Sept. 30, 2022
Thomas Gibson, CEO & Co-founder at MedGlobal Group
Thomas Gibson is the co-founder and chief executive officer at MedGlobal Group, a multisided marketplace for the medical industry. After spending 22 years as an executive for healthcare and hospital organizations, Thomas founded MedGlobal Group with his wife, Patricia, recognizing the need to use technology to help solve the challenges of making healthcare equipment, products, and services accessible to the world. Their international platforms combine technology and tools to help connect manufacturers and distributors with global buyers. Thomas and Patricia believe healthcare is more than a business, and we have a responsibility to ensure medical equipment and products are made available to all parts of the world. Our platforms provide sourcing opportunities for both new and used medical products, and we publish a fully-interactive digital magazine focused on the industry. Thomas holds dual BAs in Business Administration and Emergency Management. Thomas received the American Society of Healthcare Engineering Emerging Leader of the Year Award and is the past president of the Florida Healthcare Engineering Association. Thomas and Patricia also operate the Gibson Soto foundation, a nonprofit that helps young women rise from poverty through education.
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Welcome to the Latin MedTech Leaders podcast, a conversation with MedTech leaders who have succeeded or plan to succeed in Latin America.
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Please subscribe on your favorite podcasting platform.
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Apple Podcast, Spotify, Google Podcast.
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Tune in.
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I heard radio, Pandora, or these are
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Welcome to the Lockdown Met Leaders podcast, a conversation with leaders who have succeeded or plan to succeed in Latin America.
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Please subscribe on your favorite podcasting platform.
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Apple Podcast, Spotify, Google Podcast, Amazon Music, et cetera.
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Today our guest is Thomas Gibson.
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Thomas is the, or Tom is the co-founder and chief executive Officer at Med Global Group, a marketplace for the medical device industry with special focus in Latin America.
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Thomas has 22 years of experience as an executive for healthcare and hospital organizations in the United States and now lives in Mexico.
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So Thomas is Tom, it's great to have you here today.
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Thank you for joining us.
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Well, thank you very much.
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And Julio, it's a pleasure to be on your podcast and, and just to be involved in, in Latin America market and really appreciate what you're doing to, to let people know how, you know.
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Amazing.
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This market is
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Beautiful.
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Beautiful.
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I like, I love that introduction,.
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I'm enthusiastic.
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All right.
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Uh, Tom, let's get started.
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Uh, talking about your journey.
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I mean, how is it that you got involved, uh, with what you're doing today in Mexico?
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Well, um, I've always had this dream that I, that I wanted to live abroad and learn new cultures and work abroad.
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And one day, I, I, I, I met my wife who happened to be Mexican, and we were diving in Cancun.
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And, um, you know, everything just kind of happened from there.
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And, uh, we decided that, you know, since that was my dream or, or one of my passions to live abroad, I said, Well, you know what, Here's a good chance to do that.
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And we did it.
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And we moved down here and started a medical equipment company, and next thing you know, things changed.
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The environment changed.
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We saw many opportunities here and, and we have taken them.
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And that's how we became Med Global Group.
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.
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Very good, very good.
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Um, so let's talk a little bit about your past.
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What is it that you did back in the US when you were actively working in healthcare and hospital organizations?
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See, so my main, uh, role was working more on the operations side.
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So I worked on facilities, hospital constructions.
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I oversaw clinical engineering, um, staffing and, and regulatory, um, concerns with the hospital, joint commissions and, and things like that.
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Um, and, and I always had a passion for the construction, installing medical equipment, deins installing it.
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And then part of what I really, really strive for was finding a home for the equipment that was deinstalled from the hospitals that I worked at.
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Because, you know, we all know that, that that equipment still has many, many active years of life left in it.
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It just doesn't meet the needs for that particular facility.
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And so that, that was always my, always stayed in the back of my mind like that, that someday I, I needed to find a way to help solve these problems and improve these issues.
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Hmm mm-hmm.
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.
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So that's a genesis of what you're doing today, actually,
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That is, yes.
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And, and what we're doing today literally started at our kitchen tabletop, you know, between my wife and my wife was my partner, believe it or not.
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So we work together and we're our business partners, and I, I love every moment of
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It.
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Very good.
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All right, so let's talk about trends in Latin America.
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That's usually a question that I ask my guests because there's, uh, there are many things, there are many wins in Latin America today, and, uh, there's always an interesting conversation about, uh, what people see as trends and, uh, lots of time.
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Uh, you tell me about trends that I've never seen.
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So it's great to, to, to interact about talking about trends.
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So what trends, economic, political, social do you see happening in Latin America that are relevant for medical equipment or medical device business?
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Sure.
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So I think what's really important that we have to understand, like where Latin America stands in the healthcare marketplace, and not many people understand, um, exactly like what's going on in Latin America.
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And, and especially in details.
