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Medical Product Makers Split Over Trump Tariffs

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Medical Product Makers Split Over Trump Tariffs

Introduction to Tariffs in the Medical Community

President Donald Trump’s tariffs are creating a divide in the medical community. Medical devices and protective gear made in China, Mexico, and Canada were exempt from duties during the first Trump administration, but so far have not gotten a reprieve from his newest round of levies. While device makers who would take a big hit from the tariffs are pushing for a new carve out, the makers of personal protective equipment — who stand to benefit from the barriers — are not. The duties could also increase costs for hospitals — and therefore patients — and reduce access to critical equipment and care.

Concerns from Medical Technology and Device Makers

"MedTech supply chain leaders are already reporting supply chain concerns, and we cannot afford to drive up the cost of health care for patients, or on the health care system," said Scott Whitaker, CEO of AdvaMed, the trade group which represents medical technology and device makers. "The reality is, any increased costs will be largely borne by taxpayer-funded health programs like Medicare, Medicaid, and the VA." Hospital trade groups have also been sounding the alarm, saying that tariffs could reduce the quality of care. "The AHA has and will continue to share with the Administration, disruptions in the availability of these critical devices — many of which are sourced internationally — have the potential to disrupt patient care," said Rick Pollack, the CEO of the American Hospital Association.

Tariffs Add Pricing Complexity

Trump in February imposed 25% tariffs on imports from Canada and Mexico, but later delayed duties on many items that fall under the U.S.-Mexico-Canada Agreement. There has been no reprieve for goods from China. Trump’s new levies on imports from the country during his second term have brought the tariff rate up to 145%. Dozens of other countries face 10% tariffs after Trump delayed proposed steeper rates.

Medical Equipment Seller Squeezed

Many businesses can simply raise their prices to help offset increased costs from tariffs. That doesn’t apply to a range of hospitals and other organizations buying medical equipment. Many of those groups will have trouble passing on higher costs under current insurance coverage contracts, which they say have locked in prices for the year. "With the level of tariffs that we’re looking at in China, businesses are going to be completely upside down on these products … they can’t pass those costs on to the consumer," explained Casey Hite, CEO of Aeroflow Health, a firm which provides insurance-covered medical devices ranging from breast pumps for nursing mothers to CPAP machines for sleep apnea patients.

PPE Makers See Tariff Boost

On the opposite end of the tariff divide, U.S. companies that produce personal protective equipment have applauded the Trump administration’s latest levies on China. "I don’t know if it’s going to help the economy overall, but I do know that in our case, successive administrations — both Republican and Democratic — have recognized that these products are not competing on a level playing field," said Eric Axel, CEO of the American Medical Manufacturers Association, the trade group which represents PPE Makers. Analysts at Boston Consulting Group estimate roughly half of PPE used in the U.S. is produced in China, with roughly 10%-15% in Canada and Mexico.

The Challenges of U.S. Manufacturing

Trump has said he has imposed tariffs in large part to encourage manufacturing in the U.S. In the case of PPE, that may not happen. But near term, consulting firms say multinational producers are looking to shift manufacturing away from China to other countries with lower tariffs rather than bring it back to the U.S. "Managing that and the complexity there becomes super hard," explained Vikram Aggarwal, a BCG managing director and partner. For American-based medical device and protective gear manufacturers, one strategy now is to shift international production to Mexico and Canada, where they can potentially secure exemptions for products made under USMCA.

Impact on Major Medical Technology and Device Makers

Many of the major medical technology and device makers produce many of their goods in the U.S., but do have multiple points for manufacturing internationally. Analysts at Canaccord Genuity note Zimmer Biomet and Stryker, two of the largest makers of knee replacements, have dozens of facilities across North America, Europe, and Asia that help them navigate tariffs, but will still face a financial impact. Johnson & Johnson calculates that its MedTech division, which produces orthopedic and cardiac implants, could face a $400 million dollar tariff headwind this year, due in large part to the magnitude of duties on Chinese imports, as well as levies on non-USMCA compliant imports from Canada and Mexico.

Conclusion

The tariffs imposed by the Trump administration have created a divide in the medical community, with device makers pushing for a new carve out and PPE makers benefiting from the barriers. The duties could increase costs for hospitals and patients, reduce access to critical equipment and care, and disrupt the supply chain. While some companies may shift production to countries with lower tariffs, others may face financial impacts. The situation highlights the complexity of international trade and the need for careful consideration of the effects of tariffs on different industries and stakeholders.

