How Technology and Value-Based Models Will Reshape Healthcare by 2035

The most significant driver of change in healthcare isn’t a new technology or government policy — it’s demographics. In 2015, our society supported approximately four workers for every retired person. By 2035, that ratio will shrink dramatically to just two workers per retiree. This fundamental shift creates more challenges that will affect every aspect of our healthcare system.This demographic pressure is already manifesting in staffing shortages. As of 2025, we’re experiencing approximately a 5% shortage of physicians nationwide. By 2035, projections suggest this shortage will double to 10%, meaning we’ll have only 90% of the physicians needed to support our aging population. Consider that securing an appointment with your physician today often requires weeks or months of waiting — now imagine this situation when the elderly population requiring care essentially doubles.

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The demographic shift places enormous strain on our healthcare financing systems. The federal government already allocates trillions to healthcare spending, primarily through Medicare and Medicaid. As the ratio of contributors to beneficiaries’ changes, maintaining the quality-of-care Americans expect will require significant innovation in both funding mechanisms and care delivery models.


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