Few countries offer such exciting opportunities for private healthcare as Colombia. The government has set up a series of tax-free medical tourism hubs for Central America, the Caribbean, Venezuela and Peru. Meanwhile the mandatory insurance system which covers 97% of the 48m population is creaking and big payor/providers could be sold to private investors. Colombia's amalgamation of public, private and not-for-profit insurers and operators faces a severe crisis. Small wonder private equity houses such as Tribeca, SEAF Colombia and Advent International are eyeing the sector.