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The Importance of Your Children having a Job
Issue #475, June 16, 2017

The Problem with Medical Student Debt is—the Med Schools
Issue #474, June 12, 2017

Critters and Varmints in your Home and Yard
Issue #473A, June 07, 2017

Leveraged ETFs
Issue #472, May 29, 2017

Leasing a Vehicle: Don’t!
Issue #471, May 22, 2017

Escheat
Issue #470, May 15, 2017

More on Buying Jewelry
Issue #469, May 08, 2017

Buying Jewelry: Gold, Diamonds and Pearls
Issue #468, April 30, 2017

Thomas Sowell: Part III of III
Issue #467, April 24, 2017

Thomas Sowell: Pat II of III
Issue #466, April 17, 2017

Live Close to Where You Work
Issue #465, April 10, 2017

Medtronic in Hospital Management
Issue #Interim Bulletin #464A, April 07, 2017

Thomas Sowell: Part I of II
Issue #464, April 03, 2017

A Political Contribution a an Investment: Part II of II
Issue #463, March 27, 2017

A Political Contribution as an Investment: Part I of II
Issue #462, March 20, 2017

Buffett Selling Vacation Home
Issue #461, March 13, 2017

Advanced Placement (AP) ourses
Issue #460, March 06, 2017

The Importance of a Credit History
Issue #459A, March 02, 2017

A Credit Card Scam
Issue #459, February 27, 2017

The Electronic Health Reord
Issue #458, February 20, 2017

Contracts
Issue #457, February 13, 2017

Platinum and Palladium
Issue #456, February 06, 2017

Economic Outlook for 2017: Part II of II
Issue #455A, February 02, 2017

Economic Outlook for 2017: Part I of II
Issue #455, January 30, 2017

A Story From Vegas
Issue #454A, January 25, 2017

Land Donation Deals and the IRS
Issue #454, January 23, 2017

The Theory of Gambler’s Ruin
Issue #453, January 16, 2017

Student Loans: But Wait, There’s More!
Issue #452, January 13, 2017

A Second Home
Issue #Interim Bulletin #451A, January 04, 2017

The Consumer Confidence Index
Issue #451, January 02, 2017

Social Security
Issue #450, December 26, 2016

My Outlook for 2017: Part II of II
Issue #449, December 19, 2016

My Outlook for 2017: The Market
Issue #448, December 12, 2016

Medicine in 20 Years
Issue #447, December 05, 2016

Higher Interest Rates
Issue #446, November 28, 2016

Trump and the Markets: The Bad and Ugly
Issue #445A, November 23, 2016

Trump and the Markets: The Good
Issue #445, November 21, 2016

Negative Trends: The Suits aren’t Makin’ Steel
Issue #444, November 16, 2016

The New DOJ Fiduciary Rule
Issue #443, November 07, 2016

Barron’s Conference, Part IV of IV
Issue #442, October 31, 2016

Barron’s Conference, Part III of IV
Issue #Interim Bulletin #441A, October 26, 2016

Barron’s Conference, Part II of IV
Issue #441, October 24, 2016

Barron’s Conference, Part I of IV
Issue #440, October 20, 2016

This Newsletter
Issue #439A, October 12, 2016

Memoirs of US Grant: Vol II
Issue #439, October 10, 2016

More Points on Collecting, Investing and the Economy
Issue #Interim Bulletin #438A, October 05, 2016

Personal Memoirs of US Grant
Issue #438, October 03, 2016

Ideas for a High School Part-Time Job
Issue #Interim Bulletin #437A, September 29, 2016

