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  • The race for critical minerals like rare earths, lithium, and cobalt is escalating, impacting healthcare and MedTech sectors reliant on advanced technology
  • Essential minerals for MRI machines, pacemakers, and wearable tech face supply threats from geopolitical conflicts, driving up costs and limiting access
  • China's control over critical mineral supplies exposes Western healthcare systems to risks, underscoring the need for supply chain resilience
  • Western firms should diversify supply sources, invest in recycling, support local mining, and partner with allies to reduce exposure to mineral shortages

Scarce Mineral Wars: How Resource Battles Are Redefining Healthcare and MedTech

In October 2024, the 16th BRICS Summit took place in Kazan, Russia, marking a watershed moment in global geopolitics with the bloc’s historic expansion to include five new members: Saudi Arabia, Egypt, the United Arab Emirates (UAE), Iran, and Ethiopia. This enlargement effectively doubled BRICS’ membership, evolving it from a coalition of five nations into an alliance of ten influential global players. Collectively, the expanded BRICS now represents ~46% of the world’s population and commands a substantial 35.6% share of global GDP measured by purchasing power parity (PPP) as of 2022. Within the bloc, China continues to dominate economically, contributing 52% of BRICS’ total GDP at PPP, underscoring its pivotal role in shaping the group’s trajectory.

Originally conceptualised by Goldman Sachs economist Jim O'Neill in a 2001 research paper, the term “BRIC” highlighted the emerging economic clout of Brazil, Russia, India, and China as a counterweight to the dominant G7 wealthy economies. Fast forward to 2024, the Kazan summit brought together 36 world leaders, including key figures from China, India, and Iran, signalling a shift in global power dynamics. Despite Western isolation of Vladimir Putin and his indictment by the International Criminal Court as a potential war criminal, the event underscored Russia’s enduring geopolitical influence and the gradual erosion of Western hegemony. Among the summit's most consequential developments was a renewed pledge to accelerate the de-dollarisation of global trade - a strategic manoeuvre designed to curtail the United States' ability to wield economic sanctions as a foreign policy instrument.
Internal disagreement has slowed its progress and in December 2024, Trump said he would impose 100% tariffs on the BRICS bloc of nine nations if they were to create a rival currency to the US dollar. Following his inauguration, he suggested imposing a 25% tariff on all goods imported into the US from Canada and Mexico. The President’s economic advisers appear split. Notwithstanding, we should expect a growing contest for influence in an increasingly multipolar world.
In this Commentary
 
This Commentary explores the geopolitical struggle over scarce minerals, focusing on the implications for Western healthcare and MedTech companies. It highlights the October 2024 BRICS summit's efforts to challenge American economic dominance, China's control over critical minerals, and the impact on medical technology development. The Commentary also outlines strategies for Western companies to navigate rising costs, supply chain vulnerabilities associated with shifting global power dynamics.
 
The Scarce Mineral Wars

The intensifying competition for critical minerals like rare earth elements, lithium, and cobalt has become a key battleground in the US-China rivalry. These resources are indispensable for advancing technologies in sectors such as healthcare, defence, MedTech, and green energy. Often dubbed the scarce mineral wars, this struggle extends beyond securing supply chains to asserting leadership in global technological innovation.

China’s dominant role in mining, processing, and exporting these minerals - bolstered by its Belt and Road initiative - has exposed vulnerabilities for the US and its allies. The 2024 US Geological Survey (USGS) highlights that the US relies on imports for >50% of 49 critical minerals and is fully dependent on imports for 15, with China as the main supplier for 24 of them. Recent Chinese export restrictions, including on graphite, have further underscored these risks, particularly for US industries.

Rare earth elements, essential for high-tech applications like MRIs, pacemakers, and wearable medical devices, and lithium and cobalt, critical for rechargeable batteries in medical equipment and data centres, exemplify the stakes. As Western nations seek to secure stable supplies, tensions over trade, tariffs, and technology transfer have escalated, raising concerns about the long-term resilience of Western healthcare systems and MedTech innovation.

Amid these dynamics, the return of Donald Trump’s administration in January 2025, with its confrontational foreign policy and emphasis on transactional alliances, signals potential trade conflicts that could further disrupt global supply chains, resource security, and technological advancement.
 
