WEBVTT - Only Way To Defeat Virus Is To Self-Isolate: Former Medicare Head

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<v Speaker 1>Welcome to the Bloomberg Penl Podcast. I'm Paul swing you

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<v Speaker 1>along with my co host Lisa Brahma Wicks. Each day

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<v Speaker 1>we bring you the most noteworthy and useful interviews for

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<v Speaker 1>you and your money. Whether at the grocery store or

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<v Speaker 1>the trading floor. Find a Bloomberg Penl podcast on Apple

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<v Speaker 1>podcast or wherever you listen to podcasts, as well as

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<v Speaker 1>at Bloomberg dot com. I want to go back to

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<v Speaker 1>a statistic that really stood out to me, and it

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<v Speaker 1>was a little bit alarming, and it has gotten about

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<v Speaker 1>a bunch of pushback given the lack of testing. Andrew Cuomo,

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<v Speaker 1>governor of New York State, saying the hospitalization rate for

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<v Speaker 1>the coronavirus in New York State is fifteen to nineteen percent.

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<v Speaker 1>He was arguing for more capacity for hospital beds for ventilators,

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<v Speaker 1>and he was talking about the incredible strain it's going

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<v Speaker 1>to put on the healthcare ses. To me, the United

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<v Speaker 1>States joining US now is Andy Slavitt, former Acting Administrator

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<v Speaker 1>for Medicare and Medicaid Services. No one better to have

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<v Speaker 1>a frontline view on exactly how strained this could potentially be. Andy,

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<v Speaker 1>I want to first get your idea, get your thoughts

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<v Speaker 1>on that fifteen hospitalization rate. People are pushing back and

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<v Speaker 1>saying that's sensational considering the fact that so many people

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<v Speaker 1>haven't been tested. Do you think that it is an

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<v Speaker 1>accurate reflection of just how dire this virus is when

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<v Speaker 1>it does affect people and they do develop symptoms. So

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<v Speaker 1>everybody is going to be hearing all sorts of data,

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<v Speaker 1>and we should all appreciate the fact that this is

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<v Speaker 1>a novel virus. It hasn't been with us for that long,

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<v Speaker 1>and every data is a piece of dated only a

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<v Speaker 1>data point, and so over time will have I think

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<v Speaker 1>reliable forms of data. But if you listen to this data,

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<v Speaker 1>I think we should be closer to UM. I wouldn't

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<v Speaker 1>say anybody should panic, but we should be closer to

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<v Speaker 1>panic than we should be to calm. On the scale

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<v Speaker 1>of one to ten, Uh, we should be at an eight.

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<v Speaker 1>We shouldn't be. So I tend to say every piece

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<v Speaker 1>of data that I see, UM, I want to understand

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<v Speaker 1>it and assume the channel until proven otherwise. Because in

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<v Speaker 1>this environment where you're where we have no immune system

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<v Speaker 1>for this virus, where a number of people have underlying

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<v Speaker 1>medical conditions, where we have a number of seers who

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<v Speaker 1>did whom this is a lethal condition. Better to be safe.

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<v Speaker 1>And if we're wrong, and if the turns out to

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<v Speaker 1>be um, hallelujah, someone can go back and criticize the

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<v Speaker 1>people who said eighteen percent later. But I certainly, I

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<v Speaker 1>certainly would rather behave on the much more cautious side.

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<v Speaker 1>So Andy, just broadly defined, can you give us your

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<v Speaker 1>sense of kind of how you think our U s

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<v Speaker 1>healthcare system is prepared for what could be a surge

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<v Speaker 1>in patients uh, from this virus. So we're not prepared.

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<v Speaker 1>But but let me put that in context. Um. You

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<v Speaker 1>know that that expression, um they didn't build the church

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<v Speaker 1>for for Easter Sunday as one that comes to mind. Um,

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<v Speaker 1>you know if we built hospitals in New York eight

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<v Speaker 1>times the size, uh, then we would be um. You know,

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<v Speaker 1>we know that wouldn't make a lot of sense. But

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<v Speaker 1>there are places where we should be better prepared, things

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<v Speaker 1>like surge capacity, the ability to bring hospitals, UM, ships, equipment,

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<v Speaker 1>UM safety gear. Um. You know we should have been

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<v Speaker 1>had we should have had much higher stockpiles of that.

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<v Speaker 1>I will tell you that those recommendations have been strongly

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<v Speaker 1>made in certain quarters for a long long time, UM,

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<v Speaker 1>and I think dismissed um candidly by this administration. Although

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<v Speaker 1>I'm not trying to take a shot at them. I

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<v Speaker 1>think it's just a fact um uh. But but I

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<v Speaker 1>will also tell you that even if we had prepared UM,

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<v Speaker 1>I still believe, even if we were better prepared, the

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<v Speaker 1>scope of the virus as such that I think we

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<v Speaker 1>still would have been overwhelmed. So we're going to see

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<v Speaker 1>a lot of parts of our hospital system understrain, most

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<v Speaker 1>particularly the people who work in the healthcare system on

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<v Speaker 1>the front line, who I think are are really going

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<v Speaker 1>to end up in our real heroes in all of this,

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<v Speaker 1>because they are going to be operating often without a playbook, UM,

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<v Speaker 1>seeing a lot of things that is that are contagious,

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<v Speaker 1>without without the best protective gear at times, because our

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<v Speaker 1>supplies are running running low, and and they're going to

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<v Speaker 1>be overwhelmed. And that group of people that I think

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<v Speaker 1>we really have to demonstrate an immense amount of gratitude

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<v Speaker 1>for because they're really going to be the ones that

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<v Speaker 1>are going to have to help us get through this andy.

