WEBVTT - We are starting to see the fruit of regulatory easing: Terrazas

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<v Speaker 1>Welcome to the Bloomberg p m L Podcast. I'm pim Fox.

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<v Speaker 1>Along with my co host Lisa Abramowitz. Each day we

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<v Speaker 1>bring you the most important, noteworthy, and useful interviews for

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<v Speaker 1>you and your money, whether you're at the grocery store

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<v Speaker 1>Podcast on Apple Podcasts, SoundCloud, and Bloomberg dot com. Well,

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<v Speaker 1>today we got housing starts data that was kind of mixed. Frankly,

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<v Speaker 1>we saw an increase in the number of housing starts

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<v Speaker 1>UH to housing starts the fast pace in about decade,

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<v Speaker 1>but the number of applications for permits declined. Joining us

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<v Speaker 1>now to talk about the state of the US housing

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<v Speaker 1>market is Aaron Terrazas. He is a Zillo Xenior Senior

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<v Speaker 1>Economist Zillo Senior Economists. UM, thank you so much for

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<v Speaker 1>being here. Aaron, So, whoops your take on this sort

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<v Speaker 1>of mixed data. You're right, it was a mixed report,

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<v Speaker 1>but I think there was good news and that we

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<v Speaker 1>are seeing a single family starts steadily rebound. There there

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<v Speaker 1>nowhere near what we would expect at this point in

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<v Speaker 1>the business cycle. Multi family starts have actually been a

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<v Speaker 1>bright spot. Um. Those apartments five plus unit buildings UM.

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<v Speaker 1>They dropped a little bit in twenty seventeen, but have

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<v Speaker 1>been up over the past year unexpectedly, still strong. What

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<v Speaker 1>accounts for that strength up seven and a half percent?

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<v Speaker 1>That's right, you know, I think there's a couple of

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<v Speaker 1>factors driving that strength UM. First, as rent affordability really

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<v Speaker 1>began to deteriorate two or three years ago, UH cities,

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<v Speaker 1>particularly high press high price cities, began to invest in

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<v Speaker 1>easing the regulatory process UM, and now to three years later,

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<v Speaker 1>we're starting to see the fruit of that kind of

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<v Speaker 1>regulatory easing. Really, although I thought that the big gains

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<v Speaker 1>were really in the Midwest and some cities where perhaps

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<v Speaker 1>that wasn't as much of an issue. You're right, So

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<v Speaker 1>so the Midwest has seen the most recent month and

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<v Speaker 1>month gains, but you're looking over the past year, kind

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<v Speaker 1>of the West and the Northeast have still seen strong

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<v Speaker 1>multifamily starts. Have you seen any effects because of the

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<v Speaker 1>rise and lumber prices, tariffs on imported lumber from Canada,

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<v Speaker 1>for example, You're right. In the single family space, the

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<v Speaker 1>single family construction in particular, tariffs and and kind of

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<v Speaker 1>recent trade actions have increased costs for builders. I heard

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<v Speaker 1>an estimate of about nine thousand dollars at home, right,

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<v Speaker 1>so that's kind of in line my estimates attend to

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<v Speaker 1>fifteen tho dollars for your median new home. UM. That adds,

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<v Speaker 1>but it's important remember it's not just softwood. Softwood is

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<v Speaker 1>the biggest particular component that's been tariffed, but things like cedar,

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<v Speaker 1>shingles um have also kind of received teriffs. UM, Things

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<v Speaker 1>like aluminum and and still are about three percent of

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<v Speaker 1>the diciplical costs of your single family home, not too

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<v Speaker 1>much of consumer appliances like washing machines and dishwashers. So,

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<v Speaker 1>you know, just to pick up on on that that

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<v Speaker 1>important point. The cost of the actual materials has been increasing,

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<v Speaker 1>but so have the costs of the labor because there's

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<v Speaker 1>been a real shortage there. How much has that contributed

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<v Speaker 1>to an increase in home prices as well? You're right

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<v Speaker 1>number two of the rising cost the headwinds and builders

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<v Speaker 1>are facing. Residential construction wages are up five percent over

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<v Speaker 1>the past year compared to a liver two percent for

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<v Speaker 1>overall wages. We're seeing double the pace of wage growth

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<v Speaker 1>in in kind of for those residential construction workers. That's

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<v Speaker 1>a clear sign of any that that builders are facing

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<v Speaker 1>labor shortages. So at what point will these increased costs

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<v Speaker 1>materially slow housing starts. I'm not sure they're gonna they're

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<v Speaker 1>slow housing starts. What they are doing is they're pushing

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<v Speaker 1>up UM, the price point that that builders are targeting.

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<v Speaker 1>So you know, we are seeing that that median price

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<v Speaker 1>point of new construction rise UM and UM and you know,

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<v Speaker 1>and kind of a little bit of is that is

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<v Speaker 1>what we're not seeing I said before at this point

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<v Speaker 1>in the business cycle, we should be seeing more housing starts. Okay,

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<v Speaker 1>this is what confuses me. The biggest earth of housing

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<v Speaker 1>right now is sort of smaller starter homes. It's the

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<v Speaker 1>affordable homes that people want to buy. If you have

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<v Speaker 1>builders basically having a disincentive to go out and buy

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<v Speaker 1>and and create these homes, you know, is there enough

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<v Speaker 1>of a market at the high end, first of all,

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<v Speaker 1>to absorb what the builders want to build and can

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<v Speaker 1>they afford to build what is actually needed? I think

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<v Speaker 1>builders builders have that that same concern that that's one

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<v Speaker 1>of the reasons there the remaining cautious If you look

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<v Speaker 1>at UM new home sales, about a third of new

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<v Speaker 1>homes are sold before they even started. That's up from

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<v Speaker 1>historically about means builders are offloading this risk that they're

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<v Speaker 1>carrying UM rather than wait for a couple of months