Collecting, Investing, and the Economy
Issue #437, September 26, 2016

Free College
Issue #436A, September 22, 2016

A Military Commitment to Pay for Med School
Issue #436, September 19, 2016

When a CD isn’t a CD
Issue #435, September 12, 2016

I Made a Mistake
Issue #Interim Bulletin #434A, September 07, 2016

What is Your Spare Time Worth?
Issue #434, September 05, 2016

Credit Cards and Bonus/Loyalty Points
Issue #433, August 29, 2016

The Write-off of Student Loans
Issue #Interim Bulletin #432A, August 25, 2016

412 Retirement Plans
Issue #432, August 22, 2016

Join the Club
Issue #Interim Bulletin #431A, August 18, 2016

The Case for Precious Metals and Hard Assets
Issue #431, August 15, 2016

When the US went off the Silver Standard
Issue #430, August 08, 2016

Why NOT to Open a Restaurant
Issue #429, August 01, 2016

Some Tips on Life Insurance
Issue #428, July 25, 2016

More Observations on Negative Interest Rates
Issue #427, July 18, 2016

Embezzlement
Issue #426, July 11, 2016

Is a PhD Worth It? Part II of II
Issue #425, July 04, 2016

Is a PhD Worth It? Part I of II
Issue #424, June 27, 2016

Avoid Part-time real Estate Agents
Issue #423, June 20, 2016

The VIX
Issue #422, June 13, 2016

The Problem with Auction Reserves
Issue #421, June 06, 2016

Make Full Use of Your Capital Investments
Issue #420, May 30, 2016

The Fed’s Announcement
Issue #419, May 23, 2016

Quit While You’re Ahead: A True Story
Issue #418, May 16, 2016

The Precious Metals
Issue #417, May 09, 2016

Negative Secular Trends: Part Ii of II
Issue #416, May 02, 2016

Negative Secular Trends: Part I of II
Issue #415, April 25, 2016

Not Winning is not the same as not Losing
Issue #414, April 19, 2016

Behavioral Economics: Part II: Weaknesses
Issue #413, April 11, 2016

Behavioral Economics: Part I: Valid Points
Issue #412, April 04, 2016

The Most Important Books I’ve Read
Issue #411, March 28, 2016

Secret to Success: Take Risks and do Things Differently
Issue #410, March 21, 2016

The Over-Priced Food Presentation Hustle
Issue #409, March 14, 2016

The War on Cash
Issue #408, March 07, 2016

Precious Metals: Don’t Jump in Yet
Issue #407, February 29, 2016

The Bear is Growling
Issue #406, February 22, 2016

The Importance of Showing Respect
Issue #405, February 15, 2016

The 80-20 Rule of Thumb Pareto Principle
Issue #404, February 08, 2016

Some Tips on Commercial Real Estate
Issue #403, February 01, 2016

Economic Outlook for 2016
Issue #402, January 25, 2016

Selling Short: Part II of II
Issue #401, January 18, 2016

Short-Selling. Part I. How it Works
Issue #400, January 11, 2016

Who Can You Trust, and How to Spot a Con Man
Issue #399, January 04, 2016

Outlook for 2016: Part II of II
Issue #398, December 28, 2015

My Outlook for 2016, Part I of II
Issue #397, December 21, 2015

Want to Live a Long Time?
Issue #396, December 14, 2015

Some Tips on Retirement
Issue #395, December 04, 2015

Negative Interest Rates
Issue #394, November 30, 2015

What if the US Dollar Breaks to New Highs
Issue #393, November 23, 2015

How to Decrease Student Debt by 25%
Issue #392, November 16, 2015

The Importance of Buying Life Insurance when you are Young
Issue #391, November 09, 2015

Barron’s Conference, Part II of II
Issue #390, November 02, 2015

THE PHYSICIAN INVESTOR NEWSLETTER

HELPING PHYSICIANS ATTAIN FINANCIAL SECURITY
By Robert M. Doroghazi, M.D., F.A.C.C.