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<v Speaker 1>One other thing that Governor Cuomo said was that he

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<v Speaker 1>expects the virus to peak in New York State in

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<v Speaker 1>forty five days, which seems like quite a long time

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<v Speaker 1>from now for it to peak. Can you give us

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<v Speaker 1>a sense of if that is the case, what the

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<v Speaker 1>scope of cases could potentially be in whether asking Americans

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<v Speaker 1>to stay home actually will help alleviate that or at

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<v Speaker 1>least mitigate that. So it's really interes interesting. Uh. You

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<v Speaker 1>you all of course have heard all of these expressions

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<v Speaker 1>flattened the curve, right, all of America is becoming familiar

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<v Speaker 1>with that expressions. Exactly. It's it's trending, and it's trending.

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<v Speaker 1>Maybe there should be clothing lines called flattening your curves

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<v Speaker 1>or something. But oh lord, exactly, we're gonna go all

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<v Speaker 1>kinds of fun places with this virus. We're going to

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<v Speaker 1>have to have some humerum in my opinion. But um,

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<v Speaker 1>the the the truth is the implication of that means

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<v Speaker 1>we would rather it actually take longer then have it shorter. Uh.

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<v Speaker 1>And I know that that's a weird thing to get

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<v Speaker 1>her hands around, because that means that the social disruption,

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<v Speaker 1>the economic disruption, we'll go on for longer. But if

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<v Speaker 1>we if we socially isolate um, we will reduce the

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<v Speaker 1>number of cases to your prior question that the health

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<v Speaker 1>care system has to handle. But it will also mean

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<v Speaker 1>that this is going to go on for our longer

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<v Speaker 1>a longer period of time. Uh and uh and and

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<v Speaker 1>and we should be okay with that because we will

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<v Speaker 1>be able to build immunity to the virus eventually, UM

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<v Speaker 1>have some herd immunity, eventually have some uhum drugs that

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<v Speaker 1>can combat it. But um it only it will only work.

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<v Speaker 1>The only way it works is if people socially isolate.

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<v Speaker 1>And I hate that expression because I don't want people

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<v Speaker 1>to socially isolate. I want people to physically isolate. But

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<v Speaker 1>it only works if people hashtag stay home or if

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<v Speaker 1>you first day the ft home as is I've seen

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<v Speaker 1>trend to get on Twitter. That's the most important thing

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<v Speaker 1>people can do right now. Andy, how about the testing.

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<v Speaker 1>Where are we in terms of getting test kits broadly

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<v Speaker 1>disseminated across the country so we can really start getting

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<v Speaker 1>accurate count as to the scope of this. Well, candidly,

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<v Speaker 1>we're well behind where we should be. UM. You know

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<v Speaker 1>the we had our first case the day as South

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<v Speaker 1>Korea and their tests their tests were available ten days

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<v Speaker 1>prior to that first test. And we are. So we're

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<v Speaker 1>roughly a month or more behind where we need to be.

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<v Speaker 1>And now I believe we're doing all of the right

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<v Speaker 1>things to ramp up production. I think you'll see production

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<v Speaker 1>double uh and test double across the country this week. Um,

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<v Speaker 1>And I think that's a good thing. Um, It'll will

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<v Speaker 1>still be well short if you look at a per

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<v Speaker 1>capita basis for the rest of the world, will still

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<v Speaker 1>be in the last place. And then I will say this, Um,

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<v Speaker 1>we will see I suspect we'll see a bump, but

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<v Speaker 1>we will our supply chain with things that allow us

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<v Speaker 1>to do these tests, because it's not just a cute swab.

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<v Speaker 1>There's a bunch of things you need in the lab,

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<v Speaker 1>re agents and machines and so forth. Those supplies are

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<v Speaker 1>in demand across the world and there's only so many

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<v Speaker 1>of them and they can only be made so fast.

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<v Speaker 1>So I suspect we will have a surge in tests

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<v Speaker 1>and that will be a good news. But I think

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<v Speaker 1>they will then becoming shorts supply again. Andy, just talking

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<v Speaker 1>about hashtag flatten the curve and hashtags stay. They have

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<v Speaker 1>home um and all the sort of social media presence

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<v Speaker 1>you know, there's sort of sort of gallows humor out there,

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<v Speaker 1>people coming up with innovative ways to pass the time

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<v Speaker 1>in their homes as they isolate. But there's also talk

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<v Speaker 1>about arise and anxiety and a and arise and sort

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<v Speaker 1>of uh, this feeling of fear. And you said, you know,

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<v Speaker 1>on the scale from panic to panic panic, Well, I mean,

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<v Speaker 1>how can you can you give people a sense of Well,

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<v Speaker 1>perhaps if people take it really seriously, it won't have

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<v Speaker 1>to be the catastrophe that you're saying. Well, look, this

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<v Speaker 1>will end, this will end, We will get through this

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<v Speaker 1>the and we will have a period in our lives

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<v Speaker 1>that will always look back on that will be um,

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<v Speaker 1>you know, will days, will it be ninety days, will

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<v Speaker 1>let be underneated? Well, well well we don't know that now,

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<v Speaker 1>but we'll know that, um, and we will always look back. Uh,

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<v Speaker 1>so it will, it will be over. We should just

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<v Speaker 1>be thinking about this is every life lost, just like

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<v Speaker 1>every life life lost to the flu or a hard condition. Um,

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<v Speaker 1>we should try to prevent so. UM. That means some sacrifice,

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<v Speaker 1>That means staying in, That means doing some things differently.

