The World in 2009 and beyond:

1. Singapore will make big strides towards becoming for biomedicine what Switzerland is for financial services.

2. Smart pharma companies will start to realize that sleek packages, integrating diagnostics, combinations of medications, and lifestyle advice, are where the field will be 10 years from now, and will start to take steps in that direction. The end user would personalize and customize such packages just as they do an iPhone now.

3. Healthcare organizations will then become like cell phone carrier companies, selling service plans for the packages mentioned above. Your doctor will become a consultant to help you optimize your iHealth package.

Alexander B. Niculescu, III, MD, PhD