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The official website of the New York Stock Exchange does not list Halloween 2023 (or 2024 or 2025, for that matter) as a stock market holiday. In fact, no holidays are listed for the month of October. So, get ready for a full day of stock trading and investing today. And, we’ll be here, reporting the major events of the day, and year, as usual.
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Stocks markets shook off any scary notions yesterday, with the S&P 500 climbing out of correction territory and the DJIA notching its best day since June as companies like Nike and Verizon jumped. Investors will be watching tomorrow to see whether the good vibes can continue after the Fed announces its latest decision on interest rates.
But, worry remains as Adam Crisafulli of Vital Knowledge noted there are several technical factors fueling Monday’s pop in stock futures, “including extremely oversold prices.” The S&P 500 fell more than 2% for a second straight week.
“In addition, catalyst anticipation is playing a role too as investors hope the end of the month coupled with benign central bank decisions (BOJ, FOMC, BOE) and desired economic developments (cooler EU CPI, US JOLTs, and US jobs) will help stabilize the tape,” “However, after three consecutive months of losses … confidence has evaporated, and there’s very little genuine interest in buying the tape,” Crisafulli added.
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Finally, X is now worth less than half of what Elon Musk paid to buy Twitter last year. A memo to employees said the company was valued at $19 billion—55% less than the $44 billion that Musk paid out.
Posted on October 31, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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The S&P 500 Index posted its first gain in four sessions as investors looked ahead to key earnings and economic reports.
Here is where the major benchmarks ended:
The S&P 500 Index was up 49.45 points (1.2%) at 4,166.82; the Dow Jones Industrial Average (DJI) was up 511.37 points (1.6%) at 32,928.96; the NASDAQ Composite was up 146.47 points (1.2%) at 12,789.48.
The 10-year Treasury note yield was up about 4 basis points at 4.888%.
CBOE’s Volatility Index (VIX) was down 1.52 at 19.75.
Communications services and transportation shares were among the strongest performers Monday, with the latter sector boosted by better-than-expected quarterly results from two big trucking companies. Financial companies were also strong.
Energy stocks were also modestly higher despite crude oil futures falling 3% to less than $83 a barrel—a two-month low.
Posted on October 30, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Biden will issue sweeping executive order on A.I. Today
The Biden administration just released an executive order today to regulate AI technology. The directive aims to leverage the government’s role as a leading technology customer by requiring advanced AI models to undergo assessments before they can be used by federal employees. It would also ease barriers to immigration for highly skilled workers in an attempt to boost the US’ technological edge.
The federal government is rolling back a pandemic-era waiver that lowered the bar for 340B hospitals to dispense discounted drugs across some outpatient clinics. Hospitals argue the decision will “stifle” future efforts to expand access to under served communities.
Posted on October 30, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Statistic: 13%. That’s how much Amazon’s revenue grew last quarter. The behemoth saw business picking up after a tough 2022 and cost-saving measures taking effect to boost the bottom line. The company also said it had its “biggest ever” Prime day sale this past quarter. (CNBC)
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In 2019, Capital One bank was hit by a cyber attack that resulted in the exposure of millions of its customers’ data. The incident led to a collective complaint against the bank by its customers. After a long legal process, Capital One agreed to pay $190 million in compensation to the 98 million affected customers.
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The Biden administration announced this week the creation of 10 biotech hubs across the US under its Tech Hubs program, with each hub eligible to apply for up to $75 million to invest in areas like research and development and job creation. The hubs are spread across the US, primarily in rural areas, and are part of a $500 million investment from the Biden administration that’s intended to boost the tech industry’s growth beyond the coasts.
Posted on October 30, 2023 by Dr. David Edward Marcinko MBA
SELL IN MAY – AND GO AWAY
By Staff Reporters
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Essentially, the HALLOWEEN INDICATOR is a market-timing strategy. It argues that, by buying into the stock market after Halloween and selling at the end of April, investors would generate a better annual return on their portfolio than if they had remained invested throughout the year. Sell in May and go away is an investment strategy for stocks based on a theory that the period from November to April inclusive has significantly stronger stock market growth on average than the other months
The practice of abandoning stocks beginning in May of each year is widely thought to have its origins in the United Kingdom. The privileged class would leave London and head to their country estates for the summer months, where they would largely ignore their investment portfolios. To this day, many stock market watchers have postulated that the corresponding impact of summer vacations on market liquidity and investors’ risk aversion is at least partly responsible for the difference in seasonal returns.
In what is considered to be a seminal piece of research on the subject, “The Halloween Indicator, ‘Sell in May and Go Away’: Another Puzzle,” authors Sven Bouman and Ben Jacobsen were among the first to document a strong seasonal effect in global stock markets. In 36 of the 37 developed and emerging markets they studied between 1973 and 1998, the authors found returns in the November through April period to be, on average, significantly higher than those in the May through October period, even after taking transaction costs into account. What puzzled the authors was the fact that, while the anomaly was widely known and seemed to offer considerable economic rewards, it had not been arbitraged away.
More recently, Jacobsen partnered with Cherry Zhang on a follow up study, titled, “The Halloween Indicator: Everywhere and All the Time,” and extended the research to 108 stock markets using all historical data available. The result was a sample of 55,425 monthly observations (including more than 300 years of UK data), which helped to rebut any criticisms of data mining and sample selection bias. The results were compelling, as the November through April “winter” period delivered returns that were, on average, 4.52% higher than the “summer” returns. The Halloween effect was evident in 81 out of 108 countries. The size of the Halloween effect varied across geographies. It was found to be stronger in developed and emerging markets than in frontier markets.
The Marcinko & Associates case study and white-paper compendium is a teaching vehicle that presents potential clients with a critical management issue that serves as a spring board to lively debate in which participants present and defend their analysis and prescriptions. The average case is 2 to 100 pages long (prose, tables, graphs, charts, spread sheets and figures, etc).
Hospital and health system deal activity is finally starting to rebound following a pandemic-era plunge, according to consulting firm Kaufman Hall, but hospitals are increasingly citing “financial distress” as the reason behind the deals.