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<v Speaker 1>That means and I and with that comes from anxiety,

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<v Speaker 1>financial anxiety, social anxiety. UM, all of those things, and

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<v Speaker 1>it's it's okay to to feel those things because the

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<v Speaker 1>future is uncertain while we're in it, right, we will

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<v Speaker 1>get through this. We're gonna have to leave it there.

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<v Speaker 1>I could speak with you often and thank you so

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<v Speaker 1>much for taking the time. Really appreciate it. Andy Slavitt,

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<v Speaker 1>former Acting Administrator for Medicare and Medicaid Services, talking about

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<v Speaker 1>the situation facing the healthcare sector. This is bloomberg as

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<v Speaker 1>we look at the potential for a peak in New

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<v Speaker 1>York State, one of the most heavily affected regions by

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<v Speaker 1>coronavirus spread UH in forty five days. That's alw long time.

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<v Speaker 1>It's a long disruption, disruptive period, and I'm wondering on

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<v Speaker 1>the market implications. This is the unknown and a lot

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<v Speaker 1>of people trying to game out when it's time to

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<v Speaker 1>start getting back in as as people watch. Marcus Whipsaw

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<v Speaker 1>and Peter Sheer has been watching it and he's been

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<v Speaker 1>doing an incredible job really monitoring not only the macro

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<v Speaker 1>but also the micro from Academy Securities ahead of macro strategy. Peter,

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<v Speaker 1>where are you in terms of the risk off field

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<v Speaker 1>that we've had in markets? The worst day in the

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<v Speaker 1>SMP yesterday. Since seven, are we getting close to peak

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<v Speaker 1>panic here? Yeah? So I like getting risk on Friday

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<v Speaker 1>ahead of the president. We clearly rallied in the weekends,

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<v Speaker 1>told off and are lower than that. Now I would

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<v Speaker 1>be adding a little bit of risk here, but I

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<v Speaker 1>caution people. I think it's really a bet on DC

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<v Speaker 1>coming through with a very large stimulus program, probably in

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<v Speaker 1>the trillion dollar stimulus program, and maybe a side bet

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<v Speaker 1>that we make progress against the VIRU as fast than

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<v Speaker 1>people expect. So interesting, Peter, So, I think we had

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<v Speaker 1>the FED come in in a big way over the weekend.

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<v Speaker 1>What did you make of that? And you think, Uh,

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<v Speaker 1>the Fed is doing all that it needs to do

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<v Speaker 1>here to try to stabilize markets. You know, I think

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<v Speaker 1>the FED missed getting the commercial paper facility out on Sunday. Um,

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<v Speaker 1>you know they've announced it today. One of my experiences

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<v Speaker 1>with the financial crisis was that they offer, not just

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<v Speaker 1>the FED, but politicians everyone would kind of miss deadlines.

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<v Speaker 1>They would try and put in a firebreak, and once

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<v Speaker 1>the fire had gone past that, the break did no good.

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<v Speaker 1>So I think we have to act more aggressively and

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<v Speaker 1>be ahead of the things because I think market and

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<v Speaker 1>economic psychology kicks in and being just a little late

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<v Speaker 1>sometimes it's almost as bad as doing nothing at all.

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<v Speaker 1>And just to give you a little bit more detailed,

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<v Speaker 1>the commercial paper facility is going to be that the

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<v Speaker 1>Federal Reserve is arranging will be backed by ten billion

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<v Speaker 1>dollars from the try sury departments. It will be ten

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<v Speaker 1>billion dollars of credit protection UH for this facility in

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<v Speaker 1>order to lower the short term costs for companies looking

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<v Speaker 1>to access the commercial paper market. I'm wondering, Peter. One

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<v Speaker 1>thing that you've done a really good job of is

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<v Speaker 1>looking at the technicles underpinning this, and a lot of

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<v Speaker 1>people are trying to figure out how much we're seeing

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<v Speaker 1>just mass unwindes of risk are funds of other leverage strategies,

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<v Speaker 1>hedge funds, you know, is that really what has been

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<v Speaker 1>driving the activity that we've been seeing. I think it

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<v Speaker 1>was a big part of last week. Um, you know.

