2. www.angloarabian-healthcare.com 2
• Transplants
– Christian Barnard 1967 (Heart)
• TestTube 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 50Years
3. www.angloarabian-healthcare.com 3
• Reduced Child Mortality
• Increased Life Expectancy
• Heart Conditions + Cancer can be beaten
• You can predict the likelihood of having
certain conditions through GeneticAnalysis
• Huge increase in costs!!!
Consequences
4. www.angloarabian-healthcare.com 4
NHS
Year Cost % of GDP
1997 £ 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 GDP
2017 £ 136 bn 7.5%
5. www.angloarabian-healthcare.com 5
• 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
6. www.angloarabian-healthcare.com 6
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
5,000
10,000
In £
Age
7. www.angloarabian-healthcare.com 7
• Growth of Chronic Conditions
• Obesity- 23% UK / 50% UAE
• Diabetes- 7% UK / 20% UAE
Self inflicted conditions, driving cost!
Not Just Age!
8. www.angloarabian-healthcare.com 8
• 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 50Years
9. www.angloarabian-healthcare.com 9
• 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?
10. www.angloarabian-healthcare.com 10
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
