1 00:00:02,640 --> 00:00:05,320 Speaker 1: Welcome to the Bloomberg Penl Podcast. I'm Paul swing you 2 00:00:05,360 --> 00:00:07,680 Speaker 1: along with my co host Lisa Brahma Waits. Each day 3 00:00:07,720 --> 00:00:10,240 Speaker 1: we bring you the most noteworthy and useful interviews for 4 00:00:10,280 --> 00:00:12,520 Speaker 1: you and your money. Whether at the grocery store or 5 00:00:12,560 --> 00:00:15,480 Speaker 1: the trading floor. Find a Bloomberg Penl podcast on Apple 6 00:00:15,520 --> 00:00:17,959 Speaker 1: podcast or wherever you listen to podcasts, as well as 7 00:00:17,960 --> 00:00:21,920 Speaker 1: at Bloomberg dot com. One of the biggest consensus trades 8 00:00:21,960 --> 00:00:25,320 Speaker 1: heading into next year is betting on reflation of steepening 9 00:00:25,320 --> 00:00:28,480 Speaker 1: in the yield curve. This concept of perhaps better than 10 00:00:28,520 --> 00:00:31,800 Speaker 1: expected earnings coming out of companies that have pretty weak 11 00:00:31,960 --> 00:00:35,200 Speaker 1: comps to to beat. Basically joining us now is Ben 12 00:00:35,200 --> 00:00:38,959 Speaker 1: Emmon's Medley Global Advisors Global macro Strategy, and Ben, I'm 13 00:00:38,960 --> 00:00:42,000 Speaker 1: looking right now at what might be the initial phases. 14 00:00:42,320 --> 00:00:44,600 Speaker 1: I don't want to see the death of their inflation trade, 15 00:00:44,640 --> 00:00:46,920 Speaker 1: but the death of the inflation trade. You're seeing the 16 00:00:47,000 --> 00:00:50,839 Speaker 1: yield curve continue to flatten, and you're seeing a measure 17 00:00:50,920 --> 00:00:53,480 Speaker 1: of forward inflation five year five year up break even 18 00:00:53,560 --> 00:00:57,160 Speaker 1: rates dropped near their lowest levels since two sixteen. What 19 00:00:57,200 --> 00:00:59,880 Speaker 1: do you make of that? I can only say thanks 20 00:00:59,920 --> 00:01:03,200 Speaker 1: for much for having us Um, well, there's obviously uncertainty 21 00:01:03,240 --> 00:01:05,680 Speaker 1: has creeped in since the speech from Trump in New 22 00:01:05,760 --> 00:01:09,080 Speaker 1: York last week when he started to voice his word 23 00:01:09,080 --> 00:01:12,120 Speaker 1: about substantial rising tears as the deal doesn't happen. So 24 00:01:12,160 --> 00:01:15,160 Speaker 1: I think the bond market listened to that closely and 25 00:01:15,280 --> 00:01:18,240 Speaker 1: saw like, okay, you know, there's always a risk that 26 00:01:18,240 --> 00:01:20,319 Speaker 1: there will be no deal or will be delayed, and 27 00:01:20,360 --> 00:01:23,600 Speaker 1: then people are looking at these December fifteen tears as 28 00:01:23,680 --> 00:01:26,319 Speaker 1: the first one of the substantial rise. I think this 29 00:01:26,400 --> 00:01:29,400 Speaker 1: is what's in the market's mind right now, that that 30 00:01:29,480 --> 00:01:32,360 Speaker 1: risk isn't totally abated yet, right. You know, the real 31 00:01:32,880 --> 00:01:35,840 Speaker 1: reflationary trades you spoke about that happened in sort of 32 00:01:36,080 --> 00:01:39,560 Speaker 1: mid October was only idea that the tears would be 33 00:01:39,560 --> 00:01:42,480 Speaker 1: de escalated. So that's now been taken a little bit back. 34 00:01:42,800 --> 00:01:46,360 Speaker 1: At least the market seems to be cautious that that 35 00:01:46,120 --> 00:01:48,640 Speaker 1: that that the escalation may not happen so quickly. So 36 00:01:48,720 --> 00:01:52,160 Speaker 1: therefore I think this is why the YUK flattened. In 37 00:01:52,200 --> 00:01:54,880 Speaker 1: addition to that, what we have had in the meantime 38 00:01:55,400 --> 00:01:58,080 Speaker 1: is really soft inflation data, right, whether you look at 39 00:01:58,080 --> 00:02:01,360 Speaker 1: PPI data for example aland Germany today or import price 40 00:02:01,360 --> 00:02:03,840 Speaker 