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<v Speaker 1>I think this risk parity type strategy, which ranges from

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<v Speaker 1>the more sophisticated like a Bridgewater who uses commodities, stocks

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<v Speaker 1>and bonds, to less of this data ones where people

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<v Speaker 1>just own stocks versus bonds, they were getting hit. I

0:12:45.600 --> 0:12:48.199
<v Speaker 1>think we are either done or very close to the

0:12:48.280 --> 0:12:50.880
<v Speaker 1>end of that selling pressure coming from those funds, and

0:12:50.880 --> 0:12:52.800
<v Speaker 1>those are bad because they're kind of like hitting these

0:12:52.840 --> 0:12:55.880
<v Speaker 1>sell everything button. They get forced to sell stocks, bonds,

0:12:55.920 --> 0:12:58.080
<v Speaker 1>and commodities, so it feels like when you're in the

0:12:58.120 --> 0:13:00.560
<v Speaker 1>end of that. The thing I'm watching most closely right

0:13:00.600 --> 0:13:04.760
<v Speaker 1>now is one to three year corporate bond paper. And

0:13:04.920 --> 0:13:06.440
<v Speaker 1>you know, I think in golf they say, you know,

0:13:06.520 --> 0:13:08.920
<v Speaker 1>you drive for show and you put for dough. To me,

0:13:09.280 --> 0:13:12.480
<v Speaker 1>it's that short end that's really critical because that's what

0:13:12.520 --> 0:13:14.840
<v Speaker 1>people rely on for financing. That's to me why it

0:13:14.920 --> 0:13:17.240
<v Speaker 1>was so important that the FED gets this commercial paper

0:13:17.280 --> 0:13:19.960
<v Speaker 1>facility up and running, that they're getting banks to board

0:13:19.960 --> 0:13:22.240
<v Speaker 1>at the discount window again to alleviate pressure at that

0:13:22.280 --> 0:13:25.400
<v Speaker 1>front end, because that's really where you know, it's really

0:13:25.440 --> 0:13:27.440
<v Speaker 1>exciting to talk about where the long dated bonds are,

0:13:27.720 --> 0:13:31.120
<v Speaker 1>but problems there are really really scary to me, and

0:13:31.160 --> 0:13:34.120
<v Speaker 1>I think they can be addressed and they're being addressed. Peter,

0:13:34.160 --> 0:13:36.960
<v Speaker 1>are you seeing any capitulation in the market right now

0:13:37.080 --> 0:13:42.320
<v Speaker 1>or is it just too early? You know, we saw

0:13:42.360 --> 0:13:45.200
<v Speaker 1>some capitulation I think last week, um and it was

0:13:45.200 --> 0:13:47.640
<v Speaker 1>a bit encouraging again on Friday, where you saw things

0:13:47.679 --> 0:13:50.160
<v Speaker 1>like the high yield market and leverage loan market not

0:13:50.280 --> 0:13:53.160
<v Speaker 1>get dragged around quite as badly by the stock market.

0:13:53.640 --> 0:13:55.720
<v Speaker 1>Right now we're back to everything being hit hard again,

0:13:55.840 --> 0:13:59.400
<v Speaker 1>everything moving in tandem UM, credit spreads moving much wider

0:13:59.400 --> 0:14:02.440
<v Speaker 1>as stocks struggle. Having said that, there's a bunch of

0:14:02.440 --> 0:14:05.160
<v Speaker 1>new issues out today on the investment grade corporate bond market.

0:14:05.520 --> 0:14:07.160
<v Speaker 1>If those can get placed, I think it's going to

0:14:07.280 --> 0:14:10.320
<v Speaker 1>show that there is this kind of cash on the sidelines.

0:14:10.400 --> 0:14:14.559
<v Speaker 1>Everyone's just waiting. But as a whole, you are really

0:14:14.600 --> 0:14:16.360
<v Speaker 1>making a bet right now that DC is going to

0:14:16.400 --> 0:14:19.160
<v Speaker 1>get its act together, because I am afraid if DC

0:14:19.280 --> 0:14:21.640
<v Speaker 1>doesn't get its act together, we have a very different

0:14:21.640 --> 0:14:24.200
<v Speaker 1>situation that financial crisis, because to me, this is a

0:14:24.280 --> 0:14:27.080
<v Speaker 1>bottom up problem, and it's going to be small businesses

0:14:27.120 --> 0:14:30.240
<v Speaker 1>and individuals losing their income because they're doing what they're

0:14:30.280 --> 0:14:32.760
<v Speaker 1>being told to by the government. And if that's not replaced,

0:14:33.200 --> 0:14:35.560
<v Speaker 1>I think that trickles up very quickly as people don't

0:14:35.600 --> 0:14:37.840
<v Speaker 1>make rent payments, don't do this. And you know, we

0:14:38.000 --> 0:14:40.640
<v Speaker 1>all look at that underemployment rate UM as well as

0:14:40.680 --> 0:14:43.560
<v Speaker 1>the unemployment rate. I think that underemployment rate could sky

0:14:43.720 --> 0:14:47.760
<v Speaker 1>rocket to financial crisis levels in a matter of weeks

0:14:48.360 --> 0:14:52.600
<v Speaker 1>if government doesn't act. Hey, Peter, we really appreciate your thoughts.