In more than a third of the 18 hospitals and health systems deals made in Q3 2023—including mergers and acquisitions (M&A) and partnerships—at least one party cited financial distress as the impetus for the transaction. That figure is “well above historical benchmarks,” according to the firm.
“Hospitals and health systems have been under extreme financial pressure since 2022, when median operating margins remained in negative territory for the full year,” Kaufmann Hall analysts wrote in an October 12 report. “These challenges are reflected in the 39% percent of announced transactions in Q3 in which a party has cited, or publicly available information has enabled Kaufman Hall to infer, an element of financial distress as a transaction driver.”
Posted on October 28, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
Today, October 28th, has been the best day of the entire year for stocks since 1950, according to Dr. David Edward Marcinko MBA of http://www.MarcinkoAssociates.com. Black Monday (also known as Black Tuesday in some parts of the world due to timezone differences) was the global, severe and largely unexpected stock market crash on Monday, October 19th, 1987. Worldwide losses were estimated at US$1.71 trillion. The severity of the crash sparked fears of extended economic instability or even a reprise of the Great Depression.
Of course it’s a Saturday this year; today.
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One large health system with hospitals in Virginia and Ohio this year cut off in-network access to consumers enrolled in some Anthem Blue Cross Blue Shield Medicare and Medicaid health insurance plans. Two doctors groups with Scripps Health in San Diego are terminating contracts with private Medicare plans over concerns about payments and routine denials.
Inflation’s summer decline slowed last month. Still, inflation has improved enough recently for Federal Reserve officials to hold interest rates steady at their meeting next week.
The personal-consumption expenditures price index, the Fed’s preferred inflation gauge, rose 0.4% in September from the prior month, the same pace as in August, the Commerce Department said Friday. But so-called core prices, which exclude volatile food and energy categories, increased 0.3% in September from the prior month, compared with a 0.1% rise in August. Higher prices for services drove the increase.
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Here is where the major benchmarks ended:
The S&P 500 Index was down 19.86 points (0.5%) at 4,117.37, down 2.5% for the week and down 10.6% from a July peak; the Dow Jones Industrial Average (DJI) was down 366.71 points (1.1%) at 32,417.59, down 2.1% for the week; the NASDAQ Composite was up 47.41 points (0.4%) at 12,643.01, down 2.6% for the week.
The 10-year Treasury note yield (TNX) was down about 1 basis point at 4.835%.
CBOE’s Volatility Index (VIX) was up 0.61 at 21.29.
Banking and energy were among the weakest sectors Friday, with the latter under pressure despite strength in crude oil futures. Another leg down in small-cap stocks suggested investors are growing increasingly concerned about the economy, as the Russell 2000 Index (RUT) closed at its lowest level in nearly three years and dropped 2.6% for the week.
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Posted on October 27, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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A spike in rude behavior emerged as one of the pandemic’s many societal consequences and has not receded alongside the public health crisis. The uptick in poor behavior is likely driven by increased stress and isolation from society, TheAtlantic’sOlga Khazanreported in 2022. In many cases, these stressors mean people are easily set off when encountering innocuous requests, Keith Humphreys, PhD, a psychiatry professor at Stanford University, told The Atlantic.
The trend has hit healthcare hard. Hospitals and health systems nationwide have reported an uptick in disrespectful, discriminatory, or violent behaviors from patients since the pandemic. Nearly 24 percent of physicians reported experiencing workplace mistreatment in 2020, including verbal mistreatment or abuse, according to a study published in JAMA Network Open.
Posted on October 27, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Pfizer, a key producer of the COVID-19 vaccine, has revised its earnings outlook for 2023, cutting its projected earnings per share and revenue estimates. Pfizer saw its 2022 revenue surpass a record $100 billion as company CEO Albert Bourla vowed that everyone will have a “perfectly normal life with just injection maybe once a year.” Bourla received a 36% pay hike and netted $33 million through the pandemic.
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The U.S. economy grew at its fastest pace in nearly two years in the third quarter as higher wages from a tight labor market helped to power consumer spending, again defying dire warnings of a recession that have lingered since 2022. Gross domestic product increased at a 4.9% annualized rate last quarter, the fastest since the fourth quarter of 2021, the Commerce Department’s Bureau of Economic Analysis said in its advance estimate of third-quarter GDP growth. Economists polled by Reuters had forecast GDP rising at a 4.3% rate.
The S&P 500® Index (SPX) was down 49.54 points (1.2%) at 4,137.23; the Dow Jones Industrial Average (DJI) was down 251.63 points (0.8%) at 32,784.30; the NASDAQ Composite was down 225.62 points (1.8%) at 12,595.61.
The 10-year Treasury note yield (TNX) was down about 11 basis points at 4.845%.
CBOE’s Volatility Index (VIX) was up 0.49 at 20.68.
Energy shares were among the weakest-performing sectors Thursday after a larger-than-expected increase in U.S. oil inventories last week sent WTI crude futures down more than 2% to a two-week low. Communication services and technology were also lower.
The market’s overall weakness belied some notable pockets of strength, including in banks and utilities, as the KBW Regional Banking Index (KRX) jumped more than 3%. Small-caps offered possible signs that a recent steep downdraft may be waning, with the Russell 2000 Index (RUT) dropping to a 12-month low earlier in the day before recovering to close about 0.7% higher.
Last month, the FTC and DOJ jointly released a draft of new guidelines they will use to evaluate potential mergers and acquisitions (M&As).
The guidelines include 13 principles the agencies will follow when scrutinizing deals. The principles stipulate that mergers may not “entrench or extend a dominant position,” eliminate competition between firms, increase concentration in an already concentrated market, or prevent new players from entering a market. The guidelines will be finalized following a 60-day public comment period.
The proposed rules reflect a return to pre-2010 guidelines on concentration, the Wall Street Journal reported, noting that they’d apply to deals that resulted in firms having a market share of 30% or more. The new guidance may give the FTC and DOJ, which have filed numerous antitrust actions, more leeway to go after deals.
