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POLITICS

&

SOCIETYMedical

tourism

in

Latin

AmericaSpotlight

reportWhat

characterizes

the

medical

tourism

market

in

Latin

America?Key

questions

answered

inthisreport123What

role

doesLatinAmericaplayin

Whichmedicaltourism

destinationsWhat

are

theindustry’smain

driversandconstraints?themedical

tourism

market?inthe

region

are

mostpopular?•

TheLatinAmerican

medical

tourismmarket

was

estimated

tobeworth8.63

billionU.S.

dollars

in2023.•

Aheart

valvereplacement

costs

anaverage

of145,500

U.S.

dollarslessinMexico

than

inthe

United

States.•

MexicoandBrazil

accountforasubstantialshare

ofthemedicaltourism

market

inLatinAmerica.•

Mexico

isthethirdmost-visitedmedical

tourismdestination

intheworld.•

LatinAmerican

countries

rankrelatively

lowon

measures

ofsafety,security,

health,andhygiene.•

American

consumers

rate

CostaRicaand

the

Dominican

Republicasthemost

attractivemedical•

Brazil

rankssecond

forthe

highestnumber

of

cosmetic

proceduresworldwide,

which

are

the

mostsought-after

treatments

abroad.tourism

destinationsinthe

region.•

More

than

100

organizations

intheregion

havebeen

accredited

byJointCommission

International.•

Colombia

aims

to

receive

2.5

millionmedical

tourists

by2032.2Whatrole

doesLatinAmericaplayinthemedical

tourismmarket?1Medical

tourisminLatin

Americaisanexpanding

marketTheregion

accountsforover

afifth

of

theindustry’smarket

valueworldwideValue

ofthemedicaltourismmarket

worldwide

from

2023

to

2028

(inbillionU.Sdollars)TheLatinAmerican

medical

tourism

market

is

forecast

tomore

than

doubleinthenextfiveyears.

Itisestimated

togrow

from8.63

billion

U.S.dollars

in2023

to20.51

billion

U.S.dollarsin2028,

displayingacompound

annualgrowth

rate(CAGR)of

18.9

percent.

Thisvaluerepresents

22

percent

oftheglobal

market

anda

CAGRcomparable

to

theglobalaverage.

In2022,

Brazil

and

Mexico

accounted

forasubstantialshare

ofthemedical

tourism

market

valueintheLatinAmerican

region

and

areexpected

to

remain

relevantwithin

theindustryinthecoming

years.100806040200202320242025202620272028Value

ofthemedical

tourism

market

in

Latin

Americafrom

2023

to2028

(inbillionU.S.

dollars)25201510502023202420252026202720283Notes:(1)

Worldwide;

2023;

calculated

bybased

oninformation

provided

by

the

source;(2)

LAC;

2023;

calculated

byID:1084720;

(2)

MarketDataForecast;

ID:910467based

oninformation

provided

by

the

sourceSources:

(1)

MarketDataForecast;Whatrole

doesLatinAmericaplayinthemedical

tourismmarket?Mexico

is

the

third

most-visited

medical

tourism

destinationin

the

world1Anestimated

1.3

million

international

patientsvisit

Mexico

every

yearMost

visitedmedicaltourism

destinationsas

of2023Thailand

andthe

United

Statesranked

firstandsecond

among

the

most

populardestinationsformedical

tourists,annuallyreceiving

2.5

million

and

1.9million

international

patients,respectively.WithinLatinAmerica,

Mexico

isthemost

populardestination.

According

to

estimates,

asof

2023,

thecountry

receives

around

1.3

million

internationalpatientsevery

year.

ThispositionstheLatinAmericancountry

asthethirdmost-frequented

nationformedical

tourismintheworld.4Notes:Worldwide;

asof2023;

*the

sourceutilizes

a

varietyofresources,

including

paid

and

free

sources,primaryresearch,and

phone

interviewsSources:

Istanbul

Chamber

ofCommerce;KMPG;

Market.usMedia*;

Medical

TourismAssociation;medicaltourismco;

Ministry

ofHealth

Turkey;Patients

BeyondBorders;

TourismAuthority

ofThailand;

TurkeyHealthcare

Tourism;

U.S.