0:14:52.600 --> 0:14:55.880
<v Speaker 1>Peter to your ahead of macro strategies at Academy Securities

0:14:56.240 --> 0:14:58.400
<v Speaker 1>calling us on the phone giving us his thoughts here Lisa,

0:14:58.440 --> 0:15:00.480
<v Speaker 1>and thank you. It's really an issue you. I think

0:15:00.520 --> 0:15:02.520
<v Speaker 1>Peter really makes a good point there right at the end,

0:15:02.520 --> 0:15:04.840
<v Speaker 1>which is, uh, you know, despite that what we're hearing

0:15:04.840 --> 0:15:06.680
<v Speaker 1>from Governor Cuomo about what's going on in the Tri

0:15:06.760 --> 0:15:09.840
<v Speaker 1>State area, really do need potentially, I think to what

0:15:09.880 --> 0:15:12.680
<v Speaker 1>the markets are telling us is a federal stimulus plan

0:15:13.160 --> 0:15:15.520
<v Speaker 1>uh to really um, you know, really address some of

0:15:15.560 --> 0:15:19.280
<v Speaker 1>the economic uh you know, issues that small businesses, medium

0:15:19.320 --> 0:15:22.400
<v Speaker 1>sized businesses are forcing. I also think it's interesting, he pinpointed,

0:15:22.440 --> 0:15:25.120
<v Speaker 1>the Exxon and Verizon issuance is coming to the investment

0:15:25.120 --> 0:15:27.640
<v Speaker 1>grade cripon market. It really it'll be interesting to see

0:15:27.640 --> 0:15:30.320
<v Speaker 1>how those issuances go, particularly for Exon and given the

0:15:30.360 --> 0:15:32.840
<v Speaker 1>fact that they were downgraded yesterday and the price of

0:15:32.880 --> 0:15:35.320
<v Speaker 1>oil is falling off a cliff, so it's an interesting

0:15:35.360 --> 0:15:39.040
<v Speaker 1>time to refinance. But Verizon also coming to market interesting

0:15:39.080 --> 0:15:41.160
<v Speaker 1>to see. I mean, there's a lot of cash supposedly

0:15:41.200 --> 0:15:43.600
<v Speaker 1>waiting to buy this stuff, although we've seen some massive

0:15:43.600 --> 0:15:46.000
<v Speaker 1>outflows record from here we have, and you know, it's

0:15:46.000 --> 0:15:47.640
<v Speaker 1>just you know, a lot of stock. What I am

0:15:47.640 --> 0:15:49.760
<v Speaker 1>amazed at as you look at yesterday's trading, a lot

0:15:49.840 --> 0:15:52.040
<v Speaker 1>of stock was trading down at those levels. So you know,

0:15:52.080 --> 0:15:53.960
<v Speaker 1>a lot of activity in the marketplace, a lot of

0:15:54.040 --> 0:15:56.480
<v Speaker 1>volume in the marketplace. Uh. You wonder if this is

0:15:56.560 --> 0:15:59.040
<v Speaker 1>kind of setting some type of stabilization, some type of

0:15:59.080 --> 0:16:05.440
<v Speaker 1>floor we will see going forward. This is Bloomberg. We

0:16:05.480 --> 0:16:08.440
<v Speaker 1>are talking about China. That's one thing John mentioned that

0:16:08.560 --> 0:16:12.720
<v Speaker 1>that Blimber Economics just downgraded its expectations for the growth

0:16:12.880 --> 0:16:16.320
<v Speaker 1>and it's not that surprising giving the given the dismal

0:16:16.400 --> 0:16:20.080
<v Speaker 1>numbers we got over the weekend out of China, which

0:16:20.120 --> 0:16:22.640
<v Speaker 1>raises a question about supply chains and just getting the

0:16:22.720 --> 0:16:25.400
<v Speaker 1>materials that companies in the United States and elsewhere in

0:16:25.400 --> 0:16:29.240
<v Speaker 1>the world need in order to produce and sell their products.

0:16:29.280 --> 0:16:32.320
<v Speaker 1>Joining us now, Gorang shows Strey, Managing director Mergers and

0:16:32.360 --> 0:16:37.120
<v Speaker 1>Acquisitions in Business services focused on logistics and transportation for

0:16:37.200 --> 0:16:41.360
<v Speaker 1>Lincoln International. Gorong, I'd love to start with just how

0:16:41.520 --> 0:16:44.800
<v Speaker 1>vast the disruption has been given the shutdowns that we

0:16:44.840 --> 0:16:48.280
<v Speaker 1>saw in China earlier this year. How disruptive has that

0:16:48.320 --> 0:16:51.760
<v Speaker 1>been to the supply chain? Sure, and it's certainly had

0:16:51.800 --> 0:16:54.520
<v Speaker 1>a profound impact on the global supply chain here in

0:16:54.560 --> 0:16:56.800
<v Speaker 1>particular in the first few months the year, and certainly

0:16:56.800 --> 0:17:00.360
<v Speaker 1>remains an involving in dynamic situation here. Uh. You know,

0:17:00.520 --> 0:17:03.560
<v Speaker 1>it really did start over worries about sourcing product from

0:17:03.640 --> 0:17:06.160
<v Speaker 1>China as they were forced to shut down production, particularly

0:17:06.200 --> 0:17:09.600
<v Speaker 1>here in the US, as many of our manufacturers have

0:17:09.880 --> 0:17:14.639
<v Speaker 1>a significant amount of exposure to Chinese productions. Backed percent

0:17:14.840 --> 0:17:17.200
<v Speaker 1>of the Fortune On companies have Tier one suppliers that

