Tag Archives: Dr. Devi Shetty

A Letter from Dr. Shetty and the Costs of Care

Sometimes we here in the United States, me included, when dealing with all the problems we face with our healthcare system need to step back and understand why we are really here. In the end, it is about the patient, the person needing help.

If I had my druthers I would do nothing but work in Medicaid.  After spending almost 20 years providing disease management services to Medicaid programs and running a Medicaid health plan, the joy of helping this population improve their health has always felt like the pinnacle of my work.

While much of what we have done and continue to do is laudable, there are many flaws with our healthcare system, we spend too much, get too little, and are constantly looking for new solutions to the unique problems the system we created, creates. It seems as if we harp on the negative, but is it really negative to harp on the waste, inefficiencies, fraud and abuse, to point out these wrongs in an effort to fix them?

Recently I received a copy of a letter written by Dr. Devi Shetty. He is a world-renowned heart surgeon, but more importantly he is a heart surgeon who says about healthcare:


   “If the solution isn’t affordable, it’s not a solution,”


“For 92 per cent of people living on this planet, heart surgery is a distant dream,”

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Health City Cayman Island – Medical Tourism May be One Way to Lower Healthcare Costs

Health City Cayman Island


I recently had the pleasure of visiting Health City Cayman Islands (HCCI), a medical facility founded by Dr. Devi Shetty in a relationship between Narayana Health and Ascension. A group of individuals from the United States toured the hospital and had an opportunity to meet with and ask questions of the staff including the senior physicians for the surgical areas.

Although I was on the island for less than 20 hours, it goes without saying that Grand Cayman is beautiful and the ocean was oh so inviting. Next time I’ll have to spend a bit more time and enjoy the amenities including what the locals refer to as CaymanKind, but back to the purpose of the trip.

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