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Covered by that system and thats a big source of its national relative failure and its its to other countries and then when the expenditure takes place when hospitalization to it is quite bureaucratic in spite of the pain and there are things within the system that dont necessarily push the direction of efficiency is there anything. To recommend about the u. S. System of health care is going to hit anything that anyone else should be looking to replicate thats a really interesting point i mean at that at the very start where the best in the u. S. Its actually to the best of the maps the globe if you need the top quality treatment of some sort or other you know it can often be found in the u. S. But you can and one of the things to take out of this story is actually that for relatively lower levels of money you can actually a cheap pretty high success so one of the projects sort of highlighting the huge amount of expenditure in the u. S. Is it coming out and. Im assuming you need to spend lots and lots and as you know theres a push to create universal how to cut rich basic package and actually you can achieve a lot with a lot less money in the u. S. The World Health Organization says that 371000000000. 00 or 58. 00 a person per year is all or all it will cost to get health care to low and middle Income Countries what kind of care does that provide and is is that even feasible is anyone willing to pay to pick up the cost. Well theres 2 things the 1st thing is to get this whole thing in perspective you quoted. Well were in a Global Economy of 80 plus trillion dollars so when we talk of 3 or 400000000000. 00 it sounds like a lot but its actually only a fraction of one of those 1000000000 or that one of those trillion numbers so its actually as a percent of the global g. D. P. Its a fraction of what the sat the 2nd thing is that the push to create universal Health Care Coverage and the numbers you talked about per capita thats for a very sort of basic package and one of the things that thats been going on of our spiral 10 years is has been measures to try to actually make it that many cultures can afford that package one of the things that perhaps 10 years or so ago we realized that it was important to get right is that you know theres a lot of tax revenues out there theres a lot of Economic Activity going on thats thats thats not so its fair whack so one of the things that the w. H. O. And the world bank and others have been analyzing and trying to understand is is the source of its revenue we have actually trillions of dollars of resources that dont find its way into the mechanisms that actually act we know that in the very force countries of war there will need to be a time where rich countries cant do it and the numbers are they sound a lot but theyre quite small if you think of i started the process if you think of the number you just quoted relative to the cost of the afghan years ago its family trivial and the other thing about the numbers you just quoted is that in terms of Health Impact on the poorest one of the the terrible things about it is its often the most vulnerable its the even harder get access to cash when they need it and one of those sort of cheers as it were is that when you need Health Expenditure when youre in a very poor. And somethings gone wrong in the family. Your counterpart for getting Good Health Treatment because you cant quickly or retina get hold of the cash so a large chunk of the initiative to create these programs for universal hacker alcan coverage is to make it that people in the past it in many cases conjugate so there are schemes in which even very poor people put something every now today and that gives them some sort of automatic right to some sort of access so its not just rich people and money and its its richer countries and towards the very poorest for a period of time and its really good to talk to im counting the cost many thanks indeed for being with us thank you my pleasure and. With the trillions spent on health care it should come as no surprise that investors are trying to crack the industry with new tech related products the Global Digital Health Care Market is expected to hit 504000000000 dollars by 2025 according to Global Market insights and the health tech wearable market which includes your smart watch trackers could be worth 60000000000. 00 by 2023 Juniper Research estimates. All right so lets talk health check with george davis whos the director of hambro parks george good to have you with us on counting the cost why is the Health Care Industry the least receptive of industries to Technological Developments well i wouldnt say is the least receptive i just think that it does face some challenges Global Health care is a huge part of global g. D. P. But of course a great deal of it is provided by governments and legacy systems so change and innovation does take time that being said i think were seeing a huge proliferation of start up businesses and innovative Business Models in the space and i definitely think that over the long term well see absolute transformation particularly as you see Large Businesses like google and apple entering the space as well as new startups and more established players who are now spending more and more time thinking about changes to the system so id say over the long term were going to see dramatic shifts at this point perhaps healthcares lags somewhat but i dont think that will be the case over the long term ive used a Company Called thrive 2 for Blood Analysis its a i did i did the test at home sent it off fantastic google results but i suppose the biggest challenge for Companies Like them it is data how do you store it what do you do with it and the potential for misuse yeah im familiar with rover its a really interesting business a Great British innovative startup actually. Data storage is obviously one of the challenges that Health Tech Startups face because both because of regulator issues but also because of the expectations of consumers who are increasingly i think aware of the challenges around