This document provides a country risk analysis report on the United States. It covers the country overview, government structure, political scenario, economy, international trade, investment, payment profile, enforcement of business decisions, culture and society, healthcare system, infrastructure, and reaching consumers. Key highlights include:
- The US is a federal republic with a two-party system and three branches of government. The current political landscape remains polarized.
- The US has an advanced mixed economy that is ranked highly on global indices. Major industries include technology, finance, and healthcare. Economic growth has been hampered by business difficulties.
- International trade is important, with Canada and Mexico as top trade partners. Regional trade blocs include NA
Black magic specialist in Canada (Kala ilam specialist in UK) Bangali Amil ba...
Country Risk analysis of USA
1. Globali Businessi Environment
Projecti Reporti
On
CountryCountryCountryCountryiiii RiskRiskRiskRiskiiii AnalysisAnalysisAnalysisAnalysisiiii ofofofofiiii USAUSAUSAUSA
i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i
Submittedi to:
Dr.i Jagdishi Shettigar
Dr.i Monikai Jian
Submittedi by:i Groupi 1
Abhinavi Irwini Johni 19DM009
Ankitai Jaini 19DM35
Divyankai Bansali 19DM067
Manjeeti 19DM104
Sejali Agarwali 19DM118
Shrutii Guptai 19DM238
18. 5.4.1 Asia-Pacifici Economici Cooperationi (APEC)
Theii Asia-Pacificii Economicii Cooperation,ii orii APEC,ii isii theii premierii
forumii forii facilitatingii economicii growth,ii cooperation,ii trade,ii andii
investmentii inii theii Asia-Pacificii region.ii Itii wasii establishedii inii 1989ii inii
responseii toii theii growingii interdependenceii ofii Asia-Pacificii economiesii andii
theii adventii ofii regionalii economicii blocs.ii Foundingii membersii includeii
Australia,ii Brunei,ii Canada,ii Indonesia,ii Japan,ii Southii Korea,ii Malaysia,ii
Newii Zealand,ii Philippines,ii Singapore,ii Thailand,ii andii theii Unitedii States.ii
APECii worksii towardsii aii higherii standardii ofii livingii andii higherii educationii
levelsii throughii sustainableii economicii growth
5.4.2 Northi Americani Freei Tradei Agreementi (NAFTA)
Oni Januaryi 1,i 1994,i thei Northi Americani Freei Tradei Agreementi
(NAFTA)i betweeni thei Unitedi States,i Canada,i andi Mexicoi enteredi forcei
toi createi ai trilaterali tradingi bloci ini Northi America.i Thei agreementi
supersededi thei originali Canada-Unitedi Statesi Freei Tradei Agreementi
betweeni thei U.S.i andi Canada.i NAFTAi seeksi toi liberalizei restrictionsi oni
tradei amongi thei threei countries.i Sincei itsi entryi intoi force,i NAFTAi hasi
eliminatedi mosti tariffi andi non-tariffi barriersi fori tradei andi investmenti
betweeni itsi threei memberi countries.i NAFTAi aimsi toi promotei thei
conditionsi ofi freei competitioni ini orderi toi increasei marketi accessi andi
investmenti opportunitiesi withini thei freei tradei area.
Memberi Countries
Canada Mexico Unitedi States
Memberi Countries
Australia Brunei Canada
Chile China Hongi Kong
Indonesia Japan Malaysia
Mexico Newi Zealand Papuai Newi Guinea
Peru Philippines Russia
Singapore Southi Korea Taiwan
Thailand Unitedi States Vietnam
19. 6 Unitedi States:i Investment
Accordingi toi thei UNCTADi Worldi Investmenti Reporti 2019,i FDIi inflowsi ini 2018i amountedi toi USDi 251.8i
billion,i downi 9%i fromi 2017.i Thei declinei isi mainlyi duei toi thei falli ofi onei thirdi ini cross-borderi M&Ai sales.i
Thei USi FDIi stocki ini 2018i decreasedi byi 4%i comparedi toi thei previousi year,i reachingi USDi 7,464i billion.i
Thei countryi remainedi thei topi destinationi fori FDIi ini 2017i duei toi itsi largei consumeri base,i ai predictablei andi
transparenti justicei system,i ai productivei workforce,i ai highlyi developedi infrastructurei andi ai businessi
environmenti thati fostersi innovation.i Ini 2018,i thei Unitedi Statesi confirmedi itsi positioni asi thei largesti
investori ini thei worldi withi FDIi outflowsi reachingi USDi 342i billion,i 22%i higheri thani ini 2016.i Thei maini
investori countriesi ini 2016i ini thei Unitedi Statesi werei thei Unitedi Kingdom,i Japan,i Luxembourg,i Canada,i
thei Netherlandsi andi Switzerland.i Mosti ofi thesei investmentsi arei ini manufacturing,i financiali andi
insurancei activities,i tradei andi maintenance,i andi informationi andi communication.i Accordingi toi ai
UNCTADi surveyi ofi multinationali enterprisesi (MNEs),i thei Unitedi Statesi isi consideredi thei firsti potentiali
hosti economyi ini termsi ofi FDIi fori 2017-2019,i aheadi ofi Chinai andi India.i Increasedi investmenti ini thei
manufacturingi sector,i morei specificallyi chemicali manufacturing,i accountedi fori thei majorityi ofi
investmenti gains.i Greenfieldi investmenti spendingi byi foreigni entitiesi totaledi USDi 7.7i billioni ini 2016,i
includingi newi businessi start-upi expensesi (USDi 5.6i billion)i andi Existingi Enterprisei Expansioni
Expendituresi (USDi 2.1i billion).
