DAILY UPDATE: Monkey-Pox is Up but Health Insurance is Down

MEDICAL EXECUTIVE-POST TODAY’S NEWSLETTER BRIEFING

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Essays, Opinions and Curated News in Health Economics, Investing, Business, Management and Financial Planning for Physician Entrepreneurs and their Savvy Advisors and Consultants

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The World Health Organization declared monkey-pox a global health emergency last Wednesday, about two years after pulling the same alarm on a different variant that infected almost 100,000 people worldwide and 32,000+ in the US, according to the New York Times.

CITE: https://tinyurl.com/2h47urt5

The number of people in the US without health insurance has been steadily rising since the official end of the Covid-19 public health emergency was declared in May 2023. The uninsured rate rose to 8.2% (or roughly 27 million people) in Q1 2024 after falling to a record low of 7.2% in Q2 2023, CDC data shows. That low was largely thanks to the Medicaid continuous enrollment policy that allowed all beneficiaries to keep their coverage until May 2023, according to Daniel Polsky, a health economist and professor at Johns Hopkins Carey Business School.

CITE: https://tinyurl.com/tj8smmes

Stocks: Global equities just scored their best week of 2024. Keep reading for a full breakdown of the bullish wave sweeping Wall Street and beyond.

Visualize: How private equity tangled banks in a web of debt, from the Financial Times.

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INVESTING: A New Era of Global Tensions

By Vitaliy Katsenelson CFA

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You don’t have to worry about the market and its crazy valuations. That’s your neighbor’s problem, not yours. In building your portfolio, we are aiming for resilience.

READ: https://investor.fm/investing-in-a-new-era-of-global-tensions/?mc_cid=e9237c7145&mc_eid=671e2735cc

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VINTAGE ESSAY: On the Growing Global Stock Trend

By Rick Kahler MS CFP® http://www.KahlerFinancial.com

Rick Kahler MS CFP

About twelve years ago the South Dakota Investment Council combined two of their asset classes, domestic and international stocks, into one, global stocks. While this move didn’t make the nightly news, it did signify a growing trend.

Many investment managers no longer view the US stock market as a separate asset class from the rest of the world’s stock markets.

Today they view it as one component of a global asset class of stocks.

Diversify

For the same reason you don’t want to own just one company’s stock in your portfolio, it makes no sense for an individual investing for retirement to own just US stocks. It’s as important to diversify among countries as among companies.

The question then becomes how much of a global stock portfolio should be in US stocks and how much in international stocks. For many years the standard thinking of portfolio managers was still to over-allocate to the US. It was, and to some degree still is, common to see 80% of a portfolio’s equity allocation in US stocks.

That over-allocation has never made a lot of sense to me, considering that the US accounts for far less than 80% of the global market capitalization. In the 1980’s, US companies accounted for about 65% of the global capitalization. Accordingly, I weighted my stock portfolios with 65% US and 35% international. By 1999, the US had slipped to 50%. I adjusted my portfolios accordingly.

The latest statistics from Dimensional Fund Advisors show the US still accounts for around 50% of the global capitalization. Investors who want to maintain a true global diversification of their stock portfolios will need to seriously consider reducing their US allocation.

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Which, Where and How to Invest

Which international stocks, then, should you add? Developed regions and countries like those of Europe, Australia Pacific, and Japan account for about 40% of the total global capitalization. Emerging market countries, many in Southwest Asia and Latin America, make up the remaining 10%. Weighting your portfolio accordingly gives you a well-diversified stock portfolio that has a high probability of withstanding the inevitable rise and fall of equity markets.

How do you invest globally? There are mutual funds that invest in specific countries, in regions, internationally, or globally. I don’t really like the country funds, as I don’t know which countries I should be underweighting or overweighting. Besides, creating a global index using country funds can be a lot of work and expense.

Using index regional funds is an easier way to invest in international stocks. To allocate according to the global capitalization percentages above, you would include three index mutual funds in your stock portfolio: one broad market US fund, an international fund of developed (non-emerging markets), and an emerging markets fund.

If you want even more simplicity, invest in one good global fund. The difference between an “international” fund and a “global” or “world” fund is that a global fund will include US stocks where an international fund won’t. Vanguard Total World Stock ETF comes to mind as one of the better “one size fits all” global funds that will invest in a mixture of countries, including the US. This one fund holds 7,164 stocks in 47 countries. You really need nothing more in the equity portion of your portfolio.

Assessment 

While it isn’t necessary to allocate your stocks strictly according to global capitalization percentages, research suggest you will probably do better in the long run to do so. Whether you decide to own country, regional, international, or global funds, what’s most important is that you diversify your stock portfolio globally. In today’s world, it’s an important component of diversified investing.

Conclusion

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OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

Risk Management, Liability Insurance, and Asset Protection Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™8Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

Written by doctors and healthcare professionals, this textbook should be mandatory reading for all medical school students—highly recommended for both young and veteran physicians—and an eliminating factor for any financial advisor who has not read it. The book uses jargon like ‘innovative,’ ‘transformational,’ and ‘disruptive’—all rightly so! It is the type of definitive financial lifestyle planning book we often seek, but seldom find.

LeRoy Howard MA CMPTM [Candidate and Financial Advisor, Fayetteville, North Carolina]

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DAILY UPDATE: Global Stock Earnings Reports Pending?

By Staff Reporters

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A near-$10 trillion rally for global stocks this year will face a make-or-break moment as hundreds of companies report earnings over the next few weeks.

S&P 500 firms are expected to post a 9% drop in profits in the second quarter, making it the worst season since 2020, according to data compiled by Bloomberg Intelligence.

In Europe, it may be even worse, with a projected 12% slump. But with the bar already low — and some indicators suggesting an earnings recovery next year — strategists are split on how the markets will react.

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