the data that they give away both consciously and unconsciously to to big businesses i do think this is a challenge for earlier stage Health Care Businesses because theres a lot of cost involved and theres a lot of trust involved in the in the minds of consumers i think that often comes from more established players from the role of government that being said i do think those. Challenges are definitely possible to overcome for startups as long as they obey the rules and use the services that are available to them i think they can absolutely resolve it and what i would say on the other side of the equation is that the power of big data in healthcare to really change the way we diagnose and treat in the cities and also long term conditions is one that a lot of businesses are definitely looking to harness thriver being a good example and so i think we need to be conscious as consumers that there is a trade off but we need providers of services to be very clear with us what theyre going to do with our data what data theyre storing and how and build that trust over time to catch that opportunity. One of your products is smart t. M. s a mental Health Treatment for depression helping patients with severe Mental Health illnesses now that from medical point of view is is an area that requires a lot of skill in terms of managing patients out how does it work so trans smart to mess is a as a non invasive treatment for Mental Illnesses and challenges that people face and thats obviously a massively growing sector importantly it does not it is not a chemical solution to the challenges that people face so and we wouldnt say that there is as an investor we wouldnt say that there is one solution to those challenges at all its absolutely a challenge that at the consumer level people will have Different Things that work for them this this effectively uses magnetic stimulation to change patterns in in brain behavior and can address a number of challenges depression anxiety and erect sirrah whole bunch of issues that people face and i think as we move into a phase where people are more accepting and open about the Mental Health challenges that people face and that is absolutely a good thing i believe and something that will increase overall social well being in societies i think you need a suite of these opportunities this business that weve invested in is growing very rapidly in the u. K. And it is a really powerful innovation but it wont be the only one and you need to take a case by case basis as to to what the right one for for specific uses is now with a shortage of 7000000000 doctors worldwide ada health hopes that it can fill the gaps that would reach parts of the world where health care is something of a lottery right now headquartered in berlin its developing and trialing its app aljazeera is economics editor of at least spoke with ada c. Daniel nath rough and asked how 8 or was different to people googling their symptoms youre completely right 8 out of 10. People google themselves for an example and germany where im from the thing with google is its a great tool for generalized information search but the results are not personalized to the user and theyre not actionable because google doesnt know enough at that point in time about the user aid of works in contrast to that very much like a Whatsapp Chat with a trusted Family Doctor that you have access to 247 except that in this case the Family Doctor is not human but its an Artificial Intelligence that supports you in finding out whats wrong with you and what you should be doing next and where have you deployed this off the soft when are you working with Health Professionals or services. So ada has been launched basic mean all countries in the world where there is an app store or a Google Play Store which meets over 150 countries and it has become the number one ep in the medical category in the app store in 140 countries and we do have partners that we work with for instance with a Large Health System in the u. S. Called Sutter Health in the way on the west coast we also work with some of the Largest Health insurers in germany and there are medical professionals and some of the leading medical institutions in europe who are using our doctor facing software and what is the reaction of those Health Professionals actually the reaction of Health Professionals to ada is very positive. I was expecting at least some of them to be a little bit skeptical and i was wondering whether some of them would say you know is this kind of a threat to my job but thats not the case at all the real Health Professionals once they realize that ada is actually very accurate they really appreciate the support it gives them in getting to the right diagnosis foster whats the backbone of the technology i mean how do you get the ai to read through medical textbooks saw what d. D. Has been around since 2011 and the 1st 56 years we didnt even go to market we had a large team of 100 plus doctors and computer scientists working on building a very very extensive medical Knowledge Base and refining reasoning engine behind it and then we only launched the app for patients about 2 and a half years ago and what were doing now is that were using certain Machine Learning techniques also to learn from all of the cases that come into the system were trying to create feedback loops to make the system better and better every day now we used talk about Silicon Valley trying to just disrupt assert. Industries why has it taken such a long time to disrupt the Health Care Industry i think its understandable that in health care things take longer if you look at some ecommerce businesses lets take the food Delivery Business for instance there you can create a simple shop solution a minimum viable product as they say and then you know you start generating revenue you react to users and you iterate and if something goes wrong its actually not that big a deal for instance if you know you deliver the wrong pizza its annoying for the customer and that moment but its not life threatening in health care you have to be a lot more careful this is why there