THE GLOBALIZATION OF HEALTH CARE
AND ITS
IMPACT ON CONTINUING EDUCATION

CT
FA

WORKFORCE CENTERS OF ATTENTION
AND
GLOBAL CONSEQUENCE IN THE NEW MILLINEUM
Education
Health
Immigration
Employment
Competition

What Is Globalization?
• Globalization is the rapid flow of
information, goods, capital and people
across political and economic boundaries’
(Daulaire 1999; 22).
• The speed of information, people, and
capital mobility has changed, and the global
participation has expanded.

Advisory
• Retention of our Global market position and
the stability of our national economy
requires an effective strategy linking our
Government, Education, and Business
Communities.
• We must maintain our competitive edge, and
eliminate the possibility of our consumers
seeking foreign lands for an alternative to
our goods and services.

Fact:
The United States economy is slipping
A burgeoning budget deficit
The devaluing dollar
Increased Defense Spending
A decrease in the Quality of Education
Rising Health care costs

A stable economy requires
Good education Healthy Citizens Productive
Workforce

Key Human Capital Systems Supporting Health Care
Human Capital comes from two sources:
It is either developed or purchased
System of Education System of Immigration
Human Resource Mobility
Human Resource
• Skilled Labor
Development
• Unskilled Labor
• Skilled Labor
• Semi-Skilled Labor
Human Capital manifests into two forms: Missionary and Mercenary

Is the U.S. Healthcare System Broken?
• Health insurance is lacking for • American taxpayers spend $10,000 a year for
40 Million Uninsured U.S. AIDS treatments that cost $3,500 in other
Citizens countries.
• Increasing costs of prescription • Lack of availability of caregivers for the
medication growing senior citizen population May
reduce life expectancy
Source: Organization for Economic Cooperation and Development (OECD), “How Does the
United States Compare,” in OECD Health Data 2005: Statistics and Indicators for 30
Countries.

Health Care Facts
• Health Care is the fastest Growing Industry in the
United States
• Currently 15.2% of U.S. GDP is health care and U.S.
Health Care growth is expected to swell to 20% of
GDP by 2016 Costing 4.1 Trillion dollars per year

Globalization is a new force in the
Health Care Industry
• Healthcare consumers want • The U.S. Workforce is
more opportunity to get the shrinking while Global Health
healthcare they need at an Care Competition is increasing
affordable cost, even if they
have to travel abroad to get it. • Globally, there has been a
significant increase in
• Foreign Countries are competition for the knowledge
developing economically worker
competitive and self-
sustainable Health Care • If we are to compete, the
systems United States’ Labor Force
Skill set must improve

Health Care Spending in U.S. Compared to
OECD countries as a percentage of GDP
Source: OECD Health Data 2006

Healthcare Quality Ranking Order
of Select Countries
• 1 France • 20 Switzerland
• 2 Italy • 21 Belgium
• 3 San Marino • 22 Colombia
• 4 Andorra • 23 Sweden
• 5 Malta • 24 Cyprus
• 6 Singapore • 25 Germany
• 7 Spain • 26 Saudi Arabia
• 8 Oman • 27 United Arab Emirates
• 9 Austria • 28 Israel
• 10 Japan • 29 Morocco
• 11 Norway • 30 Canada
• 12 Portugal • 31 Finland
• 13 Monaco • 32 Australia
• 14 Greece • 33 Chile
• 15 Iceland • 34 Denmark
• 16 Luxembourg • 35 Dominica
• 17 Netherlands • 36 Costa Rica
• 18 United Kingdom • 37 United States of America
• 19 Ireland • 38 Slovenia

Is the United States Education System Broken?
U.S. national education expense is 7% of GDP
and half of the national Health Care Expense
National education expenses have yielded
marginal improvements in student performance

The U.S. Education Per Capita
Expense is Greater
Source: OECD Education Data 2005

OEDC Comparison of Money spent on Education

Baby Boomers are having an effect on
Globalization and HealthCare
• Globally baby boomers represent individuals born
between 1946 and 1964 with a population of 423
million.
• Seventy-eight million strong in the U.S., and controlling
80% of the United States assets, Baby Boomers are the
largest single sustained population growth in the history
of the United States.
• This generation has reinterpreted each successive
stage of American life.

Growing Health Care needs of
Baby Boomers
• Home Care
• Assisted Living
• Hospice and Palliative
Care
• Geriatric Ambulatory
Care
• Cosmetic Surgery
• Orthopedic Surgery
• Rehabilitation Therapy

Alternatives to Traditional Medical
Care Do Exist
The Medical Tourism era has arrived
Medical Tourism has become the
Attractive Option to a Hospital Stay

What is Medical Tourism?
Medical tourism is big business.
• Medical tourism can be broadly defined as
provision of cost-effective private medical care in
collaboration with the tourism industry for patients
needing surgical and other forms of specialized
treatment.
• It mixes leisure, fun and relaxation together with
wellness and healthcare.