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<v Speaker 1>of appreciation while construction finishes. I think kind of builders

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<v Speaker 1>today are do have that scars of what happened a

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<v Speaker 1>decade ago and are being conservative UM, not wanting to

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<v Speaker 1>overbuild UM. They know there's demand at that more affordable

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<v Speaker 1>price point. The math doesn't work out for them there

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<v Speaker 1>new home sales. Just to get more color on that topic,

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<v Speaker 1>what's your outlook? So our outlook new home sales data

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<v Speaker 1>will release next week. Are our forecast suggests? I think

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<v Speaker 1>a small decline. You know there is some month to

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<v Speaker 1>month volatility in that series. I think the more important

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<v Speaker 1>point that I'm looking at um next week next week's

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<v Speaker 1>data is that that medium price point. Last month in

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<v Speaker 1>the provisional April data, we saw a big drop in

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<v Speaker 1>that medium price point. I think that's gonna be revised upward.

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<v Speaker 1>One thing that really struck me there was a story

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<v Speaker 1>on the Bloomberg Today looking at a Harvard study that

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<v Speaker 1>found that US homes are a lot cheaper than they look.

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<v Speaker 1>And they looked at an inflation adjusted basis, The monthly

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<v Speaker 1>payments that people are making now in their homes are

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<v Speaker 1>actually blow what they would be in seven This is

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<v Speaker 1>all thanks to low interest rates. So you know how

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<v Speaker 1>much does that factor into people's equations right now? Lock

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<v Speaker 1>in the low interest rates while they are where they are,

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<v Speaker 1>and that will actually mean a cheaper home now, even

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<v Speaker 1>if prices are pretty high. Nation Wide, home affordability looks

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<v Speaker 1>great right now. You know it's it's in the low twenties.

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<v Speaker 1>Your your your your typical mortgaged income ratio. So much

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<v Speaker 1>of that is driven by interest rates. As interest rates rise,

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<v Speaker 1>that's gonna kind of push that in abruptard. But you know,

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<v Speaker 1>if you look at that historical average share of income

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<v Speaker 1>that goes to a mortgage, that's that's assuming an average

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<v Speaker 1>historical mortgage rate of eight percent. I'm not sure that

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<v Speaker 1>mortgage rates are going to get up to eight percent,

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<v Speaker 1>even at their highest point the cycle. Just to go

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<v Speaker 1>back to this idea of rent affordability, looking at specific

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<v Speaker 1>cities where it is affordable to rent, Pittsburgh number one. St. Louis,

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<v Speaker 1>number two, Oklahoma City, followed by Raleigh, Birmingham, and so on.

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<v Speaker 1>What do you see in terms of any trends for

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<v Speaker 1>big cities. Yeah, so so. Rent affordability is almost the

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<v Speaker 1>opposite of the mortgage affordability story. It is at historic

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<v Speaker 1>highs um particularly in in those high priced cities. In

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<v Speaker 1>a place like San Francisco, l A. People are spending

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<v Speaker 1>kind of almost fifty of their income on rent. That's

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<v Speaker 1>at the median for a bottom a bottom third renter,

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<v Speaker 1>kind of renting a bottom foot house. It's it's which

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<v Speaker 1>is just just not realistic, But you're right. Kind of

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<v Speaker 1>there are kind of those more affordable cities, um where

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<v Speaker 1>there has been more supply and you know, more importantly

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<v Speaker 1>kind of less demanding that rental market because it is

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<v Speaker 1>still affordable to buy in places like like Lahoma City. Um,

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<v Speaker 1>you know, people in those markets tend to buy as

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<v Speaker 1>soon as they can. Thanks very much for being with us.

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<v Speaker 1>Aaron Rossis, he is the senior economist for ZELLO, talking

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<v Speaker 1>about new housing starts and the housing market. China is

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<v Speaker 1>planning to act quote forcefully on Trump's two hundred billion

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<v Speaker 1>dollar tariff threat. President Trump's administration is drawing up a

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<v Speaker 1>list of perhaps new tariffs to impose on China to

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<v Speaker 1>retaliate for the retaliation to the retaliation to the retaliation.

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<v Speaker 1>Here we are in this cycle, and here to explain

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<v Speaker 1>to us how to strip out what we should be

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<v Speaker 1>paying attention to from the noise. Patrick Chauvinik Chavannic. He

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<v Speaker 1>is chief strategist of Silver Silver Crust Asset Management. Patrick,

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<v Speaker 1>you know, when you talk to a lot of traders,

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<v Speaker 1>they say, there's a lot of noise, there's a lot

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<v Speaker 1>of threats, but the actual economic impact so far is

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<v Speaker 1>fairly minimal. At what point should people take up their

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<v Speaker 1>their pens and say, wait a seconds, something here is

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<v Speaker 1>vastly different. So there is a steady march from words

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<v Speaker 1>to actions, and we are starting to see more and

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<v Speaker 1>more of these words translated into actions. Um, it's incremental,

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<v Speaker 1>You're right, Um, but UH, you know, I look at it.

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<v Speaker 1>There there two sets of effects. There's the short term

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<v Speaker 1>effects UM that may affect uh this market cycle or

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<v Speaker 1>how stocks perform in the near future, and that is

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<v Speaker 1>UH the potential impact of of inflationary shock from more

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<v Speaker 1>expensive inputs like from steel. UH. And then also the

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<v Speaker 1>retaliatory impacts measures that are meant to target specific companies

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<v Speaker 1>or specific industries in the United States and hit their earnings.

