The central location provides access to American markets and direct ocean access to Europe and Asia. The most important exports in 2015 (in order of dollar value) were medical instruments, bananas, tropical fruits, integrated circuits and orthopedic appliances. Total imports in that year were US$15 billion. The most significant products imported in 2015 (in order of dollar value) were refined petroleum, automobiles, packaged medications, broadcasting equipment and computers. The total exports were US$12.6 billion for a trade deficit of US$2.39 billion in 2015.