Medical Tourism Is Impacting the
Global Economy
While we are talking of a $40 billion
medical tourism global industry today, it is
forecasted that medical tourism will grow
to $188 billion by 2013*
* Medical tourism: A $40-billion global industry By Gil Alfredo B. Severino Sun.Star Pampanga )

Medical Tourism Destinations

Costs of Health Care and Labor are the
Drivers for increased Medical Tourism

SWOT Shows Medical Tourism is no
Panacea

Can the Future (Immigrant Dependent) U.S. Workforce
Remain Competitive and Sustainable ?

Immigrant worker demand is here to stay

5% growth in 4 years

Migrant Workers Support Their Families Through Remittance

Between 2005-2050, the United States, Germany, Canada, the United Kingdom, and Australia will be the
destinations of the most total international immigrants . China, Mexico, India, Philippines, Indonesia,
Pakistan, and the Ukraine will be the major exporters of these immigrants.
Source: United Nations. 2005. World population prospects: The 2004 revision:

Competition for workers and rapid Labor
Mobility Globalizes the Job Market

The United States Competes for Foreign Talent ?
Note: World Bank predicts world Demand for skilled Labor will increase

The Future Global Workforce is Migrant
Worker Dependent

What is the State of Education in The United States?

U.S.A. Tops OEDC List for

Experience is the important factor for
Teacher Compensation within the G8

Adult Education Levels and Distribution in the U.S.A
2004

How does the U.S.A education stack up against the rest of the world ?

How does the U.S. compare in Teen Literacy ?
U.S. scores have essentially been flat between 2000 and 2003,
and the United States was outperformed by the majority of
OECD countries in both years.
• Reading Literacy
– • American fifteen-year-olds rank fifteenth of twenty-nine
OECD countries in reading literacy, and with a score of 495,
came in near the OECD average of 500.
– • Females outperformed males on the reading literacy test in
nearly every country, including the United States.
• Mathematics Literacy
– • American fifteen-year-olds rank twenty-fourth of twenty-nine
OECD countries in mathematics literacy, and the average score
of 483 fell well below the OECD average of 500.

International Adult Literacy Survey (IALS, 2002),

How does the U.S. compare in Adult Literacy ?

Recommended Actions for Academic
and Business attainment in the U.S.
• Teach cutting edge curricula that • Continuously teach the
promotes Job Readiness for the acceptance of differences among
Student Population foreign and domestic students
• Plan for expatriate (outward)
• Maximize opportunities for
mobility by American students
collaboration and team work
internationally and domestically
• Plan for the acclimation of Migrant
Student populations to U.S.A
• Strengthen academic and Job
readiness via partnerships with
• Adapt the best educational
viable employment sectors
policies and practices of our
foreign competitors
• Provide more private education
funding

Second Advisory
Adapt a global Strategy
• Increase Foreign Language and Literacy Programming
• Increase ESL Programming
• Bridge the knowledge gap between Educational Institutions and the
Business community via Increases in Public and Private Partnerships
• Prepare Students to study and work abroad
• Increase Student foreign Exchange to equalize global education
• Increase Private Investment in Public Education

What are the Future Employment
Prospects for United States Citizens?

What Jobs Can We Expect to be exported?
These Jobs Are being exported to developing countries

What Occupations are obsolete in Health Care ?
Food Service Medical Transcriptionists
Worker Health Care Support Workers
Data Entry Clerk Stock Workers
Ward Clerk Nursing Assistants
Registration Clerk
Case Worker
Pharmacy Aides
Automation, Robotics, and Bar Coding is reducing the need for many of these
jobs.

High Demand Health Care Professions
• Registered Nurse • Radiologic Technicians /
• Dietician Technologist
• Industrial Hygienist • Respiratory Technicians
• Physical and
• Speech and Language
Occupational Therapist
Pathologist
• Pharmacist
• Health Educator
• Home Health Nurse
• Finance Manager (Billing • Medical Billing Coder
and Patient Accounts)
• Occupational Health and
• Medical information
Safety Specialists
Technologist
• Interpreter
BLS identifies registered nursing as the second fastest-growing of all
occupations for job growth through 2012.

The Requisite Skills and Competencies of
Knowledge Workers
• Quantitative and Computation /
Mathematics
• Computer and Technology
• Interpersonal and Customer Relations
• Bilingual / Multi-Lingual
• Leadership
• Teamwork
• Oral and Written Communication

Important Advisory
We must address Student’s Continuing Education
and Developmental Needs
• Increase Family and Adult • Establish partnerships
Literacy Programming between Educational
Institutions and the Business
Community for effective
• Advocate for a dramatic
Workforce Planning
increases in literacy funding
• Educate the public regarding
• Devise strategies for earlier
the projected changes in
institutional intervention with
Health Care and Education
people who are at Risk
• Increase Paid Internships and
academically by partnering
Fellowships to Ensure real
with Elementary and
Employment Skills
secondary institutions

Thank You
Any Questions ?
HERMAN@GVIMI.COM