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<v Speaker 1>But there's also a longer term impact, which is the

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<v Speaker 1>erosion and the undermining of these trade rules, which, however

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<v Speaker 1>imperfect that they may be, have created a lot of opportunity,

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<v Speaker 1>not just for American companies but from for companies around

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<v Speaker 1>the world. And you know, there's something going on right

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<v Speaker 1>now at w t O where the United States is

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<v Speaker 1>refusing to allow new judges to take up their roles

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<v Speaker 1>at w t O, and very soon we're gonna get

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<v Speaker 1>down to where there's only three judges, which is the

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<v Speaker 1>minimum required um to have any kind of ruling, and

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<v Speaker 1>then we'll go to two and they won't be able

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<v Speaker 1>to rule on anything. So you have countries like Canada

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<v Speaker 1>or your European Union who say, well, we don't like

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<v Speaker 1>what the U s is doing, we're gonna take it

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<v Speaker 1>to w t OH. If they can't take it to

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<v Speaker 1>w t O because the US is blocking that, they're

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<v Speaker 1>going to be adopting more unilateral actions. And this what

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<v Speaker 1>we're seeing here is a situation where the temperature just

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<v Speaker 1>keeps rising and rising and rising, and the actual economic

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<v Speaker 1>impacts start to accumulate. Patrick. Let's say you get a

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<v Speaker 1>call from a client and they say, look, you know

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<v Speaker 1>you taught at a university in Beijing, shin Khua University. Also,

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<v Speaker 1>you've worked in private equity. You worked for John Bayner

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<v Speaker 1>because you've got a political acumen there, and you also

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<v Speaker 1>have worked in public policy. Where do we put our

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<v Speaker 1>money today? How can we take advantage of people following

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<v Speaker 1>headlines going in one direction? Maybe that's a head fake.

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<v Speaker 1>Let's assume that that's how we see it. Where do

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<v Speaker 1>you put your money? If you bet that the demographics

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<v Speaker 1>of emerging markets, particularly in Asia can be your friend. Okay, well,

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<v Speaker 1>you raise a bigger question about sort of globally, you

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<v Speaker 1>know where growth is going to come from. Let me

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<v Speaker 1>let me answer the immediate question that that people are

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<v Speaker 1>asking me about about all this kind of trade headlines.

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<v Speaker 1>And the thing that I've been saying is, look, there

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<v Speaker 1>are there We're already seeing in markets, um a disparity

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<v Speaker 1>and performance between the smaller caps and more technology focus

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<v Speaker 1>firms which are not exposed to uh these sort of

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<v Speaker 1>trade disputes, and the larger caps. Many people ask me,

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<v Speaker 1>they say, when is when are these trade issues going

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<v Speaker 1>to start affecting the markets? I'd say they've affected the

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<v Speaker 1>markets throughout the year. We've had excellent economic numbers. Um,

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<v Speaker 1>we had a great earning season. In the first quarter,

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<v Speaker 1>we had six in May we had retail sales were

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<v Speaker 1>up six percent year on year. And and in the

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<v Speaker 1>face of all this though, we've got flat markets, particularly

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<v Speaker 1>in large caps. So you're making the argument of small

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<v Speaker 1>caps versus large caps, and the small caps have outperformed

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<v Speaker 1>by more than twice the large caps. The question is,

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<v Speaker 1>and a lot of people will argue this is uh messy,

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<v Speaker 1>a messy analogy, and that you know, small caps will

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<v Speaker 1>eventually feel the brunt of any economic downdraft that the

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<v Speaker 1>large caps are reflecting. Yes, so, so there are the

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<v Speaker 1>broader concerns that you know, if we have inflationary pressure rising,

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<v Speaker 1>if we have retaliation that doesn't just target a few

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<v Speaker 1>companies that actually has a broader economic impact, everyone's going

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<v Speaker 1>to feel that. But for the moment, right there is

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<v Speaker 1>that disparity between We can't ignore the good economic news.

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<v Speaker 1>I mean, I'm as alarmed at the headlines and the

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<v Speaker 1>potential impact that they might have as anyone else, But

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<v Speaker 1>I also look at numbers that the market on a

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<v Speaker 1>bad day like this tends to ignore, which is that

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<v Speaker 1>retail sales up six per year on year expectations of

0:12:48.080 --> 0:12:50.959
<v Speaker 1>three to anywhere from three to five GDP growth in

0:12:51.000 --> 0:12:54.079
<v Speaker 1>the second quarter, and you can't ignore that either. So

0:12:54.400 --> 0:12:55.959
<v Speaker 1>where are you going to pick up? Where are you

0:12:56.000 --> 0:12:58.760
<v Speaker 1>going to maximize your exposure to that good news and

0:12:58.920 --> 0:13:02.120
<v Speaker 1>minimize your exposure your to those potential risks. So you're

0:13:02.160 --> 0:13:05.400
<v Speaker 1>buying small caps on a day like today, Uh? I

0:13:05.480 --> 0:13:08.559
<v Speaker 1>would I mean, we manage whole portfolios. So what I

0:13:08.600 --> 0:13:11.160
<v Speaker 1>would say is you want to have that in mind

0:13:11.240 --> 0:13:14.439
<v Speaker 1>when you're thinking about your asset allocation. All right, I

0:13:14.480 --> 0:13:16.400
<v Speaker 1>do want to get a sense of your take on

0:13:16.600 --> 0:13:19.280
<v Speaker 1>China strategy here, giving your intimate knowledge with the Chinese

0:13:19.320 --> 0:13:22.200
<v Speaker 1>government and how they approach things, it seems as if

0:13:22.320 --> 0:13:26.960
<v Speaker 1>there is a very deliberate targeting of areas that voted

0:13:27.000 --> 0:13:30.839
<v Speaker 1>for President Trump. This is the sort of farm belt, uh,

0:13:31.040 --> 0:13:33.640
<v Speaker 1>and sort of the steel country. This is where you're

0:13:33.640 --> 0:13:37.600
<v Speaker 1>seeing the tariffs. Put first, Does this matter to markets

0:13:37.880 --> 0:13:40.160
<v Speaker 1>or in other words, this definitely has sort of political

0:13:40.240 --> 0:13:43.400
<v Speaker 1>overtones with respect to what the midterm elections might look like.