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You know, one of the things we should understand that globally, there's a hundred thousand hospitals and a quarter of them are in the us.
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A quarter of them are in China, a quarter of our spread between Europe and Africa.
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But a quarter of them sit in Latin America.
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And that, and that equates to equate to about 20,000 hospitals.
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You know, it's not quite a quarter, but 1.56 million beds.
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That's a lot of beds.
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You know, we have 52,000 operating rooms, we have 20,000 delivery rooms.
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And when people think of Latin America, I don't think they actually think of those numbers.
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You know, they really don't think, But what, what the difference is in Latin America is that even though we have this quantity of hospitals and clinics that support the healthcare system, there are one, uh, one third fewer beds in the hospitals, and there's a fraction of specialty services that are available around the world.
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So that's one of the challenges that we work at.
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Like the average hospital bedside in Latin America is 56 beds when the average hospital size in the United States is 162.
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So there's quite a difference here.
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Um, Chili's an exception to the rule.
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Chile has advanced a much, much farther on on healthcare.
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Um, but we are seeing that the size of hospitals directly affect their ability to acquire proper capital resources.
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And those capital resources include equipment and human ca uh, capital here.
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Um, you know, Latin America, even though these statistics don't sound so great, but Latin America is actually above the average for the O E C D on medical equipment.
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But there's still way behind the rest of the world.
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And there's many reasons that happens.
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Now, when we talk about trends, I think I'm gonna talk in a different way, if it's okay with you from more of like the challenges that are happening in Latin America and then that creates the opportunities for the other parts of the world to actually support Latin America.
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I think it's very important for us in this.
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So, you know, even though Latin America is an emerging market, and out of the 10, uh, emerging markets in the world, Latin America holds four positions.
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Okay?
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So Mexico is, uh, Brazil, Mexico, Columbia, your home country in Argentina.
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So those are one of the, within the top 10 of the emerging markets in Latin America.
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But the problems are, is despite these positive statistics that we see, hospitals do not have the capability to develop centers that have expertise, treatment.
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And, and there's many reasons that that happens.
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So most of your hospitals in Latin America focus only on primary treatment, which means that many patients are unable to get specialty treatments here.
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And that happens, number one is because hospitals in Latin America don't have leverage capabilities.
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Um, the average will just speak for Mexico itself.
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In Mexico, the average public hospitals a hundred beds, but the average private hospital is 15 to 20 beds.
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So with that kind of patient output, they don't have leverage in the industry to buy proper equipment.
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That's one problem because an average patient stay may be three days, so only one third of their patients are turning over.
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But also the hospitals do not have the infrastructure to, uh, the infrastructure to actually support the more modern technological equipment.
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So that, so that's a big problem here.
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And they usually starting houses, in a house, five beds, 10 beds, then they buy their house next door, another 10 minutes.
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,
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Latin America, you know, is quite different because we have very, very dense urban areas.
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But then we have vast rural areas that are still challenged at trying to give healthcare.
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Another problem that is atten, that's, um, contributing to the trends are the pandemic, which has negatively affected hospital budgets and throughputs.
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So hospitals are just realizing now that they thought they may have had adequate, adequate equipment to, to attend to surges, to hospital care, but they're real, real realizing they don't now.
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And then another reason, like I said before, because the majority of hospitals in Latin America are in rural areas, well, there's no sales people visiting these hospitals on a regular basis to sell them proper medical equipment.
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Um, you know that 60% of, uh, 60% of the region is managed by public healthcare and 60%, which equates about 80% of the market, hospital ex, even for, even for public healthcare system, hospital expenditures were redirected and they were put to other resources to, to attend to the crisis.
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Even public healthcare is going to have to find very creative ways to start purchasing medical equipment over the next few years.
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And, and all of these challenges that are in Latin America are actually creating opportunities for other parts of the world because they're re-installing equipment or there's manufacturers in different parts of the world that are manufacturing less expensive equipment that takes less technology to operate, but can provide better patient care.
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Does that make sense to you?
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Yeah, yeah, it makes sense.
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So these problems can be very, very easily solved if we just create these synergies or a way to connect this equipment that's on the market, whether it's new or used.
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And they used medical equipment, mark as a$32 billion business.
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And a lot of times this medical equipment that's not reached the end user because there's just not a way to get it there.
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There's not a way to connect buyers and sellers together.
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And there's not ways to help facilitate the logistics or help facilitate the regulatory concerns that are needed to get that, uh, medical equipment landed and installed.
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But
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There are laws in some countries that prevent used medical equipment.
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They're actually in the industry.
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New medical equipment is heavily regulated, but used medical equipment, they allow more opportunities to move it around.
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So for me, for Mexico, for instance, you don't need cos, which is similar to the FDA in the US to bring used medical equipment in.
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Oh, really?
