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16 Chile Summary As the United States-Chile Free Trade Agreement (FTA) concludes its eighth year, trade in products and services continue to be a resounding success. As of January 1, 2004, duties were reduced to zero on 90% of U.S. exports to Chile with all remaining tariffs to be phased out by 2015. In 2011, bilateral trade between the United States and Chile reached US$ 24.8 billion, an over 300% increase over bilateral trade levels before the U.S.-Chile FTA was implemented. U.S. exports to Chile in 2011 reached a record US$ 15.8 billion while imports from Chile reached US$ 9 billion. In 2010, the United States and Chile concluded the negotiations of a bilateral tax treaty that has not yet been ratified in either Congress. The United States remains the single largest cumulative direct investor in Chile, representing 24% of all net foreign direct investment from 1974 to 2011. Spain follows closely with 20.8%, and Canada is third at 18.5%. However, Canada has led all nations in investment from 2009 to 2011. Macroeconomic stability and growing integration with international capital markets has earned Chile an A+ credit rating, the highest in Latin America. Chile remains one of the most stable and prosperous developing nations and consistently ranks high on international indices relating to economic freedom, transparency, and competitiveness. It also fares very well in terms of democratic development, gross domestic product per capita, freedom of the press. Chile spends approximately 7% of its GDP in healthcare. The 2012 public healthcare budget considers strengthening primary healthcare attention, and the construction of 24 new outpatient centers. This focus is based on the epidemiologic reality of the Chilean population: there has been an increase in chronic diseases, the population is aging, and many primary healthcare conditions go unsolved. To achieve this goal, the plan considers an increment in the number of healthcare professionals, the reconstruction of 7 hospitals, and investment in information technology for interconnected digital medical records. The public healthcare system is comprised of 183 hospitals: 59 highcomplexity, 24 medium-complexity and 100 low-complexity hospitals. In all, the public sector has approximately 26,300 beds. In the private sector, there are 109 hospitals, with approximately 15,000 beds. There are a considerable number of expansion projects currently ongoing in the private sector, and also new investments in the sector are considered nationwide. FONASA, the government-run healthcare insurance system, covers 75% of the population; of the remaining 25%, approximately 5% lacks any type of insurance, and 20% (bordering on 2.6 million people) pay into the private sector insurance system provided by 7 entities called ISAPRES. Since 2005, Chile has a healthcare Statistics Capital: Santiago Population: 17 million GDP: USD 248.9 billion Currency: Peso Language: Spanish Contact Veronica Pinto Commercial Specialist veronica.pinto@trade.gov (56-2) 330-3369 Contact Claudia Melkonian Commercial Assistant claudia.melkonian@trade.gov (56-2) 330-3312 U.S. Commercial Service Healthcare Technologies Resource Guide | 2012–2013
program, consisting of government-funded subsidized healthcare coverage for currently 69 diseases considered to be high-incidence. Information on the pathologies covered by this program may be found at www.fonasa.cl/wps/wcm/connect/Internet/SA-General/Asegurados/Plazos+del+Auge Market Entry U.S. medical equipment and devices are well regarded in Chile. A strategy that has proved successful for U. S. companies interested in the Chilean market is to appoint a qualified agent or distributor. Chilean distributors in the medical sector are usually knowledgeable, experienced, and with a good network of sales people throughout the country. Reliable after sales support is a priority in this market. The metric system of weights and measures is standard in Chile. The electric power supply is 220V 50Hz. Since the implementation of the U.S.-Chile Free Trade Agreement, in 2004, medical equipment, medical devices, and pharmaceuticals enter Chile duty-free, provided a U.S. certificate of origin is presented to Chilean Customs. Imports to Chile, alike all foreign and domestic products are subject to Chile’s 19% VAT (Value Added Tax). Mandatory registration at the Institute of Public Health is required for all pharmaceuticals. Medical devices such as preservatives, gloves, needles, and syringes have to be quality tested. The Ministry of Health is currently discussing imposing special requirements for medical implants in the near future. Current Market Trends U.S. state-of-the-art medical technology has good market potential in Chile, especially in the private sector that has considerable expansion projects. The Chilean private healthcare system is well regarded in the region. Private hospitals receive foreign patients for treatment on a regular basis, Some of these private hospitals have Joint Commission accreditation; therefore maintaining high standards is a permanent goal. Many Chilean physicians have U.S. post-graduate degrees and maintain regular contact with important U.S. healthcare institutions. Main Competitors The majority of the medical equipment present in the Chilean market is imported. Local statistical data shows that the United States has approximately 40% of Chile’s market share, followed by Germany with some 15%, and Japan with approximately 7% market share. Price is an extremely important factor, especially in the public sector where limited funds cover a large segment of the population. The private sector is also price sensitive, but is far more likely to consider recognized brands that have good quality and after-sales reputation. Current Demand The following list of equipment is currently on demand in Chile: • Autoclaves • Surgical tables • Non-disposable and disposable surgical instruments • Cardiology equipment including pacemakers • ECG monitors (low and medium complexity) • Ventilators • Infusion pumps • Aspiration pumps • Central monitors • Echo tomography equipment • Mobile incubators • Trauma equipment • Anesthesia instruments and appliances • Ophthalmoscopes • Hospital beds U.S. Commercial Service Healthcare Technologies Resource Guide | 2012–2013 17