0:13:43.559 --> 0:13:46.840
<v Speaker 1>If China is effective, does it? Do you care from

0:13:46.880 --> 0:13:50.800
<v Speaker 1>a market perspective? Sure, because you know it's it's not

0:13:51.000 --> 0:13:52.800
<v Speaker 1>a stock market, it's a market of stocks, and so

0:13:52.920 --> 0:13:58.240
<v Speaker 1>you want to be aware that these retaliatory measures are

0:13:58.240 --> 0:14:00.959
<v Speaker 1>going to be targeted at specific company some specific industries.

0:14:00.960 --> 0:14:03.240
<v Speaker 1>And it's not just China, by the way, uh it

0:14:03.400 --> 0:14:07.680
<v Speaker 1>is also the EU, Canada, Mexico. They're all crafting their

0:14:07.840 --> 0:14:12.160
<v Speaker 1>retaliatory strategies to try to maximize the political lever. So,

0:14:12.559 --> 0:14:16.920
<v Speaker 1>for instance, Mexico is putting a big tariff on cheese

0:14:17.120 --> 0:14:20.640
<v Speaker 1>exports from the United States, about four million dollars worth.

0:14:20.920 --> 0:14:24.720
<v Speaker 1>So if you're an investor, you have to, you know,

0:14:24.880 --> 0:14:28.160
<v Speaker 1>go bullow this. We're not passive investors, were active investors,

0:14:28.240 --> 0:14:30.960
<v Speaker 1>So we're not looking at the index. We're not just

0:14:31.080 --> 0:14:33.600
<v Speaker 1>looking at how the market overall is doing. We want

0:14:33.600 --> 0:14:36.480
<v Speaker 1>to go and look at specific companies, specific industries and

0:14:36.600 --> 0:14:40.320
<v Speaker 1>what their exposure is to these kinds of risks. Give

0:14:40.360 --> 0:14:42.600
<v Speaker 1>you twenty seconds, if you could get on a plane

0:14:42.640 --> 0:14:45.520
<v Speaker 1>and go anywhere to go investigate a potential investment in

0:14:45.600 --> 0:14:49.560
<v Speaker 1>an emerging economy, where would it be? I go everywhere

0:14:49.640 --> 0:14:53.560
<v Speaker 1>all the time. I just got you get to go

0:14:53.720 --> 0:14:57.160
<v Speaker 1>once in Europe, Eastern Europe. Most most interesting me. That

0:14:57.200 --> 0:15:00.400
<v Speaker 1>doesn't mean that I'm bullish on it. I just it's

0:15:00.920 --> 0:15:03.920
<v Speaker 1>I'm most curious about it all right, Well done, thanks

0:15:04.000 --> 0:15:06.960
<v Speaker 1>very much for being with us. UH. Patrick Chavannic. He

0:15:07.200 --> 0:15:11.640
<v Speaker 1>is managing Director, Chief a Strategist of Silvercrest Asset Management

0:15:11.880 --> 0:15:16.680
<v Speaker 1>and you can follow him on Twitter at p R Shelvanic.

0:15:16.800 --> 0:15:36.840
<v Speaker 1>That's h O V A n EC Right now. I

0:15:36.920 --> 0:15:39.960
<v Speaker 1>am very excited that we have David Carrington with us.

0:15:40.000 --> 0:15:43.480
<v Speaker 1>He is Jefferson County Commissioner UH and he joins us

0:15:43.520 --> 0:15:46.520
<v Speaker 1>here in our eleven three oh studios. David, I want

0:15:46.560 --> 0:15:50.320
<v Speaker 1>to start with a little trip down memory lane. Jefferson

0:15:50.440 --> 0:15:53.440
<v Speaker 1>County is known in the bond world for its two

0:15:53.520 --> 0:15:55.880
<v Speaker 1>thousand and eleven bankruptcy, one of the biggest in the

0:15:55.920 --> 0:16:00.200
<v Speaker 1>minicipal bond markets history in the US. I'm wonder rink

0:16:00.280 --> 0:16:03.480
<v Speaker 1>today as we see some of the struggles with Illinois

0:16:03.760 --> 0:16:07.880
<v Speaker 1>and Connecticut, would you recommend that they go down the

0:16:07.960 --> 0:16:12.640
<v Speaker 1>same path that Jefferson County ultimately had to pursue. Well,

0:16:12.720 --> 0:16:15.560
<v Speaker 1>it's surely a last resort. It's not something that you

0:16:15.680 --> 0:16:19.600
<v Speaker 1>want to do flippantly. UM. I continue to say that

0:16:20.120 --> 0:16:22.560
<v Speaker 1>after a year in negotiations, we had three gallons of

0:16:22.600 --> 0:16:24.600
<v Speaker 1>water and a one gallon bucket, and it didn't look

0:16:24.640 --> 0:16:26.360
<v Speaker 1>like we were going to go a larger bucket, and

0:16:26.840 --> 0:16:30.000
<v Speaker 1>we couldn't reduce the water, so we had to do it. UM.

0:16:30.280 --> 0:16:35.880
<v Speaker 1>The financial situation was one that was apparently unsolvable. With

0:16:36.080 --> 0:16:42.240
<v Speaker 1>that said, before I municipality entertains Chapter nine bankruptcy, they

0:16:42.320 --> 0:16:45.920
<v Speaker 1>have to first seriously try to negotiate their way out.