The Role of Critical Minerals in Healthcare and MedTech

In modern healthcare and MedTech, the reliance on critical minerals cannot be overstated. These materials are fundamental to manufacturing a wide range of devices and technologies that enhance patient care, improve diagnostic accuracy, and support healthcare infrastructure. Below are some examples illustrating the role these minerals play:
 
  1. Diagnostic Imaging Equipment Rare earth elements, particularly gadolinium, are used as contrast agents in MRI machines, which are crucial for diagnosing a variety of conditions, from brain tumours to joint disorders. The magnets inside MRI scanners also rely on rare earths like neodymium and dysprosium to achieve the high magnetic strength required for clear imaging. If these minerals become scarce or more expensive due to geopolitical conflicts, the cost of diagnostic procedures could rise, potentially limiting access to critical healthcare services.
  2. Pacemakers and Implantable Medical Devices Lithium batteries power a range of life-saving implantable devices, such as pacemakers and defibrillators. These devices are essential for patients with cardiac conditions and can improve quality of life for millions. As the demand for lithium increases, particularly with the surge in electric vehicle production, healthcare may face competition for the available supply, leading to higher costs or shortages.
  3. Wearable Devices and Telehealth The shift towards digital healthcare and remote monitoring has increased the demand for wearable medical devices, which frequently use rare earth magnets in sensors and lithium batteries for power. These devices, which include fitness trackers, blood pressure monitors, and continuous glucose monitors, are integral to preventive healthcare strategies and chronic disease management. Disruptions in the supply of rare minerals could compromise the availability and development of new wearable technologies, limiting healthcare providers' ability to offer innovative, patient-centred care.
  4. Electronic Healthcare Records and Data Infrastructure Data centres that store and manage electronic healthcare records rely on energy-dense batteries and servers that contain critical minerals. As the healthcare industry continues to digitise, secure access to these minerals will be necessary to maintain the reliability and scalability of health data infrastructure.
 

The first episode of HealthPadTalks is out now. Click here to listen to Navigating the Future of Healthcare

The Geopolitical Context and US-China Rivalry

The US has long been a leader in healthcare innovation, but its dominant position is increasingly under threat as geopolitical dynamics shift. China’s rise as a global superpower has been supported by its strategic approach to securing critical mineral resources. China controls ~60% of the world’s rare earth mining and >80% of its processing capacity. It is also a leading player in lithium production and the global supply of cobalt, much of which is mined in the Democratic Republic of Congo under Chinese ownership or partnerships. By comparison, the US has only recently begun to recognise the risks associated with mineral dependence and has struggled to build a robust domestic supply chain.

The strategic implications of China’s control over these minerals became clear when Beijing threatened to restrict rare earth exports to the US during the 2019 trade war. Such actions reveal how mineral supply chains can be weaponised, potentially disrupting the production of critical technologies in Western economies. This risk has only grown as tensions over trade policies, intellectual property rights, and geopolitical influence continue to escalate.

The 2024 BRICS summit, where leaders discussed ways to reduce reliance on the US dollar for international trade, further exemplifies the shifting geopolitical landscape. As nations like China, India, and Russia seek to establish alternative trading networks, Western companies are likely to face additional challenges in accessing critical minerals. For healthcare and MedTech companies, the ramifications could be significant, affecting everything from device manufacturing to R&D.

 
Impacts on Western Healthcare and MedTech Companies
 
  1. Rising Costs and Supply Chain Vulnerabilities As the US and China continue to vie for control over critical mineral supplies, Western healthcare and MedTech companies could experience rising costs for raw materials. The increased expense may be passed on to consumers in the form of higher healthcare costs, which could limit access to advanced medical technologies. Additionally, companies may face disruptions in their supply chains if geopolitical tensions result in export bans, trade restrictions, or other barriers to mineral access.
  2. R&D Delays The development of new medical technologies relies on the availability of rare minerals. For example, the miniaturisation of medical devices and the enhancement of diagnostic imaging technologies often require advanced materials that exhibit specific magnetic, conductive, or thermal properties. If these materials become difficult to source, the pace of innovation could slow, and some promising new treatments or devices might never reach the market.
  3. Regulatory and Strategic Pressures The US and Europe are becoming increasingly aware of the strategic importance of critical minerals and are implementing policies to reduce dependence on foreign sources. However, efforts to boost domestic mining and processing capacity have encountered environmental and regulatory hurdles, which may delay the development of local supply chains. Western healthcare companies may find themselves caught between complying with new regulations and securing the materials needed for product development.
  4. Technological and Competitive Risks If Western companies cannot secure stable supplies of critical minerals, they may fall behind in the global race to develop cutting-edge medical technologies. This could lead to a situation where Chinese companies, backed by government policies and access to essential resources, gain a competitive advantage in key areas such as diagnostics, wearable health technology, and surgical robotics.
  5. Broader Economic and Strategic Implications For decades, the US has been the world's largest MedTech market, with the majority of leading MedTech companies headquartered in America, enjoying a comfortable position as global market leader. However, the growing shift towards a multipolar world, where US influence is increasingly challenged, threatens to disrupt this status quo. The evolving landscape, marked by events such as the 2024 BRICS summit, suggests a shift in global trade dynamics and economic power. As alliances change and new economic blocs emerge, US-based healthcare and MedTech companies will likely face a stress test, requiring them to adopt adaptive strategies that can withstand the pressures of a diversifying global market and a potential erosion of their longstanding dominance.
 