Posted on October 26, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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October is Physical Therapy Month, a time to celebrate the contributions that physical therapists, their aides, and assistants make to the industry. There are more than 300 million annual physical therapy visits in the US, and the profession is estimated to be worth $46 billion, according to the American Physical Therapy Association. Make sure to take some time to appreciate any physical therapists in your life.
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The United Auto Workers union said it reached a tentative labor contract with Ford that, if ratified, would mark the biggest gains for unionized auto workers in decades. The deal includes a 25% pay bump over the four years of the contract, cost-of-living adjustments that had been previously suspended, and a quicker timeline for new workers to reach the highest wage ($40 an hour for assembly workers by the end of the contract).
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Here is where the major benchmarks ended:
The S&P 500 Index was down 60.91 points (1.4%) at 4,186.77; the Dow Jones Industrial Average (DJI) was down 105.45 points (0.3%) at 33,035.93; the NASDAQ Composite was down 318.65 points (2.4%) at 12,821.22.
The 10-year Treasury note yield was up about 11 basis points at 4.946%.
CBOE’s Volatility Index (VIX) was up 1.30 at 20.27.
Communication services and technology were among the market’s weakest sectors Wednesday, with the Philadelphia Semiconductor Index (SOX) dropping more than 4%. Small-cap stocks also remained under pressure, with the Russell 2000 Index (RUT) falling more than 1% to near a 13-month low.
Small-caps are often seen as being more sensitive to the domestic economic cycle because they tend to conduct most of their business in the United States. Utilities and consumer staples were among the few areas of strength.
Posted on October 25, 2023 by Dr. David Edward Marcinko MBA
ByStaff Reporters
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Google and Microsoft, the two tech giants, reported big jumps in earnings revenue, another sign that Big Tech’s growth has rebounded following last year’s downturn?
Google parent Alphabet reported 11% revenue growth to about $77 billion for the third quarter, thanks mainly to increased advertising sales.
Meanwhile, Microsoft’s revenue jumped 13% to $56.5 billion as AI created more demand for its products. Still, it wasn’t all rosy: Alphabet shares fell in extended trading after it missed on revenue estimates for its cloud division.
Meta reports its third-quarter earnings today, and Amazon posts tomorrow.
[Medical] entrepreneurs, doctors and nurses, clinics and small-to-medium size healthcare business are on the forefront of job creation in the United States because of the Affordable Care Act [ACA] of 2010.
And so, we now preview this infographic to celebrate the entrepreneur, their styles, and to investigate the data behind startup growth. Hopefully, it will encourage the next generation of physician-entrepreneurs.
Who knows, there just may be the next Steve Jobs MD out there!
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Posted on October 25, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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A bipartisan group of 33 attorneys general is suing Meta over addictive features aimed at kids and teens, according to a complaint filed Tuesday in a federal court in California. The support from so many state AGs of different political backgrounds indicates a significant legal challenge to Meta’s business.
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Here is where the major benchmarks ended today:
The S&P 500 Index was up 30.64 points (0.7%) at 4,247.68; the Dow Jones Industrial Average (DJI) was up 204.97 points (0.6%) at 33,141.38; the NASDAQ Composite (COMP) was up 121.55 points (0.9%) at 13,139.87.
The 10-year Treasury note yield was down about 2 basis points at 4.815%.
CBOE’s Volatility Index (VIX) was down 1.51 at 18.89.
Utilities were among the strongest performers Tuesday, with the Philadelphia Utility Index (UTY) rising nearly 3%. Semiconductors and communications services shares were also higher.
Energy stocks were pressured by a more than 2% drop in WTI crude oil futures, which briefly fell under $83 a barrel.
Posted on October 24, 2023 by Dr. David Edward Marcinko MBA
And … Bill Gross Speaks
By Staff Reporters
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The yield on the 10-year Treasury bond shot above 5% in early trading yesterday—hitting its highest since 2007 and rattling investors—before retreating a bit so everyone could chill out. While a high return on long-term government debt sounds like something only a Wall Street wonk would fret about, it can raise borrowing costs for everyone from homebuyers to small businesses.
Treasury yields have been rising steadily for almost two years as investors kept anticipating (correctly) that Jerome Powell would raise interest rates to combat persistent inflation.
Bond yields are used as the measure against which lots of other interest rates are set, so recent sky-high yields have contributed to the current eye-popping mortgage rates, which have made homeownership 52% more expensive than renting, and they’re part of the reason why the number of Americans struggling to make car payments is at its highest since at least 1994.
Yields crossed the symbolically significant 5% mark yesterday because investors rushed to sell off 10-year bonds, making them cheaper, per supply and demand—that boosted the bond yields, since yields move in the opposite direction from price.So, why did Wall Street press “sell” on Treasurys?
It’s usually a sign of confidence in the economy, but some analysts are concerned that this time, investors are shedding government debt because they perceive the US as being a spendthrift as the deficit grows. However, the traditional psychology may also be at play: The influential billionaire investor Bill Ackman is believed to have single-handedly stopped yesterday’s bond market sell-off by saying he’d ended his bet on 30-year Treasury bond prices falling because he thinks there is “too much risk in the world” and the economy isn’t as strong as it seems. The 10-year bonds dropped back to 4.85% yesterday afternoon.
Posted on October 24, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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The already booming market for weight loss treatments like Ozempic might get even bigger as drug companies seek to make them available for children. The CDC estimates that ~20% of kids 6+ in the US have obesity, and manufacturers are working to make their weight loss drugs available for that age group.
According to Bloomberg, Novo Nordiskis testing its Saxenda in kids as young as six, and Eli Lilly is getting ready for similar trials of Mounjaro. That could give the companies lifelong customers since the drugs only keep weight off as long as people take them—and Goldman Sachs’s recent estimate that the drug category would make $100 billion by 2030 didn’t even take sales to children into account.
