The Asian healthcare market is the fastest growing healthcare market in the world. In order to limit the dependence on other countries, Japan had been increasingly relying on nuclear energy. Japan belongs to the most indebted countries in the world. Japanese health expenditures in 2012 accounted for 10.3 percent of its gross domestic product (GDP), which is one percent above Organisation for Economic Co-operation and Development (OECD) average. The regulatory environment of Japan has a huge effect on the competitiveness of the Japanese medical device industry. In Japan regulation of medical devices always fell under the Pharmaceutical Affairs Law (PAL). Despite the negative impact of PAL, Japan remains the country indicating the highest number of medical device patents granted by the US Patent and Trademark Office (USPTO). Siemens was established in 1847 under the name Siemens & Halske (S&H), in Berlin, Germany. Siemens Healthcare focuses on the development, design, manufacture, and distribution of medical devices.