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Diagnosis
 • Lack of a favorable channel in the
   US
  • High bargaining power of buyers through
    group purchases
 • High regulatory costs
 • Startup mode: limited resources
The paradox
               Bubble size = Margin




60%
         40%
Market
Tough US Market
And cost…
Bubble size = Margin / Cost
Look
elsewhere…
Is   Goliath weak there
What else is good for a startup?

  • Disorganized channel
  • Low public contribution (govts usually have high
    bargaining power; may prefer local)
  • Easy regulation
Case Information
 • Economy

 • Health Care situation

 • Regulation

 • Medical Device Industry
Brazil- Qualifiables
   Positives
     •   Government committed to expanding access to essential
         healthcare…10% GDP.
     •   Regulation: International Standards generally accepted
     •   Swift registration process (takes 10 mo., valid 5 years)
     •   Few large-scale domestic manufacturers
     •   Large, rapidly growing market
     •   U.S. accounts for 50% import market
     •   Unlike many other emerging markets-
           • Low import tariffs
           • No import duties
           • No value-added taxes
Brazil- Qualifiables
   • Negatives
     •   Medical device distribution highly fragmented
          • 3000 importers/distributors
          • Expected to consolidate creating greater market access
Russia- Qualifiables
   Positives
     •   The $1.98 Billion Medical device sector displayed robust long
         term growth
     •   Public and Private Healthcare spending could be 3.8 percent
         of GDP which could reach $97.4 Billion by 2013
     •   The Russian economy is expanding and so are healthcare
         investments
     •   By 2013 a CAGR of 7.74 percent was expected with for the
         medical device market and is predicted to have a market
         valuation of $2.88 billion
     •   Imports contribute to 75% of the market in spite of the
         economic crisis giving local manufacturers an opportunity as
         the price of imported products rose sharply starting in 2005
Russia- Qualifiables
  • Negatives
    •   Potential changes to legislation could worsen Tariff's on medical
        devices are expected to drop to an average of 5% with Russia
        potentially entering the WTO
    •   Government could seek methods to increase the market share of
        local producers using methods like increasing tariffs
    •   Local manufacturers have sales of about $1.98 billion
India- Qualifiables
   Positives
     • Regulations Improving Continually; becoming more
     transparent
     • $2.35 billion market for Medical Device Technology
     • Private sector accounts for ~75% of Health Care
     Spending
     • Imported High end Goods increase its share
     • Reduction of levies & Increase of foreign firms
     • Medical Devices rise by 23% expected YOY(2005-06)
India- Qualifiables
   Negatives
     • Poor, (but emerging) population
     •Intellectual Property Laws are lacking
     •Shortage of Staff in Private and Public sector
     •Private sector accounts for ~75% of Health Care
     Spending
China- Qualifiables
   Positives
        •   Medical device market accelerating by 12.87% YOY
        •   Population = 1.3 billion (ageing population), although
            population is highly segmented
        •   Foreign medical device manufacturers are expected to
            increase their presence
China- Qualifiables
   Negatives
        •   Heavy resistance to foreign imports
        •   Although Population = 1.3 billion (ageing population), its
            highly segmented
        •   foreign competition gaining presence
        •   The regulatory framework is hindering the path toward
            efficient operations in the medical industry, but
            improvements expected in the next couple of years
How do we decide?
• Regulation / Compliance
  •   Brazil: international accepted! Fast process   • Import resistance
  •   Russia: weak teeth/ political;                    • Brazil: zero tariff!
  •   India: somewhat hopeful                           • Russia: 75% potential but strong push for
                                                          local
  •   China: uncertain, seems difficult and slow
                                                        • India: Moderate; China : High
• Bargaining power of buyers
                                                     • Political
  • Russia : Indirect govt. funding
                                                        • Russia, China unfavorable
  • Brazil: heavy direct govt spending
                                                        • Brazil looks much better
  • China and India: favorable privatization trend
                                                     • Size and Growth
• Local competition / Saturation/Price
  pressure                                           • Cost advantage
  • China Local players, price pressures                • how about geography
  • Russia: local encouragement                      • Early entry advantage
  • India: nothing mentioned (better)                • Market similarity
25



20
      Does size matter?
                                                                           Brazil

15                                                                         Russi
                                                                           a
                                                                           India

10



 5



 0
     2003   2004   2005   2006   2007   2008   2009   2010   2011   2012   2013
Barrier to entry
  Brazil    Russia   India        China


                               Regulation



                             Import-resistance



                                Local-C/S


                              Buyer power
Finalists
  Brazil             China




                 Regulation



               Import-resistance



                    Local-C/S


                   Buyer power
How about Europe?
 • A startup can easily
   make a small dent
 • Hard to expand
 • Margin/Cost
   information not
   available for BRIC
Recommendation
 • Enter Brazil
 • Keep an eye on China
 • Maintain status-quo in high Margin/Cost countries like
   Spain and Greece
 • Consider exiting low Margin/Cost countries like Italy
   (sorry Professor)