Posted on October 24, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Here is where the major benchmarks ended today:
The S&P 500® Index (SPX) was down seven points (0.2%) at 4,217.04; the Dow Jones Industrial Average (DJI) was down 191 points (0.6%) at 32,936.41; the NASDAQ Composite was up 35 points (0.3%) at 13,018.33.
The 10-year Treasury note yield was down about nine basis points at 4.845%.
CBOE’s Volatility Index (VIX) was down 1.4 points at 20.35.
The communication services, technology, and consumer discretionary were the best sector performers, thanks in part to gains in big tech companies.
Energy was the laggard Monday, as WTI crude dropped 2.6% to below $86 a barrel.
Posted on October 23, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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The 2023 federal budget deficitsurged by 23% to $1.7 trillion, leaving the US in its deepest yearly fiscal hole outside of the Covid era, according to the Treasury Department, which released the data on Friday.
But a closer look reveals the financial picture is even worse than the headline #s suggest.
The Treasury recorded the Biden administration’s ~$300 billion student loan forgiveness program as a cost last year, but it was struck down by the Supreme Court and never took effect, resulting in the Treasury considering it a savings this year.
That means the year over year increase effectively doubled from $1 trillion in 2022 to $2 trillion in 2023.
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The benchmark 10-year Treasury bond yield rose above 5% and to its highest since 2007 on Monday, as a roaring U.S. economy led investors to expect interest rates to stay high for an extended period. The combination of those higher yields and risk of a wider conflict in the Middle East soured sentiment at the start of a week full of mega-cap earnings and key data, and pushed global shares down to seven-month lows.
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Chevron said it would buy Hess in an all-stock deal worth $53 billion, the second major oil tie-up this month following Exxon Mobil’s deal to buy Pioneer Natural Resources. The U.S. energy company said buying Hess would upgrade and diversify its portfolio, marking Chevron’s entrance into an Exxon-led partnership overseeing a generational oil find in Guyana, while picking up additional U.S. shale assets largely in North Dakota. Chevron also highlighted the attraction of Hess’s assets in the Gulf of Mexico and its natural-gas business in Southeast Asia.
At D.E. Marcinko & Associates our clients traditionally includephysicians [MD, MBBS and DO], dentists [DDS and DMD], podiatrists [DPM], Registered Nurses [RNs], Certified Registered Nurse Anesthetists [CRNA], Physician Assistants [PA] and Nurse Practitioners [NP]. A growing cohort of clients include medical technologists, physical, speech and occupational therapists, etc.
The above are naturally segregated into three career tranches: 1. New practitioners, 2] Mid-Career practitioners and 3] Mature practitioners. We serve them all and are fully prepared for any special needs situation that may arise in any tranche [death, divorce, adverse risk event and/or bankruptcy, etc].
D.E.Marcinko & Associates understands the complexity of financial and non-financial deal terms because we are also doctors. Our “hard” knowledge of your business comes from being actual healthcare facility owners, operators and medical practitioners [with additional professional licenses and expertise] enabling us to effectively analyze your business, take corrective measures and present your healthcare entity in the best possible and accurate light.
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But, if you’re looking at this website, chances are you are fed up, burned out, seeking practice management techniques or a better work-life balance. Or, you are looking for a new non-clinical career, thinking of finance, investing, retirement, or all of the above. Perhaps you are just looking to regain the joy and meaning in your medical or professional career? This is known as “soft” psychology, coaching, personal consulting or fraternal advice.
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Regardless, of your “soft” personal or “hard” corporate needs, our transparent Fees for Service [FFS] model is moderated for all colleagues based on the acuity and urgency of their engagements. Reduced rates and/or limited charity work may also be possible.
TOD deeds are legal documents that can be filed in local land records offices, and do not require the notice of the beneficiary, though it’s probably a good idea to inform them. Each state has its own requirements as to what the deed entails. TOD deeds are offered in 27 states (and D.C.).
These deeds are revocable once filed. Beneficiaries have no ownership claim to your property while you’re still alive. You maintain full control of the property, including responsibility for any mortgage debt, taxes, liens and the like. Once you pass away, the property will transfer to your named beneficiary, along with any debts attached to it.
Before signing a transfer on death deed, there are a few things to keep in mind.
Pros
You retain ownership while you’re still alive. Your beneficiary only takes over once you pass away; until then, you make all decisions about your property, and can even sell it if you choose. This makes a TOD deed a better choice than, say, adding someone as a joint owner on your property. (In that case, you would need their permission before selling, refinancing, mortgaging or even improving the home.)
It is revocable. If you choose to withdraw or revoke your transfer on death deed, you can do so at any time. You can also replace an existing TOD deed with a new one, if desired.
It’s simple. Establishing a transfer on death deed is easy. It just requires signing the document and filing with your county land records office. You don’t even need to let the beneficiary know you’ve done it.
Anyone can be named you beneficiary. You can use a transfer on death deed to pass property to anyone when you die. This includes family members, friends, other loved ones or even charitable causes.
Cons
Joint ownership takes precedence. If the property is jointly owned with someone else, that ownership supersedes a TOD deed. The property will instead transfer to the other owner if you pass away. Once they also pass away, the TOD deed will go into effect (if still valid).
If your beneficiary dies first, your property goes to probate anyway. If you pass away along with or after your beneficiary, and don’t have a backup beneficiary named, your property will go through probate with the rest of your estate.
The International Franchise Association (IFA) estimates that that about $1 trillion in sales, or 40% of all retail sales, were made through franchised establishment last decade. On the positive side, franchises offer a branded practice concept with management training and access to proprietary methods, marketing and advertising campaigns and a host of support. Moreover, there are franchises available for virtually every healthcare product or service, including: diet, weight loss and fitness; vein care and laser surgery; vitamins, nutriceuticals and pharmaceuticals; plastic and cosmetic surgery; dermatology, tanning and skin care; home healthcare and extended, etc.
Some well know established healthcare and medical franchises are: Doctors Express, Being There Senior Care, Home Care Assistance, Personal Training Institute, Inches-A-Weigh, Remedy Intelligent Staffing, Visiting Angels, Unlimited MedSearch, prnYourHealth and Any Lab Test Now.