News

andWorldReport;U.S.

TravelAssociationWhatrole

doesLatinAmericaplayinthemedical

tourismmarket?1The

United

States

is

the

main

country

of

origin

for

health

touristsAnimportant

share

ofinternational

patientscome

from

neighboring

LatinAmerican

countries

and

CanadaMost

common

countriesoforiginfor

medical

tourists

travelingtoLatin

America

as

of2023Globally,theUnitedStatesisthemaincountry

oforigin

forinternational

patients,alongwithCanada,

theUnitedKingdom,andotherWesternEuropean

nations.These

trendsarealsoseen

within

LatinAmerica,where

medical

tourism

hubs

receive

patientsprimarily

fromtheUnitedStatesandCanada.

Thecountries’

proximity

andconnectivity

toLatinAmerican

destinationsmaketheregion

apopularchoice

formedical

tourism.

LatinAmericanpatientsthemselves

alsoprofit

fromtherelativeproximity

to

other

local

destinations.People

inLatin

Americatraveling

withintheregion5Notes:Worldwide;

asof2023;

*the

sourceutilizes

a

varietyofresources,

including

paid

and

free

sources,primaryresearch,and

phone

interviewsSources:

Deloitte;

H;

Market.usMedia*;

Medical

TourismAssociation;

Patients

BeyondBordersWhatrole

doesLatinAmericaplayinthemedical

tourismmarket?1Costa

Rica

is

considered

an

attractive

country

for

medical

tourismAmerican

patientsrankCosta

Rica

and

theDominican

Republic

the

most

attractivemedical

tourism

destinationsinLatinAmericaMedical

tourism

index

score

of

popularhealthdestinationsinLatin

Americaas

of2021Based

ontheperception

of

over

3,000

Americanpatients,Costa

Rica

isthebest-rated

destination

formedical

tourisminLatinAmerica,

with

ascore

of71.73pointsout

ofapossible

100.

TheMedical

TourismIndex

placedthecountry

asthe

seventh

mostJamaica:60.74Mexico:59.47Dominican

Republic:66.32Guatemala:55.04attractiveforhealthtourism

inthe

world,

makingitthe

only

LatinAmerican

nationto

reach

the

top

10.CostaRica:71.7362.77TheMedical

Tourism

Indexconsiders

41

measuresover

three

different

dimensions,

looking

at46selected

countries

known

aspopularhealthcaredestinations.

Thethree

maindimensions

analyzedincludethe

country’s

environment,

itsmedical

tourismindustry,andthe

qualityofthedestination’sfacilitiesandservices.Panama:Colombia:

64.95Brazil:64.35100(bestscore)Argentina:

66.2606Notes:LAC;

2020

and

2021;

3,030

respondents

fromthe

United

StatesSources:

Medical

TourismAssociation;

ID:889983Whatrole

doesLatinAmericaplayinthemedical

tourismmarket?1Beauty

standards

drive

a

sizable

cosmetic

market

in

Latin

AmericaCosmetic

surgeries

arethemost

sought-after

medical

treatments

abroadShare

ofmedical

tourism

worldwide

as

of2023,bymedicalspecialtyCountrieswith

thehighest

numberofcosmeticproceduresin2021

(inmillions)Cosmetic

surgery

leadsthe

rankingof

topmedicalprocedures

forhealthtourism.

Itaccountsforoneinfourmedical

services

carried

outoutside

thepatient’scountry

ofresidence,

withliposuction,breast

augmentation,andeyelid

surgery

the

mostpopulartreatments.CosmeticsurgeryDentalproceduresFertilitytreatmentsOphthalmicproceduresOrthopedicsurgeriesCancertreatmentsCardiactreatmentsBariatricsurgeryUnitedStatesBrazilJapanIn2021,

fourLatinAmerican

nationsreached

thetop10

forthehighestnumber

ofcosmeticprocedures

performed

inthe

world.

Brazil

andMexico

ranked

second

and

fourth,respectively,while

Argentina

and

Colombia

came

insixthandtenthplace.