is medical device regulation with a Software Like ours we have extremely high standards in terms of accuracy Data Protection data privacy because you know this is some of the most Sensitive Data that exists and if you use a product like ours you will be glad when you know you have a heart attack and it doesnt give you the right information it does not tell you or you just have a shoulder sprain dont worry about it is is something that needs regular 3 approval yes so it is certified as a medical device and there are obviously different regulatory authorities and in the e. U. In the u. S. And asian and other countries and were working very closely with the authorities to make sure that we obtain all the right certifications in europe were classified as a medical device done you know through a thank you very much for its im really appreciates on today thank you thank you very much. Thats our show for this week if youd like to comment on anything that youve seen you can tweet me im at a finnigan on twitter please use the hash tag j. C. T. See when you do or you can drop us a line the cost of aljazeera dont that is our email address as always theres plenty more few online at aljazeera dot com slash c. T. C. That takes you straight to our page and there youll find individual reports links even entire episodes for you to catch up on but thats it for this edition of counselor cost im Adrian Finnegan from the whole team here in doha thanks for being with us the news on aljazeera is next. From the london Broadcast Center to special guests and conversation they only want to protect life for 9 months i want to make it more your your old unprompted uninterrupted black people for as long as weve been fighting back has been labeled as terrorist intimately reflecting on the issues of our time people like to think that their nationalism is not as rosy as someone elses National Super studio be unscripted coming soon on aljazeera told time holders there are winners they dont believe in the 2 state solution the do you still believe in the 2 state solution we listen what i said was that pakistan would never start a war im anti war we meet with global news makers and talk about the stories that matter on the edges their own. Tales in a crowded marketplace a car bomb explodes in a Syrian Border town captured by turkish but forces. Under starting with Syrian Forces intensifies in the rebel held toppings of we meet a boy whose only known conflict all his life. Bugs the whole robin youre watching aljazeera life the headquarters here in doha also coming up more demonstrations in iraq in whats become the largest uprising since the fall of Saddam Hussein also trying to dampen down demonstrations police in chile turned on antigovernment protesters also. On saving the snow leopard how technology is helping conservationists in kurdistan make a difference. Welcome to the program a car bombing serves as a reminder of how fragile it remains along syrias northeastern border where turkish and Russian Forces are doing joint patrols 13 people were killed and 30 others injured in the attack on a crowded market in. The border town is controlled by Turkish Backed opposition fighters its seen some of the heaviest battles since turkey launched a military offensive against Kurdish Forces last month ankara wants the mainly Kurdish Syrian Democratic forces to withdraw from border areas to create a socalled safe zone his house with the days developments from the turkey syria border. The car was packed with explosives and placed in a crowded market in other this explains the growing number of casualties the Turkish Military blamed the white p. G. For the blast and the why p. G. By the same time hit back saying that turkey is to blame for failing along with this. In the region the center of the Syrian National army for providing security to superiors and this is the latest blast in a series of attacks that took bases. In areas on the border with turkey. And also. And this is going to put further. Challenges on the Turkish Military was how start a joint patrols with russia there will be moments when the Turkish Military will be patrolling areas not far from where the white b. G. Fighters will be station across north Northern Syria situation remains tense with intensified fighting in it live and also on the mountainous area around the city of latakia where the rebels are trying to stage an offensive to halt an attack by Government Forces as were going to see in this report. Hardly a day goes by without strikes or glasses on the ground. The problems in Northern Syria is controlled by a bubble forces opposed to president bashar. Thank the main Group Operating in the area is he at the who the shah h. T. S. You to pose as talks with the government and its fighters are deployed south near ponce hold where Government Troops are on the offensive a few days ago president Bashar Al Assad made a surprise visit to newly captured territory south of. Reinforcements are pouring into the area and for the 3 and a half 1000000 People Living there the buildup is a sign that war fighting is imminent and then theres one yes that iraq regime is going to end its aim to reach troops to a position territorian recap truth hes using the same tactic that helped him take over homes and there are further north not far from the battlefield its another relatively quiet day in s. Him a village south of it live city this is where i was born 9 years ago his only no live in a war zone he goes to school in the morning and then spends long hours in the afternoon collecting firewood ahead of the harsh winter when temperatures can fall below 0 a little him is one of hundreds of thousands of children in syria who have been traumatized by the war. Im happy as long as my brothers uncles and relatives are still alive. But if any one of them or our neighbors got killed in airstrikes i will be sad people in villages in the south of it are planning to evacuated if Government Troops launched an offensive in the past the could flee to rebel held territory but this time they have nowhere to go. The blast in a 3 in is a clear indication