On the downside, franchises incur high start-up costs, rules and obligations, payment of franchise percentages and many contractual obligations.
Questions to consider when contemplating this business entity include:
Franchise stability, track record, licensing and costs. Training, support and proximity of other franchises. Independence, ownership laws, contracts and dispute resolutions, Screening methods, market size and potential market share. Replacement cost and transferability?
For more information on Uniform Franchise Offerings Circulars (UFOCs) contact:
Frandata 1130 Connecticut Avenue, NW Washington DC 20036 202.659.8640
International Franchise Association7 1350 New York Avenue, NW Washington, DC 20005 202.628.800
Multi-Level Marketing and In-Office Dispensation
A multi-level marketing (MLM) business delivers products or services through a chain of independent distributors rather than traditional retail business outlets. Existing medical practices not only pursue income ancillary, but it is not unusual for beginning practitioners to plan for and include it in their start-up models and business plans.
The first layer is usually the distributor who must sell products/services and recruit additional members to produce a hierarchical organization with many employees. Each distributor profits from direct sales, and from a varying commission stream down-line. It may be best to investigate before you leap into these situations since some may be fraudulent pyramid schemes that sell no useful product or service, and requires only recruiting others into the scheme. Be sure to obtain a Dunn & Bradstreet or TRW credit report about any MLM company and inquire about current litigation. Most authorities agree that it take 3-5 years before serious money is made in the MLM business.
Moreover, care must be taken with this model. According to colleague Stephen Barrett MD, writing on the Mirage of Multilevel Marketing: “Many any physicians are selling health-related multi-level products to patients in their offices. The companies most involved have included Amway (now doing business as Quixtar), Body Wise, Nu Skin (Interior Design), Rexall, and Juice Plus+. Doctors are typically recruited with promises that the extra income will replace income lost to managed-care.
Back, in December 1997, the AMA Council on Ethical and Judicial Affairs (CEJA) advised against profiting from the sale of “non- health-related products” to their patients. Although CEJA’s policy statement does not mention products sold through multilevel marketing, CEJA’s chairman said the statement was triggered by the growing number of physicians who had added an Amway distributorship to their practice.”
Posted on October 21, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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The U.S. government on Friday posted a $1.695 trillion budget deficit in fiscal 2023, a 23% jump from the prior year as revenues fell and outlays for Social Security, Medicare and interest costs on the federal debt rose significantly.
The Treasury Department said the deficit was the largest since a COVID-fueled $2.78 trillion gap in 2021 and marks a major return to ballooning deficits after back-to-back declines during President Joe Biden’s first two years in office. The deficit comes as Biden is asking Congress for $100 billion in new foreign aid and security spending, including $60 billion for Ukraine and $14 billion for Israel, along with funding for U.S. border security and the Indo-Pacific region.
The S&P 500® Index was down 53.84 points (1.3%) at 4,224.16, down 2.4% for the week; the Dow Jones Industrial Average (DJI) was down 286.89 points (0.9%) at 33,127.28, down 1.6% for the week; the NASDAQ Composite was down 202.37 points (1.5%) at 12,983.81, down 3.2% for the week.
The 10-year Treasury note yield was up about 8 basis points at 4.907%.
CBOE’s Volatility Index (VIX) was up 0.26 at 21.71.
Small-cap stocks, which are considered to be more exposed to economic uncertainty, were also soft, as the Russell 2000 Index (RUT) dropped to a 12-month low and was 2.2% lower for the week.
Gold futures rose 2.3% for the week and ended near a three-month high, as the fighting in the Middle East fueled demand for assets considered to be safe havens. Volatility based on the VIX spiked to its highest level since March.
In the last 20 months, the US Federal Reserve has jacked up interest rates to a 22-year high to tame soaring inflation. And inflation has come down to about half of its June 2022 peak. But the economy is still strong.
The Fed’s rate-hiking jamboree was expected to slow hiring, spending, and broader economic growth as unfortunate side effects of popping the inflation balloon. However, a series of recent reports shows that the US economy is still roaring in the ’20s:
Jobs: Employers smashed expectations by adding 336,000 jobs in September, and the unemployment rate remains at a low level of 3.8%.
Spending: Retail sales also blew past estimates in September, a sign that American consumers remain the undisputed shopping world champs. This probably helped: Americans’ household wealth surged 37% from 2019 to 2022, according to Fed data released on Wednesday. That’s more than double the second-highest increase on record.
Economy: After the strong retail sales numbers came out this week, Morgan Stanley raised its Q3 economic growth outlook to 4.9% from 4.5%. Context: One year ago this week, Bloomberg economists predicted a 100% chance of a recession…within a year.
If you’re looking at this tab, chances are you are fed up, burned out, seeking better work-life balance, looking for a new non-clinical career, thinking of retirement, or all of the above. Perhaps you are just looking to regain the joy and meaning in your medical career.
Posted on October 20, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Bond yields, which impact borrowing costs for all kinds of loan products, moved higher this week as investors fretted over higher-for-longer interest rates. After notching a 16-year-record earlier this month, the yield on the 10-year Treasury bond continued to surge on Thursday, rising to 4.958%.
The S&P 500 Index was down 36.60 points (0.9%) at 4,278.00; the Dow Jones Industrial Average (DJI) was down 250.91 points (0.8%) at 33,414.17; the NASDAQ Composite was down 128.13 points (1.0%) at 13,186.18.
The 10-year Treasury note yield was up about 9 basis points at 4.988%.
CBOE’s Volatility Index (VIX) was up 2.09 at 21.31.
Powell’s speech and Treasury yields at least partly overshadowed earnings reports from a few major companies, including Netflix (NFLX), whose shares soared 16% after the company reported stronger-than-expected quarterly results.
Otherwise, most areas of the market eroded, with consumer discretionary and real estate among the weakest-performing sectors. Energy shares held up somewhat better as crude oil futures rose for the fifth day in the past six and ended near a three-week high above $89 a barrel.
