THE FUTURE OF HEALTHCARE

IMCI

21 st January, 2011

Dr. R. B. Smarta

Managing Director, Interlink Marketing Consultancy Pvt. Ltd. Disclaimer: This presentation is the sole property of Interlink. No part of it may be circulated, quoted, or reproduced for distribution without prior written approval. This material was used during a verbal presentation; it is not a complete record of the discussion.

Walk Through



Day in 2020



Health and Healthcare paradigms



Today’s Healthcare market



Fast forward into the future

21/01/2011 IMCI_Dr. R. B. Smarta 2

IN 2020

21/01/2011 IMCI_Dr. R. B. Smarta 3

Fairy Tale or Horror Story ?

21/01/2011 IMCI_Dr. R. B. Smarta 4

HEALTH AND HEALTHCARE PARADIGMS

21/01/2011 IMCI_Dr. R. B. Smarta 5

Indian health wisdom

21/01/2011 IMCI_Dr. R. B. Smarta 6

HEALTH is person’s sense of well being not merely absence of sickness… FREEDOM FROM ILLNESS.

SICKNESS is an abnormal condition affecting the body with specific symptoms and signs HEALTH CARE = PRO PREVENTIVE CARE Health care covers not only medical care but also pro – preventive care IMCI_Dr. R. B. Smarta 7

   

4 Criteria of Ideal Healthcare

Universal access Fair distribution of financial costs Training providers Special attention to children, women, disables & aged.

Depends on “POLITICAL ECONOMY”

Progress on:  Poverty mitigation (healthcare to poor)   Reduction of inequalities (affecting access / quality) Generation of employment (facilitate income stream of capacity to pay)   Public information & development (preventive, self care, conducive life styles) Personal life style changes ( affecting from social changes to global influences)

21/01/2011 IMCI_Dr. R. B. Smarta 8

Indian commitment to health development has

2 Principles 3 consequences

• State responsibilities for • Inadequate priority to public health care • Free medical care for all health • Compression of public funding • Plural system of medicine

21/01/2011 IMCI_Dr. R. B. Smarta 9

Key Achievement of Indian Healthcare

 Increased Longevity  Better nutrition  Better immunization  Better infrastructure

21/01/2011 IMCI_Dr. R. B. Smarta 10

TODAY’S HEALTH CARE MARKET

21/01/2011 IMCI_Dr. R. B. Smarta 11

Indian Market – Expected growth potential for most of the core segments in WELLNESS SPACE Salons (3,500) Slimming Centers (450) Spas (250) Non – surgical cosmetic procedures (260) Gyms (460) Alternative treatments (2,100) Ayurvedic Treatments Centers (4, 000) Alternative Medicines (500) Ayurvedic Medicines & Products (1,100) Cosmetic Surgery (250) Treatment based beauty products (650) Cosmetics and Fragrances (1,350) Health food & Drinks (4,900) Dietary Supplements (1,800) Skin & Hair care products (6,300)

Rs 0 – Rs 1,500 Cr

Rs 1,500 – Rs 5,000 Cr Rs 5,000 – Rs 10,000 Cr Approx Market Size as of 2008 (Rs Cr.) Products Services

The exhibit does not include yoga centre, counseling services, restaurants & juice bars (health based). Allopathy, due to its traditional linkage to healthcare has not been included for the purpose of analysis.

21/01/2011

(Source: 2009 E&Y – FICCI report on wellness – exploring the untapped potential,)

IMCI_Dr. R. B. Smarta 12

WELLNESS ECONOMY M E D I A HOSPITAL 7 1 Allopathy* Alternative Therapies

Services – Rs.

2

6100, 35% Products – Rs. 1600, 20%

Nutrition Counseling 6 * Wellness Core Segment

Products - Rs. 6700, 8%

Beauty

Services – Rs. 4010, 34% Products – Rs. 8300, 11%

Fitness /Slimming Rejuvenation

Services - Rs. 250, 31% Services - Rs. 910, 29%

4 INSURANCE 3 5 REAL ESTATE HOTELS & TOURISM GOVERNMENT

Figures indicate total market size in Rs. Crore and weighted average growth rate (CAGR5 years).

* Does not include yoga centre, counseling services, restaurants & juice bars (health based).

* Allopathy, due to its traditional linkage to healthcare has not been included for the purpose of analysis.

21/01/2011

(Source: 2009 E&Y – FICCI report on wellness – exploring the untapped potential,)

IMCI_Dr. R. B. Smarta 13 E D U C A T I O N

Future of health care in next 25 years

FAST FORWARD INTO THE FUTURE

21/01/2011 IMCI_Dr. R. B. Smarta 14

Decoding 140,000 genes

A time table for next 25 years

 2002 - 3 - 100% of the human genome mapping/sequencing  Legislation to protect people against genetic discrimination:

(jobs/insurance/marriage)

 2002 - 10 - Tests for risks of Diabetes, cancer, stroke  Gene therapy for haemophilia, heart disease, some cancers  2015 - Medicine tailored to individuals genetic make up available to treat diseases, including cancer  2025- Corrective therapy for defective genes- cure sicker cell anaemia

21/01/2011 IMCI_Dr. R. B. Smarta 15

Can you make my kid smarter & healthy?

