1. Global Medicine within a Universal and Transperant Healthcare System Jana Alexandrova Marketing Director Asiser Servicios Integrales de Salud International Conference on Ethical Issues in Medical Tourism Vancouver June 24th , 25th 2010

2. Introduction Overview on the Spanish Private/Public Healthcare Systems Role of Asisa Group Asiser – spin off health service company of Asisa Group Asiser ethical model of healthcare Page 2

3. Healthcare Sytem in Spain: dual and complementing Page 3

4. Public/Private Health Expenditure Spain allocates about 8,5 % of its GDP to health. Page 4 Source: OECD Health Data 2009, OECD (http://www.oecd.org/health/healthdata).

5. Public Healthcare Sytem in Spain Page 5 Source: OECD Health Data 2009, OECD (http://www.oecd.org/health/healthdata).

6. Private Healthcare Sytem in Spain PATIENTS Page 6

7. Brief description Asisa Group Page 7

8. Asisa Group – Integrated Delivery System Page 8 Hospital ASISA H Medical Center ASISA CM H CM H CM H CM CM H H H H H H H H H H H CM H SPAIN

9. Asiser – integrated healthcare services Page 9 Asiser is a spin-off company, 100% property of Asisa Group. It was created in 2006 as a private medical service company, providing quality and affordable healthcare solutions. The health program we offer is not insurance and it is designed to complement any health service model with no contract limitations on the basis of age, pathology or current health status.

11. No exclusions.

12. No waiting periods.

13. Preferential costs

14. Total control of the costs.

15. Guided access Page 10

16. Asiser - foreign patients’ medical facilitator Page 11 TRACEABILITY & COST CONTROL

17. Page 12 Ethical issues on medical tourism: Asiser perspective A way to assure the ethics of the medical tourism is through creating a transparent and equal healthcare system, where the foreign patients are both protected and responsible, where the medical tourism facilitator represents the hospital providers but does not prescribe the treatments as in a “health mall”, where the hospitals follow standards and regulations and strive for excellence not only during the treatment, but also become involved in the post surgical process, and where the government guarantees the health assistance for its citizens and it is responsible for investing in its proper health care system.

18. FOREIGN PATIENT Page 13

20. The patient had severely hurt his little finger.

21. Our medical emergency department made an assessment guidance by telephone and evaluated that a minor surgery might be necessary.

22. Asiser organized the medical appointment with a specialist for this foreign patient in "SagratCor", one of our hospitals in Barcelona.

23. The patient went through a successful surgery, that required a necessary follow up exam in a week.

24. However, the patient could go back to his ship after spending 24 hours in our hospital.

25. Review within a week ... yes but the ship moved from Barcelona and John was in already in Mallorca.

27. Facilitators - part of ethical business model

28. Government - part of ethical business model

29. CONTACTS & QUESTIONS? THANK YOU! GRACIAS! Web: www.foreignpatient.com Email: jalexandrova@asisa.es