Gold futures jumped 1% and closed near a three-month high.
Posted on October 19, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Infinite banking is a complicated financial insurance concept. What’s more, borrowing from a whole life insurance policy rather than a bank introduces a unique set of problems. These loans don’t have set repayment schedules but they do accrue interest. Here’s what you should know about borrowing from an insurance policy:
PROs:
Easier to secure than a bank loan, especially if you have bad credit.
May only take a few days to receive funds.
Interest rates may be lower than other loans.
CONs:
You may need to pass a physical to qualify for an insurance policy.
Policy loans can decrease the death benefit.
Premiums can run significantly higher than comparable term policies
Payment issues can result in losing your policy and/or paying tax penalties.
Interest rates may be variable and fixed rates can be high.
Borrowing limits are often capped at a percentage of the cash value.
It can take years to accrue enough cash value to take out a significant loan.
Posted on October 19, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Though high interest rates have consumers and businesses feeling the pinch, they’ve been a boon to the US’s largest banks. JPMorgan Chase, Citigroup, and Wells Fargo all had stronger-than-expected third-quarter results. In total, the banks earned $22 billion in profit, more than a third higher than in Q3 2022, the Wall Street Journal reported. Their combined revenue was $81 billion, or 14% higher than last year.
Bank stocks dipped last month following the Fed’s meeting, where it held interest rates steady. But though high rates have hurt some smaller banks, they’ve helped keep the large banks’ net interest margins healthy according to CNBC. JPMorgan’s Net Interest Income (NII) was up 30% year over year, rising to $22.9 billion. Wells Fargo’s declined slightly from last quarter, but was still 8% higher than it was last year.
The US economy remains strong, but shows some signs of slowing, bank executives said during recent earnings calls. JPMorgan and Citi took note of consumer spending, with JPMorgan CFO Jeremy Barnum saying, “we are coming on off a very low base. And so there’s a hope and an expectation that we are on the path to normalization and improvement.”
The average cost for a family health insurance plan offered through an employer jumped 7% this year to $23,968 − the highest rate increase in a decade, according to the annual employer health benefits survey released yesterday by KFF, a nonprofit health policy organization. Prices are far higher than they were a year ago, when premiums increased by 1%.
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Here is where the major benchmarks ended:
The S&P 500 Index was down 58.60 points (1.3%) at 4,314.60; the Dow Jones Industrial Average (DJI) was down 332.57 points (1.0%) at 33,665.08; the NASDAQ Composite was down 219.44 points (1.6%) at 13,314.30.The 10-year Treasury note yield was up about 6 basis points at 4.906%.CBOE’s Volatility Index (VIX) was up 1.42 at 19.30.
Weaker-than-expected quarterly results from some airlines and shipping companies weighed on the transport sector, with the Dow Jones Transportation Average (DJT) sinking 3.4% to end near a four-month low. Financial shares were also lower, with the KBW Regional Banking Index (KRX) dropping nearly 3%. Energy was one of the few areas of strength after WTI Crude Oil futures (CLZ3) jumped above $87 a barrel to a two-week high following a larger-than-expected drop in U.S. supplies. Gold futures rose 1.4% near a two-month high.
Posted on October 19, 2023 by Dr. David Edward Marcinko MBA
By Bertalan Mesko MD PhD
“The Medical Futurist”
Microsoft introduced new tools in Microsoft Fabric and Azure AI for healthcare organizations.
These can combine data from sources such as electronic health records, images, lab systems, medical devices, and claims systems so organizations can standardize it and access it in the same place.
The list is sorted by each component’s weight in the index. The weight of each company is determined by the price of the stock. A $100 stock will be weighted more than a $30 stock. If a stock splits its corresponding weighting in the Dow Jones will be reduced as its price will be about half of what it was prior to the split.
Posted on October 18, 2023 by Dr. David Edward Marcinko MBA
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Posted on October 18, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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The IRS recently announced some welcome news for higher-income workers with 401-k[s] and similar retirement plans. The agency delayed implementing a new rule that would have required catch-up contributions made by people earning over $145,000 to be directed into an after-tax Roth account.
The S&P 500 Index was down 0.43 point at 4,373.20; the Dow Jones Industrial Average was up 13.11 points at 33,997.65; the NASDAQ Composite (COMP) was down 34.24 points (0.3%) at 13,533.75.
The 10-year Treasury note yield was up about 13 basis points at 4.84%.
CBOE’s Volatility Index (VIX) was up 0.68 at 17.89.
Technology shares were among the market’s weakest performers Tuesday, with the Philadelphia Semiconductor Index (SOX) dropping more than 1%. Banks and retailers did better.
The KBW Regional Banking Index (KRX) rose 2% to end near a four-week high. Small-cap stocks were also higher, with the Russell 2000 Index (RUT) gaining more than 1%.
Posted on October 17, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Neuberger Berman is submitting a shareholder proposal to Lions Gate Entertainment Corp., advocating for an end to the dual-class voting structure at the company ahead of a spinoff of its studio business.
The investment manager owns 0.02% of the company’s class A shares and 4.4% of the non-voting class B shares, according to a statement and Bloomberg calculations. Neuberger Berman, which has been a shareholder since 2016, submitted a proposal after having sent a letter to Lions Gate’s board last month.
Neuberger Berman said “one share, one vote” is a foundational principle of corporate governance and that dual-class structures are inconsistent with market practice with a 7% adoption among S&P 500 companies. It also said the structure may impair value and increase risk as it complicates capital structure and gives certain shareholder outsized influence.
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Treasury Secretary Janet Yellen said higher interest rates may persist, while insisting the US economy is “in a good place.” The interest on US debt, which stands at 98% of economic output, “remains manageable,” Yellen said on Monday in an interview with Sky News. “Higher interest rates may persist although that’s not clear,” she said. “Our fiscal situation is by no means unsolvable. We have to be attentive to it.”
