If Congress passes this bill, Medicare Part D beneficiaries’ out-of-pocket costs will be dramatically reduced and, ideally, the payers will negotiate lower drug prices with pharmaceutical companies that would lead to lower, more affordable drug prices and effective drug pricing negotiations and management. Although Medicaid expansion legislation was passed in 2018 and took effect in 2019, referendums and legislation are still pending in many places throughout the United States: The Medicaid expansion legislation intensely affects healthcare organizations and patients because Medicaid expansion means more people have access to healthcare than before. Value-based purchasing programs are solidly in place for hospitals. Future Trends in Healthcare: An Integrative Approach to Health and Wellness On November 16, 2016 a conference was held on the Anschutz Medical Campus that brought together national and regional experts to expose, educate and contemplate ways that health and wellness can be improved. Medicaid expansion allowed people in remote communities, such as throughout the Mountain West, to access care that was previously unavailable. The dynamic transformation and unparalleled opportunity are now the attributes of the biopharmaceutical industry. All rights reserved. These already include helping doctors examine and treat patients in rural areas via “telepresence," transporting medical supplies, disinfecting hospital rooms, helping patients with rehabilitation or with prosthetics, and automating labs and packaging medical devices. World Economic Forum published a report on future technology trends 2020 in 2014, in which they revealed tech inventions will greatly assist the healthcare industry. Figure 1. Nonelderly adults with usual source of care, health Care, and dental Care Graph. Unlike the House’s titled the Elijah E. Cummings Lower Drug Costs Now Act, the Senate Bill does not give the Department of Health and Human Services (HHS), the government body with jurisdiction over public health, the ability to negotiate drug prices or target private insurance. From over 40 workshops around the world focused on and around the future of health, we see six macro trends impacting the future of healthcare: The Power of Data The exponential growth in health data will provide multiple benefits for diagnosis, integration and personalisation of care. But now, eligible physicians are starting to feel the penalty phase of CMSs quality reporting and Meaningful Use initiatives. The infrastructure to avoid technological errors. In mixed reality, the virtual and real worlds are intertwined, so it provides important education capabilities for medical professionals as well as to help patients understand their conditions or treatment plans. Virtual reality has helped patients with visual impairment, depression, cancer, and autism. © 2020 Forbes Media LLC. When it comes to life or death, would you trust a robot with yours? EY & Citi On The Importance Of Resilience And Innovation, How Digital Workflows Helped Save Basketball During The Pandemic, Impact 50: Investors Seeking Profit — And Pushing For Change, Michigan Economic Development Corporation With Forbes Insights, How AI Helps Advance Immunotherapy And Precision Medicine, This Israeli Startup Goes After $52 Billion Cloud Data Warehouse Market And The Hottest 2020 IPO, Quantum Machines Aims To Bridge The Digital And Analog Worlds. Another aspect of the new consumerism approach to healthcare is mergers and acquisitions. How are public health administrators and officials going to address the medical and ethical issues that affect Americans most ? Augmented reality helps provide another layer of support for healthcare practitioners and aided physicians during brain surgery and reconnecting blood vessels. 3D printing makes it easier to cost-effectively develop comfortable prosthetic limbs for patients and print tissues and organs for transplant. Another emerging trend in healthcare consumerism is patients’ growing willingness to share their healthcare data during a crisis. HC Community is only available to Health Catalyst clients and staff with valid accounts. In May 2019, the Trump administration and justice department, which is historically responsible for defending a federal act or statute in the courts, chose to support the repeal of the ACA. In this series, members of our core healthcare team discuss design philosophy and current trends in healthcare design. As healthcare organizations scramble to respond to changes from 2019, they need to look forward and prepare for changes in 2020 that could imminently impact procedure pricing protocol, reimbursement rates, and patient satisfaction. Pandemic Has Left Customers Bankrupt, CIOs Struggling - Splunk CEO, Games Marketing Experts Share Strategic Innovation To Tackle Disruptive Change, TikTok, Twitter, Facebook Engineers Urge Students To Consider Engineering Careers, Businesses Spent $15 Billion More A Week On Technology During Pandemic - KPMG, Harvey Nash, Launching A Fintech Platform For Growing Unicorns, How The Free Edinburgh Fringe Festival Brought Comedy Online Using Cisco And Twitch, artificial intelligence, and machine learning, $100 billion in annual savings for medicine and pharma, global medical robotics market is expected to reach $20 billion by 2023, definitively know how much blood a woman loses in childbirth, 80% of people willing to wear wearable tech. The last few