0:17:17.240 --> 0:17:21.240
<v Speaker 1>are supplying parts directly into the US manufacturing process. And

0:17:21.359 --> 0:17:23.480
<v Speaker 1>you know, even more worrisome is virtually all of the

0:17:23.520 --> 0:17:27.720
<v Speaker 1>Fortune one companies are sourcing or have Tier two suppliers,

0:17:27.760 --> 0:17:30.560
<v Speaker 1>all based in affected areas of China. I think, you know,

0:17:30.600 --> 0:17:32.520
<v Speaker 1>at least for the first couple of months of the year,

0:17:33.040 --> 0:17:35.320
<v Speaker 1>most US companies were able to get by here with

0:17:35.359 --> 0:17:37.160
<v Speaker 1>a lot of the buffer stock that they had pre

0:17:37.240 --> 0:17:40.399
<v Speaker 1>bought and anticipation of a slowdown that typically occurs with

0:17:40.400 --> 0:17:42.400
<v Speaker 1>the Chinese New Year. I think what's been a little

0:17:42.400 --> 0:17:46.240
<v Speaker 1>bit more worrisome is that as China came back from

0:17:46.240 --> 0:17:48.879
<v Speaker 1>the holidays here, there's been some challenges really over the

0:17:48.920 --> 0:17:51.960
<v Speaker 1>past few weeks um to really get goods out of

0:17:51.960 --> 0:17:54.920
<v Speaker 1>the country. So production is starting to slowly restart in

0:17:54.960 --> 0:17:58.359
<v Speaker 1>the country, but they're having challenges finding truck drivers and

0:17:58.440 --> 0:18:00.320
<v Speaker 1>getting through a lot of the height and levels of

0:18:00.320 --> 0:18:03.320
<v Speaker 1>screening that are required to get these products overseas. And

0:18:03.400 --> 0:18:06.920
<v Speaker 1>certainly it's not just those suppliers and manufacturers that are

0:18:06.960 --> 0:18:09.760
<v Speaker 1>looking for Finnish goods from from China, but also those

0:18:09.800 --> 0:18:12.080
<v Speaker 1>that are sourcing components that are required in production. So

0:18:12.119 --> 0:18:15.680
<v Speaker 1>now worries are over what does future production capacity look

0:18:15.720 --> 0:18:19.280
<v Speaker 1>like here in the US as well as globally here

0:18:19.400 --> 0:18:22.320
<v Speaker 1>if you can't get certain critical components that you're sourcing

0:18:22.359 --> 0:18:24.480
<v Speaker 1>from China. So I think this is really highlighted the

0:18:24.600 --> 0:18:28.080
<v Speaker 1>fact for many companies that were already re examining their

0:18:28.119 --> 0:18:30.760
<v Speaker 1>supply chains given the trade wars, do we need to

0:18:30.800 --> 0:18:34.160
<v Speaker 1>figure out alternate supplies outside of China going to other

0:18:34.200 --> 0:18:37.600
<v Speaker 1>countries like Vietnam, or in Europe, going more near sourcing

0:18:37.680 --> 0:18:41.200
<v Speaker 1>to Eastern Europe, or even in the US re re

0:18:41.320 --> 0:18:45.040
<v Speaker 1>igniting efforts to source products from Mexico. So I think

0:18:45.080 --> 0:18:49.040
<v Speaker 1>this will only heighten the level of attention that's being

0:18:49.080 --> 0:18:51.399
<v Speaker 1>put on making sure you have redundancy in the supply

0:18:51.520 --> 0:18:54.880
<v Speaker 1>chain and moving away from the reliance in China so

0:18:55.040 --> 0:18:56.960
<v Speaker 1>go wrong. How about here in the U. S. It's

0:18:57.200 --> 0:18:59.760
<v Speaker 1>very early days of trying of kind of this country

0:19:00.000 --> 0:19:02.160
<v Speaker 1>of coming to grips with the virus and and shutting

0:19:02.160 --> 0:19:04.320
<v Speaker 1>down in certain cities. Give us a sense of kind

0:19:04.320 --> 0:19:07.200
<v Speaker 1>of how the logistics set up here in the US

0:19:07.359 --> 0:19:10.960
<v Speaker 1>may play out from the I'm thinking the trucking companies, railroads,

0:19:11.280 --> 0:19:15.639
<v Speaker 1>what's the status there? Sure? Sure? And I think look, fortunately, um,

0:19:15.640 --> 0:19:18.520
<v Speaker 1>thus far we have been fairly resilient here, and you know,

0:19:18.720 --> 0:19:20.560
<v Speaker 1>there's been a lot of panic in terms of going

0:19:20.600 --> 0:19:23.960
<v Speaker 1>out there and stocking up UH inventories that you know,

0:19:24.240 --> 0:19:26.760
<v Speaker 1>in terms of household goods. But um, I think the

0:19:26.800 --> 0:19:29.720
<v Speaker 1>longer term where here is, if this is more pervasive,

0:19:29.760 --> 0:19:33.719
<v Speaker 1>it's going to have an impact on unemployment here. You know,

0:19:33.880 --> 0:19:36.199
<v Speaker 1>if you look at the ports on the West coast,