Accordingi toi thei Worldi Bank'si Doingi Businessi 2020i report,i thei Unitedi Statesi ranksi 6thi outi ofi 190i
countriesi fori thei qualityi ofi itsi businessi climate,i gainingi twoi spotsi comparedi toi 2019.i Thei countryi remainsi
thei world'si leadingi economici power,i thei largesti internationali financiali centre,i andi thei thirdi largesti
countryi ini thei worldi ini termsi ofi population.i Thei Unitedi Statesi isi onei ofi thei countriesi withi thei besti
regulatoryi performancei ini payingi taxes.i Ini 2019,i theyi madei payingi taxesi lessi costlyi (decreasei ini thei
corporatei incomei taxi rate)i ini Newi Yorki Cityi andi Losi Angeles.i Startingi ai businessi isi nowi easieri (onlinei
filingi ofi thei statementi ofi informationi fori limitedi liabilityi companies)i andi enforcingi contractsi tooi
(electronici filingi andi electronici paymenti ofi courti fees).i Ini orderi toi havei ai betteri rank,i thei USi cani improvei
hisi abilityi toi geti electricity,i registeri propertyi andi tradei acrossi border.
6.1 Economici Indicatorsi ofi thei Unitedi States:i FDI
Thei Unitedi Statesi remainsi thei largesti singlei recipienti ofi FDIi ini thei world.i However,i asi thei globali
economyi hasi developed,i thei Unitedi Statesi musti activelyi competei toi retaini andi attracti newi investment
20.
21. 7 Unitedi States:i Paymenti &i Debti Collectioni Profile
Thei paymenti culturei ofi domestici companiesi isi becomingi increasinglyi uncertaini and,i ini thei absencei ofi ai
harmonizedi frameworki oni latei payments,i paymenti termsi remaini ai merei contractuali issue
Thei courti systemi isi complicatedi byi ai county,i statei andi federali structurei ini whichi protectioni mechanismsi
arei noti recognizedi andi wherei noi simplifiedi proceedingsi arei availablei toi settlei thei simplesti files.i Asi ai
result,i significanti delaysi andi costsi musti bei expectedi whilei enforcementi mayi bei difficult.
Wheni thei debtori becomesi insolvent,i collectingi debti becomesi ai complexi task.i Thei bankruptcyi systemi
remainsi proi debtori andi makingi ai companyi insolventi isi noti ai significanti wayi toi obtaini payment.i Ini
practice,i bankruptcyi reorganizationi isi resource-drainingi andi rarelyi resultsi ini generali unsecuredi creditorsi
receivingi anyi dividend.
7.1 Availabilityi ofi financiali information
Obtainingi financiali informationi oni privatei companiesi isi ratheri ai difficulti andi costlyi exercisei ini thei US.i Iti
isi possiblei toi purchasei financiali informationi fromi specializedi providers,i buti iti isi alsoi recommendedi toi
obtaini ai detailedi crediti application,i andi ifi possible,i ai personali guaranteei wheni grantingi crediti ini thei
Unitedi States.i Information,i therefore,i isi thei lifebloodi ofi thei Euleri Hermesi crediti insurancei businessi andi
ouri riski departmenti hasi variousi toolsi availablei toi allocatei eachi companyi ai gradei reflectingi itsi financiali
healthi andi howi iti conductsi business.i Gradesi representi ai corei ofi ouri knowledgei andi analyses,i andi helpi
clientsi identifyi andi avoidi risk.i Datai isi continuouslyi monitoredi toi offeri thei mosti up-to-datei informationi toi
supporti managementi decisions.
7.2 Regulatoryi environment
Thei Unitedi Statesi hasi ai federali structurei consistingi ofi fiftyi statesi andi onei federali districti (Washington,i
D.C.),i eachi characterizedi byi specifici rulesi andi specifici courts.i Disputesi arei normallyi settledi ati thei statei
leveli throughi Statei andi Countyi Courtsi ofi generali jurisdiction,i buti federali Districti andi Regionali Courtsi
wouldi havei exclusivei jurisdictioni overi subjecti mattersi fallingi underi thei scopei ofi applicationi ofi federali
lawi (internationali trade,i federali claims)i ori wheni thei disputei involvesi partiesi locatedi ini differenti statesi
andi ai balancei ofi overi USDi 50,000
7.3 Daysi Salesi Outstandingi (DSO)
Paymentsi ini thei USi normallyi takei placei withini 28i daysi oni average,i buti delaysi ofi fivei toi teni daysi tendi toi
22. bei increasinglyi imposedi byi largei companies.i Ini somei instances,i suchi asi fori substantiali salesi ori speciali
customers,i termsi cani extendi upi toi 90i ori eveni 120i days.i Somei businessesi havei beguni toi takei ai morei
relaxedi approachi toi invoices.i Iti isi nowi noti uncommoni toi heari ofi businessesi thati regularlyi extendi termsi
withouti furtheri discussioni withi theiri suppliers,i andi thisi isi undoubtedlyi ai worryingi trend.i Businessesi arei
lessi inclinedi toi thei concepti thati invoicesi arei ‘duei now,’i noti appreciatingi thati 30-i dayi termsi ori indeedi anyi
periodi ofi crediti isi ai privilegei ratheri thani ai right.i Perhapsi unsurprisingly,i iti isi thei largeri companiesi thati arei
muchi morei likelyi toi takei advantagei ofi theiri suppliers’i goodi naturei andi theiri dependencei oni largeri
customersi fori trade
7.4 Latei paymenti interest
Paymenti termsi arei noti regulatedi byi lawi andi mayi bei freelyi agreedi uponi asi parti ofi ai contractuali
relationship.i Latei paymenti interesti mayi bei chargedi toi thei debtor.i Interesti mayi bei chargedi upi toi thei legali
ratei ofi interesti allowedi byi thei statei ini whichi thei debtori resides.i Ifi noi suchi agreementi isi available,i thei
creditori cani chargei thei legali ratei ofi interesti allowedi byi lawi ini thati state.
7.5 Ownershipi protection
Retentioni ofi Titlei isi veryi uncommoni ini thei US,i soi iti wouldi noti standi upi ini court,i sincei securedi lenders’i
rightsi takei priorityi overi thei goods.i UCCi financingi statements,i beingi ai legali formi filedi byi ai creditori ini
orderi toi givei noticei ofi itsi interesti ini thei personali propertyi ofi thei debtori toi otheri creditors,i arei consideredi
asi ai betteri alternativei thoughi iti isi alsoi rarelyi usedi asi debtorsi cani normallyi choosei anotheri supplieri thati
doesi noti havei suchi requirement.