0:16:46.600 --> 0:16:49.040
<v Speaker 1>They need to recognize it's very costly. In our case,

0:16:49.080 --> 0:16:52.200
<v Speaker 1>it was a million dollars a month. We were projecting

0:16:52.240 --> 0:16:55.040
<v Speaker 1>thirty six to forty eight months. It actually we were

0:16:55.080 --> 0:16:58.360
<v Speaker 1>able to exit in twenty five months. You have to

0:16:58.400 --> 0:17:01.920
<v Speaker 1>be sure that the elected officials have the political will

0:17:02.120 --> 0:17:04.560
<v Speaker 1>to make the decisions that have to be made in

0:17:04.760 --> 0:17:09.840
<v Speaker 1>order to restructure UM the organization, and so UM I

0:17:09.960 --> 0:17:13.320
<v Speaker 1>would not recommend a community do this unless they have

0:17:14.000 --> 0:17:18.280
<v Speaker 1>an elected UH a group of commissioners or counselors or

0:17:19.520 --> 0:17:23.280
<v Speaker 1>senators that are willing to take the political heat. I

0:17:23.400 --> 0:17:27.040
<v Speaker 1>was told UH that if I UH file for Chapter

0:17:27.200 --> 0:17:30.920
<v Speaker 1>nine bankruptcy, my political career would be toast. And my

0:17:31.040 --> 0:17:34.680
<v Speaker 1>answer to that was, I didn't run to get re elected.

0:17:34.800 --> 0:17:37.480
<v Speaker 1>I ran to fix the problem. So you almost have

0:17:37.640 --> 0:17:40.560
<v Speaker 1>to have a mindset that this is UH something that

0:17:40.720 --> 0:17:42.960
<v Speaker 1>you don't want to do, but you have to do

0:17:43.040 --> 0:17:46.879
<v Speaker 1>in order to make the community sustainable going forward, and

0:17:47.000 --> 0:17:50.040
<v Speaker 1>just a quickly side of recap. In Jefferson County, Alabama,

0:17:50.160 --> 0:17:53.440
<v Speaker 1>this goes back to there was a consent decree having

0:17:53.520 --> 0:17:56.680
<v Speaker 1>to do with the city sewer systems. They needed to

0:17:56.760 --> 0:18:01.120
<v Speaker 1>finance the revamp of the sewer system. They issued. Then

0:18:01.200 --> 0:18:05.200
<v Speaker 1>it got really bad and there were lawsuits and several

0:18:05.280 --> 0:18:08.520
<v Speaker 1>people went to jail, and it was none of which

0:18:08.600 --> 0:18:10.879
<v Speaker 1>you are associated. And that's that's true. The day I

0:18:10.960 --> 0:18:14.760
<v Speaker 1>walked in the office was November the tenth of two ten.

0:18:14.880 --> 0:18:17.520
<v Speaker 1>We had three point two billion of sewer deet in default.

0:18:18.119 --> 0:18:20.320
<v Speaker 1>We had a sewer receiver appointed by the court, so

0:18:20.320 --> 0:18:22.480
<v Speaker 1>that was gonna double rates and then double them again

0:18:22.800 --> 0:18:26.040
<v Speaker 1>or g that was in default. Our audits were three

0:18:26.119 --> 0:18:29.359
<v Speaker 1>years past due. We had an indigent care hospital losing

0:18:29.440 --> 0:18:31.680
<v Speaker 1>ten to fifteen million dollars a year, a county home

0:18:31.760 --> 0:18:34.240
<v Speaker 1>losing two to three million dollars a year. So to

0:18:34.359 --> 0:18:36.600
<v Speaker 1>say it was a mass is sort of an understatement.

0:18:36.960 --> 0:18:39.399
<v Speaker 1>And uh then on our twenty second day in office,

0:18:40.119 --> 0:18:43.399
<v Speaker 1>a circuit court judge ruled that a tax that had

0:18:43.480 --> 0:18:46.320
<v Speaker 1>been passed for the county's general fund was passed illegally

0:18:46.359 --> 0:18:49.920
<v Speaker 1>by the state legislature, and we lost twenty of our revenue.

0:18:50.200 --> 0:18:52.960
<v Speaker 1>So that was our twenty second day. And then on

0:18:53.040 --> 0:18:55.159
<v Speaker 1>the last day of our first year in office, we

0:18:55.240 --> 0:18:58.719
<v Speaker 1>followed what was at the time the largest municipal bankruptcy

0:18:58.760 --> 0:19:02.479
<v Speaker 1>in US history. A year or two later, Detroit rallied

0:19:02.560 --> 0:19:05.280
<v Speaker 1>and surpassed us. And I've always been thankful for Detroit

0:19:05.440 --> 0:19:09.600
<v Speaker 1>for doing that. I'm sure that UH Detroit says you're welcome.

0:19:09.880 --> 0:19:11.720
<v Speaker 1>I want to switch gears a little bit because fast

0:19:11.720 --> 0:19:15.879
<v Speaker 1>forwards today and Birmingham is actually attracting some businesses from

0:19:15.960 --> 0:19:20.040
<v Speaker 1>places like New York and UH, New Jersey and Connecticut

0:19:20.080 --> 0:19:23.520
<v Speaker 1>and higher tax states. Um, to what degree have you

0:19:23.680 --> 0:19:26.280
<v Speaker 1>seen these businesses come? And UH, you know, are you

0:19:26.320 --> 0:19:31.520
<v Speaker 1>seeing it accelerate? Yes? Uh in the last seventeen months,

0:19:32.400 --> 0:19:37.199
<v Speaker 1>uh one to three, four or five, six, seven, eight nine, Well,

0:19:37.240 --> 0:19:42.600
<v Speaker 1>there's been eleven companies relocate into our community. And of

0:19:42.720 --> 0:19:45.560
<v Speaker 1>course the states doing well too, with the recent announcement

0:19:46.000 --> 0:19:49.159
<v Speaker 1>of Toyota in the Huntsville area. We have Airbus in

0:19:49.240 --> 0:19:52.320
<v Speaker 1>the last several years in Mobile, UH the Birmingham metro

0:19:52.560 --> 0:19:57.480
<v Speaker 1>area actually, in a recent Forbes report, UH has pays

0:19:57.520 --> 0:20:00.560
<v Speaker 1>the highest salaries in the guide states. Well might shock

