Evolution Shift
A Future Look at Today
April 24th, 2013

A Vision of 21st Century Health Care and Medicine

In 2010, I made the decision to write a book about the New Health Age.  Along with my co-author, Jonathan Fleece, we realized that the discussion about health care in America was being driven by fear, ignorance and manipulated by politicians.  Any discussion with these three components is a stupid conversation.  We decided to write an intelligent book to bring some intelligence to the discussion about the future of health care in America.  In late 2011, “The New Health Age:  The Future of Health Care in America” was published.

It was clear to us that certainly the United States and humanity globally, was entering a new age of health care and medicine that we called the New Health Age.  This new age would usher in transformational changes in health care and rapidly approaching medical miracles and that the economics of health care would be turned upside down.  We were clear that this would be a global phenomenon and that it was important to look around the world to see where the future that would be the New Health Age was first appearing.

Well, our research quickly pointed to a true visionary doctor in India. We realized this was significant due in part to the explosion in medical tourism around the world.  To quote directly from “The New Health Age:  The Future of Health Care in America”:

“Dr. Devi Shetty, of Bangalore India, for example, now owns and operates an acclaimed heart institute program, charging in average $2,000 for open heart surgery, while American hospitals charge between $20,000 and $100,000.  Dr. Shetty leads the Narayana Hrudayalaya Hospital where 42 cardiac surgeons performed 3,174 cardiac bypass surgeries in 2008, more than double the cases performed at leading U.S. medical centers in a year.  His pediatric surgeons operated on 2,777 children, again more than double the volume performed at nationally recognized hospitals.




Dr. Shetty did not stop his vision after building his 1,000 bed heart hospital.  Adjacent to Narayana, he build a 1,400 bed cancer hospital and a 300 bed eye hospital.  These facilities share laboratories and a blood bank with the heart institute for efficiencies and cost savings.  Dr. Shetty’s family-owned business group, Narayana Hrudayalaya Private Ltd. Reports a 7.7 percent profit after taxes, which beats the 6.9 percent average for a U.S. hospital.


Soon, Dr. Shetty plans to open a 2,000 bed general hospital in the Cayman Islands, seeing to draw more Americans on a one hour plane ride from Miamia.  He plans to price procedures, both elective and necessary at more than 50 percent below what they would cost if performed in the United States.




How is the quality of care at Narayana Hospital?  Dr. Shetty reports a 1.4 percent mortality rate within 30 days of coronary artery bypass graft surgery, one of the most common procedures, compared with an average of 1.9 percent in the U.S. in 2008.  Dr. Shetty claims that is mortality rates would be even lower if he adjusted the figures for risk, because his patients are often sicker than the average U.S. cardiac patient.  Many of Dr. Shetty’s patients lack access to basic health care and suffer from more advanced cardiac disease before they finally have surgery”

So for the last two years, I have been talking about the inevitability of transformational change in  health care to audiences in the U.S. and Australia.  To make the point, I have consistently said that an American needing a heart bypass surgery could fly to India, have surgery performed by one of Dr. Shetty’s surgical teams, recover, have the family member accompanying them stay in a nice hotel for a month and then fly back to America and it would cost less than going to one of the higher profile cardiac centers in the U.S.  And with a higher probability of living!

There were two reactions to this statement whenever I made it. The first one was that this was incredible and that U.S. health care was indeed overpriced and expensive.  The second was that of course Dr. Shetty could do this as everything is so much cheaper in India.

Why am I writing this?  Because last week while on Grand Cayman Island for a speech I met the small, dedicated and brilliant team that is working with Dr. Shetty to build the hospital we wrote about in the book three years ago.  I actually toured the construction site, which is remarkable in and of itself.

Dr. Shetty and his team wants to show the world that superior, compassionate and dramatically lower cost surgery can be done in the “Western World” with Health City on Grand Cayman.

As a futurist, it was exhilarating to see the New Health Age I have envisioned actually taking shape and becoming a reality.  In the next column I will write more about Dr. Shetty and his vision for Health City.  For now please take a look at what will be one of the most significant institutions of the rapidly approaching future of medicine.

Act Now

In times of global uncertainty and disruption it takes a futurist to provide context and understanding.

Book David
Stay Connected


Sign up for David’s newsletter on Substack


Subscribe on SubStack