue robs her older self of life-force, and the older Elisabeth Sparkle rages, falling into a sort of slovenly madness until Sue decides she just won’t ever switch back again. And I’m sorry but none of this makes even the tiniest bit of sense.
Look, if I have a miracle drug that allows me to be 20 again, awesome. I can spend a week as a 20-year-old version of myself and then switch back and be 43 for a week. Having the brain of a 43-year-old and the body of a 20-year-old would be like having the best superpowers of all time. If I can experience both weeks, why not? And if I know that I have to switch back every week or face terrible consequences to both my younger and older self, I’m going to do that without question.
But this movie makes it pretty clear that Elisabeth and Sue are experiencing totally different lives. Elisabeth has no memories of what Sue does while she’s in her young, hot body. Sue has no memories of Elisabeth cooking up a storm and leaving the house trashed, the windows stuck all over with newspaper, food everywhere. Both are shocked and dismayed when they “wake up” at the start of their week.
They’re aware of one another, obviously, but they don’t experience one another’s day-to-day lives so they have no hesitation about screwing the other one over and resentment quickly blossoms. They don’t think to even try and communicate with one another. Maybe leave a note, make a truce, figure out how all this works so they don’t die. No, you see the point of this movie is that women don’t get along, even with themselves. They just try to destroy one another. What a fun and inspiring message!
So Why Even Take The Substance?
Okay, so I have to ask: What on earth is the point of taking this drug? Let’s say you’re Elisabeth Sparkle and taking this drug just makes you pass out for a week and then wake up with various deformities thanks to your alter-ego, Sue, whose time you don’t even get to experience. Why take the Substance to begin with? Elisabeth isn’t getting showered with affection and adoration as Sue, or getting to sleep with hot young men, she’s just waking up when that’s all over, grey-haired and sickly. At least in Death Becomes Her, the miracle drug worked for them in real time. In The Substance, there’s literally no point in doing any of this. Why would I take a drug that gives me a younger, more beautiful and fit body for a week if I didn’t get to experience the benefits myself, and only the bad side-effects after? It’s a genuinely stupid concept and yet this movie is winning Best Screenplay awards.
Oh, but you see it’s an allegory! It’s about younger generations taking the spotlight from older generations, about the inordinate value we place on youth and beauty, about mothers and daughters, about fame and fortune. Blah blah blah. I don’t care. Allegory only works if the story makes sense. This story does not make sense. And the message is trite, shallow. It’s been done before and better. I’ve read The Giving Tree by Shel Silverstein. And honestly, who among us isn’t aware that beauty and youth are overrated, especially in Hollywood, but that no matter how much we say that we still pine for the bodies we used to have? Tell me something I don’t know. Yes, some of the gross body-horror stuff is very unsettling, but that’s not enough to make this a good movie.
The Gross Body Horror StuffThe SubstanceCredit: Mubi
In the final act, Sue has drained Elisabeth for months but now she’s run out of the magic fluid—sucked the husk of Elisabeth dry—and is forced to switch back or die. Elisabeth is now a hunchbacked old crone, utterly robbed of her beauty and whatever youth remained, and she’s given the option to stop, to terminate the whole thing.
But as she’s about to do just that, she has second thoughts. “I hate myself,” she says. “You’re the only lovable thing about me.” This is a silly thing to say given the circumstances, because Elisabeth doesn’t actually experience Sue’s life, despite the man on the phone telling them over and over again that “you are one.” Clearly, they are not one. Elisabeth has been utterly destroyed by Sue and the Substance, but she still decides to let Sue live, halting the termination midway. Also, that line is so on-the-nose I laughed when she said it.
Sue wakes up and . . . I guess she’s very angry that Elisabeth was going to terminate her, though really this is just an excuse for a big fight scene where Sue savagely beats her elderly counterpart to death, smashing her face into the mirror, kicking her across the room, kicking her over and over until only a bloody, broken heap remains. You see, this movie is a satire of unreasonable beauty standards, so we must punish and destroy the women who participate in this culture as horrifically as possible.
It’s gross and excessive even for a horror movie, though I think what bothered me most is just how illogical the whole thing was. Sue knows she needs her counterpart to survive. Killing Elisabeth means she won’t be able to rejuvenate. And sure enough, she starts to lose teeth at the big New Year’s Eve show she’s starring in. It’s a cabaret show being broadcast to 50 million households on network TV . . . and I guess in this universe, that involves a couple dozen topless cabaret dancers. (This movie pretends to be a critique of the male gaze but takes every opportunity to throw hot naked women in front of the screen, and then use them either sexually or in the most violent and bloody manner possible, or both).
Sue runs back to her penthouse and uses the rest of the Substance Activation vile, despite the “one use only” warning, and out of her back a monster is birthed, a grotesque, waddling pile of flesh with body parts stitched hideously together like some aberration from Elden Ring. The monster tapes a picture of Sparkle to its face and somehow waddles its way back to the show, where it gets past security (you’d think that might be tricky, but it’s barely an inconvenience!) and disrupts the NYE show in spectacular and bloody fashion.The SubstanceCredit: Mubi
Are we meant to sympathize with this creature as people scream in terror and call it a monster and attack it and scream for it to be shot? Has this film done anything to make us sympathize with any of these characters, let alone this hideous thing that quite literally coughs up (from one of its mouth-like orifices) a disembodied breast onto the stage? Are we meant to feel bad when we realize that we, too, would likely be shocked and terrified by this monster’s appearance?
Because I don’t feel bad. The film’s creators have gone to great lengths to make the creature as monstrous and disgusting as possible. “I’m still me!” it cries, forlorn, “I’m Elisabeth, I’m Sue!” but no, not really. Sue wasn’t even Elisabeth, and Elisabeth wasn’t even Sue, so why should we think this Frankenstein’s monster that just emerged moments ago has any of their memories or awareness? If it did, it never would have left the condo (Elisabeth couldn’t even leave the condo to meet an old classmate, in one of the movie’s more thought-provoking and evocative scenes).
At one point the monster sprays a fire hydrant worth of blood on the entire studio audience. But the satire has run dry by now. The creature is too far removed from anything even remotely human to be real. This is not an Elephant Man scenario, or poor hunchbacked Quasimodo. The movie takes things so far that any message about “inner beauty” is lost in the stampede.
Ultimately, while The Substance got off to an intriguing start, the majority of the film and especially its goofy ending was mostly cheap shock value and amateurish satire built on the flimsiest premise imaginable. Even the camera work felt cheap. Lots of zoomed in shots and a wide-angle lens to make us feel dizzy. Very bold colors—a long, bright orange hallway—and wacky costumes like Harvey’s floral suits, to give the film a strident, distinct look and feel.
Lots of style, sure, but ultimately, and perhaps ironically, very little substance.
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Canadian passport holders now require an eTA to travel to the UK