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Genicon going global

  • 1.
  • 2. Diagnosis • Lack of a favorable channel in the US • High bargaining power of buyers through group purchases • High regulatory costs • Startup mode: limited resources
  • 3. The paradox Bubble size = Margin 60% 40% Market
  • 5. And cost… Bubble size = Margin / Cost
  • 7. Is Goliath weak there
  • 8. What else is good for a startup? • Disorganized channel • Low public contribution (govts usually have high bargaining power; may prefer local) • Easy regulation
  • 9. Case Information • Economy • Health Care situation • Regulation • Medical Device Industry
  • 10. Brazil- Qualifiables Positives • Government committed to expanding access to essential healthcare…10% GDP. • Regulation: International Standards generally accepted • Swift registration process (takes 10 mo., valid 5 years) • Few large-scale domestic manufacturers • Large, rapidly growing market • U.S. accounts for 50% import market • Unlike many other emerging markets- • Low import tariffs • No import duties • No value-added taxes
  • 11. Brazil- Qualifiables • Negatives • Medical device distribution highly fragmented • 3000 importers/distributors • Expected to consolidate creating greater market access
  • 12. Russia- Qualifiables Positives • The $1.98 Billion Medical device sector displayed robust long term growth • Public and Private Healthcare spending could be 3.8 percent of GDP which could reach $97.4 Billion by 2013 • The Russian economy is expanding and so are healthcare investments • By 2013 a CAGR of 7.74 percent was expected with for the medical device market and is predicted to have a market valuation of $2.88 billion • Imports contribute to 75% of the market in spite of the economic crisis giving local manufacturers an opportunity as the price of imported products rose sharply starting in 2005
  • 13. Russia- Qualifiables • Negatives • Potential changes to legislation could worsen Tariff's on medical devices are expected to drop to an average of 5% with Russia potentially entering the WTO • Government could seek methods to increase the market share of local producers using methods like increasing tariffs • Local manufacturers have sales of about $1.98 billion
  • 14. India- Qualifiables Positives • Regulations Improving Continually; becoming more transparent • $2.35 billion market for Medical Device Technology • Private sector accounts for ~75% of Health Care Spending • Imported High end Goods increase its share • Reduction of levies & Increase of foreign firms • Medical Devices rise by 23% expected YOY(2005-06)
  • 15. India- Qualifiables Negatives • Poor, (but emerging) population •Intellectual Property Laws are lacking •Shortage of Staff in Private and Public sector •Private sector accounts for ~75% of Health Care Spending
  • 16. China- Qualifiables Positives • Medical device market accelerating by 12.87% YOY • Population = 1.3 billion (ageing population), although population is highly segmented • Foreign medical device manufacturers are expected to increase their presence
  • 17. China- Qualifiables Negatives • Heavy resistance to foreign imports • Although Population = 1.3 billion (ageing population), its highly segmented • foreign competition gaining presence • The regulatory framework is hindering the path toward efficient operations in the medical industry, but improvements expected in the next couple of years
  • 18. How do we decide? • Regulation / Compliance • Brazil: international accepted! Fast process • Import resistance • Russia: weak teeth/ political; • Brazil: zero tariff! • India: somewhat hopeful • Russia: 75% potential but strong push for local • China: uncertain, seems difficult and slow • India: Moderate; China : High • Bargaining power of buyers • Political • Russia : Indirect govt. funding • Russia, China unfavorable • Brazil: heavy direct govt spending • Brazil looks much better • China and India: favorable privatization trend • Size and Growth • Local competition / Saturation/Price pressure • Cost advantage • China Local players, price pressures • how about geography • Russia: local encouragement • Early entry advantage • India: nothing mentioned (better) • Market similarity
  • 19. 25 20 Does size matter? Brazil 15 Russi a India 10 5 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
  • 20. Barrier to entry Brazil Russia India China Regulation Import-resistance Local-C/S Buyer power
  • 21. Finalists Brazil China   Regulation Import-resistance Local-C/S Buyer power
  • 22. How about Europe? • A startup can easily make a small dent • Hard to expand • Margin/Cost information not available for BRIC
  • 23. Recommendation • Enter Brazil • Keep an eye on China • Maintain status-quo in high Margin/Cost countries like Spain and Greece • Consider exiting low Margin/Cost countries like Italy (sorry Professor)

Editor's Notes

  1. Imports: Russia 75%BrazilLocal C/S:ChinaInconsistent IP rulesStrong local encouragementBrazilHeavy reliance on importsRussiaVery heavy reliance on imports (75%)
  2. Imports: Russia 75%BrazilLocal C/S:ChinaInconsistent IP rulesStrong local encouragementBrazilHeavy reliance on importsRussiaVery heavy reliance on imports (75%)