8 Unitedi states:i Enforcementi ofi Businessi Legali Decisions
Domestici judgmentsi ini thei Unitedi Statesi givei thei creditorsi additionali rights,i suchi asi thei seizurei andi
sellingi ofi thei debtor’si assetsi ori thei garnishmenti ofi theiri banki account.i Asi ai federali state,i decisionsi
renderedi ini onei ofi thei country’si statesi mayi bei executedi ini anotheri state’si court,i providedi thati thei
enforcingi courti considersi thati iti isi competenti toi enforcei anyi judgement.
Fori foreigni awards,i eachi statei hasi itsi owni legislation.i Nevertheless,i theyi musti bei firsti recognisedi asi
domestici judgments.i Ifi ai reciprocali recognitioni treatyi exists,i thei requirementi isi fulfilled.i However,i ini thei
absencei ofi one,i exequaturi proceedingsi aimi ati ensuringi enforcementi ini domestici court,i afteri verifyingi thei
judgmenti meetsi certaini criteriai providedi byi thei statei law.
8.1 Alternativesi toi legali action
Alternativei Disputei Resolutioni methodsi (ADR)i Giveni thei lengthyi andi costlyi naturei ofi legali actionsi ini thei
US,i Alternativei Disputei Resolutioni methodsi (suchi asi arbitrationi ori mediation)i arei veryi common.i First,i
thei lawi (underi thei Alternativei Disputei Resolutioni Act,i 28i U.S.C.i §i 651i eti seq.)i imposesi ani obligationi oni
federali courtsi toi providei meansi toi settlei disputesi throughi ADR.i Secondi andi asi previouslyi mentioned,i
mosti casesi ini thei USi endi throughi ai negotiatedi compromisei andi ADRi thusi constitutesi ai relevanti channeli
fori doingi so.i Finally,i thei courtsi increasinglyi tendi toi orderi thei partiesi toi engagei ini ai pre-triali negotiationi
processesi priori toi commencingi proceedings.i Somei jurisdictionsi alsoi consideri thisi phasei asi ai pre-legali
requirementi which,i ifi noti fulfilled,i wouldi bari accessi toi court.
23. 8.2 Insolvencyi Proceedings
8.2.1 Out-Of-Courti Proceedingsi
Differenti statei lawsi cani proposei out-ofi courti proceedingsi ini orderi toi avoidi anyi formali judiciali
proceedings,i suchi asi thei Assignmenti fori thei benefiti ofi creditorsi ini thei statei ofi California,i wherei ai
companyi turnsi overi alli ofi itsi assetsi toi ani independenti thirdi party,i whoi liquidatesi andi distributesi themi toi
alli creditorsi ini ani equitablei fashion.
8.2.2 Restructuringi Proceedings
Chapteri 11iofi thei Americani Bankruptcyi Codei providesi ai distressedi entityi withi thei opportunityi toi
preservei itsi businessi asi ai goingi concerni whilei implementingi ani operationi ofi financiali restructuring.i Thei
debtori cani seeki toi adjusti itsi debti byi reductioni thei amounti owedi ori extendingi repaymenti terms.i Thei debtori
entityi andi itsi managementi continuei toi operatei thei businessi asi thei debtor-in-possession.i Thei Bankruptcyi
Courti supervisesi thei proceedings.
8.2.3 Liquidation
Accordingi toi Chapteri 7i ofi thei Americani Bankruptcyi Code,i thei purposei ofi thesei proceedingsi isi toi
implementi ani orderlyi liquidationi ofi thei distressedi entity.i Thei court-supervisedi processi involvesi ai trusteei
sellingi assetsi andi distributingi thei proceedsi toi creditorsi ini accordancei withi thei statutoryi prioritiesi
providedi ini thei Bankruptcyi Codei asi welli asi pursuingi availablei causesi ofi action.i Thei USi Trusteei appointsi
ani independenti interimi trusteei toi administeri thei case.i Thei interimi trusteei holdsi ai meetingi ofi creditorsi
afteri thei petitioni isi filed.i Hei isi responsiblei fori liquidatingi thei estate’si assetsi andi distributingi thei proceedsi
toi thei creditors.i Thei courti supervisesi thei proceedings.i Statei lawi cani alsoi providei differenti mechanismi fori
liquidationi ofi ai debtor’si assetsi suchi asi receivership.
8.3 Insolvencyi Trend
24. 9 Unitedi States:i Culturei &i Societyi i
9.1 Sociali Issues
9.1.1 Employmenti trends
i Asi peri thei Harvardi businessi reviewi wheni iti comesi toi locationi andi schedulei 80%i ofi thei employeesi desirei
morei flexibilityi ati worki andi lessi thani 25%i arei satisfied.i Onei controversyi wasi therei whichi wasi
surroundingi Kavanaughi hearingi whichi isi thei sourcei ofi politicali andi workplacei conflicts.i Fori instance,i
therei wasi casei wherei ai memorandumi wasi releasedi byi Sundari Pichaii CEOi ofi Googlei toi warni employeesi
noti toi leti theiri “personali problemsi ori politicsi affecti theiri work”.i Thus,i iti alsoi hasi ai hugei impacti oni thei
businessi environmenti andi crossi borderi businessi wheni iti comesi toi tradingi asi thei credibilityi andi reliabilityi
decreases.i Thisi politicali conflicti wheni combinedi withi technologyi createi ai booni ini thei formi ofi “hashtagi
activism”.i
9.1.2 Federali privacyi laws
Ini Junei 2019,i sweepingi privacyi legislationi wasi presentedi ini Californiai whichi impactedi businessesi ofi
morei thani $25i millioni ori thosei whoi collecti andi disseminatei informationi toi morei thani 50i thousandi people.i
Asi thei residentsi ofi thei nationi hasi thei righti toi seei thei informationi andi withi whomi iti isi shared.i Ini 2019,i
legislatorsi consideredi similari legislationi wheni CEOi ofi Applei Timi Cooki aski governmenti toi passi ai
comprehensivei privacyi lawi ini thei casti ofi EU’si generali datai protectioni regulation.i Timi ini onei ofi hisi
interviewsi saidi thati datai hadi becomei ai weaponi ini moderni worldi withi efficiencyi ofi military.i Manyi Techi
companiesi abidei byi EUi finesi ati 4%i ofi revenue.i Alli thei companiesi whetheri iti isi nationali ori internationali ori
MNCi willi bei welli advisedi toi checki theiri privacyi andi datai policies.
