HEART SURGERY FOR $800 Dr Devi Shetty MS, FRCS (England) Chairman, Narayana Hrudayalaya Group of Hospitals

80% of national expenditure on health is borne out of pocket

It's not only about healthcare, it's about driving the economy of 21 st century

Jobs for stability Jobs for extremely skilled, semiskilled and unskilled. $ 4.5 trillions. IT > health sector. NHS

Also Largest Employer of WOMEN 29

INDIA WILL BECOME THE FIRST COUNTRY IN THE WORLD TO DISSOCIATE HEALTHCARE FROM AFFLUENCE.

We produce the largest number of doctors in the world We produce the largest number of nurses and med technicians in the world Out side the USA we have the largest number of US FDA approved drug manufacturing units. 7

Indians are genetically 3 times more vulnerable for heart disease than Europeans Younger age We produce 28 million babies a year We produce about 600 to 800 children a day with the heart disease. India need 2.5 million heart surgeries a year. 9

INDIA DOES 120,000 HEART SURGERIES ANNUALLY.

Even 100 years after the first heart surgery less than 10% of the world’s population can afford it. 11

Global Crisis in Healthcare Tax payers money can't pay for it any more 12

Our Govt like the Govt of USA and UK is broke.

Yeshaswini Micro Health Insurance 1.7 million farmers, members of co-op societies 11 cents per month Government as a re-insurer Yeshaswini trust manages the scheme. Poor people in isolation are weak, but together are strong 13

How is it viable with 11 cents??? Only 0.8% of the random population needs surgeries. No fraud - nobody wants surgeries even if it is free Pays only for the surgeries (1650 varieties) No administrative costs 400 network hospitals with under-utilized OT Medical treatment at discount 14

900 million Indians pay about Rs. 150 / month just to speak on the mobile phone. 17

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Telemedicine with ISRO patients have had tele-consultations free of cost 23

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300 bed low cost heart hospital for $6 million, 6 months by L&T Only way to reach beds 25

Dialysis for $ 10 26

Harvard Business School “Cardiac Care for the Poor”

THE WALL STREET JOURNAL THE WALL STREET JOURNAL - THE HENRY FORD OF HEART SURGERY

Daily P&L statement 27

Charity is not scalable. 28

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We fly a 30 year old plane and junk a 7 years old CT scanner. TRIMEDX 31

Hospital Safety 1966 Look Magazine March 22, 1966

2008, STILL A PROBLEM. Forbes Magazine “One in 200 patients who spends a night or more in the hospital will die from a medical error. One in 16 will pick up an infection. Deaths from preventable hospital infections exceed 100,000, more than those from AIDS, breast cancer and auto accidents combined.”

We believe that within 5 years SMART SOFT WARE will make a smarter diagnosis than doctors

We believe in 10 years it will become mandatory for a doctor to get a second opinion from a SMART SOFTWARE before starting the treatment

Experience or inexperience of a junior doctor or a junior nurse can make difference between life and death,but inexperience of the junior pilot doesn't matter to the passenger. IT IS ALL ABOUT EXPERIENCE

NCUMC Artist’s impression 53