More from the World Health Care Congress. Keynote is from Bill Castell, head of GE healthcare. He says that we need to bring “Care to the individual rather than the patient to the Institution”

Ten realities of global health care

1) Obesity: Need to work on preventing this from occurring, especially cardiovascular & cancer2) Demographics3) Cost of chronic disease4) Threat of Pandemic5) Volume/price equation (India and China vs US as a market)6) Infinite demand and constitutional right7) Capitalism and Sustainability8) West’s replacing carbon knowledge underpinning democracy9) Take the knowledge dividend back into society (asset not a liability)10) Global level playing field for intellectual property

Technology changes: Ultrasound is becoming cheap and ubiquitous; EMRs are changing clinical process; remote monitoring is emerging. For example, they believe that they can move from 43% to 85% survival in cardiac disease, so long as you can move from late stage to early stage disease.

Believes there’s an opportunity to fundamentally change health care….

However, Noel Tisch (Prof at Michigan business school) says, we’ve heard lots of promises about fundamental changes in health care before…..he thinks that leadership is the key. Worst people in the world to develop leadership are profs and consultants! Has to be done by leaders. He believes that the most important aspect of leadership is the time spent by CEOs to teach his new leaders. Pepsi was a great example of that (Roger Enrico CEO).

If we extend life, we will add yet more cost unless we reduce disability. This is clearly GE’s aim. What data do you have to suggest that the cost of dying will be more affordable in such a future?

Health care industry has to develop the options for the best care we can deliver. Longevity is changing but society has to develop the maturity to answer the question?

When you speak in terms of “raising the bar on leadership” please discuss the challenges of “leading” unmotivated, less than healthy populations who are not willing, at least today, to take some responsibility for their own health?

If you can create an environment where people get personal dignity back, then they re-engage in community & society. All of us have the responsibility to help and work with the underprivileged.

What is it the US healthcare can possibly learn from emerging countries like India?

Things like the $12 “Jaipur” foot can be solution for not just the third world but have wider implications elsewhere.

Do you see R and D continuing to leave Europe for the US and Asia, and what is the message for Europe?

The issue for Europe is tricky, as it lost to the US for health care innovation. We need better definition of outputs. but we never see the consumer data published. Final thoughts: Find 3% of your time to touch other peoples problems and you’ll find that it improves your own business and work. Tisch-think of value of return on time


Categories: Uncategorized

Tagged as: , ,