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But, but you also wanna make sure that quality equipment is being delivered and that all, and that you can support it with future parts.
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Okay.
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So that's the, that's how we're filling some of the gaps.
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We can, we can facilitate the connections to get the right equipment to the right places, but also support it with a parting system so that they can maintain the system long term.
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Well, I have a comment about that, uh, term, um, in Columbia that is probably the country that I know the most for obvious reasons.
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Of course, what born on, raised in Columbia, uh, the, the law prevents older medical equipment to enter the country.
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And the the cutoff is two years.
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I mean, if it is older than two years, you are not gonna be able to bring into the country.
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So, so I guess the big manufacturers ge, the big ones probably lobby the, the government or something.
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I don't know what happened.
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Well, you know, um, Julio, what happens is that even for manufacturers too, cuz we work with manufacturers as well.
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Manufacturers at some point start producing new technology and that new technology may not be able to fit into the existing equipment they're having.
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A lot of that equipment will go abandon or will be end up for parts.
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There's still an opportunities, like you say, in Columbia something two or three years old, there is still equipment on the market, two or three years old.
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And let's expand that because we also work with products.
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So there's companies that may have pallets of products like gloves or gowns that are very useful for staff in the treatment of patients that may be closer to expiration date, but can be used by other countries.
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And any time that medical products and equipment goes to waste, that means patients aren't being treated somewhere in this world.
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A patient's not getting something they can get to help them, them be healthier.
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Yes, yes.
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Tom, you're breaking up an interesting point.
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And that's actually one of the top reasons why I started these podcasts because I realized that there is a huge gap, uh, innovation gap as I call it, um, between Latin America and the developed world, call it the US Europe, Japan, um, where it will probably take about 10, 15 years before a product reaches Latin America after it is, uh, approved by the fda, for example, or has a C mark approval.
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So it is really sad that patients do not have access to innovative medical technologies, whereas in other countries people have had it for 10, 15 years.
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So the podcast is, is a way to show, and well, before I go there, I mean, one of the reasons why this gap exists, I think is because companies are not really aware about the opportunities that Latin America offer.
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The correct, this vast region of over six shorter and 60 million people over 30 something countries, uh, big countries like, uh, Brazil, Mexico, Tina, Columbia, Chile, you know, correctly named with great infrastructure, they're hungry for medical innovation and, and correct reimbursement is pretty much guarantee because in a lot of these countries, uh, healthcare is a constitutional right and, and government pays for, for anything pretty much.
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Uh, so anyway, my point is that, uh, the podcast is kind a grain of salt trying to, to, to help, uh, close the gap and so that medical innovation reaches the region faster.
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Exactly.
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And you mentioned the word technology.
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So technology has two sides to it.
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So it has an infrastructure and it has an equipment side to it, but if we can't deliver the technology, we can't deliver specialty services.
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And, and, and you know, quite honest, it that's within, from a global standpoint, that, that, that should be like high on their radar to be addressed because it looks like that we can easily address it.
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You know, it's just getting the right resources to the right places and understanding the market a little bit differently.
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You know, we're not gonna change rural hospitals and, and the rural people don't have the opportunity to go to urban areas to get treatment.
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And quite honestly, sometimes they don't have the proper insurance to get into the level of hospital they need to get into.
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Yeah, yeah.
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So you know, this, even though we're talking about medical equipment and products and the problem that we have about getting them into the places that we need, but we're really, truly talking about is patient care.
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That's, that's the bottom line here, that, you know, the physicians can't provide patient care if they don't have the right equipment and products.
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And we all witnessed that during the pandemic.
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So we should have learned by now we learn
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.
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Yes.
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Yeah.
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All right.
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Uh, Tom, let's talk about, um, what you are doing, uh, today at, um, Met Global Group.
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I mean, what is your marketplace about, uh, how does it work?
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Uh, what challenges you're facing right now?
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So we, we, we began in 2015 and we, we started as a Latin focused only multi-sided platforms serving, serving the medical industry.
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So we all, we provide a, a marketplace or a foundation where sellers can list their product services and equipment and buyers can search and find what, what's in their budget or their needs or their technological needs.
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Um, and, and we have over, right now, we, we have over 20, no, we have over 12,000 products listed, but recently within the past year we just rebranded to an international company in multiple languages, multiple currencies.
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Cuz what we've learned over that time is that our clients were no longer being Latin American clients, our clients were becoming American US clients or European clients or, or Asian clients that wanted to move into the Latin market.
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So we've redeveloped our entire platform to meet that kind of demand so that we can be, we can not just focus on Latin America, but we can, we can actually connect somebody in the United States, manage the language barriers, manage the currency barriers, and still connect these two end users together.
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So we a buyer and seller together that, that then that can hopefully find the right equipment in the right place and we also can facilitate the logistics for them as well.
