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Home/Company News/25% Tariff Proposed on Imported Orthopedic Products
Company News

25% Tariff Proposed on Imported Orthopedic Products

April 4, 2018 4 min read Premium comments

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25% Tariff Proposed on Imported Orthopedic Products
In 1912 Democrats were pro-tariff, Republicans were not. Times have changed. / Source: Wikimedia Commons
#chinatariff#orthopedicproducts#tax#trumptariff

This week, the Office of the United States Trade Representative issued a notice that it intends to impose a new 25% tariff on a large number of medical devices and drugs, including orthopedic products imported from China.

The wording of the proposed rule is unambiguous. All “orthopedic or fracture appliances, and parts and accessories thereof and all artificial joints and parts and accessories, thereof” coming from China would be subject to this proposed 25% tariff.

While the U.S. is the largest supplier of orthopedic products around the world, U.S. based suppliers routinely use components which are manufactured in China.

At the just completed American Academy of Orthopaedics Surgeons (AAOS) annual meeting, for example, 38 Chinese origin companies had booths—the most from a country outside the U.S.

They were selling to both the attending physicians AND to other exhibiting companies.

The notice sets in motion a period of public commentary. All written comments are due May 15, 2008. The due date for post-hearing rebuttal comments is May 22, 2018.

Then, if nothing changes, orthopedic products and components and a long list of medical devices (MRIs, CTs, syringes, catheters, for example) and their components coming from China will become more expensive.

Will China retaliate?

And if it does, will the fact that a significant portion of orthopedic products are manufactured in Indiana, the home of Vice President Mike Pence, make this industry particularly vulnerable?

We will stay on top of this and report on all public comment.

The following is a partial list of the medical devices, orthopedic products and other medical products which the U.S. government is proposing to tax.

LIST OF ORTHOPEDIC MEDICAL DEVICES AND RELATED PRODUCTS SUBJECT TO 25% TARIFF

90181300Magnetic resonance imaging electro-diagnostic apparatus used in medical, surgical, dental or veterinary sciences
90181400Scintigraphic electro-diagnostic apparatus used in medical, surgical, dental or veterinary sciences
90181940Electro-diagnostic apparatus for functional exploratory examination, and parts and accessories thereof
90181955Electro-diagnostic patient monitoring systems
30032000Medicaments containing antibiotics, nesoi, not dosage form and not packaged for retail
30021300Immunological products, unmixed, not put up in measured doses or in forms or packings for retail sale
30021400Immunological products, mixed, not put up in measured doses or in forms or packings for retail sale
30021500Immunological products, put up in measured doses or in forms or packings for retail sale
30021900Blood fractions, nesoi
30022000Vaccines for human medicine
29242957Diethylaminoacetoxylidide (Lidocaine)
90211000Orthopedic or fracture appliances, and parts and accessories thereof
90189075Electro-medical instruments and appliances nesi, and parts and accessories thereof
90189080Instruments and appliances used in medical, surgical, dental or veterinary sciences, nesi, and parts and accessories thereof
90213100Artificial joints and parts and accessories thereof
90111040Stereoscopic microscopes, provided with a means for photographing the image
90111080Stereoscopic microscopes, other than those provided with a means for photographing the image
90112040Microscopes for microphotography, microcinematography or microprojection, provided with a means for photographing the image
90119000Parts and accessories for compound optical microscopes, including those for microphotography, microcinematography or microprojection
90121000Microscopes other than optical microscopes; diffraction apparatus
90129000Parts and accessories for microscopes other than optical microscopes, and for diffraction apparatus
90181200Ultrasonic scanning electro-diagnostic apparatus used in medical, surgical, dental or veterinary sciences
90181300Magnetic resonance imaging electro-diagnostic apparatus used in medical, surgical, dental or veterinary sciences
90181400Scintigraphic electro-diagnostic apparatus used in medical, surgical, dental or veterinary sciences
90181940Electro-diagnostic apparatus for functional exploratory examination, and parts and accessories thereof
90181955Electro-diagnostic patient monitoring systems
90181975Printed circuit assemblies for electro-diagnostic parameter acquisition modules
90181995Electro-diagnostic apparatus nesi, and parts and accessories thereof nesi
90182000Ultraviolet or infrared ray apparatus used in medical, surgical, dental or veterinary sciences, and parts and accessories thereof
90183100Syringes, with or without their needles; parts and accessories thereof
90183200Tubular metal needles and needles for sutures, used in medical, surgical, dental or veterinary sciences, and parts and accessories thereof
90183900Catheters, cannulae and the like nesi, used in medical, surgical, dental or veterinary sciences, and parts and accessories thereof
90184100Dental drill engines, whether or not combined on a single base with other dental equipment, and parts and accessories thereof
90184940Dental burs
90184980Instruments and apparatus used in dental sciences, nesi, and parts and accessories thereof
90189030Anesthetic instruments and appliances nesi, used in medical, surgical, dental or veterinary sciences, and parts and accessories thereof
90189060Electro-surgical instruments and appliances nesi, other than extracorporeal shock wave lithotripters and parts and accessories thereof
90189075Electro-medical instruments and appliances nesi, and parts and accessories thereof
90189080Instruments and appliances used in medical, surgical, dental or veterinary sciences, nesi, and parts and accessories thereof
90221200Computed tomography apparatus based on the use of X-rays
90221300Apparatus based on the use of X-rays for dental uses (other than computed tomography apparatus)
90221400Apparatus based on the use of X-rays for medical, surgical or veterinary uses (other than computed tomography apparatus)
90221900Apparatus based on the use of X-rays other than for medical, surgical, dental or veterinary use
90222100Apparatus based on the use of alpha, beta or gamma radiations, for medical, surgical, dental or veterinary use
90222980Apparatus based on the use of alpha, beta or gamma radiations, other than for medical, surgical, dental or veterinary use, nesi
90223000X-ray tubes
90229005Radiation generator units
90229015Radiation beam delivery units
90229025X-ray generators, high tension generators, desks, screens, examination or treatment tables, chairs and similar apparatus, nesi
90229040Parts and accessories of X-ray tubes
90229060Parts and accessories of apparatus based on the use of X-rays
90229095Parts and accessories of apparatus based on the use of alpha, beta or gamma radiations
90251120Clinical thermometers, liquid-filled, for direct reading, not combined with other instruments
90261020Electrical instruments and apparatus for measuring or checking the flow or level of liquids
90269020Parts and accessories of electrical instruments and apparatus for measuring or checking variables of liquids or gases
90278025Nuclear magnetic resonance instruments

Author

RY
Robin Young
React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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