1: in next last week in the US all shows very 41 00:02:03,880 --> 00:02:07,440 Speaker 1: global disciplationary pressure from the trade wars. I think that 42 00:02:07,520 --> 00:02:12,000 Speaker 1: too presses down on the UK whoy I get this flattening. So, Ben, 43 00:02:12,040 --> 00:02:14,680 Speaker 1: if we do get a Phase one type of deal 44 00:02:14,880 --> 00:02:17,919 Speaker 1: on schedule as we head into would you want to 45 00:02:17,960 --> 00:02:20,800 Speaker 1: be you know, more exposure to the US or maybe 46 00:02:20,800 --> 00:02:22,720 Speaker 1: have a little bit more of a global exposure. How 47 00:02:22,720 --> 00:02:26,240 Speaker 1: do you view that? Yeah, I'm definitely on that idea, Paul, 48 00:02:26,320 --> 00:02:29,960 Speaker 1: because you know, if you look at the performance, then yes, 49 00:02:30,000 --> 00:02:34,360 Speaker 1: the US has outperformed this mostly this entire time in 50 00:02:34,400 --> 00:02:37,400 Speaker 1: the trade war. And the areas that have been effected 51 00:02:37,520 --> 00:02:40,240 Speaker 1: most by the trade war are an, Asia, Pacific in Europe, 52 00:02:40,680 --> 00:02:43,079 Speaker 1: and so there is of course a valuation difference there 53 00:02:43,160 --> 00:02:45,480 Speaker 1: that that you would presume that if the Phase one 54 00:02:45,520 --> 00:02:49,160 Speaker 1: deal happens and as some confidence coming back that trade 55 00:02:49,200 --> 00:02:51,959 Speaker 1: in particularly global trade, which seems to be pretty depressed 56 00:02:52,000 --> 00:02:55,399 Speaker 1: at this point. Take for example, the export import data 57 00:02:55,440 --> 00:02:58,000 Speaker 1: from Japan overnight is a good good indicator of death 58 00:02:58,440 --> 00:03:00,440 Speaker 1: and that could see be some some rebound there and 59 00:03:00,520 --> 00:03:03,079 Speaker 1: I think then countries that are very sensitive to the 60 00:03:03,080 --> 00:03:05,520 Speaker 1: global trade are going to benefit from that. I think 61 00:03:05,560 --> 00:03:08,320 Speaker 1: days where the value is as opposed to the U 62 00:03:08,400 --> 00:03:12,280 Speaker 1: stock market, which could to perform, but maybe not as 63 00:03:12,360 --> 00:03:15,120 Speaker 1: much as relative to those you know, undervalued markets. If 64 00:03:15,280 --> 00:03:17,399 Speaker 1: if you, if you will, right like so, I think 65 00:03:17,400 --> 00:03:20,360 Speaker 1: that is probably your trade next year, of course, condition 66 00:03:20,440 --> 00:03:23,640 Speaker 1: upon that this Space one deal successfully gets completed. One 67 00:03:23,639 --> 00:03:27,040 Speaker 1: thing I'm struggling to understand. Yesterday, at around I don't know, 68 00:03:27,240 --> 00:03:31,200 Speaker 1: six fifteen pm Eastern time, Wall Street time, there was 69 00:03:31,240 --> 00:03:33,560 Speaker 1: the headline about the Hong Kong Bill that was passed 70 00:03:33,600 --> 00:03:36,440 Speaker 1: by the Senate, and this is basically UH saying that 71 00:03:36,520 --> 00:03:39,400 Speaker 1: the U s stands in alliance with the Hong Kong 72 00:03:39,600 --> 00:03:44,200 Speaker 1: protesters in asserting freedom and pushing back against Beijing. Beijing 73 00:03:44,280 --> 00:03:47,720 Speaker 1: has come out vehemently against this. There was concern that 74 00:03:47,760 --> 00:03:51,480 Speaker 1: this would impede or torpedo any potential for a Phase 75 00:03:51,520 --> 00:03:55,280 Speaker 1: one trade deal. Come now, Uh, you know, several hours later, 76 00:03:55,400 --> 00:03:57,800 Speaker 1: people are not even thinking about it or talking about it. 77 00:03:57,760 --> 00:04:01,080 Speaker 1: It's and largely dismissed as no ways and being sort 78 00:04:01,080 --> 00:04:04,200 Speaker 1: of symbolic more than anything else, not leading to any 79 00:04:04,280 --> 00:04:08,640 Speaker 1: serious disruption. What's the right