0:19:36.240 --> 0:19:38.800
<v Speaker 1>for example, at the Port of Long Beach here, if

0:19:38.840 --> 0:19:42.080
<v Speaker 1>we start to see a prolonged shutdown, there's gonna be

0:19:42.119 --> 0:19:44.639
<v Speaker 1>millions of jobs at risk here if there's less cargo

0:19:44.760 --> 0:19:48.000
<v Speaker 1>that's coming across through those ports. We've had fourteen months

0:19:48.040 --> 0:19:50.959
<v Speaker 1>of consecutive declines and the shipments that are coming in

0:19:51.040 --> 0:19:54.000
<v Speaker 1>from overseas, and that is going to continue here for

0:19:54.119 --> 0:19:56.879
<v Speaker 1>most estimates here. And what that means is, you know,

0:19:56.920 --> 0:19:58.880
<v Speaker 1>as many as one out of nine people that are

0:19:59.080 --> 0:20:02.160
<v Speaker 1>kind of in those jobs at the ports will potentially

0:20:02.240 --> 0:20:04.960
<v Speaker 1>lose their jobs here. But then thinking about some of

0:20:05.000 --> 0:20:08.560
<v Speaker 1>the more critical supply chains that we need, including pharmaceuticals

0:20:09.000 --> 0:20:12.560
<v Speaker 1>and other electronics that may be going into healthcare equipment,

0:20:12.720 --> 0:20:14.919
<v Speaker 1>I think there's heightened efforts here in the US to

0:20:14.960 --> 0:20:19.239
<v Speaker 1>make sure that those supply chains remain unimpacted here. So

0:20:19.320 --> 0:20:21.480
<v Speaker 1>we are optimistic that that will be the case here,

0:20:21.560 --> 0:20:23.840
<v Speaker 1>And certainly it's getting a lot more attention than it

0:20:23.920 --> 0:20:26.399
<v Speaker 1>was getting here three or four weeks ago, when everyone's

0:20:26.400 --> 0:20:28.919
<v Speaker 1>attention was just not can we get product out of China? Now,

0:20:28.960 --> 0:20:31.760
<v Speaker 1>let's really let's make sure our domestic supply chains remain

0:20:31.840 --> 0:20:34.439
<v Speaker 1>intact as well. Drawing Shot Street, thanks so much for

0:20:34.600 --> 0:20:36.720
<v Speaker 1>joining us to really appreciate your thoughts growing as a

0:20:36.760 --> 0:20:40.320
<v Speaker 1>managing director and head of Lincoln International's North American logistics.

0:20:42.960 --> 0:20:45.040
<v Speaker 1>Let's bring in Max mess and he covers all things

0:20:45.160 --> 0:20:49.560
<v Speaker 1>healthcare related by Bloomberg Opinion and Max. I want to

0:20:49.560 --> 0:20:53.280
<v Speaker 1>start with that hospitalization rate of fifteen to nine percent.

0:20:53.800 --> 0:20:58.159
<v Speaker 1>I mean, is that an accurate kind of of of

0:20:58.440 --> 0:21:01.639
<v Speaker 1>rate or is it possible to actually know given the

0:21:01.680 --> 0:21:05.879
<v Speaker 1>fact that there isn't that widespread of testing. UM, you

0:21:05.920 --> 0:21:08.600
<v Speaker 1>know that that that rate is a little bit separate

0:21:08.680 --> 0:21:11.560
<v Speaker 1>from the testing it in the sense that these are

0:21:11.600 --> 0:21:14.560
<v Speaker 1>you know, the number of cases that they actually see

0:21:15.160 --> 0:21:17.680
<v Speaker 1>that UM you know that that need to to actually

0:21:17.720 --> 0:21:20.680
<v Speaker 1>be admitted, that need that more intensive care, and that

0:21:20.840 --> 0:21:24.760
<v Speaker 1>that's not so far outside of the sort of range

0:21:24.760 --> 0:21:28.199
<v Speaker 1>of numbers we've seen in other countries UM, you know,

0:21:28.240 --> 0:21:30.520
<v Speaker 1>like like China and Italy. UM. You know this this

0:21:30.560 --> 0:21:35.280
<v Speaker 1>is a disease that is genuinely serious for for significant

0:21:35.280 --> 0:21:38.840
<v Speaker 1>subsets of the population, both the elderly UM and people

0:21:38.840 --> 0:21:42.200
<v Speaker 1>that are immunocompromised without other conditions. You know, they they

0:21:42.440 --> 0:21:45.280
<v Speaker 1>have the potential of developed pneumonia. They will have trouble

0:21:45.359 --> 0:21:48.119
<v Speaker 1>breathing UM if they develop a bad case of this.

0:21:48.240 --> 0:21:52.119
<v Speaker 1>So there will be a significant portion of people that

0:21:52.240 --> 0:21:55.879
<v Speaker 1>we see that that are going to need to be hospitals.