Defensive Strategies for Western Healthcare and MedTech Companies

To navigate the challenges posed by the scarce mineral wars, healthcare and MedTech companies in the West must adopt proactive strategies. Here are some suggestions:
 
  1. Diversifying Supply Chains Companies should explore alternative sources for critical minerals, including partnerships with suppliers outside China or investments in developing new mining projects in regions like Australia, Canada, or South America. Diversifying supply chains can mitigate risks associated with geopolitical disruptions and ensure a more stable supply of raw materials.
  2. Investing in Recycling and Material Recovery The development of technologies for recycling critical minerals from electronic waste can provide a supplementary source of these materials. By recovering valuable metals from retired medical devices or other equipment, companies can reduce their reliance on primary mineral extraction and contribute to a more sustainable supply chain.
  3. Supporting Domestic Mining and Processing While regulatory and environmental concerns pose challenges, Western companies should advocate for policies that support the responsible development of domestic mining and processing capabilities. Government incentives for research in mineral processing technologies and investment in local supply chains could enhance resource security.
  4. Developing Substitutes and Alternative Technologies Investing in research to find substitutes for scarce minerals, or developing technologies that use less of these materials, can reduce dependency on critical supplies. For example, innovations in battery technology that rely on more abundant elements or synthetic alternatives for magnetic materials in imaging equipment could offer viable pathways to mitigate resource constraints.
  5. Building Strategic Reserves Similar to how governments maintain strategic petroleum reserves, companies and governments could collaborate to establish strategic reserves of critical minerals. This approach could provide a buffer against supply disruptions and price spikes, offering some stability in times of geopolitical crisis.
  6. Collaborating with Allied Nations Strengthening partnerships with allied countries that possess significant mineral resources can provide more reliable access to critical materials. International agreements that prioritise the export of minerals for medical and technological purposes could help secure supplies while fostering diplomatic ties.
 
Takeaways

The ongoing scarce mineral wars between the US and China are not just a trade dispute but a broader struggle for technological and economic dominance. As the global landscape shifts towards multipolarity, the implications for Western healthcare and MedTech companies are significant. Rising costs, supply chain vulnerabilities, and the risk of falling behind in technological innovation are threats that demand attention. By adopting strategies to diversify supply chains, invest in recycling, support domestic production, and collaborate internationally, Western companies can better navigate this challenging landscape. The path forward requires both strategic foresight and a willingness to adapt to an evolving geopolitical environment. In doing so, healthcare and MedTech firms can safeguard their future and continue to provide cutting-edge solutions that improve patient outcomes in a world of increasing complexity.
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  • In 2024, Gen Z surpassed Baby Boomers in the US workforce, triggering cultural shifts
  • Their emphasis on flexibility, purpose, and mental health may amplify professional restlessness, pushing organisations to adapt
  • Gen Z employees may seek change after a few years, driven by unmet expectations, a desire for impact, and a need for novelty
  • Addressing this "seven-year itch" through growth opportunities and meaningful engagement can help retain top talent
  • This Commentary provides actionable strategies to align with Gen Z priorities, essential for attracting and keeping young leaders
 
The Seven-Year 'Itch' in Companies

The workplace is undergoing a generational shift, with Generation Z (Gen Z) surpassing Baby Boomers in 2024 as the largest group in the US full-time workforce. This transformation introduces a new set of values, expectations, and behaviours that challenge traditional workplace norms. Gen Z’s ethos - characterised by a strong emphasis on purpose, flexibility, and inclusivity - may accelerate cycles of professional restlessness, reshaping the structures and dynamics of modern organisations.

The concept of the "seven-year itch", often associated with phases of dissatisfaction in personal relationships, finds a parallel in the corporate world. Employees, particularly those who feel their career trajectories have stagnated, frequently experience similar restlessness after years in the same role or organisation. This professional “itch” often arises from unmet expectations, a lack of growth opportunities, and the intrinsic human desire for change.

For leaders, this turning point can prompt a reassessment of goals, ambitions, and alignment with organisational values. Without meaningful challenges or a clear path forward, many employees are driven to explore new opportunities - not from disloyalty, but from a need for professional fulfilment and purpose. Like personal relationships, professional careers often begin with optimism and ambition, yet can become routine as visionary goals give way to operational demands. Recognising and addressing this restlessness is essential not only for individual growth but also for sustaining long-term organisational success in an evolving business landscape.