0:20:00.680 --> 0:20:03.080
<v Speaker 1>people in New York, but when you combine our salary

0:20:03.160 --> 0:20:05.760
<v Speaker 1>plus our cost of a living, the dollar buys a

0:20:05.840 --> 0:20:09.040
<v Speaker 1>lot more in Alabama. And so we're a low tax

0:20:09.160 --> 0:20:13.520
<v Speaker 1>state with a high work ethic, and we have not

0:20:14.200 --> 0:20:17.320
<v Speaker 1>suffered as we were suggested with the bankruptcy. We now

0:20:17.440 --> 0:20:20.760
<v Speaker 1>have investment grade ratings on our GEO debt UH, and

0:20:20.880 --> 0:20:23.240
<v Speaker 1>we were told that would never happen. We just refunded

0:20:23.320 --> 0:20:27.200
<v Speaker 1>some debt in the last week last month at two

0:20:27.280 --> 0:20:32.920
<v Speaker 1>point five saving the citizens fourteen million dollars. And we

0:20:33.240 --> 0:20:36.760
<v Speaker 1>have redeployed that capital because we have a thousand fewer

0:20:36.800 --> 0:20:39.159
<v Speaker 1>employees today than the day I walked into the office,

0:20:39.560 --> 0:20:42.440
<v Speaker 1>so our expense structure is a lot lower. We've allocated

0:20:42.480 --> 0:20:45.320
<v Speaker 1>twenty five million dollars a year for infrastructure so we

0:20:45.400 --> 0:20:48.760
<v Speaker 1>can attract it, eighteen million dollars a year more for

0:20:48.880 --> 0:20:51.639
<v Speaker 1>our public schools, and ten million dollars a year UH

0:20:51.760 --> 0:20:55.240
<v Speaker 1>for economic development. So on top of tax in centers

0:20:55.320 --> 0:20:58.359
<v Speaker 1>which most people used to recruit businesses, we also have

0:20:58.960 --> 0:21:03.119
<v Speaker 1>a bundle of catsh that we can invest. We just

0:21:03.480 --> 0:21:08.879
<v Speaker 1>UH opened a truck manufacturer. It's a custom truck UH

0:21:09.160 --> 0:21:13.040
<v Speaker 1>seven fifty jobs and we needed about a million and

0:21:13.080 --> 0:21:15.960
<v Speaker 1>a half dollars for some infrastructure work. So instead of

0:21:16.040 --> 0:21:19.560
<v Speaker 1>borrowing the money, we now have a pool of assets

0:21:19.680 --> 0:21:22.160
<v Speaker 1>that we can use to do that. Like I said,

0:21:22.160 --> 0:21:24.000
<v Speaker 1>it's ten million dollars a year. It's a twenty five

0:21:24.359 --> 0:21:26.840
<v Speaker 1>twenty five year attack. So we've got a quarter of

0:21:26.920 --> 0:21:29.920
<v Speaker 1>a billion dollars to recruit and when we need a

0:21:30.040 --> 0:21:34.439
<v Speaker 1>little bit more, be it for a road or a bridge,

0:21:34.480 --> 0:21:36.480
<v Speaker 1>we can do that. Thank you very much for being

0:21:36.520 --> 0:21:39.240
<v Speaker 1>with us. Looking forward to having you again on the program.

0:21:39.400 --> 0:21:43.760
<v Speaker 1>Very interesting topics and thanks for your participation. David Carrington,

0:21:44.040 --> 0:22:04.360
<v Speaker 1>Commissioner of Jefferson County, Alabama. Rebates and drug Pricing. Here

0:22:04.400 --> 0:22:07.040
<v Speaker 1>to tell us more about the industry is Michael Ray.

0:22:07.119 --> 0:22:10.760
<v Speaker 1>He is the chief executive officer of our X Savings Solutions.

0:22:11.119 --> 0:22:13.639
<v Speaker 1>They're based in Overland Park, Kansas, but he joins us

0:22:13.640 --> 0:22:16.280
<v Speaker 1>here in our eleven three OHD studios. Michael, always a pleasure,

0:22:16.320 --> 0:22:18.680
<v Speaker 1>thanks for being here. Explained to people that may not

0:22:18.800 --> 0:22:22.000
<v Speaker 1>be familiar with the use of rebates when it comes

0:22:22.080 --> 0:22:26.520
<v Speaker 1>to purchasing drugs and how it has changed. Yeah, so

0:22:27.160 --> 0:22:31.160
<v Speaker 1>rebates kind of think of them like a kickback of sorts.

0:22:31.280 --> 0:22:33.720
<v Speaker 1>You pay a hundred dollars for the drug. Uh, the

0:22:34.400 --> 0:22:37.399
<v Speaker 1>negotiated price might be eighty uh, and there might be

0:22:37.480 --> 0:22:40.520
<v Speaker 1>a twenty twenty rebate on top of it, so that

0:22:40.680 --> 0:22:44.600
<v Speaker 1>the actual total costs in that scenario is is sixty dollars.

0:22:44.680 --> 0:22:47.680
<v Speaker 1>It's kind of this, uh, like I said, kickback of

0:22:47.760 --> 0:22:50.880
<v Speaker 1>sorts that that goes back to a pair. Why does

0:22:50.960 --> 0:22:54.520
<v Speaker 1>this exist? That's a great question. We live in a

0:22:54.640 --> 0:22:57.600
<v Speaker 1>very complicated world when it comes to drug pricing, and

0:22:57.840 --> 0:23:01.680
<v Speaker 1>the mechanics of how money moves has gotten more complex

0:23:01.760 --> 0:23:06.240
<v Speaker 1>over time. It originally, uh, you know, was a way

0:23:06.320 --> 0:23:10.680
<v Speaker 1>to give an additional discount to the payer, but what's

0:23:10.680 --> 0:23:14.680
<v Speaker 1>happened is it's been manipulated over time and profits have

