The Colombian economy is now the third-largest in Latin America. From 2001 to 2013, it grew at an average annual rate of 4%. According to a Bloomberg survey, the nation's economy is expected to grow 4.5% in 2014. Colombia's budget deficit was only 2.41% of GDP in 2013. The government's bonds have an investment-grade rating from Moody's, and the country paid an interest rate of 5.65% on 30-year bonds in January, which is lower than the rate paid by rating-peer countries Romania and Indonesia. Hospitals and clinics have begun developing these Medical Device Marketing professionals. Colombia also has business-friendly economic policies. It scored a 70.7 on the 2014 Heritage Foundation's Index of Economic Freedom significantly higher than the regional average of 59.7. The index grades countries on a scale of zero to 100 based on four pillars of economic freedom: rule of law, limited government, regulatory efficiency, and open markets. Some factors that contributed to Colombia's high rating were efficient regulatory procedures for starting a business, developed capital markets, and liberal trade policies.