LinkedIn said Monday it is laying off hundreds of employees amounting to about 3% of the social media company’s workforce. The Microsoft-owned career network is cutting about 668 roles across its engineering, product, talent and finance teams. “Talent changes are a difficult, but necessary and regular part of managing our business,” the company said in a statement.
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Here is where the major benchmarks ended:
The S&P 500 Index was up 45.85 points (1.1%) at 4,373.63; the Dow Jones Industrial Average was up 314.25 points (0.9%) at 33,984.54; the NASDAQ Composite (COMP) was up 160.75 points (1.2%) at 13,567.98.
The 10-year Treasury note yield (TNX) was up about 8 basis points at 4.71%.
CBOE’s Volatility Index (VIX) was down 2.06 at 17.26.
All 11 S&P 500 sectors posted gains in Monday’s broad-based upswing, led by the S&P Retail Select Industry Index (SPSIRE), which surged 2.7%.
Regional banks and transportation shares were also among the strongest performers. Energy stocks held firm even as WTI crude oil futures slipped over 1%.
The average net worth of someone younger than 35 years old is $76,300, as of 2019. From there, average net worth steadily rises within each age bracket. Between 35 to 44, the average net worth is $436,200, while between 45 to 54 that number increases to $833,200. Average net worth cracks the $1 million mark between 55 to 64, reaching $1,175,900.
Average net worth again rises for those ages 65 to 74, to $1,217,700, before falling to $977,600 for someone over age 75.
John English, of the Ford Foundation, once observed that:
[T]he thing that is most interesting to me is that every one of the managers is able to give me a chart that shows me he was in the first quartile or the first decile. I have never had a prospective manager come in and say, ‘We’re in the fourth quartile or bottom decile’.
According to Wayne Firebaugh CPA, CFP® CMP™ most medical endowment funds today, even those with internal investment staff, rely heavily upon consultants and external managers.
In fact, a 2006 Commonfund Benchmarks Healthcare Study revealed that 85% of all surveyed institutions relied upon consultants with an even greater percentage of larger endowments relying upon consultants. The common reasons given by endowments for such reliance are augmenting staff and oddly enough, cost containment. In essence, the endowment staff’s job becomes one of managing the managers.
Manager Selection
Even those endowments that use consultants to assist in selecting outside managers remain involved in the selection and monitoring process. Interestingly, performance should generally not be the overriding criterion for selecting a manager. Selecting a manager could be viewed as a two-step process in which the endowment first establishes its initial allocation and determines what classes will require an external manager. The second part of the process is to select a manager that due diligence has indicated to have two primary characteristics: integrity and a repeatable and sustainable systematic process. These characteristics are interrelated, as a manager who embodies integrity will also strive to follow the established investment selection process.
Of Medical-Managers
In medicine, obtaining the best care often means consulting a specialist. As a manager of managers, the average endowment should seek specialist managers within a given asset class. Just as physicians and healthcare institutions gain additional insight and skill in their area of specialty, investment managers may be able to gain informational or system advantages within a given concentrated area of investments.
Assessment
Since most plan managers are seeking positive alpha by actively managing certain asset classes, many successful endowments will use a greater number of external managers in the concentrated segments than they will in the larger, more efficient markets.
Conclusion
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Posted on October 15, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Kaiser Permanente and unions representing 75,000 of its employees reached a tentative deal for a new contract in the wake of the largest healthcare strike ever in the US.
The UAW did not expand its strike against Detroit’s Big Three automakers, but the union’s president said more workers could be added to the picket lines at any time and urged carmakers to “pony up.”***
Posted on October 15, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
More than 7 million 23andMe customers were the victims of a data breach, with the hackers specifically targeting users of Ashkenazi Jewish ancestry. The data includes users’ names, profile photos, genetic ancestry results, date of birth, and geographical location. The hackers are attempting to sell the data, asking for between $1 and $10 per account, depending on how many accounts a buyer wants to purchase.
How’d they do it? By “credential stuffing”—acquiring the login credentials from one site and using them on other sites in order to gain access to sensitive information. 23andMe reported the incident to law enforcement and is asking all customers to change their passwords and use two-factor authentication.
Posted on October 14, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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The sun and the moon don’t typically run in the same circles but, for a fleeting moment today, they’ll participate in a rare joint appearance: the annular solar eclipse. That’s when the moon lines up directly between the Earth and the sun, blacking out all of the star except the outer rim, forming a “ring of fire.” So, provided the skies are clear, people in the Western US will be able to see the full ring of fire, while the further east you go, the more “partial” the eclipse becomes. Wherever you live, experts warn that you shouldn’t look directly at the eclipse without eye protection.
The following companies had stock price moves driven by quarterly earnings, analyst ratings, or other news:
BlackRock (BLK) fell 1.3% after the world’s largest money manager posted third-quarter revenue that fell short of expectations.
Boeing (BA) fell 3.3% following reports the aerospace company had widened the scope of an investigation into potential defects in its 737 MAX 8 aircraft.
Citigroup was about 0.2% lower despite reporting stronger-than-expected earnings per share and revenue.
Dollar General (DG) rose 9.2% after a Gordon Haskett analyst upgraded the stock to “buy” from “hold” after the company announced that former CEO Todd Vasos would be returning immediately.
JPMorgan rose 1.5% after country’s biggest bank reported better-than-expected quarterly earnings and revenue, helped by favorable net-interest income, or the money it made lending minus what it paid to customers.
PNC Financial Services Group (PNC) fell 2.6% after reporting mixed third-quarter results, as earnings per share topped expectations but revenue missed.
Post Holdings (POST) rose 2.6% after JPMorgan initiated coverage of the St. Louis-based breakfast cereal maker with an overweight rating, citing strong cash flow.
Progressive Corp. (PGR) gained 8.1% after the insurance company reported better-than-expected quarterly results.
UnitedHealth Group (UNH) rose 2.6%, leading Dow gainers, after quarterly earnings and revenue exceeded expectations.
Wells Fargo was up 2.8% after reporting stronger-than-expected quarterly revenue and higher earnings.