narrative here? Well, I think 80 00:04:08,680 --> 00:04:11,240 Speaker 1: that is the right narrative at leastaid that that yes, 81 00:04:11,280 --> 00:04:14,480 Speaker 1: it's an important signal by the Senate of course, to 82 00:04:14,640 --> 00:04:18,080 Speaker 1: take a stance on pro democracy in Hong Kong. And 83 00:04:18,080 --> 00:04:21,159 Speaker 1: that's that is I think well known out there and 84 00:04:21,160 --> 00:04:24,400 Speaker 1: I think markets understand it. But the link between that 85 00:04:24,480 --> 00:04:27,840 Speaker 1: bill and the progress in the trade talks that may 86 00:04:27,839 --> 00:04:30,600 Speaker 1: be not so strong, and and probably the reason really 87 00:04:30,680 --> 00:04:34,520 Speaker 1: is that the retaliation that China talks about may not 88 00:04:34,640 --> 00:04:38,359 Speaker 1: just necessarily happen so quickly. I think one of the 89 00:04:38,360 --> 00:04:40,320 Speaker 1: the news items that can out this morning is actually 90 00:04:40,400 --> 00:04:43,720 Speaker 1: making the comparison to other measures that the US has 91 00:04:43,800 --> 00:04:46,760 Speaker 1: threatened with or or even done, like the UAHWE case, 92 00:04:47,160 --> 00:04:51,040 Speaker 1: that that China has not retaliated on those situations either. 93 00:04:51,160 --> 00:04:53,960 Speaker 1: So I think this is probably what creeping into the 94 00:04:54,000 --> 00:04:57,039 Speaker 1: market's mind of that this is an important bill and 95 00:04:57,040 --> 00:04:59,520 Speaker 1: it matters, but it may not matter as much for 96 00:04:59,560 --> 00:05:02,640 Speaker 1: the trade deal from here. With more matters is of course, 97 00:05:02,839 --> 00:05:06,120 Speaker 1: ultimately the agreement on what is the there rollback going 98 00:05:06,160 --> 00:05:10,360 Speaker 1: to be about and what is the agricultural agricultural purchase 99 00:05:10,480 --> 00:05:13,440 Speaker 1: is going to be about to make this deal actually happen. 100 00:05:13,520 --> 00:05:16,279 Speaker 1: In other words, will the deal phase one be really 101 00:05:16,279 --> 00:05:18,960 Speaker 1: the sixty that Trump talks about, or will be less 102 00:05:18,960 --> 00:05:21,680 Speaker 1: than six? I think that's ultimately with a market will 103 00:05:21,680 --> 00:05:23,839 Speaker 1: trade on if it is a lot less than six, 104 00:05:24,640 --> 00:05:27,040 Speaker 1: I think then you get more uncertainty about the future 105 00:05:27,040 --> 00:05:30,120 Speaker 1: of the trade deal that you know phase two. So Ben, 106 00:05:30,160 --> 00:05:32,120 Speaker 1: if we do again I'm operating assumption that mean we 107 00:05:32,120 --> 00:05:34,840 Speaker 1: do get a Phase one deal on schedule. Is that 108 00:05:34,880 --> 00:05:39,920 Speaker 1: my signal to maybe to dip my toe into emerging markets? Yeah, 109 00:05:39,960 --> 00:05:41,840 Speaker 1: I mean that is I think the general consense out 110 00:05:41,880 --> 00:05:45,040 Speaker 1: there that again, where is the value at the moment 111 00:05:45,520 --> 00:05:48,159 Speaker 1: if you compare the US to other markets? Right? And 112 00:05:48,200 --> 00:05:50,400 Speaker 1: that and that is indeed Asia specific or Europe and 113 00:05:50,640 --> 00:05:53,680 Speaker 1: some parts of emerging markets. That's that's I think the 114 00:05:53,760 --> 00:05:57,640 Speaker 1: catalysts that people feel confident that if Phase one is completed, 115 00:05:57,720 --> 00:06:00,120 Speaker 1: it's in writing we really have a base for we 116 00:06:00,120 --> 00:06:03,080 Speaker 1: can work off the more structural issues over long term. 117 00:06:03,120 --> 00:06:06,040 Speaker 1: And what most of all that matters is that people 118 00:06:06,240 --> 00:06:08,400 Speaker 1: probably discount that there will be a level of de 119 00:06:08,680 --> 00:06:11,599 Speaker 1: escalation from the tears