 
In this Commentary

This Commentary explores the concept of the "seven-year itch" in professional contexts, examining why employees often experience restlessness or dissatisfaction after a period in a role. It delves into the expectation gap, the search for impact, and the human need for novelty, highlighting organisational implications. The Commentary also considers how Generation Z's workplace values - such as flexibility, purpose, and mental health awareness - may accelerate this phenomenon, urging companies to adapt for sustained engagement and retention.
 
The Expectation Gap: A Key Catalyst for Discontent

The "seven-year itch" in a professional context often arises from a growing disparity between employees' aspirations and the realities of their role. This disconnect is likely to intensify as Gen Z increasingly replaces Baby Boomers in the workforce, reshaping workplace dynamics. For high achievers, who are accustomed to consistent recognition and advancement, such misalignment can be disheartening. Career trajectories often serve as a cornerstone of identity and self-worth, making stagnation - whether due to organisational barriers, limited promotional prospects, or uninspiring projects - feel personal. This divergence between ambition and reality fosters frustration, gradually eroding both satisfaction and motivation.

A Quest for Meaning and Impact
For many Gen Z employees, titles and compensation alone are insufficient; their drive is fuelled by the desire to create meaningful change. Yet, as time passes, some may find their influence waning, their ideas side-lined, or their contributions no longer yielding significant outcomes. This reduction of impact can lead to a sense of disillusionment, sparking a  search for roles or organisations where they can regain a sense of purpose, reconnect their efforts to meaningful outcomes, and align their work with their core values.

The Draw of Novelty and Renewal
Humans thrive on novelty, and employees are no exception. Just as personal relationships can lose their spark without renewal, professional roles can grow monotonous when stripped of fresh challenges. Many people excel in dynamic environments that require innovative thinking and problem-solving. When their roles become predictable or routine, the allure of a new setting - one that offers variety, fresh perspectives, and opportunities - becomes irresistible, compelling them to seek renewal in their careers.
 
Organisational Implications of the Professional Seven-Year Itch

Just as the "seven-year itch" can lead individuals in relationships to reconsider their commitments, a similar phenomenon in the corporate world prompts employees to question their professional loyalty. When growth, impact, and variety are lacking, talented individuals may feel driven to move on, seeking roles that better align with their aspirations for personal and professional fulfilment. Recognising this tendency is valuable for organisations, as it offers an opportunity to structure career paths that maintain people's engagement and satisfaction, potentially reducing turnover among high performers.
 
A Generational Shift: The Influence of Gen Z on the Seven-Year Itch
 
Smart leaders will recognise this shift as an opportunity rather than a disruption, proactively aligning organisational practices to these emerging priorities. By fostering purpose-driven cultures, embracing flexible work arrangements, investing in skills-based development, and prioritising mental health and wellness, forward-thinking executives can engage and retain Gen Z talent. Organisations that anticipate and respond to these expectations with agility and authenticity will not only adapt to the changing workforce but position themselves as employers of choice in an evolving business landscape. To assist in this regard, here are the changes Gen Z are expected to bring to workforces.

1. Purpose-Driven Work and Social Impact
Gen Z places a premium on purpose-driven careers, seeking roles that enable them to create a meaningful and positive impact. For this generation, work transcends financial security - it serves as a platform for driving societal and environmental change. Employers will increasingly face pressure to implement and transparently communicate socially responsible initiatives that resonate with these values. To attract and retain Gen Z talent, companies must embed these priorities into their operations, demonstrating a commitment to sustainable and ethical practices.

2. Digital Native Advantage and Technology Expectations
Raised in a tech-driven era, Gen Z has an innate proficiency with digital tools and a strong expectation for workplaces to match their technological fluency. They are drawn to companies that embrace innovation, prioritise cybersecurity, and adopt advanced, tech-enabled work models. Organisations slow to adapt risk losing out on this digitally savvy talent pool, as Gen Z seeks employers that leverage cutting-edge technologies and foster forward-thinking, agile environments.

3. Flexibility, Autonomy, and Work-Life Balance
The traditional 9-to-5 schedule often holds limited appeal for Gen Z, a generation that values flexibility, autonomy, and work-life balance. They are advocates for hybrid and remote roles, which empower them to manage their time more effectively and work in ways that align with their personal and professional priorities. To attract and retain this talent, companies must rethink conventional work structures, offering adaptable schedules and redefining career pathways to foster environments that prioritise individuality, productivity, and wellbeing.

4. Career Growth and Development Focus
Gen Z challenges the traditional career ladder by prioritising skills-based growth, lateral moves, and opportunities for continuous learning over hierarchical promotion. They value environments that provide regular feedback, mentorship, and diverse development opportunities, seeking roles that allow them to build adaptable, future-ready skill sets. This generational mindset motivates companies to rethink professional development strategies, investing in training programmes, mentorship initiatives, and personalised growth pathways.