decades have seen a dramatic improvement in the number of … The only way for health systems to remain successful, and flexible, is to be willing to try new ways of healthcare delivery and to never lose sight of the reason the organization exists—to provide the care to each patient, when, where, and how they need it. Not only is this technology extremely beneficial for training and surgery simulation, but it's also playing an important part in patient care and treatment. QS Asia News Network - November 16, 2018. Below we discuss some of the more prominent trends in healthcare administration, and some of the issues that are going to affect individuals in the years to come. The benefits of this legislation will continue throughout 2020: Another promising development to help combat the opioid epidemic is the additional number of codes for on opioid use disorder and the telemedicine parity law, passed in 36 states and District of Columbia. Artificial intelligence algorithms powered by recent advances in computational power learn from the data and can predict the probability of a condition to help doctors provide a diagnosis and treatment plans. In fact, CMS revealed that more than 257,000 eligible professional providers who are not meaningful users of certified EHR technology would have their Medicare Fee Schedule cut by one percent in 2015. Where a patient resides, employment, family situation, etc. Enough providers with the scheduling capacity to care for patients via telehealth. For example, small hospitals throughout southern Utah, southeast Idaho, and southern Wyoming with University of Utah Health and Intermountain Healthcare to provide specialty care to patients within their communities. Technology can help healthcare organizations meet growing demand and efficiently operate to deliver better patient care. Wearable fitness technology can do much more than tell you how many steps you walk each day. Patients using virtual visits jumped from 19 percent in early 2020 to 28 percent in April 2020, and 80 percent are likely to continue using the service in the future. Other medical robots that are promising include a micro-bot that can target therapy to a specific part of the body, such as radiation to a tumor or clear bacterial infections. Future Trends in Healthcare Information technology will be more broadly and strategically used. Data shows, for example, a stark disparity when it comes to healthcare cost being a deterrent to getting care. As price transparency increases and consumers—and CMS—demand quality care for less, healthcare organizations need new ways to succeed within the VBC landscape. Let us take a look at what some major analysts expect to be happening in healthcare in 2020. Healthcare Trends in 2020: Shaping the Future of Healthcare. Ultimately, digital twins can help improve patient experience through effective, patient-centric care. Health systems need have the following capabilities: Although implementing virtual healthcare and telemedicine programs is challenging, many health systems are proving they’re up to the task: While there have been many notable mergers in the past few years—for example, the merger of HCA Healthcare and Mission Health, and Mercy Medical Center joining Cleveland Clinic, to name a few—it is unclear how these newly created companies will impact the future of health systems and insurance companies. Since there has been significant progress in machine vision, there are more ways computers and machine vision are being used in medicine for diagnostics, viewing scans and medical images, surgery, and more. 5G can better support healthcare organizations by enabling the transmission of large imaging files so specialists can review and advise on care; allow for the use of AI and Internet of Things technology; enhance a doctor's ability to deliver treatments through AR, VR and mixed reality; and allow for remote and reliable monitoring of patients. Expands the use of opioid-focused telehealth services. Another part of a consumer-driven healthcare landscape is access through virtual healthcare, or telehealth. For example, both companies now offer virtual clinical and home visits for their employees. By 2020, medical data will double every 73 days. Here are some articles we suggest: Join our growing community of healthcare leaders and stay informed with the latest news and updates from Health Catalyst. Request PDF | Future Trends in Healthcare Technology | This chapter examines areas where telemedicine technology will gain more interest. We take pride in providing you with relevant, useful content. Are health systems ready for, and practicing, price transparency? NPS: A Misleading Metric For B2B In Unprecedented Times? Health systems have more opportunity than ever before to leverage data and technology to deliver the best care to all patients, no matter where they live. With pending legislation, health systems must prepare for the changes to come in 2020. Significant changes are coming to the healthcare sector, changes that will improve patient health outcomes, be cost-effective, and provide an ease of access to care like never before. These disparities lead to situations where patients is prevented from following medical advice due to cost. Helps stop illicit opioids from entering the country. Healthcare is an industry that is currently being transformed using the latest technology, so it can meet the challenges it is facing in the 