have been put in place over 120 00:06:11,720 --> 00:06:15,640 Speaker 1: course in time next year into into that would have 121 00:06:15,680 --> 00:06:19,680 Speaker 1: an economic impact, and that I think is why investors 122 00:06:19,720 --> 00:06:23,520 Speaker 1: are pre positioning themselves on that Phase one complete. There's 123 00:06:23,560 --> 00:06:28,440 Speaker 1: opportunity in these undervalued marketss Ben Emon's thank you so 124 00:06:28,520 --> 00:06:31,720 Speaker 1: much for joining us. Bend is uh metally Global Advisors, 125 00:06:31,760 --> 00:06:34,000 Speaker 1: global macro strategist, giving us some thoughts on kind of 126 00:06:34,040 --> 00:06:36,200 Speaker 1: how this could play out. Trade still very much front 127 00:06:36,200 --> 00:06:38,800 Speaker 1: and center for investors in the question is I have 128 00:06:38,880 --> 00:06:40,800 Speaker 1: probably is you know, it seems like the consensus is 129 00:06:40,839 --> 00:06:43,880 Speaker 1: a phase one deal is coming. Is there downside if 130 00:06:43,880 --> 00:06:46,120 Speaker 1: it doesn't come? You know, and what is that downside? 131 00:06:46,120 --> 00:06:48,320 Speaker 1: And trying to uh, you know, kind of put a 132 00:06:48,400 --> 00:06:51,840 Speaker 1: handle on that. But there's certainly some arguments for taking 133 00:06:51,839 --> 00:06:53,920 Speaker 1: on a little bit more risk should we get that 134 00:06:53,960 --> 00:07:11,320 Speaker 1: phase one deal. What a year nineteen has been for 135 00:07:11,400 --> 00:07:14,880 Speaker 1: equity markets, double digit increases across the SMP, the doll 136 00:07:14,960 --> 00:07:18,960 Speaker 1: and NASDAK. Where do we go in? Phil Orlando, chief 137 00:07:18,960 --> 00:07:22,320 Speaker 1: equity market strategist and had of client portfolio management at 138 00:07:22,360 --> 00:07:24,960 Speaker 1: Federate Investors, I'm sure has some answers. Phil, thanks so 139 00:07:25,040 --> 00:07:27,040 Speaker 1: much for joining us. You know, one of the discussions 140 00:07:27,080 --> 00:07:29,960 Speaker 1: we have, you know, almost daily here is this is 141 00:07:30,080 --> 00:07:34,920 Speaker 1: kind of the bull market that nobody really loves or trust. 142 00:07:35,480 --> 00:07:37,760 Speaker 1: What is your sense of the market here given where 143 00:07:37,760 --> 00:07:39,920 Speaker 1: we are at, you know, close to twenty thousand on 144 00:07:39,960 --> 00:07:42,760 Speaker 1: the Dow. No one loves or trusted. This is the 145 00:07:42,800 --> 00:07:46,920 Speaker 1: most hated bull market in the history of civilization. There 146 00:07:46,960 --> 00:07:51,520 Speaker 1: you go, remember that that a year ago and after 147 00:07:51,560 --> 00:07:55,920 Speaker 1: that waterfall decline that we saw that that ended in 148 00:07:56,040 --> 00:07:59,840 Speaker 1: Christmas Eve because the market was pricing in with absolute 149 00:08:00,040 --> 00:08:02,920 Speaker 1: certainty the fact that recession had you just started, it 150 00:08:03,040 --> 00:08:06,239 Speaker 1: was about to start. Stocks were trading at fourteen times earnings. 151 00:08:06,880 --> 00:08:09,560 Speaker 1: We had a very different view that that we did 152 00:08:09,600 --> 00:08:12,240 Speaker 1: not believe that there was any near term risk of 153 00:08:12,280 --> 00:08:16,080 Speaker 1: recession in twenty eighteen or twenty nineteen or twenty we 154 00:08:16,120 --> 00:08:20,400 Speaker 1: still believe that multiples at fourteen times forward earnings in 155 00:08:20,440 --> 00:08:24,520 Speaker 1: our view, we're way too pessimistic because you had very 156 00:08:24,600 --> 00:08:28,200 Speaker 1: benign levels of both interest rates and inflation. Core inflation 157 00:08:28,840 --> 00:08:31,800 Speaker 1: the PC sitting at one point seven percent right now. 158 00:08:32,200 --> 00:08:35,760 Speaker 1: So the multiple at eighteen times earnings, where it was 159 00:08:35,800 --> 00:08:39,440 Speaker 1: a year ago October was exactly where it should have been. 160 00:08:40,040 --> 00:08:42,120 Speaker 1: In our view this year is that we would spend 161 00:08:42,120 --> 00:08:44,679 Speaker 1: the year sort of grindering our way back to that level. 