0:23:14.960 --> 0:23:19.239
<v Speaker 1>have gone up extraordinarily for certain folks in the supply chain. Well,

0:23:19.320 --> 0:23:21.919
<v Speaker 1>we certainly, Uh. One of the reasons why we've been

0:23:21.960 --> 0:23:25.160
<v Speaker 1>paying closer and closer attention to this is because it's

0:23:25.160 --> 0:23:28.440
<v Speaker 1>become a political issue. And then the administration has said

0:23:28.480 --> 0:23:31.240
<v Speaker 1>we're going to reduce drug prices, and in response, some

0:23:31.359 --> 0:23:35.159
<v Speaker 1>of the shares of these big pharmaceutical companies declined. What

0:23:35.520 --> 0:23:38.200
<v Speaker 1>is the latest with respect to the administration's policy to

0:23:38.280 --> 0:23:43.000
<v Speaker 1>try to lower drug policy prices? Yeah, I haven't seen anything,

0:23:44.040 --> 0:23:47.359
<v Speaker 1>you know, really interesting since the you know, the announcement

0:23:47.359 --> 0:23:51.600
<v Speaker 1>by President Trump probably four weeks or so ago. I

0:23:51.680 --> 0:23:54.560
<v Speaker 1>did hear some or excuse me, see some testimony from

0:23:55.480 --> 0:23:59.160
<v Speaker 1>Secretary is Our last week that was focused on getting

0:23:59.240 --> 0:24:01.399
<v Speaker 1>rid of rebates. And I think if there is a

0:24:01.600 --> 0:24:06.119
<v Speaker 1>single thing that can happen to lower drug prices, elimination

0:24:06.200 --> 0:24:08.879
<v Speaker 1>of rebates is that thing. It is that important. And

0:24:08.960 --> 0:24:12.720
<v Speaker 1>there is a tremendous amount of money changing hands. So

0:24:12.920 --> 0:24:16.760
<v Speaker 1>just how much would that hurt pharmaceutical companies? I mean,

0:24:16.800 --> 0:24:19.639
<v Speaker 1>clearly they're I'm assuming they're the ones that are pushing

0:24:19.680 --> 0:24:22.359
<v Speaker 1>to keep these rebates correct. Yeah, you know, I actually

0:24:22.480 --> 0:24:26.080
<v Speaker 1>think that that pharma could come out better off if

0:24:26.119 --> 0:24:29.080
<v Speaker 1>these rebates go away. I actually, uh am of the

0:24:29.119 --> 0:24:31.720
<v Speaker 1>belief that they should be the ones proposing this. They

0:24:31.760 --> 0:24:34.160
<v Speaker 1>should be uh they should join together as a trade

0:24:34.200 --> 0:24:38.680
<v Speaker 1>group and say we're not going to participate because the benefit,

0:24:38.760 --> 0:24:42.760
<v Speaker 1>financial benefit that they received at the beginning has been

0:24:42.840 --> 0:24:46.600
<v Speaker 1>taken away. And I actually think that more competition would

0:24:46.680 --> 0:24:49.359
<v Speaker 1>would yield a better result. Can you give us an

0:24:49.440 --> 0:24:51.960
<v Speaker 1>update on what is going on with generic drug pricing?

0:24:52.240 --> 0:24:55.080
<v Speaker 1>Because there was a list that the FDA put out

0:24:55.600 --> 0:24:59.200
<v Speaker 1>that side of a variety of pharmaceutical companies saying that

0:24:59.320 --> 0:25:01.520
<v Speaker 1>they were doing just about anything they could in order

0:25:01.600 --> 0:25:05.760
<v Speaker 1>to avoid giving the information necessary to other companies to

0:25:05.880 --> 0:25:09.960
<v Speaker 1>produce generic versions of their patented or their branded drugs.

0:25:10.400 --> 0:25:12.920
<v Speaker 1>And yet it seems as though generic drug prices have

0:25:13.040 --> 0:25:16.080
<v Speaker 1>been increasing, not decreasing. It's a it's a tail to

0:25:16.440 --> 0:25:20.360
<v Speaker 1>two situations. You've got you've got some pharma companies blocking,

0:25:20.840 --> 0:25:22.480
<v Speaker 1>like you said on the on the patent piece, so

0:25:22.600 --> 0:25:25.840
<v Speaker 1>that generics cannot be made, the first generic cannot be made.

0:25:26.520 --> 0:25:28.280
<v Speaker 1>And then you've got other products in the market where

0:25:28.720 --> 0:25:32.280
<v Speaker 1>you know, a hundred ten different manufacturers make a specific

0:25:32.359 --> 0:25:36.520
<v Speaker 1>generic drug. In those situations, you're seeing more and more

0:25:36.880 --> 0:25:40.240
<v Speaker 1>you're seeing consumer prices go up, but generic drug maker

0:25:40.280 --> 0:25:43.879
<v Speaker 1>stock prices go down, and there's this mysterious pot of

0:25:43.960 --> 0:25:45.960
<v Speaker 1>money in the middle that no one seems to know

0:25:46.040 --> 0:25:50.359
<v Speaker 1>where it goes. So you know, lower lower, lower stock prices,

0:25:50.400 --> 0:25:54.360
<v Speaker 1>lower profits, but higher cost to the consumer. So I'm wondering,

0:25:54.560 --> 0:25:58.119
<v Speaker 1>especially given some of the focus on generic drug prices

0:25:58.200 --> 0:26:00.639
<v Speaker 1>and how they've been going up, I'm wondering this year's

0:26:00.960 --> 0:26:04.040
<v Speaker 1>record pace of pharmaceutical mergers and acquisitions is going to

0:26:04.080 --> 0:26:05.800
<v Speaker 1>play into drug pricing. I mean, is this going to

0:26:05.920 --> 0:26:09.720
<v Speaker 1>end up uh leading to more price increases because you're