5. Diversity, Equity, and Inclusion as Non-Negotiables
Diversity, equity, and inclusion (DEI) are non-negotiables for Gen Z, who expect meaningful and authentic efforts rather than gestures. This socially conscious generation values workplaces that champion inclusivity, representation, and fairness at every level. Companies that fail to cultivate a genuinely inclusive culture risk disengagement and high turnover among Gen Z employees. To meet these expectations, organisations must prioritise diverse hiring practices, implement impactful DEI training programmes, and establish equitable policies that foster belonging and promote long-term cultural change.

6. Mental Health Awareness and Wellness
Mental health is a priority for Gen Z, a generation that actively advocates for workplace wellness and openly addresses mental health challenges. They seek employers who normalise conversations around mental wellbeing and demonstrate a commitment to supporting it. To meet these expectations, companies must create a culture of psychological safety, offering comprehensive wellness programmes, flexible mental health days, and access to professional counselling as part of standard benefits. By prioritising mental health, organisations can foster a more engaged and resilient workforce.

7. Transparency and Trust
Transparency is a cornerstone value for Gen Z, who tend to be sceptical of organisations that operate without openness or clarity in decision-making. This generation seeks employers who foster trust through honest communication and actively involve employees in shaping workplace policies and strategies. To engage and retain Gen Z talent, companies must prioritise transparent leadership, encourage open dialogue, and create opportunities for meaningful employee input. By adopting these principles, organisations can build trust and strengthen their connection with this discerning workforce.

The findings from the 2024 CYPHER Learning study underscore these seven needs, revealing that tailored learning, supportive management, and trust are essential to retaining younger talented employees. By investing in customised training and development programmes, fostering transparency, and supporting mental health and wellness, companies can create environments that meet the evolving expectations of Gen Z, fostering long-term engagement and satisfaction in the workforce of tomorrow.

 
Takeaways

The "seven-year itch" in the workplace may be taking on a new, accelerated meaning as Gen Z reshapes workforce dynamics with their distinct values and priorities. This generation, entering their careers with a strong emphasis on growth, purpose, autonomy, and inclusivity, is driving an era where job satisfaction and organisational alignment are reassessed more frequently. Unlike previous generations, Gen Z's expectations for meaningful work and rapid professional development create a challenge - and an opportunity - for companies. Employers who embrace this shift by fostering environments of transparency, inclusivity, and flexibility will not only navigate higher turnover rates but also build stronger, more resilient teams. By prioritising professional development and aligning with the evolving expectations of their workforce, organisations can position themselves as leaders in attracting and retaining top talent in an era of dynamic workplace transformation. Recognising this shift is not optional but essential to thriving in the modern world of work.
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NEWS!
HealthPadTalks: A compelling new podcast from HealthPad that delves deep into the transformative health trends reshaping our world. From January 2025, HealthPadTalks will keep you informed, inspired, and ready for the future of healthcare. Discover the voices driving the next era of health and wellness.
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At Impact Dental Care Woodbridge, our mission is to provide exceptional dentistry services tailored to the unique needs of each patient in the Woodbridge community. Our dedicated team is passionate about helping you achieve optimal oral health and a radiant smile. Whether you're searching for a reliable Woodbridge dentist or want to enhance your smile with cosmetic procedures, we have the expertise and state-of-the-art technology to care for your dental needs. From routine check-ups to advanced Woodbridge dental implants, our clinic stands as a beacon of quality care. We understand that each smile tells its own story, and our goal is to ensure yours shines with confidence. If you value personalized attention and skilled treatment from professionals who genuinely care, look no further than Impact Dental Care Woodbridge – where beautiful smiles are cultivated every day.

 

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Peace, Health and Best Wishes for 2025
 
The HealthPad Team would like to wish you and your loved ones a joyful Festive Season and a prosperous and peaceful New Year.

As we reflect on a challenging year filled with uncertainty, we thank you for your continued engagement with our Commentaries. In a world struggling with wars, epidemics, and countless challenges, we wish you peace, strength, and good health. Let’s remain hopeful for a brighter, healthier 2025, where compassion and healing triumph over adversity.

As we step into 2025, we are delighted to continue bringing you valuable insights and look forward to your continued support in the year ahead. This January, we are excited to introduce HealthPadTalks, our new podcast series. Designed to complement our widely appreciated Commentaries, HealthPadTalks will delve into the transformative health trends shaping our world. We invite you to join us on this journey of discovery and dialogue.

Stay safe, stay healthy, and keep on reading and listening.

