Dr. Devi Shetty

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Year 2010 India, Worlds Largest Mass
Healthcare Provider

• Dr. Devi Shetty
• Chairman
• Narayana Hrudayalaya, Bangalore
• Asia Heart Foundation, Kolkata

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Problem of Indian mass health care delivery is
not money, it is the lack of planning
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Heart Disease Indian Scenario

• Indians are genetically 3 times more vulnerable
  for heart attack than Europeans
• Indians get heart attack at younger age
• Heart attack is no. 1 killer
• India requires to do 25 lakh heart surgeries a
  year
• India does 65,000 heart surgeries a year

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We do not train adequate number of
cardiologistsUS 800 vs India 80
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Film PG Diploma Cardiology
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Healthcare Industry as an Employment Generator

• 3 trillion dollar industry
• 3rd largest employer
• IT vs Healthcare
• Employment generator for women
• Nursing profession

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Indian Nursing Profession

• Global shortage of nurses
• US requires 5 lakh nurses
• Nurses as foreign exchange earners
• Need for supra national medical-paramedical
  training institutions

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Poor Rural Healthcare

• Lack of doctors, hospitals and equipments
• Average occupancy of hospital bed 35
• 31 medical college hospitals

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Bengal famine was not due to lack of food, it is
the lack of paying capacity - Amartya Sen
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Poor people in isolation are weak, but together
they are strong
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Yeshasvini Micro Health Insurance Scheme

• A joint venture of Karnataka State Cooperative
  Society with private hospitals
• 2003-04 1.65 million members
• 2004-05 2.15 million members
• 2005-06 1.4 million members
• 2006-07 13 million (proposed)

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YMHIS - Benefits

• Medical Consultation 1,15,802
• Surgeries 33,500
• Heart Surgeries - 2600

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All for Rs.5 a month

• Now Rs.10 a month

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Film - Yeshasvini
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Arogya Raksha Yojana

• A joint venture of Narayana Hrudayalaya
  Foundation, Biocon Foundation, Asia Heart
  Foundation
• Group Insurance from ICICI
• Stress on rural clinic

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Health Insurance Indian Scenario

• Insurance companies do not trust the patients
• Hospitals do not trust the insurance companies
• Patients do not trust both
• 8 lakh health insurance policy holders

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Film Rural Clinic
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Rajiv Gandhi Arogya Yojana

• Rural healthcare program for Amethi (UP)
• Sponsored by Asia Heart Foundation, Kolkata
• 16 clinics, 10 are functioning
• Average 70 patients per clinic and Saturday Camps
• Generic Medicines cost Rs.30000 per month
• Greatest weakness is the doctor with MBBS

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Rural Healthcare

• You can never build rural healthcare programs
  depending on doctors with MBBS
• Legalize alternative medicine specialists for
  rural healthcare

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Technology for rural healthcare - Telemedicine

• A joint venture with Indian Space Research
  Organisation
• 99 percent of sick people do not require
  operation
• When you do not need to operate, you do not need
  to touch and when you do not need to touch, you
  do not need to be there
• Decision on treatment is based on history,
  interpretation of images and data, which can be
  transferred with or without wire

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Film - Telemedicine
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Rural Heart care- Mobile Diagnostic Lab
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Film Mobile Diagnostic Lab
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Technology bringing high-tech hearth care to your
doorstepTechnology gives the rich what they
already have in a better shape. But it gives the
poor what they can never even dream of
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Film ECG Network
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Healthcare is expensive because of inefficiency

• Every one is looking for a blockbuster drug, a
  magic pill and a rapid scanner
• No one is working towards bringing what is
  available to the common man
• 100 years after the first heart surgery less than
  8 of the people of this planet can afford it
• Karolinska Institute, Sweden

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Dissociate health care from affluence

• New economic tools
• New policies Group insurance
• Unorganized Sector
• ESI Benefits
• Lopsided Custom Duty
  structure
• Tax holiday for 10 years
• Deemed medical
  universities
• Health Cities Bangalore, Kolkata and Ahemadabad

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Film - Children
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Converting Atoms into BytesReplacing moving
parts with PCB
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Film Digital X-ray
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TRI and Atherovac
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Film TRI Lab
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Future of Medical Education

• Queen Marys Medical School, UK

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Year 2010 India Worlds Largest Mass Healthcare
Provider

• India produces the largest numbers of the doctors
  in the world
• Largest number of nurses in the world
• Largest number of medical technicians in the
  world
• India has largest number of US FDA approved
  pharmaceutical companies

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Of course, by default
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You can choose to curse the darkness or light the
lamp