FAQs

Q: What are the tariffs imposed by the Trump administration on medical devices and protective gear?
A: The tariffs imposed by the Trump administration on medical devices and protective gear range from 10% to 145%, depending on the country of origin and the type of product.
Q: How will the tariffs affect hospitals and patients?
A: The tariffs could increase costs for hospitals and patients, reduce access to critical equipment and care, and disrupt the supply chain.
Q: Which companies will be most affected by the tariffs?
A: Device makers, such as Zimmer Biomet and Stryker, and companies that produce PPE, such as Altor Safety, will be most affected by the tariffs.
Q: Will the tariffs encourage manufacturing in the U.S.?
A: The tariffs may not encourage manufacturing in the U.S., as companies may shift production to countries with lower tariffs rather than bring it back to the U.S.
Q: What is the estimated impact of the tariffs on Johnson & Johnson’s MedTech division?
A: The estimated impact of the tariffs on Johnson & Johnson’s MedTech division is a $400 million dollar tariff headwind this year.

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Global Trends and Politics

From Manager to Mediator: How to Handle Political Disputes at Work

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From Manager to Mediator: How to Handle Political Disputes at Work

Political impacts on workplaces can be detrimental, causing tension and conflict among employees. In today’s globalized and interconnected world, political discussions are inevitable, and managers must be equipped to handle disputes that may arise. As a manager, it’s essential to navigate these sensitive issues to maintain a productive and respectful work environment.

Understanding the Impact of Politics on the Workplace

The 2016 US presidential election highlighted the depth of political divisions in the country, and workplaces were not immune to these tensions. A survey by the Society for Human Resource Management found that 26% of employees reported feeling uncomfortable discussing politics at work, while 22% reported witnessing political disagreements between coworkers. This discomfort can lead to decreased productivity, increased stress, and even employee turnover.

Causes of Political Disputes at Work

Several factors contribute to the emergence of political disputes at work, including differences in personal values, cultural backgrounds, and socioeconomic status. The rise of social media has also made it easier for employees to share their opinions and engage in online discussions, which can sometimes spill over into the workplace. For instance, during the 2020 US presidential election, a survey found that 60% of employees reported discussing politics on social media, with 21% reporting that these discussions had a negative impact on their work relationships.

Strategies for Managing Political Disputes

To effectively manage political disputes, managers must adopt a neutral and respectful approach. This involves creating a safe and inclusive work environment where employees feel comfortable sharing their opinions without fear of retribution or judgment. One strategy is to establish clear guidelines for workplace discussions, emphasizing respect and civility. For example, a company like Google has a policy of encouraging open and respectful discussions, while also providing guidelines for employees to follow when engaging in online discussions.

Encouraging Respectful Dialogue

Encouraging respectful dialogue is crucial in managing political disputes at work. Managers can achieve this by modeling respectful behavior themselves and promoting active listening among employees. This involves creating opportunities for employees to engage in constructive discussions, such as town hall meetings or small group discussions. A study by the Harvard Business Review found that employees who felt heard and understood by their managers were more likely to feel engaged and motivated at work.

Mediation Techniques for Resolving Conflicts

When conflicts do arise, managers must be equipped with effective mediation techniques to resolve them. This involves remaining neutral, listening actively, and focusing on finding common ground. One technique is to use open-ended questions to encourage employees to share their perspectives and concerns. For instance, a manager at a company like Facebook might ask employees to share their thoughts on a particular issue, and then work together to find a solution that respects everyone’s opinions.

Addressing Power Imbalances

Power imbalances can exacerbate political disputes at work, particularly when managers or supervisors hold different views than their employees. To address these imbalances, managers must be aware of their own biases and take steps to create a level playing field. This involves being transparent about their own views and creating opportunities for employees to share their perspectives without fear of retribution. A study by the Journal of Applied Psychology found that employees who felt that their managers were fair and transparent were more likely to trust them and feel engaged at work.

Creating a Culture of Inclusion and Respect

Creating a culture of inclusion and respect is essential in managing political disputes at work. This involves promoting diversity and inclusion initiatives, such as diversity training programs and employee resource groups. For example, a company like Microsoft has a diversity and inclusion program that includes training programs, mentorship opportunities, and employee resource groups. These initiatives can help create a sense of community and shared values among employees, reducing the likelihood of conflict and improving overall well-being.