 
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Starting in January 2025, HealthPadTalks is our fresh new podcast series that explores health trends reshaping the world - think AI breakthroughs, genomic game-changers, and more. We're all about amplifying patient voices, tackling global health challenges, and sparking conversations that matter. Whether you're a healthcare pro or just curious about the future of care, access, and outcomes, this is for you. Don’t miss it - join us!
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  • Traditional, high-touch sales approaches fail to meet the demands of today’s healthcare systems
  • Value-based care, digital health, AI and increased patient voices are reshaping purchasing priorities and market dynamics
  • Marketing success lies in outcome-based partnerships, AI-driven insights, and integrated digital solutions
  • MedTech leaders must become digitally fluent, foster innovation, and prioritise long-term value

MedTech Market Access for a Digital Era

In the late 20th century, the MedTech industry thrived, powered by a sales-driven approach that prioritised the relationship between sales representatives and healthcare providers. These strategies, built on personal trust and labour-intensive engagement, played a pivotal role in bringing transformative technologies to patients. However, the healthcare landscape of the 21st century is evolving rapidly. The traditional relationship-centric sales model, once a cornerstone of success, is now at odds with the demands of modern healthcare ecosystems.

The rise of value-based healthcare, digital health platforms, and AI-driven personalised therapies has redefined how healthcare is delivered and measured. Providers and healthcare systems are seeking solutions and services that demonstrate tangible clinical and economic value, integrate into digital workflows, and support data-driven decision-making. This shift requires MedTech companies to transcend traditional sales policies and embrace innovative, technology-enabled approaches to market access. Success in this rapidly changing era demands not just products but also partnerships, where digital tools, real-world evidence, and collaborative strategies drive sustainable outcomes. It is time to rethink how MedTech engages with the healthcare sector in a world shaped by data, efficiency, and value.

 
In this Commentary

This Commentary explores the decline of the traditional MedTech sales model, once built on personal relationships and high-touch engagement, in an era dominated by value-based care, digital health, and AI-driven healthcare solutions and services. It highlights the misalignment of traditional strategies with modern healthcare needs and suggests ideas for reimagining market access. By embracing outcome-based partnerships, leveraging AI, and embedding digital services, MedTech companies can position themselves as leaders in the evolving healthcare landscape.
 
The Rise and Resilience of the Traditional MedTech Sales Model

The traditional sales-driven model in MedTech emerged as a natural response to the needs of both the industry and the healthcare ecosystem. Sales representatives were more than transactional intermediaries; they played multifaceted roles as educators, advocates, and trusted advisors. Their expertise bridged the gap between cutting-edge medical technologies and the overburdened physicians tasked with delivering care. Often, these representatives worked directly alongside clinicians, providing support in operating rooms during surgeries, or guiding optimal device use, ensuring that complex products achieved their intended outcomes.

This model thrived during a time when clinicians held significant autonomy in selecting tools and technologies. Purchasing decisions were often personal, based on trust and familiarity, which made relationship-building important. MedTech companies responded by assembling well-trained, specialised salesforces adept at navigating these nuanced dynamics. Firms like Johnson & Johnson, Abbott, and Medtronic solidified their market dominance - the combined 3 companies account for ~16% of the global MedTech market - by cultivating deep customer loyalty through this hands-on approach, reinforcing their reputations as partners in care rather than just vendors.

Even as healthcare evolves, the resilience of this model is evident. Its foundational emphasis on trust, expertise, and collaboration remains a cornerstone, albeit one facing new challenges in an era of value-based care and centralised purchasing decisions.

 
Why Traditional MedTechs Cling to Old Ways

Despite significant changes in healthcare delivery, many MedTech companies remain tethered to this traditional sales model. There are several reasons for this inertia.

1. Cultural Legacy of Sales Dominance
Senior leadership teams in many traditional MedTech firms are frequently comprised of executives who built their careers in sales, fostering a deep-rooted belief that success is driven by high-touch, relationship-oriented selling. This perspective often aligns with the sector’s historical reliance on personal connections to drive growth. Shifting such entrenched mindsets can be a challenge, particularly in organisations with a legacy of success using these approaches. It requires not only cultural transformation but also demonstrating the value of alternative strategies.

2. Misaligned Incentives
Many MedTechs continue to incentivise their commercial teams using metrics focused on short-term sales performance, such as quarterly revenue targets or the volume of devices sold. While effective for driving immediate results, these incentives create a strong disincentive to explore alternative strategies that may better serve long-term objectives. By prioritising near-term gains, companies risk stifling innovation and missing opportunities to align more closely with evolving customer needs, ultimately limiting their potential for sustainable growth.

3. Lack of Digital Fluency at the Top
Traditional MedTech leaders frequently lack the digital fluency needed to fully understand and embrace the transformative potential of tools such as AI, predictive analytics, and digital service layers. This gap in knowhow and experience can encourage scepticism about the value and efficacy of digital-first strategies, often leading to hesitation or underinvestment in these innovations. Without a clear appreciation of how such technologies can drive competitive advantage, organisations risk falling behind in an increasingly tech-driven healthcare landscape.

