Download - Healthcare Innovation v Cost
Healthcare Innovation vs. Cost
Mark Adams, CEO of Anglo Arabian Healthcare
31 January 2017
www.angloarabian-healthcare.com 2
• Transplants– Christian Barnard 1967 (Heart)
• Test Tube Babies– Louise Brown 1978 (Steptoe/Eduards)
• DNA/ Genetics– Human Genome Project- Completed in2003
• Advanced Diagnostics– Raymond Damadian invented the MRI in 1977
• Key Hole Surgery• Big Pharma
Last 50 Years
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• Reduced Child Mortality• Increased Life Expectancy• Heart Conditions + Cancer can be
beaten• You can predict the likelihood of
having certain conditions through Genetic Analysis
• Huge increase in costs!!!
Consequences
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NHSYear Cost % of GDP1997 £ 36 bn 6%2009 £ 120 bn 8.8%
• 900k NHS workers up to 1.2m (all on final salary pension scheme)
• Waiting lists down• NHS satisfaction up
• 2 year waiting lists• Possible rationing of drugs• Possible penalties for smokers, drinkers & obese• Satisfaction low• Pressure on working hours• Reduction in pension benefits• Only having Hip & Knee replacements if you can’t sleep with
the pain
Year Cost % of GDP2017 £ 136 bn 7.5%
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• Cost effective when you are young
• Unaffordable in retirement• AXA PPP/Bupa have combined
ratios of around 98% in the west• The fragmented insurers in the
GCC have closer to 130/140% combined ratios
• Typical 12% pa increases in premium
Private Health Insurance- Under Pressure
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The Age of Dilemma
55 60 65 70 75 80 89 90
• United Kingdom• Cost of birth: 1,000 per person• Cost from birth to 55: 500 per annum, per capita
• Note: There are now 800K people over 90 in the UK
10,000From 55 onwards
500
1,000
5,00010,000In
Age
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• Growth of Chronic Conditions• Obesity- 23% UK / 50% UAE• Diabetes- 7% UK / 20% UAE
Self inflicted conditions, driving cost!
Not Just Age!
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• Telemedicine will uberise healthcare• Restorative benefits of Stem Cells• Genetic Analysis could allow conditions to be
removed at fertilization- using CRISPR-CAS 9 ‘allows DNA editing’
• Technology will move ‘primary care’ to a home environment- Teleconsulation/home measurement devices
• Remote monitoring of those with chronic conditions
• Pressure to encourage prevention by penalizing obesity etc
• Tough ethical decisions on economic benefit of funding the elderly- Palliative care etc
Next 50 Years
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• We can probably cure dementia- do we want to?
• State systems will have to ration care or see taxes at >60%
• Do we tax/penalize smokers, drinkers, obese patients?
• Do we ‘community rate’ private health insurance (the young subsidise the elderly)
• How much do you pay to keep the +90’s with us?
Questions?
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Images of the Future
Contact Lens that measure Blood Sugar Level Heart Monitors
that report directly to physicians
Healthcare Booths at work or in the mall
www.angloarabian-healthcare.com
Office 101, 1st Floor, Ibn Rushd, Building 33, Dubai Healthcare CityDubai, United Arab Emirates
Thank You