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MICRO FOCUS<br />

DR. EDUARDO P. BANZON<br />

SENIOR HEALTH SPECIALIST ASIAN<br />

DEVELOPMENT BANK, FORMERLY<br />

PRESIDENT AND CEO OF PHILIPPINE<br />

HEALTH INSURANCE CORPORATION<br />

(PHILHEALTH)<br />

Asia is aging faster than Europe did – this is<br />

closely intertwined with the rise of NCDs<br />

Q&A<br />

QUESTION Is the epidemiological<br />

transformation happening<br />

at an unprecedented rate in Asia?<br />

How many countries in Asia<br />

are close to realizing<br />

universal health coverage?<br />

Private providers seem to play a<br />

far greater role in Asia than in<br />

developed countries.<br />

By 2050, Asia should be far<br />

richer and certainly far older<br />

than today. How do you imagine<br />

healthcare being delivered then?<br />

That is a strong vision.<br />

ANSWER The change is fast, but as you would expect. The increase in deaths<br />

relating to air pollution, for example, has been rapid, but if the equivalent data was<br />

available I don't believe it would be different to when the Europeans began to<br />

industrialize. It is just that we have more of an idea of what people are dying from<br />

today. The main difference is that Asia is aging faster than Europe did and that is<br />

complexly intertwined with the rise of NCDs.<br />

Objectively measuring countries is part of the challenge we face. I cannot say a<br />

particular country has reached a particular level of universal health coverage<br />

(UHC). Japan, Singapore and South Korea are clearly in great positions. All I can<br />

provide for the others is anecdotal evidence that, for example, Thailand is doing an<br />

outstanding job in ensuring sick people are not impoverished, or that Sri Lanka is<br />

making great advances with limited resources.<br />

Many countries acknowledge private providers are part of life when we talk about<br />

UHC. Governments are mobilizing a lot of revenue for healthcare funds but they<br />

focus on purchasing and regulation to cover all citizens, not on service provision.<br />

The insurance funds provide incentives to both the public and private sectors as<br />

this allows for far greater flexibility and faster responses than when governments<br />

operate health facilities on their own.<br />

I believe if Asia experiences the growth projected, there will be many billions more<br />

consumers driving the personalization and commoditization of medicine. The<br />

result will be a networked, technologically-advanced care system, where a<br />

pinprick can reveal much about your health. This could be monitored remotely, so<br />

the elderly remain at home but are not a burden on families. Health workers<br />

would function as a response team whenever an emergency arises.<br />

It may sound far-fetched, but I am an optimist and it would get us away from the<br />

stepladder type of referral healthcare systems that now exist.<br />

45 Allianz • Allianz • 45

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