Canadian citizens now need an Electronic Travel Authorization (eTA) to enter or transit through the United Kingdom (UK).

This new requirement, launched on January 8, 2025, is part of the UK’s updated entry regulations. It includes Canada, the US, Australia, and other non-European countries.
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Previously, Canadian passport holders could travel to the UK without prior authorization for short-term visits of up to six months.
This new change applies to all Canadians visiting the UK for tourism, visiting friends and family, study or business, as long as it’s under six months.
Here’s what you need to know about this eTA:
There are certain exemptions
You do not require an eTA in advance if

You already have a UK visa;
You have permission to live, work, or study in the UK (this includes settled or pre-settled status or right of abode);
You’re a British or Irish citizen;
You’re travelling with a British overseas territories citizen passport; or
You live in Ireland and are travelling from Ireland, Guernsey, Jersey, or the Isle of Man.

You can apply for the eTA online
You can apply directly online through the UK government’s website or through the UK ETA app.
It takes roughly ten minutes to apply. You may need to upload or take photos of

Your passport; and
The face of the person applying.

You also need to pay a fee
It currently costs £10 (CAD $17.50 approximately) to apply. This application fee is non-refundable.
Everyone travelling needs to apply
The eTA requirement equally applies to babies and children. If you are travelling as a group, each person needs an eTA.
It is possible to apply on behalf of someone. If you’re applying for someone who is not with you, you should apply online.
To apply, you need your passport, access to email, and a mode of payment (credit card, debit card, Apple Pay, or Google Pay).
It takes roughly three days to receive
According to the UK government website, you will most likely get a decision within three working days.
You will receive an email confirmation of the eTA. This will be linked to the passport you applied with (so you need to use the same passport to travel).
Note: If you’re planning to travel soon, make sure to apply for an ETA before your trip. You can still travel to the UK while your application is being processed.
It’s valid for two years
You can travel to the UK as many times as you want within this two-year period.
You can stay in the country for up to six months with each visit.
If you wish to stay longer than six months at a stretch, you must apply for a visa.
Restrictions on the eTA
There are other restrictions on the eTA. You cannot:

Do paid or unpaid work for a UK company or as a self-employed person, unless you are doing a permitted paid engagement or event or work on the Creative Worker visa concession;
Claim public funds;
Use the eTA to live in the UK through frequent visits; or
Marry or register a civil partnership, or give notice of marriage or civil partnership.

