From Al Jazeera
This is a series of features, a 1 hour documentary of Indian Hospital. The main feature of course is Dr. David Shetty, a cardiac surgeon, and philonthropist who may have revolutionized the modern hospital system. His vision is that of Walmart of the hospital business or Henry Ford. Can he bring his system of cheap cures to the world?
Some of the important features of the hospital; Naraynana Hospital are:
1. Economies of scale. Ordering more, buyers clout due to more patients drive down costs.
2. Help desk. No patient is turned down on account of his capacity to pay:
1. Govt help is obtained;
2. Foundations that help patients are solicited;
3. Creating account for private, small donors
3. Partners - Dr. David Shetty partnernered with a Japanese supplier to have hemodialysis price driven down to $10.00 per session (about P400.00 vs P2,000 minimum here in the Philippines (1/5 the cost)
A vision for a global healthcare
Dr. Shetty says that the 20th century was driven by machines; the 21st century will be driven by health care. India produces the most number of health care workers in the world, and most number of pharma firms outside of US. The missing link is the financial part, the affordability of patient to pay such health care.
One solution is micro insurance. Dr. Shetty established the Yeshaswini micro insurance of just $0.11 that can cover the cost of one heart surgery or over 1,000 other surgeries. He suggests that it is easy to add $0.18 to monthly cell phone bill to be part of health insurance. He says that the govt must shift from health care provider to one of health insurance provider.
It is possible to roll out this concept world wide. We need more facilities to train health care workers and hospitals. WHO estimates shortage of health workers to be 4 million but he believes it is more than that.
The complete article:
Showing posts with label Dr. David Shetty. Show all posts
Showing posts with label Dr. David Shetty. Show all posts
Tuesday, February 25, 2014
Saturday, November 9, 2013
Are there MDs just like Dr. Devi Shetty and Dr. V of India (and Dr. Carlos Naval in the PHL?)
From Cheapcures August 21, 2013
While the rest of the Western World have escalating health care costs, MDs and pharmas in India have strived to keep health care cost down. An eye operation in Aravind Hospitalcan cost as little as $5.00 which includes the lens. They now have their own lens manufacturing facility. The vision of Dr V was to make Aravind hospital the McDonald of cataract surgery. They have done millions of cataract surgery. In the PHL, there is moderate cost of cataract operation. But it can even be brought down as Dr. Carlos Naval of Galileo Surgicenter has proposed. In his hospital, the goal is to give operating hours to residents who would like to be eye specialists. Thus if you are in the list of those who get budget operations, you cant choose the doctor who will operate on you.
Costs can be brought down, as Dr. Shetty and Dr V have suggested by using the principles of mass production and economies of scale. All items cost in the health care system can be brought down: linen, gloves, needles, medicines, and staff. Thus, as was proposed even by Dr. Naval, their OR nurse was the Centers optometrist. She does record keeping and hands instruments. This solves the problems of migratory nurses (partly solved due to the over supply of nurses now) Dr. V/Aravind hospital trains high schools graduates to be the centers/hospital nurses. They cost less.
Dr. Devi Shetty on the other hand can have open heart surgery/bypass for as little as $1,500 (vs $25,000 in MM hospitals in the PHL and in Davao, PHL, it can be 1/5 of the MM costs). Health care costs in US are staggering. The same procedure can cost over $100,00 - from Health Impact News
From Dr. Joseph Mercola
Some solutions are:
1. Cross subsidy;
2. Fixed salary for a certain number of operations for the MD, 100% fees beyond a target;
3. Caps on procedures;
4. Political will. Health care is not pure business, but a social issue.
5. Taxing the doctors.
6. Re molding the mindset of MDs. MDs want to be MDs now, not for service for profit and good life: MB, BMW, Audi, travel abroad, condos etc.
Aravind Hospital
Dr Carlos Naval (was an MBAH student at a GSB)
While the rest of the Western World have escalating health care costs, MDs and pharmas in India have strived to keep health care cost down. An eye operation in Aravind Hospitalcan cost as little as $5.00 which includes the lens. They now have their own lens manufacturing facility. The vision of Dr V was to make Aravind hospital the McDonald of cataract surgery. They have done millions of cataract surgery. In the PHL, there is moderate cost of cataract operation. But it can even be brought down as Dr. Carlos Naval of Galileo Surgicenter has proposed. In his hospital, the goal is to give operating hours to residents who would like to be eye specialists. Thus if you are in the list of those who get budget operations, you cant choose the doctor who will operate on you.
Costs can be brought down, as Dr. Shetty and Dr V have suggested by using the principles of mass production and economies of scale. All items cost in the health care system can be brought down: linen, gloves, needles, medicines, and staff. Thus, as was proposed even by Dr. Naval, their OR nurse was the Centers optometrist. She does record keeping and hands instruments. This solves the problems of migratory nurses (partly solved due to the over supply of nurses now) Dr. V/Aravind hospital trains high schools graduates to be the centers/hospital nurses. They cost less.
Dr. Devi Shetty on the other hand can have open heart surgery/bypass for as little as $1,500 (vs $25,000 in MM hospitals in the PHL and in Davao, PHL, it can be 1/5 of the MM costs). Health care costs in US are staggering. The same procedure can cost over $100,00 - from Health Impact News
From Dr. Joseph Mercola
Some solutions are:
1. Cross subsidy;
2. Fixed salary for a certain number of operations for the MD, 100% fees beyond a target;
3. Caps on procedures;
4. Political will. Health care is not pure business, but a social issue.
5. Taxing the doctors.
6. Re molding the mindset of MDs. MDs want to be MDs now, not for service for profit and good life: MB, BMW, Audi, travel abroad, condos etc.
Aravind Hospital
Dr Carlos Naval (was an MBAH student at a GSB)
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