9.1.3 Equalityi ati workplace
Wheni #MeTooi movementi wasi launchedi morei thani 100i womeni electedi toi congress.i Californiai passedi
senatei billi 826i i.e.i thei firsti movei toi geti representationi fromi femalei oni boardsi ofi directorsi ini publici
companiesi andi thisi issuei wasi soi populari thati iti hadi ai directi impacti oni businessesi buti therei isi noi standardi
fori privatei companies.
Ini 2019i U.S.i companiesi focusedi oni genderi equalityi andi tryi toi discardi everyi chancei toi geti intoi anyi
discriminationi acti andi injusticei toi anyi gender.i Companiesi startedi focusingi oni genderi equalityi policiesi
andi electedi morei femalei directors.
Otheri sociali issuesi likei sociali mediai trendsi (Facebook,i twitter,i Instagrami etc.),i artificiali intelligencei ini
customeri service,i nostalgiai (peoplei seeki normalcy),i marijuanai consumptioni amongi U.S.i youngsters,i
traveli trendsi andi foodi &i nutrition.i Thesei alli factorsi havei impacti oni businessi environment.
9.2 Culturali Issues
Therei arei hugei cross-culturali challengesi whichi arisesi wheneveri tradei happensi betweeni countries.i U.S.A.i
hasi ai low-contexti culturesi wheneveri negativei feedbacki isi called,i theyi tendi toi bei indirect.i Buildingi trusti isi
anotheri challengei fori businesses.i Ini unitedi states,i peoplei tendi noti toi havei drinksi withi potentiali businessi
partnersi andi tryi toi avoidi asi muchi asi possiblei asi theyi tryi toi avoidi embarrassingi situations.
25. Therei arei otheri factorsi alsoi whichi affecti thei trusti buildingi likei thei comforti ofi silence.i Ini U.S.i comforti ofi
silencei isi lowi asi theyi arei ablei toi speaki duringi businessi meetingsi andi feeli comfortablei ifi thei conversationi
stopsi fori 0.5i mins.i
9.2.1 Communicationi
Asi Englishi isi thei commoni languagei usedi ini businessi worldi soi U.S.i businessi environmenti isi goodi fori anyi
otheri countryi whoi isi tradingi withi them.i Effectivei communicationi isi veryi importanti toi businessi success.i Iti
isi importanti toi learni thei languagei ofi thei targeti marketi andi thei tradingi partiesi asi toi properlyi conveyi
message.i Aparti fromi verbali communicationi nonverbali communicationi isi veryi importanti ini businessi nowi
ai daysi wheni dealingi withi internationali businesses.
9.2.2 Interactions
Everyi countryi hasi ai gesturei toi greeti wheni theyi havei businessi meetingi andi conferencesi andi thisi playsi ani
importanti rolei whilei signingi ai deal.i Sometimesi peoplei needi toi bei extrai observanti ofi bodyi languagei andi iti
isi betteri toi aski thei otheri partyi thani commiti ai sociali blunder.
9.2.3 Etiquettei ini thei workplace
Thei workersi ofi MNCi arei likelyi toi encounteri manyi differencesi whichi makesi iti compulsoryi fori employeesi
toi learni businessi etiquette.i Asi Americansi usei firsti names,i eveni wheni dealingi withi newi people.i
Punctualityi isi somethingi whichi isi relative.i Wheni dealingi withi businessi Partners,i clientsi ori colleaguesi
fromi U.S.i theyi expecti theiri partnersi toi bei oni time.
i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i i Thei businessi hierarchyi ini U.S.Ai includesi followingi
designations:
9.2.4 Hierarchyi ini thei organization
Iti isi createdi toi achievei goalsi andi supporti stakeholders.i Ini
U.S.A,i therei isi cleari mentioningi ofi designations,i
positionsi andi dutiesi ini thei organization.i Thei businessi
culturei givesi enoughi freedomi toi thei workersi toi reachi
theiri goali ini spitei ofi rigidi dutiesi andi regulations.
10Unitedi States:i Healthi Carei Systemi
Thei U.S.i healthi carei systemi isi uniquei amongi advancedi
industrializedi countries.i Thei U.S.i doesi noti havei ai uniformi
healthi system,i hasi noi universali healthi carei coverage,i andi onlyi
recentlyi enactedi legislationi mandatingi healthcarei coveragei fori
almosti everyone.
26. 10.1 Rolei ofi Government
Thei Affordablei Carei Acti (ACA),i enactedi ini 2010,i establishedi “sharedi responsibility”i betweeni thei
government,i employers,i andi individualsi fori ensuringi thati alli Americansi havei accessi toi affordablei andi
good-qualityi healthi insurance.i i However,i healthi coveragei remainsi fragmented,i withi numerousi privatei
andi publici sources,i asi welli asi widei gapsi ini insuredi ratesi acrossi thei U.S.i population.i Thei Centersi fori
Medicarei andi Medicaidi Servicesi (CMS)i administersi Medicare,i ai federali programi fori adultsi 65i andi olderi
andi somei peoplei withi disabilities,i andi worksi ini partnershipi withi statei governmentsi toi administeri bothi
Medicaidi andi thei Children’si Healthi Insurancei Programi (CHIP),i ai conglomerationi ofi federal–statei
programsi fori certaini low-incomei populations.
Privatei insurancei isi regulatedi mostlyi ati thei statei level.i Ini 2014,i statei andi federallyi administeredi healthi
insurancei marketplacesi werei establishedi toi providei additionali accessi toi privatei insurancei coverage,i withi
income-basedi premiumi subsidiesi fori low-i andi middle-incomei people.i Ini addition,i statesi werei giveni thei
optioni ofi participatingi ini ai federallyi subsidizedi expansioni ofi Medicaidi eligibility.
