Central America and the Dominican Republic are often viewed in Washington primarily through the lens of migration and development assistance. Costa Rica and the Dominican Republic are leading exporters of medical devices, supplying roughly 13 percent of US imports in 2023. Costa Rica and the Dominican Republic are leading exporters of medical devices, supplying roughly 13 percent of US imports in 2023. Left unchecked, such influence could threaten US access to strategic trade routes and undermine long-term security. Together, these measures can solidify CA-DR as a reliable partner in building resilient, competitive, and secure supply chains for the United States.