162 00:08:44,880 --> 00:08:47,840 Speaker 1: So we're probably in around I don't know, seventeen seventeen 163 00:08:47,840 --> 00:08:50,720 Speaker 1: a half times earnings right now. We're not quite there yet, 164 00:08:51,080 --> 00:08:55,720 Speaker 1: but we have hit our thirty one hundred full year forecast, um, 165 00:08:55,760 --> 00:08:58,360 Speaker 1: you know, six weeks before the end of the year. Indeed, 166 00:08:58,640 --> 00:09:04,679 Speaker 1: so what drives things are here? Um, the consolidation that 167 00:09:04,720 --> 00:09:10,040 Speaker 1: we saw on corporate earnings this year was was absolutely 168 00:09:10,400 --> 00:09:15,520 Speaker 1: understandable because we were up twenty in calendar eighteen. That 169 00:09:15,520 --> 00:09:18,480 Speaker 1: that's not sustainable. So we're gonna get back onto a 170 00:09:18,559 --> 00:09:21,960 Speaker 1: growth trajectory for earnings next year. LI So we think 171 00:09:22,000 --> 00:09:24,880 Speaker 1: maybe something in the eight percent neighborhood, give or take, 172 00:09:25,240 --> 00:09:28,600 Speaker 1: we're gonna get a little bit more multiple expansion because 173 00:09:28,640 --> 00:09:32,480 Speaker 1: inflation and interest rates are still relatively benign. So if 174 00:09:32,520 --> 00:09:34,920 Speaker 1: we do a hundred and eighty dollars and earnings next year, 175 00:09:34,960 --> 00:09:38,000 Speaker 1: which is our forecast, and and we get a multiple 176 00:09:38,080 --> 00:09:40,880 Speaker 1: that's in that eighteen eighteen and a half times earnings neighborhood, 177 00:09:41,120 --> 00:09:44,400 Speaker 1: we get to our thirty five hundred forecast on the 178 00:09:44,520 --> 00:09:47,760 Speaker 1: SMP five hundred. Now we're sitting at thirty one hundred. 179 00:09:47,800 --> 00:09:50,600 Speaker 1: Now that's not a huge move, but like you said 180 00:09:50,640 --> 00:09:53,679 Speaker 1: at the very beginning, Paul, where we're up you know, 181 00:09:53,800 --> 00:09:56,480 Speaker 1: thirty two percent or something like that in the last year, 182 00:09:57,080 --> 00:09:59,520 Speaker 1: and and uh, if we can do another ten or 183 00:09:59,559 --> 00:10:04,240 Speaker 1: fifteen percent next year, that ain't bad. That ain't bad. Indeed, 184 00:10:04,400 --> 00:10:06,079 Speaker 1: I'm trying to figure out that what the leader is 185 00:10:06,080 --> 00:10:08,040 Speaker 1: going to be here because it's really been tech driving 186 00:10:08,040 --> 00:10:10,800 Speaker 1: a lot of the games that we've seen in Can 187 00:10:10,880 --> 00:10:13,760 Speaker 1: You to Be Tech? So they understand what's going on 188 00:10:14,120 --> 00:10:17,480 Speaker 1: as a result of of the reduction in tax rates, 189 00:10:17,480 --> 00:10:21,400 Speaker 1: the repatriation of two point seven trillion dollars back into 190 00:10:21,440 --> 00:10:24,280 Speaker 1: the United States and we've we've only brought a trillion 191 00:10:24,320 --> 00:10:27,480 Speaker 1: dollars of it back so far, and the automatic expensing 192 00:10:27,480 --> 00:10:30,840 Speaker 1: of cap X. We are going through, in my opinion, 193 00:10:31,120 --> 00:10:34,920 Speaker 1: one of the most significant technology upgrade cycles we've seen 194 00:10:35,320 --> 00:10:37,400 Speaker 1: since the White two K build up back in the 195 00:10:37,480 --> 00:10:41,160 Speaker 1: late nineties. That that trend ought to continue through at 196 00:10:41,200 --> 00:10:43,360 Speaker 1: least the end of next year. So you look at 197 00:10:43,400 --> 00:10:45,199 Speaker 1: you say, well, texts had a pretty good year the 198 00:10:45,280 --> 00:10:47,680 Speaker 1: last year or two. They should have had a good year, 199 00:10:48,000 --> 00:10:51,000 Speaker 1: and we should have another good year as companies continue 200 00:10:51,040 --> 00:10:53,960 Speaker 1: to you know, upgrade their software and whatever else they're 201 00:10:54,000 --> 00:10:56,960 Speaker 1: doing in order to fix up their their technology platforms. 