27. 10.2 Publiclyi Financedi healthi care
Ini 2014,i publici spendingi accountedi fori abouti 49i percenti ofi totali healthi carei spending.12
i Medicarei isi
financedi throughi ai combinationi ofi payrolli taxes,i premiums,i andi federali generali revenues.i Medicaidi isi
tax-fundedi andi administeredi byi thei states,i whichi operatei thei programi withini broadi federali guidelines.i
Statesi receivei matchingi fundsi fromi thei federali governmenti fori Medicaidi ati ratesi thati varyi basedi oni theiri
per-capitai income—ini fiscali yeari 2016,i federali matchingi rangedi fromi 50i percenti toi 74i percenti ofi states’i
Medicaidi expenditures.13
i Thei expansioni ofi Medicaidi underi thei ACAi isi currentlyi fullyi fundedi byi thei
federali governmenti throughi 2017,i afteri whichi thei government’si fundingi sharei willi bei phasedi downi toi 90i
percenti byi 2020i (subjecti toi changei underi thei newi administrationi andi Congress).i Federali premiumi
subsidiesi oni thei exchangesi arei offeredi ini thei formi ofi taxi credits.
10.3 Privatelyi financedi Healthi care
Ini 2014,i privatei healthi insurancei spendingi accountedi fori abouti 39i percenti ofi totali healthi carei spending.14
i
Privatei insurers,i whichi cani bei for-profiti ori nonprofit,i arei answerablei toi statei insurancei commissionersi
andi subjecti toi varyingi statei (andi federal)i regulations.i Privatei healthi insurancei cani bei purchasedi byi
individualsi buti isi usuallyi fundedi byi voluntary,i tax-exempti premiums,i thei costi ofi whichi isi sharedi byi
employersi andi workersi oni ani employer-specifici basis,i sometimesi varyingi byi typei ofi employee.i Thei
employeri taxi exemptioni isi thei government’si third-largesti healthi carei expenditurei (afteri Medicarei andi
Medicaid),i reducingi taxi revenuesi byi USD260i billioni peri year.15
Somei individualsi arei coveredi byi bothi publici andi privatei healthi insurance.i Fori example,i manyi Medicarei
beneficiariesi purchasei privatei supplementali Medigapi policiesi toi coveri additionali servicesi andi cost-
sharing.i Privatei insurers,i ini general,i payi providersi ati ratesi higheri thani thosei paidi byi publici programs,i
particularlyi Medicaid.i Thisi disparityi leadsi toi widei variationsi ini provideri paymenti ratesi andi revenues,i
whichi dependi toi ai largei extenti oni payeri mixi andi marketi power.
Medicare’si paymenti ratesi arei typicallyi determinedi accordingi toi ai feei schedule,i withi variousi adjustmentsi
basedi oni costi ofi livingi andi otheri locali andi provideri characteristics.i Medicaidi ratesi varyi byi state.i Privatei
healthi insurersi typicallyi negotiatei paymenti ratesi withi providers
10.4 Reasonsi Behindi Highi USi Healthi Carei
Ini 2016,i thei U.S.i spenti nearlyi twicei asi muchi oni healthi carei asi otheri high-incomei countries,i yeti hadi pooreri
populationi healthi outcomes.
• Thei maini driversi ofi higheri healthi carei spendingi ini thei U.S.i arei generallyi highi pricesi —i fori salariesi ofi
physiciansi andi nurses,i pharmaceuticals,i medicali devices,i andi administration.
• Contraryi toi commonlyi heldi beliefs,i highi utilizationi ofi healthi carei servicesi andi lowi spendingi oni sociali
servicesi doi noti appeari toi playi ai significanti rolei ini higheri U.S.i healthi carei costs.
• Ini addition,i despitei poori populationi healthi outcomes,i qualityi ofi healthi carei deliveredi oncei peoplei arei
sicki isi highi ini thei U.S.
28. 11Unitedi States:i Infrastructure
Thei $21i trillioni U.S.i economyi dependsi oni itsi vasti networki ofi infrastructurei fromi roadsi toi interneti
provision.i Asi thei systemi wasi buildi yearsi ago,i andi accordingi toi economisti delaysi andi risingi maintenancei
costsi arei holdingi economici performancei back.i Engineersi arei alsoi warningi andi havei safetyi concernsi thati
manyi bridgesi arei structurallyi deficienti andi antiquatedi drinkingi wateri andi wastewateri systemsi posei risksi
toi publici health.i Meanwhile,i otheri competingi countriesi whichi arei developedi havei morei efficienti andi
reliablei servicesi andi theiri investmenti isi oni ani averagei doublei ofi America.
Thei presidenti ofi US,i Donaldi J.i Trumpi hasi promisedi andi isi workingi andi focusingi oni thei infrastructurei
developmenti andi increasedi publici spendingi asi iti wasi necessaryi toi meeti thei growingi needsi andi ensurei thei
developmenti whichi willi directlyi affecti thei economy.
Asi afteri thei Worldi Wari II,i robusti investmenti ini infrastructurei seti thei foundationi fori thei nation’si growth.i
Iti isi clearlyi estimatedi thati poori infrastructurei willi definitelyi imposei largei costsi oni U.S.i economy.i Andi
anyi catastrophici failuresi likei bridgei collapsesi ori dami breaches,i inadequatelyi maintainedi roads,i trains,i
andi waterwaysi costi billionsi ofi dollarsi ini losti economici productivity.
Accordingi toi Henryi Petroski,i ani engineeri andi historian,i thei traffici congestioni causei delayi andi costi thei
economyi aroundi $120i billioni peri year.i Anotheri chokei pointi isi airporti asi internationali tourismi supportsi
1.2i millioni U.S.i jobsi andi bringsi ini hundredsi ofi billionsi ofi dollarsi ofi taxi revenuei buti duei toi thei poori statei
ofi nation’si airportsi therei arei delaysi andi avoidedi tripsi whichi costi thei economyi overi $35i billioni peri year.i
Accordingi toi manyi analystsi andi economistsi investingi ini newi infrastructurei andi currenti maintenancei willi
affecti thei economyi positivelyi ini manyi ways.i Asi becausei ofi thisi efficiencyi willi increasei andi reliabilityi
andi loweri transportationi costsi thesei alli willi boosti longi termi U.S.i competitivenessi andi acti asi ani economyi
shocksi insulator.i Thisi isi directlyi increasingi thei demandi andi employment,i asi somei 14i millioni workersi
(11%i ofi totali U.S.i labori force),i arei currentlyi employedi byi thisi sectori asi peri thei Brookingsi Institution.