Othernationssuchas

the

UnitedStates,Japan,

andGermany

alsoranked

highly.MexicoGermanyArgentinaTurkeyIndiaNeurologicaltreatmentsGastricproceduresItalyColombia0%10%20%30%024687Notes:(1)

Worldwide;

as

of2023;

*the

sourceutilizes

a

varietyofresources,

including

paid

and

freesources,

primary

research,

and

phone

interviews;

(2)

Worldwide;

2021Sources:

(1)

Market.usMedia*;

ID:

1414337;

(2)

ISAPS;

ID:

293356;

Text:International

Medical

TravelJournal;

ISAPS;McKinsey

&Company;

Medical

TourismAssociation;

Medical

TourismMagazine;

Market.usMedia*;

Patients

Beyond

Borders;

WHOWhich

medicaltourismdestinations

intheregion

aremost

popular?2Mexico:

big

savings

on

offer

throughout

its

northern

citiesThecountry’smarket

is

greatly

influenced

byitsgeographical

proximity

tothe

United

StatesandCanadaAsshown

ontheprevious

page,Mexico

isparticularly

popularforitscosmetic

surgery.

Additionally,thecountry

isalsoespecially

known

foritsdental

careservices.Mexico’s

medical

tourism

market

greatly

benefitsfrom

itsgeographical

proximity

to

theUnited

States,

andpatientscoming

across

the

border

canexpect

tosaveup

to500

U.S.dollarson

certain

dental

procedures,

suchasimplants(seepage15).

Therefore,

some

of

the

most

popularMexican

citiesforhealthtourism

are

thoseinnorthern

states,includingTijuana,Monterrey,

and

LosAlgodones,

the

latteralsoknownas“Molar

City”

for

itshigh

density

ofdentistsand

itspopularity

withAmerican

dentaltourists.Otherplacessuchas

Mexico

City

or

the

cityof

Guadalajara,located

inJalisco,

arealso

among

the

most

visited

medicaltourism

destinationsinthe

country,offering

hospitalandhotel

clusters

with

avariety

of

specializations

forprivatenationalandinternational

patients.8Notes:Mexico;as

of2023;

*the

sourceutilizes

avarietyofresources,

including

paid

and

freesources,primaryresearch,

and

phoneinterviewsSources:

H;

Market.usMedia*;

MedicalMex;

Medical

TourismAssociation;

Médica

Sur;

Patients

Beyond

BordersWhich

medicaltourismdestinations

intheregion

aremost

popular?2Brazil:

a

popular

destination

for

cosmetic

surgeriesThecountry

hasoneof

the

highest

numbersof

plasticsurgeons

intheworldMedical

tourism

inBrazil

ischaracterized

byitspopularity

inthe

field

of

cosmetic

surgery

(see

page7).

FollowingtheUnited

States,Brazil

isthecountry

withthe

second

highestnumberof

plasticsurgeons

intheworld.TheSouthAmerican

destinationaccounted

for13.6

percentof

the

sector’s

experts

in2021,

withnearly

6,000

specialistsundertaking1.6

million

cosmetic

surgeries,

positioning

Brazilasaworld

playerinthissegment.Among

the

most

popular

cosmetic

surgery

treatments

inthecountry

areliposuction,

silicon

implants,andabdominoplasty,with

liposuction

andsilicon

implantsalone

accountingfornearly

athirdof

cosmetic

surgeries.

In2022,

Brazil

accountedfor18

and

13

percent

of

global

liposuction

andabdominoplasty

procedures,

respectively.9Notes:Brazil;asof2023Sources:

H;

ISAPS;

Medical

TourismAssociation;

MedicalTourism.ReviewWhich

medicaltourismdestinations

intheregion

aremost

popular?2Costa

Rica:

recognized

for

its

medical

tourism

industryThecountry

hasoneof

the

best-rated

healthcare

systems

inLatinAmericaCostaRica

isperceived

byAmerican

patientsashavingthebest

medical

tourism

industryinthe

world,

oneof

the

threemaincategories

considered

bythe

Medical

Tourism

Index(see

page6).