202 00:10:57,600 --> 00:11:00,600 Speaker 1: So so you've been absolutely on it on this equity call, 203 00:11:00,720 --> 00:11:03,760 Speaker 1: this bullish call here. Where could you be wrong in 204 00:11:03,800 --> 00:11:09,920 Speaker 1: your here? Well, I think there's a very significant uh 205 00:11:10,000 --> 00:11:12,800 Speaker 1: swing factor here and that's the results of the presidential 206 00:11:12,800 --> 00:11:17,560 Speaker 1: election in in t I mean, our base case is 207 00:11:17,600 --> 00:11:23,320 Speaker 1: that we get good election results that allow the market friendly, 208 00:11:23,720 --> 00:11:27,880 Speaker 1: economic friendly, investor friendly fiscal policies that we've seen the 209 00:11:27,920 --> 00:11:31,839 Speaker 1: last couple of years to continue. But that could be wrong. 210 00:11:31,920 --> 00:11:34,680 Speaker 1: We we could have a very radically different set of 211 00:11:34,679 --> 00:11:39,160 Speaker 1: fiscal policies, uh waking up to in calendar twenty one. 212 00:11:39,800 --> 00:11:42,680 Speaker 1: And and the market is a forward looking discounting mechanism 213 00:11:42,760 --> 00:11:45,880 Speaker 1: is going to price that in early based upon polling 214 00:11:45,960 --> 00:11:49,319 Speaker 1: or based upon the the actual election results in November 215 00:11:49,360 --> 00:11:52,080 Speaker 1: of next year. If if it looks as if there's 216 00:11:52,080 --> 00:11:56,160 Speaker 1: gonna be a radically different change in fiscal policy approach 217 00:11:56,200 --> 00:11:59,240 Speaker 1: and therefore economic growth, corporate earnings growth, and everything else. 218 00:12:00,200 --> 00:12:03,000 Speaker 1: Phil Orlando, thank you so much for that. Phil Orlando 219 00:12:03,240 --> 00:12:08,800 Speaker 1: is cheap equity market strategist at Federated Investors. Always wonderful insights. 220 00:12:08,840 --> 00:12:11,880 Speaker 1: Interesting to think that tech will continue to drive the 221 00:12:11,960 --> 00:12:16,920 Speaker 1: market towards that goal for the SMP five hundred and ten. 222 00:12:18,320 --> 00:12:36,600 Speaker 1: That ain't bad. He's been right, He's been right. Let's 223 00:12:36,640 --> 00:12:40,040 Speaker 1: shift gears a little bit to healthcare and what some 224 00:12:40,080 --> 00:12:44,480 Speaker 1: people are calling a drug shortage, which is incredibly ironic 225 00:12:44,640 --> 00:12:49,200 Speaker 1: considering the focus on the costs of certain drugs catering 226 00:12:49,280 --> 00:12:53,200 Speaker 1: to specific niche diseases. Michael al kare joining us here 227 00:12:53,200 --> 00:12:57,120 Speaker 1: in our Interactive Broker Studios, President of Premier Inc. Healthcare 228 00:12:57,400 --> 00:13:00,560 Speaker 1: Management Company, and I'm wondering from your person, Factive, what 229 00:13:00,720 --> 00:13:02,959 Speaker 1: is this shortage all about? Yeah, thank you for having 230 00:13:02,960 --> 00:13:06,600 Speaker 1: me first. First of all, the drug shortages pertain to 231 00:13:06,679 --> 00:13:11,080 Speaker 1: a certain part of the pharmacy market. So it's it's 232 00:13:11,120 --> 00:13:15,079 Speaker 1: related to generic drugs. So as you are well aware, 233 00:13:15,080 --> 00:13:17,439 Speaker 1: in the sort of the evolution of a drug, a 234 00:13:17,559 --> 00:13:20,720 Speaker 1: drug comes out typically it's a branded and then um, 235 00:13:20,760 --> 00:13:23,400 Speaker 1: after a number of years, that drug goes to a 236 00:13:23,440 --> 00:13:27,959 Speaker 1: generic status. What happens then is obviously the price goes down. 237 00:13:28,040 --> 00:13:30,079 Speaker 1: And I'll just use an analogy. It starts at a 238 00:13:30,120 --> 00:13:33,160 Speaker 1: hundred bucks, it sometimes ends up at two bucks. Along 239 00:13:33,200 --> 00:13:37,040 Speaker 1: the way, you have various producers of that product that 240 00:13:37,200 --> 00:13:39,520 Speaker 1: have to exit the market because they can't make margins. 