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In a heavily trafficked world, global economic burden of non-communicable diseases (NCD) is enormous. This course particularly focuses on the economics of this situation and addresses the ten harsh realities of NCDs in terms of human lives as well as economic opportunity loss. Specifically the demographics context is explored, such as economic strata of populace and the related physical & fiscal variables. Presented also are low cost strategies for prevention & care of NCDs and the four ways to pay for global chronic diseases.