Thisdimension

considers

consumer

perceptionsof

elements

suchasprices,

infrastructure,

logistics,andaccommodation,

andwith

dentaltreatments

the

country’smost

sought-after

specialty,

itisclear

why

CostaRica

rankssowell

with

American

medical

touristsonthese

dimensions.Moreover,

CostaRica

hasone

ofthetop-ranking

healthcaresystems

inLatinAmerica,

with

ahealthindexscore

of

79.73pointsout

ofapossible

100.

According

tothe

Legatum’sProsperity

Indexhealthandhealthsystems

ranking,thispopulardestinationhasahealthier

population

and

betteraccess

tohealthcareservices

than

many

othercountries

inthe

region.10

Notes:Costa

Rica;as

of2023Sources:

Bloomberg;H;

LegatumInstitut

Foundation;

Medical

TourismAssociation;

MedicalTourism

ReviewWhich

medicaltourismdestinations

intheregion

aremost

popular?2Dominican

Republic:

rising

the

popularity

ranksThenumberof

medical

touristsintheDominican

Republic

increased

byover

500

percent

inafive-year

periodTheDominican

Republic

isperceived

by

American

touristsasthesecond

most

attractivemedical

tourismdestinationinLatinAmerica.

Itsmedical

tourism

market

hasbeensteadily

increasing

inrecent

years.

In2022,

thecountryreceived

anestimated

263,000

international

patients,ariseof

over

500

percent

incomparison

to2017.

Thisfollowsefforts

put

together

bythepublicand

privatesectorstowards

theindustry.Likeother

LatinAmerican

countries,

the

DominicanRepublicis

especially

popularamong

international

patientsforitsdentalprocedures.

Withover

half

of

internationalpatientsvisitingthecountry

fortreatments

suchasdentalimplantsandtooth

whitening,dentalpatientsspend,onaverage,

7,500

U.S.

dollarsper

capita

forexpenses

suchasmedical

services,

local

travel,

accommodation,

andmeals.11

Notes:Dominican

Republic;

as

of2023Sources:

Asociación

Dominicana

de

Turismo

de

laSaludWhich

medicaltourismdestinations

intheregion

aremost

popular?2Colombia:

a

developing

medical

tourism

marketThecountry

aimsto

receive

2.5

million

medical

touristsby2032Medical

tourism

isadeveloping

market

inColombia.

In2016,the

local

government

presented

abusiness

plan

aimed

atfostering

medical

tourisminthecountry.

Theprojectrecognizes

the

nation’spotential

withinthesector

andistasked

with

growing

the

market,

envisioning

receiving

2.5million

medical

touristsby2032

and

generating

revenues

ofapproximately

6.3

billion

U.S.dollars.Colombia

hasasubstantial

advantagewhen

itcomes

tomedical

costs,with

differences

inprices

withtheUnitedStateseven

higherthan

the

price

difference

compared

toMexico.

Additionally,similar

to

CostaRica,

Colombia

hasoneof

the

top-rated

healthcare

systems

inthe

region,

withfiveofitsmedical

establishments

makingitontothelistofthetop10

leading

hospitalsinLatinAmerica.12

Notes:Colombia;

as

of2023Sources:

América

Economía;

Asociación

Nacional

de

Empresarios

de

Colombia;

Bancóldex;

Colombia

Productiva;

LegatumInstitut

Foundation;

Sigil

Consulting

Group;The

Commonwealth

FundWhataretheindustry’s

maindrivers

andMedical

tourism

is

mainly

driven

by

cost

savings

and

qualityof

healthcare3constraints?Thecost

ofaccessing

treatment

isamajor

issue

allover

theworldShare

ofrespondentsconsideringselectfactors

as

main

reasons

for

seeking

treatmentabroad

worldwide

as

of2023Costsavingsand

thequality

of

care

arethetwomain

reasonsforchoosing

medical

careabroad.

According

to2023

data,halfofinternational

patientsturntomedical

tourism

tosavemoney

on

costly

procedures

and/ortoaccess

high-qualityhealthcare

services

not

availableintheircountries

ofCostsavingsQualityofcareresidence.

