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Well from a US perspective generally speaking, the US healthcare system is extraordinarily a fragmented system.
Ultimately we’re going to have to deal with the questions of cost and quality, and one of the issues we have around that is essentially the way its centres are built, so today its centres in the system in the US essentially reward volume, so the more you do, the more money you make, and every individual actor in the system if you will, all the players in the eco system get their small fair share of the take.
So the idea is that you need to incent the right behavior, and the way that you do that is you design a system that rewards quality, outcomes in particular, and rewards efficiency.So you have a very efficacious and efficient system.
You then fully integrate that between the financing, the delivery - and delivery means all of the individual players in the system, physicians, hospitals, post-acute care players - and then ultimately it’s our perspective that not only will the payers and the providers come together to form what we call accountable care organizations, but also the suppliers will be become part of that, suppliers being primarily pharmaceutical and life science companies, where they have products, obviously, that are designed to increase quality of the outcome, and in a cost effective way. Up till now, all these different segments of the eco systems have been, if you will, disintegrated, very fragmented, the system is now consolidating, the players are converging, and the new order is going to change the way health care is delivered, paid for and accessed on a global basis.
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