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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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