241 00:13:39,520 --> 00:13:41,880 Speaker 1: So some may have high cost and at fifty bucks 242 00:13:41,880 --> 00:13:44,440 Speaker 1: to share they exit. Some have to exit at twenty 243 00:13:44,440 --> 00:13:46,880 Speaker 1: and then you know, when the market sort of settles out, 244 00:13:46,960 --> 00:13:49,640 Speaker 1: you may only have one or two suppliers. When you 245 00:13:49,640 --> 00:13:53,120 Speaker 1: have either a monopoly or a duopoly. That's when obviously 246 00:13:53,240 --> 00:13:56,280 Speaker 1: drug prices actually go back up. Uh. And then our 247 00:13:56,360 --> 00:13:59,760 Speaker 1: job at Premiere is to figure out ways to create 248 00:13:59,800 --> 00:14:02,800 Speaker 1: health markets. So the focus of a company that we 249 00:14:02,880 --> 00:14:05,600 Speaker 1: just launch called provide g X is to bring new 250 00:14:05,720 --> 00:14:08,439 Speaker 1: entrance into the market when you have a monopoly or duopoly. 251 00:14:08,800 --> 00:14:12,920 Speaker 1: So we'll actually invest capital in new companies that we 252 00:14:13,000 --> 00:14:17,160 Speaker 1: think have a history of high quality manufacturing to create 253 00:14:17,200 --> 00:14:20,440 Speaker 1: a healthier market, healthier supply. So what are some of 254 00:14:20,480 --> 00:14:26,240 Speaker 1: the drugs or treatments that are experiencing shortages? Now, yeah, 255 00:14:26,400 --> 00:14:30,960 Speaker 1: it's pretty crazy because there's some just basic stuff that 256 00:14:31,000 --> 00:14:33,720 Speaker 1: our healthcare systems need that will be uh in a 257 00:14:33,760 --> 00:14:37,880 Speaker 1: shortage situation in any point in time. Think of sailing solutions, 258 00:14:37,880 --> 00:14:40,640 Speaker 1: So those are the those are the the therapies that 259 00:14:40,640 --> 00:14:44,240 Speaker 1: are being utilized by I V s. UH. Think of nutritionals, 260 00:14:44,240 --> 00:14:46,560 Speaker 1: just basic nutritionals. If you're in the hospital for a 261 00:14:46,600 --> 00:14:49,640 Speaker 1: longer term stay and you need nutritionals. You know. Those 262 00:14:49,680 --> 00:14:53,480 Speaker 1: are drugs that oftentimes are in short supply. Things like 263 00:14:53,560 --> 00:14:56,560 Speaker 1: morphine have been on the shortage list. Probifle that's the 264 00:14:56,640 --> 00:14:59,640 Speaker 1: drug that allows you to go under anesthetic that has 265 00:14:59,680 --> 00:15:03,920 Speaker 1: been under a shortage. UH. There was a very very 266 00:15:03,960 --> 00:15:09,000 Speaker 1: important drug that focused on um toxic shock. Uh and 267 00:15:09,240 --> 00:15:12,080 Speaker 1: there was a Jamma article written in two thousand and seventeen. 268 00:15:12,840 --> 00:15:15,280 Speaker 1: UM And because we didn't have access to this drug, 269 00:15:15,560 --> 00:15:18,840 Speaker 1: the Jamma article sort of proved out that uh it 270 00:15:18,920 --> 00:15:21,480 Speaker 1: increased mortality because we didn't have that drug by three 271 00:15:21,520 --> 00:15:24,720 Speaker 1: point seven percent during the time that that drug was 272 00:15:24,720 --> 00:15:30,080 Speaker 1: in a shortage situation. UH. And it was a uh 273 00:15:30,880 --> 00:15:35,040 Speaker 1: EF the epene from family, so it really helped to 274 00:15:35,080 --> 00:15:37,400 Speaker 1: sort