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And in addition to that, we're now publishing a digital, fully interactive digital magazine for the health industry.
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Um, a as you know, and what we're trying and all of that integrates with our platform.
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Um, one thing I didn't mention that since we decided to rebrand, we also divided, decided to be a development company.
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Huh, interesting.
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Okay.
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Yeah.
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So we are, we are a tech company actually now and, and we develop a lot of things and we're developing new things for the medical industry based upon their needs.
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And, and that has been an amazing journey for us over the last couple of months since we've launched the new platform.
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Um, you know, we have had such amazing response, um, distributors from around the world and manufacturers from around the world are, are all contacting us now because they, they see that we're their, we're their connection between them and Latin America, but we just don't connect the user.
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We make sure we find out what all their needs are.
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So if they need somebody to help them with regulatory concerns, we can, we can connect them with that as well.
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So it's almost like a spoken hub type of a process where, where we just don't deal with just selling somebody.
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We wanna make sure that we can deliver quality equipment to, to practical places that can give better patient care.
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And, and that's our, that's our complete goal.
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And another thing that we even do that if there's donations that, of medical prospect equipment, we'll help facilitate that just to make sure, because anytime medical products or services go to waste, patients aren't being served.
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And that's very important to us.
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And, and what countries in Latin America are the most popular for your searches or for your client searches or,
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Sure.
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Um, so right now, Mexico, of course is our headquarters.
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Um, and, and it, it's very, um, active for us.
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Um, Columbia comes in at number two.
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You'll be happy to hear that.
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Yeah,
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Exactly.
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Yeah.
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When
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Comes in at number three, Ecuador is in number four, Brazil is up there at number five, Argentina is six.
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So we, we literally, and then Central America is actually growing a lot, Des despite the challenges that are happening, Central America is actually coming up.
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Huh.
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Very much.
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Interesting.
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Awesome.
00:21:22.640 --> 00:21:23.839
And so let's talk about challenges.
00:21:23.840 --> 00:21:30.519
What would you say are the top three challenges that you're facing in, in, in Mexico or elsewhere in Latin America with your business?
00:21:32.000 --> 00:21:50.160
Uh, you know, the top challenges I think here is, is obviously because the G D P has dropped significantly in Mexico, and remember that the majority of healthcare right now in Mexico is public healthcare system that's funded by taxation dollars.
00:21:50.161 --> 00:21:52.559
And those taxation dollars aren't there anymore.
00:21:53.089 --> 00:22:12.269
So the challenges coming up, I believe that the public health care system, which typically only focused on new equipment, is gonna have to be a little more creative now and find more economical ways to fill those voids so that they can, uh, meet the needs.
00:22:12.819 --> 00:22:22.470
Like in America, like in Columbia, um, the average age of, uh, or the mortality rate is, is keeps dropping.
00:22:22.519 --> 00:22:27.868
So the average age of lifespan keeps rising, which means there's a greater need for healthcare.
00:22:28.069 --> 00:22:32.470
And that's, that's the same thing in Latin America that is, is in any place in the world.
00:22:33.039 --> 00:22:40.750
So somehow some way we have to find a way to get the equipment, the products, the services, the trust to build here.
00:22:41.039 --> 00:22:44.950
We have to get more manufacturers to come here and start producing.
00:22:44.951 --> 00:22:48.029
There are some manufacturers in, in Latin America.
00:22:49.269 --> 00:22:58.190
Um, I think one of those challenges are, is in the, the belief of our human resources, belief in our skill set.
00:22:58.191 --> 00:23:07.299
And, and, and that's so completely wrong because I'm, we're a tech company and we're here in Latin America and we're doing very well.
00:23:07.720 --> 00:23:15.339
And I feel that we have some of the best, best developers, designers, operators, um, in the system.
00:23:16.059 --> 00:23:16.579
In in the system.
00:23:16.580 --> 00:23:20.140
And I just feel that the rest of the world may not understand that quite yet.
00:23:21.118 --> 00:23:40.970
And here I am, I am a, I'm a US citizen who's here and established here and see the opportunities and, and just to see that, you know, over time, that, that this area, Well, we all know that Latin America is probably the fa fastest emerging region of
00:23:41.049 --> 00:23:41.569
The world now.
00:23:41.890 --> 00:23:42.170
Yeah, yeah.
00:23:42.368 --> 00:23:45.390
And and it's also the most urbanized area of the, the world.
00:23:46.299 --> 00:23:47.799
Yes, yes.
00:23:47.800 --> 00:24:15.650
You know, we, we can eliminate some of these misnomers about Latin America and get people to understand that we're not just beaches and we're and we're very high tech, you know, this is, we are, we are a growing and emerging, like I said before, out of the top 10 emerging healthcare regions, Brazil, Mexico, Columbia, Argentina, that has to speak for
00:24:15.650 --> 00:24:15.930
Something.
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