India - probably the hottest startup culture outside the US. World class healthcare at 1/10 the cost - medical tourism already exists.
A large part of the economy is already built around software services.
When you build startups in India, you build for the fastest growing economy in the world. Yes - startups still do list on international markets, but that is a combination of Nasdaq, Singapore and BSE.
For example, the largest "unicorn" in India - Flipkart - is listed in Singapore.
Also among the top 10 unicorns by valuation (http://fortune.com/unicorns/): 6 from US, 3 from China and 1 from India.
Of course, the answer really depends on what you mean by "startup culture".
It is common for underdogs to claim they are world-class, and if you don't have the experience to know better, you might believe it.
> The Medical Tourism Market Report: 2015 found that India was "one of the lowest cost and highest quality of all medical tourism destinations, it offers wide variety of procedures at about one-tenth the cost of similar procedures in the United States."
medical tourism is a multi-billion dollar industry in India with American and European patients accounting for the largest share.
I'm not talking about cutting edge research here. Possibly there's no comparison there. But I'm talking about something that's practical, applicable and real medical care.
I'm guessing that within a decade these multinational companies who run these medical establishment as ruthless businesses will be able to get it to the same point.