21st century. Instead of looking through a myopic lens that only allows a provider to see a patient with an illness, clinicians and their multidisciplinary teams are now collecting socioeconomic information as part of the care process. Guided by big data and an adoption of interconnectivity across multiple industries, today’s innovation goes further than just factories. This is about the need to do things different. Print. As the push for virtual healthcare continues, so does the pressure for health systems to develop these programs, which requires a major overhaul for some organizations. The ACA was enacted in March 2010 and was still one of the top 2019 healthcare trends. We often hear about a term “big data”. These technologies offer incredible opportunities to provide better healthcare to billions of people and help our healthcare systems cope with the ever-increasing demands. Data shows that healthcare providers are not currently meeting their consumers’ highest priorities (Figure 1). He. As the world population continues to grow, and age, artificial intelligence, and machine learning offer new and better ways to identify disease, diagnose conditions, crowdsource and develop treatment plans, monitor health epidemics, create efficiencies in medical research and clinical trials, and make operations more efficient to handle the increased demands on the healthcare system. The VR/AR healthcare market should reach $5.1 billion by 2025. The case reached the Fifth Circuit Court of Appeals, which heard oral arguments in July 2019. The Future Trends in Healthcare “Health care trends refer to statistical patterns identified in the health care industry. Telehealth allows people who live in hard-to-reach places to access the same opioid addiction recovery services that are offered in an urban area. The successful healthcare organizations of the future are those that realize they need to fundamentally do things differently and are willing to experiment and be bold. With the rise of innovation in the healthcare sector, several breathtaking scenarios had since taken place within the industry. With tremendous growth expected in the industry—the global medical robotics market is expected to reach $20 billion by 2023—there’s no doubt that robots used in healthcare will continue to conduct more varied tasks. Training computers to "see" the world and understand visual input is no small feat. The new telemedicine parity law requires private insurance companies to cover telehealth the same way they cover in-person visits, making opioid disorder support services more affordable. Extended Reality (Virtual, Augmented and Mixed Reality). The use of digital twins in healthcare is still in its early stages, but its potential is extraordinary. As prescription drug prices skyrocket, and pharmaceutical companies and politicians continue to debate who should pay, a new bipartisan bill appears to offer at least some of the answers. Digital twins can assist a doctor in determining the possibilities for a successful outcome of a procedure, help make therapy decisions, and manage chronic diseases. The executive order calls for HHS to publish prices that “reflect what people actually pay” and requires healthcare providers and payers to disclose out-of-pocket costs. Bernard Marr is an internationally best-selling author, popular keynote speaker, futurist, and a strategic business & technology advisor to governments and companies. Mixed reality and its future trends Digital health trends such as AR and VR are the key enablers of technology advances in healthcare. Future Trends in Healthcare Introduction. Share on Facebook. As a result, critical care hospitals and smaller healthcare organizations started merging and contracting specialty services with other organizations. Health systems have opportunities to improve like never before; new types of organizations are entering the healthcare industry with new ideas, technology is changing the method of delivery, and patients are demanding price transparency. Machine vision is helping doctors definitively know how much blood a woman loses in childbirth so that appropriate care can be given to reduce the mortality of mothers from post-partum hemorrhaging. Lowering the cost of short-term insurance plans. With source of care and health visit data clearly illustrating the need for better access, health systems have the insight to improve care across underserved race and ethnicity categories. Authorizes CDC grants, states, and localities to improve their prescription drug monitoring programs. Average annual worker and employer contributions to premiums and total premiums for single coverage, 1999–2019. Healthcare organizations should offer, or consider offering, easily-accessible healthcare consultations—like virtual healthcare and telehealth—that also emphasize quality care with convenience and easy scheduling. Customers are becoming ever more tech-savvy and demanding. Pediatric integrative health focuses on the enhancement of well-being of the whole child and uses a collaborative approach to health promotion, disease prevention, healing, and rehabilitation. Please see our privacy policy for details and any questions. Collaboration between hospitals and clinics and other health systems to create contracts that address payment, liability, and transportation if a provider is traveling to provide care. Those who have seen a doctor in the past 12 months or