0:26:09.720 --> 0:26:13.200
<v Speaker 1>getting consolidation of specifical sectors of the industry or do

0:26:13.280 --> 0:26:17.119
<v Speaker 1>you think that it might absolutely? Um, depending on the

0:26:17.240 --> 0:26:20.840
<v Speaker 1>products right. So um, you know, if there's three or

0:26:20.880 --> 0:26:24.240
<v Speaker 1>more competitors in a class, you're gonna get you know,

0:26:24.280 --> 0:26:28.120
<v Speaker 1>you're gonna get a pretty efficient market. If you've got

0:26:28.320 --> 0:26:32.000
<v Speaker 1>manufacturers emerging that you know, have the two products on

0:26:32.080 --> 0:26:34.919
<v Speaker 1>the market and they emerge into be the single single company,

0:26:35.480 --> 0:26:37.520
<v Speaker 1>that's not going to bode well for payers and consumers

0:26:37.520 --> 0:26:39.920
<v Speaker 1>in this country. Are there specific drugs that you're starting

0:26:39.960 --> 0:26:45.000
<v Speaker 1>to see inch up in price because of consolidations? Nothing yet?

0:26:45.560 --> 0:26:48.680
<v Speaker 1>And I just just only because I have attracted you know,

0:26:49.000 --> 0:26:51.720
<v Speaker 1>uh in looking at what you're doing at r X

0:26:52.280 --> 0:26:55.240
<v Speaker 1>Saving Solutions, I'm wondering if you just give us an example.

0:26:56.040 --> 0:26:58.679
<v Speaker 1>I know, for example, you work with the State of Kansas.

0:26:58.720 --> 0:27:01.879
<v Speaker 1>They've got their employee health benefits plan. What do you

0:27:02.000 --> 0:27:04.639
<v Speaker 1>do for them? And what has been the result? What

0:27:04.840 --> 0:27:07.800
<v Speaker 1>why are they using you? Yeah? So um, you know,

0:27:07.880 --> 0:27:09.440
<v Speaker 1>to give you a kind of an example, think of

0:27:09.520 --> 0:27:12.960
<v Speaker 1>a patient with high blood pressure and they go into

0:27:13.000 --> 0:27:15.919
<v Speaker 1>the doctor. The doctor diagnoses it and says, we need

0:27:15.960 --> 0:27:19.320
<v Speaker 1>to put you on this therapy um right now. They're

0:27:19.400 --> 0:27:21.360
<v Speaker 1>choosing and they're kind of shooting in the dark. It's

0:27:21.520 --> 0:27:23.760
<v Speaker 1>you know, there's forty choices, and they pick one, and

0:27:23.760 --> 0:27:25.159
<v Speaker 1>they don't know if that's a high cost one or

0:27:25.160 --> 0:27:27.760
<v Speaker 1>a low cost one. What we do is present all

0:27:27.800 --> 0:27:30.880
<v Speaker 1>of the information to the consumer and the doctor to say,

0:27:30.920 --> 0:27:33.680
<v Speaker 1>here are your forty choices, and here's every price that

0:27:33.760 --> 0:27:37.880
<v Speaker 1>goes with it. That allows a consumeristic decision to be made,

0:27:38.240 --> 0:27:40.679
<v Speaker 1>and it allows a consumer to take hold and consume

0:27:40.760 --> 0:27:43.240
<v Speaker 1>a real efficient market to take hold and drive down

0:27:43.359 --> 0:27:46.399
<v Speaker 1>costs while increasing outcomes because that patient actually has a

0:27:46.440 --> 0:27:48.480
<v Speaker 1>drug they can afford and they can fill and they

0:27:48.520 --> 0:27:51.480
<v Speaker 1>get healthier. So they brought us into lower prices and

0:27:51.520 --> 0:27:53.719
<v Speaker 1>that's what we've done for them. Thank you so much

0:27:53.760 --> 0:27:56.199
<v Speaker 1>for joining us. Always eliminated to speak with you. Michael Ray,

0:27:56.480 --> 0:28:00.600
<v Speaker 1>chief executive officer of our ex Savings Solutions, talking about

0:28:00.600 --> 0:28:04.840
<v Speaker 1>the latest in UH the effort to lower drug prices.

0:28:04.880 --> 0:28:07.160
<v Speaker 1>Really interesting about the rebates and a really interesting point

0:28:07.240 --> 0:28:11.280
<v Speaker 1>Pim that Michael thinks that if you do get rid

0:28:11.320 --> 0:28:13.880
<v Speaker 1>of the rebates, that actually end up ends up being

0:28:14.000 --> 0:28:18.280
<v Speaker 1>beneficial for the pharmaceutical companies. Well, maybe if you simplified

0:28:18.359 --> 0:28:22.040
<v Speaker 1>things and didn't create all these tangled webs, you'd actually

0:28:22.080 --> 0:28:24.080
<v Speaker 1>be able to see what you can pay for a drug,

0:28:24.200 --> 0:28:26.480
<v Speaker 1>and you wouldn't have to have a million intermediaries trying

0:28:26.480 --> 0:28:29.920
<v Speaker 1>to figure it all out. Oh you mean that's common sense.

0:28:34.160 --> 0:28:36.640
<v Speaker 1>Thanks for listening to the Bloomberg P and L podcast.

0:28:37.040 --> 0:28:40.880
<v Speaker 1>You can subscribe and listen to interviews at Apple Podcasts, SoundCloud,

0:28:41.040 --> 0:28:44.480
<v Speaker 1>or whatever podcast platform you prefer. I'm pim Fox. I'm

0:28:44.560 --> 0:28:48.560
<v Speaker 1>on Twitter at pim Fox. I'm on Twitter at Lisa Abramo.

0:28:48.680 --> 0:28:51.240
<v Speaker 1>It's one before the podcast. You can always catch us

0:28:51.320 --> 0:28:52.840
<v Speaker 1>worldwide on Bloomberg Radio