More large banks are due to report next week, with Bank of America (BAC) and Goldman Sachs (GS) expected to report results Tuesday and Morgan Stanley (MS) on tap Wednesday.
Netflix (NFLX) and Tesla (TSLA) are among the other notable companies on the calendar. Netflix shares have been slipping since early September, touching a five-month low Friday, but are still up 20% so far this year. Abbott Labs (ABT), American Airlines (AAL), CSX (CSX), Johnson & Johnson (JNJ), Union Pacific (UNP), and United Airlines (UAL) will also be reporting.
Posted on October 14, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Citigroup chief Jane Fraser has unveiled a plan to eliminate five layers of management in what is poised to become the bank’s largest restructuring in two decades, according to a presentation unveiled Friday. Since major reorganization changes were announced last month, Citigroup has scrapped its two core operating units — which had focused on institutional and consumer clients — and reorganized into five key business units including trading, banking, services, wealth management, and US consumer offerings. The stock price was up 3%.
JPMorgan Chase’s third-quarter profit soared 35% from last year, fueled by a rapid rise in interest rates, but the bank’s CEO, Jamie Dimon, issued a sobering statement about the current state of world affairs and economic instability.
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Here is where the major benchmarks ended:
The S&P 500 Index was down 21.83 points (0.5%) at 4,327.78, up 0.4% for the week; the Dow Jones Industrial Average (DJI) was up 39.15 points (0.1%) at 33,670.29, up 0.8% for the week; the NASDAQ Composite (COMP) was down 166.98 points (1.2%) at 13,407.23, down 0.2% for the week.
The 10-year Treasury note yield (TNX) was down about 9 basis points at 4.623%.
CBOE’s Volatility Index (VIX) was up 2.63 at 19.32.
Technology shares were among the market’s weakest sectors Friday, with the Philadelphia Semiconductor Index (SOX) tumbling more than 2%. Regional banks and transportation were also lower.
The small-cap focused Russell 2000 Index (RUT) extended a recent slide and was down 1.5% for the week. Energy shares led sector gainers as WTI crude oil futures soared more than 5%, capping a gain of nearly 6% for the week, after reports the U.S. had tightened sanctions against Russian crude exports.
Did you know that desperate doctors of all ages are turning to knowledgeable financial advisors and medical management consultants for help? Symbiotically too, generalist advisors are finding that the mutual need for knowledge and extreme niche synergy is obvious.
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But, there was no established curriculum or educational program; no corpus of knowledge or codifying terms-of-art; no academic gravitas or fiduciary accountability; and certainly no identifying professional designation that demonstrated integrated subject matter expertise for the increasingly unique healthcare focused financial advisory niche … Until Now!
So, if you are looking to supplement your knowledge, income and designations; and find other qualified professionals you may want to consider the CMP® program.
Enter the Certified Medical Planner™ charter professional designation. And, CMPs™ are FIDUCIARIES, 24/7.
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Conclusion
Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.
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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com
OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
Posted on October 13, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Triskaidekaphobia, or fear of the number 13, does not fit neatly into a clinical definition of a specific phobia. The number 13 is not an object or a situation, and it can be impossible for the sufferer to avoid. Moreover, in order for a phobia to be diagnosed, it must significantly impact the sufferer’s life. Most people with triskaidekaphobia find that their fear only arises in certain situations, and does not significantly impair their lives. But could this phobia just be linked to superstition?
Experts have long debated the scientific validity of triskaidekaphobia. Some feel that it should be classified as superstition or even taken as a sign of magic, which in conjunction with other symptoms, could point to a delusional disorder.
Fearfully, stocks dropped yesterday as fresh inflation data renewed fears that the Fed will keep rates higher for longer. The Consumer Price Index in September held steady at 3.7%—still a ways off from the Fed’s 2% target for inflation. News was better for Walgreens, whose shares jumped 7% after the pharmacy giant reported smaller losses and showed progress in its plan to cut costs.
Posted on October 13, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Here is where the major benchmarks ended today:
The S&P 500 Index was down 27.34 points (0.6%) at 4,349.61; the Dow Jones Industrial Average (DJI) was down 173.73 points (0.5%) at 33,631.14; the NASDAQ Composite was down 85.46 points (0.6%) at 13,574.22.
The 10-year Treasury note yield (TNX) was up nearly 11 basis points at 4.703%.
CBOE’s Volatility Index (VIX) was up 0.58 at 16.67.
Small-cap stocks led the way lower Thursday, as the Russell 2000 Index (RUT) sank more than 2% to a one-week low.
Retailers and utilities were also lower. Semiconductors and energy producers were among the few areas of strength, the latter posting modest gains even after a larger-than-expected increase in U.S. crude stockpiles sent oil futures lower.
Posted on October 12, 2023 by Dr. David Edward Marcinko MBA
By Staff Reporters
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Markets: Stocks notched their fourth winning day in a row yesterday as investors digested the news that the Fed was split about future rate hikes at its last meeting while waiting for this morning’s report on how much consumer prices rose last month.
Ozempic continues eating into investors’ appetites for other industries. Its maker, Novo Nordisk, rose on the news that the diabetes drug may help treat kidney failure, but dialysis providers DaVita and Fresenius Medical Care plunged.
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Earnings season is back: PepsiCo, Delta, Dominos, and big banks headline the start of earnings season, one that will have investors looking at how slowing inflation has affected the ability of companies to pad their profit margins. Pepsi’s report will be closely watched as its snack division, Frito-Lay, could be tested by the increasing popularity of weight-loss drugs like Wegovy. Major banks like JPMorgan are expected to post strong results.
US consumer spending: Has remained surprisingly strong despite rising interest rates, and a senior spending spree could explain it. According to the Department of Labor, Americans aged 65 and older accounted for 22% of consumer spending last year, the highest percentage since records began in 1972. It also helps that 17.7% of the US population is 65 and older, the highest on record dating to 1920. Better health, longer lifespans, and changes in attitude toward saving for a rainy day after the pandemic have boomers feeling OK about their finances.