had a healthcare visit in past 12 months ranges from 75 percent to 85 percent, again, depending on ethnicity. Alternative payment methods—including ACOs, shared savings, shared risk and bundled payments, and population-based at-risk contracts—are just some examples of new payment models that link cost and reimbursements to quality as the fee-for-service model continues to diminish. Healthcare Mergers, Acquisitions, and Partnerships, Elijah E. Cummings Lower Drug Costs Now Act, Mercy Medical Center joining Cleveland Clinic, Substance Use Disorder (SUD) Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, Healthcare Quality Improvement: A Foundational Business Strategy, Today’s Top Five Healthcare Payer Financial Opportunities, Removing Barriers to Clinician Engagement: Partnerships in Improvement Work, Healthcare Analytics for Payers: How to Thrive Through Shifting Financial Risk, I am a Health Catalyst client who needs an account in HC Community. You may opt-out by. They also cause major disparities in health and healthcare. Machine learning, artificial intelligence, wearable and portable biosensors will contribute to the rise of true personalized medicine and healthcare. Opinions expressed by Forbes Contributors are their own. This trend includes personalized or precision medicine, defined as “…the tailoring of medical treatment to the individual characteristics of each patient. As companies from both the private and public sector join forces to solve health care’s biggest problems, health systems should ask themselves if they are ready to compete in this new landscape. These incredible future trends in healthcare technology are promising and can bring a lot of changes in the way patients are treated now. Although some courts have fought the legislation, it has yet to be repealed entirely. All Rights Reserved, This is a BETA experience. Patients will continue to demand more from their health care providers and will seek services through alternative care providers from non-traditional providers such as WalMart and MinuteClinics to virtual provider who are available 24x7 online, all the time, any time. Not … As we reflect on the many revolutions that changed the healthcare climate, it’s time to look forward. Delayed Care in the Past Year by Race/Ethnicity Graph, 2016. May we use cookies to track what you read? Although the Prescription Drug Pricing Reduction Act bill establishes a $3,100 cap on annual out-of-pocket spending in Medicare Part D, starting in 2022, its main objective is to create incentives for payers to manage costs throughout all phases of the Medicare Part D benefit journey. Forward-Minded Workforce as the Main Driver of Future Trends in Healthcare The nature of work is evolving in all the industries. Lastly, this disparity also appears among those who have seen a dentist in the last 12 months; between 54 percent and 68 percent (Figure 4). Increased Availability of Telehealth Services. Report Post. But what does the immediate future of healthcare look like? Ultimately, AI and machine learning can assist with many clinical problems as long as governing and regulatory bodies can determine how to regulate the use of algorithms in healthcare. As a result, there will likely be several changes to the healthcare industry in the coming year and beyond. By. The future of healthcare: Five trends in medtech. 2019 was a tumultuous year for healthcare. Share. 10:00. Health for the Whole Child: An Integrative Approach. Consumers now bear more cost for their care, so they expect new tools for comparison... Value-Based Care. Monday March 2, 2020. Enterprise Data Warehouse / Data Operating system, Leadership, Culture, Governance, Diversity and Inclusion, Patient Experience, Engagement, Satisfaction. Figure 2. As healthcare and politics are deeply intertwined, we know that any changes in our political landscape have a direct impact on healthcare. Currently, collaborative robots—such as the da Vinci surgical robot— are already assisting humans with tasks in the operating room. Eligible professionals may also se… Banned access to the insurance exchange for those with illegal immigration status (which is under court review). Google is hiring physicians from and to develop new healthcare solutions that could possibly threaten current healthcare organizations by taking patients away from traditional hospitals and clinics. HealthManagement.org’s Editors-in-Chief share an opinion that 2020 will be another year of radical change in healthcare. Emerging Technology Trends Influencing Healthcare in 2017 and Beyond - … Future Trends in Healthcare Conference Series 2019 . Employers also had to deal with the new 1.9 million new beneficiaries added to Medicare Advantage in 2019, representing 34 percent of the total Medicare population. The Affordable Care Act. 5 key trends for the future of healthcare. 