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OPENING BELL<br />

BRIGITTE MIKSA<br />

Head of International Pensions<br />

CHANGING DYNAMICS<br />

“The first wealth is health,” claimed American poet<br />

Ralph Waldo Emerson. It is a sentiment that many in the rapidly<br />

growing economic region of Asia can share<br />

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Despite increasing riches, many people are<br />

realizing that wealth is a poor substitute for<br />

good health. Increasingly, as Asia develops, it is<br />

adopting the disease profile of the West.<br />

Sickness and death by communicable diseases,<br />

such as cholera and typhoid, are giving<br />

way to those caused by non-communicable<br />

diseases (NCDs), such as cancers, heart disease<br />

and diabetes.<br />

This is partially a good-news story. The<br />

diseases and pestilences that killed people at<br />

an early age are being subdued, which is<br />

allowing Asians to enjoy the benefits of a ripe<br />

older age. But as societies in the region grow<br />

older, their populations are increasingly<br />

succumbing to the chronic diseases that<br />

cause so much pain, suffering and death in<br />

the developed world.<br />

The shame of it is that much of this is<br />

preventable. Unhealthy diets, lack of physical<br />

exercise, tobacco use and harmful drinking,<br />

all greatly increase the risk of NCDs. The<br />

Western world is still grappling with how to<br />

combat this growing plague, but for Asia the<br />

matter is assuming ever greater urgency. The<br />

region is aging at the fastest rate in history<br />

and, consequently, undergoing the fastest<br />

epidemiological transition as well.<br />

This will place healthcare systems still<br />

grappling with the implementation of social<br />

care under increasing pressure. Urgency,<br />

flexibility and creativity will be required to<br />

tackle NCDs, so that in the next decades<br />

billions of people can benefit through longer,<br />

higher-quality lives.<br />

Insurance will also play an important role<br />

in this. The growing Asian middle class, which<br />

will be the key driver of global consumption<br />

in the future, will see health insurance as an<br />

important purchase, along with consumer<br />

goods and education. But for it to meet the<br />

needs of clients in Asia, insurance will need to<br />

develop new models and new delivery methods,<br />

some of which we explore in this edition.<br />

Yours sincerely,<br />

Brigitte Miksa, September 2016<br />

Allianz • 3

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