Note: Receiving an ETA does not guarantee entry to the UK. You still need to either

see a Border Force officer; or
use an ePassport gate, if you are eligible.

Europe may follow suit
The new eTA requirement for visiting the UK follows a similar announcement by the European Union, which plans to launch the European Travel Information and Authorization System (ETIAS) for passport holders from approximately 60 countries.
These countries include Canada, the US, the UK, and Australia.
Once ETIAS has been implemented, Canadian passport holders will need to submit an online ETIAS application to visit 30 countries in the Schengen Area, including France, Italy, Germany, and Spain.
Currently, Canadian passport holders only require a valid passport to enter these countries, if travelling for periods under 90 days.
The European Commission planned to implement an Entry Exit System (EES) ahead of the 2025 ETIAS rollout, but delays in the EES have postponed the ETIAS launch.
That means Canadians can currently enter these European Union member states and Schengen associated countries without ETIAS.
Earlier this month, the Canadian passport ranked as the seventh most powerful passport in the world, according to the Henley Passport Index.
The Index takes into account the number of destinations passport holders from a country can access without having to apply for a visa.
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USA Needs More Electricity to Win AI Race, Says Trump Energy Czar

The US risks forfeiting a global competition to dominate artificial intelligence if it doesn’t build more reliable, always-on electricity to supply the industry, President-elect Donald Trump’s pick to lead the Interior Department warned Thursday.

Doug Burgum, the former North Dakota governor who has also been tapped to help chart Trump’s energy policy, cast the issue as critical to America’s national security during a Senate confirmation hearing that offered a preview of the incoming administration’s planned embrace of fossil fuels.

Where renewable power supplies are intermittent and “unreliable,” Burgum said, AI’s growing energy demands will require more of the so-called baseload electricity that can be generated around-the-clock by burning coal and natural gas.

“Without baseload, we’re going to lose the AI arms race to China,” Burgum told the Senate Energy and Natural Resources Committee. “AI is manufacturing intelligence, and if we don’t manufacture more intelligence than our adversaries, that affects every job, every company and every industry.”

During a three-hour meeting marked by cordial exchanges — and none of the intense sparring that has dominated other confirmation hearings this week — Burgum sought to assure senators he would seek a “balanced approach” for oil drilling, conservation and even potentially housing on the federal land managed by the Interior Department. 

The agency’s sprawling portfolio spans a fifth of US land, and it is the lead regulator for oil, gas and wind power development in the nation’s coastal waters.

Burgum also made clear that a top priority is addressing what he called a “significant imbalance” in the nation’s electricity mix, as developers look to connect a host of low- and zero-emission power projects to the grid.

“If the sun’s not shining and the wind’s not blowing, and we don’t have baseload, then we’ve got brownouts and blackouts, we have higher electric prices for every American,” he said.

US electricity demand is expected to surge to unprecedented levels in coming years, fed by AI, data centers and domestic manufacturing. While natural gas-fired plants are expected to supply the bulk of growth in the short term, power developers have been racing to deploy renewable projects.

Renewable power developers say that by paring those projects with batteries, they can effectively transform them into baseload supply. Wind and solar power generated at the sites can be stored and made available even when the wind stops blowing or sun isn’t shining.

Senator Angus King, an independent from Maine, successfully pressed Burgum to commit to an “all-of-the-above” approach. 

“I don’t want the word ‘baseload’ to be code for ‘no renewables,’” King told Burgum. “That’s not what you’re saying is it?”

America needs “all forms of electricity, and we need more of it in the very near term,” Burgum said. “This isn’t about one versus the other,” he said, but rather how to increase the amount of electricity in the US and do it in a way that ensures “affordability and reliability.”

If confirmed, Burgum would be a key figure in executing Trump’s plan to escalate domestic energy production, including by expanding drilling and mining opportunities on federal land. He also would be at the epicenter of fights over the future of US offshore wind development. Trump has been a relentless critic of the energy source, calling windmills “an economic and environmental disaster” and insisting he doesn’t want even one built during his administration.  

On Thursday, Democratic senators appealed to Burgum’s history in North Dakota — where wind power makes up a third of electricity generation — in encouraging him to persuade Trump of its merits.

Burgum pledged to work with states in exploring ways public lands can be used to help address housing shortages. And he vowed careful consultation with state and local interests on some issues of land management, responding to Republicans who say local interests were disregarded in some national monument  designations.

Burgum also touted carbon capture technology he said offered the opportunity to produce clean electricity from coal — despite persistent industry complaints about the high costs of widely deploying it today. Electric utilities, cooperatives and some states have challenged Biden-era environmental mandates that effectively compel coal plants to adopt the technology or shut down.