June 2017- World T rade Organization- 20th Anniversary of the Info T ech Agreement

MEDICALTECHNOLOGY - THE PROMISE OF THE ITA TO ATTAIN UNIVERSAL HEALTH COVERAGE

T REVOR GUNN VICE PRESIDENT- INTERNATIONAL RELATIONS WASHINGT ON, DC

MEDTECH SUPPORTS: UN SUSTAINABLE DEVELOPMENT GOALS

SDG 3 Ensure health lives and promote well-being for all

at all ages

SDG 3.4 By 2030, reduce by one 1/3 premature mortality

from NCDs through prevent ion and t reatment and promote mental health and well-being

ACCESS TO MEDICAL TECHNOLOGY DRAMATICALLY IMPROVES HEALTHCARE ACCESS

Non-Communicable Disease accounts for 70% of all deaths globally Annually, 15 m die from an NCD between ages 30-69; 80% in low- & middle income

- WHO Brazil: NCDs account for 72% of all deaths India: NCDs account for > 53% of all deaths Russia: NCDs account for 86% of all deaths China: NCDs account for 87% of all deaths - WHO

MEDTECH AND IT OVERLAP

88,000+ EMPLOYEES

9,000+ SCIENTISTS AND ENGINEERS

4,800+ PATENTS

18 mont hs ITERATIVE INNOVATIONS

65 MILLION LIVES IMPROVED LAST YEAR

Relies on core IT components: Capacitors, Batteries, Chips, Software Healthcare Digitization to Unlock

Coordination and Improve Efficiency and Patient Outcomes

Dev

elop

ed

Emer

gin

g

Build Awareness

Develop Operat ing Part ners

Product Innovat ion Part ners

MEDTRONIC INDIA CASE STUDY: SHRUTI FRONTLINE HEALTH-WORKERS DOOR TO DOOR SMARTPHONE SCREENINGS. PATIENTS WITH HEARING LOSS REFERRED TO ENT SPECIALISTS

In India, 77 percent of those with chronic Inner-ear inflammat ion suffer hearing loss.

Shrut i community health workers performed 115, 000 ear screenings in 2 years.

MEDICAL TECHNOLOGY WHAT CLASSIFIES?

Capital Equipment Implantable/Disposable Th

erap

eutic

D

iagn

ostic

MEDICAL TECHNOLOGY LANDSCAPE

TRADE POLICY SETTINGS, SUCH AS TARIFFS ON MEDICAL TECHNOLOGIESDIRECTLY AFFECT THEIR ACCESS - WTO, WHO, WIPO JOINT REPORT 2013

Presentat ion Tit le (Edit on Slide Master) | June 1, 2015 | Confident ial, for Internal Use Only 8

10%26%

AVG DEVELOPING & LDC TARIFF 4% | 26% MAXIMUM

5% 4.3% 4.0%

3.15% 7.9%

MidEast + Africa

China Lat in America

China Avg Pacemakers

Argent ina

Brazil

Indonesia Ghana

Djibout i* 4% Cambodia*

ASEAN

* Least Developed Countries (LDC)

NON-TARIFF BARRIERS & REGULATIONS IMPACT MEDTECH

MedTech Inappropriately Linked to PhRMA Inappropriate regulat ions and standards Payment systems dont account for speed of innovat ion

Misaligned Investment and Incent ives Lack of physical infrast ructure operat ing rooms, IT etc. Lack of professional staff- doctors, nurses, other support Dont understand ecosystem: Suppliers, R&D, Clinical

Research

Americas

Europe, Middle East,

& Africa

Greater China

Asia Pacific

MEDTRONIC- WORLDS LARGEST MEDICAL TECHNOLOGY CO SERVING HEALTHCARE SYSTEMS AROUND THE WORLD

Medtronic is a mult i-nat ional company st ructured into four regions.

53,000+ Patents

$2B

Annual R&D Spend

56

Research centers

160+ Number of countries operat ing in

CONTACT INFO

Trevor Gunn Vice President - Internat ional Relat ions Medtronic, Inc. (Washington DC) +1 202 442 3655 Trevor.Gunn@Medtronic.com & Adjunct Professor School of Foreign Service(CERES) Georgetown University

Medicaltechnology- the promise of the ita to attain universal Health coverageMedTech Supports: UN Sustainable Development GoalsAccess to medical technology dramatically improves healthcare accessMedTech and IT OverlapMedtronic India Case Study: ShrutiFrontline Health-workers Door to Door Smartphone Screenings.Patients with hearing loss referred to ENT SpecialistsMedical Technologywhat Classifies?Medical Technology LandscapeTrade policy settings, such as tariffs onmedical technologiesdirectly affect their access- WTO, WHO, WIPO Joint Report 2013Non-Tariff Barriers & Regulations Impact MedTechMedtronic- worlds largest medical technology coServing Healthcare Systems Around the WorldContact Info