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ones on achievement of milestones. Collaborations with
emerging market players in China, India and Latin Amer-
ica will also increase.
R
enowned biotech specialist and venture capi-
talist Mr Steven Burrill has revealed his 2011 Biotech and capital markets: The biotech
predictions for the industry. He sees a dynamic LQGXVWU\EHQH¿WHGIURPWKHUHWXUQRILQYHVWRUFRQ¿GHQFH
industry with an environment that favors risk in the second half of 2010. The biotech industry will con-
mitigated companies rather than early stage development WLQXHWRRXWSHUIRUPWKHJHQHUDOPDUNHWVDVWKH¿QDQFLQJ
FRPSDQLHVWKDWKDYHDPXFKKLJKHUULVNSUR¿OH environment continues to improve in 2011.
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pending on healthcare and primary care services, have
among the Organization saved government 25 percent of
for Economic Co-opera- the cost of providing care, accord-
tion and Development ing to project partners interviewed
(OECD) countries and Brazil, for the PwC report. Already,
Russia, India and China (BRIC) competition for private capital
nations will grow by 51 percent be- has prompted governments in
tween 2010 and 2020; amounting Europe, Asia, Africa and South
to a cumulative total of more than East Asia, to establish PPP agen-
$71 trillion, according to estimates cies that are charged with devel-
from PriceWaterHouseCooper’s oping PPP policy recommenda-
(PwC) Health Research Institute. tions, streamlining procurement
Health spending in these areas is and contracting for services.
said to be rising faster than gross
domestic product (GDP), magni- Highlights:
fying gaps in budget deficits and ł By 2020, spending on health
spurring governments, to look to infrastructure among the OECD
the private sector for ways to get a countries and BRIC nations will
better value for taxpayers’ money. increase to $397 billion annu-
ally, up from $263 billion today.
One trend that is emerging glob- However, the larger market for
ally is the use of public-private health PPPs will be in non-in-
partnerships (PPPs) to finance frastructure spending, estimat-
and manage health infrastruc- ed to be more than $7.5 trillion
ture and delivery, and, according annually, up from $5 trillion in
to PwC, growth in this area could 2010.
create a multi-trillion global mar-
ket opportunity for private com- ł Between 2010 and 2020, the
panies and investors, implement a OECD and BRIC nations will
more efficient use of taxpayer dol- spend cumulatively $3.6 trillion
lars, and offer better quality health on health infrastructure and
systems. $68.1 trillion on non-infrastruc-
ture health spending.
In a new report titled, Build and Beyond: The revolution
of healthcare PPPs, PwC says that public health authori- ł Health spending in the US accounts for approximately
ties around the world are increasingly contracting with half of all health spending among OECD nations, but
private entities to manage healthcare services for defined the biggest growth will be outside of the US. According
populations or markets. These PPPs, which have largely to PwC projections, the countries that are expected to
been used for infrastructure finance, are evolving as way have the highest health spending growth between 2010
to slow the rising cost of healthcare and address larger and 2020 are China, where health spending is expected
problems in the health system. PPPs enable public health to increase by 166 percent, and India, which will see a
authorities to maintain oversight of standards while in- 140 percent increase.
jecting private sector efficiency, fiscal discipline, new in-
novation and investment in efficiencies, driven by incen- ł Among OECD countries, health spending as a per-
tives to generate long-term cost savings and improve the cent of GDP will increase to 14.4 percent by 2020, up
quality of public health, according to PwC. from 9.9 percent in 2010. Among BRIC nations, health
spending as a percent of GDP is expected to increase
PwC, which is said to have worked on over 100 health to 6.2 percent in 2020, up from 5.4 percent in 2010 as
PPPs in 15 countries, sees the market growing substan- their economies grow and they build out their health
tially over the next five years, and says that the model has systems. In actual spending, this amounts to a 117 per-
proven to save healthcare costs. For example, partner- cent increase in spending over the decade, with China
ships like Spain’s Alzira project, which includes hospital leading the way in spending increases.