Lackof

staff

and

access

tohealthcare,

along

withwaiting

timesandthe

highcost

of

accessing

treatment,

aremajor

issues

facedbyhealthcare

systems

allover

the

world,

asituationexacerbated

bythe

COVID-19

pandemic

andonethatdirectly

drivespatientsto

seek

medical

treatment

abroadCombiningtreatmentwithvacationAdvancedtechnologyNoinsurancecoverageReferralsand

recommendationsShorterwaitingtimesLackoflocalexpertisePrivacyandconfidentialityHolisticandalternativetherapies0%10%20%30%40%50%60%13

Notes:Worldwide;

asof2023;

*the

sourceutilizes

a

varietyofresources,

including

paid

and

free

sources,primaryresearch,and

phone

interviewsSources:

Market.usMedia*;

ID:1414361;

Text:CNBC;

Deloitte;

Frost

&Sullivan;

HarvardHealth

Publishing;

Ipsos;

Market.usMedia*;

Medical

TourismAssociation;

Patients

BeyondBordersWhataretheindustry’s

maindrivers

and3constraints?American

households

are

particularly

affected

by

high

treatment

costsAroundfourinevery

tenadultsinthe

United

Stateshavehealthcare

debtShare

ofadultswithhealthcare

debtinthe

UnitedStates

as

of2022Highmedical

costsinthe

United

Statesareone

ofthe

key

concerns

faced

bypatientsinteracting

withthe

healthcare

system.

According

toasurveycarried

outin2022,

over

halfof

AmericansHas

had

healthcare

debtinthe

pastfiveyearsHealthcare

debtconsidered

itatopissue,

abovetheglobalaverageestimated

ataround40

percent.

Highmedical

costsinthe

United

Stateshaveled

toasignificantshareof

the

American

populationacquiringhealthcaredebt.According

toa2022

survey,41

percent

ofAmericans

hadyettopaybackhealthcare

bills,andanadditional16

percent

still

owed

money

duetomedical

procedures

inthefiveyearsprior.41%43%57%59%Has

nothadhealthcaredebtinthepastfiveyearsNohealthcare

debt14

Notes:United

States;

February25

to

March20,

2022;

1,674

respondents;

18

yearsand

older;adults

with

currentorpast

healthcare

debtSources:

Kaiser

Family

Foundation;

ID:1329360;

Text:IpsosWhataretheindustry’s

maindrivers

andLatin

America

offers

competitive

medical

prices

forinternational

patients3constraints?Theregion’s

proximity

tothe

United

Statesdirectly

influences

itsmedical

tourism

marketDifference

inmedical

procedurepricesbetweentheUnitedStates

and

selected

countriesinLatin

Americain2021

(in1,000

U.S.

dollars)Asshown

onpage5,

the

majority

of

medical

touriststoLatinAmerica

come

fromtheUnited

States,withthe

region’s

competitive

prices

abigdraw.WithdestinationssuchasMexico

andColombia

offeringaccessible

prices

atarelatively

short

distance,LatinAmerican

countries

present

themselves

as

anattractivealternative

forAmerican

patients

who

oftenstrugglewith

thehigh

costsof

care

intheirhomecountry

(see

previous

page).Heart

valvereplacementHeart

bypassSpinalfusionHipreplacementKneereplacementHipresurfacingAngioplastyGastric

sleeveFaceliftRhinoplastyCataract

surgery(pereye)BreastimplantsLiposuctionDepending

on

the

procedure,

the

cost

savingsinmedical

prices

between

Mexico

and

theUnitedStatescanrangefrom

500

U.S.dollars

foradentalimplantto4,800

U.S.dollars

forafaceliftandup

toatleast147,500

U.S.dollars

foraheart

valvereplacement.Gastric

bypassHysterectomyLasik(botheyes)Dentalimplant020406080100120140160MexicoColombia15

Notes:Colombia;

Mexico;United

States;2021Sources:

Medical

TourismAssociation;

ID:981018Whataretheindustry’s

maindrivers

and3constraints?Safety

and

security

concerns

hinder

growth

in

the

regional

marketHealth

and

hygiene

constituterelevant

concerns

withintheindustryTTDI:

Safety

andsecurityTTDI:

Healthand

hygieneSafety,security,health,and

hygieneconcerns

constituteachallengeforthemedical

tourismmarket

inmany

LatinAmerican

countries.5.45.25.15.05.04.94.84.84.74.64.54.44.34.13.93.83.8UruguayPanama5.84.2Costa

RicaArgentinaChile4.85.7According

tothe

Travel

and

TourismDevelopment

Index

(TTDI),Uruguay,Panama,andCostaRica

were

the

best-rated

countries

inthe

region

for

safetyandsecurity,while

Uruguay

andArgentinaled

theregional

rankingforhealthandhygiene.5.0DominicanRepublicBolivia4.13.7Ecuador4.3ParaguayNicaraguaPeru3.93.53.7GuatemalaTrinidad

andTobagoEl

SalvadorBrazil3.3Overall,

LatinAmerica

ranksrelatively

lowinbothscores

on

aglobalcomparison,with

the

regional

lead

ranking61stworldwide

forsafety

andsecurity

and24th

forhealth

and

hygiene.5.44.24.3ColombiaHondurasVenezuelaMexico4.43.43.23.62.44.816

Notes:(1)

LAC;

2021;

ona

scalefrom1

(worst)

to7

(best);

(2)

LAC;

2021;

onascale

from1(worst)

to

7(best)Sources:

(1)

WorldEconomic

Forum;ID:1057844;

(2)

WorldEconomic

Forum;ID:1414434;;

Text:CDC;

Medical

TourismAssociation;Whataretheindustry’s

maindrivers

and3constraints?Perceivedquality

influences

medical

tourism

in

Latin

AmericaApproximately

100

healthcare

organizations

inthe

region

haveachieved

certification

byJointCommission

InternationalNumberofJCI-accredited

organizations

inLatinAmericaas

of2023,

bycountryPerception

ofhealthcarestandardsand

qualityof

carecanhaveasubstantial

influence

ondecision-making

whenconsidering

medical

treatment

abroad(see

page13).

For

LatinAmerica,

thechallengelies

inhowtosignaltoconsumerswhich

are

the

high-qualityhospitalsand

medical

tourismhubsintheregion.

Withinthisframework,

internationalaccreditors

provide

patientswith

guidanceonthequality

ofavailableservices.BrazilPeruMexicoColombiaArgentinaPanamaCostaRicaNicaraguaEcuadorChileAsof

2023,

over

100

healthcareorganizations

inLatinAmerica

haveachieved

certification

byJointCommissionInternational,one

ofthemost

recognized

internationalhealthcare

accreditors

based

inthe

United

States.Thatyear,Brazil

had

thehighestnumberof

JCI-accredited

organizationsinthe

region,

accountingforseven

in10

ofall

JCI-certifiedhealthcare

institutions.BarbadosBahamas0102030405060708017

Notes:LAC;

as

of2023Sources:

JointCommission

International;

ID:1414451;

Text:Medical

TourismAssociationOutlook123What

role

doesLatinAmericaplayinthemedical

tourism

market?Whichmedicaltourism

destinationsinthe

region

are

mostpopular?What

are

theindustry’smain

driversandconstraints?LatinAmerica

accountsforMexico

and

Brazil

accountfor

arelevant

Competitive

pricesandlocation

areapproximately

22

percentof

the

globalmarket

valueofmedical

tourism

andthisisforecast

toreach

over

20

billionU.S.dollars

by2028.

Theregion

is

hometoMexico,

the

thirdmost-visitedmedical

tourismdestination

intheworld,

as

well

asother

attractivemedical

tourism

destinationsandgrowing

markets.shareof

themedical

tourism

marketvalueinLatinAmerica.

WhileMexico’sproximity

tothe

United

StatesandLatinAmerica’s

main

strengthswhen

itcomes

to

theregion’s

medical

tourismmarket.

However,

concernsrelated

toBrazil’s

expertise

in

cosmetic

surgeries

quality,safety,security,health,anddrive

this

trend,itisC

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