of the tough challenges ahead facing or the key players now in North Eastern syria the turkish army the russians who are joining the patrols the air force has pulled out from the safe zone but still remains adamant it wants to maintain a presence in a strong cause and also the Syrian Opposition army of the day which has conquered New Territory thats russias all the way from. But it seems to be struggling as we speak to maintain security in those areas turkey is threatening to send all i saw fighters its captured back to their home countries interior ministers sore losers europe must do more to repatriate its nationals. We are not a hotel for anybodys eisel members its not possible to accept this we have agreements with all these European Countries and in these agreements it says to send them back but this deprivation of citizenship is a new method you are on your own this is not acceptable for us im stating clearly that this is also a responsible what am i going to do with your terrorist. Tens of thousands of iraqis have joined another mass protest in whats now the largest uprising since the fall of the former leader Saddam Hussein in 2003 this was the scene in central baghdad where Anti Government demonstrators rallied in Tahrir Square theyre angry about Economic Hardship corruption and what they call interference from iran and the u. S. More than 250 people have been killed since the protests began last month. And those people who are protesting theyre only demanding the fall of the government and the parliament and look at the dollar going to the state already took is not enough for them and they also want to take more from us we want to block this ports in order to get our demands now the people want the fall of the government for the government to resign theyre asking for change we want a new government to give us our rights and be fair with us we dont trust them now because there are no reforms for iraqi society. Feisal istra body is a former iraqi ambassador to the United Nations he says young people are the driving force behind these protests. I hope that we are our new moment a moment in which the use of the country have turned their back on the this of politics of the Political Class which governed iraq for long and not just in the post 2003 period the the free 2003 theory also became highly area and highly oppressive i think they use all yearning for something more they live in a country with one of the Oil Producers in the world and yet they have no basic services in 16 years theyve the road we havent the school we havent equipped a hospital they look around at the other countries in the region and they see how well their population lives they want to have. Life as well for themselves and for future generations and they want. A country that is not riven with secretary and. Strife if im optimistic about iraq because of todays. What began as protests against the cost of traveling on a train is gathering momentum and turning against chiles billionaire president people are upset about low incomes Poor Public Health and the increasing gap between the rich and the poll president Sebastian Pinera has become the target of growing protests lucien human has. Put this 13th day in a row demonstrators gathered at some. But this time Security Forces used massive quantities of tear gas water cannon and pepper spray to prevent them protesting. At the several has had come to express their anger at chiles growing income inequality equipped with a none too flattering sign about president s. But she doesnt just blame him for the most unhappy of the governments leafed in the right wing have stolen from us weve lost our right to decent salaries and health care and the privatized all the Utility Companies the protesters were chased away over and over only a very few responded was rocks who would have had a chance at the coming back and forth on trying to protect ourselves here this was supposed to be a march to call for the resignation of president s of the step to get all these people were really. Having the. Protestors were angry that they could not express their constitutional right to demonstrate bend over a couple of additional go before i came here today with my daughters to protest peacefully for all of our rights because enough is enough the rich take everything in every day were worse off and worse all. Others say president needs to be punished yes hes of course he will like all the other president s and he needs to be impeached. That is highly unlikely to happen since at least part of the opposition says it wont support a congressional impeachment bid. To get us says hes listening. Chileans demands and while he may be the obvious target of these protesters wrath most concede that changing the president is far less important than winning deep structural changes. In santiago or. Illegal loggers have shot and killed an indigenous land defender in brazils amazon rain forest the guard who was from one of the countrys largest indigenous groups that was hunting in a reservation in the north when he was ambushed illegal loggers miners have stepped up their activities in the region since right wing present job also nora took office at the start of the year hes vowed to open up the development. Now donald trump says hes invited ukraines president to visit the white house despite facing an impeachment inquiry after a phone call he made to Vladimir Zelinsky the us president says he expects alinsky to take up the offer i think youll probably come but i would certainly say. Good. Luck to you. I would love to have him come to the white house like to come and i think youd like i think it very quickly. I like. The rah rah. Read of your brain would be a lot. Of me very very much that germany france other countries are putting up but were always does. Well still ahead here on aljazeera we live in bangkok where leaders from 16 nations are trying to hammer out the Worlds Largest trade bloc. Also also claims responsibility for one of the deadliest attacks to target malis military those stories after the break

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