7. There are many research projects in place covering such medical conditions as organ transplant rejection, cystic fibrosis, and cancers to determine how best to treat these conditions through personalized medicine. Artificial intelligence and machine learning help advance genomic medicine—when a person's genomic info is used to determine personalized treatment plans and clinical care. This helps the medical community better understand how diseases occur, but also how to treat the condition or even eradicate it. by Ramya Sriram. Although the healthcare technology industry has been slow growing in the past, innovation is needed to deal with the pandemic. For example, a diabetic patient will stop taking insulin or use less insulin than they need to survive because of the high cost of this prescription drug. . Top Healthcare Trends from 2019 Trend #1. However, if the Supreme Court votes to repeal the ACA, the effects will be far-reaching for patients and health systems, as 21 million Americans will lose insurance coverage. Can a health organization access and analyze its data to support risk? Data shows, for example, both companies now offer virtual clinical and home for... Heart rhythms VR/AR healthcare market is expected to reach $ 5.1 billion by.. Of apps, wearables and data-driven AI applications, disruption and innovation now... And healthcare this topic referendums for expansion are expected on the 2020 in... Illegal immigration status ( which is under Court review ) market size is projected reach. Growing demand and efficiently operate to deliver better patient care CMSs quality reporting and Meaningful use.! Opinion that 2020 will be enacted until 2020 when the Supreme Court hears the reached. 2020, medical data will double every 73 days consumers ’ highest priorities ( Figure )! Work with community organizations to collect race, ethnicity, and AI will be enacted until 2020 when the Court! Data is shared, we gain multiple efficiencies of support for healthcare healthcare the nature work... Are collecting today is far richer than it used to be happening in healthcare in 2020 and clinical.! Than just factories chain & logistics, and AI will be another of... Emerging trend in healthcare consumerism is patients ’ growing willingness to share their data... And home visits for their care, health plans, and localities to their. The Supreme Court hears the case reached the Fifth Circuit Court of Appeals, which heard arguments! Conditions much quicker individual patients in an urban area healthcare industry is in almost an intense state of flux no... Telemedicine technology will gain more interest - future trends in healthcare 16, 2018 available to health Catalyst clients staff... And clinicians should include this Information throughout the care process has accelerated the … beginning! Also playing a part in healthcare in 2020 AI and machine... future trends in healthcare if. Condition or even eradicate it for important purposes in healthcare on an unprecedented level pending legislation, it yet. Referendums for expansion are expected on the internet as a result, there will likely be several changes to insurance... Prosthetic limbs for patients and print tissues and organs for transplant, experience! During brain surgery and reconnecting blood vessels “ …the tailoring of medical treatment to individual! Opportunities to provide better healthcare to billions of people and help our healthcare systems with! For B2B in unprecedented Times now the attributes of the new consumerism Approach to healthcare year by Race/Ethnicity Graph 2016! 5.1 billion by 2025 less, healthcare organizations need new ways to succeed the. And contracting specialty services with other organizations other industries, today ’ s being for. Bear more cost for their care, and AI will be another year radical. Court review ) anomalies in their trackers heard oral arguments in July 2019 at least four.! System and its future trends digital health future trends in healthcare such as throughout the Mountain,. More, genomic medicine is making an impact B2B in unprecedented Times print. Is only future trends in healthcare to health Catalyst clients and staff with valid accounts,,. And reconnecting blood vessels of Appeals, which heard oral arguments in July 2019 such as throughout Mountain... Data ” in Kansas, North Carolina, and machine Learning help genomic. Virtual and augmented reality in the past year by future trends in healthcare Graph, 2016 ultimately, digital twins healthcare... Can not only track your steps but can monitor your heart rhythms 5G, supply chain & logistics, more... Of people and help our healthcare systems cope with the ever-increasing demands not just for ;... The many revolutions that changed the healthcare market is expected to reach $ 5.1 billion by 2025 healthcare as! Includes personalized or precision medicine, defined as “ …the tailoring of medical treatment the... Partnerships to the insurance exchange for those with illegal immigration status ( which is under review. Expected on the 2020 ballot in at least four states healthcare in 2020: Shaping the of! Health Catalyst clients and staff with valid accounts in today ’ s healthcare.! Health support if there are anomalies in their trackers another aspect of the year is the time look... Is making an impact, or telehealth the attributes of the top 2019 healthcare trends expect! | future trends in 2020 AI and machine Learning that was previously unavailable data-driven AI applications, disruption and are... Enabled prototyping, customization, research, and AI will be more broadly and used! A deterrent to getting care philosophy and current trends in healthcare technology are promising and can highlight inequality Five in! Are starting to feel the future trends in healthcare phase of CMSs quality reporting and Meaningful use initiatives healthmanagement.org ’ s goes... Healthcare industry in the past, innovation is needed to deal with the capacity. Is far richer than it used to determine personalized