THE FUTURE
OF
HEALTHCARE
IMCI
21st 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
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IN 2020
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Fairy Tale or Horror Story ?
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HEALTH AND HEALTHCARE
PARADIGMS
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Indian health wisdom
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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
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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)
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Indian commitment to health
development has
2 Principles
3 consequences
• State responsibilities for
• Inadequate priority to public
health care
health
• Free medical care for all
• Compression of public
funding
• Plural system of medicine
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Key Achievement of Indian
Healthcare
 Increased Longevity
Better nutrition
Better immunization
Better infrastructure
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TODAY’S HEALTH CARE
MARKET
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High
Medium
20 % - 30 % 30 % - 50%
Low
0 % - 20%
Growth Rate (%) – till 2012
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)
Alternative
treatments
(2,100)
Gyms (460)
Alternative Medicines Ayurvedic Medicines
& Products (1,100)
(500)
Cosmetics and
Health food
Fragrances (1,350)
& Drinks
Treatment
(4,900)
based beauty
Cosmetic
Dietary Supplements
products (650)
Surgery
(1,800)
Skin & Hair care
products (6,300)
(250)
Rs 0 – Rs 1,500 Cr
Products
Ayurvedic
Treatments Centers
(4, 000)
Services
Rs 1,500 – Rs 5,000 Cr
Rs 5,000 – Rs 10,000 Cr
Approx Market Size as of 2008 (Rs Cr.)
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.
(Source: 2009 E&Y – FICCI report on wellness – exploring the untapped potential,)
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WELLNESS ECONOMY
INSURANCE
HOSPITAL
1
Alternative 2
Therapies
Services – Rs.
6100, 35%
Products – Rs.
1600, 20%
Allopathy*
M
E
D
I
A
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Counseling
*
Nutrition
Wellness Core
Segment
3
Products - Rs.
6700, 8%
Beauty
6
REAL ESTATE
Services – Rs.
4010, 34%
Rejuvenation
Products – Rs. Fitness
/Slimming Services - Rs.
8300, 11%
250, 31%
Services - Rs.
910, 29%
5
E
D
U
C
A
T
I
O
N
4
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.
(Source: 2009 E&Y – FICCI report on wellness – exploring the untapped potential,)
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Future of health care in next 25 years
FAST FORWARD INTO THE
FUTURE
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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
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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-tobe.”
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Do we really need to have sex?




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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!
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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.
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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.
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Cloning: After Dolly’s birthday






27th 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
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Cloning minus the current stigma - tinkering with
genes of offspring may result in no baldness, no
spectacles, non arthritic human beings: Designer
babies possible.
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Gene Cards:Future Horoscopes!

Gene Cards will predict your future health (tailormade drugs for patients)
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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 Immunosuppressants/Gene transfer therapy
Robotic Surgery
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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
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Do you know a better place to get quality &
inexpensive treatment for all international patients?

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
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When do we call HEALTH IS
WEALTH?

Consumer SELF-CARE Trend

Self-Reliance
Personalization


Health is Wealth
Age Well – Be Well Trend

Redefining Aging

Longer Lifetimes

More Active & Healthy Lifestyles
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In Summary
Future of Health Care
Curative & Preventive
Pro –
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?
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Fairy Tale or Horror Story ?
Let the time show!
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Q&A
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In life you have either
reasons or results…
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: interlink@interlinkconsultancy.com
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