4. Complexity of Healthcare Systems
Selling to healthcare providers, payers, and integrated delivery systems is more complex than engaging with individual clinicians. These broader stakeholders demand value propositions that go beyond individual product benefits, requiring an understanding of system-wide outcomes, cost-effectiveness, and interoperability. Despite this shift in the healthcare environment, many MedTech companies remain hesitant to move beyond their traditional clinician-focused sales strategies. Such reluctance stems from a preference for familiar approaches and a lack of confidence in navigating system-based selling challenges.

5. Resistance to Risk
The MedTech industry operates within a highly regulated ecosystem, where strict compliance standards and patient safety are paramount. As a result, companies tend to be inherently risk-averse, with leadership often cautious about pursuing change. This hesitation is driven by concerns that innovation or new strategies could inadvertently compromise regulatory compliance, disrupt established customer relationships, or threaten existing revenue streams. While this caution is understandable, it can sometimes hinder the agility needed to adapt to evolving market demands.
 
Why the Traditional Sales Model No Longer Works

The healthcare industry’s transition to value-based healthcare, alongside the rapid rise of digital health solutions, has rendered the traditional sales model increasingly obsolete. Here’s why:
 
1. Shift to Value-Based Care

Under value-based care, healthcare providers are incentivised to deliver superior patient outcomes while controlling costs. This shift moves away from traditional fee-for-service models, where clinicians had discretion to select high-cost devices, toward systems emphasising cost-effectiveness and real world evidence-based results. MedTech companies must adapt by demonstrating their devices provide measurable, impactful value through robust data and clinical evidence, rather than relying on persuasive sales tactics or legacy relationships to drive adoption.
 
2. Consolidation of Decision-Making
 
Purchasing decisions in healthcare have shifted from individual clinicians to procurement committees, group purchasing organisations (GPOs), and hospital executives, who now drive the process. These stakeholders prioritise data-driven evidence that demonstrates both clinical efficacy and economic value, leaving little room for decisions influenced by personal relationships. This transition emphasises the growing significance of robust metrics and compelling outcomes in shaping purchasing strategies and aligning with institutional priorities.
 
3. Digital Health and AI Disruption
 
The rapid proliferation of digital health solutions and services has heightened expectations for seamless integration, real-time data sharing, and personalised user experiences. As a result, legacy MedTech devices that lack advanced digital capabilities are increasingly perceived as outdated and less competitive. This shift is obliging companies to rethink their product strategies and marketing approaches, emphasising innovation, connectivity, and alignment with evolving healthcare ecosystems to remain relevant and meet the demands of modern stakeholders.
 
4. Rising Patient Empowerment

The healthcare landscape is undergoing a transformative shift as patients take an active, informed role in their care decisions, driven by digital tools and unprecedented access to information. As highlighted in Choice Matters by Gordon Moore et al, empowered patients influence health outcomes and reshape healthcare expectations, demanding transparency, personalisation, and value. For MedTech companies, adapting to this paradigm requires prioritising patient-centric strategies, fostering collaboration, and delivering tailored solutions to remain relevant and trusted in an era of heightened patient agency.
 
Reimagining Market Access: Ideas for the Digital-First Era

To thrive in this digital era, MedTech companies must embrace changes to how they market and distribute their products. Here are three strategies for rethinking market access:

Outcome-Based Partnerships
The traditional fee-for-product sales model in MedTech needs to evolve into outcome-based partnerships that align the incentives of MedTech companies with those of healthcare providers. Such partnerships can include innovative risk-sharing agreements where payment is directly linked to the device's performance in delivering measurable clinical outcomes.

For instance, rather than selling a surgical robot outright, a MedTech company might partner with a hospital to deploy the technology while sharing in the cost savings generated by fewer surgical complications and improved patient recovery rates. Similarly, companies specialising in wearable health devices could base their pricing on tangible metrics, such as increased patient adherence to prescribed treatment plans or significant reductions in hospital readmissions, ensuring mutual value creation.

Challenges and Solution
Challenge Establishing robust data and metrics to measure outcomes.
Solution Adapt existing products to generate data and work collaboratively with healthcare providers to define clear, evidence-based performance indicators. Leverage real-world evidence to validate outcomes over time.

Leveraging AI and Predictive Analytics
AI and predictive analytics are poised to transform how MedTech companies demonstrate value to payers and healthcare systems. By leveraging data from clinical trials, real-world usage, and digital health platforms, companies can build predictive models that quantify the long-term clinical and economic benefits of their devices.

