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What will be the future of the health professional
A.P. DANSO
THE TIMES
• The Times that we live in – difficult times . • In difficult times it is easy to combat the • Now • And go through the • PRESENT • AND forget the • Future
Strategic life plan
• Every human being needs a stategic life plan
• But not everyone has it
• The Majority do not have it .
What is a strategic life plan
• A map of your goals
• And to quote Jack Canfield this must be
• Specific • Measureable • Achievable • Realistic and • Time bound
Specific
• Food and shelter and family upkeep • Roof over the head
• Upkeep of family
• Retire as a simple average citizen
Measurable
• After 30-40 years of Practice my pension will be xyz
• With that I shall live comfortably
• Forty years after looking after patients I shall be able to look after myself both as a RETIREE and as a PATIENT !
ACHIEVABLE
• I will work hard to be able to achieve an average simple life style
• retire in dignity
• And in peace of mind
Realistic
• To be able to live above the poverty line
• Educate children in good schools
• Live reasonably well
• Live without financial stress –fear of the failure to achieve the above
TIME-BOUND
• Is the medical professional able to say after forty years of service to the community
• I AM RETIRING PEACEFULLY WITHOUT
STRESS .
The real QUESTION?
• CAN THE MEDICAL PROFESSIONAL SAY SO TODAY ?
• I am retiring ( at what age ? )
• With financial security ?
LESSONS LEARNT ?
• Unless a shift is obtained , the profession will continue to be :
• UNATTRACTIVE TO PROSPECTIVE YOUNGSTERS
• AND THE FUTURE LOOKS BLEAK . • OUR SPECIE WILL BE EXTINCT
WHAT HAVE WE LEARNT FROM HISTORY
• World wide the pre-war health care system was built around the
• SOLO PRACTITIONER
• The sick person received a doctor’s service and was paid by patient out of his pocket .
• The hospital was a primitive institution offering hotel service
What have we learnt from history ?
• A certain amount of equipment unavailable at the doctors office was in the hospital
• Doctor were spread throughout their countries and they tended to be wealthier
• So they could also exert political pressure on the political system
What has history taught us ?
• In our country ZIMA was the voice of the Nation’s doctors
• It has power , it had clout
• TODAY IT IS DIFFERENT .
• THERE IS A BIG SHIFT
What has history taught us ?
• Today there is a steep decline in the role of the solo practitioner both in delivery of medical care and in
• Medical power structure • The solo practitioner is no more at the heart
of the new system WORLD WIDE
WHY THE SHIFT ?
• Why the shift of the centre of the medical gravity ?
• Because of change in Technology
• Because of change in Financing
• Because of change in Prestige structure of the medical profession
A NEW SYSTEM
• With expanding technology of patient care , doctors can’t stock their offices with Laparoscopic towers , Robotic towers and other expensive new tools .
• Technology has made hospitals very important • But it is actually the growth of health
insurance plans which have even given more prominence to hospitals
A NEW SYSTEM
• Doctors depend on hospitals , • Hospitals have become dependent on large
university Centres • And Research centres • Universities are changing faces for example
the UZ will have to affiliate or adopt private institutions to help train Radiologists / Endoscopists etc .
THE EMPIRE
• MEDICAL EMPIRE =health commodities , Technology and Equipment Industries
• Doctors • Patients • Institutions =hospitals and med schools
So what has happened
• After 30-years of practice , where will you be? • Can you retire peacefully ? • Have you cushioned yourself properly
financially ? • Can you afford an average lifestyle ? • Do you have a retirement INCOME ? • Can you make ENDS MEET ??????????• Compare with the other mates at university !!!!
Medical empire
• So the solo doctor cannot remain the EMPEROR . ( cannot dictate )
• The patient is not the EMPEROR • The funder is not the EMPEROR • SO WHO IS THE EMPEROR
What does the future hold
• Group practices • Small units of investment groups • Learn to invest in Service –medsolve , west End
clinic etc • BUT ABOVE ALL LET US HAVE A GLOBAL AN ALL
ENCOMPASSING ZIMA LED ANNUITY FUND? • Don’t chase money , Money follows only one
thing !!!!!. Let us plan together .
For the individual
• Our hope is a big general ANNUITY FUND
• Aertze kammer as obtains in Germany Old mutual could help us out . Otherwise the future remains BLEAK for the solopractitioner .You can’t save enough for a very stress free
future !!!
The art of living
• The art of living is not the how you started it
• But is buried in a SECRET !!!
• HOW you finished it .
• Vita non vitanda sed vivenda