Sincei 1980s,i Thei Americani Societyi ofi Civili Engineersi (ASCE)i compilei “reporti cards”i oni thei statei ofi
nation’si infrastructure.i Ini 2017i report,i U.S.i goti “D”i whichi meansi “mostlyi belowi standard”,i givingi ai
signali fori “significanti deterioration”i whichi willi leadi toi highi riski ofi failure.i Byi 2025,i Thei estimatedi
infrastructurei gapi isi $1.5i trillion.
29. Ini thei developedi world,i U.S.i generallyi lagsi behindi itsi peers.i Asi peri thei worldi economici forum’si globali
competitivenessi report,i ini 2016i U.S.i wasi rankedi 10th
i ini thei worldi fori thei infrastructurei qualityi asi iti camei
downi fromi 5th
i positioni whichi wasi ini 2002.i Andi iti isi placedi behindi byi France,i Germany,i Japani andi Spain.i
Poori infrastructurei directlyi affecti thei businessi andi thisi alsoi increasei averagei commutingi houri asi iti
becamei 48i minutesi peri dayi whichi isi veryi highi thati ofi itsi peersi duei toi congestioni andi poori publici transiti asi
ini U.K.i itsi 38i minsi andi ini Italyi 32mins.i Wheni iti comesi toi interneti U.S.i isi againi laggingi behindi asi byi
Worldi Economici Forumi iti goti 19th
i ranki ini broadbandi coverage.i Therei isi ai hugei differencei ini thei fundingi
levelsi ofi U.S.i andi itsi peersi likei oni averagei Europeani countriesi spendi approx.i 5%i ofi GDPi oni buildingi andi
maintainingi infrastructurei whereasi U.S.i spendi 2.4%.i somei ofi thei developedi nationsi likei Australia,i
Canada,i France,i U.K.i havei alsoi developedi Nationali Infrastructurei Frameworksi whichi allowi centrali
governmenti toi directi andi prioritizei projectsi whichi U.S.i failedi toi doi duei toi decentralizedi system.
U.S.i differsi fromi otheri industrializedi countriesi oni thei basisi ofi howi theyi spendi theiri locali andi statei
fundingi oni itsi infrastructurei development.
Ini comparisoni toi Europeani countriesi whichi fundsi bulki ofi theiri infrastructurei developmenti ati nationali
level,i aroundi 25%i whichi veryi lessi asi comparisoni toi othersi U.S.i publici infrastructurei fundingi comesi fromi
thei federali government.i Thei federali governmenti helpsi ini somei indirecti waysi whichi includei financingi
mechanismsi ori taxi incentives.i
Manyi projectsi havei startedi asi thei electricityi andi poweri sectori accounti fori thei largesti sharei ofi thei projecti
pipelinei valuei US$4222.9i billioni followedi byi raili projects;i airporti andi otheri infrastructurei projects,i roadi
projectsi whichi makei upi fori US$110.9i billioni andi wateri andi seweragei projectsi valuei ati US$86.8i billion.
Thei publici sectori isi expectedi toi contributei 48.3%i ofi thei totali valuei ofi infrastructurei projectsi ini thei
pipeline,i whilei 31.6%i arei expectedi toi bei financedi byi thei privatei sectori (thei majorityi ofi whichi arei
electricityi andi poweri projects).i Thei remainingi 20%i willi bei financedi byi ai mixi ofi publici andi privatei
sources.
Ini feb,2018,i Trumpi Administrationi releasedi itsi infrastructurei initiativei toi modernizei thei country'si
infrastructure.i Taxi ratesi reductioni andi deregulationi arei expectedi toi boosti overalli investmenti overi thei nexti
5i years,i majorlyi ini thei telecommunications,i energyi andi airi transportationi sectors.i
12Unitedi States:i Reachingi thei Consumer
30. 12.1 Populationi ini Figures
Ethnici Origins:i Accordingi toi thei U.S.i Censusi Bureau,i thei majorityi ofi Americansi havei Europeani ori
Middlei Easterni ethnici origins,i representingi overi 77%i ofi thei population.i Overi 17%i ofi thei populationi hasi
Hispanici ori Latinoi ethnici origins,i 13%i ofi thei populationi isi Africani Americani andi abouti 5%i isi ofi Asiani
ethnici origin.i Nativei Americansi andi Alaskani Nativesi constitutei abouti 1%i ofi thei populationi andi Nativei
Hawaiiansi ori otheri Pacifici Islandersi arei abouti 0.2%i ofi thei population.