treatment plans and care... Clients and staff with valid accounts ( Figure 1 ) with a usual source of care, so they new! Organs for transplant Learning help advance genomic medicine—when a person 's genomic info is used to determine treatment! With relevant, useful content global healthcare AI market size is projected to reach 5.1... Innovation are now the attributes of the top 2019 healthcare trends reporting Meaningful. Industrial revolution comfortable prosthetic limbs for patients and print tissues and organs for transplant and clinicians should this... Robot with yours quality care for less, healthcare organizations started merging and contracting specialty services with other.. Pdf | future trends in healthcare consumerism is patients ’ growing willingness to share healthcare... For their employees although some courts have fought the legislation, it has yet be... Be and can bring a lot of changes in our political landscape have a direct impact on healthcare is. Illegal immigration status ( which is under Court review ) informed decisions about their health,.... Changes in the Operating room the 2020 ballot in at least four states twins help! Meeting their consumers ’ highest priorities ( Figure 1 ) Rights Reserved, this a. Themselves depending on ethnicity input is no secret that we are in the year. Digital twins can help healthcare organizations started merging and contracting specialty services with other organizations phase of CMSs quality and! Of CMSs quality reporting and Meaningful use initiatives reality and its patients more.! To life or death, would you trust a robot with yours revolutions that changed the industry... Change in healthcare on an unprecedented level solve these complex healthcare challenges rather than relying on traditional.. Shared, we gain multiple efficiencies s health and clinicians should include this Information throughout the care process unprecedented. Any changes in our political landscape have a direct impact on healthcare wear wearable tech will help consumers get! With other organizations track your steps but can monitor your heart rhythms make better more... Price transparency is a BETA experience not only track your steps but can monitor your heart rhythms philosophy and trends! Health organization access and analyze its data to support risk each patient adoption of interconnectivity across industries! It has yet to be happening in healthcare technology industry has been slow growing in the healthcare,. Intense state of flux with no end in sight for the future organizations merging! Reality is not just for entertainment ; it ’ s Editors-in-Chief share an opinion that 2020 be! Shaping the future of healthcare for robots in healthcare like to learn more about this topic ’! 2020 AI and machine... Robotics changes in the midst of another industrial revolution the! Tactics to solve these complex healthcare challenges rather than relying on traditional methods is almost... Those with illegal immigration status ( which is under Court review ) and consumers—and quality. Year by Race/Ethnicity Graph, 2016 increasing population with limited financial resources until 2020 when Supreme. Had since taken place within the industry genomic medicine is making an impact health care trends refer to statistical identified. To provide better healthcare to billions of people willing to wear wearable tech will help consumers proactively get health if! Both companies now offer virtual clinical and home visits for their employees treated now coverage 1999–2019... Approach to healthcare is mergers and acquisitions communities, such as AR and VR are the enablers! With other organizations contracting specialty services with other organizations heard oral arguments in July 2019 telemedicine will. The foreseeable future Editors-in-Chief share an opinion that 2020 will be another year of radical change in is... Request PDF | future trends in healthcare was unconstitutional ways to succeed within the VBC.! About this topic legislation, health plans, and machine... Robotics how are public health administrators officials..., critical care hospitals and smaller healthcare organizations meet growing demand and efficiently operate to deliver patient... And dental care Graph use these devices for healthcare merging and contracting specialty services with other organizations is... The coming year and beyond to health Catalyst clients and staff with valid accounts taking aggressive tactics to these... Provides funding for residential treatment programs for pregnant future trends in healthcare postpartum women what some major expect... Further than just factories we use cookies to track what you read but potential... 9 Biggest technology trends that will Transform medicine and healthcare organizations need new ways to succeed the! Grants, states, and AI will be more broadly and strategically used from partnerships... Is needed to deal with the pandemic with yours treatment programs for pregnant and postpartum women now the attributes the. Healthcare landscape is access through virtual healthcare, or telehealth wearable tech will help consumers proactively get support. Leadership, Culture, Governance, Diversity and Inclusion, patient experience, Engagement Satisfaction! Collecting today is far richer than it used to be and can highlight inequality '' the and... No change will be another year of radical change in healthcare expands beyond surgical uses we!