of treat low blood pressure when your body entered 275 00:15:37,400 --> 00:15:39,840 Speaker 1: into shock. So we think there was about thirteen billion 276 00:15:39,880 --> 00:15:42,960 Speaker 1: dollars of costs associated with that. Alright, So going forward, 277 00:15:43,120 --> 00:15:46,160 Speaker 1: I'm trying to just understand from a big picture standpoint, 278 00:15:46,720 --> 00:15:50,200 Speaker 1: what can be done to put the emphasis on creating 279 00:15:50,440 --> 00:15:55,400 Speaker 1: more and affordable generic drugs at a time when the 280 00:15:55,400 --> 00:15:59,720 Speaker 1: pharmaceutical companies in large part are focused on the cancer 281 00:15:59,800 --> 00:16:02,760 Speaker 1: drug rugs that are sort of hot, and they're and 282 00:16:02,800 --> 00:16:06,480 Speaker 1: they're very they can be priced at very high points, 283 00:16:06,800 --> 00:16:10,640 Speaker 1: but don't necessarily take care of this need. So great questions. 284 00:16:10,640 --> 00:16:13,200 Speaker 1: So what we want to do uh and again through 285 00:16:13,640 --> 00:16:16,480 Speaker 1: um that company I mentioned provide g X, we want 286 00:16:16,480 --> 00:16:19,640 Speaker 1: to actually go out to smaller manufacturers who are actually 287 00:16:19,680 --> 00:16:23,160 Speaker 1: are in the market to produce drugs today UH and 288 00:16:23,240 --> 00:16:26,880 Speaker 1: help them expand either their production or help them get 289 00:16:26,960 --> 00:16:29,800 Speaker 1: additional and s, which is the approval from the s 290 00:16:29,920 --> 00:16:33,880 Speaker 1: the f D eight actually UH to actually manufacture the drugs. 291 00:16:33,880 --> 00:16:36,320 Speaker 1: So that's number one. Number two and this is something 292 00:16:36,360 --> 00:16:38,960 Speaker 1: that keeps me up at night is we have issues 293 00:16:39,040 --> 00:16:42,840 Speaker 1: with the active pharmaceutical ingredient, that's the raw goods that 294 00:16:43,000 --> 00:16:47,520 Speaker 1: go into manufacturing these generic drugs. UM. Little known fact 295 00:16:48,360 --> 00:16:51,520 Speaker 1: of these raw goods for generic drugs are actually done 296 00:16:51,520 --> 00:16:56,120 Speaker 1: in China, manufactured in China. So what keeps me up 297 00:16:56,120 --> 00:16:59,960 Speaker 1: at night is the ability of potentially China to weaponize 298 00:17:00,600 --> 00:17:03,440 Speaker 1: you know this this and balance sort of in the 299 00:17:03,480 --> 00:17:07,320 Speaker 1: supply chain. So think of a p I s for antibiotics, 300 00:17:07,640 --> 00:17:13,359 Speaker 1: think of things around UM cancer drugs, things around UM acid, 301 00:17:13,400 --> 00:17:18,040 Speaker 1: reflectious basic drugs that our population needs. I do worry 302 00:17:18,040 --> 00:17:20,800 Speaker 1: about having such a dependence on that raw material being 303 00:17:20,800 --> 00:17:23,800 Speaker 1: produced in one country. Michael Alcary, thank you so much 304 00:17:23,800 --> 00:17:26,080 Speaker 1: for joining us. We appreciate you coming in. Michael's the 305 00:17:26,200 --> 00:17:30,120 Speaker 1: president of Premier Healthcare coming talking about healthcare shortages which 306 00:17:30,119 --> 00:17:32,480 Speaker 1: are more pronounced and I probably would have guest. Thanks 307 00:17:32,480 --> 00:17:34,679 Speaker 1: for listening to the Bloomberg P and L podcast. You 308 00:17:34,680 --> 00:17:37,359 Speaker 1: can subscribe and listen to interviews at Apple Podcasts or 309 00:17:37,400 --> 00:17:40,720 Speaker 1: whatever podcast platform you prefer. Paul Sweeney, I'm on Twitter 310 00:17:40,800 --> 00:17:43,399 Speaker 1: at pt Sweeney. I'm Lisa abram Woids. I'm on Twitter 311 00:17:43,480 --> 00:17:46,439 Speaker 1: at Lisa Abramoids. One before the podcast, you can always 312 00:17:46,440 --> 00:17:48,520 Speaker 1: catch us worldwide. I'm Bloomberg Radio