Page 1: Healthcare Technologies Resource Gu
Page 4 and 5: iv What Can the U.S. Commercial Ser
Page 6 and 7: 2 Argentina Summary Overall healthc
Page 8 and 9: 4 Australia Summary The medical equ
Page 10 and 11: 6 Austria Summary Austria is a dyna
Page 12 and 13: 8 The Austrian market for medical e
Page 14 and 15: 10 potential. Orthopedic products,
Page 16 and 17: 12 to replace bigger and more expen
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Page 22 and 23: 18 Barriers Chile has a favorable i
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Page 26 and 27: 22 Czech Republic Summary The healt
Page 28 and 29: 24 EXPODENT October • Prague •
Page 30 and 31: 26 the best solution, possibly by b
Page 32 and 33: 28 public sector bases most purchas
Page 34 and 35: 30 Current Market Trends Egypt’s
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Page 38 and 39: 34 Other than the risk assessment s
Page 40 and 41: 36 Coming Soon: New Regulatory Fram
Page 42 and 43: 38 Finland Summary High quality and
Page 44 and 45: 40 France Summary Total market dema
Page 46 and 47: 42 Barriers There are no significan
Page 48 and 49: 44 surgery where, according to an e
Page 50 and 51: 46 Tariffs, Import Regulation There
Page 52 and 53: 48 Trade Events MEDICA with Compame
Page 54 and 55: 50 the private sector’s expenditu
Page 56 and 57: 52 Main Competitors In the Greek ma
Page 58 and 59: 54 Guatemala Summary Present situat
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Page 64 and 65: 60 India Summary The Indian healthc
Page 66 and 67: 62 The opportunity also exists for
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66 Irish labeling requirements are
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68 Israel Summary U.S. medical devi
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70 Italy Summary Italy is a mature
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72 Strategic areas, in which there
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74 1. The U.S. firm can ask their i
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76 Jordan Summary • Medical Touri
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78 seeking treatment in the Kingdom
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80 Kenya Summary Kenya is the most
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82 Republic of Korea Summary The Ko
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84 Tariffs Tariffs of medical devic
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86 In summary, selecting the approp
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88 Main Competitors Most large inte
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90 The Inspectorate and the RIVM en
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92 New Zealand Summary All New Zeal
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94 Nigeria Summary Nigeria is a net
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96 Norway Summary Norway is one of
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98 The Philippines Summary The medi
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100 The Center for Device Regulatio
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102 locate an appropriate agent/dis
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104 Trade Events SALMED March 2014
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106 component of the Portuguese med
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108 Current Demand For 2011, the Mi
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112 Saudi Arabia Summary The Saudi
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114 3. King Faisal Medical City in
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116 Trade Events MEDEXPO Saudi Arab
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118 The Serbian market is very rece
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120 Resources Ministry of health of
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122 Doctors here are also pushing e
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124 Main Competitors Slovakia’s m
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126 Spain Summary According to the
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128 Main Competitors The United Sta
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130 Current Market Trends Two main
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132 Taiwan Summary Taiwan, an islan
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134 Trade Events Taiwan Internation
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136 Medical tourism is a new sector
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138 Ukraine Summary In 2011, the Uk
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140 The Ukrainian market is recepti
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142 Current Market Trends • The U
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144 U.S. Commercial Service Healthc
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146 U.S. Commercial Service Healthc
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148 Certification Reference Chart E
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150 Subsector Reference Chart Ratin
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152 Contacts The U.S. Commercial Se
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154 Vermont Susan Murray—Montpeli
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1208-05-17
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