Leading by Example

Managers must lead by example in promoting a culture of inclusion and respect. This involves modeling respectful behavior, being open to feedback, and creating opportunities for employees to share their perspectives. A study by the Journal of Leadership and Organizational Studies found that managers who modeled respectful behavior were more likely to have employees who felt engaged and motivated at work.

Conclusion

In conclusion, managing political disputes at work requires a nuanced and multifaceted approach. By understanding the impact of politics on the workplace, adopting strategies for managing disputes, and creating a culture of inclusion and respect, managers can reduce conflict and promote a positive work environment. By leading by example and promoting respectful dialogue, managers can create a workplace where employees feel heard, valued, and respected, regardless of their political views.

Frequently Asked Questions

Q: How can I create a safe and inclusive work environment for employees with different political views?

A: Creating a safe and inclusive work environment involves establishing clear guidelines for workplace discussions, promoting respectful dialogue, and addressing power imbalances. Managers can also create opportunities for employees to engage in constructive discussions and provide training programs on diversity and inclusion.

Q: What are some effective mediation techniques for resolving conflicts at work?

A: Effective mediation techniques include remaining neutral, listening actively, and focusing on finding common ground. Managers can use open-ended questions to encourage employees to share their perspectives and concerns, and work together to find a solution that respects everyone’s opinions.

Q: How can I promote a culture of inclusion and respect at work?

A: Promoting a culture of inclusion and respect involves creating diversity and inclusion initiatives, such as diversity training programs and employee resource groups. Managers can also lead by example, model respectful behavior, and create opportunities for employees to share their perspectives and feedback.

Q: What are the consequences of not addressing political disputes at work?

A: Not addressing political disputes at work can lead to decreased productivity, increased stress, and employee turnover. It can also create a toxic work environment, damaging relationships among employees and undermining trust in management.

Q: How can I balance my own political views with the need to remain neutral as a manager?

A: Balancing your own political views with the need to remain neutral as a manager involves being aware of your own biases and taking steps to create a level playing field. Managers can be transparent about their own views, while also creating opportunities for employees to share their perspectives without fear of retribution.

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Global Trends and Politics

Wealthy Americans Flock to Swiss Banks Amid US Uncertainty

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Wealthy Americans Flock to Swiss Banks Amid US Uncertainty

Introduction to De-Americanization of Portfolios

A growing number of wealthy Americans are opening bank accounts in Switzerland as part of the "de-Americanization" of their portfolios, according to investors and banks. Swiss banks say they have seen a surge of interest and business from high-net-worth Americans opening investment accounts in recent months.

Reasons Behind the Trend

"It comes in waves," said Pierre Gabris, CEO of Alpen Partners International, a Swiss financial consulting firm. "When [former President Barack Obama] was elected we saw a big wave. Then Covid was another wave. Now tariffs are causing a new wave." Gabris said different clients have different motivations for opening an account. Many want to diversify away from the dollar, which they believe will weaken even further under the weight of the soaring U.S. debt. Switzerland’s neutral politics, stable economy, strong currency and reliable legal system are all a draw.

Motivations for Opening Swiss Accounts

Others are motivated by politics and what they see as a decline in the rule of law in the U.S. under the Trump administration. Others still are opening Swiss accounts to buy physical gold in Switzerland, which is famous for its gold storage and refineries. Gabris said many are also looking for residency or second citizenships in Europe and want to buy property. "It’s a plan B," he said.

Process of Opening a Swiss Bank Account

Opening a Swiss bank account is fairly straightforward but has to comply with strict U.S. disclosure laws. While the major U.S. banks can’t open Swiss accounts for clients, most have referral relationships with a handful of Swiss companies that are registered with the SEC and are allowed to accept U.S. investors. Vontobel SFA, believed to be the largest Swiss bank registered with the SEC for U.S. clients, declined to comment. The Swiss private bank Pictet said it had seen a "significant uptick" in requests from clients at its Swiss-based entity Pictet North America Advisors, which is registered with the SEC.

Regulation and Transparency

While opening a Swiss bank account decades ago may have carried a trace of illicit tax evasion, today it’s highly regulated and more widespread, complete with tax forms and reporting. "Many Americans are realizing that 100% of their portfolio is in U.S. dollars so they’re thinking, ‘Maybe I should diversify," Gabris said.