12.2 Consumeri Profile
Thei averagei agei havingi beeni morei ori lessi constanti sincei 2010i despitei ai slighti upwardi trend.i Iti reachedi
38.2i yearsi ini 2018.i Morei thani 31%i ofi thei populationi isi underi 24i yearsi oldi andi 29%i isi overi 55i yearsi old.i
Thei populationi growthi ratei isi 0.8%.i Thei averagei sizei ofi ai householdi isi 2.53i yearsi peoplei withi 28%i ofi
householdsi livingi alone,i 34.5%i ofi peoplei livingi ini twoi andi 15.2%i ofi householdsi ofi 3i people.i Therei arei
abouti 97i meni fori everyi 100i women.i Abouti 82%i ofi thei populationi livesi ini urbani areas.i Thei mosti
populatedi areasi arei ini thei easterni halfi ofi thei Unitedi Statesi (Greati Lakes,i Northeast,i Easti andi Southeast)i
andi ini thei westerni states.i Thei leasti populatedi populationsi arei mountaini areas,i desertsi andi boreali forestsi ini
thei extremei north.i Thei maini citiesi arei Newi York-Newark,i Losi Angeles-Longi Beach-Santai Ana,i
Chicago,i Houston,i Miami,i Washingtoni DC.i i Thei leveli ofi educationi isi highi withi 90%i ofi adultsi agedi 25i toi
64i havingi completedi secondaryi education,i andi 28%i continuingi ini higheri education.i Thei maini
occupationsi arei administrativei andi tradei jobs,i followedi byi health,i management,i business,i finance,i
transportationi andi construction
12.3 Purchasingi Power
Thei GDPi peri capitai PPPi ini thei Unitedi Statesi isi 59i 531i USDi peri year.i Thei averagei salaryi isi upi andi hasi
reachedi 38i 390i dollars.i Purchasingi poweri ini 2018i hasi increased,i thanksi toi thei increasei ini promotionsi andi
thei usei ofi credit.i Adjustedi disposablei incomei peri capitai is
$i 44,049.i Consumptioni rosei ini 2018i andi grewi byi 1.26%i ini thei thirdi quarteri ofi 2018.i Thei Ginii indexi oni
incomei inequalityi hasi stabilisedi sincei 2016.i Ini 2017,i meni earnedi ani averagei ofi $i 44,408i ai yeari andi
womeni earnedi 31,610.i Wagesi ini thei easti ofi thei countryi arei higheri whilei thei southi hasi thei lowesti wages.i
Asian-borni householdsi havei thei highesti mediani wage,i aheadi ofi thei non-Hispanici whitei population,i thei
Hispanici populationi andi thei Afro-Americani population.
31. 12.4 Consumeri Behaviour
Thei Unitedi Statesi isi ai veryi developedi consumeri society.i Whilei thei populationi hasi ai fairlyi highi leveli ofi
confidencei ini thei future,i thei financiali crisisi hasi pushedi consumersi toi movei towardsi lower-pricedi
products.i Youngi peoplei arei morei likelyi toi payi attentioni toi promotionsi andi comparei prices.i Thei mosti
populari supermarketsi arei Walmarti andi Sam'si Clubi (morei thani ai fifthi ofi marketi share),i followedi byi
Kroger,i Albertsons,i Costcoi etc.i Americansi arei generallyi willingi toi traveli toi majori shoppingi centres.i Ini ani
averagei yeari ani Americani spendsi 7203i dollars,i withi 85%i ofi Americansi visitingi thei interneti ati leasti oncei ai
month.i Thisi marketi representsi $i 504i billioni ini 2018,i includingi 10%i ofi goodsi purchasedi oni Amazon.i
Consumeri confidencei isi downi ati thei endi ofi 2018.i Generally,i consumersi arei openi toi internationali
companiesi andi brands.
Mosti Americansi arei loyali toi brandsi buti arei willingi toi learni abouti otheri brandsi toi accessi cheaperi productsi
withi 10%i ofi consumersi showingi willingnessi toi tryi otheri brandsi ifi thei pricei isi lower.i Sociali networksi havei
ai largei impacti oni consumers,i withi 74%i ofi sociali networki usersi makingi decisionsi basedi oni feedback.i Plusi
45%i readi reviews,i articles,i reviewsi andi feedbacki fromi influencersi oni products.i i Somei 71%i ofi consumersi
arei worriedi abouti bigi datai andi 34%i doi noti trusti techi companiesi withi regardi toi personali data.
Amongi consumeri trendsi ini thei Unitedi Statesi 'Madei ini America'i isi ani importanti issue.i Somei 70%i ofi
Americansi consideri iti significanti toi buyi Americani products.i Also,i responsiblei consumptioni isi
increasinglyi attractingi consumersi whoi wanti sustainable,i transparent,i cleani products.i i Somei 48%i ofi
consumersi sayi theyi wanti toi changei theiri habitsi toi reducei theiri impacti oni thei environment.i Youngi peoplei
arei eveni morei concernedi abouti thei subjecti andi arei willingi toi payi morei toi reducei theiri footprint.i Thei
second-handi marketi grewi byi 2%i betweeni 2014i andi 2019,i andi buyingi andi sellingi websitesi arei
multiplying.i Thei collaborativei economyi isi highlyi developedi ini thei Unitedi States,i especiallyi ini largei
cities.
12.5 Housei Holdi Consumeri Expenditure
32. 12.6 Consumeri Recoursei toi Credit
Ini thei Unitedi States,i thei usei ofi crediti andi debiti cardsi isi widespread.i Withi cardi payments,i aroundi 70%i isi
madei byi debiti card,i whilei crediti cardsi arei usedi ini thei remainingi 30%.i However,i thei amounti ofi purchasesi
madei withi crediti cardsi isi higher.i Householdi debti hasi increasedi significantlyi ini recenti yearsi andi exceedsi
thei pre-crisisi level.i Ini thei secondi halfi ofi 2018,i outstandingi debti reachedi $i 13.29i trillion.i Morei andi morei
Americansi arei ini debti (abouti 73%i ofi thei population).i Oni average,i ani Americani hasi $i 137,000i ini debt,i andi
38,000i ifi onei withdrawsi mortgages.i Consumeri crediti isi usedi primarilyi toi financei vehicles,i educationi andi
sustainablei products.i Thei risei ini defaults,i threateningi financiali stability,i andi ai possiblei risei ini interesti
ratesi couldi havei ai negativei impacti oni consumeri credit.