For example, a MedTech company specialising in cardiac implants could use predictive analytics to highlight how its products reduce lifetime healthcare costs by reducing hospitalisations and improving patient outcomes. Additionally, AI-driven insights can help tailor value propositions to address the unique priorities of each healthcare provider, such as reducing readmission rates or improving operational efficiency, ultimately strengthening sales strategies, and fostering more meaningful partnerships.

Challenges and Solutions
Challenge Accessing high-quality, longitudinal data.
Solution Partner with healthcare providers, payers, and academic institutions to co-develop data-sharing agreements that ensure mutual benefit.
 
Embedding Digital Service Layers
MedTech companies must shift from a hardware-focused sales approach to delivering integrated solutions that combine devices with advanced digital service layers. These layers might include features like: (i) remote monitoring for continuous patient care, (ii) predictive maintenance alerts to optimise the uptime of surgical equipment, and (iii) AI-powered decision support tools that assist clinicians in making more accurate and timely interventions.

For instance, a company selling glucose monitors could enhance its offering by integrating them with a digital health platform that provides patients with personalised insights and actionable recommendations for managing their diabetes. These digital services not only foster long-term engagement with patients and healthcare providers but also create recurring revenue streams, reinforce brand loyalty, and position MedTech companies as indispensable partners in the care continuum.

Challenges and Solutions
Challenge Developing and maintaining high-quality software capabilities.
Solution Invest in in-house digital talent or pursue strategic acquisitions of digital health start-ups.
 
Case Study

DePuy Synthes, a Johnson & Johnson company and a global leader in orthopaedics, exemplifies how traditional corporations can transform sales strategies to thrive in the 21st century. By leveraging digital tools, data-driven insights, and personalised customer engagement, DePuy Synthes has set a new industry benchmark.

Central to this transformation is the adoption of Salesforce, a powerful customer relationship management platform. By centralising customer data and enabling real-time sales tracking, Salesforce empowers DePuy Synthes to make data-driven decisions and respond swiftly to customer needs. Complementing this, the company has incorporated Virtual Reality and Augmented Reality into its sales processes. These immersive technologies facilitate product demonstrations and surgical simulations, providing healthcare professionals with risk-free, hands-on experiences that build trust and confidence in complex orthopaedic solutions.

DePuy Synthes also employs targeted digital marketing strategies, including content marketing, social media engagement, and personalised email campaigns, to expand its reach and foster brand awareness. Through these channels, the company communicates with both healthcare professionals and patients, driving lead generation in a competitive market.

Data and predictive analytics, plays a role in refining sales strategies. DePuy Synthes leverages analytics to identify market trends, predict customer needs, and tailor offerings to specific segments. Predictive analytics further enhances inventory management and positions the company to seize emerging opportunities.

Remote collaboration tools, such as virtual meetings and webinars, enable DePuy Synthes to engage healthcare professionals globally, sharing product knowledge and maintaining client relationships without geographical constraints. This commitment to accessibility and innovation is emphasised by personalised customer experiences, where tailored recommendations and dedicated support teams foster loyalty and trust.

DePuy Synthes’ transformation underscores the need for MedTech companies to modernise their sales strategies. By embracing digital innovation, data-driven insights, and customer-centric approaches, DePuy Synthes has enhanced efficiency and secured its competitive edge, serving as a model for industry evolution.

 
Call to Action: A New Vision for MedTech Leadership

The transition to a digital-first era demands not only new strategies but also a shift in leadership mindset. MedTech executives must champion digital fluency and cultivate a culture of innovation and experimentation across their organisations. Key steps could include: (i) establishing dedicated innovation teams to pilot transformative market access and value-based care models, (ii) integrating chief digital officers into the executive leadership teams to drive digital transformation, and (iii) aligning incentive structures to prioritise long-term value creation over short-term revenue goals. By embracing these changes, MedTech companies can break free from legacy limitations.
 
Takeaways

The traditional MedTech sales model, while effective in its time, has reached its limits in today’s rapidly evolving healthcare landscape. In an era shaped by value-based care, digital health integration, and AI-driven personalisation, adhering to outdated approaches risks diminishing relevance. The future belongs to companies bold enough to reimagine how their solutions are marketed, adopted, and integrated into the broader healthcare ecosystem.

By shifting to outcome-based partnerships, MedTech firms can align their success with measurable clinical improvements and cost savings for providers. Leveraging AI and predictive analytics empowers companies to demonstrate the long-term value of their products while tailoring offerings to the specific needs of healthcare systems. Embedding digital service layers not only enhances product functionality but also fosters long-term relationships and recurring revenue streams.

This is not the end of MedTech’s growth potential but a pivotal moment to transform. By embracing these changes, companies can redefine their role as essential partners in delivering smarter, more sustainable healthcare.
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