Conclusion

The trend of wealthy Americans opening bank accounts in Switzerland as part of the "de-Americanization" of their portfolios is driven by various factors, including diversification, political instability, and economic uncertainty. As the global economic landscape continues to evolve, it is likely that this trend will persist, with more high-net-worth individuals seeking to diversify their assets and secure their financial futures.

FAQs

Q: Why are wealthy Americans opening bank accounts in Switzerland?

A: Wealthy Americans are opening bank accounts in Switzerland to diversify their portfolios, escape political instability, and take advantage of Switzerland’s stable economy and strong currency.

Q: Is it legal for Americans to open a Swiss bank account?

A: Yes, it is legal for Americans to open a Swiss bank account, but it must comply with strict U.S. disclosure laws.

Q: What are the benefits of opening a Swiss bank account?

A: The benefits of opening a Swiss bank account include diversification, access to a stable economy and strong currency, and the ability to buy physical gold in Switzerland.

Q: How do I open a Swiss bank account?

A: To open a Swiss bank account, you can work with a Swiss company that is registered with the SEC and allowed to accept U.S. investors, or use a referral relationship with a major U.S. bank.

Q: Is opening a Swiss bank account a sign of tax evasion?

A: No, opening a Swiss bank account is not necessarily a sign of tax evasion. Today, it is a highly regulated and transparent process, complete with tax forms and reporting.

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Global Trends and Politics

Netflix Maintains 2025 Guidance, With A Catch

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Netflix Maintains 2025 Guidance, With A Catch

Introduction to Netflix’s Q1 Earnings

Netflix executives messaged Thursday that all is well with the business in the face of economic turbulence. But its full-year outlook tells a slightly more nuanced story.

Q1 Performance

Netflix posted a big beat on operating margin for the first quarter, reporting 31.7% compared with the average estimate of 28.5%, according to StreetAccount. And it guided well above analyst estimates for the second quarter — 33.3% against an average estimate of 30%. By its own phrasing, Netflix was "ahead" of its own guidance for the first quarter and is "tracking above the mid-point of our 2025 revenue guidance range."

Longer-term Projections

Still, Netflix declined to alter any of its longer-term projections. That suggests Netflix isn’t quite as confident in its second half. "There’s been no material change to our overall business outlook since our last earnings report," Netflix wrote in its quarterly note to shareholders.

Economic Slowdown Concerns

U.S. consumer sentiment is at its second-lowest level since 1952 as President Donald Trump’s new tariff policies roil markets. Co-CEO Greg Peters noted during the company’s earnings conference call that Netflix has, in the past, "been generally quite resilient" to economic slowdowns. Home entertainment provides a cheaper form of leisure than most other activities. A monthly Netflix subscription with ads costs $7.99.

Potential Impact on Streaming Subscriptions

But the question remains how — or whether — an economic slowdown would pinch Americans’ wallets and force higher churn among streaming subscriptions. Netflix stopped reporting quarterly subscriber numbers this quarter, so the company will likely not detail if it sees a customer slowdown later this year beyond reporting its underlying revenue and profit.

Revenue and Guidance

First-quarter revenue of $10.5 billion was roughly in line with analyst expectations, while second-quarter guidance of $11 billion is slightly above. "Retention, that’s stable and strong. We haven’t seen anything significant in plan mix or plan take rate," said Peters. "Things generally look stable."

Conclusion

In conclusion, while Netflix’s Q1 earnings were strong, the company’s longer-term projections suggest a more nuanced story. The potential impact of an economic slowdown on streaming subscriptions remains a concern, and Netflix’s decision to stop reporting quarterly subscriber numbers may make it difficult to gauge the company’s performance in the coming quarters.

FAQs

Q: How did Netflix perform in Q1?

A: Netflix posted a big beat on operating margin for the first quarter, reporting 31.7% compared with the average estimate of 28.5%.

Q: What is Netflix’s guidance for Q2?

A: Netflix guided well above analyst estimates for the second quarter — 33.3% against an average estimate of 30%.

Q: Is Netflix concerned about the economic slowdown?

A: While Netflix has been resilient to economic slowdowns in the past, the company’s longer-term projections suggest a more nuanced story, and the potential impact on streaming subscriptions remains a concern.

Q: How much does a monthly Netflix subscription with ads cost?

A: A monthly Netflix subscription with ads costs $7.99.

Q: What is Netflix’s revenue guidance for Q2?

A: Netflix’s second-quarter guidance is $11 billion, slightly above analyst expectations.

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