The Fed’s Announcement

Issue #419, May 23, 2016

    I was going to write about the importance of maximizing the use of your biggest capital investments, but I’ll put that off until at least next week.
    Instead, I’d like to talk about the Federal Reserve. On Wednesday afternoon, the Fed announced that interest rates could be raised at their June policy meeting if the economy continues to improve. Just like a few years ago with the “taper tantrum”, the market wasn’t exactly too happy about that. Gains before the announcement quickly disappeared, and the market continued with a rough day on Thursday, although it did recover on Friday.
    What might happen should the Fed raise rates?
    1) One of the basic reasons the stock market has done so well over the last 3-4 years is that the paltry returns from fixed-income provided little competition. Over the 20th Century, stocks paid a 4-5% dividend. Presently, a stock with a 2% dividend looks pretty sweet compared to the 10-year Treasury yielding 1.8%. With rising interest rates, fixed-income investments become more competitive, hurting stocks in general, and especially the high dividend payers such as Utilities and REITs.
    2) The yield curve has flattened. In normal times, the longer the duration, the higher the interest rate. People must be compensated for tying up their money for longer periods of time. When the market senses decreased economic activity (a decreased demand to borrow money), short-term rates stay the same, or even increase, while rates on the longer-dated bonds fall. Although still a ways from inversion, the current interest rate curve is the flattest since the financial crisis, not a good omen.
    3) As I have noted for some time, currencies are the most important show in town. Rising interest rates make the US Dollar more competitive: it exploded upwards after the announcement. A 2% return on US Treasuries is much more desirable than a negative return on German, Japanese or Swiss Bonds.
    4) Commodities world-wide, the most important being oil, are priced in US Dollars. If the Dollar strengthens, hard assets, including gold, and the stocks dependent upon them, such as the miners and agricultural stocks, could weaken.
    5) Rising rates can’t help real estate. If you have a variable rate note/mortgage (hopefully none of you have anyway), take a fixed-rate note.
    6) If interest rates rise, keep the duration of your bond portfolio short. Bonds lose value as interest rates rise.
    7) I will discuss the VIX (Volatility Index) in detail in an upcoming newsletter. In general, it goes up when people are scared. If it decisively breaks above 17, it could signal trouble for stocks. 
    There are some positives to rising rates:
    A) Banks can become more profitable, because they can raise rates on their loans. The big bank stocks, JP Morgan (JPM), Citigroup (C), etc., popped after the announcement.
    B) Savers will realize a better return on their investments, although rates would have to double to return to historical standard.
    This shows, in spades, the power of central banks. We no longer have “free” markets.   
                                                                    RMD
    Your Homeowner’s Insurance:
    1) Make sure it has kept pace with inflation.
    2) Increase the deductible. The standard deductible is $500. Increase it to AT LEAST $1,000, or even $2,500. It will save you hundreds of dollars a year.
    George Soros has increased his bearish bets on the S&P 500. He has also turned bullish on gold.
    RMD comment: Soros, a Hungarian Jew who fled the Nazis in WW II, is a smart guy. I pay attention to what he says. About 4 years ago he sold his gold position before the smackdown of April, 2013. He’s bearish on the S&P, at least in part because he feels the over-leveraged Chinese economy is reminiscent of ours just before the 2008 meltdown. 
    In last week’s letter, I showed the chart of Macy’s (M), which has lost more than 50% of its value in the last year. I noted that the charts of Ralph Lauren (RL), The Gap (GPS), Kohl’s (KSS) and Nordstrom’s (JWN) looked about the same, and commented this does not bode well for retail sales going forward. One subscriber thought this was more an indicator that the department store model is broken and less of a comment on retail and the economy in general.
    RMD comment: from The Rise and Fall of American Growth: The US Standard of Living since the Civil War (Gordon, Princeton U. Press). The department store not only provided much greater selection, but fixed (and lowered) prices, allowing stores to expand because clerks could service the customer, without direct input from the owner.
    In 1870, the farmer was isolated: no telephone, no automobile, no free rural delivery of mail (the farmer had to go to the PO to fetch the mail for themselves). For all of their dry goods, such as sugar, tobacco, skillets, shoes, etc., they were at the mercy of the local store owner, being gouged on both prices and the credit advanced to buy the goods. The Montgomery Ward and Sears Roebuck catalogues broadened their selection to thousands of items, lowered prices, and delivered the merchandize.
    The Great Atlantic and Pacific Tea Company (A&P) brought a greater selection of food at lower prices. Piggly Wiggly invented the concept of the super market, where the customer walked the aisles and picked up their own goods, rather than require a clerk to fill their order. Studies have shown that when Walmart (WMT) enters a community, grocery prices fall by as much as 25%. The bar code scanner increased efficiency. Amazon (AMZN) has led the Internet shopping revolution, allowing nearly infinite choices at lower prices and delivery to your door. 
    All of these changes in retail fostered growth, improved the quality of life by lowering prices and improving selection and convenience.
    Google purchased YouTube in 2006 for $1.6B. Based on revenues, Merrill Lynch recently estimated YouTube is worth $80B.
    RMD comment: I rarely watch TV after supper or on the weekends, when I can pull up just about anything I want on YouTube. Sometimes I will spend hours on Google, reading about one subject, which perks my interest in something else, which perks my interest on something else.
    Likewise, Gordon notes in American Growth (above) that almost all of the progress in the last 20 years has been in information processing, transmission and storage. This resulted in an initial pop in productivity in 1994-2004 when the effects of the personal computer and the Internet kicked in, but has had little effect since. Ex: Facebook may be a valuable company and brings enjoyment to many people, but it really hasn’t changed the human condition comparable to refrigeration or clean running water.
    Since retiring from the service, 3-star General Mark Hertling has taken a job at Florida Hospital in Orlando to help develop physicians’ leadership skills. He has written Growing Physician Leaders: Empowering Doctors to Improve Our Healthcare. He says there is a difference between healthcare, which is a business, and Medicine, which is a profession.
    RMD comment: Physicians were previously an important constituency of the hospital CEO because they controlled patient flow. Now that most patient flow is controlled by the patient’s insurance plan and many physicians are hospital employees, the CEO often considers physicians just another cost center to be controlled.
    Want to know where you stand with the hospital CEO? 1) Can you get in to see them? Do they return your phone calls? 2) Do they show you the respect of calling you “Doctor”, or do they call you by your first name?  From time to time I run into a retired local hospital administrator, years my senior, who still always calls me “Doctor”.   
   
       

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