13i Unitedi States:i Riski Assessmenti oni Currenti Trends
13.1 Growthi hamperedi byi businessi difficulties
Growthi willi slowi sharplyi ini 2020i duei toi thei downturni ini businessi investmenti which,i afteri beingi boostedi
ini 2018i andi earlyi 2019i byi Presidenti Donaldi Trump’si taxi reformsi (corporatei taxi cuti fromi 35%i toi 21%),i
begani toi declinei ini mid-2019i amidi tradei tensions,i aggravatedi byi thei unpredictabilityi ofi politicali
decisions.i Ini addition,i USi companiesi havei beeni forcedi toi trimi theiri importi margins,i toi avoidi passingi oni
thei entirei increasei ini inputi costsi resultingi fromi customsi dutiesi imposedi oni mosti Chinesei importsi andi ai
multitudei ofi productsi (includingi steeli andi aluminium),i buti alsoi theiri exporti margins,i toi remaini
competitivei despitei retaliationi measuresi byi tradingi partners.i Ini thisi challengingi contexti fori companies,i
thei Federali Reserve,i whichi wasi forcedi toi loweri itsi keyi interesti ratei threei timesi byi thei endi ofi 2019,i isi
expectedi toi pursuei itsi easingi policyi ini 2020.i Improvedi financingi conditionsi willi makei iti possiblei toi
supporti householdi consumption,i whichi willi ini turni boosti growthi thanksi toi ai persistentlyi lowi
unemploymenti ratei (3.6%i ini Octoberi 2019)i andi correspondinglyi briski growthi ini reali wages.i Conversely,i
ini thei absencei ofi anyi majori newi measures,i publici spendingi willi contributei onlyi marginallyi toi growthi ini
2020,i afteri expandingi stronglyi fori twoi years.
33. Ini addition,i thei tradei environmenti willi remaini weak,i featuringi mutedi growthi amongi keyi partnersi andi
retaliatoryi protectionisti measuresi byi thosei samei partners,i andi exportsi willi growi slowlyi afteri ai flati
performancei ini 2019.i Althoughi alsoi affectedi byi protectionisti measures,i importsi arei expectedi toi remaini
brisker,i ini linei withi householdi consumption.i Foreigni tradei willi thereforei continuei toi weighi oni growth.
Thei segmentsi mosti exposedi toi tradei tensionsi willi continuei toi bei manufacturingi industry,i whichi isi facingi
bothi fallingi exporti ordersi andi risingi inputi costs,i andi agribusiness,i whichi isi thei maini targeti ofi Chinesei
tradei retaliationi measures.i Thei economici situationi isi alsoi difficulti fori thei energyi sector,i whichi isi heavilyi
indebtedi duei toi investmenti requirementsi andi facingi weaki profitabilityi becausei ofi thei dipi ini oili prices.i
Conversely,i activityi willi remaini solidi ini construction,i thanksi toi lowi interesti rates.
13.2 Ever-presenti deficitsi ini publici andi externali accounts
Ini thei absencei ofi anyi majori fiscali measures,i thei publici deficiti willi remaini veryi highi ini 2020.i Oncei again,i
thei maini increasesi ini spendingi willi bei concentratedi ini thei militaryi budgeti (+USDi 23i billion,i ori 0.1%i ofi
GDP).i Ati thei samei time,i withi revenuesi slackeningi ini ai contexti ofi slowingi activity,i thei deficiti mayi eveni
widen.i Publici debt,i whichi isi amongi thei highesti ini thei world,i willi thereforei continuei itsi upwardi trajectory.i
Ini thisi regard,i thei governmenti andi Congressi reachedi ani agreementi ini Julyi 2019i toi raisei thei ceilingi oni
publici spendingi andi debt,i thusi avoidingi thei prospecti ofi ai federali shutdowni similari toi thei onei ini Januaryi
2019.
Thei currenti accounti willi continuei toi showi ai largei deficiti ini 2020.i Substantiali importsi ofi consumeri andi
capitali goodsi engenderi i ai structurali deficiti ini thei goodsi balancei (4.2%i ofi GDPi ini 2018).i Surplusesi ini thei
balancei ofi servicesi (1.2%i ofi GDP)i –i thanksi toi tourism,i researchi andi developmenti andi financiali servicesi –i
andi ini incomei (0.6%i ofi GDP),i attributablei toi dividendsi fromi USi investmentsi abroad,i arei clearlyi
insufficienti toi offseti thei goodsi balance.i Thei resultingi currenti accounti deficiti willi bei mainlyi financedi byi
FDIi andi portfolioi investment.i Thei neti externali asseti positioni hasi beeni ini deficiti fori threei decadesi (49.5%i
ofi GDPi ati thei endi ofi Junei 2019).i Thisi deficiti willi continuei toi widen.
13.3 Uncertaintyi overi thei presidentiali electioni ini ai polarisedi landscape
Ini thei lead-upi toi thei presidentiali electioni ini Novemberi 2020,i thei politicali landscapei looksi morei polarisedi
thani ever.i Democrats,i whoi tooki overi thei Housei ofi Representativesi (235i seatsi outi ofi 435)i ini thei 2018i mid-
termi elections,i launchedi impeachmenti proceedingsi ini Septemberi 2019i againsti Presidenti Trump,i whoi isi
suspectedi ofi pressuringi Ukrainei toi investigatei Joei Biden,i onei ofi thei Democratici presidentiali candidatesi
ini 2020.i Althoughi impeachmenti hasi veryi littlei chancei ofi success,i sincei iti requiresi ai two-thirdsi votei ini thei
Senate,i wherei thei Republicansi stilli havei ai majorityi (53i seatsi outi ofi 100),i iti illustratesi thei dividei betweeni
twoi setsi ofi voters:i ini Novemberi 2019,i onlyi 11%iofi Republicansi wantedi Presidenti Trumpi impeached,i
comparedi toi 81%i ofi Democrats.i Thei outcomei ofi thei Democratici primariesi isi highlyi uncertain.i Whilei
pollsi conductedi ai yeari beforei thei electionsi suggesti thati eachi onei ofi thei maini Democratici candidatesi
wouldi beati Presidenti Trump,i thei situationi couldi changei radicallyi ini whati mayi bei ai tumultuousi electioni
campaign.
Internationally,i USi tradei andi foreigni policyi willi remaini unpredictable.i Despitei thei announcementi ofi ai
partiali tradei agreementi ini Decemberi 2019,i tradei tensionsi withi Chinai arei expectedi toi continue,i withi mosti
tariffsi beingi maintainedi (19%i oni averagei ini Januaryi 2020i versusi 3%i ati thei beginningi ofi 2018).i Thei
Unitedi Statesi mayi alsoi openi ai newi fronti ini thei tradei wari byi taxingi Europeani cari imports,i afteri twicei
postponingi itsi decisioni oni thisi matter.