1. 1 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Role of Technology & Innovation in Medical Devices ASSOCHAM Summit on Access to Healthcare: Scaling Up Best Practices Feb 21, 2014 Vibhav Garg Head-Health Economics & Govt Affairs Boston Scientific (India)

2. 2 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Healthcare Challenge India likely to forego $230Bn income in the period 2005-2015 due to heart disease, stroke and diabetes Shortage of 700,000 physicians in India 62Mn diabetics in India, only 15Mn diagnosed Will India get the benefit of demographic dividend? Healthcare burden is huge with serious impact on the economy

3. 3 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 4A Model Ability to pay for healthcare Aware about diseases and treatment Healthcare capacity Medical education for adoption of technology AdoptionAccess AffordabilityAwareness Systemic thinking across 4 A is critical

4. 4 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Adoption Gall Bladder Surgery –Open to Laparoscopic technique Opening of clogged arteries in the heart –CABG to Angioplasty Thousands of workshops/hands on trainings conducted across India with help of experts

5. 5 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Access Telemedicine –Connecting experts with generalists & patients –Diagnosis & treatment Public Private Partnership –PE + Govt Hospitals + Medical Technology players Cutting edge infrastructure supported by PPP is the key to Healthcare accessibility

6. 6 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Affordability Development of low cost devices –Knee implants, Glucometer, Compact ECG machines EMI schemes for medical devices & procedures Medical Insurance –A medical emergency can push APL family to become a BPL family Custom medical solutions covered by requisite insurance can make healthcare affordable

7. 7 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Awareness Newspaper articles on health Medical journals GP awareness programs Professional clubs: Rotary, Lions Awareness meetings with potential patients Screening camps Adoption & Awareness go hand in hand

8. 8 Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally Thank You