An Advertisement in “ The Times ” of April 2, 2025

 “ Consider using Organic Enhancement protocol to provide your child with all- natural resistance to  heart disease, hypertension, diabetes , cancer, AIDS, allergies, asthma and Alzheimer’s disease.

  But keep in mind, you must act before you get pregnant. Don’t be sorry after she’s born. This really is a once-in-a-lifetime opportunity for your child-to be.”

21/01/2011 IMCI_Dr. R. B. Smarta 16

21/01/2011

Do we really need to have sex?

    Birds do it, Bees do it. But we may no longer have to do it- except for the fun!

More recreational rather than procreational! ( Like Dolphins & Apes) Since first “ test - tube” baby in 1978, 100,000 have been born till day in US alone!

By 2025, it may be possible to take a “cutting” from your body and grow a new human being!

IMCI_Dr. R. B. Smarta 17

Reversing & Eliminating Paralysis

 Will superman Chris Reeve walk again?   He hoped to rise to his feet, lift a cup of tea. Died in 2004 before this could happen!

Spinal Cord doesn’t heal itself. Certain substances block growth of cells.

 Antibodies have been developed that neutralize these blockers  Nerve endings carry chemical markers to guide them to the correct receptors.

21/01/2011 IMCI_Dr. R. B. Smarta 18

Your children may celebrate 125th birthday

 Scientists are looking for longevity genes   Clock - genes’ are ticking away- in every of 100 trillion cells!

It will be possible to tinker with clock’s hands!

 By year 2100, our longevity could be be 200 years!

 Impact on Economy : For each year added 1% growth is required.

21/01/2011 IMCI_Dr. R. B. Smarta 19

Cloning: After Dolly’s birthday

27 th February 1997       Cloning minus the current stigma - tinkering with genes of offspring may result in no baldness, no spectacles, no arthritis “Designer babies” possible 1998- Stem cells from early human pregnancy foetus grown in gut,muscle,neural tissues! New hope for growing organs for transplants!

Will genetic tinkering result in creation of new species of humans?

Will disturb the process of natural selection and eliminate Bad genes & people like Hellen Keller,Stephen Hawkings, Toulouse Lautrec !!!

Ethical / moral dilemmas

21/01/2011 IMCI_Dr. R. B. Smarta 20

Cloning minus the current stigma - tinkering with genes of offspring may result in no baldness, no spectacles, non arthritic human beings:

Designer babies possible.

21/01/2011 IMCI_Dr. R. B. Smarta 21

Gene Cards:Future Horoscopes!

 Gene Cards will predict your future health (tailor made drugs for patients)

21/01/2011 IMCI_Dr. R. B. Smarta 22

Medical Technology

 Tele-medicine  MR spectroscopy - measure of brain chemistry  Proton spectroscopy - provides much higher signal-to-noise  Can be used to serially monitor biochemical changes in tumors, stroke, epilepsy, metabolic disorders, etc.

 Drugs: DNA vaccines/Precisely targeted Immuno suppressants/Gene transfer therapy  Robotic Surgery

21/01/2011 IMCI_Dr. R. B. Smarta 23

New Insurance Scenario:

Impact on Doctors & Practice

 Healthcare expenditure in India is expected to increase by 15 per cent per annum.

 Better Practice Management  Quality Assurance  Accountability & Standardization of Fees  Accept Payments by Cheque  Increased Paper work

21/01/2011 IMCI_Dr. R. B. Smarta 24

Do you know a better place to get quality & inexpensive treatment for all international patients?

21/01/2011

 India’s share in the global medical tourism industry will reach around 3 per cent by the end of 2013.  Medical tourism is expected to generate revenue around US$ 3 billion by 2013  Growing at a CAGR of around 26 % during 2011–2013.

Source: RNCOS report on Booming Medical Tourism in India, 2010

IMCI_Dr. R. B. Smarta 25

When do we call HEALTH IS WEALTH?



Consumer SELF-CARE Trend

 Self-Reliance  Personalization 

Age Well – Be Well Trend

 Redefining Aging  Longer Lifetimes  More Active & Healthy Lifestyles

21/01/2011 IMCI_Dr. R. B. Smarta 26

In Summary Future of Health Care

Pro – Preventive Curative & Preventive

PAST FUTURE

 Curative & Preventive care – Pro-Preventive care  Making life healthier by increasing use of technology yet…. Physicians may be inevitable.

 Improve affordability by Health Insurance and spending of Government.

 Will we be in Ethical, Moral, Social, Legal Dilemmas?

21/01/2011 IMCI_Dr. R. B. Smarta 27

Fairy Tale or Horror Story ?

21/01/2011

Let the time show!

IMCI_Dr. R. B. Smarta 28

Q & A

21/01/2011 IMCI_Dr. R. B. Smarta 29

In life you have either reasons or results…

21/01/2011

Insights For Business Results

Interlink Marketing Consultancy Pvt. Ltd

3A, Central Plaza, 166, C.S.T. Road, Kalina, Santacruz (E), Mumbai - 400 098 Tel : 91 22 2666 6611 / 44 Fax : 91 22 2666 6463 Website http://www.interlinkconsultancy.com

Email: [email protected]

IMCI_Dr. R. B. Smarta 30