0:21:55.880 --> 0:21:58.320
<v Speaker 1>Part of the reason that that rate is the way

0:21:58.359 --> 0:22:00.879
<v Speaker 1>it is, it's also that a lot of people to

0:22:00.960 --> 0:22:04.320
<v Speaker 1>get the virus our cannon should stay home and that

0:22:04.440 --> 0:22:06.920
<v Speaker 1>that's really important for you know, making sure that we're

0:22:06.960 --> 0:22:11.560
<v Speaker 1>not overwhelming hospitals and um, you know, not not putting

0:22:11.680 --> 0:22:14.159
<v Speaker 1>undue strain. You know that these these people working in

0:22:14.160 --> 0:22:16.560
<v Speaker 1>the rs already are working under a lot of stress,

0:22:17.040 --> 0:22:20.600
<v Speaker 1>um and their their attention and beds should be devoted

0:22:20.600 --> 0:22:23.240
<v Speaker 1>to people that that really needed, so we can hopefully,

0:22:23.560 --> 0:22:27.639
<v Speaker 1>you know, keep if the hospital position rate is high,

0:22:27.920 --> 0:22:30.360
<v Speaker 1>bad thing, because those are the cases we're That means

0:22:30.359 --> 0:22:32.960
<v Speaker 1>we're seeing the cases that we need to see as

0:22:32.960 --> 0:22:36.840
<v Speaker 1>opposed to the majority of young and comparatively healthy people

0:22:36.880 --> 0:22:39.760
<v Speaker 1>that even if they get the virus, it's not all

0:22:39.800 --> 0:22:43.040
<v Speaker 1>that essential that they run to treatment neuron to get

0:22:43.040 --> 0:22:46.479
<v Speaker 1>that they should monitor their symptoms, but the what they

0:22:46.480 --> 0:22:49.040
<v Speaker 1>should be doing is just staying home. So max I

0:22:49.080 --> 0:22:51.880
<v Speaker 1>was just mentioned to Lisa that the Governor Cuomo's really

0:22:51.880 --> 0:22:54.240
<v Speaker 1>putting a lot of focus on the hospitalization and the

0:22:54.240 --> 0:22:58.160
<v Speaker 1>potential scarcity of beds and hospital workers and the capacity

0:22:58.160 --> 0:23:00.880
<v Speaker 1>of the hospital system. Are you hearing that from other

0:23:00.960 --> 0:23:04.760
<v Speaker 1>parts of the country or other leaders, um, you know,

0:23:04.960 --> 0:23:09.200
<v Speaker 1>it's something that you hear constantly from people who study

0:23:09.240 --> 0:23:14.760
<v Speaker 1>health policy and study epidemics. This is the the most

0:23:14.800 --> 0:23:19.560
<v Speaker 1>important thing. That's the swing point of this epidemic is

0:23:19.680 --> 0:23:24.119
<v Speaker 1>avoiding overwhelming hospitals. When you have too many people for

0:23:24.200 --> 0:23:27.920
<v Speaker 1>the number of beds and ventilators, something that we're seeing

0:23:27.920 --> 0:23:30.440
<v Speaker 1>in Italy, you end up having to ration them to

0:23:31.240 --> 0:23:34.119
<v Speaker 1>devoting those resources to the people that are most likely

0:23:34.200 --> 0:23:36.800
<v Speaker 1>to survive. That's not a choice that we want to

0:23:37.000 --> 0:23:40.720
<v Speaker 1>be making in America. That we want to force America

0:23:40.800 --> 0:23:42.800
<v Speaker 1>to make force doctors to if we want to have

0:23:43.240 --> 0:23:46.600
<v Speaker 1>the capacity to give everybody the best possible treatment and

0:23:46.680 --> 0:23:49.240
<v Speaker 1>the best possible chance of making it through, the only

0:23:49.280 --> 0:23:51.879
<v Speaker 1>way to do that is to slow the rate of

0:23:51.960 --> 0:23:56.200
<v Speaker 1>infection um so that we aren't getting so many cases

0:23:56.480 --> 0:23:59.240
<v Speaker 1>that we will get that that kind of overwhelming growth

0:23:59.520 --> 0:24:02.040
<v Speaker 1>that will be to toil overams. So yeah, that that's

0:24:02.080 --> 0:24:06.080
<v Speaker 1>absolutely the crucial issue and the fundament the thing that

0:24:06.160 --> 0:24:09.119
<v Speaker 1>all polishy all policy is and should be addressed at

0:24:09.440 --> 0:24:12.320
<v Speaker 1>at conbuiding Max Dison, thank you so much for being

0:24:12.359 --> 0:24:14.280
<v Speaker 1>with us. I'm sure we'll be hearing more from you

0:24:15.160 --> 0:24:17.840
<v Speaker 1>throughout the days and weeks ahead. Max Niece and Bloomberg

0:24:17.920 --> 0:24:21.720
<v Speaker 1>Opinion Calumness covering all things healthcare. Thanks for listening to

0:24:21.760 --> 0:24:24.159
<v Speaker 1>the Bloomberg P and L podcast. You can subscribe and

0:24:24.200 --> 0:24:27.320
<v Speaker 1>listen to interviews at Apple Podcasts or whatever podcast platform

0:24:27.400 --> 0:24:30.480
<v Speaker 1>you prefer. Paul Sweeney, I'm on Twitter at pt Sweeney.

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<v Speaker 1>I'm Lisa abram Woy. It's I'm on Twitter at Lisa A.

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<v Speaker 1>Bramwoit's one before the podcast. You can always catch us worldwide.

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<v Speaker 1>I'm Bloomberg Radio